通过使用多模式大语言模型从手和手腕X射线图进行阿特拉斯辅助的骨年龄估计:一项比较研究
1Department of Radiology, Kastamonu Training and Research Hospital, Kastamonu 37150, Turkey.
Diagnostics (Basel, Switzerland)
|February 13, 2026
概括
在骨龄评估中,ChatGPT-5在四个多式大型语言模型 (LLM) 中表现最好,显示出临床实用性. 其他模型,如Gemini 2.5 Pro,Grok-3和Claude 4 Sonnet显示骨年龄的确定不够可靠.
科学领域:
- 医疗成像医学成像
- 人工智能在医学中的应用
- 儿科内分泌学 儿科内分泌学
背景情况:
- 骨龄评估在儿科内分泌学和法医医学中至关重要.
- 多模式大语言模型 (LLM) 在医学成像中表现有前途,但需要对骨年龄的确定进行评估.
- 吉尔桑兹-拉蒂布 (GR) 地图是骨年龄评估的标准参考.
研究的目的:
- 评估四种多式LLM (ChatGPT-5,Gemini 2.5 Pro,Grok-3,Claude 4 Sonnet) 在骨老测定中的诊断性能.
- 用GR图谱来比较LLM的表现与放射科医生的评估.
- 确定这些LLM对骨龄评估的临床实用性.
主要方法:
- 对245张儿科手腕放射图 (年龄<18岁) 的回顾性分析.
- 在LLM中使用GR图谱辅助提示来估计骨年龄.
- 性能指标包括平均绝对误差 (MAE),类内相关系数 (ICC) 和布兰德-阿尔特曼分析.
- 与经验丰富的放射科医生基于GR图谱的评估进行比较.
主要成果:
- 聊天GPT-5实现了最低的MAE (1.46年) 和最高的ICC (0.849),证明了卓越的性能.
- 双子 2.5 Pro 显示中等性能 (MAE: 2.24 年).
- 格罗克-3 (MAE: 3.14年) 和克劳德4索内特 (MAE: 4.29年) 的错误率太高,无法用于临床应用.
结论:
- 骨年龄评估的多模式LLM之间存在显著的性能差异.
- 只有ChatGPT-5满足了临床有用性的标准,表明它作为辅助工具或在监督下进行教育支持的潜力.
- 目前的多模式LLM,不包括ChatGPT-5,缺乏临床骨年龄的可靠性.
关键词:
聊天GPT 聊天 在GPT 聊天克劳德·克劳德·克劳德 (Claude Claude) 是一个谷歌的双子座是双子座.格洛克·格洛克 (Grok Grok) 是一个古老的语言.人工智能的人工智能是人工智能.骨年龄 骨年龄 骨年龄大型语言模型放射学 放射学是指放射学更多相关视频
07:22Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes
Published on: March 7, 2025
1.0K
04:10Author Spotlight: Expanding Interventional Pulmonology Research with Robotic-Assisted Bronchoscopy
Published on: July 19, 2024
1.3K
相关概念视频
Language
921
Language is a unique communication system that uses words and systematic rules to organize and transmit information. Unlike other forms of communication, which may involve postures, movements, odors, or vocalizations, language relies on symbols and grammar. This makes human communication distinct from that of other species, who also communicate but do not use language in the same way humans do.
Corballis and Suddendorf (2007) and Tomasello and Rakoczy (2003) highlight the role of language in...
Corballis and Suddendorf (2007) and Tomasello and Rakoczy (2003) highlight the role of language in...
921
Components of Language
831
Language, whether spoken, signed, or written, consists of specific components: lexicon and grammar. The lexicon is the vocabulary of a language, comprising its words. Grammar is the set of rules used to convey meaning through the lexicon. For example, English grammar adds “-ed” to most verbs to indicate past tense. Words are formed by combining phonemes, which are the basic sound units of a language. Different languages have different sets of phonemes (e.g., “ah” vs.
831
Language Development
939
Children master language quickly and with relative ease, supported by both biological predisposition and reinforcement. B. F. Skinner (1957) proposed that language is learned through reinforcement, while Noam Chomsky (1965) argued that language acquisition mechanisms are biologically determined.
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
939
Language and Cognition
813
Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
813
Hand hygiene
6.1K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
6.1K
What are Estimates?
8.9K
It isn't easy to measure a parameter such as the mean height or the mean weight of a population. So, we draw samples from the population and calculate the mean height or mean weight of the individuals in the sample. This sample data acts as a representative measure of the population parameter. These sample statistics are known as estimates.
The estimate for the mean of a sample is denoted by ͞x, whereas the mean of the population is designated as μ. Further, parameters such...
The estimate for the mean of a sample is denoted by ͞x, whereas the mean of the population is designated as μ. Further, parameters such...
8.9K
