人工智能和指导方针增强促使评估进行手术前心脏病咨询的需要
Mehmet Uğur Çalışkan1, Ceren Yağmur Doğru Yılmaz2, Halenur Sarıbaş3
1Department of Cardiology, Kızılcahamam State Hospital, Ankara, Türkiye.
概括
像ChatGPT-5和Gemini 2.0 Pro这样的人工智能 (AI) 模型可以有效地评估进行手术前心脏病咨询的需要. 通过临床指导方针来增强AI,在这些关键决策中显著提高了它们的准确性和可靠性.
科学领域:
- 心脏病学 心脏病学
- 人工智能的人工智能
- 医疗信息学 医疗信息学
背景情况:
- 全球老年人口的增加推动了更高的外科手术量,增加了对手术前心脏病评估的需求.
- 人工智能 (AI) 和机器学习 (ML) 的进步为临床决策支持提供了新的工具.
研究的目的:
- 评估ChatGPT-5,Deepseek-V3和Gemini 2.0 Pro的性能,以确定是否需要进行手术前心脏病咨询.
- 调查指南增强提示对AI模型准确性的影响,在这种临床背景下.
主要方法:
- 一个由心脏病专家和麻醉师组成的小组为20个手术前患者场景建立了参考标准.
- 三个人工智能模型 (ChatGPT-5,Deepseek-V3,Gemini 2.0 Pro) 评估了这些情况.
- 显示最高一致性的AI模型经过指导方针增强的重新评估提示后得到了改进.
主要成果:
- 在最初的评估中,ChatGPT-5和Gemini 2.0 Pro显示出高一致性 (κ ≈ 0.7),准确度为85%.
- 准则增强提示显著改善了性能,达到95%的准确性 (κ = 0.898).
结论:
- 人工智能模型证明了在手术前识别需要心脏病咨询的患者的能力.
- 将临床指南整合到AI决策框架中,提高了手术前评估的准确性和可靠性.
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