脊椎手术中的血栓栓塞预防:对ChatGPT建议的分析
Akiro H Duey1, Katrina S Nietsch1, Bashar Zaidat1
1Department of Orthopedics, Icahn School of Medicine, New York, NY.
概括
在提供脊椎外科手术中进行血栓栓塞预防的建议方面,ChatGPT-4.0的准确性高 (92%),显著优于ChatGPT-3.5.5. 在临床实践整合之前需要进一步验证.
科学领域:
- 人工智能在医学中的应用
- 临床决策支持系统 临床决策支持系统
- 脊柱外科手术的结果
背景情况:
- 静脉血栓塞栓症 (VTE) 是选择性脊柱手术后的一个重大风险.
- 由于潜在的外周膜内血瘤风险,血栓栓化学预防仍在争论中.
- 像ChatGPT这样的AI模型可能会提供对VTE预防建议的见解.
研究的目的:
- 评估ChatGPT关于脊椎外科手术中静脉瘤预防的建议的准确性.
- 将ChatGPT的响应与已建立的北美脊柱协会 (NASS) 准则进行比较.
主要方法:
- 与2009年NASS指南相比,对ChatGPT (3.5和4.0版本) 的响应进行了比较分析.
- 评估指标包括准确性,过度结论性,补充信息和不完整性.
- 聊天GPT得到了来自NASS抗血栓治疗指南的提问.
主要成果:
- 聊天GPT-4.0实现了92%的准确性,而聊天GPT-3.5.5.的准确性为33%.
- 在8%的响应中,ChatGPT-4.0的过度结论性,而在ChatGPT-3.5.5的响应中,这一比例为50%.
- 在92%的回复中,ChatGPT-4.0提供了补充信息,而33%的回复是不完整的.
结论:
- 在脊椎手术中,ChatGPT可以提供相当准确的VTE预防建议.
- 聊天GPT-4.0比聊天GPT-3.5更保守,更准确,它引用了不存在的来源.
- 在AI产生的指南可以在临床实践中采用之前,持续的验证至关重要.
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