Evidence map›Paper›PMID 41957577›Full record

ArticleBMC gastroenterology2026

DeepSeek-R1 vs. OpenAI o1 in colorectal cancer screening: a binational evaluation.

Yongpeng Chen, Sen Deng, Priska Hakenberg, Chengpeng Li, Tianzuo Zhan, Dejun Fan, XuTao Lin, Xianzhe Li, Cui Yang, Jiancong Hu

Abstract readComparative Study
In one paragraph

Article in BMC gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Yongpeng Chen *Department of Gastrointestinal Endoscopy, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Sen Deng *Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Priska HakenbergDepartment of Surgery, Medical Faculty Mannheim, Mannheim School of Medicine, Heidelberg University, Theodor-Kutzer-Ufer 1-3, Mannheim, 68167, Germany.
Chengpeng LiKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Hepato-pancreato-biliary Surgery/Sarcoma Center, Peking University Cancer Hospital & Institute, No. 52 Fu-Cheng-Lu Street, Beijing, 100142, China.
Tianzuo ZhanDepartment of Medicine II, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Dejun FanDepartment of Gastrointestinal Endoscopy, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
XuTao LinDepartment of Gastrointestinal Endoscopy, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Xianzhe LiDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, 69120, Germany.
Cui YangDepartment of Surgery, Medical Faculty Mannheim, Mannheim School of Medicine, Heidelberg University, Theodor-Kutzer-Ufer 1-3, Mannheim, 68167, Germany. cui.yang@medma.uni-heidelberg.de.
Jiancong HuDepartment of Gastrointestinal Endoscopy, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. hujianc@mail.sysu.edu.cn.

Funding

National Key R&D Program of China 2023YFC2507400the program of Guangdong Provincial Clinical Research Center for Digestive Diseases 2020B1111170004
6 · The paper itself

Abstract

backgroundLarge language models (LLMs), such as OpenAI o1 and DeepSeek-R1, demonstrate promising applications in healthcare through structured reasoning and decision support. This study evaluates the responses and chain-of-thought (CoT) outputs of OpenAI o1and DeepSeek-R1 in answering questions about colorectal cancer (CRC) screening.

methodsFifteen questions about CRC screening were posed to OpenAI o1 and DeepSeek-R1. Four experts rated the responses for accuracy and comprehensiveness and three further experts evaluated the CoT reasoning output for logical-coherence and error-types and handling, using the National Comprehensive Cancer Network (NCCN) guidelines as the primary reference standard.

resultsBoth LLMs demonstrated high accuracy without significant differences (median accuracy scores: OpenAI o1 = 4.5, DeepSeek-R1 = 5; p = 0.5243). However, DeepSeek-R1 significantly outperformed OpenAI o1 in comprehensiveness (p < 0.0001), logical coherence (p = 0.0001), and error types and handling (p = 0.0149). DeepSeek-R1 generated more detailed responses (word count: 110 ± 40 vs. 57 ± 24, p = 0.0001), with longer response times (25 ± 10s vs. 7 ± 4s, p < 0.0001).

conclusionDeepSeek-R1 and OpenAI o1 both offer high accuracy for CRC screening guidance, with DeepSeek-R1 providing more comprehensive responses with logically more coherent, and robust error-handling reasoning process, compared with OpenAI o1. Context-specific evaluation is critical for practical clinical integration.

Indexed as

Colorectal NeoplasmsDecision Support TechniquesEarly Detection of CancerLarge Language ModelsHumansChain of thoughtColorectal cancerDeepSeekOpenAIReasoning model

Identifiers

PMID41957577
PMCPMC13063957

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.