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胃肠病学家和多模式LLM在内镜EREFS评分中对Eosinophilic食道炎的表现

Asaf Levartovsky¹, Lior Dar¹, Shmuel Fay¹

¹Department of Gastroenterology, Sheba Medical Center, Israel; Gray Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver

|December 9, 2025

概括

多模式大语言模型 (LLM) 在分级异性食道炎 (EoE) 内镜图像方面显示了可变的准确性. 少数射击提示显著改善了LLM的表现,使其与胃肠病专家相提并论.

科学领域:

胃肠病学胃肠病学
人工智能的人工智能
医学成像分析医学成像分析

背景情况:

在胃肠道 (GI) 图像分析中对多式大型语言模型 (LLM) 的有限评估.
需要评估异性食管炎内镜参考评分 (EREFS) 的准确性,以诊断异性食管炎 (EoE).

研究的目的:

评估EREFS评分系统对EoE的准确性.
为了比较 GI 临床医生在 EoE 图像分析中具有不同经验水平和多式联络LLM 的表现.

主要方法:

使用EREFS得分,对50个EoE患者的现实世界内镜图像进行了分级.
来自GI专家,研究员和三个LLM (ChatGPT-4o,Claude Sonnet 3.5,Perplexity Sonar) 的评分与评分进行了比较.
在LLM中,使用了单次射击和少次射击提示策略.

主要成果:

理工学研究员的整体准确率 (72.4%) 比专家 (65.3%) 和法学士 (58.9%) 高.
在检测方面,LLM的表现优于专家 (83.3%对49.3%),但在环评方面表现不佳 (30%对58%).
低射门促使LLM整体表现提高到62.7%,与专家 (65.3%) 相比.

结论:

在EREFS评分中,人类评分者和LLMs之间存在差异.
少数镜头提示是优化EoE图像分析中的LLM精度的有效策略.

关键词:

埃雷夫斯 (EREFS) 是一个欧洲经济论坛.内镜检查是指内镜检查.埃索诺菲尔性食道炎 (Eosinophilic Esophagitis) 是一种导致食道炎的疾病.大型语言模型 (LLM)提示工程是指快速的工程.

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