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Patients with floaters: Answers from virtual assistants and large language models.

作者信息

Wu Gloria, Zhao Weichen, Wong Adrial, Lee David A

机构信息

Department of Ophthalmology, University of California San Francisco School of Medicine, San Francisco, California, USA.

University of California, Davis, Davis, California, USA.

出版信息

Digit Health. 2024 Feb 14;10:20552076241229933. doi: 10.1177/20552076241229933. eCollection 2024 Jan-Dec.


DOI:10.1177/20552076241229933
PMID:38362238
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10868475/
Abstract

OBJECTIVES: "Floaters," a common complaint among patients of all ages, was used as a query term because it affects 30% of all people searching for eye care. The American Academy of Ophthalmology website's "floaters" section was used as a source for questions and answers (www.aao.org). Floaters is a visual obstruction that moves with the movement of the eye. They can be associated with retinal detachment, which can lead to vision loss. With the advent of large language model (LLM) chatbots ChatGPT, Bard versus virtual assistants (VA), Google Assistant, and Alexa, we analyzed their responses to "floaters." METHODS: Using AAO.org, "Public & Patients," and its related subsection, "EyeHealth A-Z": Floaters and Flashes link, we asked four questions: (1) What are floaters? (2) What are flashes? (3) Flashes and Migraines? (4) Floaters and Flashes Treatment? to ChatGPT, Bard, Google Assistant, and Alexa. The American Academy of Ophthalmology (AAO) keywords were identified if they were highlighted. The "Flesch-Kincaid Grade Level" formula approved by the U.S. Department of Education, was used to evaluate the reading comprehension level for the responses. RESULTS: Of the chatbots and virtual assistants, Google Assistant is the only one that uses the term "ophthalmologist." There is no mention of the urgency or emergency nature of floaters. AAO.org shows a lower reading level vs the LLMs and VA ( = .11). The reading comprehension levels of ChatGPT, Bard, Google Assistant, and Alexa are higher (12.3, 9.7, 13.1, 8.1 grade) vs the AAO.org (7.3 grade). There is a higher word count for LLMs vs VA ( < .0286). CONCLUSION: Currently, ChatGPT, Bard, Google Assistant, and Alexa are similar. Factual information is present but all miss the urgency of the diagnosis of a retinal detachment. Translational relevance: Both the LLM and virtual assistants are free and our patients will use them to obtain "floaters" information. There may be errors of omission with ChatGPT and a lack of urgency to seek a physician's care.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bec/10868475/72de8c358066/10.1177_20552076241229933-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bec/10868475/2f8dcd13e844/10.1177_20552076241229933-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bec/10868475/72de8c358066/10.1177_20552076241229933-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bec/10868475/2f8dcd13e844/10.1177_20552076241229933-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bec/10868475/72de8c358066/10.1177_20552076241229933-fig2.jpg

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引用本文的文献

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BMC Med Inform Decis Mak. 2025-9-1

[2]
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[3]
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[4]
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[5]
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J Clin Med. 2024-10-30

[6]
Assessment of Large Language Models in Cataract Care Information Provision: A Quantitative Comparison.

Ophthalmol Ther. 2025-1

[7]
Applications of ChatGPT in the diagnosis, management, education, and research of retinal diseases: a scoping review.

Int J Retina Vitreous. 2024-10-17

本文引用的文献

[1]
New era after ChatGPT in ophthalmology: advances from data-based decision support to patient-centered generative artificial intelligence.

Ann Transl Med. 2023-8-30

[2]
What can GPT-4 do for Diagnosing Rare Eye Diseases? A Pilot Study.

Ophthalmol Ther. 2023-12

[3]
Benchmarking large language models' performances for myopia care: a comparative analysis of ChatGPT-3.5, ChatGPT-4.0, and Google Bard.

EBioMedicine. 2023-9

[4]
Artificial intelligence-based ChatGPT chatbot responses for patient and parent questions on vernal keratoconjunctivitis.

Graefes Arch Clin Exp Ophthalmol. 2023-10

[5]
Medicine in the Era of Artificial Intelligence: Hey Chatbot, Write Me an H&P.

JAMA Intern Med. 2023-6-1

[6]
How Chatbots and Large Language Model Artificial Intelligence Systems Will Reshape Modern Medicine: Fountain of Creativity or Pandora's Box?

JAMA Intern Med. 2023-6-1

[7]
Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum.

JAMA Intern Med. 2023-6-1

[8]
The Role of ChatGPT, Generative Language Models, and Artificial Intelligence in Medical Education: A Conversation With ChatGPT and a Call for Papers.

JMIR Med Educ. 2023-3-6

[9]
Diagnostic Accuracy of Differential-Diagnosis Lists Generated by Generative Pretrained Transformer 3 Chatbot for Clinical Vignettes with Common Chief Complaints: A Pilot Study.

Int J Environ Res Public Health. 2023-2-15

[10]
High Satisfaction With a Virtual Assistant for Plastic Surgery Frequently Asked Questions.

Aesthet Surg J. 2023-3-15

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