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中华临床医师杂志(电子版) ›› 2023, Vol. 17 ›› Issue (10) : 1113 -1116. doi: 10.3877/cma.j.issn.1674-0785.2023.10.015

综述

ChatGPT在临床医学实践中的应用进展
林绍涌, 朱先理, 魏梁锋, 王守森()   
  1. 350025 福州,福建医科大学福总临床医学院
    310016 杭州,浙江大学医学院附属邵逸夫医院神经外科
  • 收稿日期:2023-08-24 出版日期:2023-10-15
  • 通信作者: 王守森

Preliminary application of ChatGPT in clinical medicine

Shaoyong Lin, Xianli Zhu, Liangfeng Wei, Shousen Wang()   

  1. Fuzong Clinical Medical College of Fujian Medical University, Fuzhou 350025, China
    Department of Neurosurgery, Sir Run Run Shaw Hospital, Zhejiang University Medical College, Hangzhou 310016, China
  • Received:2023-08-24 Published:2023-10-15
  • Corresponding author: Shousen Wang
引用本文:

林绍涌, 朱先理, 魏梁锋, 王守森. ChatGPT在临床医学实践中的应用进展[J]. 中华临床医师杂志(电子版), 2023, 17(10): 1113-1116.

Shaoyong Lin, Xianli Zhu, Liangfeng Wei, Shousen Wang. Preliminary application of ChatGPT in clinical medicine[J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(10): 1113-1116.

快速发展的人工智能技术已经成为临床医学进步的重要工具,而OpenAI近来研发的聊天机器人程序ChatGPT,作为人工智能技术驱动的自然语言处理工具,已在多个临床学科获得初步探索和应用。例如,辅助临床医师归纳整理患者的疾病信息、自动生成医学影像报告等。ChatGPT还可以通过分析海量的文献信息辅助医师优化诊疗决策和指导学术论文写作。但是,还必须清醒地认识到其潜在的局限性及伦理问题。

The rapid development of artificial intelligence (AI) technology has made it become an important tool for facilitating the advancement of clinical medicine, and the chatbot program Chat Generation Pre-training Transformer (ChatGPT) recently developed by OpenAI, as a natural language processing tool driven by AI technology, has been initially explored and applied in multiple clinical disciplines (e.g., assisting clinicians in summarizing patients' disease information and automatically generating medical imaging reports). ChatGPT can also assist doctors to optimize diagnosis and treatment decisions and guide academic paper writing by analyzing massive literature information. However, one must also be aware of its potential limitations and ethical issues.

1
Javaid M, Haleem A, Singh RP. ChatGPT for healthcare services: An emerging stage for an innovative perspective [J]. TBench, 2023, 3(1):100105.
2
Salvagno M, Taccone FS, Gerli AG. Can artificial intelligence help for scientific writing[J]? Critical care, 2023, 27(1): 1-5.
3
Li W, Fu M, Liu S, et al. Revolutionizing neurosurgery with GPT-4: a leap forward or ethical conundrum? [J]. Ann Biomed Eng, 2023: 1-8.
4
Xue VW, Lei P, Cho WC. The potential impact of ChatGPT in clinical and translational medicine [J]. Clin Transl Med, 2023, 13(3): e1206.
5
Rajpurkar P, Lungren MP. The current and future state of AI interpretation of medical images [J]. N Engl J Med, 2023, 388(21): 1981-1990.
6
Liu G, Ma X, Zhang Y, et al. GPT4: the indispensable helper for neurosu-rgeons in the new era [J]. Ann Biomed Eng, 2023: 1-3.
7
Patel SB, Lam K. ChatGPT: the future of discharge summaries? [J]. Lancet Digit Health, 2023, 5(3): e107-e108.
8
Cheng K, Li Z, Guo Q, et al. Emergency surgery in the era of artificial intelligence: ChatGPT could be the doctor's right-hand man [J]. Int J Surg, 2023, 109(6): 1816-1818.
9
Kusunose K, Abe T, Haga A, et al. A deep learning approach for assessment of regional wall motion abnormality from echocardioimagedata images [J]. Cardiovascular Imaging, 2020, 13(2_Part_1): 374-381.
10
Levartovsky A, Ben-Horin S, Kopylov U, et al. Towards AI-augmented clinical decision making: An examination of ChatGPT's utility in acute ulcerative colitis presentations [J]. Am J Gastroenterol, 2023.
11
Waisberg E, Ong J, Masalkhi M, et al. GPT-4: a new era of artificial intelligence in medicine[J]. Ir J Med Sci (1971-), 2023:1-4.
12
Siontis KC, Noseworthy PA, Attia ZI, et al. Artificial intelligence-enhanced electrocardiography in cardiovascular disease management [J]. Nat Rev Cardiol, 2021, 18(7): 465-478.
13
Dergaa I, Chamari K, Zmijewski P, et al. From human writing to artificial intelligence generated text: examining the prospects and potential threats of ChatGPT in academic writing [J]. Biol Sport, 2023, 40(2): 615-622.
14
Kitamura FC. ChatGPT is shaping the future of medical writing but still requires human judgment[J]. Radiology,2023,307(2):e230171.
15
Van Dis EAM, Bollen J, Zuidema W, et al. ChatGPT: five priorities for research [J]. Nature, 2023, 614(7947): 224-226.
16
Owens B. How nature readers are using ChatGPT [J]. Nature, 2023, 615(7950): 20.
17
Dergaa I, Chamari K, Zmijewski P, et al. From human writing to artificial intelligence generated text: examining the prospects and potential threats of ChatGPT in academic writing [J]. Biol Sport, 2023, 40(2): 615-622.
18
Fayed AM, Mansur NSB, De Carvalho KA, et al. Artificial intelligence and ChatGPT in orthopaedics and sports medicine [J]. J Exp Orthop, 2023, 10(1): 1-7.
19
Kong X, Gong S, Su L, et al. Automatic detection of acromegaly from facial photographs using machine learning methods [J]. EBioMedicine, 2018, 27: 94-102.
20
董国华,易俊, 李好, 等. 达芬奇机器人胸腺切除术31例分析 [J/OL]. 中华临床医师杂志(电子版), 2012, 6(7): 1716-1719.
21
Elazzazi M, Jawad L, Hilfi M, et al. A natural language interface for an autonomous camera control system on the da Vinci Surgical Robot [J]. Robotics, 2022, 11(2): 40.
22
D'amico RS, White TG, Shah HA, et al. I asked a ChatGPT to write an editorial about how we can incorporate chatbots into neurosurgical research and patient care… [J]. Neurosurgery, 2023, 92(4): 663-664.
23
Harrer S. Attention is not all you need: the complicated case of ethically using large language models in healthcare and medicine [J]. EBioMedicine, 2023, 90: 104512.
24
Li H, Moon JT, Purkayastha S, et al. Ethics of large language models in medicine and medical research [J]. Lancet Digit Health, 2023, 5(6): e333-e335.
25
Liebrenz M, Schleifer R, Buadze A, et al. Generating scholarly content with ChatGPT: ethical challenges for medical publishing [J]. Lancet Digit Health, 2023, 5(3): e105-e106.
26
Gilat R, Cole BJ. How will artificial intelligence affect scientific writing, reviewing and editing? The future is here…[J]. Arthroscopy, 2023, 39(5): 1119-1120.
27
Au Yeung J, Kraljevic Z, Luintel A, et al. AI chatbots not yet ready for clinical use [J]. Front Digit Health, 2023, 5: 1161098.
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