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Как ИИ стал хирургом: история операции, полностью проведенной роботом

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ИИ впервые самостоятельно выполнил сложную хирургическую операцию на животном, управляя роботом DaVinci без вмешательства человека (но при наблюдении последнего, конечно). Система SRT-H продемонстрировала точность, сравнимую с работой опытного хирурга. Она построена на основе нейросетей типа трансформеров — модели, которые умеют учитывать весь контекст и принимать решения шаг за шагом.

Давайте обсудим, как ИИ обучается оперировать, какие технологии обеспечивают нормальную работу и какие перспективы это открывает для медицины — от рутинных процедур до сложных вмешательств.

Как ИИ стал хирургом: что это за проект

Роботы-хирурги выглядят… ну как роботы. Источник
Роботы-хирурги выглядят… ну как роботы. Источник

В начале 2025 года команда Университета Джона Хопкинса представила SRT-H (Surgical Robot Transformer) — программно-аппаратную автономную медицинскую систему. Она самостоятельно провела холецистэктомию, операцию по удалению желчного пузыря, на мягких тканях свиньи. Система управляла роботом DaVinci и обошлась без прямого вмешательства человека. Это не просто эксперимент, а демонстрация потенциала искусственного интеллекта: SRT-H базируется на нейросети трансформерного типа, которая умеет анализировать ход операции и принимать решения.

В общем-то, медицинские аппараты — не новинка. Хирургические роботы появились еще в 1990-х, именно тогда Intuitive Surgical выпустила DaVinci. Они позволяли врачам оперировать удаленно, управляя манипуляторами через видеопоток с камер и эндоскопов. Это изменило подход к сложным вмешательствам, но все-таки человек оставался главным элементом. В 2022 году эта же команда разработала робота STAR (Smart Tissue Autonomous Robot), он умел вносить правки в заранее заданный план, ориентируясь на данные с камер. При этом машина требовала четких инструкций и специально размеченных тканей, что ограничивало ее гибкость.

Робот STAR. Источник
Робот STAR. Источник

SRT-H — вообще новый уровень. Новинка использует архитектуру трансформеров, похожую на ту, что применяется в языковых ИИ вроде ChatGPT. Только здесь модель обучена не на тексте, а на последовательностях хирургических действий.

Система делится на два модуля: высокоуровневый планирует этапы операции, анализируя видеопоток и контекст, а низкоуровневый переводит команды в точные движения манипуляторов. Это позволяет роботу адаптироваться к изменениям в реальном времени и справляться с вариациями анатомии. SRT-H работает на основе открытой версии робота DaVinci, которую используют в научных целях. Это значит, что технология уже опирается на проверенное оборудование, и при желании ее можно масштабировать: не нужно разрабатывать нового робота с нуля — достаточно адаптировать программное обеспечение.

Для эксперимента выбрали холецистэктомию — операцию, которую в США проводят около 700 тысяч раз в год. SRT-H обучали на действиях врача-человека, который выполнял операцию на DaVinci. Система успешно справилась со всеми новыми образцами, даже когда анатомия отличалась от обучающих данных или изображение было неидеальным. По точности она сравнялась с опытным хирургом, хотя работала медленнее. SRT-H также понимает команды голосом и со временем улучшает свои алгоритмы, как стажер под руководством наставника.

Технологии за скальпелем: подробности операции

Ключ к успеху SRT-H — в ее способности учиться и работать в одной команде с человеком. Система использует имитационное обучение: она наблюдает за действиями хирурга, анализирует их и учится повторять.

Холецистэктомию разбили на 17 этапов — от установки зажимов до перерезания протоков. Во время обучения операцию выполнял хирург, а SRT-H наблюдала за процессом: она фиксировала каждое его действие, связывая его с видеопотоком с эндоскопа и камер на манипуляторах, с текстовыми аннотациями. Так она училась выполнять те же шаги самостоятельно. Всего за 17 часов обучения ИИ научился справляться даже с нестандартными ситуациями — например, когда протоки расположены необычно или камера временно теряет обзор.

Робот-хирург SRT-H. Источник
Робот-хирург SRT-H. Источник

Модели-трансформеры, изначально созданные для обработки текстов, показали себя эффективными и в анализе других типов данных — видеопотока и движений манипуляторов. Они позволяют системе распознавать сложные зависимости, выстраивать последовательность действий и гибко реагировать на изменения во время операции. Даже если ткань сместилась или изображение с камеры оказалось нечетким, SRT-H все равно работает точно. Еще одно важное преимущество — способность понимать подсказки на естественном языке. Фразы вроде «поставь зажим чуть выше» помогают системе корректировать действия.

SRT-H стала развитием предыдущей разработки той же команды — робота STAR (Smart Tissue Autonomous Robot), созданного в 2022 году. STAR мог выполнять отдельные этапы операции, опираясь на заранее заданный план и изображение с камер, но требовал четкой разметки тканей и строго следовал инструкциям. В отличие от него, SRT-H куда более универсальна: она способна обучаться разным операциям — от аппендэктомии до сложных вмешательств. Это делает ее шагом к полноценной платформе для автономной хирургии.

Конечно, у технологии есть и ограничения. Чтобы перейти к операциям на живых пациентах, системе нужны большие объемы данных о движениях — так называемая кинематика. Проблема в том, что компания Intuitive Surgical, разработчик DaVinci, ограничивает доступ к этим данным, опасаясь утечки технологий к конкурентам. По словам ведущего исследователя Джи Вун Кима, инженеры готовы сотрудничать, но юридический отдел компании блокирует такие инициативы. В качестве альтернативы Ким предлагает собирать данные с помощью датчиков движения, установленных на обычные хирургические инструменты — без участия DaVinci. Это может ускорить развитие автономной хирургии, но потребует дополнительных усилий и финансирования.

Перспективы и вызовы: ИИ в операционной и за ее пределами

Успех SRT-H открывает новые горизонты для медицины. Автономные системы могут взять на себя рутинные операции, высвобождая время хирургов для особенно сложных случаев. Это крайне важно для регионов с нехваткой специалистов или для экстренных ситуаций, таких как массовые травмы. Высокая точность ИИ снижает риск ошибок, вызванных усталостью или человеческим фактором. В холецистэктомии, например, критично правильно расположить зажимы, и SRT-H делает это не хуже опытного врача.

Но с возможностями приходят вызовы. Первый — этика и ответственность. Кто отвечает за ошибку ИИ: разработчик, больница или, условно, сам робот? Без четких стандартов внедрение таких систем в клиники будет ограниченным. Второй — доступ к данным. Без кинематики развитие автономной хирургии замедлится. Решение с датчиками на инструментах — перспективный обходной путь, но его реализация займет время. Третий — обучение врачей. Если ИИ возьмет на себя рутину, молодым хирургам придется больше работать в симуляторах или под руководством ИИ, а это меняет подход к медицинскому образованию.

В будущем можно ожидать появления машин, которые могли бы не только выполнять операции, но и подавать инструменты, ассистировать хирургам или взаимодействовать с пациентами. Но чтобы это стало реальностью, нужны новые алгоритмы, больше обучающих данных и поддержка со стороны отрасли.

Источник

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    "In the crypto world, this is great news I want to share. Last year, I fell victim to a scam disguised as a safe investment option. I have invested in crypto trading platforms for about 10yrs thinking I was ensuring myself a retirement income, only to find that all my assets were either frozen, I believed my assets were secure — until I discovered that my BTC funds had been frozen and withdrawals were impossible. It was a devastating moment when I realized I had been scammed, and I thought my Bitcoin was gone forever, Everything changed when a close friend recommended the Capital Crypto Recover Service. Their professionalism, expertise, and dedication enabled me to recover my lost Bitcoin funds back — more than €560.000 DEM to my BTC wallet. What once felt impossible became a reality thanks to their support. If you have lost Bitcoin through scams, hacking, failed withdrawals, or similar challenges, don’t lose hope. I strongly recommend Capital Crypto Recover Service to anyone seeking a reliable and effective solution for recovering any wallet assets. They have a proven track record of successful reputation in recovering lost password assets for their clients and can help you navigate the process of recovering your funds. Don’t let scammers get away with your hard-earned money – contact Email: [email protected] Phone CALL/Text Number: +1 (336) 390-6684 Contact: [email protected] Website: https://recovercapital.wixsite.com/capital-crypto-rec-1

  • 12.10.25 19:53 Tonerdomark

    A crook swiped my Dogecoin. It ruined my whole world. Then Mr. Sylvester showed up. He fixed it all. He pulled back €211,000 for me. Not one cent missing from my profits. His steady cool and sharp tech know-how won back my trust. I got my money smooth and sound. After endless worry, relief hit me hard. I trusted him completely. Lost cash to a scam? Hit him up now at { yt7cracker@gmail . com }. His aid turned my life around. WhatsApp at +1 512 577 7957.

  • 12.10.25 21:36 blessing

    Writing this review is a joy. Marie has provided excellent service ever since I started working with her in early 2018. I was worried I wouldn't be able to get my coins back after they were stolen by hackers. I had no idea where to begin, therefore it was a nightmare for me. However, things became easier for me after my friend sent me to [email protected] and +1 7127594675 on WhatsApp. I'm happy that she was able to retrieve my bitcoin so that I could resume trading.

  • 13.10.25 01:11 elizabethrush89

    God bless Capital Crypto Recover Services for the marvelous work you did in my life, I have learned the hard way that even the most sensible investors can fall victim to scams. When my USD was stolen, for anyone who has fallen victim to one of the bitcoin binary investment scams that are currently ongoing, I felt betrayal and upset. But then I was reading a post on site when I saw a testimony of Wendy Taylor online who recommended that Capital Crypto Recovery has helped her recover scammed funds within 24 hours. after reaching out to this cyber security firm that was able to help me recover my stolen digital assets and bitcoin. I’m genuinely blown away by their amazing service and professionalism. I never imagined I’d be able to get my money back until I complained to Capital Crypto Recovery Services about my difficulties and gave all of the necessary paperwork. I was astounded that it took them 12 hours to reclaim my stolen money back. Without a doubt, my USDT assets were successfully recovered from the scam platform, Thank you so much Sir, I strongly recommend Capital Crypto Recover for any of your bitcoin recovery, digital funds recovery, hacking, and cybersecurity concerns. You reach them Call/Text Number +1 (336)390-6684 His Email: [email protected] Contact Telegram: @Capitalcryptorecover Via Contact: [email protected] His website: https://recovercapital.wixsite.com/capital-crypto-rec-1

  • 13.10.25 01:11 elizabethrush89

    God bless Capital Crypto Recover Services for the marvelous work you did in my life, I have learned the hard way that even the most sensible investors can fall victim to scams. When my USD was stolen, for anyone who has fallen victim to one of the bitcoin binary investment scams that are currently ongoing, I felt betrayal and upset. But then I was reading a post on site when I saw a testimony of Wendy Taylor online who recommended that Capital Crypto Recovery has helped her recover scammed funds within 24 hours. after reaching out to this cyber security firm that was able to help me recover my stolen digital assets and bitcoin. I’m genuinely blown away by their amazing service and professionalism. I never imagined I’d be able to get my money back until I complained to Capital Crypto Recovery Services about my difficulties and gave all of the necessary paperwork. I was astounded that it took them 12 hours to reclaim my stolen money back. Without a doubt, my USDT assets were successfully recovered from the scam platform, Thank you so much Sir, I strongly recommend Capital Crypto Recover for any of your bitcoin recovery, digital funds recovery, hacking, and cybersecurity concerns. You reach them Call/Text Number +1 (336)390-6684 His Email: [email protected] Contact Telegram: @Capitalcryptorecover Via Contact: [email protected] His website: https://recovercapital.wixsite.com/capital-crypto-rec-1

  • 14.10.25 01:15 tyleradams

    Hi. Please be wise, do not make the same mistake I had made in the past, I was a victim of bitcoin scam, I saw a glamorous review showering praises and marketing an investment firm, I reached out to them on what their contracts are, and I invested $28,000, which I was promised to get my first 15% profit in weeks, when it’s time to get my profits, I got to know the company was bogus, they kept asking me to invest more and I ran out of patience then requested to have my money back, they refused to answer nor refund my funds, not until a friend of mine introduced me to the NVIDIA TECH HACKERS, so I reached out and after tabling my complaints, they were swift to action and within 36 hours I got back my funds with the due profit. I couldn’t contain the joy in me. I urge you guys to reach out to NVIDIA TECH HACKERS on their email: [email protected]

  • 14.10.25 08:46 robertalfred175

    CRYPTO SCAM RECOVERY SUCCESSFUL – A TESTIMONIAL OF LOST PASSWORD TO YOUR DIGITAL WALLET BACK. My name is Robert Alfred, Am from Australia. I’m sharing my experience in the hope that it helps others who have been victims of crypto scams. A few months ago, I fell victim to a fraudulent crypto investment scheme linked to a broker company. I had invested heavily during a time when Bitcoin prices were rising, thinking it was a good opportunity. Unfortunately, I was scammed out of $120,000 AUD and the broker denied me access to my digital wallet and assets. It was a devastating experience that caused many sleepless nights. Crypto scams are increasingly common and often involve fake trading platforms, phishing attacks, and misleading investment opportunities. In my desperation, a friend from the crypto community recommended Capital Crypto Recovery Service, known for helping victims recover lost or stolen funds. After doing some research and reading multiple positive reviews, I reached out to Capital Crypto Recovery. I provided all the necessary information—wallet addresses, transaction history, and communication logs. Their expert team responded immediately and began investigating. Using advanced blockchain tracking techniques, they were able to trace the stolen Dogecoin, identify the scammer’s wallet, and coordinate with relevant authorities to freeze the funds before they could be moved. Incredibly, within 24 hours, Capital Crypto Recovery successfully recovered the majority of my stolen crypto assets. I was beyond relieved and truly grateful. Their professionalism, transparency, and constant communication throughout the process gave me hope during a very difficult time. If you’ve been a victim of a crypto scam, I highly recommend them with full confidence contacting: 📧 Email: [email protected] 📱 Telegram: @Capitalcryptorecover Contact: [email protected] 📞 Call/Text: +1 (336) 390-6684 🌐 Website: https://recovercapital.wixsite.com/capital-crypto-rec-1

  • 14.10.25 08:46 robertalfred175

    CRYPTO SCAM RECOVERY SUCCESSFUL – A TESTIMONIAL OF LOST PASSWORD TO YOUR DIGITAL WALLET BACK. My name is Robert Alfred, Am from Australia. I’m sharing my experience in the hope that it helps others who have been victims of crypto scams. A few months ago, I fell victim to a fraudulent crypto investment scheme linked to a broker company. I had invested heavily during a time when Bitcoin prices were rising, thinking it was a good opportunity. Unfortunately, I was scammed out of $120,000 AUD and the broker denied me access to my digital wallet and assets. It was a devastating experience that caused many sleepless nights. Crypto scams are increasingly common and often involve fake trading platforms, phishing attacks, and misleading investment opportunities. In my desperation, a friend from the crypto community recommended Capital Crypto Recovery Service, known for helping victims recover lost or stolen funds. After doing some research and reading multiple positive reviews, I reached out to Capital Crypto Recovery. I provided all the necessary information—wallet addresses, transaction history, and communication logs. Their expert team responded immediately and began investigating. Using advanced blockchain tracking techniques, they were able to trace the stolen Dogecoin, identify the scammer’s wallet, and coordinate with relevant authorities to freeze the funds before they could be moved. Incredibly, within 24 hours, Capital Crypto Recovery successfully recovered the majority of my stolen crypto assets. I was beyond relieved and truly grateful. Their professionalism, transparency, and constant communication throughout the process gave me hope during a very difficult time. If you’ve been a victim of a crypto scam, I highly recommend them with full confidence contacting: 📧 Email: [email protected] 📱 Telegram: @Capitalcryptorecover Contact: [email protected] 📞 Call/Text: +1 (336) 390-6684 🌐 Website: https://recovercapital.wixsite.com/capital-crypto-rec-1

  • 14.10.25 08:46 robertalfred175

    CRYPTO SCAM RECOVERY SUCCESSFUL – A TESTIMONIAL OF LOST PASSWORD TO YOUR DIGITAL WALLET BACK. My name is Robert Alfred, Am from Australia. I’m sharing my experience in the hope that it helps others who have been victims of crypto scams. A few months ago, I fell victim to a fraudulent crypto investment scheme linked to a broker company. I had invested heavily during a time when Bitcoin prices were rising, thinking it was a good opportunity. Unfortunately, I was scammed out of $120,000 AUD and the broker denied me access to my digital wallet and assets. It was a devastating experience that caused many sleepless nights. Crypto scams are increasingly common and often involve fake trading platforms, phishing attacks, and misleading investment opportunities. In my desperation, a friend from the crypto community recommended Capital Crypto Recovery Service, known for helping victims recover lost or stolen funds. After doing some research and reading multiple positive reviews, I reached out to Capital Crypto Recovery. I provided all the necessary information—wallet addresses, transaction history, and communication logs. Their expert team responded immediately and began investigating. Using advanced blockchain tracking techniques, they were able to trace the stolen Dogecoin, identify the scammer’s wallet, and coordinate with relevant authorities to freeze the funds before they could be moved. Incredibly, within 24 hours, Capital Crypto Recovery successfully recovered the majority of my stolen crypto assets. I was beyond relieved and truly grateful. Their professionalism, transparency, and constant communication throughout the process gave me hope during a very difficult time. If you’ve been a victim of a crypto scam, I highly recommend them with full confidence contacting: 📧 Email: [email protected] 📱 Telegram: @Capitalcryptorecover Contact: [email protected] 📞 Call/Text: +1 (336) 390-6684 🌐 Website: https://recovercapital.wixsite.com/capital-crypto-rec-1

  • 15.10.25 18:07 crypto

    Cryptocurrency's digital realm presents many opportunities, but it also conceals complex frauds. It is quite painful to lose your cryptocurrency to scam. You can feel harassed and lost as a result. If you have been the victim of a cryptocurrency scam, this guide explains what to do ASAP. Following these procedures will help you avoid further issues or get your money back. Communication with Marie ([email protected] and WhatsApp: +1 7127594675) can make all the difference.

  • 15.10.25 21:52 harristhomas7376

    "In the crypto world, this is great news I want to share. Last year, I fell victim to a scam disguised as a safe investment option. I have invested in crypto trading platforms for about 10yrs thinking I was ensuring myself a retirement income, only to find that all my assets were either frozen, I believed my assets were secure — until I discovered that my BTC funds had been frozen and withdrawals were impossible. It was a devastating moment when I realized I had been scammed, and I thought my Bitcoin was gone forever, Everything changed when a close friend recommended the Capital Crypto Recover Service. Their professionalism, expertise, and dedication enabled me to recover my lost Bitcoin funds back — more than €560.000 DEM to my BTC wallet. What once felt impossible became a reality thanks to their support. If you have lost Bitcoin through scams, hacking, failed withdrawals, or similar challenges, don’t lose hope. I strongly recommend Capital Crypto Recover Service to anyone seeking a reliable and effective solution for recovering any wallet assets. They have a proven track record of successful reputation in recovering lost password assets for their clients and can help you navigate the process of recovering your funds. Don’t let scammers get away with your hard-earned money – contact Email: [email protected] Phone CALL/Text Number: +1 (336) 390-6684 Contact: [email protected] Website: https://recovercapital.wixsite.com/capital-crypto-rec-1

  • 15.10.25 21:52 harristhomas7376

    "In the crypto world, this is great news I want to share. Last year, I fell victim to a scam disguised as a safe investment option. I have invested in crypto trading platforms for about 10yrs thinking I was ensuring myself a retirement income, only to find that all my assets were either frozen, I believed my assets were secure — until I discovered that my BTC funds had been frozen and withdrawals were impossible. It was a devastating moment when I realized I had been scammed, and I thought my Bitcoin was gone forever, Everything changed when a close friend recommended the Capital Crypto Recover Service. Their professionalism, expertise, and dedication enabled me to recover my lost Bitcoin funds back — more than €560.000 DEM to my BTC wallet. What once felt impossible became a reality thanks to their support. If you have lost Bitcoin through scams, hacking, failed withdrawals, or similar challenges, don’t lose hope. I strongly recommend Capital Crypto Recover Service to anyone seeking a reliable and effective solution for recovering any wallet assets. They have a proven track record of successful reputation in recovering lost password assets for their clients and can help you navigate the process of recovering your funds. Don’t let scammers get away with your hard-earned money – contact Email: [email protected] Phone CALL/Text Number: +1 (336) 390-6684 Contact: [email protected] Website: https://recovercapital.wixsite.com/capital-crypto-rec-1

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