大型语言模型作为对玻璃眼外科病例的辅助:一个ChatGPT与Google Gemini的比较
Matteo Mario Carlà1,2, Gloria Gambini3,4, Antonio Baldascino3,4
1Ophthalmology Department, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168, Rome, Italy. mm.carla94@gmail.com.
概括
与谷歌双子相比,ChatGPT-4在分析眼外科病例方面表现优越,提供更准确和更一致的外科计划建议. 双子座在处理复杂案件方面表现出明显的局限性.
科学领域:
- 眼科医生 眼科 眼科
- 人工智能在医学中的应用
- 手术规划 手术规划
背景情况:
- 眼外科手术需要精确的计划,基于详细的病例分析.
- 评估先进人工智能模型在协助手术决策方面的能力至关重要.
研究的目的:
- 评估ChatGPT-4和谷歌双子在分析复杂的绿眼病例描述时的准确性.
- 确定人工智能模型能够为绿眼病患者建议适当的手术计划的能力.
主要方法:
- 进行了对60例外科眼镜瘤病例 (40例普通,20例具有挑战性) 的回顾性分析.
- 案例描述被输入到ChatGPT-4和Google Gemini接口三次,以测试响应的一致性.
- 人工智能生成的手术计划与三名青光眼专家的共识进行了比较,并使用全球质量评分 (GQS) 进行了分级.
主要成果:
- 在58%的病例中,ChatGPT-4的外科选择与专家一致,明显超过双子座的32%的同意率 (p=0.0001).
- 双子座在27%的案例中未能提供完整的响应,特别是在具有挑战性的场景中扎 (20%的同意与ChatGPT-4的45%相比).
- 与双子座 (2.1 ± 1.5) 相比,ChatGPT-4实现了更高的平均GQS (3.5 ± 1.2),在具有挑战性的情况下,差异更为明显.
结论:
- 聊天GPT-4在分析眼外科病例和提出手术计划方面表现出相当大的能力.
- 谷歌Gemini展示了显著的局限性,提供不准确或不完整的答案,特别是在复杂的情况下.
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