评估ChatGPT-v4对指导方针一致的炎症性肠病:准确性,完整性和时间漂移
Oguz Ozturk1, Mucahit Ergul1, Yavuz Cagir2
1Department of Gastroenterology, Ankara Bilkent City Hospital, Ankara 06170, Turkey.
ChatGPT-4显示出诊断性结肠炎 (UC) 和克罗恩病 (CD) 的潜力,但其准确性随着时间的推移而变化. 在将这种AI工具集成到炎性肠病 (IBD) 临床试验中之前,需要进一步验证.
科学领域:
- 人工智能在医学中的应用
- 胃肠病学 胃肠病学
- 临床决策支持系统 临床决策支持系统
背景情况:
- 像ChatGPT-4这样的大型语言模型在医疗保健中提供了潜在的好处.
- 这项研究评估了ChatGPT-4在诊断和计划治疗性结肠炎 (UC) 和克罗恩病 (CD) 的准确性.
- 作为基准,使用了欧洲克罗恩和结肠炎组织 (ECCO) 的指导方针.
研究的目的:
- 评估ChatGPT-4关于UC和CD的响应的准确性和一致性.
- 在六个月的时间内评估ChatGPT-4的性能.
- 确定ChatGPT-4作为炎症性肠病 (IBD) 的临床决策支持工具的适用性.
主要方法:
- 设计了一份102个问题调查,包含真假和多选项.
- 该调查模拟了现实场景,并遵守了ECCO指南.
- 聊天GPT-4在第1天,第15天和第180天被查询,以评估响应的稳定性和准确性.
主要成果:
- 在六个月内,真假问题的准确性保持高且稳定 (92.8%至98.0%).
- 多选择题的准确性最初有所改善 (90.2%至92.2%) 但在第180天下降 (84.3%).
- 总体表现显示时间变化,可忽略不计的效果大小表明实际影响有限.
结论:
- 作为UC和CD的临床决策支持系统,ChatGPT-4显示出前景.
- 时间变化和不一致的任务执行需要谨慎.
- 在将AI整合到IBD试验中之前,常规的再验证,快速的标准化和理解模型的局限性至关重要.
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