Large Language Models and Artificial Intelligence: A Primer for Plastic Surgeons on the Demonstrated and Potential Applications, Promises, and Limitations of ChatGPT

被引:29
作者
Abi-Rafeh, Jad [1 ]
Xu, Hong Hao [2 ]
Kazan, Roy [1 ]
Tevlin, Ruth [3 ]
Furnas, Heather [3 ,4 ]
机构
[1] McGill Univ Hlth Ctr, Div Plast Reconstruct & Aesthet Surg, Montreal, PQ, Canada
[2] Laval Univ, Fac Med, Quebec City, PQ, Canada
[3] Stanford Univ, Dept Surg, Div Plast & Reconstruct Surg, Palo Alto, CA USA
[4] Stanford Univ, Dept Surg, Div Plast & Reconstruct Surg, 1000 Welch Rd, Palo Alto, CA 94304 USA
关键词
HEALTH-CARE; MEDICINE; OPPORTUNITIES; FUTURE; QUESTIONS; ABSTRACTS; EDUCATION; SCIENCE; PATIENT; SYSTEMS;
D O I
10.1093/asj/sjad260
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background The rapidly evolving field of artificial intelligence (AI) holds great potential for plastic surgeons. ChatGPT, a recently released AI large language model (LLM), promises applications across many disciplines, including healthcare.Objectives The aim of this article was to provide a primer for plastic surgeons on AI, LLM, and ChatGPT, including an analysis of current demonstrated and proposed clinical applications.Methods A systematic review was performed identifying medical and surgical literature on ChatGPT's proposed clinical applications. Variables assessed included applications investigated, command tasks provided, user input information, AI-emulated human skills, output validation, and reported limitations.Results The analysis included 175 articles reporting on 13 plastic surgery applications and 116 additional clinical applications, categorized by field and purpose. Thirty-four applications within plastic surgery are thus proposed, with relevance to different target audiences, including attending plastic surgeons (n = 17, 50%), trainees/educators (n = 8, 24.0%), researchers/scholars (n = 7, 21%), and patients (n = 2, 6%). The 15 identified limitations of ChatGPT were categorized by training data, algorithm, and ethical considerations.Conclusions Widespread use of ChatGPT in plastic surgery will depend on rigorous research of proposed applications to validate performance and address limitations. This systemic review aims to guide research, development, and regulation to safely adopt AI in plastic surgery.
引用
收藏
页码:329 / 343
页数:15
相关论文
共 197 条
[1]   ChatGPT in Clinical Toxicology [J].
Abdel-Messih, Mary Sabry ;
Boulos, Maged N. Kamel .
JMIR MEDICAL EDUCATION, 2023, 9
[2]  
Achiam J., 2024, Gpt-4 technical report, DOI 10.48550/arXiv.2303.08774
[3]   Exploring ChatGPT for information of cardiopulmonary resuscitation [J].
Ahn, Chiwon .
RESUSCITATION, 2023, 185
[4]  
Ahn Sangzin, 2023, Korean J Med Educ, V35, P103, DOI 10.3946/kjme.2023.253
[5]   Acute Pulmonary Edema After Hyperbaric Oxygen Treatment: A Case Report Written With ChatGPT Assistance [J].
Akhter, Haris M. ;
Cooper, Jeffrey S. .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (02)
[6]   Large language models (LLM) and ChatGPT: what will the impact on nuclear medicine be? [J].
Alberts, Ian L. ;
Mercolli, Lorenzo ;
Pyka, Thomas ;
Prenosil, George ;
Shi, Kuangyu ;
Rominger, Axel ;
Afshar-Oromieh, Ali .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2023, 50 (06) :1549-1552
[7]   Using ChatGPT to write patient clinic letters [J].
Ali, Stephen R. ;
Dobbs, Thomas D. ;
Hutchings, Hayley A. ;
Whitaker, Iain S. .
LANCET, 2023, 5 (04) :E179-E181
[8]   Artificial Hallucinations in ChatGPT: Implications in Scientific Writing [J].
Alkaissi, Hussam ;
McFarlane, Samy I. .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (02)
[9]   Enhancing Expert Panel Discussions in Pediatric Palliative Care: Innovative Scenario Development and Summarization With ChatGPT-4 [J].
Almazyad, Mohammed ;
Aljofan, Fahad ;
Abouammoh, Noura A. ;
Muaygil, Ruaim ;
Malki, Khalid H. ;
Aljamaan, Fadi ;
Alturki, Abdullah ;
Alayed, Tareq ;
Alshehri, Saleh S. ;
Alrbiaan, Abdullah ;
Alsatrawi, Mohammed ;
Temsah, Hazar A. ;
Alsohime, Fahad ;
Alhaboob, Ali A. ;
Alabdulhafid, Majed ;
Jamal, Amr ;
Alhasan, Khalid ;
Al-Eyadhy, Ayman ;
Temsah, Mohamad-Hani .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (04)
[10]   ChatGPT: rumors of human providers' demise have been greatly exaggerated [J].
Alvero, Ruben .
FERTILITY AND STERILITY, 2023, 119 (06) :930-931