聊天生成训练预训变压器在椎手术中回答以患者为中心的问题
Tejas Subramanian1,2, Kasra Araghi1, Troy B Amen1
1Department of Orthopedic Surgery, Hospital for Special Surgery.
Clinical spine surgery
|March 27, 2024
概括
聊天生成预训练变压器 (ChatGPT) 提供了令人印象深刻的患者在椎主题的教育,但准确性和可读性需要改进,以获得最佳的患者理解.
科学领域:
- 人工智能在医学中的应用
- 患者教育 技术 技术
- 整形外科手术 整形外科手术
背景情况:
- 人工智能 (AI) 正在迅速推进医疗保健中的患者教育.
- 患者越来越多地使用像ChatGPT这样的AI工具来获取医疗信息,特别是在骨科手术和脊柱疾病方面.
- 有限的数据存在于AI产生的反应在专业领域的患者决策的准确性和适用性.
研究的目的:
- 为了评估聊天生成预训练变压器 (ChatGPT) 对患者专注的椎问题产生的答案的质量.
- 评估ChatGPT对椎脊椎手术诊所中遇到的常见问题的答案的准确性,适当性和可读性.
主要方法:
- 对ChatGPT (版本3.5) 输出进行了审查,对9个关于椎脊柱的患者常见问题进行了审查.
- 答案由两名审稿人独立评估,使用利克尔特级准确度 (0-5),适当性 (0-3) 和可读性 (0-2) 的等级.
- 进一步分析可读性,使用Flesh-Kincaid等级水平对原始和六年级重新表述的答案进行分析.
主要成果:
- 聊天GPT的响应平均为7.1/10整体,准确度为4.1/5和适当性为1.8/3.3.
- 可读性得分平均为1.2/2,原始响应为13.5级,经过重新表述后改善为11.2.
- 虽然一般信息丰富,但ChatGPT的椎脊柱信息的准确性和可读性对非专业人士的理解有局限性.
结论:
- 聊天GPT展示了作为一个工具的潜力,用于患者教育椎病症和手术选择.
- 目前在响应准确性和最佳可读性方面的局限性要求谨慎对患者依赖人工智能生成的医疗建议.
- 医疗保健提供者应该预计患者使用人工智能工具的增加,并准备处理人工智能衍生信息.
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