{"id":9968,"date":"2024-02-13T13:08:02","date_gmt":"2024-02-13T13:08:02","guid":{"rendered":"https:\/\/dailyai.com\/?p=9968"},"modified":"2024-02-13T13:08:02","modified_gmt":"2024-02-13T13:08:02","slug":"gpt-4v-offers-big-benefits-in-clinical-trial-screening","status":"publish","type":"post","link":"https:\/\/dailyai.com\/it\/2024\/02\/gpt-4v-offers-big-benefits-in-clinical-trial-screening\/","title":{"rendered":"Il GPT-4V offre grandi vantaggi nello screening degli studi clinici"},"content":{"rendered":"<p><strong>Lo screening dei pazienti per trovare i partecipanti adatti agli studi clinici \u00e8 un'attivit\u00e0 ad alta intensit\u00e0 di lavoro, costosa e soggetta a errori, ma l'intelligenza artificiale potrebbe presto risolvere il problema.<\/strong><\/p>\n<p>Un team di ricercatori del Brigham and Women's Hospital, della Harvard Medical School e del Mass General Brigham Personalized Medicine ha condotto uno studio per verificare se un modello di intelligenza artificiale potesse elaborare le cartelle cliniche per trovare candidati idonei alla sperimentazione clinica.<\/p>\n<p>Hanno utilizzato GPT-4V, il LLM di OpenAI con elaborazione delle immagini, abilitato dalla Retrieval-Augmented Generation (RAG) per elaborare le cartelle cliniche elettroniche (EHR) e le note cliniche dei potenziali candidati.<\/p>\n<p>I LLM sono preaddestrati a un set di dati fisso e possono rispondere solo a domande basate su tali dati. La RAG \u00e8 una tecnica che consente a un LLM di recuperare dati da fonti esterne, come Internet o i documenti interni di un'organizzazione.<\/p>\n<p>Quando si selezionano i partecipanti a uno studio clinico, la loro idoneit\u00e0 \u00e8 determinata da un elenco di criteri di inclusione ed esclusione. Di solito, il personale addestrato passa al setaccio le cartelle cliniche elettroniche di centinaia o migliaia di pazienti per trovare quelli che corrispondono ai criteri.<\/p>\n<p>I ricercatori hanno raccolto i dati di uno studio che mirava a reclutare pazienti con insufficienza cardiaca sintomatica. Hanno utilizzato questi dati per verificare se il GPT-4V con RAG potesse svolgere il lavoro in modo pi\u00f9 efficiente rispetto al personale dello studio, pur mantenendo l'accuratezza.<\/p>\n<p>I dati strutturati presenti nelle cartelle cliniche dei potenziali candidati potrebbero essere utilizzati per determinare 5 criteri di inclusione su 6 e 5 criteri di esclusione su 17 per lo studio clinico. Questa \u00e8 la parte pi\u00f9 semplice.<\/p>\n<p>I restanti 13 criteri dovevano essere determinati interrogando i dati non strutturati delle note cliniche di ciascun paziente, la parte pi\u00f9 laboriosa che i ricercatori speravano potesse essere svolta dall'intelligenza artificiale.<\/p>\n<blockquote class=\"twitter-tweet\">\n<p dir=\"ltr\" lang=\"en\">\ud83d\udd0dCan <a href=\"https:\/\/twitter.com\/Microsoft?ref_src=twsrc%5Etfw\">@Microsoft<\/a> <a href=\"https:\/\/twitter.com\/Azure?ref_src=twsrc%5Etfw\">@Azure<\/a> <a href=\"https:\/\/twitter.com\/OpenAI?ref_src=twsrc%5Etfw\">@OpenAI<\/a>'s <a href=\"https:\/\/twitter.com\/hashtag\/GPT4?src=hash&amp;ref_src=twsrc%5Etfw\">#GPT4<\/a> di un essere umano per lo screening delle sperimentazioni cliniche? Ci siamo posti questa domanda nel nostro studio pi\u00f9 recente e sono estremamente entusiasta di condividere i nostri risultati in preprint:<a href=\"https:\/\/t.co\/lhOPKCcudP\">https:\/\/t.co\/lhOPKCcudP<\/a><br \/>\nL'integrazione della GPT4 negli studi clinici non \u00e8...<\/p>\n<p>- Ozan Unlu (@OzanUnluMD) <a href=\"https:\/\/twitter.com\/OzanUnluMD\/status\/1756085573134250256?ref_src=twsrc%5Etfw\">9 febbraio 2024<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/p>\n<h2>Risultati<\/h2>\n<p>I ricercatori hanno innanzitutto ottenuto le valutazioni strutturate completate dal personale dello studio e le note cliniche degli ultimi due anni.<\/p>\n<p>Hanno sviluppato un flusso di lavoro per un sistema di risposta alle domande basato sulle note cliniche e alimentato dall'architettura RAG e dal GPT-4V e lo hanno chiamato RECTIFIER (RAG-Enabled Clinical Trial Infrastructure for Inclusion Exclusion Review).<\/p>\n<p>Le note di 100 pazienti sono state utilizzate come set di dati di sviluppo, 282 pazienti come set di dati di validazione e 1894 pazienti come set di test.<\/p>\n<p>Un medico esperto ha completato una revisione in cieco delle cartelle cliniche dei pazienti per rispondere alle domande di idoneit\u00e0 e determinare le risposte \"gold standard\". Queste sono state poi confrontate con le risposte del personale dello studio e di RECTIFIER in base ai seguenti criteri:<\/p>\n<ul>\n<li>Sensibilit\u00e0 - La capacit\u00e0 di un test di identificare correttamente i pazienti eleggibili allo studio (veri positivi).<\/li>\n<li>Specificit\u00e0 - La capacit\u00e0 di un test di identificare correttamente i pazienti non eleggibili allo studio (veri negativi).<\/li>\n<li>Accuratezza - La percentuale complessiva di classificazioni corrette (sia i veri positivi che i veri negativi).<\/li>\n<li>Coefficiente di correlazione di Matthews (MCC) - Una metrica utilizzata per misurare la capacit\u00e0 del modello di selezionare o escludere una persona. Un valore pari a 0 equivale al lancio di una moneta, mentre un valore pari a 1 rappresenta l'azzeccamento del 100% delle volte.<\/li>\n<\/ul>\n<figure id=\"attachment_9971\" aria-describedby=\"caption-attachment-9971\" style=\"width: 1538px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-9971 size-full\" src=\"https:\/\/dailyai.com\/wp-content\/uploads\/2024\/02\/RECTIFIER-vs-Study-staff.png\" alt=\"\" width=\"1538\" height=\"654\" srcset=\"https:\/\/dailyai.com\/wp-content\/uploads\/2024\/02\/RECTIFIER-vs-Study-staff.png 1538w, https:\/\/dailyai.com\/wp-content\/uploads\/2024\/02\/RECTIFIER-vs-Study-staff-300x128.png 300w, https:\/\/dailyai.com\/wp-content\/uploads\/2024\/02\/RECTIFIER-vs-Study-staff-1024x435.png 1024w, https:\/\/dailyai.com\/wp-content\/uploads\/2024\/02\/RECTIFIER-vs-Study-staff-768x327.png 768w, https:\/\/dailyai.com\/wp-content\/uploads\/2024\/02\/RECTIFIER-vs-Study-staff-1536x653.png 1536w, https:\/\/dailyai.com\/wp-content\/uploads\/2024\/02\/RECTIFIER-vs-Study-staff-370x157.png 370w, https:\/\/dailyai.com\/wp-content\/uploads\/2024\/02\/RECTIFIER-vs-Study-staff-800x340.png 800w, https:\/\/dailyai.com\/wp-content\/uploads\/2024\/02\/RECTIFIER-vs-Study-staff-740x315.png 740w, https:\/\/dailyai.com\/wp-content\/uploads\/2024\/02\/RECTIFIER-vs-Study-staff-20x9.png 20w, https:\/\/dailyai.com\/wp-content\/uploads\/2024\/02\/RECTIFIER-vs-Study-staff-113x48.png 113w\" sizes=\"auto, (max-width: 1538px) 100vw, 1538px\" \/><figcaption id=\"caption-attachment-9971\" class=\"wp-caption-text\">Metriche di performance di RECTIFIER e Study Staff per determinare l'idoneit\u00e0 complessiva sulla base di 13 domande del set di test. Fonte: arXiv<\/figcaption><\/figure>\n<p>RECTIFIER ha ottenuto risultati altrettanto buoni, e in alcuni casi migliori, rispetto al personale dello studio. Il risultato pi\u00f9 significativo dello studio \u00e8 stato probabilmente il confronto dei costi.<\/p>\n<p>Sebbene non sia stata fornita alcuna cifra per la remunerazione del personale dello studio, essa deve essere stata notevolmente superiore al costo dell'uso del GPT-4V, che variava tra $0,02 e $0,10 per paziente. L'utilizzo dell'intelligenza artificiale per valutare un pool di 1.000 potenziali candidati richiederebbe pochi minuti e costerebbe circa $100.<\/p>\n<p>I ricercatori hanno concluso che l'utilizzo di un modello di intelligenza artificiale come il GPT-4V con il RAG pu\u00f2 mantenere o migliorare l'accuratezza nell'identificazione dei candidati agli studi clinici, e farlo in modo pi\u00f9 efficiente e molto pi\u00f9 economico rispetto all'impiego di personale umano.<\/p>\n<p>I ricercatori hanno sottolineato la necessit\u00e0 di essere cauti nell'affidare l'assistenza medica a sistemi automatizzati, ma sembra che l'IA possa fare un lavoro migliore di quello che possiamo fare noi, se adeguatamente indirizzata.<\/p>","protected":false},"excerpt":{"rendered":"<p>Lo screening dei pazienti per trovare i partecipanti adatti agli studi clinici \u00e8 un'attivit\u00e0 che richiede molto lavoro, \u00e8 costosa e soggetta a errori, ma l'intelligenza artificiale potrebbe presto risolvere il problema. Un team di ricercatori del Brigham and Women's Hospital, della Harvard Medical School e del Mass General Brigham Personalized Medicine ha condotto uno studio per verificare se un modello di IA potesse elaborare le cartelle cliniche per trovare candidati idonei alla sperimentazione clinica. Hanno utilizzato GPT-4V, un LLM di OpenAI con elaborazione delle immagini, abilitato da Retrieval-Augmented Generation (RAG) per elaborare le cartelle cliniche elettroniche (EHR) e le note cliniche dei potenziali candidati. Le LLM sono pre-addestrate a un set di dati fisso e possono rispondere solo a domande basate su tali dati. RAG<\/p>","protected":false},"author":6,"featured_media":9972,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[84],"tags":[150,204,101],"class_list":["post-9968","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-industry","tag-ai-benefits","tag-healthcare","tag-medtech"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GPT-4V offers big benefits in clinical trial screening | DailyAI<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dailyai.com\/it\/2024\/02\/gpt-4v-offers-big-benefits-in-clinical-trial-screening\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"GPT-4V offers big benefits in clinical trial screening | DailyAI\" \/>\n<meta property=\"og:description\" content=\"Screening patients to find suitable participants for clinical trials is a labor-intensive, expensive, and error-prone task but AI could soon fix that. A team of researchers from Brigham and Women\u2019s Hospital, Harvard Medical School, and Mass General Brigham Personalized Medicine, conducted a study to see if an AI model could process medical records to find suitable clinical trial candidates. They used GPT-4V, OpenAI\u2019s LLM with image processing, enabled by Retrieval-Augmented Generation (RAG) to process potential candidates&#8217; electronic health records (EHR) and clinical notes. LLMs are pre-trained using a fixed dataset and can only answer questions based on that data. 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