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Autori principali:	Bhatt, Deep, Ayyagari, Surya, Mishra, Anuruddh
Natura:	Preprint
Pubblicazione:	2024
Soggetti:	Artificial Intelligence Human-Computer Interaction
Accesso online:	https://arxiv.org/abs/2412.12538
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author	Bhatt, Deep Ayyagari, Surya Mishra, Anuruddh
author_facet	Bhatt, Deep Ayyagari, Surya Mishra, Anuruddh
contents	Diagnostic errors in healthcare persist as a critical challenge, with increasing numbers of patients turning to online resources for health information. While AI-powered healthcare chatbots show promise, there exists no standardized and scalable framework for evaluating their diagnostic capabilities. This study introduces a scalable benchmarking methodology for assessing health AI systems and demonstrates its application through August, an AI-driven conversational chatbot. Our methodology employs 400 validated clinical vignettes across 14 medical specialties, using AI-powered patient actors to simulate realistic clinical interactions. In systematic testing, August achieved a top-one diagnostic accuracy of 81.8% (327/400 cases) and a top-two accuracy of 85.0% (340/400 cases), significantly outperforming traditional symptom checkers. The system demonstrated 95.8% accuracy in specialist referrals and required 47% fewer questions compared to conventional symptom checkers (mean 16 vs 29 questions), while maintaining empathetic dialogue throughout consultations. These findings demonstrate the potential of AI chatbots to enhance healthcare delivery, though implementation challenges remain regarding real-world validation and integration of objective clinical data. This research provides a reproducible framework for evaluating healthcare AI systems, contributing to the responsible development and deployment of AI in clinical settings.
format	Preprint
id	arxiv_https___arxiv_org_abs_2412_12538
institution	arXiv
publishDate	2024
record_format	arxiv
spellingShingle	A Scalable Approach to Benchmarking the In-Conversation Differential Diagnostic Accuracy of a Health AI Bhatt, Deep Ayyagari, Surya Mishra, Anuruddh Artificial Intelligence Human-Computer Interaction Diagnostic errors in healthcare persist as a critical challenge, with increasing numbers of patients turning to online resources for health information. While AI-powered healthcare chatbots show promise, there exists no standardized and scalable framework for evaluating their diagnostic capabilities. This study introduces a scalable benchmarking methodology for assessing health AI systems and demonstrates its application through August, an AI-driven conversational chatbot. Our methodology employs 400 validated clinical vignettes across 14 medical specialties, using AI-powered patient actors to simulate realistic clinical interactions. In systematic testing, August achieved a top-one diagnostic accuracy of 81.8% (327/400 cases) and a top-two accuracy of 85.0% (340/400 cases), significantly outperforming traditional symptom checkers. The system demonstrated 95.8% accuracy in specialist referrals and required 47% fewer questions compared to conventional symptom checkers (mean 16 vs 29 questions), while maintaining empathetic dialogue throughout consultations. These findings demonstrate the potential of AI chatbots to enhance healthcare delivery, though implementation challenges remain regarding real-world validation and integration of objective clinical data. This research provides a reproducible framework for evaluating healthcare AI systems, contributing to the responsible development and deployment of AI in clinical settings.
title	A Scalable Approach to Benchmarking the In-Conversation Differential Diagnostic Accuracy of a Health AI
topic	Artificial Intelligence Human-Computer Interaction
url	https://arxiv.org/abs/2412.12538

if (filemtime($filename) + $maxlifetime < time()) { unlink($filename); $count++; } } return $count; } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ protected function saveSession($sessId, $data): bool { $sessFile = $this->path . '/sess_' . $sessId; if ($handle = fopen($sessFile, 'w')) { $return = false; // Lock the file for exclusive access to avoid issues with multiple // processes writing session simultaneously: if (flock($handle, LOCK_EX)) { $return = fwrite($handle, $data); // Make sure that there's no trailing data by truncating the file to // the correct length: ftruncate($handle, strlen($data)); fflush($handle); flock($handle, LOCK_UN); } fclose($handle); if ($return !== false) { return true; } } // If we got this far, something went wrong with the file output... // It is tempting to throw an exception here, but this code is called // outside of the context of exception handling, so all we can do is // echo a message.

// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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