在老年人中ChatGPT的关节骨折建议中的差异2021年AAOS基于证据的指南
Hong Jin Kim1,2, Pil Whan Yoon3, Jae Youn Yoon3
1Department of Orthopaedic Surgery, Kyung-in Regional Military Manpower Administration, Suwon 16440, Republic of Korea.
Journal of clinical medicine
|October 16, 2024
概括
这项研究发现,ChatGPT (聊天式GPT) 对关节骨折指南具有中等可靠性,但在准确性和精确性方面存在困难,尽管存在诸如幻觉等局限性,但它显示出患者教育的潜力.
科学领域:
- 整形外科手术 整形外科手术
- 人工智能在医学中的应用
- 临床实践指南 临床实践指南
背景情况:
- 评估人工智能生成的临床指南的可靠性和可重复性至关重要.
- 这项研究重点关注ChatGPT对老年人关节骨折管理的反应.
研究的目的:
- 评估ChatGPT (GPT-4o和GPT-4) 提供信息的准确性和一致性,与美国骨科外科医生学院的关节骨折指南保持一致.
- 确定应用到临床实践指南时,ChatGPT的响应的可靠性.
主要方法:
- 来自2021年AAOS骨折指南的19个陈述被用来生成ChatGPT的提示.
- 该研究涉及GPT-4o和GPT-4模型的24小时间隔对ChatGPT的响应进行三次重复评估.
- 准确性,精度和模型内部可靠性 (Fleiss kappa) 被计算来评估性能.
主要成果:
- 在不同的输出中,准确率从0.579到0.684不等.
- 精度值始终在0.718到0.740.0之间.
- 对于推强度的可靠性,发现了中等程度的一致性 (Fleiss kappa = 0.409),GPT-4o和GPT-4之间没有显著差异.
结论:
- 聊天GPT表现出中等可靠性,但对关节骨折管理指南的准确性和精度有局限性.
- 幻觉仍然是一个重大问题,影响了人工智能生成的医疗信息的可靠性.
- 未来的研究应该探索ChatGPT作为治疗关节骨折的患者教育工具的潜力,解决其目前的局限性.
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