在泌尿病学中使用ChatGPT及其在临床实践中的相关性:它有用吗?
Antonio Vitor Nascimento Martinelli Braga1, Noel Charlles Nunes1, Emanoel Nascimento Santos1
1Centro de Distúrbios Urinários Infantis (CEDIMI), Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil.
概括
评估了聊天GPT对尿道疾病的反应,如初级大尿道,尿尿失禁和尿道回流. 虽然有些答案是合适的,但其他答案是不完整的,模两可的或误导性的,可能会影响患者的护理和医生的决策.
科学领域:
- 人工智能在医学中的应用
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗信息学 医疗信息学
背景情况:
- 聊天生成预训练变压器 (ChatGPT) 是一个流行的AI工具.
- 人工智能产生的不准确信息可能导致患者误导信息和医生不当行为.
- 在医疗环境中评估AI准确性对于安全实施至关重要.
研究的目的:
- 评估ChatGPT 3.5关于泌尿病诊断的答案的准确性和可重复性.
- 识别与泌尿器科人工智能相关的错误信息和决策错误的潜在风险.
主要方法:
- 聊天GPT 3.5 在一次性大尿道 (pMU),尿液浸泡和尿道回流 (VUR) 上进行了查询.
- 为了评估可重现性,每种条件被提出两次三个不同的查询.
- 响应被组合并由三个泌尿病专家进行了定性评估.
主要成果:
- 聊天GPT提供的信息通常是准确的,但有时是不完整或模糊的.
- 对Enuresis的反应部分正确,可能有误解;VUR的反应是适当的.
- pMU定义缺乏关键细节 (例如尿路扩张直径);为尿尿症提出了无效的治疗方法.
结论:
- 聊天GPT展示了模拟的一般知识,但需要对临床使用进行仔细的验证.
- 人工智能反应的不完整性和模糊性对患者安全和临床决策构成风险.
- 需要进一步的研究来完善人工智能工具,以提供可靠的泌尿病诊断支持.
相关概念视频
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
918
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
918
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
481
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
481
01:27Imaging Studies III: Computed Tomography
112
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
112
01:25Urinary Tract Calculi VI: Surgical Management
113
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
113
01:30Urinary Tract Calculi III: Medical Management
77
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
77
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
200
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
200