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大语言模型在癌症护理中的应用:当前证据与未来展望。

Applications of large language models in cancer care: current evidence and future perspectives.

作者信息

Iannantuono Giovanni Maria, Bracken-Clarke Dara, Floudas Charalampos S, Roselli Mario, Gulley James L, Karzai Fatima

机构信息

Genitourinary Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, United States.

Medical Oncology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.

出版信息

Front Oncol. 2023 Sep 4;13:1268915. doi: 10.3389/fonc.2023.1268915. eCollection 2023.

Abstract

The development of large language models (LLMs) is a recent success in the field of generative artificial intelligence (AI). They are computer models able to perform a wide range of natural language processing tasks, including content generation, question answering, or language translation. In recent months, a growing number of studies aimed to assess their potential applications in the field of medicine, including cancer care. In this mini review, we described the present published evidence for using LLMs in oncology. All the available studies assessed ChatGPT, an advanced language model developed by OpenAI, alone or compared to other LLMs, such as Google Bard, Chatsonic, and Perplexity. Although ChatGPT could provide adequate information on the screening or the management of specific solid tumors, it also demonstrated a significant error rate and a tendency toward providing obsolete data. Therefore, an accurate, expert-driven verification process remains mandatory to avoid the potential for misinformation and incorrect evidence. Overall, although this new generative AI-based technology has the potential to revolutionize the field of medicine, including that of cancer care, it will be necessary to develop rules to guide the application of these tools to maximize benefits and minimize risks.

摘要

大语言模型(LLMs)的发展是生成式人工智能(AI)领域近期取得的一项成功。它们是能够执行广泛自然语言处理任务的计算机模型,包括内容生成、问答或语言翻译。近几个月来,越来越多的研究旨在评估它们在医学领域的潜在应用,包括癌症护理。在这篇小型综述中,我们描述了目前已发表的关于在肿瘤学中使用大语言模型的证据。所有现有研究都单独评估了由OpenAI开发的先进语言模型ChatGPT,或将其与其他大语言模型(如谷歌巴德、Chatsonic和Perplexity)进行比较。尽管ChatGPT可以提供有关特定实体瘤筛查或管理的充分信息,但它也显示出显著的错误率和提供过时数据的倾向。因此,准确的、由专家驱动的验证过程仍然是必不可少的,以避免错误信息和不正确证据的可能性。总体而言,尽管这种基于生成式人工智能的新技术有可能彻底改变医学领域,包括癌症护理领域,但有必要制定规则来指导这些工具的应用,以最大限度地提高益处并最小化风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c080/10507617/05c1960935c7/fonc-13-1268915-g001.jpg

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