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创新牙科诊断:ChatGPT在诊断挑战中的准确性。

Innovating dental diagnostics: ChatGPT's accuracy on diagnostic challenges.

作者信息

Danesh Arman, Danesh Arsalan, Danesh Farzad

机构信息

Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Oral Dis. 2025 Mar;31(3):911-917. doi: 10.1111/odi.15082. Epub 2024 Jul 22.

DOI:10.1111/odi.15082
PMID:39039720
Abstract

INTRODUCTION

Complex patient diagnoses in dentistry require a multifaceted approach which combines interpretations of clinical observations with an in-depth understanding of patient history and presenting problems. The present study aims to elucidate the implications of ChatGPT (OpenAI) as a comprehensive diagnostic tool in the dental clinic through examining the chatbot's diagnostic performance on challenging patient cases retrieved from the literature.

METHODS

Our study subjected ChatGPT3.5 and ChatGPT4 to descriptions of patient cases for diagnostic challenges retrieved from the literature. Sample means were compared using a two-tailed t-test, while sample proportions were compared using a two-tailed χ test. A p-value below the threshold of 0.05 was deemed statistically significant.

RESULTS

When prompted to generate their own differential diagnoses, ChatGPT3.5 and ChatGPT4 achieved a diagnostic accuracy of 40% and 62%, respectively. When basing their diagnostic processes on a differential diagnosis retrieved from the literature, ChatGPT3.5 and ChatGPT4 achieved a diagnostic accuracy of 70% and 80%, respectively.

CONCLUSION

ChatGPT displays an impressive capacity to correctly diagnose complex diagnostic challenges in the field of dentistry. Our study paints a promising potential for the chatbot to 1 day serve as a comprehensive diagnostic tool in the dental clinic.

摘要

引言

牙科中复杂的患者诊断需要多方面的方法,将临床观察的解读与对患者病史和当前问题的深入理解相结合。本研究旨在通过检查ChatGPT(OpenAI)在从文献中检索出的具有挑战性的患者病例上的诊断表现,阐明其作为牙科诊所综合诊断工具的意义。

方法

我们的研究让ChatGPT3.5和ChatGPT4面对从文献中检索出的患者病例描述进行诊断挑战。样本均值使用双尾t检验进行比较,样本比例使用双尾χ检验进行比较。p值低于0.05的阈值被认为具有统计学意义。

结果

当被要求生成自己的鉴别诊断时,ChatGPT3.5和ChatGPT4的诊断准确率分别为40%和62%。当基于从文献中检索出的鉴别诊断进行诊断过程时,ChatGPT3.5和ChatGPT4的诊断准确率分别为70%和80%。

结论

ChatGPT在正确诊断牙科领域复杂诊断挑战方面表现出令人印象深刻的能力。我们的研究为该聊天机器人有朝一日成为牙科诊所的综合诊断工具描绘了一个充满希望的潜力。

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