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关于外科决定的ChatGPT培训:使用算法和证据进行腹外科分析

Sergi Sanchez-Cordero¹, Ruth Lopez-Gonzalez¹, Helena Fernandez²

¹Bariatric Surgery, Moises Broggi University Hospital, Barcelona, Spain.

Obesity research & clinical practice

|August 15, 2025

概括

对减肥手术的ChatGPT建议与临床决策的一致性很低,即使在对科学文献进行AI培训之后. 人工智能工具对于自主手术选择还不够可靠.

科学领域:

腹部外科腹部外科
人工智能在医学中的应用
手术决策支持系统手术决策支持系统

背景情况:

腹腔外科手术 (BS) 的选择是复杂的和个性化的.
像ChatGPT这样的人工智能 (AI) 工具可能提供决策支持,但临床实用性尚未得到证实.
评估AI在优化BS技术选择中的作用至关重要.

研究的目的:

评估ChatGPT的减肥手术建议是否在科学文献的AI培训后得到改善.
将ChatGPT的建议与减肥手术中的实际临床决定进行比较.
确定人工智能在减肥手术决策中的临床实用性.

主要方法:

对283名初级减肥手术患者 (2023-2025) 的回顾性分析.
在412篇科学文章中,ChatGPT在培训前和培训后推的BS技术.
建议与实际的临床决定进行了比较,使用百分比协议和科恩公司.

主要成果:

最初的ChatGPT建议支持袖子胃切除术 (SG),与临床实践相一致20%.
在培训结束后,建议发生了转变,SG下降,SADI-S出现.
一致性提高到25.8%,但仍然很低,表明与临床判断的结合有限.

结论:

ChatGPT的减肥手术建议适应培训后,但与临床决策的一致性很低.
人工智能显示出作为减肥手术教育工具的潜力.
当前的人工智能模型在减肥手术中对自主手术决策不可靠.

关键词:

人工智能的人工智能是人工智能.腹腔外科手术是什么意思聊天GPT 聊天GPT 聊天临床一致性临床一致性背景培训是指背景培训.手术决策的制定过程

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