通过ChatGPT-4.0生成手术前麻醉计划:一种混合方法研究
Michel Abdel Malek1, Monique van Velzen1, Albert Dahan1
1Department of Anaesthesiology, Leiden University Medical Centre, Leiden, The Netherlands.
British journal of anaesthesia
|November 15, 2024
概括
像ChatGPT这样的生成人工智能 (AI) 工具显示出潜力,但尚未可靠用于手术前麻醉规划. 目前人工智能产生的计划缺乏临床有效性和安全性,需要在实施前进一步开发和严格评估.
科学领域:
- 人工智能在医学中的应用
- 麻醉学 麻醉学
- 临床决策支持系统 临床决策支持系统
背景情况:
- 人工智能 (AI) 最近的进步导致了能够生成连贯文本的自然语言算法.
- 在术前麻醉规划等关键领域应用生成性AI需要对其质量,有效性和安全性进行彻底评估.
研究的目的:
- 评估生成AI (ChatGPT 4.0) 在创建手术前麻醉计划中的质量,有效性和安全性.
- 将人工智能生成的麻醉计划与经验丰富的麻醉师开发的麻醉计划进行比较.
主要方法:
- 一个探索性,单中心,融合混合方法研究,利用10个临床细节.
- 聊天GPT 4.0被提示生成麻醉计划,包括风险评估,手术内技术和术后管理.
- 通过聚焦小组和主题分析,与八名高级麻醉师的计划进行定量比较和定性评估.
主要成果:
- 聊天GPT生成的计划和顾问创建的计划之间的可变协议,特别是在心肺风险估计方面.
- 重复的AI反应,强烈偏爱全身麻醉而不是地方区域技术,以及不一致的气道/止痛管理.
- 临床上有意义的担忧包括术后疼痛管理建议不足以及未能为高风险的吸血患者推输管治疗.
结论:
- 目前的生成人工智能 (ChatGPT) 不始终满足手术前麻醉规划的最低临床标准,并且缺乏临床推理的证据.
- 目前,ChatGPT不推用于手术前麻醉计划.
- 在专用数据集上训练的未来AI模型可能会提高性能,但在临床采用之前需要严格的验证.
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