大语言模型的原理及其在医疗领域的应用
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四川省重大科技专项“揭榜挂帅”项目 (2024ZDZX0017)


Principle of Large Language Model and Its Applications in Healthcare
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    摘要:

    以ChatGPT为代表的大语言模型是当前人工智能领域最热门的研究课题, 被认为是推动传统行业实现革命性转型的关键技术手段, 为产业创新与升级提供了显著的驱动力. 医疗健康领域作为人工智能技术长期探索与应用的重点领域, 在当前面临着人口老龄化加剧、医疗资源供给不足以及医患关系紧张等背景下, 人工智能被视为最有希望缓解甚至彻底解决这一系列矛盾和问题, 尤其以ChatGPT为代表的大语言模型的出现, 让人们看到了曙光. 本文首先对自然语言处理技术的发展历程进行了简单介绍, 随后对GPT系列的大语言模型的历史发展背景及其技术演进轨迹进行了系统性的介绍. 结合医疗健康行业的现实需求与现状, 分类探讨了以ChatGPT为代表的大语言模型在该领域的应用场景和案例. 最后, 本文还深入分析讨论了大语言模型的内在局限, 以及在大规模部署实施和使用过程中所面临的挑战, 并针对性地给出了一些处理方法和解决思路.

    Abstract:

    Large language models (LLMs) represented by ChatGPT are one of the most prominent research topics in artificial intelligence (AI) today. They are considered critical technological means for driving revolutionary transformations across traditional industries, providing substantial momentum for industrial innovation and upgrading. As a key domain of long-term exploration and application for AI technologies, the healthcare field is currently confronted with accelerated aging of the population, insufficient medical resource supply, and tense physician-patient relationships. Under this background, AI is regarded as the most promising solution to thoroughly solving these conflicts and problems, especially the LLMs represented by ChatGPT, which offer people a glimpse of hope. This study first briefly reviews the development of natural language processing (NLP) technologies, followed by a systematic introduction of the historical development background and technical evolution trajectory of the GPT-series LLMs. By combining the practical demands and current status of the healthcare industry, it discusses the application scenarios and cases of LLMs represented by ChatGPT in this field by category. Finally, this study conducts an in-depth analysis of the inherent limitations of LLMs and challenges encountered during the large-scale deployment, implementation, and utilization, with some targeted solutions and ideas provided.

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姚琼,王增,郭雨娇,许佳,张梦娇,石锐.大语言模型的原理及其在医疗领域的应用.计算机系统应用,2026,35(1):102-116

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  • 收稿日期:2025-06-18
  • 最后修改日期:2025-07-25
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  • 在线发布日期: 2025-11-11
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