深度搜索和ChatGPT可以用于诊断口腔病理吗?
Ömer Faruk Kaygisiz1, Mehmet Turhan Teke2
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey. dtkaygisiz@gmail.com.
BMC oral health
|April 25, 2025
概括
与ChatGPT-4o相比,Deepseek-v3在口腔病理病例中表现出更高的诊断准确性,虚假参考较少. 虽然这两种AI模型都显示出潜力,但Deepseek-v3目前提供了更可靠的临床决策支持.
科学领域:
- 医疗人工智能 医疗人工智能
- 口腔病理学诊断 口腔病理学诊断
- 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) 在医学中越来越多地被用于增强诊断能力.
- 人工智能工具对疾病的早期检测和管理做出了重大贡献.
- 在专门的临床领域评估先进AI模型的诊断性能至关重要.
研究的目的:
- 为了比较和评估ChatGPT-4o和Deepseek-v3AI应用程序的诊断准确度.
- 在口腔病理学中评估AI在16个不同的临床场景中的性能.
- 在临床环境中分析人工智能模型提供的引用的可靠性.
主要方法:
- 开发16个虚构的口腔病理学临床案例场景.
- 人工智能模型 (DeepSeek-V3和ChatGPT-4o) 被要求为每个案例提供三个初步诊断和配套文献.
- 20名口腔病理学和牙科专家使用利克特尺度对诊断和参考进行了评估.
主要成果:
- 与ChatGPT-4o (3.15 ± 0.41) 相比,Deepseek-v3获得了更高的平均分 (4.02 ± 0.36).
- 在16个场景中,Deepseek-v3在9个场景中超过了ChatGPT-4o,而ChatGPT-4o仅在一个场景中表现出色 (p=0.024).
- Deepseek-v3提供了比ChatGPT-4o (80.6%是假的) 更准确的引用 (7.9%是假的).
结论:
- 人工智能聊天机器人作为未来的临床顾问显得有前途,有助于减少工作量和诊断支持.
- 目前,Deepseek-v3在口腔病理病例中比ChatGPT-4o提供了更高的诊断准确度和参考可靠性.
- 需要进一步开发用于常规临床使用,重点是专门的医疗AI和可验证的资源.
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