聊天GPT-4准确性用于治疗喉回流的患者教育
Jerome R Lechien1,2,3,4, Thomas L Carroll5, Molly N Huston6
1Research Committee, Young Otolaryngologists of the International Federation of Otorhinolaryngological Societies (IFOS), Paris, France. Jerome.Lechien@umons.ac.be.
概括
聊天GPT-4提供了足够的患者信息,关于喉回流疾病 (LPRD) 的定义和表现. 然而,其在HEMII-pH监测等诊断工具上的准确性需要改进,以提高LPRD患者的教育.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 人工智能在医学中的应用
- 数字健康数字健康
背景情况:
- 聊天机器人生成预训练变压器 (ChatGPT) 是一种AI语言模型,在耳鼻喉科实践和研究中具有潜在的应用.
- 鉴于患者越来越依赖在线资源,评估ChatGPT在喉回流性疾病 (LPRD) 上产生以患者为中心的信息的能力至关重要.
研究的目的:
- 评估ChatGPT-4在提供以患者为中心的关于LPRD的信息方面的准确性和可靠性.
- 评估ChatGPT-4在LPRD关键方面的表现:定义,临床表现,诊断和治疗.
主要方法:
- 根据已建立的共识和审查,制定了关于LPRD的25个问题.
- 问题被输入到ChatGPT-4,答案由四位经过董事会认证的喉科医生使用5分利克特级别来评估.
- 评估者之间的可靠性被评估,以确保专家评估的一致性.
主要成果:
- 在LPRD定义 (4.13/5),临床表现 (4.50/5),治疗 (4.18/5) 方面,ChatGPT-4获得了高分.
- 对于有关流行LPRD症状和下-食道多通道内阻抗-pH监测 (HEMII-pH) 的诊断实用性等问题,表现较低.
- 在评估专家中,获得了高interrater可靠性 (ICC=0.973).
结论:
- 聊天GPT-4展示了提供关于LPRD定义,GERD差异化和临床症状的准确信息的能力.
- 需要进一步优化ChatGPT-4的内容与额外喉表现和LPRD的HEMII-pH诊断标准相关.
- 该研究强调了像ChatGPT-4这样的AI聊天机器人的潜力和局限性,用于LPRD患者教育,为临床医生和患者提供信息.
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