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关于ChatGPT遵守耳鼻喉科临床实践指南
Idit Tessler1,2,3, Amit Wolfovitz4,5, Eran E Alon4,5
1Department of Otolaryngology and Head and Neck Surgery, Sheba Medical Center, Ramat Gan, Israel. idit.tessler@gmail.com.
概括
在耳鼻喉科,ChatGPT显示一致但可变的准确性,在头部和部表现良好,但在儿科表现不佳. 在临床使用之前需要进一步评估.
科学领域:
- 医疗信息学 医疗信息学
- 人工智能在医学中的应用
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 像ChatGPT这样的大型语言模型 (LLM) 为医学知识传播提供了潜力.
- 确保LLMs在临床应用中的准确性至关重要.
- 美国耳鼻喉科 - 头部和部手术学会 (AAO-HNS) 提供了关键的临床指南.
研究的目的:
- 评估ChatGPT遵守AAO-HNS指南的情况.
- 评估ChatGPT对耳鼻喉科问题的答案的准确性和一致性.
主要方法:
- 根据AAO-HNS指南,ChatGPT被询问了24个耳鼻喉科问题,重复了三次 (N=72).
- 两个耳鼻喉科医生对答案的准确性和指导方针的相关性进行了评估.
- 使用科恩的卡帕评估了评价者之间的可靠性;通过克伦巴赫的alpha测量了ChatGPT的响应一致性.
主要成果:
- 在72个答案中,ChatGPT在43个答案中实现了高准确率 (59.7%),矛盾最小 (2.8%).
- 根据子专业的准确性不同:100%在头部和部,66%在鼻科/耳科,50%在喉科和8%在儿科.
- 答案的一致性是合理的 (70.8%的问题),由0.87.8的克伦巴赫α支持.
结论:
- 当应用到耳鼻喉学指南时,ChatGPT显示出一致性但可变的准确性.
- 在特定领域,特别是儿科,表现较低,需要进一步严格评估.
- 目前的研究结果表明,对于即时的现实世界临床实施,需要谨慎.
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