Evidence map›Paper›PMID 37994939›Full record

ArticleNeuroradiology2024

Accuracy of ChatGPT generated diagnosis from patient's medical history and imaging findings in neuroradiology cases.

Daisuke Horiuchi, Hiroyuki Tatekawa, Taro Shimono, Shannon L Walston, Hirotaka Takita, Shu Matsushita, Tatsushi Oura, Yasuhito Mitsuyama, Yukio Miki, Daiju Ueda

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Article in Neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

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58citing papers in PubMed
–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

58 citing papers in PubMed.

  1. Trial
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  5. ChatGPT in precision medicine.APL bioengineering · 2026
    Review
  6. Article
  7. Article
  8. [Research progress of large language models in tumor diagnosis: applications in textual reports and medical imaging].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2026
    Review
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4 · The record

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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.

Daisuke HoriuchiDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.ORCID http://orcid.org/0000-0002-8929-8098
Hiroyuki TatekawaDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.ORCID http://orcid.org/0000-0002-8050-4895
Taro ShimonoDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.ORCID http://orcid.org/0000-0001-5847-6587
Shannon L WalstonDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.ORCID http://orcid.org/0000-0002-7268-8313
Hirotaka TakitaDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.ORCID http://orcid.org/0000-0003-2860-4503
Shu MatsushitaDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.ORCID http://orcid.org/0000-0003-1132-9736
Tatsushi OuraDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.ORCID http://orcid.org/0000-0002-0930-1032
Yasuhito MitsuyamaDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.ORCID http://orcid.org/0000-0001-7979-2300
Yukio MikiDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.ORCID http://orcid.org/0000-0003-0621-0044
Daiju UedaDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan. ai.labo.ocu@gmail.com.ORCID http://orcid.org/0000-0002-3878-3616

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe noteworthy performance of Chat Generative Pre-trained Transformer (ChatGPT), an artificial intelligence text generation model based on the GPT-4 architecture, has been demonstrated in various fields; however, its potential applications in neuroradiology remain unexplored. This study aimed to evaluate the diagnostic performance of GPT-4 based ChatGPT in neuroradiology.

methodsWe collected 100 consecutive "Case of the Week" cases from the American Journal of Neuroradiology between October 2021 and September 2023. ChatGPT generated a diagnosis from patient's medical history and imaging findings for each case. Then the diagnostic accuracy rate was determined using the published ground truth. Each case was categorized by anatomical location (brain, spine, and head & neck), and brain cases were further divided into central nervous system (CNS) tumor and non-CNS tumor groups. Fisher's exact test was conducted to compare the accuracy rates among the three anatomical locations, as well as between the CNS tumor and non-CNS tumor groups.

resultsChatGPT achieved a diagnostic accuracy rate of 50% (50/100 cases). There were no significant differences between the accuracy rates of the three anatomical locations (p = 0.89). The accuracy rate was significantly lower for the CNS tumor group compared to the non-CNS tumor group in the brain cases (16% [3/19] vs. 62% [36/58], p < 0.001).

conclusionThis study demonstrated the diagnostic performance of ChatGPT in neuroradiology. ChatGPT's diagnostic accuracy varied depending on disease etiologies, and its diagnostic accuracy was significantly lower in CNS tumors compared to non-CNS tumors.

Indexed as

Artificial IntelligenceNeoplasmsBrainHeadHumansNeckArtificial intelligenceChat Generative Pre-trained Transformer (ChatGPT)Generative Pre-trained Transformer (GPT)-4Large language models

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Registered trials

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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.