人工智能与骨科外科医生作为急诊室的骨科顾问对比
Jonathan Liu1, Kathryn Segal1, Mohammad Daher1
1Department of Orthopedics, Brown University, Providence, RI, USA.
Injury
|March 27, 2025
概括
人工智能 (AI) 在与经验丰富的外科医生相比,在骨科急诊室咨询中表现不劣,往往更优越. 人工智能在完整性和对常见的骨科场景的帮助方面表现出色.
科学领域:
- 整形外科手术 整形外科手术
- 人工智能的人工智能
- 医疗信息学 医疗信息学
背景情况:
- 像ChatGPT这样的人工智能 (AI) 程序在医疗保健方面表现有前途,包括急诊室 (ED) 应用.
- 然而,人工智能在协助ED提供者进行骨科咨询方面的实用性仍未得到评估.
研究的目的:
- 为了比较ChatGPT-4与董事会认证的骨科外科医生在应对常见的ED骨科临床场景方面的表现.
- 评估AI在诊断,管理,手术指示和骨科疾病患者咨询方面的有效性.
主要方法:
- 开发了五种常见的骨科ED情景 (脚骨折,远半径骨折,败血性关节炎,肩部脱,阿基里斯肌破裂).
- 聊天GPT-4和四位骨科外科医生回答了基于场景的问题.
- 独立的紧急医疗医生通过使用利克尔特尺度对准确性,完整性,帮助性,特异性和整体质量进行了评估.
主要成果:
- 与人类响应者相比,人工智能响应的完整性,帮助性,特异性和整体质量都优于人类响应者 (p < 0.05).
- 人工智能在诊断问题中表现出卓越的帮助性和特异性,并在患者咨询类别中表现出色.
- 在特定场景中,人工智能表现优于人类的反应,例如远半径骨折 (完整性) 和肩部脱位 (完整性,帮助性,整体质量).
结论:
- 在骨科ED咨询中,AI表现不逊色,往往表现优越.
- 虽然当前的人工智能在图像集成方面存在局限性,但它为通用骨科咨询提供了高质量的建议.
- 随着未来的发展,人工智能将在骨科咨询中发挥越来越重要的作用.
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