颞下颌关节疾病的人工智能解决方案:ChatGPT的贡献和未来潜力。

IF 2.3 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Korean Journal of Orthodontics Pub Date : 2025-03-25 Epub Date: 2024-12-11 DOI:10.4041/kjod24.106
Betul Kula, Ahmet Kula, Fatih Bagcier, Bulent Alyanak
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引用次数: 0

摘要

目的:本研究旨在评估聊天生成预训练转换器(ChatGPT)在颞下颌关节疾病(TMD)诊断中的可靠性和有用性。方法:我们向ChatGPT询问TMD分类中指定的疾病,并使用Likert信度和有用性量表、改良的DISCERN量表(mDISCERN)和全球质量量表(GQS)对回答进行评分。结果:咀嚼肌疾病的Likert信度和有用性评分最高(平均±标准差[SD]: 6.0±0),颞下颌关节炎症疾病的Likert评分最低(平均±SD:信度4.3±0.6,有用性4.0±0)。中位数李克特信度评分表明,反应是高度可靠的。Likert有用性得分中位数为5(4-6),表明回答是中等有用的。进行了比较分析,没有发现任何受试者在可靠性或有用性方面有统计学意义的差异(P = 0.083-1.000)。两位评分者的mDISCERN得分中位数为4(3-5)。两组的mDISCERN平均评分差异有统计学意义(P = 0.046)。GQS评分为中至高质量(评分1的平均值±SD: 3.8±0.8,评分2的平均值±0.5)。mDISCERN评分与GQS评分无统计学意义相关(r = -0.006, P = 0.980)。结论:尽管ChatGPT-4具有巨大的潜力,但它可以作为患者和临床医生关于TMD的额外信息来源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Artificial intelligence solutions for temporomandibular joint disorders: Contributions and future potential of ChatGPT.

Objective: This study aimed to evaluate the reliability and usefulness of information generated by Chat Generative Pre-Trained Transformer (ChatGPT) on temporomandibular joint disorders (TMD).

Methods: We asked ChatGPT about the diseases specified in the TMD classification and scored the responses using Likert reliability and usefulness scales, the modified DISCERN (mDISCERN) scale, and the Global Quality Scale (GQS).

Results: The highest Likert scores for both reliability and usefulness were for masticatory muscle disorders (mean ± standard deviation [SD]: 6.0 ± 0), and the lowest scores were for inflammatory disorders of the temporomandibular joint (mean ± SD: 4.3 ± 0.6 for reliability, 4.0 ± 0 for usefulness). The median Likert reliability score indicates that the responses are highly reliable. The median Likert usefulness score was 5 (4-6), indicating that the responses were moderately useful. A comparative analysis was performed, and no statistically significant differences were found in any subject for either reliability or usefulness (P = 0.083-1.000). The median mDISCERN score was 4 (3-5) for the two raters. A statistically significant difference was observed in the mean mDISCERN scores between the two raters (P = 0.046). The GQS scores indicated a moderate to high quality (mean ± SD: 3.8 ± 0.8 for rater 1, 4.0 ± 0.5 for rater 2). No statistically significant correlation was found between mDISCERN and GQS scores (r = -0.006, P = 0.980).

Conclusions: Although ChatGPT-4 has significant potential, it can be used as an additional source of information regarding TMD for patients and clinicians.

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来源期刊
Korean Journal of Orthodontics
Korean Journal of Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.50
自引率
10.50%
发文量
48
审稿时长
>12 weeks
期刊介绍: The Korean Journal of Orthodontics (KJO) is an international, open access, peer reviewed journal published in January, March, May, July, September, and November each year. It was first launched in 1970 and, as the official scientific publication of Korean Association of Orthodontists, KJO aims to publish high quality clinical and scientific original research papers in all areas related to orthodontics and dentofacial orthopedics. Specifically, its interest focuses on evidence-based investigations of contemporary diagnostic procedures and treatment techniques, expanding to significant clinical reports of diverse treatment approaches. The scope of KJO covers all areas of orthodontics and dentofacial orthopedics including successful diagnostic procedures and treatment planning, growth and development of the face and its clinical implications, appliance designs, biomechanics, TMJ disorders and adult treatment. Specifically, its latest interest focuses on skeletal anchorage devices, orthodontic appliance and biomaterials, 3 dimensional imaging techniques utilized for dentofacial diagnosis and treatment planning, and orthognathic surgery to correct skeletal disharmony in association of orthodontic treatment.
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