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推进大型语言模型作为炎症性肠病的患者教育工具。

Advancing large language models as patient education tools for inflammatory bowel disease.

作者信息

Ardila Carlos M, González-Arroyave Daniel, Ramírez-Arbeláez Jaime

机构信息

Department of Basic Sciences, Biomedical Stomatology Research Group, Faculty of Dentistry, Universidad de Antioquia, Medellín 050010, Antioquia, Colombia.

Department of Periodontics, Saveetha Dental College, and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Saveetha 600077, India.

出版信息

World J Gastroenterol. 2025 May 28;31(20):105285. doi: 10.3748/wjg.v31.i20.105285.

DOI:10.3748/wjg.v31.i20.105285
PMID:40495941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12146940/
Abstract

This article evaluates the transformative potential of large language models (LLMs) as patient education tools for managing inflammatory bowel disease. The discussion highlights their ability to deliver nuanced and personalized information, addressing limitations in traditional educational materials. Key considerations include the necessity for domain-specific fine-tuning to enhance accuracy, the adoption of robust evaluation metrics beyond readability, and the integration of LLMs with clinical decision support systems to improve real-time patient education. Ethical and accessibility challenges, such as algorithmic bias, data privacy, and digital literacy, are also examined. Recommendations emphasize the importance of interdisciplinary collaboration to optimize LLM integration, ensuring equitable access and improved patient outcomes. By advancing LLM technology, healthcare can empower patients with accurate and personalized information, enhancing engagement and disease management.

摘要

本文评估了大语言模型(LLMs)作为管理炎症性肠病的患者教育工具的变革潜力。讨论强调了它们提供细致入微和个性化信息的能力,解决了传统教育材料中的局限性。关键考虑因素包括进行特定领域的微调以提高准确性的必要性、采用超越可读性的强大评估指标,以及将大语言模型与临床决策支持系统集成以改善实时患者教育。还探讨了伦理和可及性挑战,如算法偏见、数据隐私和数字素养。建议强调跨学科合作以优化大语言模型集成的重要性,确保公平获取并改善患者治疗效果。通过推进大语言模型技术,医疗保健可以为患者提供准确且个性化的信息,增强患者参与度和疾病管理能力。

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World J Gastroenterol. 2025 Feb 14;31(6):102090. doi: 10.3748/wjg.v31.i6.102090.
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ChatGPT's Influence on Dental Education: Methodological Challenges and Ethical Considerations.ChatGPT对牙科教育的影响:方法学挑战与伦理考量
Int Dent J. 2025 Feb;75(1):379-380. doi: 10.1016/j.identj.2024.11.014. Epub 2024 Dec 6.
3
Qualitative metrics from the biomedical literature for evaluating large language models in clinical decision-making: a narrative review.从生物医学文献中评估大语言模型在临床决策中的定性指标:叙述性综述。
BMC Med Inform Decis Mak. 2024 Nov 26;24(1):357. doi: 10.1186/s12911-024-02757-z.
4
Large language models in patient education: a scoping review of applications in medicine.用于患者教育的大语言模型:医学应用的范围综述
Front Med (Lausanne). 2024 Oct 29;11:1477898. doi: 10.3389/fmed.2024.1477898. eCollection 2024.
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Epidemiology of Inflammatory Bowel Disease across the Ages in the Era of Advanced Therapies.炎症性肠病在先进治疗时代的年龄分布流行病学。
J Crohns Colitis. 2024 Oct 30;18(Supplement_2):ii3-ii15. doi: 10.1093/ecco-jcc/jjae082.
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Large Language Model Prompting Techniques for Advancement in Clinical Medicine.促进临床医学发展的大语言模型提示技术。
J Clin Med. 2024 Aug 28;13(17):5101. doi: 10.3390/jcm13175101.
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Integrating Artificial Intelligence Into Orthodontic Education and Practice.将人工智能融入正畸教育与实践。
Int Dent J. 2024 Dec;74(6):1463. doi: 10.1016/j.identj.2024.08.011. Epub 2024 Sep 2.
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Optimization of hepatological clinical guidelines interpretation by large language models: a retrieval augmented generation-based framework.基于检索增强生成框架的大语言模型对肝病临床指南解读的优化
NPJ Digit Med. 2024 Apr 23;7(1):102. doi: 10.1038/s41746-024-01091-y.
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