评估AI聊天机器人的能力,为常见的瘤手术提供知情同意信息
R S Sidhu1, A Selvamogan2, M Abdellatif2
1Royal Berkshire NHS Foundation Trust, UK.
Annals of the Royal College of Surgeons of England
|December 15, 2025
概括
人工智能聊天机器人可以简化瘤手术同意信息,但目前的模型有局限性. 双子座显示出质量和可读性的最佳平衡,尽管人工智能应该补充,而不是取代医生主导的讨论.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 手术瘤学手术瘤学
背景情况:
- 在瘤外科手术中,知情同意至关重要,但往往因医学术语而复杂化.
- 患者对手术程序和风险的理解可能会有很大的差异.
- 大型语言模型 (LLM) 提供了生成简化,可访问的同意信息的潜力.
研究的目的:
- 评估领先的人工智能聊天机器人 (ChatGPT,Gemini,DeepSeek,Grok) 产生可理解和全面的信息,以获得癌症外科手术的知情同意的能力.
- 评估六项常见的瘤手术人工智能生成的同意材料的可读性和质量.
主要方法:
- 标准化的患者样式提示被用于查询四个AI聊天机器人.
- 使用弗莱什阅读易度得分 (FRES),弗莱什-金凯德等级水平 (FKGL) 和枪击雾指数 (GF) 评估可读性.
- 质量和完整性 (手术细节,风险,益处,替代方案,不治疗后果) 被三位咨询外科医生使用修改后的DISCERN仪器进行评估.
主要成果:
- 双子座产生了最高质量的信息 (DISCERN 72.3),其次是Grok (63.0).
- 深度搜索产生了最易读的内容 (FKGL 9.7),但没有一个模型达到目标的六年级阅读水平.
- 限制包括缺乏系统的引用,事实上的不准确性,以美国为中心的信息,以及未能评估患者的理解.
结论:
- 人工智能聊天机器人可以提供结构化,可访问的信息,以协助外科同意.
- 当前的人工智能模型具有限制,阻止其作为独立同意工具的使用.
- 双子座显示出可读性和质量的最佳平衡;人工智能应该补充,而不是取代临床医生主导的同意讨论.
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