Generative Artificial Intelligence Through ChatGPT and Other Large Language Models in Ophthalmology: Clinical Applications and Challenges.
Generative Artificial Intelligence Through ChatGPT and Other Large Language Models in Ophthalmology: Clinical Applications and Challenges.
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通过ChatGPT和其他大型语言模型在眼科学中的生成人工智能：临床应用和挑战。
DOI：
10.1016/j.xops.2023.100394
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发表时间：
2023-12
影响因子：
--
通讯作者：
Ting, Daniel Shu Wei
中科院分区：
文献类型：
--
作者：
Tan, Ting Fang;Thirunavukarasu, Arun James;Campbell, J. Peter;Keane, Pearse A.;Pasquale, Louis R.;Abramoff, Michael D.;Kalpathy-Cramer, Jayashree;Lum, Flora;Kim, Judy E.;Baxter, Sally L.;Ting, Daniel Shu Wei
驱动生成式人工智能应用的大型语言模型（llm）的快速发展预示着医疗保健领域的潜在机会。我们对谷歌Scholar、Embase、MEDLINE和Scopus进行了一项截至2023年4月的综述，根据与本综述的相关性，使用以下术语：“大型语言模型”、“生成式人工智能”、“眼科学”、“ChatGPT”和“眼睛”。从眼科医生的临床角度出发，我们从不同利益相关者的角度（包括患者、医生和政策制定者）探讨了LLM在眼科教育、研究和临床领域的潜在应用。我们还强调了法学硕士在临床实践中实施的可预见的挑战，包括准确性、可解释性、持续偏见和数据安全性。随着法学硕士的不断成熟，利益相关者必须共同建立最佳实践标准，以保障患者安全。专有或商业披露可以在本文末尾的脚注和披露中找到。
The rapid progress of large language models (LLMs) driving generative artificial intelligence applications heralds the potential of opportunities in health care. We conducted a review up to April 2023 on Google Scholar, Embase, MEDLINE, and Scopus using the following terms: “large language models,” “generative artificial intelligence,” “ophthalmology,” “ChatGPT,” and “eye,” based on relevance to this review. From a clinical viewpoint specific to ophthalmologists, we explore from the different stakeholders’ perspectives—including patients, physicians, and policymakers—the potential LLM applications in education, research, and clinical domains specific to ophthalmology. We also highlight the foreseeable challenges of LLM implementation into clinical practice, including the concerns of accuracy, interpretability, perpetuating bias, and data security. As LLMs continue to mature, it is essential for stakeholders to jointly establish standards for best practices to safeguard patient safety. Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
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