Evidence map›Paper›PMID 37938381›Full record

ArticleEuropean radiology2024

Evaluating the performance of Generative Pre-trained Transformer-4 (GPT-4) in standardizing radiology reports.

Amir M Hasani, Shiva Singh, Aryan Zahergivar, Beth Ryan, Daniel Nethala, Gabriela Bravomontenegro, Neil Mendhiratta, Mark Ball, Faraz Farhadi, Ashkan Malayeri

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. State of the art review of AI in renal imaging.Abdominal radiology (New York) · 2025
    Review
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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

10 authors.

Amir M HasaniLaboratory of Translation Research, National Heart Blood Lung Institute, NIH, Bethesda, MD, USA.
Shiva SinghRadiology & Imaging Sciences Department, Clinical Center, NIH, Bethesda, MD, USA.
Aryan ZahergivarRadiology & Imaging Sciences Department, Clinical Center, NIH, Bethesda, MD, USA.
Beth RyanUrology Oncology Branch, National Cancer Institute, NIH, Bethesda, MD, USA.
Daniel NethalaUrology Oncology Branch, National Cancer Institute, NIH, Bethesda, MD, USA.
Gabriela BravomontenegroUrology Oncology Branch, National Cancer Institute, NIH, Bethesda, MD, USA.
Neil MendhirattaUrology Oncology Branch, National Cancer Institute, NIH, Bethesda, MD, USA.
Mark BallUrology Oncology Branch, National Cancer Institute, NIH, Bethesda, MD, USA.
Faraz FarhadiRadiology & Imaging Sciences Department, Clinical Center, NIH, Bethesda, MD, USA.
Ashkan MalayeriRadiology & Imaging Sciences Department, Clinical Center, NIH, Bethesda, MD, USA. Ashkan.Malayeri@nih.gov.ORCID http://orcid.org/0000-0002-4442-7343

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRadiology reporting is an essential component of clinical diagnosis and decision-making. With the advent of advanced artificial intelligence (AI) models like GPT-4 (Generative Pre-trained Transformer 4), there is growing interest in evaluating their potential for optimizing or generating radiology reports. This study aimed to compare the quality and content of radiologist-generated and GPT-4 AI-generated radiology reports.

methodsA comparative study design was employed in the study, where a total of 100 anonymized radiology reports were randomly selected and analyzed. Each report was processed by GPT-4, resulting in the generation of a corresponding AI-generated report. Quantitative and qualitative analysis techniques were utilized to assess similarities and differences between the two sets of reports.

resultsThe AI-generated reports showed comparable quality to radiologist-generated reports in most categories. Significant differences were observed in clarity (p = 0.027), ease of understanding (p = 0.023), and structure (p = 0.050), favoring the AI-generated reports. AI-generated reports were more concise, with 34.53 fewer words and 174.22 fewer characters on average, but had greater variability in sentence length. Content similarity was high, with an average Cosine Similarity of 0.85, Sequence Matcher Similarity of 0.52, BLEU Score of 0.5008, and BERTScore F1 of 0.8775.

conclusionThe results of this proof-of-concept study suggest that GPT-4 can be a reliable tool for generating standardized radiology reports, offering potential benefits such as improved efficiency, better communication, and simplified data extraction and analysis. However, limitations and ethical implications must be addressed to ensure the safe and effective implementation of this technology in clinical practice. CLINICAL RELEVANCE STATEMENT: The findings of this study suggest that GPT-4 (Generative Pre-trained Transformer 4), an advanced AI model, has the potential to significantly contribute to the standardization and optimization of radiology reporting, offering improved efficiency and communication in clinical practice. KEY POINTS: • Large language model-generated radiology reports exhibited high content similarity and moderate structural resemblance to radiologist-generated reports. • Performance metrics highlighted the strong matching of word selection and order, as well as high semantic similarity between AI and radiologist-generated reports. • Large language model demonstrated potential for generating standardized radiology reports, improving efficiency and communication in clinical settings.

Indexed as

Artificial IntelligenceHumansRadiologyRadiology Information SystemsArtificial intelligenceDigital healthMachine learningNatural language processing

Identifiers

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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.