大型语言模型诊断面部畸形

Jungwook Lee, Xuanang Xu, Daeseung Kim, Hannah H Deng, Tianshu Kuang, Nathan Lampen, Xi Fang, Jaime Gateno, Pingkun Yan
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摘要

目的:本研究探讨了大型语言模型(LLM)在诊断颌骨畸形中的应用,旨在通过利用大型语言模型的先进功能来增强数据解读,从而克服各种诊断方法的局限性。我们的目标是提供简化复杂数据分析的工具,使临床从业人员更容易获得更直观的诊断过程。方法:进行了一项涉及下颌畸形患者的实验,将头颅测量数据(SNB 角度、面部角度、下颌单元长度)转换为文本,用于 LLM 分析。使用平衡准确度和 F1 分数对多种 LLM(包括 LLAMA-2 变体、GPT 模型和 Gemini-Pro 模型)与各种方法(基于阈值的方法、机器学习模型)进行了评估。结果:我们的研究表明,大型 LLM 能有效地适应诊断任务,以最少的训练示例显示出快速的性能饱和,并减少了模糊分类,这凸显了其强大的上下文学习能力。将复杂的头颅测量转换为直观的文本格式,不仅拓宽了信息的可访问性,还增强了可解释性,为临床医生提供了清晰、可操作的见解。结论将 LLMs 纳入颌骨畸形的诊断中,标志着在使诊断过程更易于理解和减少对专业培训的依赖方面取得了重大进展。这些模型可作为宝贵的辅助工具,提供清晰、易懂的输出结果,方便临床医生做出决策,尤其是经验较少或无法获得专业知识的临床医生。未来的改进和调整将包括更全面和更具医学针对性的数据集,有望提高 LLMs 的精确性和实用性,从而有可能改变医学诊断的格局。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Large Language Model Diagnose Facial Deformity
Purpose: This study examines the application of Large Language Models (LLMs) in diagnosing jaw deformities, aiming to overcome the limitations of various diagnostic methods by harnessing the advanced capabilities of LLMs for enhanced data interpretation. The goal is to provide tools that simplify complex data analysis and make diagnostic processes more accessible and intuitive for clinical practitioners. Methods: An experiment involving patients with jaw deformities was conducted, where cephalometric measurements (SNB Angle, Facial Angle, Mandibular Unit Length) were converted into text for LLM analysis. Multiple LLMs, including LLAMA-2 variants, GPT models, and the Gemini-Pro model, were evaluated against various methods (Threshold-based, Machine Learning Models) using balanced accuracy and F1-score. Results: Our research demonstrates that larger LLMs efficiently adapt to diagnostic tasks, showing rapid performance saturation with minimal training examples and reducing ambiguous classification, which highlights their robust in-context learning abilities. The conversion of complex cephalometric measurements into intuitive text formats not only broadens the accessibility of the information but also enhances the interpretability, providing clinicians with clear and actionable insights. Conclusion: Integrating LLMs into the diagnosis of jaw deformities marks a significant advancement in making diagnostic processes more accessible and reducing reliance on specialized training. These models serve as valuable auxiliary tools, offering clear, understandable outputs that facilitate easier decision-making for clinicians, particularly those with less experience or in settings with limited access to specialized expertise. Future refinements and adaptations to include more comprehensive and medically specific datasets are expected to enhance the precision and utility of LLMs, potentially transforming the landscape of medical diagnostics.
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