评估ChatGPT-4的正确性,以患者为中心的告知和提高对心房的认识
Ivan Zeljkovic1,2, Matea Novak2,3, Ana Jordan1
1Department of Cardiovascular Diseases, Dubrava University Hospital, Avenija Gojka Šuška, Zagreb, Croatia.
Heart rhythm O2
|April 14, 2025
概括
聊天GPT-4提供关于心房动的准确信息,在生活方式建议方面表现出色,但在复杂的查询方面显示出局限性. 这种人工智能工具在简单的病例中显示出对患者教育的前景.
科学领域:
- 医疗保健中的人工智能
- 医疗信息学 医疗信息学
- 临床决策支持 临床决策支持
背景情况:
- 人工智能 (AI) 和大型语言模型 (LLM) 在医疗保健中的整合正在迅速推进.
- 开放AI的聊天生成预训练变压器4 (ChatGPT-4) 代表了人工智能的重大发展,能够进行复杂的对话和信息提供.
研究的目的:
- 评估ChatGPT-4在提供患者关于心房动的信息方面的准确性和可靠性.
- 评估ChatGPT-4在不同类别的与心房相关的患者调查中的性能.
主要方法:
- 一项横截面的观察性研究利用ChatGPT-4回答了108个关于心房动的结构化问题.
- 三位心脏病学家对答案进行了分类和评估,以确定其准确性,全面性,清晰性,临床相关性和患者安全性.
- 进行了统计分析,以确定各类问题的表现差异.
主要成果:
- 在不同的心房动主题中,ChatGPT-4显示了可变的正确性.
- 该模型在"生活方式调整"和"日常生活和管理"类别中获得了很高的分数.
- 在"各种担忧"中观察到较低的分数,在各类别的表现中存在统计学上显著的差异 (P = .020).
结论:
- 聊天GPT-4显示了结构化,直接的患者关于心房的信息的可靠性,特别是关于生活方式的信息.
- 该模型在复杂的医疗查询中表现出局限性,需要深入的临床判断.
- 聊天GPT-4有可能成为一个有价值的工具,用于简单的患者教育在心房的管理.
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