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在医疗保健研究中负责任地使用大语言模型的漫长但必要的道路。

The long but necessary road to responsible use of large language models in healthcare research.

作者信息

Kwong Jethro C C, Wang Serena C Y, Nickel Grace C, Cacciamani Giovanni E, Kvedar Joseph C

机构信息

Division of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.

Temerty Centre for AI Research and Education in Medicine, University of Toronto, Toronto, ON, Canada.

出版信息

NPJ Digit Med. 2024 Jul 4;7(1):177. doi: 10.1038/s41746-024-01180-y.

DOI:10.1038/s41746-024-01180-y
PMID:38965411
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11224331/
Abstract

Large language models (LLMs) have shown promise in reducing time, costs, and errors associated with manual data extraction. A recent study demonstrated that LLMs outperformed natural language processing approaches in abstracting pathology report information. However, challenges include the risks of weakening critical thinking, propagating biases, and hallucinations, which may undermine the scientific method and disseminate inaccurate information. Incorporating suitable guidelines (e.g., CANGARU), should be encouraged to ensure responsible LLM use.

摘要

大型语言模型(LLMs)在减少与手动数据提取相关的时间、成本和错误方面已显示出前景。最近的一项研究表明,在提取病理报告信息方面,大型语言模型的表现优于自然语言处理方法。然而,挑战包括削弱批判性思维、传播偏见和产生幻觉的风险,这些可能会破坏科学方法并传播不准确的信息。应鼓励采用适当的指导方针(如CANGARU),以确保负责任地使用大型语言模型。

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本文引用的文献

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A critical assessment of using ChatGPT for extracting structured data from clinical notes.对使用ChatGPT从临床记录中提取结构化数据的批判性评估。
NPJ Digit Med. 2024 May 1;7(1):106. doi: 10.1038/s41746-024-01079-8.
2
Publishers' and journals' instructions to authors on use of generative artificial intelligence in academic and scientific publishing: bibliometric analysis.出版商和期刊社关于在学术和科学出版中使用生成式人工智能的作者指南:文献计量分析。
BMJ. 2024 Jan 31;384:e077192. doi: 10.1136/bmj-2023-077192.
3
Large language models in medicine.医学中的大型语言模型。
Nat Med. 2023 Aug;29(8):1930-1940. doi: 10.1038/s41591-023-02448-8. Epub 2023 Jul 17.
4
ChatGPT: standard reporting guidelines for responsible use.ChatGPT:负责任使用的标准报告指南。
Nature. 2023 Jun;618(7964):238. doi: 10.1038/d41586-023-01853-w.
5
Generative Pre-training Transformer Chat (ChatGPT) in the scientific community: the train has left the station.科学界的生成式预训练变换器聊天机器人(ChatGPT):木已成舟。
Minerva Urol Nephrol. 2023 Apr;75(2):131-133. doi: 10.23736/S2724-6051.23.05326-0. Epub 2023 Mar 8.
6
Standardized synoptic cancer pathology reporting: a population-based approach.标准化概要癌症病理报告:基于人群的方法。
J Surg Oncol. 2009 Jun 15;99(8):517-24. doi: 10.1002/jso.21282.