Keck School Faculty

Andrew Hung

Andrew Hung

Associate Professor of Urology
NOR 7416 Health Sciences Campus Los Angeles

National Institutes of Health: K23 Mentored Patient-Oriented Research Career Development Award, 2018-2021

Exploring the Use of Artificial Intelligence in the Management of Prostate Cancer Curr Urol Rep. 2023 May; 24(5):231-240. . View in PubMed

Assessing the efficacy of dissection gestures in robotic surgery J Robot Surg. 2023 Apr; 17(2):597-603. . View in PubMed

A multi-institutional study using artificial intelligence to provide reliable and fair feedback to surgeons Commun Med (Lond). 2023 Mar 30; 3(1):42. . View in PubMed

A vision transformer for decoding surgeon activity from surgical videos Nat Biomed Eng. 2023 Mar 30. . View in PubMed

Human visual explanations mitigate bias in AI-based assessment of surgeon skills NPJ Digit Med. 2023 Mar 30; 6(1):54. . View in PubMed

Capturing fine-grained details for video-based automation of suturing skills assessment Int J Comput Assist Radiol Surg. 2023 Mar; 18(3):545-552. . View in PubMed

Automated Capture of Intraoperative Adverse Events Using Artificial Intelligence: A Systematic Review and Meta-Analysis J Clin Med. 2023 Feb 20; 12(4). . View in PubMed

Reply by Authors J Urol. 2023 05; 209(5):862. . View in PubMed

A Urine-based DNA Methylation Marker Test to Detect Upper Tract Urothelial Carcinoma: A Prospective Cohort Study J Urol. 2023 05; 209(5):854-862. . View in PubMed

PRISMA AI reporting guidelines for systematic reviews and meta-analyses on AI in healthcare Nat Med. 2023 01; 29(1):14-15. . View in PubMed

Surgical gestures as a method to quantify surgical performance and predict patient outcomes NPJ Digit Med. 2022 Dec 22; 5(1):187. . View in PubMed

Using Real-time Feedback To Improve Surgical Performance on a Robotic Tissue Dissection Task Eur Urol Open Sci. 2022 Dec; 46:15-21. . View in PubMed

Reply by Authors Urol Pract. 2022 Nov; 9(6):541. . View in PubMed

An Assessment Tool to Provide Targeted Feedback to Robotic Surgical Trainees: Development and Validation of the End-To-End Assessment of Suturing Expertise (EASE) Urol Pract. 2022 Nov; 9(6):532-539. . View in PubMed

Clipless Robotic-assisted Radical Prostatectomy and Impact on Outcomes Eur Urol Focus. 2022 Sep; 8(5):1176-1185. . View in PubMed

Reply to Nikolaos Grivas, Nikolaos Kalampokis, and Henk van der Poel's Letter to the Editor re: Loc Trinh, Samuel Mingo, Erik BVanstrum, et al. Survival Analysis Using Surgeon Skill Metrics and Patient Factors to Predict Urinary Continence Recovery After Robot-assisted Radical Prostatectomy. Eur Urol Focus. In press. https://doi. org/10. 1016/j. euf. 2021. 04. 001. Eur Urol Focus. 2022 Sep; 8(5):1553. . View in PubMed

Artificial Intelligence Applications in Urology: Reporting Standards to Achieve Fluency for Urologists Urol Clin North Am. 2022 Feb; 49(1):65-117. . View in PubMed

Association of Suturing Technical Skill Assessment Scores Between Virtual Reality Simulation and Live Surgery J Endourol. 2022 10; 36(10):1388-1394. . View in PubMed

Machine Learning to Delineate Surgeon and Clinical Factors That Anticipate Positive Surgical Margins After Robot-Assisted Radical Prostatectomy J Endourol. 2022 09; 36(9):1192-1198. . View in PubMed

Reply by Authors J Urol. 2022 08; 208(2):423-424. . View in PubMed

Tailored Feedback Based on Clinically Relevant Performance Metrics Expedites the Acquisition of Robotic Suturing Skills-An Unblinded Pilot Randomized Controlled Trial J Urol. 2022 08; 208(2):414-424. . View in PubMed

Executive summary of the artificial intelligence in surgery series Surgery. 2022 05; 171(5):1435-1439. . View in PubMed

The Relationship Between Technical Skills, Cognitive Workload, and Errors During Robotic Surgical Exercises J Endourol. 2022 05; 36(5):712-720. . View in PubMed

Road to automating robotic suturing skills assessment: Battling mislabeling of the ground truth Surgery. 2022 04; 171(4):915-919. . View in PubMed

Survival Analysis Using Surgeon Skill Metrics and Patient Factors to Predict Urinary Continence Recovery After Robot-assisted Radical Prostatectomy Eur Urol Focus. 2022 03; 8(2):623-630. . View in PubMed

Technical Skill Impacts the Success of Sequential Robotic Suturing Substeps J Endourol. 2022 02; 36(2):273-278. . View in PubMed

Robotic and robot-assisted skull base neurosurgery: systematic review of current applications and future directions Neurosurg Focus. 2022 01; 52(1):E15. . View in PubMed

Validation of Machine Learning-Based Automated Surgical Instrument Annotation Using Publicly Available Intraoperative Video Oper Neurosurg (Hagerstown). 2022 09 01; 23(3):235-240. . View in PubMed

Expert surgeons and deep learning models can predict the outcome of surgical hemorrhage from 1 min of video Sci Rep. 2022 05 17; 12(1):8137. . View in PubMed

Deep Neural Networks Can Accurately Detect Blood Loss and Hemorrhage Control Task Success From Video Neurosurgery. 2022 06 01; 90(6):823-829. . View in PubMed

Artificial Intelligence Methods and Artificial Intelligence-Enabled Metrics for Surgical Education: A Multidisciplinary Consensus J Am Coll Surg. 2022 06 01; 234(6):1181-1192. . View in PubMed

Utility of the Simulated Outcomes Following Carotid Artery Laceration Video Data Set for Machine Learning Applications JAMA Netw Open. 2022 03 01; 5(3):e223177. . View in PubMed

Use of surgical video-based automated performance metrics to predict blood loss and success of simulated vascular injury control in neurosurgery: a pilot study J Neurosurg. 2021 Dec 31; 1-10. . View in PubMed

Reply by Authors Urol Pract. 2021 Sep; 8(5):604. . View in PubMed

Development and validation of an objective scoring tool to evaluate surgical dissection: Dissection Assessment for Robotic Technique (DART) Urol Pract. 2021 Sep; 8(5):596-604. . View in PubMed

Consulting 'DrGoogle' for minimally invasive urological oncological surgeries: A contemporary web-based trend analysis. Int J Med Robot. 2021 Aug; 17(4):e2250. . View in PubMed

An Objective Assessment of Performance during Robotic Partial Nephrectomy: Validation and Correlation of Automated Performance Metrics with Intraoperative Outcomes J Urol. 2021 May; 205(5):1294-1302. . View in PubMed

Editorial Commentary Urol Pract. 2021 May; 8(3):400-401. . View in PubMed

Surgeon Automated Performance Metrics as Predictors of Early Urinary Continence Recovery After Robotic Radical Prostatectomy-A Prospective Bi-institutional Study Eur Urol Open Sci. 2021 May; 27:65-72. . View in PubMed

Innovations in Urologic Surgical Training Curr Urol Rep. 2021 Mar 13; 22(4):26. . View in PubMed

Robot-Assisted Radical Prostatectomy Maneuvers to Attenuate Erectile Dysfunction: Technical Description and Video Compilation J Endourol. 2021 11; 35(11):1601-1609. . View in PubMed

Virtual Reality vs Dry Laboratory Models: Comparing Automated Performance Metrics and Cognitive Workload During Robotic Simulation Training J Endourol. 2021 10; 35(10):1571-1576. . View in PubMed

Comparative Effectiveness and Tolerability of Transperineal MRI-Targeted Prostate Biopsy under Local versus Sedation Urology. 2021 09; 155:33-38. . View in PubMed

A systematic review of virtual reality for the assessment of technical skills in neurosurgery Neurosurg Focus. 2021 08; 51(2):E15. . View in PubMed

Artificial Intelligence Will (MAY) Make Doctors Expendable (IN GOOD WAYS): Pro Eur Urol Focus. 2021 07; 7(4):683-684. . View in PubMed

Standardized Reporting of Machine Learning Applications in Urology: The STREAM-URO Framework Eur Urol Focus. 2021 07; 7(4):672-682. . View in PubMed

Efficiency and Accuracy of Robotic Surgical Performance Decayed Among Urologists During COVID-19 Shutdown J Endourol. 2021 06; 35(6):888-890. . View in PubMed

Multi-institutional validation of a perfused robot-assisted partial nephrectomy procedural simulation platform utilizing clinically relevant objective metrics of simulators (CROMS) BJU Int. 2021 06; 127(6):645-653. . View in PubMed

Deep learning-based computer vision to recognize and classify suturing gestures in robot-assisted surgery Surgery. 2021 05; 169(5):1240-1244. . View in PubMed

Reply by Authors J Urol. 2021 05; 205(5):1302. . View in PubMed

Machine learning analyses of automated performance metrics during granular sub-stitch phases predict surgeon experience Surgery. 2021 05; 169(5):1245-1249. . View in PubMed

A Novel Dissection Gesture Classification to Characterize Robotic Dissection Technique for Renal Hilar Dissection J Urol. 2021 01; 205(1):271-275. . View in PubMed

How the use of the artificial intelligence could improve surgical skills in urology: state of the art and future perspectives Curr Opin Urol. 2021 07 01; 31(4):378-384. . View in PubMed

Deep Learning to Automate Technical Skills Assessment in Robotic Surgery JAMA Surg. 2021 11 01; 156(11):1059-1060. . View in PubMed

Utilising an Accelerated Delphi Process to Develop Guidance and Protocols for Telepresence Applications in Remote Robotic Surgery Training Eur Urol Open Sci. 2020 Dec; 22:23-33. . View in PubMed

Systematic review of augmented reality in urological interventions: the evidences of an impact on surgical outcomes are yet to come World J Urol. 2020 Sep; 38(9):2167-2176. . View in PubMed

Using objective robotic automated performance metrics and task-evoked pupillary response to distinguish surgeon expertise World J Urol. 2020 Jul; 38(7):1599-1605. . View in PubMed

Comparison of clinical outcomes and automated performance metrics in robot-assisted radical prostatectomy with and without trainee involvement World J Urol. 2020 Jul; 38(7):1615-1621. . View in PubMed

Pillars to improve patient outcomes: training and assessment methods for surgery World J Urol. 2020 Jul; 38(7):1591-1593. . View in PubMed

Juxtaglomerular Cell Tumor With Atypical Pathological Features: Report of a Case and Review of Literature Int J Surg Pathol. 2020 Feb; 28(1):87-91. . View in PubMed

Artificial intelligence and neural networks in urology: current clinical applications Minerva Urol Nefrol. 2020 Feb; 72(1):49-57. . View in PubMed

Machine learning in the optimization of robotics in the operative field Curr Opin Urol. 2020 11; 30(6):808-816. . View in PubMed

Current status of artificial intelligence applications in urology and their potential to influence clinical practice BJU Int. 2019 Oct; 124(4):567-577. . View in PubMed

A better way to predict lymph node involvement using machine-learning? BJU Int. 2019 12; 124(6):901-902.. View in PubMed

Effect of surgeon experience and bony pelvic dimensions on surgical performance and patient outcomes in robot-assisted radical prostatectomy BJU Int. 2019 11; 124(5):828-835. . View in PubMed

A deep-learning model using automated performance metrics and clinical features to predict urinary continence recovery after robot-assisted radical prostatectomy BJU Int. 2019 09; 124(3):487-495. . View in PubMed

Utilising the Delphi Process to Develop a Proficiency-based Progression Train-the-trainer Course for Robotic Surgery Training Eur Urol. 2019 05; 75(5):775-785. . View in PubMed

Experts vs super-experts: differences in automated performance metrics and clinical outcomes for robot-assisted radical prostatectomy BJU Int. 2019 05; 123(5):861-868. . View in PubMed

Objective Assessment of Robotic Surgical Technical Skill: A Systematic Review J Urol. 2019 03; 201(3):461-469. . View in PubMed

Can machine-learning algorithms replace conventional statistics? BJU Int. 2019 01; 123(1):1.. View in PubMed

Crowdsourced versus expert evaluations of the vesico-urethral anastomosis in the robotic radical prostatectomy: is one superior at discriminating differences in automated performance metrics? J Robot Surg. 2018 Dec; 12(4):705-711.. View in PubMed

Use of Automated Performance Metrics to Measure Surgeon Performance during Robotic Vesicourethral Anastomosis and Methodical Development of a Training Tutorial J Urol. 2018 10; 200(4):895-902. . View in PubMed

The Importance of Technical and Non-technical Skills in Robotic Surgery Training Eur Urol Focus. 2018 09; 4(5):674-676. . View in PubMed

Utilizing Machine Learning and Automated Performance Metrics to Evaluate Robot-Assisted Radical Prostatectomy Performance and Predict Outcomes J Endourol. 2018 05; 32(5):438-444. . View in PubMed

Telementoring and Telesurgery for Minimally Invasive Procedures J Urol. 2018 02; 199(2):355-369. . View in PubMed

Development and Validation of Objective Performance Metrics for Robot-Assisted Radical Prostatectomy: A Pilot Study J Urol. 2018 01; 199(1):296-304. . View in PubMed

Automated Performance Metrics and Machine Learning Algorithms to Measure Surgeon Performance and Anticipate Clinical Outcomes in Robotic Surgery JAMA Surg. 2018 08 01; 153(8):770-771. . View in PubMed

Feasibility of expert and crowd-sourced review of intraoperative video for quality improvement of intracorporeal urinary diversion during robotic radical cystectomy Can Urol Assoc J. 2017 Oct; 11(10):331-336. . View in PubMed

Proctors exploit three-dimensional ghost tools during clinical-like training scenarios: a preliminary study World J Urol. 2017 Jun; 35(6):957-965. . View in PubMed

Structured learning for robotic surgery utilizing a proficiency score: a pilot study World J Urol. 2017 Jan; 35(1):27-34. . View in PubMed

Beyond 2D telestration: an evaluation of novel proctoring tools for robot-assisted minimally invasive surgery J Robot Surg. 2016 Jun; 10(2):103-9. . View in PubMed

Personalized 3D printed model of kidney and tumor anatomy: a useful tool for patient education World J Urol. 2016 Mar; 34(3):337-45. . View in PubMed

Multi-Institutional Validation of Fundamental Inanimate Robotic Skills Tasks J Urol. 2015 Dec; 194(6):1751-6. . View in PubMed

External validation of Global Evaluative Assessment of Robotic Skills (GEARS) Surg Endosc. 2015 Nov; 29(11):3261-6. . View in PubMed

Editorial Comment J Urol. 2015 Oct; 194(4):1105. . View in PubMed

Robotic Level III Inferior Vena Cava Tumor Thrombectomy: Initial Series J Urol. 2015 Oct; 194(4):929-38. . View in PubMed

Robotic unclamped "minimal-margin" partial nephrectomy: ongoing refinement of the anatomic zero-ischemia concept Eur Urol. 2015 Oct; 68(4):705-12. . View in PubMed

Development and Validation of a Novel Robotic Procedure Specific Simulation Platform: Partial Nephrectomy J Urol. 2015 Aug; 194(2):520-6. . View in PubMed

A novel interface for the telementoring of robotic surgery BJU Int. 2015 Aug; 116(2):302-8. . View in PubMed

Predictive value of magnetic resonance imaging determined tumor contact length for extracapsular extension of prostate cancer J Urol. 2015 Feb; 193(2):466-72. . View in PubMed

Novel training methods for robotic surgery Indian J Urol. 2014 Jul; 30(3):333-8. . View in PubMed

Cryosurgery for clinical T3 prostate cancer BJU Int. 2014 May; 113(5):684-5. . View in PubMed

Face, content, construct and concurrent validity of dry laboratory exercises for robotic training using a global assessment tool BJU Int. 2014 May; 113(5):836-42. . View in PubMed

Comparative assessment of three standardized robotic surgery training methods BJU Int. 2013 Oct; 112(6):864-71. . View in PubMed

Image visibility of cancer to enhance targeting precision and spatial mapping biopsy for focal therapy of prostate cancer BJU Int. 2013 Jun; 111(8):E354-64. . View in PubMed

Does eliminating global renal ischemia during partial nephrectomy improve functional outcomes? Curr Opin Urol. 2013 Mar; 23(2):112-7.. View in PubMed

Response to Letter to the Editor J Urol. 2013 Feb 19. . View in PubMed

"Trifecta" in partial nephrectomy J Urol. 2013 Jan; 189(1):36-42. . View in PubMed

Validation of a novel robotic-assisted partial nephrectomy surgical training model BJU Int. 2012 Sep; 110(6):870-4. . View in PubMed

Robotic transrectal ultrasonography during robot-assisted radical prostatectomy Eur Urol. 2012 Aug; 62(2):341-8. . View in PubMed

Focal cryotherapy for clinically unilateral, low-intermediate risk prostate cancer in 73 men with a median follow-up of 37 years. Eur Urol. 2012 Jul; 62(1):55-63. . View in PubMed

Percutaneous radiofrequency ablation of virtual tumours in canine kidney using Global Positioning System-like technology BJU Int. 2012 May; 109(9):1398-403. . View in PubMed

Concurrent and predictive validation of a novel robotic surgery simulator: a prospective, randomized study J Urol. 2012 Feb; 187(2):630-7. . View in PubMed

Anatomic renal artery branch microdissection to facilitate zero-ischemia partial nephrectomy Eur Urol. 2012 Jan; 61(1):67-74. . View in PubMed

Face, content and construct validity of a novel robotic surgery simulator J Urol. 2011 Sep; 186(3):1019-24. . View in PubMed

Innovations in prostate biopsy strategies for active surveillance and focal therapy Curr Opin Urol. 2011 Mar; 21(2):115-20. . View in PubMed

Negative influence of changing biopsy practice patterns on the predictive value of prostate-specific antigen for cancer detection on prostate biopsy Cancer. 2008 Apr 15; 112(8):1718-25. . View in PubMed

Uniform testicular maturation arrest: a unique subset of men with nonobstructive azoospermia J Urol. 2007 Aug; 178(2):608-12; discussion 612. . View in PubMed

Dr. Hung is an expert in robotic, laparoscopic and traditional open surgery for diseases of the adrenal, kidney, ureter, bladder and prostate.

Dr. Hung received his Bachelor of Science degree with honors from Yale University, and completed his medical education at the Weill Medical College of Cornell University with honors in research. He completed his urology residency at the University of Southern California, and stayed at USC for a fellowship in advanced laparoscopy and robotics under Inderbir Gill, a world-leader in minimally invasive urological surgery.

Dr. Hung is a recognized leader in the validation and development of innovative surgical simulation technologies. To train the next generation of urologic surgeons, he developed the first-ever procedure-specific simulation for robotic surgery. Supported by both industry and the National Institutes of Health, Dr. Hung has also become a leading innovator in the development of automated performance metrics for robotic surgery. His collaboration with data scientists has harness machine learning algorithms to better predict robotic surgical outcomes.

Dr. Hung has produced several first-author and senior-author papers on surgical assessment and training in leading journals, including the Journal of Urology and JAMA Surgery. He is a regular peer-reviewer for leading urologic journals. He currently serves as the first Consulting Editor on Artificial Intelligence for the British Journal of Urology International.
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