更少的时间编码,更多的时间照顾:ChatGPT-5的性能评估,用于ICD-10编码放射学报告
Tristan Ruhwedel1, Julian M M Rogasch1, Paul Martin Dahlke1
1Department of Nuclear Medicine, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt - Universität zu Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
International journal of medical informatics
|January 23, 2026
概括
聊天GPT-5显著减少了放射科医生的ICD-10编码时间,每份报告平均节省了127秒. 这种人工智能工具在提高医疗编码的效率和准确性方面表现有前途.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 放射学工作流的优化 工作流的优化
背景情况:
- 放射科医生面临着高的行政负担,ICD-10编码导致计费错误和延误.
- 之前对AI用于医学编码的研究产生了混合的结果,仅限于放射学报告的具体证据.
- 对高效准确的编码解决方案的需求对于医疗补偿和运营效率至关重要.
研究的目的:
- 为了评估ChatGPT-5在赋予国际疾病分类第10版 (ICD-10) 代码给放射学报告中的有效性.
- 确定使用ChatGPT-5进行ICD-10编码是否会给放射科医生带来可衡量的时间优势.
- 在现实世界的临床编码场景中评估ChatGPT-5的准确性和效率.
主要方法:
- 分析了来自PARROT数据库的2,738份虚假放射学报告和来自PET/CT报告的100份.
- 聊天GPT-5为每个报告分配了一个单一的,最相关的ICD-10代码.
- 将ChatGPT衍生代码与参考标签 (PARROT) 和手动编码器 (PET/CT) 进行了比较,并测量了对应性和编码时间.
主要成果:
- 对PARROT报告的准确代码一致性为58.1%. 在61.5%的不匹配 (p=0.0015) 中,盲判偏好了来自ChatGPT的代码.
- 与英语报告相比,编码非英语报告显示一致性明显较低,编码时间较长.
- 对于PET/CT报告,使用ChatGPT的中位编码时间为8秒,而没有使用ChatGPT的时间为135秒,每报告的中位时间节省为127秒.
结论:
- 聊天GPT-5显示了提高ICD-10编码精度的潜力,可能减少临床实践中的计费错误.
- 观察到的显著时间节省表明,像ChatGPT-5这样的AI工具可以为放射科医生提供照顾患者的时间.
- 放射科医生和人工智能开发人员之间的合作对于为临床环境创建安全有效的人工智能解决方案至关重要.
相关概念视频
02:39lncRNA - Long Non-coding RNAs
9.8K
In humans, more than 80% of the genome gets transcribed. However, only around 2% of the genome codes for proteins. The remaining part produces non-coding RNAs which includes ribosomal RNAs, transfer RNAs, telomerase RNAs, and regulatory RNAs, among other types. A large number of regulatory non-coding RNAs have been classified into two groups depending upon their length – small non-coding RNAs, such as microRNA, which are less than 200 nucleotides in length, and long non-coding RNA...
9.8K
02:39lncRNA - Long Non-coding RNAs
3.6K
3.6K
01:29Nursing Code of Ethics
4.3K
The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...
4.3K
01:22Generation Time
1.4K
Bacterial generation time, the period required for a bacterial population to double during its exponential growth phase, serves as a critical measure of microbial growth dynamics under optimal conditions. This parameter varies significantly across bacterial species and can be influenced by factors such as temperature, pH, and the availability of nutrients. For example, Escherichia coli can achieve a generation time of approximately 20 minutes, while Mycobacterium tuberculosis exhibits a much...
1.4K
01:19Mixing Time
475
The concept of mixing time is significant in producing a uniform concrete mix with the required strength. The mixing period starts once all components are in the mixer. Initially, the mixer is charged with 10% of the water, followed by the consistent addition of solids and then 80% of the water. The remaining water is added later, within the first quarter of the mixing period. The minimum mixing time varies according to the mixer's capacity; for example, mixers with up to 1 cubic yard...
475
01:22Mean free path and Mean free time
5.1K
Consider the gas molecules in a cylinder. They move in a random motion as they collide with each other and change speed and direction. The average of all the path lengths between collisions is known as the "mean free path."
5.1K