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Accuracy of ChatGPT in head and neck oncological board decisions: preliminary findings
Jerome R Lechien1,2,3,4,5, Carlos-Miguel Chiesa-Estomba6,7, Robin Baudouin6,8,9
1Research Committee of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France. Jerome.Lechien@umons.ac.be.
Objectives:
To evaluate the ChatGPT-4 performance in oncological board decisions.
Methods:
Twenty medical records of patients with head and neck cancer were evaluated by ChatGPT-4 for additional examinations, management, and therapeutic approaches. The ChatGPT-4 propositions were assessed with the Artificial Intelligence Performance Instrument. The stability of ChatGPT-4 was evaluated through regenerated answers at 1-day interval.
Results:
ChatGPT-4 provided adequate explanations for cTNM staging in 19 cases (95%). ChatGPT-4 proposed a significant higher number of additional examinations than practitioners (72 versus 103; p = 0.001). ChatGPT-4 indications of endoscopy-biopsy, HPV research, ultrasonography, and PET-CT were consistent with the oncological board decisions. The therapeutic propositions of ChatGPT-4 were accurate in 13 cases (65%). Most additional examination and primary treatment propositions were consistent throughout regenerated response process.
Conclusions:
ChatGPT-4 may be an adjunctive theoretical tool in oncological board simple decisions.
