Objective:To compare the diagnostic performance of DeepSeek-R1 and ChatGPT-4o in emergency department inpatients and explore their clinical practical value.Methods:A retrospective study was conducted using clinical da...Objective:To compare the diagnostic performance of DeepSeek-R1 and ChatGPT-4o in emergency department inpatients and explore their clinical practical value.Methods:A retrospective study was conducted using clinical data from emergency department inpatients discharged in December 2024.Discharge diagnoses served as the gold standard.Patient data(age,symptoms,exams,tests)were input into DeepSeek-R1 and GPT-4o with the prompt:“What is the most likely diagnosis?”Two physicians scored outputs(0-3)to assess accuracy and consistency.Results:A total of 328 cases were analyzed.The mean scores for DeepSeek-R1 and ChatGPT-4o were 2.33±1.07 and 2.32±1.05,respectively,with no statistically significant difference(P=0.82).The Z-score was-0.232,indicating highly similar performance between the two models.However,the rate of accurate diagnoses was 66.5%.Diagnostic performance declined with increasing patient age.Conclusions:DeepSeek-R1 and ChatGPT-4o demonstrated comparable diagnostic performance in emergency department settings,but the misdiagnosis risk remained high.Both models can serve as auxiliary tools to expand physicians'diagnostic considerations but should be integrated with clinical expertise for comprehensive judgment.展开更多
Advances in artificial intelligence(AI)and large language models(LLMs)are transforming materials research by enabling automated data extraction,knowledge integration,and property prediction.This study presents a dual-...Advances in artificial intelligence(AI)and large language models(LLMs)are transforming materials research by enabling automated data extraction,knowledge integration,and property prediction.This study presents a dual-stage,LLM-assisted framework for magnesium alloy design that combines semantic extraction,thermodynamic reasoning,and machine learning(ML).Using Qwen-2.5,alloy chemistry,processing details,and thermal and mechanical property data are automatically extracted from full-text literature and converted into structured records.The extracted information is expanded with thermodynamic phase descriptors predicted by DeepSeek-R1 and numerical processing features generated from CLIP-based embeddings.The feature set is optimized using sequential backward selection(SBS),and predictive models are developed using support vector machines(SVM),random forest(RF),and eXtreme Gradient Boosting(XGB).The proposed workflow effectively integrates chemistry,thermodynamics,and processing history,achieving robust predictions for thermal conductivity,yield strength,and ultimate tensile strength.The best performing models yielded R2 values of~0.80(RMSE~9.98 W·m−1 K−1),~0.69(RMSE~37.2 MPa),and~0.73(RMSE~31.5 MPa)for TC,YS,and UTS,respectively.Validation against CALPHAD calculations shows that DeepSeek-R1 reproduces equilibrium phase fractions within 1 wt.%deviation.Overall,this work shows that semantic intelligence can link literature-derived knowledge with predictive modeling,providing a pathway for processing-informed alloy design.展开更多
摘要Objective:To compare the diagnostic performance of DeepSeek-R1 and ChatGPT-4o in emergency department inpatients and explore their clinical practical value.Methods:A retrospective study was conducted using clinical data from emergency department inpatients discharged in December 2024.Discharge diagnoses served as the gold standard.Patient data(age,symptoms,exams,tests)were input into DeepSeek-R1 and GPT-4o with the prompt:“What is the most likely diagnosis?”Two physicians scored outputs(0-3)to assess accuracy and consistency.Results:A total of 328 cases were analyzed.The mean scores for DeepSeek-R1 and ChatGPT-4o were 2.33±1.07 and 2.32±1.05,respectively,with no statistically significant difference(P=0.82).The Z-score was-0.232,indicating highly similar performance between the two models.However,the rate of accurate diagnoses was 66.5%.Diagnostic performance declined with increasing patient age.Conclusions:DeepSeek-R1 and ChatGPT-4o demonstrated comparable diagnostic performance in emergency department settings,but the misdiagnosis risk remained high.Both models can serve as auxiliary tools to expand physicians'diagnostic considerations but should be integrated with clinical expertise for comprehensive judgment.
基金supported by Advanced Materials-National Science and Technology Major Project(2024ZD0608300)UK Engineering and Physical Sciences Research Council Impact Acceleration Account(G.ESWM.0730.EXP)+2 种基金National Science Foundation of China(52425101)SJTU-Warwick Joint Seed Fund 2023/24(SJTU2308)Shenzhen Science and Technology Program(KJZD20231023092902005).
摘要Advances in artificial intelligence(AI)and large language models(LLMs)are transforming materials research by enabling automated data extraction,knowledge integration,and property prediction.This study presents a dual-stage,LLM-assisted framework for magnesium alloy design that combines semantic extraction,thermodynamic reasoning,and machine learning(ML).Using Qwen-2.5,alloy chemistry,processing details,and thermal and mechanical property data are automatically extracted from full-text literature and converted into structured records.The extracted information is expanded with thermodynamic phase descriptors predicted by DeepSeek-R1 and numerical processing features generated from CLIP-based embeddings.The feature set is optimized using sequential backward selection(SBS),and predictive models are developed using support vector machines(SVM),random forest(RF),and eXtreme Gradient Boosting(XGB).The proposed workflow effectively integrates chemistry,thermodynamics,and processing history,achieving robust predictions for thermal conductivity,yield strength,and ultimate tensile strength.The best performing models yielded R2 values of~0.80(RMSE~9.98 W·m−1 K−1),~0.69(RMSE~37.2 MPa),and~0.73(RMSE~31.5 MPa)for TC,YS,and UTS,respectively.Validation against CALPHAD calculations shows that DeepSeek-R1 reproduces equilibrium phase fractions within 1 wt.%deviation.Overall,this work shows that semantic intelligence can link literature-derived knowledge with predictive modeling,providing a pathway for processing-informed alloy design.