Evidence map›Paper›PMID 40043704›Full record

ArticleCell reports. Medicine2025

Assessments of lung nodules by an artificial intelligence chatbot using longitudinal CT images.

Yuqiang Mao, Nan Xu, Yanan Wu, Lu Wang, Hongtao Wang, Qianqian He, Tianqi Zhao, Shuangchun Ma, Meihong Zhou, Hongjie Jin and 3 more

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Large Language Models in Lung Cancer: Systematic Review.Journal of medical Internet research · 2025
    Pooled it
  3. Large language models with image processing in automated Cobb angle.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
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  10. [Expert Consensus on Precision Management of Pulmonary Nodules (2026 Version)].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2026
    Article
  11. Article
  12. Article
  13. Review
  14. [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

13 authors.

Yuqiang MaoDepartment of Thoracic Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China.
Nan XuSchool of Health Management, China Medical University, Shenyang, Liaoning 110122, China.
Yanan WuSchool of Health Management, China Medical University, Shenyang, Liaoning 110122, China.
Lu WangSchool of Health Management, China Medical University, Shenyang, Liaoning 110122, China; Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China.
Hongtao WangDepartment of Hematology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China.
Qianqian HeSchool of Health Management, China Medical University, Shenyang, Liaoning 110122, China.
Tianqi ZhaoDepartment of Radiology, The Fourth Affiliated Hospital of China Medical University, Shenyang, Liaoning 110032, China.
Shuangchun MaDepartment of Radiology, The Fourth Affiliated Hospital of China Medical University, Shenyang, Liaoning 110032, China.
Meihong ZhouDepartment of Radiology, The Fourth Affiliated Hospital of China Medical University, Shenyang, Liaoning 110032, China.
Hongjie JinDepartment of Thoracic Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China.
Dongmei PeiDepartment of Health Management, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China. Electronic address: peidm1111@hotmail.com.
Lina ZhangDepartment of Radiology, The Fourth Affiliated Hospital of China Medical University, Shenyang, Liaoning 110032, China. Electronic address: lnzhang@cmu.edu.cn.
Jiangdian SongSchool of Health Management, China Medical University, Shenyang, Liaoning 110122, China. Electronic address: song.jd0910@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large language models have shown efficacy across multiple medical tasks. However, their value in the assessment of longitudinal follow-up computed tomography (CT) images of patients with lung nodules is unclear. In this study, we evaluate the ability of the latest generative pre-trained transformer (GPT)-4o model to assess changes in malignancy probability, size, and features of lung nodules on longitudinal CT scans from 647 patients (547 from two local centers and 100 from a public dataset). GPT-4o achieves an average accuracy of 0.88 in predicting lung nodule malignancy compared to pathological results and an average intraclass correlation coefficient of 0.91 in measuring nodule size compared with manual measurements by radiologists. Six radiologists' evaluations demonstrate GPT-4o's ability to capture changes in nodule features with a median Likert score of 4.17 (out of 5.00). In summary, GPT-4o could capture dynamic changes in lung nodules across longitudinal follow-up CT images, thus providing high-quality radiological evidence to assist in clinical management.

Indexed as

Artificial IntelligenceLung NeoplasmsMultiple Pulmonary NodulesSolitary Pulmonary NoduleTomography, X-Ray ComputedAgedFemaleGenerative Artificial IntelligenceHumansLongitudinal StudiesLungMaleMiddle Agedcomputed tomographydeep learningdiagnosisfeature detectionfollow-upGPTlarge language modellung cancerlung nodulemalignancy

Identifiers

PMID40043704
PMCPMC11970393

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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.