聊天GPT在多学科委员会中的表现-人工智能是否应该成为癌症委员会成员?
Ibrahim Dogan1, Mehmet Kadir Bartin1, Ezgi Sonmez1
1Department of General Surgery, Van Training and Research Hospital, University of Health Sciences, 65300 Van, Türkiye.
Healthcare (Basel, Switzerland)
|September 27, 2025
概括
人工智能 (AI) 与多学科瘤委员会 (MDT) 关于癌症治疗计划的决定达成高度一致. 人工智能工具可以支持MDT,但需要进一步开发复杂的,个性化的患者病例.
科学领域:
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
- 人工智能在医学中的应用
背景情况:
- 多学科瘤委员会 (MDTs) 对于个性化的癌症患者治疗计划至关重要.
- 人工智能 (AI) 正在成为MDT的潜在决策支持工具.
研究的目的:
- 评估AI (ChatGPT-4.0) 与MDT治疗决策的兼容性.
- 评估AI作为瘤学的决策支持系统的性能.
主要方法:
- 对100名癌症患者的治疗建议进行前性研究.
- 人工智能产生的建议与实时MDT决策的比较.
- 使用科恩的卡帕和斯皮尔曼相关性的统计分析.
主要成果:
- 观察到AI和MDT决策之间的高度一致性 (76.4%) (κ = 0.764, ρ = 0.810).
- AI和MDT最常推的新辅助治疗和手术.
- 在需要细微的临床判断的情况下,发现了不一致的情况.
结论:
- 人工智能显示出与MDT决策的显著一致,特别是在符合指南的案例中.
- 需要进一步开发人工智能来实现实时数据解释和伦理整合到临床工作流程中.
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