Mahmud Omar, Girish N Nadkarni, Eyal Klang, Benjamin S Glicksberg
{"title":"医学中的大型语言模型:当前医疗应用领域临床试验回顾。","authors":"Mahmud Omar, Girish N Nadkarni, Eyal Klang, Benjamin S Glicksberg","doi":"10.1371/journal.pdig.0000662","DOIUrl":null,"url":null,"abstract":"<p><p>This review analyzes current clinical trials investigating large language models' (LLMs) applications in healthcare. We identified 27 trials (5 published and 22 ongoing) across 4 main clinical applications: patient care, data handling, decision support, and research assistance. Our analysis reveals diverse LLM uses, from clinical documentation to medical decision-making. Published trials show promise but highlight accuracy concerns. Ongoing studies explore novel applications like patient education and informed consent. Most trials occur in the United States of America and China. We discuss the challenges of evaluating rapidly evolving LLMs through clinical trials and identify gaps in current research. This review aims to inform future studies and guide the integration of LLMs into clinical practice.</p>","PeriodicalId":74465,"journal":{"name":"PLOS digital health","volume":"3 11","pages":"e0000662"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575759/pdf/","citationCount":"0","resultStr":"{\"title\":\"Large language models in medicine: A review of current clinical trials across healthcare applications.\",\"authors\":\"Mahmud Omar, Girish N Nadkarni, Eyal Klang, Benjamin S Glicksberg\",\"doi\":\"10.1371/journal.pdig.0000662\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This review analyzes current clinical trials investigating large language models' (LLMs) applications in healthcare. We identified 27 trials (5 published and 22 ongoing) across 4 main clinical applications: patient care, data handling, decision support, and research assistance. Our analysis reveals diverse LLM uses, from clinical documentation to medical decision-making. Published trials show promise but highlight accuracy concerns. Ongoing studies explore novel applications like patient education and informed consent. Most trials occur in the United States of America and China. We discuss the challenges of evaluating rapidly evolving LLMs through clinical trials and identify gaps in current research. This review aims to inform future studies and guide the integration of LLMs into clinical practice.</p>\",\"PeriodicalId\":74465,\"journal\":{\"name\":\"PLOS digital health\",\"volume\":\"3 11\",\"pages\":\"e0000662\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575759/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"PLOS digital health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1371/journal.pdig.0000662\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/11/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"PLOS digital health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1371/journal.pdig.0000662","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Large language models in medicine: A review of current clinical trials across healthcare applications.
This review analyzes current clinical trials investigating large language models' (LLMs) applications in healthcare. We identified 27 trials (5 published and 22 ongoing) across 4 main clinical applications: patient care, data handling, decision support, and research assistance. Our analysis reveals diverse LLM uses, from clinical documentation to medical decision-making. Published trials show promise but highlight accuracy concerns. Ongoing studies explore novel applications like patient education and informed consent. Most trials occur in the United States of America and China. We discuss the challenges of evaluating rapidly evolving LLMs through clinical trials and identify gaps in current research. This review aims to inform future studies and guide the integration of LLMs into clinical practice.