Journal of Medical Internet Research,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 24, 2024
Chronic
diseases
are
a
major
global
health
burden,
accounting
for
nearly
three-quarters
of
the
deaths
worldwide.
Large
language
models
(LLMs)
advanced
artificial
intelligence
systems
with
transformative
potential
to
optimize
chronic
disease
management;
however,
robust
evidence
is
lacking.
This
review
aims
synthesize
on
feasibility,
opportunities,
and
challenges
LLMs
across
management
spectrum,
from
prevention
screening,
diagnosis,
treatment,
long-term
care.
Following
PRISMA
(Preferred
Reporting
Items
Systematic
Reviews
Meta-Analysis)
guidelines,
11
databases
(Cochrane
Central
Register
Controlled
Trials,
CINAHL,
Embase,
IEEE
Xplore,
MEDLINE
via
Ovid,
ProQuest
Health
&
Medicine
Collection,
ScienceDirect,
Scopus,
Web
Science
Core
China
National
Knowledge
Internet,
SinoMed)
were
searched
April
17,
2024.
Intervention
simulation
studies
that
examined
in
included.
The
methodological
quality
included
was
evaluated
using
rating
rubric
designed
simulation-based
research
risk
bias
nonrandomized
interventions
tool
quasi-experimental
studies.
Narrative
analysis
descriptive
figures
used
study
findings.
Random-effects
meta-analyses
conducted
assess
pooled
effect
estimates
feasibility
management.
A
total
20
general-purpose
(n=17)
retrieval-augmented
generation-enhanced
(n=3)
diseases,
including
cancer,
cardiovascular
metabolic
disorders.
demonstrated
spectrum
by
generating
relevant,
comprehensible,
accurate
recommendations
(pooled
rate
71%,
95%
CI
0.59-0.83;
I2=88.32%)
having
higher
accuracy
rates
compared
(odds
ratio
2.89,
1.83-4.58;
I2=54.45%).
facilitated
equitable
information
access;
increased
patient
awareness
regarding
ailments,
preventive
measures,
treatment
options;
promoted
self-management
behaviors
lifestyle
modification
symptom
coping.
Additionally,
facilitate
compassionate
emotional
support,
social
connections,
care
resources
improve
outcomes
diseases.
However,
face
addressing
privacy,
language,
cultural
issues;
undertaking
tasks,
medication,
comorbidity
personalized
regimens
real-time
adjustments
multiple
modalities.
have
transform
at
individual,
social,
levels;
their
direct
application
clinical
settings
still
its
infancy.
multifaceted
approach
incorporates
data
security,
domain-specific
model
fine-tuning,
multimodal
integration,
wearables
crucial
evolution
into
invaluable
adjuncts
professionals
PROSPERO
CRD42024545412;
https://www.crd.york.ac.uk/PROSPERO/view/CRD42024545412.
Frontiers in Veterinary Science,
Год журнала:
2024,
Номер
11
Опубликована: Июнь 7, 2024
ChatGPT,
the
most
accessible
generative
artificial
intelligence
(AI)
tool,
offers
considerable
potential
for
veterinary
medicine,
yet
a
dedicated
review
of
its
specific
applications
is
lacking.
This
concisely
synthesizes
latest
research
and
practical
ChatGPT
within
clinical,
educational,
domains
medicine.
It
intends
to
provide
guidance
actionable
examples
how
AI
can
be
directly
utilized
by
professionals
without
programming
background.
For
practitioners,
extract
patient
data,
generate
progress
notes,
potentially
assist
in
diagnosing
complex
cases.
Veterinary
educators
create
custom
GPTs
student
support,
while
students
utilize
exam
preparation.
aid
academic
writing
tasks
research,
but
publishers
have
set
requirements
authors
follow.
Despite
transformative
potential,
careful
use
essential
avoid
pitfalls
like
hallucination.
addresses
ethical
considerations,
provides
learning
resources,
tangible
guide
responsible
implementation.
A
table
key
takeaways
was
provided
summarize
this
review.
By
highlighting
benefits
limitations,
equips
veterinarians,
educators,
researchers
harness
power
effectively.
OpenAI’s
GPT-4V
reliably
identified
the
imaging
modality
and
anatomic
region
but
could
not
safely
detect,
classify,
or
rule
out
abnormalities
on
single
MRI,
CT,
radiographic
images.
BACKGROUND
Accounting
for
nearly
three-quarters
of
deaths
worldwide,
chronic
diseases
are
a
major
global
health
burden.
Large
language
models
(LLMs)
advanced
artificial
intelligence
systems,
possessing
transformative
potential
to
optimise
disease
management,
yet
robust
evidence
is
lacking.
OBJECTIVE
To
synthesise
on
the
feasibility,
opportunities,
and
challenges
LLMs
across
management
spectrum–from
prevention
screening,
diagnosis,
treatment,
long-term
care.
METHODS
Following
PRISMA
(Preferred
Reporting
Items
Systematic
Reviews
Meta-Analysis)
guidelines,
eleven
databases
(Cochrane
Central
Register
Controlled
Trials,
CINAHL,
Embase,
IEEE
Xplore,
Medline
via
Ovid,
ProQuest
Health
&
Medicine
Collection,
ScienceDirect,
Scopus,
Web
Science
Core
China
National
Knowledge
Internet,
SinoMed)
were
searched
17
April
2024.
Intervention
simulation
studies
included
if
they
examined
in
managing
diseases.
Narrative
analysis
with
descriptive
figures
utilised
study
findings.
Random-effects
meta-analyses
conducted
assess
pooled
effect
estimates
LLM
feasibility
management.
RESULTS
Twenty
eligible
examining
general-purpose
(n
=
17)
fine-tuned
3)
diseases,
including
cancer,
cardiovascular
metabolic
disorders.
demonstrated
spectrum
by
generating
relevant,
comprehensible,
accurate
recommendations
(71%;
95%
confidence
interval
[CI]
0.59,
0.83;
I2
88.32%)
having
higher
rates
compared
(odds
ratio
2.89;
CI
1.83,
4.58;
54.45%).
facilitated
equitable
information
access,
increased
patient
awareness
ailments,
preventive
measures,
treatment
options,
promoted
self-management
behaviours
lifestyle
modification
symptom
coping.
Additionally,
compassionate
emotional
support,
social
connections,
healthcare
resource
improve
outcomes
However,
faced
addressing
privacy,
language,
cultural
issues,
undertaking
tasks,
diagnostic,
medication,
comorbidities
personalised
regimens
real-time
adjustments
multiple
modalities.
CONCLUSIONS
transform
at
individual,
social,
levels,
their
direct
application
clinical
settings
still
its
infancy.
A
multifaced
approach–incorporating
data
security,
domain-specific
model
fine-tuning,
multimodal
integration,
wearables–is
crucial
evolve
into
invaluable
adjuncts
professionals
CLINICALTRIAL
PROSPERO
(CRD42024545412).
Journal of Medical Internet Research,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 24, 2024
Chronic
diseases
are
a
major
global
health
burden,
accounting
for
nearly
three-quarters
of
the
deaths
worldwide.
Large
language
models
(LLMs)
advanced
artificial
intelligence
systems
with
transformative
potential
to
optimize
chronic
disease
management;
however,
robust
evidence
is
lacking.
This
review
aims
synthesize
on
feasibility,
opportunities,
and
challenges
LLMs
across
management
spectrum,
from
prevention
screening,
diagnosis,
treatment,
long-term
care.
Following
PRISMA
(Preferred
Reporting
Items
Systematic
Reviews
Meta-Analysis)
guidelines,
11
databases
(Cochrane
Central
Register
Controlled
Trials,
CINAHL,
Embase,
IEEE
Xplore,
MEDLINE
via
Ovid,
ProQuest
Health
&
Medicine
Collection,
ScienceDirect,
Scopus,
Web
Science
Core
China
National
Knowledge
Internet,
SinoMed)
were
searched
April
17,
2024.
Intervention
simulation
studies
that
examined
in
included.
The
methodological
quality
included
was
evaluated
using
rating
rubric
designed
simulation-based
research
risk
bias
nonrandomized
interventions
tool
quasi-experimental
studies.
Narrative
analysis
descriptive
figures
used
study
findings.
Random-effects
meta-analyses
conducted
assess
pooled
effect
estimates
feasibility
management.
A
total
20
general-purpose
(n=17)
retrieval-augmented
generation-enhanced
(n=3)
diseases,
including
cancer,
cardiovascular
metabolic
disorders.
demonstrated
spectrum
by
generating
relevant,
comprehensible,
accurate
recommendations
(pooled
rate
71%,
95%
CI
0.59-0.83;
I2=88.32%)
having
higher
accuracy
rates
compared
(odds
ratio
2.89,
1.83-4.58;
I2=54.45%).
facilitated
equitable
information
access;
increased
patient
awareness
regarding
ailments,
preventive
measures,
treatment
options;
promoted
self-management
behaviors
lifestyle
modification
symptom
coping.
Additionally,
facilitate
compassionate
emotional
support,
social
connections,
care
resources
improve
outcomes
diseases.
However,
face
addressing
privacy,
language,
cultural
issues;
undertaking
tasks,
medication,
comorbidity
personalized
regimens
real-time
adjustments
multiple
modalities.
have
transform
at
individual,
social,
levels;
their
direct
application
clinical
settings
still
its
infancy.
multifaceted
approach
incorporates
data
security,
domain-specific
model
fine-tuning,
multimodal
integration,
wearables
crucial
evolution
into
invaluable
adjuncts
professionals
PROSPERO
CRD42024545412;
https://www.crd.york.ac.uk/PROSPERO/view/CRD42024545412.