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基于图像评估ChatGPT在皮肤病诊断中的准确性。

Evaluating ChatGPT's diagnostic accuracy in skin diseases based on images.

作者信息

Ali Rizwan, Cui Haiyan

机构信息

Department of Plastic and Cosmetic Surgery, Tongji Hospital, School of Medicine, Tongji University Shanghai 200092, China.

Institute of Aesthetic Plastic Surgery and Medicine, School of Medicine, Tongji University Shanghai 200092, China.

出版信息

Am J Transl Res. 2025 Jul 15;17(7):5553-5561. doi: 10.62347/MOSA2545. eCollection 2025.

Abstract

OBJECTIVES

This study aims to evaluate the performance of Dr. FerManda, a custom ChatGPT AI-based model, in diagnosing 42 common skin diseases. The focus is on assessing its diagnostic accuracy and the potential for AI-assisted dermatology without relying on detailed patient information like age, sex, or symptoms.

METHODS

The Dr. FerManda model was trained using publicly available image datasets and clinical literature related to dermatological conditions. Its diagnostic accuracy was tested across various skin diseases and compared against evaluations by expert dermatologists. Additionally, the model provided descriptions of symptoms, causes, and treatment options for each diagnosed condition.

RESULTS

The model achieved 100% accuracy across test cases, although it initially misdiagnosed two diseases; these errors were corrected following further guidance. It also delivered detailed and accurate information on each condition, aligning closely with expert dermatologists' assessments regarding symptoms, causes, and treatment recommendations.

CONCLUSIONS

These findings indicate that AI, particularly custom ChatGPT models like Dr. FerManda, holds great promise for improving dermatological diagnostics. With its high accuracy and rapid response times, AI could significantly enhance diagnostic support in dermatology, paving the way for broader applications and future research to expand its capabilities.

摘要

目的

本研究旨在评估基于定制ChatGPT人工智能模型的费曼达医生在诊断42种常见皮肤病方面的表现。重点在于评估其诊断准确性以及在不依赖年龄、性别或症状等详细患者信息的情况下进行人工智能辅助皮肤病学诊断的潜力。

方法

费曼达医生模型使用公开可用的图像数据集和与皮肤病相关的临床文献进行训练。其诊断准确性在各种皮肤病中进行测试,并与皮肤科专家的评估结果进行比较。此外,该模型还为每种诊断出的病症提供了症状、病因和治疗方案的描述。

结果

该模型在测试病例中达到了100%的准确率,尽管最初误诊了两种疾病;在进一步指导后这些错误得到了纠正。它还针对每种病症提供了详细准确的信息,在症状、病因和治疗建议方面与皮肤科专家的评估结果高度一致。

结论

这些发现表明,人工智能,特别是像费曼达医生这样的定制ChatGPT模型,在改善皮肤病诊断方面具有巨大潜力。凭借其高准确性和快速响应时间,人工智能可以显著增强皮肤病学诊断支持,为更广泛的应用以及扩展其能力的未来研究铺平道路。

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