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聊天GPT与GPT-4在诊断准确性方面优于急诊室医生:回顾性分析

John Michael Hoppe¹, Matthias K Auer¹, Anna Strüven^2,3

¹Department of Medicine IV, LMU University Hospital, Munich, Germany.

Journal of medical Internet research

|July 8, 2024

概括

与GPT-3.5和内科病例急诊室医生相比,GPT-4显示出更高的诊断准确性. 这种人工智能显示出在紧急护理环境中作为支持工具的潜力.

科学领域:

医疗人工智能医疗人工智能
在医疗保健中的自然语言处理.
紧急医疗诊断诊断诊断诊断

背景情况:

开放AI的ChatGPT是一种自然语言处理AI,在医疗治疗建议和紧急医疗分类方面表现有前途.
以前的研究表明,ChatGPT在紧急医疗中具有潜力,但其在急诊室 (ED) 的诊断准确性仍未得到评估.

研究的目的:

为了比较ChatGPT (GPT-3.5和GPT-4) 与急诊室住院医生的诊断准确度.
为了评估AI诊断能力在内部医学急诊室设置.

主要方法:

对2023年1月入院ED的100名成年内科患者的回顾性分析.
通过比较ED住院医生和ChatGPT (GPT-3.5/GPT-4) 诊断与最终的医院出院诊断来评估诊断的准确性.
使用分数系统来分级诊断准确度.

主要成果:

GPT-4的诊断准确度高于GPT-3.5 (P<.001) 和ED住院医生 (P=.01).
在诊断心血管疾病 (P=.03与ED医生相比) 和内分泌/胃肠道疾病 (P=.01与GPT-3.5) 中,GPT-4显示出显著的优势.
虽然GPT-4的表现始终优于其他子组,但在所有子组中,差异并不具有统计学意义.

结论:

与黄金标准出院诊断相比,GPT-4在诊断准确度方面超过了住院医生和GPT-3.5.
这些发现突出了人工智能作为急诊室设置中宝贵的支持性诊断工具的潜力.
局限性包括追溯设计和小样本大小,需要进一步调查.

关键词:

在这里,我们可以看到AIAIAI.聊天GPT 聊天在GPT 聊天在NLP中,我们使用了NLP.开放AI是一个开放的AI.准确度准确度准确度准确度准确度人工智能的人工智能是人工智能.诊断诊断诊断诊断诊断诊断诊断的准确性诊断的准确性紧急情况部门的急救部门.紧急医疗的分拣紧急医疗的分拣内部医学是内科的专业.自然语言处理自然语言处理.医生医生是一个医生.医生是医生,医生是医生选分类是为了分类.

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