牙科大语言模型的伦理和治理:研究和临床实施的框架
Rata Rokhshad1, Antonin Tichy2, Maxime Ducret3
1Department of Pediatric Dentistry, Loma Linda School of Dentistry, Loma Linda, CA, United States.
Journal of dentistry
|October 23, 2025
概括
一个新的伦理框架指导了在牙科中负责任地使用大语言模型 (LLM). 该框架解决了数据隐私和偏见等关键问题,确保在牙科护理中安全实施AI.
科学领域:
- 牙科 牙科是指牙科的专业.
- 人工智能的人工智能
- 生物伦理学生物伦理学
背景情况:
- 大型语言模型 (LLM) 在牙科中越来越多地使用,这引发了伦理方面的担忧.
- 患者隐私,数据安全和责任是重要的问题.
- 对于负责任的LLM开发和实施,需要进行结构化的伦理评估.
研究的目的:
- 为牙科LLM建立一个全面的道德框架.
- 引导负责任的发展,研究和临床应用LLMs.
- 解决人工智能在牙科实践中带来的关键道德挑战.
主要方法:
- 对现有的关于LLM和医疗保健伦理学的伦理指南进行了审查.
- 一个专家小组制定了一份由九个主题组成的伦理检查清单.
- 在一个匿名的在线共识过程 (e-Delphi) 中,有105名参与者对每个主题的重要性进行了评分.
主要成果:
- 在牙科LLM的所有九个伦理主题上都达成了共识.
- 关键主题包括数据保护,隐私,版权,偏见,透明度和自治.
- 数据来源和版权,透明度和性别偏见获得了高度重要的评级.
结论:
- 通过专家的共识,为牙科LLM建立了一个强大的伦理框架.
- 该框架为人工智能开发人员和牙医提供了系统的指导.
- 由于响应的可变性,需要进一步考虑生成同理心的原则.
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