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推进放射学实践与研究:在存在缺陷的情况下利用大语言模型的潜力

Advancing radiology practice and research: harnessing the potential of large language models amidst imperfections.

作者信息

Klang Eyal, Alper Lee, Sorin Vera, Barash Yiftach, Nadkarni Girish N, Zimlichman Eyal

机构信息

Division of Data-Driven and Digital Medicine (D3M), Icahn School of Medicine at Mount Sinai, New York, NY, 10029-6504, United States.

The Charles Bronfman Institute of Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, 10029-6504, United States.

出版信息

BJR Open. 2024 Aug 14;6(1):tzae022. doi: 10.1093/bjro/tzae022. eCollection 2024 Jan.

DOI:10.1093/bjro/tzae022
PMID:39193585
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11349187/
Abstract

Large language models (LLMs) are transforming the field of natural language processing (NLP). These models offer opportunities for radiologists to make a meaningful impact in their field. NLP is a part of artificial intelligence (AI) that uses computer algorithms to study and understand text data. Recent advances in NLP include the Attention mechanism and the Transformer architecture. Transformer-based LLMs, such as GPT-4 and Gemini, are trained on massive amounts of data and generate human-like text. They are ideal for analysing large text data in academic research and clinical practice in radiology. Despite their promise, LLMs have limitations, including their dependency on the diversity and quality of their training data and the potential for false outputs. Albeit these limitations, the use of LLMs in radiology holds promise and is gaining momentum. By embracing the potential of LLMs, radiologists can gain valuable insights and improve the efficiency of their work. This can ultimately lead to improved patient care.

摘要

大语言模型(LLMs)正在改变自然语言处理(NLP)领域。这些模型为放射科医生在其领域产生有意义的影响提供了机会。NLP是人工智能(AI)的一部分,它使用计算机算法来研究和理解文本数据。NLP的最新进展包括注意力机制和Transformer架构。基于Transformer的大语言模型,如GPT-4和Gemini,是在大量数据上进行训练的,并生成类似人类的文本。它们非常适合分析放射学学术研究和临床实践中的大量文本数据。尽管大语言模型前景广阔,但也存在局限性,包括对训练数据的多样性和质量的依赖以及产生错误输出的可能性。尽管有这些局限性,大语言模型在放射学中的应用仍具有前景且正在兴起。通过利用大语言模型的潜力,放射科医生可以获得有价值的见解并提高工作效率。这最终可以改善患者护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa37/11349187/3a10ba7026f0/tzae022f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa37/11349187/3a10ba7026f0/tzae022f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa37/11349187/3a10ba7026f0/tzae022f1.jpg

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本文引用的文献

1
The Impact of Large Language Model-Generated Radiology Report Summaries on Patient Comprehension: A Randomized Controlled Trial.大语言模型生成的放射学报告摘要对患者理解的影响:一项随机对照试验
J Am Coll Radiol. 2024 Dec;21(12):1898-1903. doi: 10.1016/j.jacr.2024.06.018. Epub 2024 Jul 2.
2
Performance of an Open-Source Large Language Model in Extracting Information from Free-Text Radiology Reports.开源大语言模型从自由文本放射学报告中提取信息的性能。
Radiol Artif Intell. 2024 Jul;6(4):e230364. doi: 10.1148/ryai.230364.
3
Can large language models replace humans in systematic reviews? Evaluating GPT-4's efficacy in screening and extracting data from peer-reviewed and grey literature in multiple languages.
大型语言模型能否在系统评价中取代人类?评估 GPT-4 从多种语言的同行评议文献和灰色文献中进行筛选和提取数据的效果。
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Automated Paper Screening for Clinical Reviews Using Large Language Models: Data Analysis Study.使用大型语言模型对临床综述进行自动化论文筛选:数据分析研究。
J Med Internet Res. 2024 Jan 12;26:e48996. doi: 10.2196/48996.
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Adversarial attacks in radiology - A systematic review.放射学中的对抗攻击——系统综述
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Cureus. 2023 Feb 19;15(2):e35179. doi: 10.7759/cureus.35179. eCollection 2023 Feb.
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Lancet Oncol. 2020 Dec;21(12):1553-1556. doi: 10.1016/S1470-2045(20)30615-X.
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