Adherence of a Large Language Model to Clinical Guidelines for Craniofacial Plastic and Reconstructive Surgeries.
Adherence of a Large Language Model to Clinical Guidelines for Craniofacial Plastic and Reconstructive Surgeries.
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大型语言模型遵守颅面整形和重建手术临床指南。
DOI：
10.1097/sap.0000000000003757
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发表时间：
2024
影响因子：
1.5
通讯作者：
Taub,PeterJ
中科院分区：
文献类型：
--
作者：
Kwon,DanielY;Wang,Anya;Mejia,MateoRestrepo;Saturno,MichaelP;Oleru,Olachi;Seyidova,Nargiz;Taub,PeterJ
对外科医生和患者的影响ChatGPT在提供有关鼻整形术和眼睑手术的指导方面表现出了希望。然而，整形外科医生在实践中咨询生成AI时应该谨慎行事。尽管最新版本能够访问互联网-包括AAO-HNS和ASPS指南-ChatGPT并不完全符合已发布的临床实践指南。4此外，ChatGPT无法找到某些问题的答案，这可能与LLM需要特定提示有关。考虑到患者经常使用在线健康资源来告知他们的决策，LLM对寻求有关颅面手术信息的患者来说存在重大风险。5由于ChatGPT的回答取决于所提出问题的质量和医疗细节，整形外科医生应建议报告使用LLM的患者咨询训练有素的医疗专业人员的重要性。最终，必须进行进一步的研究，以评估生成AI与颅面手术实践指南的一致性，并在其更广泛地应用于外科实践之前。
IMPLICATIONS FOR SURGEONS AND PATIENTS ChatGPT demonstrates promise in providing guidance regarding rhinoplasties and eyelid surgeries. However, plastic surgeons should exercise caution when consulting generative AI in their practice. Despite the most recent version's ability to access the Internet—including the AAO-HNS and ASPS guidelines—ChatGPT is not entirely matched to published clinical practice guidelines. 4 In addition, ChatGPT was unable to find answers to certain questions, which may be related to the LLM's need for specific prompting. Considering online health resources are often used by patients to inform their decision making, LLMs present a significant risk for patients seeking information regarding their craniofacial surgeries. 5 As ChatGPT's responses depend on the quality and medical detail of the questions being posed, plastic surgeons should advise patients who report using the LLM on the importance of consulting trained medical professionals. Ultimately, further research must be conducted to evaluate the concordance of generative AI with practice guidelines for craniofacial procedures and before its more widespread adoption in surgical practice.