Clinicians have increasingly been using artificial intelligence (AI) to make decisions and to increase their knowledge in various clinical and surgical gynecological areas. A vast amount of clinical, medical, and biological patient data is processed in fast computer networks using complex algorithms to create mathematical modeling. The development of these mathematical models gives hope of a promising future with their contribution to overcoming the difficulties encountered in the diagnosis, individualization of treatment plans and improving patient outcomes. Virtual AI in clinical gynecology uses pattern recognition to aid diagnosis, plan treatment, and predict outcomes in gynecological malignancies, assisted reproductive techniques, and urogynecology. In gynecological surgery, physical AI combines augmented reality in operations in the form of computer-aided or robotic platforms. However, AI is yet to be fully incorporated into modern medical practice to improve patient outcomes in clinical gynecology.

Intra-abdominal Abscess Drainage from Douglas Pouch to Vagina after Liposuction - Cam & Sakura Medical Journal

Background and Objectives: To evaluate the association between the newly defined cerebroplacental–renal ratio (CPRR) and adverse perinatal outcome (APO) in pregnancy-induced hypertension (PIH), and to compare its discriminative performance with the cerebroplacental ratio (CPR) and cerebroplacental–uterine ratio (CPUR). Materials and Methods: This prospective, single-center cohort study included 105 women with PIH (preeclampsia, n = 63; gestational hypertension, n = 42). Doppler assessment was performed at ≥34 + 0 weeks and within 7 days before delivery. CPR was calculated as middle cerebral artery pulsatility index (PI)/umbilical artery PI, CPUR as CPR/mean uterine artery PI, and CPRR as CPR/right renal artery PI. APO was defined by the presence of any of the following: non-reassuring fetal status, a 5 min Apgar score <7, neonatal intensive care unit admission, or neonatal death. Receiver operating characteristic analysis and multivariable logistic regression adjusted for gestational age at ultrasound assessment and diagnosis group were performed. Results: APO occurred in 37 pregnancies (35.2%). CPUR and CPRR were significantly lower in the APO group, whereas CPR did not differ significantly. CPRR showed a higher apparent AUC for APO than CPR and CPUR (AUC 0.786, 95% CI 0.698–0.875), with significantly higher AUCs on pairwise DeLong comparisons. After adjustment, CPRR was the only Doppler index independently associated with APO (adjusted OR 1.423 per 0.1-unit decrease; 95% CI 1.162–1.743; p = 0.001). Conclusions: CPRR was independently associated with APO in PIH and showed higher discriminative performance than CPR and CPUR; however, these findings require validation in independent, multicenter studies before clinical application.