Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan.
Department of Obstetrics and Gynecology, Koga Red Cross Hospital, Koga, Japan.
J Obstet Gynaecol Res. 2024 Oct;50(10):1995-1999. doi: 10.1111/jog.16078. Epub 2024 Sep 6.
Artificial intelligence, especially ChatGPT, has been used in various aspects of medicine; however, whether ChatGPT can be used in case report writing is unknown. This study aimed to provoke discussion and provide a platform for it.
I wrote a theoretical case report where cyst aspiration cured a twisted ovarian cyst (Manuscript 4). I tasked ChatGPT with generating case reports by inputting information at three different levels: (1) key message and case profile, (2) addition of key introduction information (including known facts and problems to be solved), and (3) further addition of main discussion points. These inputs resulted in the creation of Manuscripts 1-3, which were subjected to analysis. Manuscript 3, generated by ChatGPT with the deepest information input, was compared with Manuscript 4, the human-authored counterpart.
With the least information, Manuscript 1 can stand on its own, but its content is superficial. The more detailed data input, the more readable and reasonable the manuscripts become. A human-written manuscript involves personal experience and viewpoints other than obstetrics-gynecology.
Better input produced more reasonable and readable case reports. Human-written paper, compared with ChatGPT-generated one, can involve "human touch." Whether such human touch enriches the case report awaits further discussion. Whether ChatGPT can be used in case report writing, and if it can, to what extent, should be worthy of further study. I encourage every doctor to form their own stance towards ChatGPT use in medical writing.
人工智能，尤其是 ChatGPT，已被应用于医学的各个领域；然而，ChatGPT 是否可用于病例报告书写尚不清楚。本研究旨在引发讨论并为之提供平台。
我撰写了一篇理论性病例报告，其中囊肿抽吸术治愈了扭转的卵巢囊肿（稿件 4）。我通过在三个不同水平输入信息来要求 ChatGPT 生成病例报告：（1）关键信息和病例概况，（2）添加关键介绍信息（包括已知事实和待解决的问题），以及（3）进一步添加主要讨论要点。这些输入导致生成了稿件 1-3，并对其进行了分析。稿件 3 是 ChatGPT 在输入最深信息后生成的，与人类作者撰写的稿件 4 进行了比较。
输入最少的信息，稿件 1 可以独立存在，但内容肤浅。输入更详细的数据，稿件变得更具可读性和合理性。人类作者撰写的稿件涉及妇产科以外的个人经验和观点。
更好的输入产生了更合理和可读的病例报告。与 ChatGPT 生成的稿件相比，人类作者撰写的稿件可以包含“人文关怀”。这种人文关怀是否丰富了病例报告有待进一步讨论。ChatGPT 是否可用于病例报告书写，如果可以，在何种程度上，值得进一步研究。我鼓励每位医生对 ChatGPT 在医学写作中的应用形成自己的立场。
