查特GPT-4o在皮肤病学诊断中的性能评估 跨菲茨帕特里克皮肤类型
Priya Patel Housley1, Arthur M Samia1, Kiran Motaparthi1
1Department of Dermatology, University of Florida, Gainesville, USA.
Cureus
|August 6, 2025
概括
新的人工智能工具ChatGPT-4o在诊断黑色素瘤时的准确性较低. 这凸显了潜在的AI偏见,以及皮肤病学中需要多样化的数据集,以确保公平的患者护理.
科学领域:
- 皮肤病学 皮肤病学
- 人工智能的人工智能
- 医学诊断 医学诊断 医学诊断
背景情况:
- 像ChatGPT-4o这样的多式人工智能模型为患者的自我评估提供了潜力.
- 在寻求医疗护理之前,人工智能工具的可访问性正在增加.
研究的目的:
- 为了评估ChatGPT-4o对皮肤病的诊断性能.
- 评估不同菲茨帕特里克皮肤类型 (FST) 的AI性能.
主要方法:
- 利用了324张经活检确认的皮肤学图像.
- 对ChatGPT-4o的差异诊断和恶性瘤评估进行了评估,并将其与基因病理学事实进行了对比.
- 在较浅的 (FSTs I-II) 和较深的 (FSTs III-VI) 肤色中比较模型性能.
主要成果:
- 聊天GPT-4o在较深色肤色 (FSTs III-VI) 的黑色素瘤检测中表现出显著较低的灵敏度,特异性和准确性.
- 在比较白色和黑色皮肤类型之间的结果时,观察到性能差异.
- 人工智能模型的诊断能力主要是根据皮肤色素而异.
结论:
- 人工智能诊断工具可能会对代表性不足的人群表现有偏见,特别是在皮肤病学方面.
- 该研究强调了对包容性和多样化的皮肤学数据集的关键需求,以训练人工智能模型.
- 在所有皮肤类型中确保公平的AI性能对于患者安全和有效的医疗保健至关重要.
相关概念视频
Skin Cancer
4.5K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
4.5K
Changes in Skin Color: Clinical Perspectives
2.2K
The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
2.2K
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.1K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.1K
Skin Diseases and Disorders
4.1K
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
4.1K
Papillary Dermis
3.4K
Dermis
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen...
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen...
3.4K


