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人工智能在妇产科急诊中的作用。

The role of artificial intelligence in gynecologic and obstetric emergencies.

作者信息

Psilopatis Iason, Heindl Felix, Cupisti Susanne, Fischer Ulrike, Kohlmann Valentina, Schneider Michael, Bader Simon, Krueckel Annika, Emons Julius

机构信息

Department of Gynecology and Obstetrics, University Clinic Erlangen, Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.

Department of Gynecology and Obstetrics, University Clinic Erlangen, Comprehensive Cancer Center Erlangen-EMN (CCC ER-EMN), Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2025 Mar;306:94-100. doi: 10.1016/j.ejogrb.2025.01.007. Epub 2025 Jan 6.

Abstract

OBJECTIVE

To investigate the potential of artificial intelligence (AI) in emergency medicine, focusing on its utility in triaging and managing acute gynecologic and obstetric emergencies.

METHODS AND MATERIALS

This feasibility study assessed Chat-GPT's performance in triaging and recommending management interventions for gynecologic and obstetric emergencies, using ten fictive cases. Five common conditions were modeled for each specialty. Chat-GPT was tasked with proposing triage classifications and providing immediate management recommendations. Human experts independently reviewed each case, classified triage categories, and proposed management. Following this, experts evaluated Chat-GPT's recommendations, rating the AI's responses on accuracy and clinical applicability.

RESULTS

Chat-GPT's recommendations demonstrated high concordance with human evaluators. Chat-GPT's triage classifications matched those of human experts in most cases, though minor discrepancies in urgency ratings were observed. The AÍs suggestions were mostly rated as "very good" to "excellent." While Chat-GPT consistently delivered appropriate responses, some human evaluators noted slight differences in perceived urgency.

CONCLUSIONS

This study highlights Chat-GPT's potential as a clinical support tool in emergency medicine. Chat-GPT provided structured, evidence-based recommendations comparable to those of experienced clinicians, especially for high-stakes gynecologic and obstetric emergencies. Although encouraging, these results highlight the value of utilizing AI in addition to human knowledge, as variations in urgency ratings and management nuances highlight the necessity of human supervision in crucial decision-making.

摘要

目的

探讨人工智能(AI)在急诊医学中的潜力,重点关注其在急性妇产科急诊分诊和管理中的效用。

方法和材料

本可行性研究使用十个虚拟病例评估了Chat-GPT在妇产科急诊分诊和推荐管理干预措施方面的表现。为每个专科模拟了五种常见情况。Chat-GPT的任务是提出分诊分类并提供即时管理建议。人类专家独立审查每个病例,对分诊类别进行分类并提出管理建议。在此之后,专家们评估了Chat-GPT的建议,对人工智能的回答在准确性和临床适用性方面进行评分。

结果

Chat-GPT的建议与人类评估者的建议高度一致。在大多数情况下,Chat-GPT的分诊分类与人类专家的分类相匹配,尽管在紧急程度评级上存在一些细微差异。人工智能的建议大多被评为“非常好”到“优秀”。虽然Chat-GPT始终给出恰当的回答,但一些人类评估者指出在感知到的紧急程度上存在细微差异。

结论

本研究突出了Chat-GPT作为急诊医学临床支持工具的潜力。Chat-GPT提供了与经验丰富的临床医生相当的结构化、基于证据的建议,特别是对于高风险的妇产科急诊。尽管结果令人鼓舞,但这些结果凸显了除人类知识外利用人工智能的价值,因为紧急程度评级和管理细微差别方面的差异凸显了在关键决策中进行人工监督的必要性。

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