In the realm of surgical planning, artificial intelligence (AI) has made significant strides, prompting the question – Could AI replace human intervention in this critical process? This was the topic of discussion spearheaded by Dr. Stanislao Rizzo at the American Society for Retinal Specialists (ASRS) 2024 Annual Meeting in his talk, “Exploring AI-Chatbots’ Capability to Suggest Retinal Detachment Surgical Planning.”
Dr. Rizzo, along with Dr. Matteo Mario Carlà and their team, investigated the performance of two dominant large language models (LLMs) – ChatGPT 4 (2023) and Google Gemini (2024). They assessed the ability of these AI-chatbots to propose vitreoretinal surgery plans in real-world clinical scenarios. Sharing the same 50 case scenarios with both bots, they asked for surgical planning recommendations and the potential intraocular tamponade.
The responses of these LLMs were juxtaposed with the shared opinion of three experienced vitreoretinal surgeons. Both ChatGPT and Google Gemini displayed a remarkable concurrence with the expert surgeons, with ChatGPT achieving an 84% agreement and Google Gemini securing a 70% consensus. Dr. Rizzo lauded these results as “very impressive.”
The study also evaluated the capability of ChatGPT to analyze images. It was provided with three distinct retinal images, and asked to diagnose based on them. ChatGPT was able to correctly identify all three images, distinguishing them as retinal detachment, retinal detachment with significant vitreous chamber changes, and retinal detachment with proliferative vitreoretinopathy. Google Gemini’s current abilities, however, do not extend to image interpretation.
Reflecting on the future of AI in healthcare, Dr. Rizzo envisages a scenario where patients take their own images, AI-chatbots analyze them, and surgical robots perform the procedures. While this would liberally free up physicians’ time, he emphasized that AI will not supplant physicians. Instead, he warned that physicians who do not adapt to AI might be superseded by those who do.
This research underscores the potential of AI in revolutionizing eye care and surgical planning. At Shankar Netrika Eye Centre, led by Dr. Navin Kumar Gupta, we strive to embrace these advancements, enhancing our services including cataract surgeries, laser treatments, and more. To learn more about our services, visit our website https://shankarnetrika.com/ or contact us at 9920044620. Our clinic is conveniently located at G. D. Ambekar Marg, Kalachowky, Cotton Green, Mumbai.
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