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聊天GPT在喉科和头手术中的表现:一个临床案例系列
Jerome R Lechien1,2,3,4,5,6, Bianca M Georgescu7, Stephane Hans8,9
1Research Committee of Young Otolaryngologists of the International Federation of Otorhinolaryngological Socities (IFOS), Paris, France. Jerome.Lechien@umons.ac.be.
概括
聊天GPT显示承诺作为一个辅助工具在喉科和头部部 (LHN) 实践,在诊断和治疗建议表现出色,但在建议适当的LHN病例的额外检查方面不那么出色.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 人工智能在医学中的应用
背景情况:
- 像ChatGPT这样的人工智能 (AI) 工具的整合到临床实践中正在迅速发展.
- 评估AI在喉科和头部手术 (LHN) 等专业医疗领域的有效性对于了解其潜在的好处和局限性至关重要.
研究的目的:
- 评估ChatGPT在喉科和头手术中的临床病例管理方面的表现.
- 将ChatGPT的诊断和治疗建议与经验丰富的耳鼻喉科医生进行比较.
主要方法:
- 来自耳鼻喉科-头部外科部门的40名患者的临床病例数据被提交给ChatGPT.
- 聊天GPT被查询差异诊断,管理计划和治疗选择.
- 两位失明的耳鼻喉科医生使用复合分数和太华诊所评估工具来评估表现,用阿姆斯特丹临床挑战量表来评估病例复杂性.
主要成果:
- 与人类从业者相比,ChatGPT建议进行更多的额外检查.
- 关于共同的检查有协议,但ChatGPT错过了一些关键的检查,如PET-CT和阻抗-pH监测.
- 聊天GPT在提出差异诊断 (90%初级,65%最合理) 和治疗选择 (60-68%) 中表现出色,但在选择额外检查方面表现最低.
结论:
- 聊天GPT在LHN实践中是一个有价值的辅助工具,提供有关检查,诊断和治疗的全面信息.
- 虽然ChatGPT在诊断和治疗方面很有效,但需要进一步改进,以便在LHN病例中最佳选择额外的诊断检查.
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