医学诊断                        
                
                                
                        
                            诊断准确性                        
                
                                
                        
                            诊断试验                        
                
                                
                        
                            医学                        
                
                                
                        
                            医学物理学                        
                
                                
                        
                            考试(生物学)                        
                
                                
                        
                            鉴别诊断                        
                
                                
                        
                            儿科                        
                
                                
                        
                            放射科                        
                
                                
                        
                            病理                        
                
                                
                        
                            古生物学                        
                
                                
                        
                            生物                        
                
                        
                    
            作者
            
                Arman Danesh,Arsalan Danesh,Farzad Danesh            
         
                    
        
    
            
        
                
            摘要
            
            Abstract Introduction Complex patient diagnoses in dentistry require a multifaceted approach which combines interpretations of clinical observations with an in‐depth understanding of patient history and presenting problems. The present study aims to elucidate the implications of ChatGPT (OpenAI) as a comprehensive diagnostic tool in the dental clinic through examining the chatbot's diagnostic performance on challenging patient cases retrieved from the literature. Methods Our study subjected ChatGPT3.5 and ChatGPT4 to descriptions of patient cases for diagnostic challenges retrieved from the literature. Sample means were compared using a two‐tailed t ‐test, while sample proportions were compared using a two‐tailed χ 2 test. A p ‐value below the threshold of 0.05 was deemed statistically significant. Results When prompted to generate their own differential diagnoses, ChatGPT3.5 and ChatGPT4 achieved a diagnostic accuracy of 40% and 62%, respectively. When basing their diagnostic processes on a differential diagnosis retrieved from the literature, ChatGPT3.5 and ChatGPT4 achieved a diagnostic accuracy of 70% and 80%, respectively. Conclusion ChatGPT displays an impressive capacity to correctly diagnose complex diagnostic challenges in the field of dentistry. Our study paints a promising potential for the chatbot to 1 day serve as a comprehensive diagnostic tool in the dental clinic.
         
            
 
                 
                
                    
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