使用人工智能为泌尿病患者生成医学文献:比较三种不同的大型语言模型
David Pompili1, Yasmina Richa1, Patrick Collins2
1School of Medicine, University College Cork, Cork, Ireland.
World journal of urology
|July 29, 2024
概括
大型语言模型 (LLM) 显示出产生泌尿病学主题患者信息传单的潜力. 然而,内容需要临床审查以确保准确性和对成年患者的可读性.
科学领域:
- 医疗保健中的人工智能
- 医疗信息学 医疗信息学
- 自然语言处理自然语言处理.
背景情况:
- 大型语言模型 (LLM) 是先进的AI系统,能够生成类似人类的文本.
- 在医疗保健中应用LLM对改善患者教育和减少临床医生的工作负担具有显著的前景.
- 患者信息传单 (PIL) 对于患者了解疾病和治疗方法至关重要.
研究的目的:
- 评估三个领先的LLM在常见泌尿病状况上生成的患者信息传单 (PIL) 的质量.
- 为了比较ChatGPT-4,PaLM 2 (Google Bard) 和Llama 2 (Meta) 在创建泌尿学专注的PILs方面的性能.
- 评估LLM生成的PIL的可读性和准确性,以帮助患者理解.
主要方法:
- 三名LLM (ChatGPT-4,PaLM 2,Llama 2) 被要求为四个泌尿学主题生成PIL:割礼,切除术,过活性膀综合征和前列腺的穿尿管切除.
- 用标准化质量检查清单来评估生成的PIL.
- 使用平均阅读水平共识计算器来评估可读性.
主要成果:
- PaLM 2平均产生了最高质量的PIL (3.58),其次是Llama 2 (3.34) 和ChatGPT-4 (3.08).
- PaLM 2 是唯一包含图像的模型,并且在大多数主题中都表现出色,除了 TURP.
- 所有LLM生成的PIL都含有医学不准确性,可读性通常高于平均成年阅读水平 (PaLM 2: 14-15岁,Llama 2: 16-17岁).
结论:
- LLM可以帮助产生PIL,从而减轻医疗保健专业人员的负担.
- 临床医生监督至关重要,以确保准确性,并纳入像图像这样的健康素养元素.
- 需要对LLM算法和快速工程进行改进,以提高成人患者的PIL可读性.
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