使用ChatGPT-4o估计IPSS和OABSS分数:韩国的一项比较验证研究
Hoyoung Bae1,2, Gyu Min Lee1,2, Jiehyeon Lee1,2
1Department of Urology, Seoul National University Boramae Medical Center, Sindaebang 2(i)-dong, Dongjak-gu, Seoul, 07061, Korea.
BMC urology
|January 19, 2026
概括
聊天GPT-4o在估计国际前列腺症状评分 (IPSS) 和过活膀症状评分 (OABSS) 中表现出中度准确性,显示出有助于临床数据收集的潜力.
科学领域:
- 医疗保健中的人工智能
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 临床信息学 临床信息学
背景情况:
- 像国际前列腺症状评分 (IPSS) 和过活的膀症状评分 (OABSS) 这样的患者报告的结果指标 (PROM) 对于诊断和管理下泌尿道症状 (LUTS) 和过活的膀 (OAB) 是至关重要的.
- 准确的症状评分依赖于患者的回忆和问卷填写,其中可能存在错误或遗漏.
- 像ChatGPT-4o这样的大型语言模型 (LLM) 为从临床笔记中提取和分析数据提供了潜在的新途径.
研究的目的:
- 评估ChatGPT-4o在估计IPSS和OABSS中的表现,使用自然语言描述和完整的门诊记录.
- 将人工智能生成的分数与实际患者报告的问卷分数进行比较.
主要方法:
- 一项涉及91名患者的研究,其中52人完成了IPSS,77人完成了OABSS.
- 聊天GPT-4o处理了患者的症状陈述和泌尿科医生撰写的医疗记录.
- 统计分析包括配对的t测试,科恩的卡帕,斯皮尔曼的相关性,布兰德-阿尔特曼图表,麦克纳马的测试和ROC曲线分析,用于得分和诊断分类比较.
主要成果:
- 聊天GPT-4o低估了平均IPSS (11.2对13.6,p=0.006),但没有显示OABSS (6.99对6.86,p=0.686) 的显著差异.
- 对于LUTS (AUC 0.81) 和OAB (AUC 0.91),观察到高诊断一致性,在生活质量和紧急性失禁方面有很好的一致性.
- 斯皮尔曼相关系数为IPSS的0.60和OABSS的0.70,表明中度至强度的相关性.
结论:
- 在估计IPSS和OABSS时,ChatGPT-4o实现了中等,临床上可接受的准确性.
- 人工智能诊断分类的表现与实际分数相当,特别是在OABSS和生活质量方面.
- 聊天GPT-4o作为传统问卷的补充工具显示出希望,特别是当患者数据不完整时.
关键词:
人工智能 (AI) 是一种人工智能.聊天GPT 聊天 在GPT 聊天在IPSS中,我们可以使用IPSS.法学士 (大语言模型)LUTS ((下泌尿道的症状) 是指下泌尿道的症状.OAB (过度活动的膀)这是OABSS的OABSS.更多相关视频
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