Department of Health Information Technology, School of Paramedical, Ilam University of Medical Sciences, Ilam, Iran.
Department of Pediatric Dentistry, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran.
Int J Med Inform. 2024 Aug;188:105474. doi: 10.1016/j.ijmedinf.2024.105474. Epub 2024 May 8.
Generative artificial intelligence (GAI) is revolutionizing healthcare with solutions for complex challenges, enhancing diagnosis, treatment, and care through new data and insights. However, its integration raises questions about applications, benefits, and challenges. Our study explores these aspects, offering an overview of GAI's applications and future prospects in healthcare.
This scoping review searched Web of Science, PubMed, and Scopus . The selection of studies involved screening titles, reviewing abstracts, and examining full texts, adhering to the PRISMA-ScR guidelines throughout the process.
From 1406 articles across three databases, 109 met inclusion criteria after screening and deduplication. Nine GAI models were utilized in healthcare, with ChatGPT (n = 102, 74 %), Google Bard (Gemini) (n = 16, 11 %), and Microsoft Bing AI (n = 10, 7 %) being the most frequently employed. A total of 24 different applications of GAI in healthcare were identified, with the most common being "offering insights and information on health conditions through answering questions" (n = 41) and "diagnosis and prediction of diseases" (n = 17). In total, 606 benefits and challenges were identified, which were condensed to 48 benefits and 61 challenges after consolidation. The predominant benefits included "Providing rapid access to information and valuable insights" and "Improving prediction and diagnosis accuracy", while the primary challenges comprised "generating inaccurate or fictional content", "unknown source of information and fake references for texts", and "lower accuracy in answering questions".
This scoping review identified the applications, benefits, and challenges of GAI in healthcare. This synthesis offers a crucial overview of GAI's potential to revolutionize healthcare, emphasizing the imperative to address its limitations.
生成式人工智能(GAI)正在通过新的数据和见解为解决复杂挑战提供解决方案,从而彻底改变医疗保健行业,提高诊断、治疗和护理水平。然而,其集成引发了对应用、益处和挑战的质疑。我们的研究探讨了这些方面,提供了 GAI 在医疗保健中的应用和未来前景的概述。
本范围综述在 Web of Science、PubMed 和 Scopus 上进行了搜索。研究的选择涉及筛选标题、审查摘要和检查全文,整个过程都遵循 PRISMA-ScR 指南。
从三个数据库中的 1406 篇文章中,经过筛选和去重后,有 109 篇符合纳入标准。有 9 种 GAI 模型应用于医疗保健领域,其中 ChatGPT(n=102,74%)、Google Bard(Gemini)(n=16,11%)和 Microsoft Bing AI(n=10,7%)的使用最为频繁。总共确定了 GAI 在医疗保健中的 24 种不同应用,其中最常见的是“通过回答问题提供健康状况的见解和信息”(n=41)和“疾病的诊断和预测”(n=17)。总共确定了 606 项益处和挑战,经过整合后,这些益处和挑战分别浓缩为 48 项益处和 61 项挑战。主要的益处包括“提供快速获取信息和有价值见解的途径”和“提高预测和诊断准确性”,而主要的挑战包括“生成不准确或虚构的内容”、“信息来源未知和文本的虚假参考文献”以及“回答问题的准确性较低”。
本范围综述确定了 GAI 在医疗保健中的应用、益处和挑战。这一综合研究提供了 GAI 颠覆医疗保健潜力的重要概述,强调必须解决其局限性。