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ChatGPT encounters multiple opportunities and challenges in neurosurgery
Yi-Rui Kuang1,2,3, Ming-Xiang Zou1, Hua-Qing Niu4
1Department of Spine Surgery, The First Affiliated Hospital, Hengyang medical school, University of South China, Hengyang, China.
International Journal of Surgery (London, England)
|June 23, 2023
Summary
ChatGPT shows potential in neurosurgery but cannot replace human expertise. Its responses are often shallow, lacking personalization and the ability to perform physical exams or interpret images.
Area of Science:
- Artificial Intelligence in Medicine
- Neurosurgery Applications
- Large Language Models
Background:
- ChatGPT, utilizing GPT and Transformer architecture, offers customized responses in healthcare.
- This study explores ChatGPT's utility in neurosurgery across patient, student, and surgeon levels.
Purpose of the Study:
- To investigate the potential applications and limitations of ChatGPT in neurosurgery.
- To evaluate ChatGPT's performance from patient, student, and surgeon perspectives.
Main Methods:
- Inquiries posed to ChatGPT from patient, student, and surgeon viewpoints.
- Exploration of neurosurgery topics including diagnosis, treatment, prognosis, and rehabilitation.
- Assessment of ChatGPT's understanding of fundamental principles, clinical aspects, and skill enhancement tools.
Main Results:
- ChatGPT responses were often shallow, repetitive, and lacked personalization.
- The model struggled with discerning patient emotions and providing tailored care.
- Limitations include inability to perform physical exams, interpret images, and address biases in training data.
Conclusions:
- ChatGPT cannot replace the expertise of medical professionals due to limitations in physical examination, diagnosis, and emotional support.
- Legal and ethical considerations are crucial for AI implementation in healthcare.
- Further training with comprehensive data is needed to enhance ChatGPT's capabilities in neurosurgery.
