[Dec/2023 | Tech] AI Rev at Medicine

  • Overall: 前几章貌似有干货,但微软的作者们似乎对这个研究的底层机制理解有点偏颇(特别在后面几张中),更像是表层用户.
  • Chap 1
    • 作者认为GPT-4 interaction 拟人化很好,并且政治正确很好 – 在医患沟通应该大有可为
    • 作者号称GPT-4能答对90%+ USMLE 问题
  • Chap 2
    • 对医疗人员,杂事耗时49%
      • clinical paperwork – Msft DAX – 可以通过病人医生对话声音来自动写Notes
      • clinical doc / summarization 时hallucination是危险的
    • 一个AI写文章,另一个来批判
      • 自我批判过程需要两个session – 不然不行
    • AI assistant + AI verifier
      • AI verifier 不仅仅检查AI结果,还检查医生结果
    • 标准化输出(JSON) – e.g. HL7 FHIR 标准
    • GPT-4 as universal translator – 给consumer 解释explanation of benefits (from medical bill)
    • GPT-4 summarize medical paper
  • Chap 3
    • GPT-4 seems better at reviewing poetry / text than writing it
    • GPT-4 limitations (numerical calculation error – e.g. correlation) 
  • Chap 4
    • 作者的例子用differential diagnosis – 诊断一个十万分之一的先天性基因异常
  • Chap 5 – Not Much
  • Chap 6
    • Math in treatment – 例如, 护士看滴液多少滴的时候需要解一个小学生应用题
    • “Copilot” in drug administration
    • One method to reduce chance of error in GPT is “show your work”
    • Sudoku example
      • Potentially remove GPT’s problem in logic / math to allow it to use tools – example: something called SAT solver
  • Chap 7 – Paperwork
    •  Patient intake form
    • GPT-4 identify billing codes. 
    • Prior Authorization – 避免医疗人员乱收费,需要先authorize 某种检查再实施
    • 以医疗backoffice为GPT-4起点的可能性
  • Chap 8
    • 加速医学研究
  • Chap 9
    • low risk vs. high risk app for AI in med
  • Chap 10
    • Not much

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