Evidence map›Paper›PMID 39080210›Full record

ArticleEndocrine2025

Clinical application potential of large language model: a study based on thyroid nodules.

Shujun Xia, Qing Hua, Zihan Mei, Wenwen Xu, Limei Lai, Minyan Wei, Yu Qin, Lin Luo, Changhua Wang, ShengNan Huo and 10 more

Abstract read
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In one paragraph

Article in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
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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

20 authors.

Shujun XiaDepartment of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Qing HuaDepartment of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Zihan MeiDepartment of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Wenwen XuDepartment of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Limei LaiDepartment of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Minyan WeiDepartment of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yu QinDepartment of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Lin LuoDepartment of Endocrinology, Kongjiang Hospital, Yangpu District, Shanghai, China.
Changhua WangDepartment of Thyroid and Breast Surgery, Xianning NO.1 People's Hospital, Xianning, China.
ShengNan HuoDepartment of Thyroid, Handan Hangang Hospital, Hanshan District, Handan City, Hebei, China.
Lijun FuDepartment of Thyroid Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Feidu ZhouThyroid and Breast Surgery, LiuYang People's Hospital, Changsha, China.
Jiang WuDepartment of Thyroid, Breast and Vascular Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shanxi, China.
Li ZhangDepartment of Head and Neck Surgery, Shanxi Province Cancer Hospital, Taiyuan, China.
De LvDepartment of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Jianxin LiDepartment of Surgery, Mazhanghuiwen Hospital, Ma Zhang District, Zhanjiang, Guangdong, China.
Xin WangEndocrine Department, Lianshui People's Hospital, Huaian, Jiangsu, China.
Ning LiDepartment of Ultrasound, Anning First People's Hospital, Affliated to Kunming University of Science and Technology, Anning, Yunnan Province, China.
Yanyan SongDepartment of Biostatistics, Institute of Medical Sciences, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jianqiao ZhouDepartment of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. zhousu30@126.com.ORCID 0000-0002-0964-8407

Funding

National Natural Science Foundation of China 82071928The Academician Expert Workstation of Yunnan Province 202105AF150087
6 · The paper itself

Abstract

backgroundLimited data indicated the performance of large language model (LLM) taking on the role of doctors. We aimed to investigate the potential for ChatGPT-3.5 and New Bing Chat acting as doctors using thyroid nodules as an example.

methodsA total of 145 patients with thyroid nodules were included for generating questions. Each question was entered into chatbot of ChatGPT-3.5 and New Bing Chat five times and five responses were acquired respectively. These responses were compared with answers given by five junior doctors. Responses from five senior doctors were regarded as gold standard. Accuracy and reproducibility of responses from ChatGPT-3.5 and New Bing Chat were evaluated.

resultsThe accuracy of ChatGPT-3.5 and New Bing Chat in answering Q2, Q3, Q5 were lower than that of junior doctors (all P < 0.05), while both LLMs were comparable to junior doctors when answering Q4 and Q6. In terms of "high reproducibility and accuracy", ChatGPT-3.5 outperformed New Bing Chat in Q1 and Q5 (P < 0.001 and P = 0.008, respectively), but showed no significant difference in Q2, Q3, Q4, and Q6 (P > 0.05 for all). New Bing Chat generated higher accuracy than ChatGPT-3.5 (72.41% vs 58.62%) (P = 0.003) in decision making of thyroid nodules, and both were less accurate than junior doctors (89.66%, P < 0.001 for both).

conclusionsThe exploration of ChatGPT-3.5 and New Bing Chat in the diagnosis and management of thyroid nodules illustrates that LLMs currently demonstrate the potential for medical applications, but do not yet reach the clinical decision-making capacity of doctors.

Indexed as

Thyroid NoduleAdultAgedFemaleHumansLarge Language ModelsMaleMiddle AgedReproducibility of ResultsArtificial intelligenceChatGPTLLMNew Bing Chat

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.