生成性人工智能:基础模型. 自然语言处理 (NLP) 和LARGE语言模型 (LLM)
J Mora-Delgado1, L Ramos-Ruperto2, M J Pardilla3
1Grupo de Trabajo Medicina Digital de la SEMI, Spain; Unidad de Gestión Clínica de Medicina Interna y Cuidados Paliativos, Hospital Universitario Jerez de la Frontera, Jerez, Spain.
Revista clinica espanola
|December 22, 2025
概括
包括大型语言模型在内的生成人工智能为临床实践中的内科医生提供了实际的整合. 讨论了关键的适应机制和要求,以加强决策和工作流程.
科学领域:
- 医疗信息学 医疗信息学
- 人工智能在医学中的应用
- 临床决策支持 临床决策支持
背景情况:
- 生成型人工智能和大型语言模型 (LLM) 是新兴技术,在医疗保健中具有潜在的应用.
- 实习生需要实践指导来将这些工具整合到日常的临床工作流程中.
研究的目的:
- 为内部医生提供关于将生成AI和LLM整合到临床实践中的实用概述.
- 分析适应机制,技术要求和AI在内科医学中的机会.
主要方法:
- 主要适应机制的描述:微调和检索增强生成 (RAG).
- 分析技术和组织要求:基础设施,电子健康记录集成,安全/隐私 (GDPR,欧盟人工智能法).
- 突出内科实践实例,用于报告生成,临床综合和差异诊断.
主要成果:
- 生成型人工智能可以增强临床决策,优化工作流程,减少行政负担.
- 确定的局限性包括人工智能偏见,幻觉和人类监督的必要性.
- 技术要求涉及基础设施,电子健康记录集成和强大的安全/隐私协议.
结论:
- 实习生可以负责任地,高效地将生成性AI工具与适当的验证和透明度相结合.
- 建议在现实环境中进行前性验证,以确保可解释的AI.
- 这项研究使内科医生能够利用人工智能改善患者护理和实践效率.
相关概念视频
Language Development
801
Children master language quickly and with relative ease, supported by both biological predisposition and reinforcement. B. F. Skinner (1957) proposed that language is learned through reinforcement, while Noam Chomsky (1965) argued that language acquisition mechanisms are biologically determined.
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
801
Natural and Artificial Concepts
522
In psychology, concepts can be divided into two categories: natural and artificial. Natural concepts are formed through direct or indirect experiences. For example, consider the concept of snow. If you live in a place with regular snowfall, such as Essex Junction, Vermont, you know snow through direct experiences. You’ve seen it fall, touched it, shoveled it, and played in it. You recognize its texture, appearance, and even its smell. In contrast, if you live on an island like Saint...
522
Non-equilibrium in the Cell
5.3K
An important concept in studying metabolism and energy is that of chemical equilibrium. Most chemical reactions are reversible. They can proceed in both directions, releasing energy into their environment in one direction, and absorbing it from the environment in the other direction. The same is true for the chemical reactions involved in cell metabolism, such as the breaking down and building up of proteins into and from individual amino acids, respectively. Reactants within a closed system...
5.3K
Components of Language
715
Language, whether spoken, signed, or written, consists of specific components: lexicon and grammar. The lexicon is the vocabulary of a language, comprising its words. Grammar is the set of rules used to convey meaning through the lexicon. For example, English grammar adds “-ed” to most verbs to indicate past tense. Words are formed by combining phonemes, which are the basic sound units of a language. Different languages have different sets of phonemes (e.g., “ah” vs.
715
Language and Cognition
681
Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
681
Language
855
Language is a unique communication system that uses words and systematic rules to organize and transmit information. Unlike other forms of communication, which may involve postures, movements, odors, or vocalizations, language relies on symbols and grammar. This makes human communication distinct from that of other species, who also communicate but do not use language in the same way humans do.
Corballis and Suddendorf (2007) and Tomasello and Rakoczy (2003) highlight the role of language in...
Corballis and Suddendorf (2007) and Tomasello and Rakoczy (2003) highlight the role of language in...
855

