Department of Central Radiology, Kumamoto University Hospital, Honjo 1-1-1, Kumamoto, 860-8556, Japan.
Department of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Jpn J Radiol. 2024 Jul;42(7):685-696. doi: 10.1007/s11604-024-01552-0. Epub 2024 Mar 29.
The advent of Deep Learning (DL) has significantly propelled the field of diagnostic radiology forward by enhancing image analysis and interpretation. The introduction of the Transformer architecture, followed by the development of Large Language Models (LLMs), has further revolutionized this domain. LLMs now possess the potential to automate and refine the radiology workflow, extending from report generation to assistance in diagnostics and patient care. The integration of multimodal technology with LLMs could potentially leapfrog these applications to unprecedented levels.However, LLMs come with unresolved challenges such as information hallucinations and biases, which can affect clinical reliability. Despite these issues, the legislative and guideline frameworks have yet to catch up with technological advancements. Radiologists must acquire a thorough understanding of these technologies to leverage LLMs' potential to the fullest while maintaining medical safety and ethics. This review aims to aid in that endeavor.
深度学习(DL)的出现通过增强图像分析和解释,极大地推动了放射诊断领域的发展。Transformer 架构的引入,以及大型语言模型(LLM)的发展,进一步彻底改变了这一领域。LLM 现在有可能自动化和完善放射科工作流程,从报告生成扩展到诊断和患者护理的辅助。将多模态技术与 LLM 集成,有可能将这些应用推向前所未有的水平。然而,LLM 存在尚未解决的挑战,例如信息幻觉和偏见,这可能会影响临床可靠性。尽管存在这些问题,但立法和指导方针框架尚未跟上技术进步的步伐。放射科医生必须充分了解这些技术,以充分利用 LLM 的潜力,同时保持医疗安全和伦理。本综述旨在为此提供帮助。