测试ChatGPT协助在具有挑战性的玻璃眼病例中进行手术选择的可靠性
Matteo Mario Carlà1,2, Gloria Gambini1,2, Federico Giannuzzi1,2
1Ophthalmology Department, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, Italy.
Journal of personalized medicine
|March 26, 2025
概括
聊天GPT有效地分析了玻璃眼病例,建议与普通病例的专家相似的手术治疗. 然而,它的准确性随着更复杂的"具有挑战性的"青光眼患者场景而下降.
科学领域:
- 眼科医生 眼科 眼科
- 人工智能在医学中的应用
- 手术治疗规划 手术治疗规划
背景情况:
- 眼的管理需要精确的手术治疗决策.
- 评估人工智能在手术规划中的实用性至关重要.
研究的目的:
- 评估ChatGPT对绿眼病患者推手术治疗的能力.
- 将AI建议与实际患者结果和外科医生专家意见进行比较.
主要方法:
- 追溯分析了60个外科格劳科马病例记录 (40个普通,20个具有挑战性的).
- 聊天GPT-3.5分析了病例描述,并建议了手术程序.
- 将AI建议与患者档案和三位高级格劳科马外科医生的选择进行了比较.
主要成果:
- 聊天GPT实现了78%的准确性匹配患者记录,并显示了70-83%的同意与外科医生在普通情况下.
- 在具有挑战性的病例中,表现下降:65%的准确性与患者档案相比,与外科医生达成40-70%的协议.
- 在ChatGPT和普通病例的外科医生之间没有显著的差异 (p > 0.05).
结论:
- 聊天GPT可以为常规的玻璃眼病例生成适当的外科治疗计划.
- 在简单的场景中,人工智能的表现与玻璃眼专家相美.
- 聊天GPT在管理复杂或具有挑战性的玻璃眼外科病例方面表现出局限性.
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