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Chat-GPT 能阅读和理解指南吗?以德国妇产科学会的 S2k 指南宫内生长受限为例。

Can Chat-GPT read and understand guidelines? An example using the S2k guideline intrauterine growth restriction of the German Society for Gynecology and Obstetrics.

机构信息

Universitätsklinikum Erlangen-Frauenklinik, Universitätsstraße 21/23, 91054, Erlangen, Germany.

出版信息

Arch Gynecol Obstet. 2024 Nov;310(5):2425-2437. doi: 10.1007/s00404-024-07667-z. Epub 2024 Aug 5.

Abstract

PURPOSE

To investigate the capacity of chat-generative pre-trained transformer (Chat-GPT) to understand the S2k guideline of the German Society for Gynecology and Obstetrics on intrauterine growth restriction.

METHODS

The German-language free Chat-GPT version was used to test the ability of Chat-GPT to understand the definition of small for gestational age and intrauterine growth restriction, to indicate the correct time and place of delivery and to evaluate ist ability to recommend a spontaneous delivery versus a primary caesarean section in accordance with the guideline recommendations. In order to objectively evaluate the suggestions a simple three-color 'traffic light' evaluation system was employed.

RESULTS

Almost all Chat-GPT's suggestions in the context of definition of small for gestational age/intrauterine growth restriction as well as correct time of delivery were adequate, whereas more than half of the suggestions made in terms of correct delivery mode needed reformulation or even correction.

CONCLUSION

Chat-GPT appears to be a valuable form of artificial intelligence that could be integrated into everyday clinical practice.

摘要

目的

探究聊天生成式预训练转换器(Chat-GPT)理解德国妇产科协会关于宫内生长受限的 S2k 指南的能力。

方法

使用德语免费的 Chat-GPT 版本测试 Chat-GPT 理解胎儿生长受限和宫内生长受限的定义、指出正确的分娩时间和地点以及根据指南建议评估其建议自然分娩与初次剖宫产的能力。为了客观评估建议,采用了简单的三色“交通灯”评估系统。

结果

Chat-GPT 在胎儿生长受限/宫内生长受限定义以及正确分娩时间方面的建议几乎都是恰当的,而在正确分娩方式方面的建议中,有一半以上需要重新表述甚至纠正。

结论

Chat-GPT 似乎是一种有价值的人工智能形式,可以整合到日常临床实践中。

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