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# คำถาม คำตอบ ถูก / ผิด สาเหตุ/ขยายความ ทฤษฎีหลักคิด/อ้างอิงในการตอบ คะแนนเต็ม ให้คะแนน
1


What is the primary goal of the article according to its introduction?

1. To summarize the use of AI in hospital management

The primary goal of the article is to summarize and discuss the development and applications of generative artificial intelligence especially large language and multimodal models—in improving various aspects of health care.

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2


How do generative AI models differ from traditional discriminative models in healthcare applications?

2. Generative models produce new data rather than only classify or interpret

Generative artificial intelligence is a class of deep learning models capable of creating content that diverges from traditional discriminative models focused on interpretation or decision making.

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3


What is meant by the term “model as a dataset”?

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4


Which statement correctly distinguishes physics-informed and statistical models?

3. Physics-informed models incorporate biological or physical principles

Physics-informed models are primarily rule-based approaches that incorporate domain-specific knowledge and physics principles through mathematical equations and explicit constraints to generate realistic and physically plausible data. Rather than learning the patterns directly from data, these models encode expert knowledge and known physics laws (eg, fluid dynamics, tissue biomechanics, or radiation physics) to simulate biological phenomena. These models have been applied successfully in medical imaging to simulate anatomical structures

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5


According to the article, what does the “image generation trilemma” describe?

5. Balancing data privacy and access

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6


What is the Human Turing Test used for in medical image synthesis?

2. To assess realism of synthetic medical images by experts

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7


Which of the following is NOT mentioned as a potential benefit of synthetic data in healthcare?

4. Eliminating all medical biases permanently

perceptual quality and realism are subjective measures, a wide range of participants with different experience levels should be involved in the image evaluation process.

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8


What is one major ethical concern associated with generative AI in medical imaging?

2. Data copying and patient reidentification

Generative models can inadvertently reveal sensitive patient information when they reproduce images that closely resemble the original data.

Data copying

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9


What regulatory precedent did the article cite for synthetic data technologies?

2. FDA clearance of synthetic MRI as image-processing software

It’s said that Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Medicines Agency, will play a crucial role in establishing frameworks for validating and approving synthetic data for clinical applications.

Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Medicines Agency, will play a crucial role in establishing frameworks for validating and approving synthetic data for clinical applications.

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10


What is the main purpose of the article?

4. To introduce new diagnostic imaging technologies

บอกว่า generative artificial intelligence และ synthetic datasets “have the potential to change medical imaging research and clinical practice”

Generative artificial intelligence has emerged as a transformative force in medical imaging since 2022, enabling the creation of derivative synthetic datasets that closely resemble real-world data. This Viewpoint examines key aspects of synthetic data, focusing on its advancements, applications, and challenges in medical imaging. Various generative artificial intelligence image generation paradigms, such as physics-informed and statistical models, and their potential to augment and diversify medical research resources are explored. The promises of synthetic datasets, including increased diversity, privacy preservation, and multifunctionality, are also discussed, along with their ability to model complex biological phenomena. Next, specific applications using synthetic data such as enhancing medical education, augmenting rare disease datasets, improving radiology workflows, and enabling privacy-preserving multicentre collaborations are highlighted. The challenges and ethical considerations surrounding generative artificial intelligence, including patient privacy, data copying, and potential biases that could impede clinical translation, are also addressed. Finally, future directions for research and development in this rapidly evolving field are outlined, emphasising the need for robust evaluation frameworks and responsible utilisation of generative artificial intelligence in medical imaging.

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11


Which of the following models was originally developed for a Western population?

1. Framingham Risk Score

เพราะเป็นโมเดลพยากรณ์ความเสี่ยงโรคหัวใจและหลอดเลือด (ASCVD) ที่พัฒนาจากการศึกษาประชากรตะวันตก (Western population) โดยเฉพาะชาวสหรัฐอเมริกาเชื้อสายยุโรป (non-Hispanic White) ซึ่งปรากฏชัดใน Abstract ที่ระบุว่าแบบจำลองความเสี่ยงในสหรัฐอเมริกานั้นอ้างอิงข้อมูลจากประชากรผิวขาวเป็นหลัก

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12


Why might Western-based risk prediction models overestimate ASCVD risk in East Asian populations?

ASCVD risk calculators from the ACC/AHA overestimate risk in Chinese, Korean, and Japanese populations, while locally developed calculators lack validation for East Asians living in the U.S., who face different environmental and cultural factor

ASCVD risk calculators, developed by the ACC/AHA, overestimate risk in Chinese, Koreans, and Japanese people. Risk calculators developed by professional organizations in the countries of origin, however, lack validation in East Asians living in the United States, who are exposed to different environmental and cultural influences.

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13


What is the key advantage of the China-PAR model compared to Western-based models?

4. It was calibrated using national data representing diverse regions in China

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14


Which of the following variables is not typically included in ASCVD risk prediction models discussed in the article?

4. Genetic ancestry markers

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15


What is a major difference between the Suita Score and the Framingham Risk Score?

2. Suita Score was designed for a Japanese population using local epidemiological data

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16


According to the article, what is a potential benefit of developing East Asia–specific risk models?

3. They improve accuracy and reduce overestimation of risk

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17


Which factor was highlighted as influencing ASCVD risk differences among East Asian countries?

2. Cultural and dietary variations, such as salt intake and lifestyle

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18


What future direction does the article suggest for improving ASCVD risk prediction?

2. Using multimodal AI-based prediction integrated with regional data

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19


Which statement best explains the key difference in how VAEs, GANs, and DDPMs generate medical images according to the figure?

3. DDPMs iteratively remove noise through reverse diffusion rather than using encoder–decoder or discriminator structures.

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20


Which of the following best explains the trend shown in Figure comparing age-standardized and crude CVD mortality rates among East Asian countries?

3. Despite differences in age structures, Japan maintains low mortality rates in both measures, suggesting effective prevention and healthcare systems.

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ผลคะแนน 51.85 เต็ม 140

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