Goktas Polat, Grzybowski Andrzej
UCD School of Computer Science, University College Dublin, D04 V1W8 Dublin, Ireland.
Department of Ophthalmology, University of Warmia and Mazury, 10-719 Olsztyn, Poland.
J Clin Med. 2024 Oct 3;13(19):5909. doi: 10.3390/jcm13195909.
: The use of artificial intelligence (AI) in dermatology is expanding rapidly, with ChatGPT, a large language model (LLM) from OpenAI, showing promise in patient education, clinical decision-making, and teledermatology. Despite its potential, the ethical, clinical, and practical implications of its application remain insufficiently explored. This study aims to evaluate the effectiveness, challenges, and future prospects of ChatGPT in dermatology, focusing on clinical applications, patient interactions, and medical writing. ChatGPT was selected due to its broad adoption, extensive validation, and strong performance in dermatology-related tasks. : A thorough literature review was conducted, focusing on publications related to ChatGPT and dermatology. The search included articles in English from November 2022 to August 2024, as this period captures the most recent developments following the launch of ChatGPT in November 2022, ensuring that the review includes the latest advancements and discussions on its role in dermatology. Studies were chosen based on their relevance to clinical applications, patient interactions, and ethical issues. Descriptive metrics, such as average accuracy scores and reliability percentages, were used to summarize study characteristics, and key findings were analyzed. : ChatGPT has shown significant potential in passing dermatology specialty exams and providing reliable responses to patient queries, especially for common dermatological conditions. However, it faces limitations in diagnosing complex cases like cutaneous neoplasms, and concerns about the accuracy and completeness of its information persist. Ethical issues, including data privacy, algorithmic bias, and the need for transparent guidelines, were identified as critical challenges. : While ChatGPT has the potential to significantly enhance dermatological practice, particularly in patient education and teledermatology, its integration must be cautious, addressing ethical concerns and complementing, rather than replacing, dermatologist expertise. Future research should refine ChatGPT's diagnostic capabilities, mitigate biases, and develop comprehensive clinical guidelines.
人工智能(AI)在皮肤病学中的应用正在迅速扩展,OpenAI的大型语言模型(LLM)ChatGPT在患者教育、临床决策和远程皮肤病学方面展现出了潜力。尽管具有潜力,但其应用的伦理、临床和实际影响仍未得到充分探索。本研究旨在评估ChatGPT在皮肤病学中的有效性、挑战和未来前景,重点关注临床应用、患者互动和医学写作。选择ChatGPT是因为其广泛应用、广泛验证以及在皮肤病学相关任务中的强大表现。
进行了全面的文献综述,重点关注与ChatGPT和皮肤病学相关的出版物。搜索范围包括2022年11月至2024年8月的英文文章,因为这一时期涵盖了2022年11月ChatGPT推出后的最新发展,确保综述包括其在皮肤病学中作用的最新进展和讨论。根据研究与临床应用、患者互动和伦理问题的相关性进行选择。使用描述性指标,如平均准确率得分和可靠性百分比,来总结研究特征,并分析关键发现。
ChatGPT在通过皮肤病学专业考试和为患者问题提供可靠回答方面显示出巨大潜力,特别是对于常见皮肤病。然而,它在诊断皮肤肿瘤等复杂病例方面存在局限性,并且对其信息的准确性和完整性的担忧仍然存在。包括数据隐私、算法偏差以及对透明指南的需求等伦理问题被确定为关键挑战。
虽然ChatGPT有潜力显著改善皮肤病学实践,特别是在患者教育和远程皮肤病学方面,但其整合必须谨慎,解决伦理问题并补充而不是取代皮肤科医生的专业知识。未来的研究应改进ChatGPT的诊断能力,减轻偏差,并制定全面的临床指南。