与放射科住院医生相比,GPT-4o的诊断性能在紧急腹部断层扫描病例中的诊断性能
Ahmet Tanyeri1, Rıdvan Akbulut1, Cuma Gündoğdu1
1Department of Radiology, Faculty of Medicine, Aydın Adnan Menderes University, Aydın 09010, Türkiye.
概括
在紧急腹部CT扫描中,GPT-4 Omni (GPT-4o) 的诊断准确度与放射科住院医生的诊断准确度相当. 然而,它的高幻觉率需要在临床使用前进一步开发.
科学领域:
- 放射学 放射学是一门学科.
- 人工智能在医学中的应用
- 医学诊断 医学诊断 医学诊断
背景情况:
- 人工智能 (AI) 模型越来越多地被用于医学图像分析.
- 在现实世界的临床环境中评估AI诊断性能对于安全的整合至关重要.
- 紧急腹部计算机断层扫描 (CT) 提出了复杂的诊断挑战.
研究的目的:
- 评估GPT-4 Omni (GPT-4o) 在紧急腹部CT解释中的诊断准确性.
- 为了比较GPT-4o的表现与不同经验水平的放射科住院医生.
- 在模拟的临床条件下评估GPT-4o的性能.
主要方法:
- 45例紧急腹部CT病例根据难度 (轻松,中度,困难) 进行分类.
- 六名放射科住院医生 (R1-R6) 和GPT-4o用临床数据解释了连续病例.
- 还评估了GPT-4o的仅图像解释和幻觉率.
主要成果:
- GPT-4o实现了82%的诊断准确率,与所有经验水平 (76%-89%) 的住院居民相美.
- 随着病例难度的增加,诊断准确度在居民和GPT-4o (p < 0.001) 两者的病例难度下降.
- GPT-4o的幻觉率高达75%.GPT-4o的幻觉率高达75%.GPT-4o的幻觉率高达75%.
结论:
- GPT-4o的诊断性能与急诊腹部CT的放射科住院医生的诊断性能相当.
- 案例复杂性对人工智能和人类口译员的诊断准确性产生重大影响.
- 在临床部署之前,GPT-4o需要进一步优化,特别是在其幻觉率方面.
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