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ChatGPT 在医学领域的应用:对 ChatGPT(人工智能)在研究、临床实践、教育和医患互动中的作用的跨学科系统评价。

ChatGPT in medicine: A cross-disciplinary systematic review of ChatGPT's (artificial intelligence) role in research, clinical practice, education, and patient interaction.

机构信息

Department of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.

Department of Medicine, Liaquat National Medical College, Karachi, Pakistan.

出版信息

Medicine (Baltimore). 2024 Aug 9;103(32):e39250. doi: 10.1097/MD.0000000000039250.


DOI:10.1097/MD.0000000000039250
PMID:39121303
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11315549/
Abstract

BACKGROUND: ChatGPT, a powerful AI language model, has gained increasing prominence in medicine, offering potential applications in healthcare, clinical decision support, patient communication, and medical research. This systematic review aims to comprehensively assess the applications of ChatGPT in healthcare education, research, writing, patient communication, and practice while also delineating potential limitations and areas for improvement. METHOD: Our comprehensive database search retrieved relevant papers from PubMed, Medline and Scopus. After the screening process, 83 studies met the inclusion criteria. This review includes original studies comprising case reports, analytical studies, and editorials with original findings. RESULT: ChatGPT is useful for scientific research and academic writing, and assists with grammar, clarity, and coherence. This helps non-English speakers and improves accessibility by breaking down linguistic barriers. However, its limitations include probable inaccuracy and ethical issues, such as bias and plagiarism. ChatGPT streamlines workflows and offers diagnostic and educational potential in healthcare but exhibits biases and lacks emotional sensitivity. It is useful in inpatient communication, but requires up-to-date data and faces concerns about the accuracy of information and hallucinatory responses. CONCLUSION: Given the potential for ChatGPT to transform healthcare education, research, and practice, it is essential to approach its adoption in these areas with caution due to its inherent limitations.

摘要

背景:ChatGPT 是一款强大的人工智能语言模型,在医学领域的应用日益受到关注,具有在医疗保健、临床决策支持、医患沟通和医学研究等方面的潜在应用价值。本系统评价旨在全面评估 ChatGPT 在医疗保健教育、研究、写作、医患沟通和实践中的应用,并确定其潜在的局限性和改进领域。

方法:我们对 PubMed、Medline 和 Scopus 等数据库进行了全面检索,筛选出符合纳入标准的 83 篇研究。本综述包括了具有原创发现的病例报告、分析研究和社论等原始研究。

结果:ChatGPT 在科学研究和学术写作方面很有用,能帮助改善语法、清晰度和连贯性,使非英语使用者受益,提高可及性,打破语言障碍。然而,它也存在可能不准确和伦理问题,如偏见和抄袭。ChatGPT 简化了医疗保健领域的工作流程,并具有诊断和教育潜力,但存在偏见且缺乏情感敏感性。它在住院医患沟通中有用,但需要使用最新的数据,并面临信息准确性和幻觉反应的问题。

结论:鉴于 ChatGPT 有可能改变医疗保健教育、研究和实践,在这些领域采用它时,必须谨慎,因为它存在固有局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d25/11315549/946f6447af64/medi-103-e39250-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d25/11315549/2500febbb706/medi-103-e39250-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d25/11315549/55f36c4714e3/medi-103-e39250-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d25/11315549/ec0b11045d1d/medi-103-e39250-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d25/11315549/946f6447af64/medi-103-e39250-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d25/11315549/2500febbb706/medi-103-e39250-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d25/11315549/55f36c4714e3/medi-103-e39250-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d25/11315549/ec0b11045d1d/medi-103-e39250-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d25/11315549/946f6447af64/medi-103-e39250-g004.jpg

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本文引用的文献

[1]
ChatGPT applications in medical, dental, pharmacy, and public health education: A descriptive study highlighting the advantages and limitations.

Narra J. 2023-4

[2]
Assessing ChatGPT's Proficiency in Simplifying Radiological Reports for Healthcare Professionals and Patients.

Cureus. 2023-12-21

[3]
ChatGPT compared with Google Search and healthcare institution as sources of postoperative patient instructions after gynecological surgery.

BJOG. 2024-7

[4]
Applicability of artificial intelligence-based computer-aided detection (AI-CAD) for pulmonary tuberculosis to community-based active case finding.

Trop Med Health. 2024-1-2

[5]
Online for On Call: A Study Assessing the Use of Internet Resources Including ChatGPT among On-Call Radiology Residents in India.

Indian J Radiol Imaging. 2023-8-21

[6]
ChatGPT: Chasing the Storm in Radiology Training and Education.

Indian J Radiol Imaging. 2023-10-5

[7]
ChatGPT makes medicine easy to swallow: an exploratory case study on simplified radiology reports.

Eur Radiol. 2024-5

[8]
Accuracy and Reliability of Chatbot Responses to Physician Questions.

JAMA Netw Open. 2023-10-2

[9]
Assessing the Performance of GPT-3.5 and GPT-4 on the 2023 Japanese Nursing Examination.

Cureus. 2023-8-3

[10]
Comparison of Ophthalmologist and Large Language Model Chatbot Responses to Online Patient Eye Care Questions.

JAMA Netw Open. 2023-8-1

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