Tunahan Ates, Nezih Tamkac, Ibrahim Halil Sukur, Fesih Ok
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引用次数: 0
摘要
本综述旨在探讨大语言模型(LLMs)在尿石症管理中的临床决策支持、患者咨询和患者教育中的作用。在全面检索Scopus和Web of Science数据库后,对11项符合条件的研究进行了评估。在临床决策支持领域,大型语言模型(LLMs),特别是ChatGPT-4,已经在尿石症的诊断和初始治疗计划等领域显示出疗效。对模型遵守欧洲泌尿学协会指南的评估显示,ChatGPT和Perplexity的表现优于Bard。在患者咨询方面,必应人工智能显示出强大的能力,可以提供基于资源的信息。关于ChatGPT版本的移情能力,研究得出了相互矛盾的结果。在患者教育的背景下,诸如Claude-3和ChatGPT-4等模型已经证明能够为患者的问题提供准确和可理解的答案。但是,有人指出,有时使用复杂的语言传达信息的质量。llm作为尿石症治疗的辅助工具具有相当大的潜力;然而,它们的局限性需要专家监督,特别是在复杂的案件中。在未来,预计这些限制将通过改进培训和将这些模型整合到临床实践中来缓解。因此,llm应被用作辅助工具,而不是临床决策的主要工具。
What is the role of large language models in the management of urolithiasis?: a review.
This review aimed to investigate the role of large language models (LLMs) in clinical decision support, patient counseling, and patient education in the management of urolithiasis. Eleven eligible studies were assessed following a comprehensive search of the Scopus and Web of Science databases. In the realm of clinical decision support, large language models (LLMs), particularly ChatGPT-4, have shown efficacy in areas such as the diagnosis of urolithiasis and initial treatment planning. An evaluation of the models' adherence to the European Association of Urology guidelines revealed that ChatGPT and Perplexity outperformed Bard. For patient counseling, Bing AI exhibited a robust capacity to deliver resource-based information. The studies have yielded conflicting results regarding ChatGPT versions' ability to empathize. In the context of patient education, models such as Claude-3 and ChatGPT-4 have demonstrated the capability to provide accurate and comprehensible answers to patient questions. However, it was noted that the quality of information is occasionally conveyed using complex language. LLMs have considerable potential as assistive tools in the management of urolithiasis; however, their limitations necessitate expert supervision, especially in complex cases. In the future, it is anticipated that these limitations will be mitigated through improved training and integration of these models into clinical practice. Consequently, LLMs should be employed as auxiliary tools rather than primary instruments in clinical decision-making.
期刊介绍:
Official Journal of the International Urolithiasis Society
The journal aims to publish original articles in the fields of clinical and experimental investigation only within the sphere of urolithiasis and its related areas of research. The journal covers all aspects of urolithiasis research including the diagnosis, epidemiology, pathogenesis, genetics, clinical biochemistry, open and non-invasive surgical intervention, nephrological investigation, chemistry and prophylaxis of the disorder. The Editor welcomes contributions on topics of interest to urologists, nephrologists, radiologists, clinical biochemists, epidemiologists, nutritionists, basic scientists and nurses working in that field.
Contributions may be submitted as full-length articles or as rapid communications in the form of Letters to the Editor. Articles should be original and should contain important new findings from carefully conducted studies designed to produce statistically significant data. Please note that we no longer publish articles classified as Case Reports. Editorials and review articles may be published by invitation from the Editorial Board. All submissions are peer-reviewed. Through an electronic system for the submission and review of manuscripts, the Editor and Associate Editors aim to make publication accessible as quickly as possible to a large number of readers throughout the world.