聊天GPT-4 帮助优化急诊室放射学推和成像选择
Yiftach Barash1, Eyal Klang2, Eli Konen3
1Department of Diagnostic Imaging, Chaim Sheba Medical Center, Tel Hashomer, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; DeepVision Lab, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Journal of the American College of Radiology : JACR
|July 9, 2023
概括
聊天GPT-4显示作为一个决策支持工具的承诺,准确地推成像检查和提高放射学转诊质量在急诊室的病例. 放射科医生可以利用这项技术来提高患者的护理.
科学领域:
- 放射学 放射学是一门学科.
- 人工智能的人工智能
- 医疗信息学 医疗信息学
背景情况:
- 放射学转诊质量对于有效的患者管理和准确的成像解释至关重要.
- 紧急诊所 (ED) 经常遇到复杂的病例,需要及时和适当的成像选择.
研究的目的:
- 评估ChatGPT-4的实用性,作为选择适当的成像检查的决策支持工具.
- 评估ChatGPT-4在ED环境中产生高质量的放射学转诊的能力.
主要方法:
- 从ED的40个临床笔记进行了回顾性分析,涉及八种不同的病理.
- 使用ChatGPT-4来推成像检查,协议,并生成转诊.
- 独立放射科医生对转诊进行分级,以清晰度,临床相关性和差异诊断,并与ACR适当性标准进行比较.
主要成果:
- 聊天GPT-4的成像建议与ACR适当性标准和ED实践保持一致.
- 生成的转诊在清晰度 (平均值4.6-4.8),临床相关性 (平均值4.4-4.5) 和差异诊断 (平均值4.9) 方面获得了高分.
- 在ChatGPT-4和ACR AC之间发现了较小的协议差异 (5%).
结论:
- 聊天GPT-4显示潜在的作为一个补充工具,以帮助成像研究选择特定的临床情景.
- 大型语言模型的整合可能会提高放射学推的整体质量.
- 放射科医生应该保持对人工智能的进展的了解,并考虑潜在的好处和风险.
相关概念视频
01:30Radiological Investigation I: X-ray and CT
295
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
295
01:14Imaging Studies I: CT and MRI
295
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
295
01:13Radiological Investigation III: Pulmonary Angiogram and PET Scan
116
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
116
01:20Imaging Studies for Cardiovascular System III: X-Ray
219
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
219
01:30Radiological Investigation II: MRI and Ventilation Perfusion Scan
154
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
154
01:28Imaging Studies for Cardiovascular System V: CT
45
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
45