小语言模型与大语言模型在回答青光眼常见病人的问题上的表现:开发和可用性研究
Adriano Cypriano Faneli1,2, Rafael Scherer1, Rohit Muralidhar1
1Bascom Palmer Eye Institute, University of Miami, 900 NW 17th St, Miami, FL, 33136, United States, 1 305-326-6000.
JMIR AI
|January 6, 2026
概括
专门的小语言模型 (SLM) 在回答青光眼问题的过程中,与大语言模型 (LLM) 的表现相当,尽管这两种模型的内容对患者来说都过于复杂.
科学领域:
- 眼科和人工智能的人工智能
- 在医疗保健中的自然语言处理.
背景情况:
- 大型语言模型 (LLM) 显示出在眼科中回答患者问题方面的潜力.
- 对LLM的使用存在担忧,因为隐私和患者安全风险来自不准确.
研究的目的:
- 为了比较当地训练的小语言模型 (SLM) 与大语言模型 (LLM) 在回答患者关于青光眼的问题的表现.
- 评估两种模型产生的答案的准确性和可读性.
主要方法:
- 在6个领域编制了35个常见的玻璃眼问题.
- 一个SLM (提取增强生成) 和ChatGPT 4.0 (LLM) 回答了这些问题.
- 三位格劳科马专家对答案的准确性进行了评价,并使用标准公式来评估可读性.
主要成果:
- SLM (平均得分7.9) 和LLM (平均得分7.4) 的质量得分相似 (共9分).
- 这两种模型的准确性在所有格洛科马领域都是一致的.
- 两种模型都产生了对普通普通人来说过于复杂的答案.
结论:
- 虽然准确,但LLM和SLM的答案都很难让患者理解.
- 专业的SLM为眼科临床NLP应用提供了一个可行的,可定制的和具有成本效益的替代方案.
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