Evidence map›Paper›PMID 39133401›Full record

ArticlePediatric radiology2024

Capability of multimodal large language models to interpret pediatric radiological images.

Thomas P Reith, Donna M D'Alessandro, Michael P D'Alessandro

Abstract read
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In one paragraph

Article in Pediatric radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

3 authors.

Thomas P ReithDepartment of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242, USA. thomaspreith@gmail.com.ORCID http://orcid.org/0000-0003-3044-9944
Donna M D'AlessandroDepartment of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242, USA.ORCID http://orcid.org/0000-0001-7972-9088
Michael P D'AlessandroDepartment of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA, 52242, USA.ORCID http://orcid.org/0000-0003-1772-4032

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a dearth of artificial intelligence (AI) development and research dedicated to pediatric radiology. The newest iterations of large language models (LLMs) like ChatGPT can process image and video input in addition to text. They are thus theoretically capable of providing impressions of input radiological images.

objectiveTo assess the ability of multimodal LLMs to interpret pediatric radiological images. MATERIALS AND

methodsThirty medically significant cases were collected and submitted to GPT-4 (OpenAI, San Francisco, CA), Gemini 1.5 Pro (Google, Mountain View, CA), and Claude 3 Opus (Anthropic, San Francisco, CA) with a short history for a total of 90 images. AI responses were recorded and independently assessed for accuracy by a resident and attending physician. 95% confidence intervals were determined using the adjusted Wald method.

resultsOverall, the models correctly diagnosed 27.8% (25/90) of images (95% CI=19.5-37.8%), were partially correct for 13.3% (12/90) of images (95% CI=2.7-26.4%), and were incorrect for 58.9% (53/90) of images (95% CI=48.6-68.5%).

conclusionMultimodal LLMs are not yet capable of interpreting pediatric radiological images.

Indexed as

Artificial IntelligenceChildFemaleHumansMalePediatricsRadiographic Image Interpretation, Computer-AssistedRadiologyArtificial intelligenceChildImagingInformaticsLanguageMachine learningPediatricsRadiology

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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.