Evidence map›Paper›PMID 39229463›Full record

ArticleDigital health

Diagnostic performance of generative artificial intelligences for a series of complex case reports.

Takanobu Hirosawa, Yukinori Harada, Kazuya Mizuta, Tetsu Sakamoto, Kazuki Tokumasu, Taro Shimizu

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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

6 authors.

Takanobu HirosawaDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University, Tochigi, Japan.ORCID https://orcid.org/0000-0002-3573-8203
Yukinori HaradaDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University, Tochigi, Japan.
Kazuya MizutaDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University, Tochigi, Japan.
Tetsu SakamotoDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University, Tochigi, Japan.
Kazuki TokumasuDepartment of General Medicine, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.
Taro ShimizuDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University, Tochigi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diagnostic performance of generative artificial intelligences (AIs) using large language models (LLMs) across comprehensive medical specialties is still unknown. Objective: We aimed to evaluate the diagnostic performance of generative AIs using LLMs in complex case series across comprehensive medical fields. Methods: We analyzed published case reports from the Results: Out of 557 consecutive case reports, 392 were included. The inclusion rates of the final diagnosis within top 10 DDx lists were 86.7% (340/392) for ChatGPT-4, 68.6% (269/392) for Google Gemini, and 54.6% (214/392) for LLaMA2 chatbot. The top diagnoses matched the final diagnoses in 54.6% (214/392) for ChatGPT-4, 31.4% (123/392) for Google Gemini, and 23.0% (90/392) for LLaMA2 chatbot. ChatGPT-4 showed higher diagnostic accuracy than Google Gemini ( Conclusions: This study demonstrated the diagnostic performance of generative AIs including ChatGPT-4, Google Gemini, and LLaMA2 chatbot. ChatGPT-4 exhibited higher diagnostic accuracy than the other platforms. These findings suggest the importance of understanding the differences in diagnostic performance among generative AIs, especially in complex case series across comprehensive medical fields, like general medicine.

Indexed as

decision support systemdiagnostic accuracydiagnostic errorslarge language modelsNatural language processing

Identifiers

PMID39229463
PMCPMC11369864

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.