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Large Language Models for Epidural Stimulation Electrode Mapping in Spinal Cord Injury

8. September 2026 aktualisiert von: Görkem Açar, Istanbul Gelisim University

AI-Assisted Electrode Contact Configuration Mapping for Epidural Electrical Stimulation in Spinal Cord Injury: A Comparative Evaluation of Large Language Models

This observational and methodological study aims to compare the performance of large language models in generating electrode contact configuration recommendations for epidural electrical stimulation in spinal cord injury.

Five standardized synthetic spinal cord injury scenarios will be presented to four large language models: ChatGPT-4o, Claude, Grok 3, and Gemini 2.5 Pro. Each model will receive the same standardized prompt. The generated responses will be anonymized and evaluated independently by experts with experience in spinal cord injury rehabilitation and epidural electrical stimulation.

The responses will be assessed in five main areas: clinical accuracy, technical feasibility, safety awareness, consistency with current clinical guidance, and completeness of the response. Agreement between expert evaluators will also be examined.

No real patients, human participants, clinical interventions, or personal health data are included in this study. The study is designed to explore the potential and current limitations of large language models as artificial intelligence-based clinical decision-support tools in neurorehabilitation.

Studienübersicht

Studientyp

Beobachtungs

Einschreibung (Tatsächlich)

20

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienorte

    • Istanbul
      • Istanbul, Istanbul, Türkei (türkiye), 34290
        • Istanbul Gelisim University

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Kind
  • Erwachsene
  • Älterer Erwachsener

Akzeptiert gesunde Freiwillige

Nein

Probenahmeverfahren

Nicht-Wahrscheinlichkeitsprobe

Studienpopulation

No human study population is included. The analytical sample consists of five standardized synthetic spinal cord injury scenarios and the responses generated for these scenarios by ChatGPT-4o, Claude, Grok 3, and Gemini 2.5 Pro. Each model is evaluated under the same standardized prompting conditions. Model outputs are anonymized and independently rated by expert evaluators for clinical accuracy, technical feasibility, safety awareness, consistency with clinical guidance, and response completeness.

Beschreibung

Inclusion Criteria:

  • Responses generated for one of the five predefined standardized synthetic spinal cord injury scenarios.
  • Responses generated using the identical standardized prompt specified in the study protocol.
  • Responses generated by one of the four prespecified large language models.
  • Complete responses available for expert evaluation.

Exclusion Criteria:

  • Responses generated using prompts that differ from the standardized study prompt.
  • Incomplete, interrupted, or technically corrupted model outputs.
  • Duplicate responses or outputs not corresponding to a predefined synthetic scenario.
  • Any response generated using real patient-identifiable or personal health information.

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

Kohorten und Interventionen

Gruppe / Kohorte
Intervention / Behandlung
ChatGPT-4o
Responses generated by ChatGPT-4o for five standardized synthetic spinal cord injury scenarios using the same standardized prompt. The responses will be evaluated for clinical accuracy, technical feasibility, safety awareness, guideline consistency, and completeness.
The large language model receives five standardized synthetic spinal cord injury scenarios using an identical standardized prompt and generates recommendations for epidural electrical stimulation electrode contact configuration mapping. No intervention is administered to human participants.
Claude
Responses generated by Claude for five standardized synthetic spinal cord injury scenarios using the same standardized prompt. The responses will be evaluated for clinical accuracy, technical feasibility, safety awareness, guideline consistency, and completeness.
The large language model receives five standardized synthetic spinal cord injury scenarios using an identical standardized prompt and generates recommendations for epidural electrical stimulation electrode contact configuration mapping. No intervention is administered to human participants.
Grok 3
Responses generated by Grok 3 for five standardized synthetic spinal cord injury scenarios using the same standardized prompt. The responses will be evaluated for clinical accuracy, technical feasibility, safety awareness, guideline consistency, and completeness.
The large language model receives five standardized synthetic spinal cord injury scenarios using an identical standardized prompt and generates recommendations for epidural electrical stimulation electrode contact configuration mapping. No intervention is administered to human participants.
Gemini 2.5 Pro
Responses generated by Grok 3 for five standardized synthetic spinal cord injury scenarios using the same standardized prompt. The responses will be evaluated for clinical accuracy, technical feasibility, safety awareness, guideline consistency, and completeness.
The large language model receives five standardized synthetic spinal cord injury scenarios using an identical standardized prompt and generates recommendations for epidural electrical stimulation electrode contact configuration mapping. No intervention is administered to human participants.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Clinical Accuracy Score of Large Language Model Responses
Zeitfenster: At the time of expert evaluation, within 1 week after study initiation
Clinical accuracy of the epidural electrical stimulation electrode contact configuration recommendations generated by each large language model will be independently evaluated by expert reviewers using a 5-point Likert-type rating scale. Higher scores indicate greater clinical accuracy of the generated recommendations.
At the time of expert evaluation, within 1 week after study initiation

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Technical Feasibility Score of Large Language Model Responses
Zeitfenster: At expert evaluation, within 1 week after study initiation
The technical feasibility of epidural electrical stimulation electrode contact configuration recommendations generated by each large language model will be independently evaluated by expert reviewers using a 5-point Likert-type rating scale. Higher scores indicate greater technical feasibility and applicability of the generated recommendations.
At expert evaluation, within 1 week after study initiation
Safety Awareness Score of Large Language Model Responses
Zeitfenster: At expert evaluation, within 1 week after study initiation
The safety awareness demonstrated in the epidural electrical stimulation electrode contact configuration recommendations generated by each large language model will be independently evaluated by expert reviewers using a 5-point Likert-type rating scale. Higher scores indicate greater recognition and consideration of relevant safety issues.
At expert evaluation, within 1 week after study initiation
Clinical Guideline Consistency Score of Large Language Model Responses
Zeitfenster: At expert evaluation, within 1 week after study initiation
The consistency of the generated epidural electrical stimulation electrode contact configuration recommendations with current clinical guidance will be independently evaluated by expert reviewers using a 5-point Likert-type rating scale. Higher scores indicate greater consistency with current clinical guidance and relevant evidence-based recommendations.
At expert evaluation, within 1 week after study initiation
Response Completeness Score of Large Language Model Responses
Zeitfenster: At expert evaluation, within 1 week after study initiation
The completeness of the epidural electrical stimulation electrode contact configuration recommendations generated by each large language model will be independently evaluated by expert reviewers using a 5-point Likert-type rating scale. Higher scores indicate more complete and comprehensive responses.
At expert evaluation, within 1 week after study initiation

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

2. September 2026

Primärer Abschluss (Geschätzt)

9. September 2026

Studienabschluss (Geschätzt)

9. September 2026

Studienanmeldedaten

Zuerst eingereicht

8. September 2026

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

8. September 2026

Zuerst gepostet (Tatsächlich)

14. September 2026

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

14. September 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

8. September 2026

Zuletzt verifiziert

1. September 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

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