Evidence map›Paper›PMID 40245397›Full record

ArticleJournal of medical Internet research2025

Enhancing Physician-Patient Communication in Oncology Using GPT-4 Through Simplified Radiology Reports: Multicenter Quantitative Study.

Xiongwen Yang, Yi Xiao, Di Liu, Huiyou Shi, Huiyin Deng, Jian Huang, Yun Zhang, Dan Liu, Maoli Liang, Xing Jin and 7 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

17 authors.

Xiongwen Yang *Department of Thoracic Surgery, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0000-0003-4968-8953
Yi XiaoDepartment of Cardio-Thoracic Surgery, Third Affiliated Hospital of Sun Yat-sen University, GuangZhou, China.ORCID 0009-0009-6780-6563
Di LiuDepartment of Thoracic Surgery, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0009-1785-6554
Huiyou ShiDepartment of Thoracic Surgery, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0006-7390-167X
Huiyin DengDepartment of Anesthesiology, Third Xiangya Hospital, Central South University, Changsha, China.ORCID 0009-0005-6143-7438
Jian HuangDepartment of Thoracic Surgery, Jiangxi Cancer Hospital, Nanchang, China.ORCID 0009-0004-3682-7824
Yun ZhangDepartment of Pathology, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0007-5066-8622
Dan LiuDepartment of Medical Records and Statistics, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0001-9538-526X
Maoli LiangNHC Key Laboratory of Pulmonary Immunological Diseases, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0009-6946-4683
Xing JinDepartment of Thoracic Surgery, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0003-1852-5390
Yongpan SunDepartment of Thoracic Surgery, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0003-6459-3378
Jing YaoDepartment of Thoracic Surgery, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0007-1252-1267
XiaoJiang ZhouDepartment of Thoracic Surgery, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0007-6838-4804
Wankai GuoDepartment of Thoracic Surgery, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0004-0163-6518
Yang HeDepartment of Thoracic Surgery, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0003-4060-9574
Weijuan TangDepartment of Thoracic Surgery, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0002-9548-9103
Chuan Xu *Department of Thoracic Surgery, Guizhou Provincial People's Hospital, Guiyang, China.ORCID 0009-0002-5849-8780

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective physician-patient communication is essential in clinical practice, especially in oncology, where radiology reports play a crucial role. These reports are often filled with technical jargon, making them challenging for patients to understand and affecting their engagement and decision-making. Large language models, such as GPT-4, offer a novel approach to simplifying these reports and potentially enhancing communication and patient outcomes.

objectiveWe aimed to assess the feasibility and effectiveness of using GPT-4 to simplify oncological radiology reports to improve physician-patient communication.

methodsIn a retrospective study approved by the ethics review committees of multiple hospitals, 698 radiology reports for malignant tumors produced between October 2023 and December 2023 were analyzed. In total, 70 (10%) reports were selected to develop templates and scoring scales for GPT-4 to create simplified interpretative radiology reports (IRRs). Radiologists checked the consistency between the original radiology reports and the IRRs, while volunteer family members of patients, all of whom had at least a junior high school education and no medical background, assessed readability. Doctors evaluated communication efficiency through simulated consultations.

resultsTransforming original radiology reports into IRRs resulted in clearer reports, with word count increasing from 818.74 to 1025.82 (P<.001), volunteers' reading time decreasing from 674.86 seconds to 589.92 seconds (P<.001), and reading rate increasing from 72.15 words per minute to 104.70 words per minute (P<.001). Physician-patient communication time significantly decreased, from 1116.11 seconds to 745.30 seconds (P<.001), and patient comprehension scores improved from 5.51 to 7.83 (P<.001).

conclusionsThis study demonstrates the significant potential of large language models, specifically GPT-4, to facilitate medical communication by simplifying oncological radiology reports. Simplified reports enhance patient understanding and the efficiency of doctor-patient interactions, suggesting a valuable application of artificial intelligence in clinical practice to improve patient outcomes and health care communication.

Indexed as

CommunicationLanguageMedical OncologyNeoplasmsPhysician-Patient RelationsFemaleHumansMaleRetrospective Studiesdoctor-patient communicationGPT-4large language modelsoncologyradiology reports

Identifiers

PMID40245397
PMCPMC12046253

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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.