Evidence map›Paper›PMID 37736475›Full record

ArticleClinical case reports2023

Are artificial intelligence large language models a reliable tool for difficult differential diagnosis? An a posteriori analysis of a peculiar case of necrotizing otitis externa.

Giorgia Pugliese, Alberto Maccari, Elena Felisati, Giovanni Felisati, Leonardo Giudici, Chiara Rapolla, Antonia Pisani, Alberto Maria Saibene

Open access · goldAbstract readCase Reports
In one paragraph

Article in Clinical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 2 countries.

Giorgia PuglieseOtolaryngology Unit Santi Paolo e Carlo Hospital Milan Italy.
Alberto MaccariOtolaryngology Unit Santi Paolo e Carlo Hospital Milan Italy.
Elena FelisatiOtolaryngology Unit Santi Paolo e Carlo Hospital Milan Italy.
Giovanni FelisatiOtolaryngology Unit Santi Paolo e Carlo Hospital Milan Italy.
Leonardo GiudiciOtolaryngology Unit Santi Paolo e Carlo Hospital Milan Italy.
Chiara RapollaOtolaryngology Unit Santi Paolo e Carlo Hospital Milan Italy.
Antonia PisaniOtolaryngology Unit Santi Paolo e Carlo Hospital Milan Italy.
Alberto Maria SaibeneOtolaryngology Unit Santi Paolo e Carlo Hospital Milan Italy.ORCID https://orcid.org/0000-0003-1457-6871
AOL (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Key Clinical Message: Large language models have made artificial intelligence readily available to the general public and potentially have a role in healthcare; however, their use in difficult differential diagnosis is still limited, as demonstrated by a case of necrotizing otitis externa. Abstract: This case report presents a peculiar case of necrotizing otitis externa (NOE) with skull base involvement which proved diagnostically challenging. The initial patient presentation and the imaging performed on the 78-year-old patient suggested a neoplastic rhinopharyngeal lesion and only after several unsuccessful biopsies the patient was transferred to our unit. Upon re-evaluation of the clinical picture, a clinical hypothesis of NOE with skull base erosion was made and confirmed by identifying

Indexed as

computer‐assisted diagnosisdifferential diagnosisearinfectionradiology

Identifiers

PMID37736475
PMCPMC10509342
OpenAlexW4386897626

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.