“AI问诊”震撼医疗界!ChatGPT帮助患者破解10年顽疾

格隆汇
Jul 07, 2025

近日,一名长年受病痛困扰的患者,在数十位医生无法确诊下,将自身完整病史输入OpenAI 的人工智能模型ChatGPT,获AI直接点出MTHFR A1298C基因突变,成为诊断突破口。这类基因突变会影响叶酸代谢,约有7%至12%的美国人口受到影响。ChatGPT指出,虽然病患的B12数值正常,但其持续神经疼痛与疲劳感不符,推论可能存在甲基化阻断。内科医师审核后也认可该基因异常与症状高度吻合,最终确认AI诊断正确。 该事件在医疗圈引发关注,OpenAI总裁Greg Brockman也转发案例表态支持。此前Reddit论坛上亦有多位网友分享ChatGPT协助确诊的经历。通用人工智能(AGI)观察者Rohan Paul表示,AI模型提供的第二意见应成为诊疗流程的一部分。 除OpenAI之外,微软、谷歌等巨头亦已投入AI医疗技术。微软近期发布AI诊断平台MAI-DxO,在评估《新英格兰医学期刊》(NEJM)病例时,准确率高达85%,是专业医生的四倍,成本也更低。据悉,该AI系统每日处理超过5000万次健康相关互动,包括初步症状查询到寻找诊所。

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