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arXiv 2605.08445cs.AI
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衡量重要性:在医疗保健中基准测试生成、多模态和代理AI

Measuring What Matters: Benchmarking Generative, Multimodal, and Agentic AI in Healthcare

Centific AI Research(Centific人工智能研究)

Prasanna Desikan, Harshit Rajgarhia, Shivali Dalmia, Ananya Mantravadi

AI总结:

本文探讨了在医疗保健中评估生成、多模态和代理AI的基准测试方法,强调了现有基准测试在可靠性、安全性和临床相关性方面的不足,提出需要系统性的评估框架。

摘要:

AI模型越来越多地部署在实时临床环境中,必须在复杂的、高风险的工作流中表现出色,而标准训练和验证数据集从未设计过此类场景。评估这些系统需要基准测试:结构化的任务、数据集和指标的组合,以实现可重复、可比较的测量。医疗AI的核心挑战不在于性能本身,而在于缺乏系统性的方法来在现实条件下衡量可靠性、安全性和临床相关性。现有的基准测试主要测试模型的知识,但太少测试模型在真实临床任务中的可靠性和无故障表现。当前的基准测试通过随意的数据集构建优化了狭窄任务性能:前沿模型在医学执照考试中得分接近完美,但在真实临床任务中性能急剧下降,在文档记录中得分为0.74-0.85,在临床决策支持中得分为0.61-0.76,在行政和工作流任务中仅得分为0.53-0.63。高基准分数会给人一种部署准备良好的假象,而AI系统在承担更多关键临床角色时,性能与实用性之间的差距却在扩大。没有原则性的基准测试设计框架,该领域无法确定糟糕的临床表现是模型限制还是性能测量方式的失败。

英文摘要:

AI models are increasingly deployed in live clinical environments where they must perform reliably across complex, high-stakes workflows that standard training and validation datasets were never designed to capture. Evaluating these systems requires benchmarks: structured combinations of tasks, datasets, and metrics that enable reproducible, comparable measurement of what a model can do. The central challenge in healthcare AI is not performance alone, but the absence of systematic methods to measure reliability, safety, and clinical relevance under real-world conditions. Most existing benchmarks test what a model knows; too few test whether it can perform reliably and without failing across the full complexity of real clinical tasks. Current benchmarks have accumulated through ad hoc dataset construction optimized for narrow task performance: frontier models achieve near-perfect scores on medical licensing examinations, but when evaluated across real clinical tasks, performance degrades sharply, scoring 0.74--0.85 on documentation, 0.61--0.76 on clinical decision support, and only 0.53--0.63 on administrative and workflow tasks \cite{medhelm}. High benchmark scores give a false sense of deployment readiness, and the gap between performance and utility widens precisely as AI systems take on more consequential clinical roles. Without a principled framework for benchmark design, the field cannot determine whether poor clinical performance reflects model limitations or failures in how performance is being measured.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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