ChatGPT 在泌尿外科中的应用及其在临床实践中的相关性:它有用吗?
Use of ChatGPT in Urology and its Relevance in Clinical Practice: Is it useful?
机构信息
Centro de Distúrbios Urinários Infantis (CEDIMI), Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil.
Faculdade de Medicina, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil.
出版信息
Int Braz J Urol. 2024 Mar-Apr;50(2):192-198. doi: 10.1590/S1677-5538.IBJU.2023.0570.
PURPOUSE
One of the many artificial intelligence based tools that has gained popularity is the Chat-Generative Pre-Trained Transformer (ChatGPT). Due to its popularity, incorrect information provided by ChatGPT will have an impact on patient misinformation. Furthermore, it may cause misconduct as ChatGPT can mislead physicians on the decision-making pathway. Therefore, the aim of this study is to evaluate the accuracy and reproducibility of ChatGPT answers regarding urological diagnoses.
MATERIALS AND METHODS
ChatGPT 3.5 version was used. The questions asked for the program involved Primary Megaureter (pMU), Enuresis and Vesicoureteral Reflux (VUR). There were three queries for each topic. The queries were inserted twice, and both responses were recorded to examine the reproducibility of ChatGPT's answers. Afterwards, both answers were combined. Finally, those rwere evaluated qualitatively by a board of three specialists. A descriptive analysis was performed.
RESULTS AND CONCLUSION
ChatGPT simulated general knowledge on the researched topics. Regarding Enuresis, the provided definition was partially correct, as the generic response allowed for misinterpretation. For VUR, the response was considered appropriate. For pMU it was partially correct, lacking essential aspects of its definition such as the diameter of the dilatation of the ureter. Unnecessary exams were suggested, for Enuresis and pMU. Regarding the treatment of the conditions mentioned, it specified treatments for Enuresis that are ineffective, such as bladder training. Therefore, ChatGPT responses present a combination of accurate information, but also incomplete, ambiguous and, occasionally, misleading details.
目的
基于人工智能的众多工具之一 Chat-Generative Pre-Trained Transformer(ChatGPT)已广受欢迎。由于其受欢迎程度,ChatGPT 提供的错误信息将对患者产生错误信息。此外,它可能会导致不当行为,因为 ChatGPT 可能会误导医生的决策路径。因此,本研究旨在评估 ChatGPT 关于泌尿科诊断的答案的准确性和可重复性。
材料和方法
使用 ChatGPT 3.5 版本。该程序询问的问题涉及原发性巨输尿管症(pMU)、遗尿症和膀胱输尿管反流(VUR)。每个主题有三个查询。每个查询插入两次,并记录两次响应以检查 ChatGPT 答案的可重复性。然后,将两个答案合并。最后,由三名专家组成的小组对其进行定性评估。进行了描述性分析。
结果和结论
ChatGPT 模拟了研究主题的一般知识。关于遗尿症,提供的定义部分正确,因为通用响应允许误解。对于 VUR,响应被认为是合适的。对于 pMU,它部分正确,缺乏其定义的重要方面,例如输尿管扩张的直径。对于遗尿症和 pMU,建议进行不必要的检查。关于提到的病情的治疗,它指定了遗尿症的无效治疗方法,例如膀胱训练。因此,ChatGPT 的响应既包含准确的信息,也包含不完整、模糊和偶尔具有误导性的细节。