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聊天机器人的可靠性在管理胸部外科临床场景
Joseph J Platz1, Darren S Bryan2, Keith S Naunheim1
1Division of Thoracic Surgery, Department of Surgery, St. Louis University, St Louis, Missouri.
The Annals of thoracic surgery
|April 4, 2024
概括
四个聊天机器人未能准确地管理胸部手术场景,显示出可靠的医疗决策性能不足. 这凸显了人们对当前人工智能在复杂手术环境中的准确度的担忧.
科学领域:
- 医疗人工智能 医疗人工智能
- 胸部外科手术 胸部外科手术
- 临床决策支持 临床决策支持
背景情况:
- 随着聊天机器人越来越多地融入医疗实践中,需要对其准确性的评估.
- 人工智能工具在复杂的临床场景中的可靠性存在担忧.
- 这项研究侧重于聊天机器人在胸部外科背景下的表现.
研究的目的:
- 评估四个领先的聊天机器人在管理胸部外科临床场景中的表现.
- 确定当前的人工智能模型是否符合医疗决策支持的可接受准确度值.
主要方法:
- 在诊断,评估和治疗领域开发了12个临床场景.
- 在三个运行中为ChatGPT-4,Gemini (Bard),Perplexity和Claude 2管理了场景.
- 基于关键特征方法得分的场景,关键失败导致得分为0.
主要成果:
- 所有聊天机器人未能在所有运行中达到通过值 (≥2分),关键平均场景失败率分别为83%,71%和71%.
- 虽然机器人在第一和第二次运行之间显示了学习的趋势,但在原始或调整的分数中没有观察到显著的改善.
- 总体表现表明,在管理所呈现的临床情况方面存在相当大的变化和不足.
结论:
- 目前的聊天机器人在处理复杂的胸部手术场景方面的表现不足以提供可靠的临床协助.
- 这些发现可以作为一个警告,防止过早依赖人工智能在专业领域的关键医疗决策.
- 需要进一步的研究来提高医疗保健应用中的AI准确性和安全性.
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