The promise and challenges of Artificial Intelligence-Large Language Models (AI-LLMs) in obstetric and gynecology
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HIGHLIGHTS
1. The article highlights how Artificial Intelligence with Large Language Models (AI-LLMs) greatly improves diagnosis and treatment personalization in obstetrics & gynecology, and also enhances medical education through interactive simulations and up-to-date learning materials.
2. The article also discusses the ethical issues linked to AI, emphasizing the need for cooperation among different stakeholders to use AI responsibly in medicine, focusing on protecting data privacy and minimizing reliance on technology.
ABSTRACT
The introduction of Artificial Intelligence through Large Language Models (AI-LLM) into medicine holds great promise for improving patient care and medical education, especially in obstetrics and gynecology. AI-LLM can significantly improve diagnostic accuracy and treatment efficiency by utilizing large medical databases, which is especially useful for dealing with rare diseases that are difficult to document or understand by human practitioners alone. In addition, AI-LLM can provide informed patient care recommendations by analyzing large amounts of data and providing insights based on unique patient profiles, with the added benefit of being accessible 24/7 via the internet. This constant availability ensures that patients receive prompt information and assistance as needed.
In the field of education, AI-LLMs enhance the learning experience by incorporating interactive simulations into the curriculum, improving medical students' and professionals' practical knowledge. They also ensure that educational materials are always up-to-date reflecting the most recent research and worldwide medical standards. This access latest information from global resources helps to bridge the educational gap, making advanced knowledge more accessible to learners regardless of their geographic location.
However, the introduction of AI-LLMs is not without challenges. Ethical issues, such as data privacy and the risk of overreliance on technology, must be addressed. Effective management of these concerns necessitates collaboration among medical professionals, technological experts, academics, hospital committees, and representatives of patients. This multidisciplinary teamwork is vital for upholding ethical norms and preserving patient dignity and respect. AI-LLMs can considerably improve both patient care and medical education in obstetrics and gynecology provided they are appropriately balanced with innovation and ethics.
Kaftan AN, Hussain MK, Naser FH. Response accuracy of ChatGPT 3.5 Copilot and Gemini in interpreting biochemical laboratory data a pilot study. Sci Rep. 2024;14(1):8233. doi: 10.1038/ s41598-024-58964-1.
Rahsepar AA, Tavakoli N, Kim GHJ, et al. How AI Responds to Common Lung Cancer Questions: ChatGPT vs Google Bard. Radiology. 2023;307(5): e230922. doi: 10.1148/radiol.230922. PMID: 37310252.
Li SW, Kemp MW, Logan SJS, et al. ChatGPT outscored human candidates in a virtual objective structured clinical examination in obstetrics and gynecology. Am J Obstet Gynecol. 2023;229(2): 172.e1-172.e12. doi: 10.1016/j.ajog.2023.04.020. Epub 2023 Apr 22. PMID: 37088277.
Zúñiga Salazar G, Zúñiga D, Vindel CL, et al. Efficacy of AI chats to determine an emergency: A Comparison between OpenAI's ChatGPT, Google Bard, and Microsoft Bing AI chat. Cureus. 2023;15(9):e45473. doi: 10.7759/cureus.45473. PMID: 37727841; PMCID: PMC10506659.
Yagi M, Yamanouchi K, Fujita N, et al. Revolutionizing spinal care: Current applications and future directions of artificial intelligence and machine learning. J Clin Med. 2023;12(13):4188. doi: 10.3390/jcm12134188. PMID: 37445222; PMCID: PMC10342311.
Haemmerli J, Sveikata L, Nouri A, et al. ChatGPT in glioma adjuvant therapy decision making: ready to assume the role of a doctor in the tumour board? BMJ Health Care Inform. 2023;30(1):e100775. doi: 10.1136/bmjhci-2023-100775. PMID: 37399360; PMCID: PMC10314415.
Horgan R, Martins JG, Saade G, et al. ChatGPT in maternal-fetal medicine practice: a primer for clinicians. Am J Obstet Gynecol MFM. 2024;6(3): 101302. doi: 10.1016/j.ajogmf.2024.101302. Epub 2024 Jan 26. PMID: 38281582.
Lee Y, Kim SY. Potential applications of ChatGPT in obstetrics and gynecology in Korea: a review article. Obstet Gynecol Sci. 2024;67(2):153-9. doi: 10.5468/ogs.23231. Epub 2024 Jan 22. PMID: 38247132; PMCID: PMC10948210.
Allahqoli L, Ghiasvand MM, Mazidimoradi A, et al. Diagnostic and management performance of ChatGPT in obstetrics and gynecology. Gynecol Obstet Invest. 2023;88(5):310-3. doi: 10.1159/000 533177. Epub 2023 Jul 26. PMID: 37494894.
Suhag A, Kidd J, McGath M, et al. ChatGPT: a pioneering approach to complex prenatal differential diagnosis. Am J Obstet Gynecol MFM. 2023;5(8):101029. doi: 10.1016/j.ajogmf.2023. 101029. Epub 2023 May 29. PMID: 37257586.
Santo DSE, Joviano-Santos JV. Exploring the use of ChatGPT for guidance during unexpected labour. Eur J Obstet Gynecol Reprod Biol. 2023;285:208-9. doi: 10.1016/j.ejogrb.2023.04.001. Epub 2023 Apr 5. PMID: 37037752.
Meskó B, Topol EJ. The imperative for regulatory oversight of large language models (or generative AI) in healthcare. NPJ Digit Med. 2023;6(1):120. doi: 10.1038/s41746-023-00873-0. PMID: 3741 4860; PMCID: PMC10326069.
Gumilar KE, Indraprasta BR, Hsu YC, et al. Disparities in medical recommendations from AI-based chatbots across different countries/regions. Sci Rep 14, 17052 (2024). doi: 10.1038/s41598-024-67689-0
Advancing medical AI with Med-Gemini. 2024 [cited 2024 May 18]; Available from: https://research.google/blog/advancing-medical-ai-with-med-gemini/.
Farhat F, Chaudhry BM, Nadeem M, et al. Evaluating large language models for the national premedical exam in India: Comparative analysis of GPT-3.5, GPT-4, and Bard. JMIR Med Educ. 2024;10:e51523. doi: 10.2196/51523. PMID: 38381486; PMCID: PMC10918540.
Eysenbach G. The role of ChatGPT, generative language models, and artificial intelligence in medical education: A conversation with ChatGPT and a call for papers. JMIR Med Educ. 2023;9:e46885. doi: 10.2196/46885. PMID: 36863937; PMCID: PMC10028514.
Heng JJY, Teo DB, Tan LF. The impact of Chat Generative Pre-trained Transformer (ChatGPT) on medical education. Postgrad Med J. 2023; 99(1176):1125-7. doi: 10.1093/postmj/qgad058. PMID: 37466157.
Hashimoto DA, Johnson KB. The use of artificial intelligence tools to prepare medical school applications. Acad Med. 2023;98(9):978-82. doi: 10.1097/ACM.0000000000005309. Epub 2023 Jun 27. PMID: 37369073.
Kanter GP, Packel EA. Health care privacy risks of AI chatbots. JAMA. 2023;330(4):311-2. doi: 10.1001/jama.2023.9618. PMID: 37410449.
Maeckelberghe E, Zdunek K, Marceglia S, et al. The ethical challenges of personalized digital health. Front Med (Lausanne). 2023;10:1123863. doi: 10.3389/fmed.2023.1123863. PMID: 3740 4804; PMCID: PMC10316710.
Walters WH, Wilder EI. Fabrication and errors in the bibliographic citations generated by ChatGPT. Sci Rep. 2023;13(1):14045. doi: 10.1038/s41598-023-41032-5. PMID: 37679503; PMCID: PMC 10484980.
Kumar M, Mani UA, Tripathi P, et al. Artificial hallucinations by Google Bard: Think before you leap. Cureus. 2023;15(8):e43313. doi: 10.7759/ cureus.43313. PMID: 37700993; PMCID: PMC10492900.
Ellaway RH, Tolsgaard M. Artificial scholarship: LLMs in health professions education research. Adv Health Sci Educ Theory Pract. 2023;28(3) :659-64. doi: 10.1007/s10459-023-10257-4. PMID: 37335338.
Kulkarni PA, Singh H. Artificial Intelligence in Clinical Diagnosis: Opportunities, Challenges, and Hype. JAMA. 2023;330(4):317-8. doi: 10.1001/ jama.2023.11440. PMID: 37410477.
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