Evidence map›Paper›PMID 41933163›Full record

ArticleScientific reports2026

Comparison of the performance of ChatGPT-5, Gemini 3, Copilot, Perplexity, and medical students in answering neurology questions: a cross-sectional study.

Mohsen Khosravi, Maryam Yousefi-Roobiyat, Zahra Asghari, Motahareh Nakhaei, Fatemeh Khosravi

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

5 authors.

Mohsen KhosraviSocial Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran. mohsenkhosravi@live.com.
Maryam Yousefi-RoobiyatDepartment of Neurology, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran. myousefi30@gmail.com.
Zahra AsghariDepartment of Neurology, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.
Motahareh NakhaeiRazi Hospital, Birjand University of Medical Sciences, Birjand, Iran.
Fatemeh KhosraviSchool of medicine, Guilan University of Medical Sciences, Rasht, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large language model (LLM)-based chatbots have been utilized across various healthcare domains and have garnered substantial attention. This study aimed to evaluate and compare the performance of several LLM-based chatbots with that of medical students in responding to neurology questions. This cross-sectional study, conducted in December 2025 in Iran. ChatGPT-5, Gemini 3, Copilot 2025, Perplexity, and 20 medical students responded to a neurology questionnaire. A confusion matrix was utilized to analyze the data. In this regard, four metrics—sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV)—as well as overall accuracy were calculated. Moreover, correlations examined chatbot performance against question characteristics (word count, context, format, type, modality, language). The study revealed that overall performance metrics for the evaluated chatbots significantly outperformed those of medical students (p < 0.001). Among the evaluated chatbots, Copilot exhibited superior performance (0.88), followed by ChatGPT-5 (0.86), in terms of accuracy. Meanwhile, quantitative question types were associated with a significant reduction in chatbot performance (r = 0.470, p = 0.001). The study findings presented valuable insights results particularly pertinent to neurology, where chatbots can serve as supplementary tools for practitioners, enhancing diagnostic accuracy and clinical decision-making while adhering to established ethical standards. However, further research is required to provide more precise insights, particularly with a larger sample size of human participants.

Indexed as

NeurologyStudents, MedicalAdultCross-Sectional StudiesFemaleHumansIranLarge Language ModelsMaleSurveys and QuestionnairesArtificial intelligenceDigital healthGenerative artificial intelligenceLarge language modelsNeurology

Identifiers

PMID41933163
PMCPMC13199378

What OpenQuestion holds

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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.