Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, School of Medicine, Rasool-E Akram Hospital, Iran University of Medical Sciences, Niyaesh Avenue, Sattar Khan Street, Tehran, Iran.
Clinical Research Development Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
Obes Surg. 2023 Dec;33(12):3971-3980. doi: 10.1007/s11695-023-06903-w. Epub 2023 Oct 27.
Recent advancements in artificial intelligence, such as OpenAI's ChatGPT-4, are revolutionizing various sectors, including healthcare. This study investigates the use of ChatGPT-4 in identifying suitable candidates for bariatric surgery and providing surgical recommendations to improve decision-making in obesity treatment amid the global obesity epidemic.
We devised ten patient scenarios, thoughtfully encompassing a spectrum that spans from uncomplicated cases to more complex ones. Our objective was to delve into the decision-making process regarding the recommendation of bariatric surgery. From July 29th to August 10th, 2023, we conducted a voluntary online survey involving thirty prominent bariatric surgeons, ensuring that there was no predetermined bias in the selection of a specific type of bariatric surgery. This survey was designed to collect their insights on these scenarios and gain a deeper understanding of their professional experience and background in the field of bariatric surgery. Additionally, we consulted ChatGPT-4 in two separate conversations to evaluate its alignment with expert opinions on bariatric surgery options.
In 40% of the scenarios, disparities were identified between the two conversations with ChatGPT-4. It matched expert opinions in 30% of cases. Differences were noted in cases like gastrointestinal metaplasia and gastric adenocarcinoma, but there was alignment with conditions like endometriosis and GERD.
The evaluation of ChatGPT-4's role in determining bariatric surgery suitability uncovered both potential and shortcomings. Its alignment with experts was inconsistent, and it often overlooked key factors, emphasizing human expertise's value. Its current use requires caution, and further refinement is needed for clinical application.
人工智能的最新进展，如 OpenAI 的 ChatGPT-4，正在彻底改变各个领域，包括医疗保健领域。本研究旨在探讨 ChatGPT-4 在识别适合接受减重手术的患者以及提供手术建议以改善肥胖治疗决策方面的应用，以应对全球肥胖症流行。
我们设计了十个患者情景，涵盖了从简单到复杂的各种情况，旨在深入探讨关于推荐减重手术的决策过程。2023 年 7 月 29 日至 8 月 10 日，我们进行了一项自愿性在线调查，涉及 30 名知名减重外科医生，以确保在选择特定类型的减重手术时没有预设的偏见。这项调查旨在收集他们对这些情景的看法，并深入了解他们在减重手术领域的专业经验和背景。此外，我们与 ChatGPT-4 进行了两次单独的对话，以评估其与减重手术选择的专家意见是否一致。
在 40%的情景中，我们发现与 ChatGPT-4 的两次对话存在差异。在 30%的情况下，它与专家意见一致。在胃的肠上皮化生和腺癌等情况下存在差异，但在子宫内膜异位症和胃食管反流病等情况下存在一致性。
评估 ChatGPT-4 在确定减重手术适用性方面的作用揭示了其潜在优势和局限性。它与专家的一致性不一致，并且经常忽略关键因素，强调了人类专业知识的价值。目前对其的使用需要谨慎，并需要进一步改进以用于临床应用。
