人工智能与古典评分系统相比:对皮肤穿透性神经质切除术后无石头预测的比较分析
Burak Elmaağaç1, Ali Yasin Özercan2, Abdullah Gölbaşı3
1Kayseri Faculty of Medicine, Department of Urology, Health Sciences University, Kayseri, Türkiye. burak.elmaagac@sbu.edu.tr.
Urolithiasis
|January 30, 2026
概括
传统的石头评分系统准确地预测了穿皮瘤切除术后的结果,而ChatGPT在本研究中显示了无石头率的有限预测性能.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗信息学 医疗信息学
- 人工智能在医学中的应用
背景情况:
- 穿皮石切除术 (PCNL) 是治疗结石的一个关键手术.
- 准确预测无石头率对于手术规划和患者咨询至关重要.
- 已建立的评分系统存在,但它们的预测能力各不相同.
研究的目的:
- 将传统石头评分系统的预测性能与基于ChatGPT的大型语言模型进行比较,以估计PCNL后的无石头率.
- 评估AI在预测内分泌学手术结果中的临床实用性.
主要方法:
- 340名PCNL患者 (2019-2025) 的回顾性分析.
- 使用Guy's Stone Score,CROES nomogram,S.T.O.N.E.评估的手术前石头的复杂性 石测量,以及首尔国立大学结石复杂性 (S-ReSC) 评分.
- 预测与实际无石头率的比较,使用相关性和多变量回归分析.
主要成果:
- 总体而言,没有石头的比例为60.9%.
- 男人的石头得分,STONE和S-ReSC得分是无石头状态的重要预测指标 (p < 0.001).
- 基于ChatGPT的模型显示了有限的预测性能,并且在无石头和残留石头组之间没有显著差异 (p=0.549).
结论:
- 传统的评分系统,如Guy's Stone评分和S.T.O.N.E.等. 它们仍然是预测PCNL成功的有价值工具.
- 当前的大型语言模型,如ChatGPT,需要进一步开发,结构化数据培训和外部验证,才能在内分泌学中临床集成.
- 人工智能模型需要强大的验证,以提供可靠的外科决策支持.
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