对话式LLM聊天机器人聊天GPT-4用于结肠镜波士顿肠道准备评分:人工智能对头部一致性分析
Raffaele Pellegrino1, Alessandro Federico1, Antonietta Gerarda Gravina1
1Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Via L. de Crecchio, 80138 Naples, Italy.
ChatGPT-4显示了使用内镜图像评估结肠镜肠道准备质量的潜力,但其性能需要进一步改进以获得临床使用.
科学领域:
- 人工智能在医学中的应用
- 胃肠病学 胃肠病学
- 医学成像分析 医学成像分析
背景情况:
- 像ChatGPT这样的大型语言模型尚未被评估用于消化内镜中的光学应用.
- 评估肠道准备 (BP) 质量对于有效的结肠镜检查至关重要.
研究的目的:
- 评估ChatGPT-4在从结肠镜图像评估肠道准备质量的表现.
- 将ChatGPT-4的评估与专家医生评估进行比较.
主要方法:
- 聊天GPT-4分析了663张匿名结肠镜图像,并使用波士顿肠道准备量表 (BBPS) 对它们进行了评分.
- 专家医生独立对同一组图像进行了评分.
主要成果:
- 聊天GPT-4发现62.9%的是充分准备的 (BBPS>1),而人类评估者是89.3%.
- 聊天GPT-4和人类评估者之间的一致性很小 (κ = 0.099).
- 人类评估者提供了比ChatGPT-4 (2) 高的BBPS中位数 (3),表明中等一致性 (W = 0.554).
结论:
- 聊天GPT-4显示了评估结肠镜肠道准备的初步潜力.
- 需要进一步开发和完善以提高基于AI的BP评估的准确性和可靠性.
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