Evidence map›Paper›PMID 39162781›Full record

ArticleJapanese journal of radiology2025

Preliminary assessment of TNM classification performance for pancreatic cancer in Japanese radiology reports using GPT-4.

Kazufumi Suzuki, Hiroki Yamada, Hiroshi Yamazaki, Goro Honda, Shuji Sakai

Abstract read
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Article in Japanese journal of radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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  6. Estimation of histopathological types from breast MRI findings using a large language model.International journal of computer assisted radiology and surgery · 2026
    Article
  7. [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

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

5 authors.

Kazufumi SuzukiDepartment of Radiology, Division of Diagnostic Imaging and Nuclear Medicine, Tokyo Women's Medical University, 8-1, Kawada-Cho, Shinjuku-Ku, Tokyo, 162-8666, Japan. suzuki.kazufumi@twmu.ac.jp.ORCID http://orcid.org/0000-0002-5895-956X
Hiroki YamadaDepartment of Radiology, Division of Diagnostic Imaging and Nuclear Medicine, Tokyo Women's Medical University, 8-1, Kawada-Cho, Shinjuku-Ku, Tokyo, 162-8666, Japan.
Hiroshi YamazakiDepartment of Radiology, Iwaki City Medical Center, Iwaki City, Japan.
Goro HondaDepartment of Surgery, Division of Hepatobiliary and Pancreatic Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Shuji SakaiDepartment of Radiology, Division of Diagnostic Imaging and Nuclear Medicine, Tokyo Women's Medical University, 8-1, Kawada-Cho, Shinjuku-Ku, Tokyo, 162-8666, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA large-scale language model is expected to have been trained with a large volume of data including cancer treatment protocols. The current study aimed to investigate the use of generative pretrained transformer 4 (GPT-4) for identifying the TNM classification of pancreatic cancers from existing radiology reports written in Japanese. MATERIALS AND

methodsWe screened 100 consecutive radiology reports on computed tomography scan for pancreatic cancer from April 2020 to June 2022. GPT-4 was requested to classify the TNM from the radiology reports based on the General Rules for the Study of Pancreatic Cancer 7th Edition. The accuracy and kappa coefficient of the TNM classifications by GPT-4 was evaluated with the classifications by two experienced abdominal radiologists as gold standard.

resultsThe accuracy values of the T, N, and M factors were 0.73, 0.91, and 0.93, respectively. The kappa coefficients were 0.45 for T, 0.79 for N, and 0.83 for M.

conclusionAlthough GPT is familiar with the TNM classification for pancreatic cancer, its performance in classifying actual cases in this experiment may not be adequate.

Indexed as

Neoplasm StagingPancreatic NeoplasmsTomography, X-Ray ComputedAgedEast Asian PeopleFemaleHumansJapanMaleMiddle AgedGPT-4Large-scale language modelNatural language processingPancreatic cancerTNM classification

Identifiers

PMID39162781
PMCPMC11717849

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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.