An Agentic AI for Automated Surgical Planning in Robotic-Assisted Prostatectomy

6/3/2025 • IEEE Transactions on Medical Imaging • License: Proprietary

Hao, F.

Abstract

This study details an AI agent that autonomously generates surgical plans for robotic procedures. By analyzing 3D MRI scans and patient-specific data, the agent defines optimal dissection planes, identifies nerves to spare, and maps out instrument trajectories. In a retrospective validation on 200 cases, the agent's surgical plan was rated as equivalent or superior to the human-created plan by a panel of expert surgeons in 88% of cases.

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Clinical implications

An AI agent was developed to create surgical plans for robotic prostate surgeries. By analyzing patient scans, it can map out the entire procedure. Expert surgeons agreed that the AI's plan was as good as or better than a human's plan in nearly 9 out of 10 cases, paving the way for more consistent surgical outcomes.

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