Evidence map›Paper›PMID 39814698›Full record

ArticleJMIR medical informatics2025

Performance of Artificial Intelligence Chatbots on Ultrasound Examinations: Cross-Sectional Comparative Analysis.

Yong Zhang, Xiao Lu, Yan Luo, Ying Zhu, Wenwu Ling

Abstract readComparative Study
In one paragraph

Article in JMIR medical informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
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.

Yong ZhangDepartment of Medical Ultrasound, West China Hospital of Sichuan University, 37 Guoxue Alley, Chengdu, 610041, China, 86 18980605569.ORCID 0000-0002-5941-342X
Xiao LuDepartment of Medical Ultrasound, West China Hospital of Sichuan University, 37 Guoxue Alley, Chengdu, 610041, China, 86 18980605569.ORCID 0009-0003-3791-8325
Yan LuoDepartment of Medical Ultrasound, West China Hospital of Sichuan University, 37 Guoxue Alley, Chengdu, 610041, China, 86 18980605569.ORCID 0009-0007-0805-8839
Ying ZhuDepartment of Thoracic Surgery, West China Hospital of Sichuan University, Chengdu, China.ORCID 0009-0009-4932-7614
Wenwu LingDepartment of Medical Ultrasound, West China Hospital of Sichuan University, 37 Guoxue Alley, Chengdu, 610041, China, 86 18980605569.ORCID 0009-0002-6770-8444

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Artificial intelligence chatbots are being increasingly used for medical inquiries, particularly in the field of ultrasound medicine. However, their performance varies and is influenced by factors such as language, question type, and topic. Objective: This study aimed to evaluate the performance of ChatGPT and ERNIE Bot in answering ultrasound-related medical examination questions, providing insights for users and developers. Methods: We curated 554 questions from ultrasound medicine examinations, covering various question types and topics. The questions were posed in both English and Chinese. Objective questions were scored based on accuracy rates, whereas subjective questions were rated by 5 experienced doctors using a Likert scale. The data were analyzed in Excel. Results: Of the 554 questions included in this study, single-choice questions comprised the largest share (354/554, 64%), followed by short answers (69/554, 12%) and noun explanations (63/554, 11%). The accuracy rates for objective questions ranged from 8.33% to 80%, with true or false questions scoring highest. Subjective questions received acceptability rates ranging from 47.62% to 75.36%. ERNIE Bot was superior to ChatGPT in many aspects (P<.05). Both models showed a performance decline in English, but ERNIE Bot's decline was less significant. The models performed better in terms of basic knowledge, ultrasound methods, and diseases than in terms of ultrasound signs and diagnosis. Conclusions: Chatbots can provide valuable ultrasound-related answers, but performance differs by model and is influenced by language, question type, and topic. In general, ERNIE Bot outperforms ChatGPT. Users and developers should understand model performance characteristics and select appropriate models for different questions and languages to optimize chatbot use.

Indexed as

Artificial IntelligenceCross-Sectional StudiesGenerative Artificial IntelligenceHumansUltrasonographyaccuracy rateschatbotsChatGPTERNIE Botexaminationlanguageperformanceultrasound

Identifiers

PMID39814698
PMCPMC11737282

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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.