Artificial intelligence versus human touch: can artificial intelligence accurately generate a literature review on laser technologies?

Autor: Panthier F; Department of Urology, Westmoreland Street Hospital, UCLH NHS Foundation Trust, 16-18 Westmoreland Street, Marylebone, London, W1G 8PH, UK. fredericpanthier@gmail.com.; Sorbonne University GRC Urolithiasis No. 20 Tenon Hospital, 75020, Paris, France. fredericpanthier@gmail.com.; Progressive Endourological Association for Research and Leading Solutions (PEARLS), Paris, France. fredericpanthier@gmail.com.; PIMM, UMR 8006 CNRS-Arts et Métiers ParisTech, 151 Bd de L'Hôpital, 75013, Paris, France. fredericpanthier@gmail.com., Crawford-Smith H; Department of Urology, Westmoreland Street Hospital, UCLH NHS Foundation Trust, 16-18 Westmoreland Street, Marylebone, London, W1G 8PH, UK., Alvarez E; Department of Urology, Westmoreland Street Hospital, UCLH NHS Foundation Trust, 16-18 Westmoreland Street, Marylebone, London, W1G 8PH, UK.; Escola Bahiana de Medicina e Saúde Pública, Av. Dom João VI, 275, Salvador, BA, Brazil., Melchionna A; Department of Urology, Westmoreland Street Hospital, UCLH NHS Foundation Trust, 16-18 Westmoreland Street, Marylebone, London, W1G 8PH, UK., Velinova D; Department of Urology, Westmoreland Street Hospital, UCLH NHS Foundation Trust, 16-18 Westmoreland Street, Marylebone, London, W1G 8PH, UK., Mohamed I; Department of Urology, Westmoreland Street Hospital, UCLH NHS Foundation Trust, 16-18 Westmoreland Street, Marylebone, London, W1G 8PH, UK., Price S; Department of Urology, Westmoreland Street Hospital, UCLH NHS Foundation Trust, 16-18 Westmoreland Street, Marylebone, London, W1G 8PH, UK., Choong S; Department of Urology, Westmoreland Street Hospital, UCLH NHS Foundation Trust, 16-18 Westmoreland Street, Marylebone, London, W1G 8PH, UK., Arumuham V; Department of Urology, Westmoreland Street Hospital, UCLH NHS Foundation Trust, 16-18 Westmoreland Street, Marylebone, London, W1G 8PH, UK., Allen S; Department of Urology, Westmoreland Street Hospital, UCLH NHS Foundation Trust, 16-18 Westmoreland Street, Marylebone, London, W1G 8PH, UK., Traxer O; Sorbonne University GRC Urolithiasis No. 20 Tenon Hospital, 75020, Paris, France.; Progressive Endourological Association for Research and Leading Solutions (PEARLS), Paris, France.; PIMM, UMR 8006 CNRS-Arts et Métiers ParisTech, 151 Bd de L'Hôpital, 75013, Paris, France., Smith D; Department of Urology, Westmoreland Street Hospital, UCLH NHS Foundation Trust, 16-18 Westmoreland Street, Marylebone, London, W1G 8PH, UK.; Endourology Academy, London, UK.; Social Media Committee, Endourological Society, New York, USA.
Jazyk: angličtina
Zdroj: World journal of urology [World J Urol] 2024 Oct 28; Vol. 42 (1), pp. 598. Date of Electronic Publication: 2024 Oct 28.
DOI: 10.1007/s00345-024-05311-8
Abstrakt: Purpose: To compare the accuracy of open-source Artificial Intelligence (AI) Large Language Models (LLM) against human authors to generate a systematic review (SR) on the new pulsed-Thulium:YAG (p-Tm:YAG) laser.
Methods: Five manuscripts were compared. The Human-SR on p-Tm:YAG (considered to be the "ground truth") was written by independent certified endourologists with expertise in lasers, accepted in a peer-review pubmed-indexed journal (but not yet available online, and therefore not accessible to the LLMs). The query to the AI LLMs was: "write a systematic review on pulsed-Thulium:YAG laser for lithotripsy" which was submitted to four LLMs (ChatGPT3.5/Vercel/Claude/Mistral-7b). The LLM-SR were uniformed and Human-SR reformatted to fit the general output appearance, to ensure blindness. Nine participants with various levels of endourological expertise (three Clinical Nurse Specialist nurses, Urology Trainees and Consultants) objectively assessed the accuracy of the five SRs using a bespoke 10 "checkpoint" proforma. A subjective assessment was recorded using a composite score including quality (0-10), clarity (0-10) and overall manuscript rank (1-5).
Results: The Human-SR was objectively and subjectively more accurate than LLM-SRs (96 ± 7% and 86.8 ± 8.2% respectively; p < 0.001). The LLM-SRs did not significantly differ but ChatGPT3.5 presented greater subjective and objective accuracy scores (62.4 ± 15% and 29 ± 28% respectively; p > 0.05). Quality and clarity assessments were significantly impacted by SR type but not the expertise level (p < 0.001 and > 0.05, respectively).
Conclusions: LLM generated data on highly technical topics present a lower accuracy than Key Opinion Leaders. LLMs, especially ChatGPT3.5, with human supervision could improve our practice.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
Externí odkaz: