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评估人工智能在药物相关性颌骨坏死信息共享中的潜在作用。

Assessing the Potential Role of Artificial Intelligence in Medication-Related Osteonecrosis of the Jaw Information Sharing.

机构信息

Assistance Professor, Department of Oral and Maxillofacial Surgery, Kırıkkale University, Kırıkkale, Turkey.

Assistance Professor, Department Head, Department of Oral and Maxillofacial Surgery, Kırıkkale University, Kırıkkale, Turkey.

出版信息

J Oral Maxillofac Surg. 2024 Jun;82(6):699-705. doi: 10.1016/j.joms.2024.03.001. Epub 2024 Mar 9.

Abstract

BACKGROUND

Artificial Intelligence, by answering questions about disease prevention strategies, can contribute to making diseases more treatable in their early stages.

PURPOSE

This study aims to evaluate the quality of patient information by assessing the responses of the Chat Generative Pretrained Transformer (ChatGPT, Open AI, USA) artificial intelligence model to questions related to medication-related osteonecrosis of the jaw (MRONJ).

STUDY DESIGN, SETTING, SAMPLE: The study was prospective cross-sectional design. The study was conducted within the Department of Oral and Maxillofacial Surgery. The study's questions were prepared by an experienced oral and maxillofacial surgeon and directed to the artificial intelligence platform. The responses were evaluated by oral and maxillofacial surgeons using the Global Quality Scale (GQS).

PREDICTOR VARIABLE

The predictor variable is question type. A total of 120 questions were categorized into six groups, which encompassed general information about MRONJ (Group 1), queries from patients about to initiate medication therapy (Group 2), questions from patients currently undergoing medication treatment (Group 3), inquiries from patients who had completed medication usage (Group 4), general treatment-related information (Group 5), and case scenarios (Group 6).

MAIN OUTCOME VARIABLES

The main variable is the GQS score. The GQS rates the quality of information and its utility for the patients. The scores are as follows: Score 1: Poor quality, Score 2: Generally poor quality, Score 3: Moderate quality, Score 4: Good quality, Score 5: Excellent quality.

COVARIATES

Not applicable.

ANALYSES

Kruskal-Wallis and Mann-Whitney U tests were applied for intragroup and intergroup analyses. The statistical significance level was determined as P < .05 and P < .01.

RESULTS

The average score for all questions was calculated to be 3.9 ± 0.8, which is above the "moderate quality" threshold. Group 1 had a mean score of 3.4 ± 1.1; group 2 had 4.1 ± 0.7; group 3 had 3.8 ± 0.8; group 4 had 4.3 ± 0.6; group 5 had 4.2 ± 0.7; and group 6 had 4.1 ± 0.5. The variations in mean scores among these groups did not exhibit statistical significance (P > .05).

CONCLUSION AND RELEVANCE

The artificial intelligence model has generated responses of moderate quality to questions about MRONJ. The use of the artificial intelligence platform may assist in patients gaining a fundamental understanding of MRONJ.

摘要

背景

人工智能通过回答有关疾病预防策略的问题,可以帮助在疾病早期更有效地治疗疾病。

目的

本研究旨在通过评估 ChatGPT(OpenAI,美国)人工智能模型对与药物相关性颌骨坏死(MRONJ)相关问题的回答来评估患者信息的质量。

研究设计、设置和样本:研究为前瞻性横断面设计。研究在口腔颌面外科进行。研究问题由一位经验丰富的口腔颌面外科医生准备,并向人工智能平台提出。口腔颌面外科医生使用全球质量量表(GQS)对回答进行评估。

预测变量

预测变量是问题类型。共提出 120 个问题,分为六组,涵盖了 MRONJ 的一般信息(第 1 组)、即将开始药物治疗的患者的询问(第 2 组)、正在接受药物治疗的患者的询问(第 3 组)、已完成药物使用的患者的询问(第 4 组)、一般治疗相关信息(第 5 组)和病例情况(第 6 组)。

主要观察变量

主要变量是 GQS 评分。GQS 评估信息的质量及其对患者的实用性。评分如下:分数 1:质量差,分数 2:一般质量差,分数 3:中等质量,分数 4:质量好,分数 5:优秀质量。

协变量

不适用。

分析

采用 Kruskal-Wallis 和 Mann-Whitney U 检验进行组内和组间分析。统计显著性水平确定为 P<.05 和 P<.01。

结果

所有问题的平均得分为 3.9±0.8,高于“中等质量”阈值。第 1 组的平均得分为 3.4±1.1;第 2 组为 4.1±0.7;第 3 组为 3.8±0.8;第 4 组为 4.3±0.6;第 5 组为 4.2±0.7;第 6 组为 4.1±0.5。这些组之间的平均得分变化没有统计学意义(P>.05)。

结论和相关性

人工智能模型对与 MRONJ 相关的问题生成了中等质量的回答。人工智能平台的使用可能有助于患者对 MRONJ 有基本的了解。

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