• Anesthesiology · Mar 2024

    Review

    Understanding New Machine Learning Architectures: Practical Generative Artificial Intelligence for Anesthesiologists.

    • Christopher W Connor.
    • Harvard Medical School, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts; Departments of Physiology and Biophysics, and Biomedical Engineering, Boston University, Boston, Massachusetts; Department of Cardiac Anesthesiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Charité Universitätsmedizin, Berlin, Germany.
    • Anesthesiology. 2024 Mar 1; 140 (3): 599609599-609.

    AbstractRecent advances in neural networks have given rise to generative artificial intelligence, systems able to produce fluent responses to natural questions or attractive and even photorealistic images from text prompts. These systems were developed through new network architectures that permit massive computational resources to be applied efficiently to enormous data sets. First, this review examines autoencoder architecture and its derivatives the variational autoencoder and the U-Net in annotating and manipulating images and extracting salience. This architecture will be important for applications like automated x-ray interpretation or real-time highlighting of anatomy in ultrasound images. Second, this article examines the transformer architecture in the interpretation and generation of natural language, as it will be useful in producing automated summarization of medical records or performing initial patient screening. The author also applies the GPT-3.5 algorithm to example questions from the American Board of Anesthesiologists Basic Examination and find that, under surprisingly reasonable conditions, it correctly answers more than half the questions.Copyright © 2024 American Society of Anesthesiologists. All Rights Reserved.

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