Evidence map›Paper›PMID 39668168›Full record

ArticleNPJ digital medicine2024

Autonomous medical evaluation for guideline adherence of large language models.

Dennis Fast, Lisa C Adams, Felix Busch, Conor Fallon, Marc Huppertz, Robert Siepmann, Philipp Prucker, Nadine Bayerl, Daniel Truhn, Marcus Makowski and 2 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Article
  2. Article
  3. Large language models for tympanostomy patient education: readability and guideline adherence.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. A comprehensive survey of AI agents in healthcare.Journal of biomedical informatics · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. 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

12 authors.

Dennis Fast *DATEXIS, Berliner Hochschule für Technik (BHT), Berlin, Germany.
Lisa C Adams *Department of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine and Health, Klinikum rechts der Isar, TUM University Hospital, Munich, Germany. lisa.adams@tum.de.ORCID http://orcid.org/0000-0001-5836-4542
Felix BuschDepartment of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine and Health, Klinikum rechts der Isar, TUM University Hospital, Munich, Germany.ORCID http://orcid.org/0000-0001-9770-8555
Conor FallonDATEXIS, Berliner Hochschule für Technik (BHT), Berlin, Germany.
Marc HuppertzDepartment of Radiology, University Hospital Aachen, Aachen, Germany.
Robert SiepmannDepartment of Radiology, University Hospital Aachen, Aachen, Germany.
Philipp PruckerDepartment of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine and Health, Klinikum rechts der Isar, TUM University Hospital, Munich, Germany.
Nadine BayerlDepartment of Radiology, Department of Radiology, University Hospital Erlangen, Friedrich- Alexander-University (FAU) Erlangen-Nuremberg, Erlangen, Germany.ORCID http://orcid.org/0000-0002-8530-6783
Daniel TruhnDepartment of Radiology, University Hospital Aachen, Aachen, Germany.ORCID http://orcid.org/0000-0002-9605-0728
Marcus MakowskiDepartment of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine and Health, Klinikum rechts der Isar, TUM University Hospital, Munich, Germany.ORCID http://orcid.org/0000-0001-8778-647X
Alexander LöserDATEXIS, Berliner Hochschule für Technik (BHT), Berlin, Germany.
Keno K BressemDepartment of Diagnostic and Interventional Radiology, Technical University of Munich, School of Medicine and Health, Klinikum rechts der Isar, TUM University Hospital, Munich, Germany. keno.bressem@tum.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autonomous Medical Evaluation for Guideline Adherence (AMEGA) is a comprehensive benchmark designed to evaluate large language models' adherence to medical guidelines across 20 diagnostic scenarios spanning 13 specialties. It includes an evaluation framework and methodology to assess models' capabilities in medical reasoning, differential diagnosis, treatment planning, and guideline adherence, using open-ended questions that mirror real-world clinical interactions. It includes 135 questions and 1337 weighted scoring elements designed to assess comprehensive medical knowledge. In tests of 17 LLMs, GPT-4 scored highest with 41.9/50, followed closely by Llama-3 70B and WizardLM-2-8x22B. For comparison, a recent medical graduate scored 25.8/50. The benchmark introduces novel content to avoid the issue of LLMs memorizing existing medical data. AMEGA's publicly available code supports further research in AI-assisted clinical decision-making, aiming to enhance patient care by aiding clinicians in diagnosis and treatment under time constraints.

Identifiers

PMID39668168
PMCPMC11638254

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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.