文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

医学领域的大型语言模型:潜力与陷阱:一篇叙事性综述。

Large Language Models in Medicine: The Potentials and Pitfalls : A Narrative Review.

机构信息

Department of Dermatology and Department of Biomedical Data Science, Stanford University, Stanford, California (J.A.O., R.D.).

Department of Dermatology, Stanford University, Stanford, California (H.G., S.J.R.).

出版信息

Ann Intern Med. 2024 Feb;177(2):210-220. doi: 10.7326/M23-2772. Epub 2024 Jan 30.


DOI:10.7326/M23-2772
PMID:38285984
Abstract

Large language models (LLMs) are artificial intelligence models trained on vast text data to generate humanlike outputs. They have been applied to various tasks in health care, ranging from answering medical examination questions to generating clinical reports. With increasing institutional partnerships between companies producing LLMs and health systems, the real-world clinical application of these models is nearing realization. As these models gain traction, health care practitioners must understand what LLMs are, their development, their current and potential applications, and the associated pitfalls in a medical setting. This review, coupled with a tutorial, provides a comprehensive yet accessible overview of these areas with the aim of familiarizing health care professionals with the rapidly changing landscape of LLMs in medicine. Furthermore, the authors highlight active research areas in the field that promise to improve LLMs' usability in health care contexts.

摘要

大型语言模型(LLMs)是基于大量文本数据训练的人工智能模型,能够生成类似人类的输出。它们已被应用于医疗保健的各种任务,从回答医学考试问题到生成临床报告。随着生产 LLM 的公司与医疗系统之间的机构合作不断增加,这些模型在现实世界中的临床应用即将实现。随着这些模型的普及,医疗保健从业者必须了解 LLM 是什么、它们的发展、它们当前和潜在的应用以及在医疗环境中存在的相关陷阱。本综述结合教程,全面而又易于理解地介绍了这些领域,旨在使医疗保健专业人员熟悉医学领域中 LLM 的快速变化。此外,作者还强调了该领域的活跃研究领域,这些领域有望提高 LLM 在医疗保健环境中的可用性。

相似文献

[1]
Large Language Models in Medicine: The Potentials and Pitfalls : A Narrative Review.

Ann Intern Med. 2024-2

[2]
Large Language Models and User Trust: Consequence of Self-Referential Learning Loop and the Deskilling of Health Care Professionals.

J Med Internet Res. 2024-4-25

[3]
Examining the Role of Large Language Models in Orthopedics: Systematic Review.

J Med Internet Res. 2024-11-15

[4]
Utility of Large Language Models for Health Care Professionals and Patients in Navigating Hematopoietic Stem Cell Transplantation: Comparison of the Performance of ChatGPT-3.5, ChatGPT-4, and Bard.

J Med Internet Res. 2024-5-17

[5]
The Role of Large Language Models in Transforming Emergency Medicine: Scoping Review.

JMIR Med Inform. 2024-5-10

[6]
Utility of artificial intelligence-based large language models in ophthalmic care.

Ophthalmic Physiol Opt. 2024-5

[7]
The Application of Large Language Models in Gastroenterology: A Review of the Literature.

Cancers (Basel). 2024-9-28

[8]
Implications of large language models such as ChatGPT for dental medicine.

J Esthet Restor Dent. 2023-10

[9]
Assessing the research landscape and clinical utility of large language models: a scoping review.

BMC Med Inform Decis Mak. 2024-3-12

[10]
Unveiling the Potential of Large Language Models in Transforming Chronic Disease Management: Mixed Methods Systematic Review.

J Med Internet Res. 2025-4-16

引用本文的文献

[1]
Performance and improvement strategies for adapting generative large language models for electronic health record applications: A systematic review.

Int J Med Inform. 2025-8-28

[2]
Evaluation of Three Large Language Models' Response Performances to Inquiries Regarding Post-Abortion Care in the Context of Chinese Language: A Comparative Analysis.

Risk Manag Healthc Policy. 2025-8-18

[3]
Artificial Intelligence Large Language Models in Cardiology.

Rev Cardiovasc Med. 2025-7-8

[4]
Longitudinal big biological data in the AI era.

Mol Syst Biol. 2025-8-5

[5]
Improving Transformer Performance for French Clinical Notes Classification Using Mixture of Experts on a Limited Dataset.

IEEE J Transl Eng Health Med. 2025-6-4

[6]
The TRIPOD-LLM reporting guideline for studies using large language models: a Korean translation.

Ewha Med J. 2025-7

[7]
Dr. LLM Will See You Now: The Ability of ChatGPT to Provide Geographically Tailored Colorectal Cancer Screening and Surveillance Recommendations.

J Clin Med. 2025-7-18

[8]
Swedish Medical LLM Benchmark: development and evaluation of a framework for assessing large language models in the Swedish medical domain.

Front Artif Intell. 2025-7-11

[9]
Evaluating the role of large language models in traditional Chinese medicine diagnosis and treatment recommendations.

NPJ Digit Med. 2025-7-21

[10]
Enhancing pediatric asthma management in underdeveloped regions through ChatGPT training for doctors: a randomized controlled trial.

Front Pediatr. 2025-7-3

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索