Delayed diagnosis of a transient ischemic attack caused by ChatGPT
Jonathan A Saenger1,2, Jonathan Hunger3, Andreas Boss4,5
1Diagnostic and interventional Radiology, University Hospital Zurich, University Zurich, Zurich, Switzerland. jonathan.saenger@usz.ch.
Wiener Klinische Wochenschrift
|February 2, 2024
Summary
Artificial intelligence (AI) tools offer diagnostic support but carry risks. An erroneous ChatGPT diagnosis led to delayed treatment, highlighting dangers of using AI not designed for medical decision-making.
Area of Science:
- Medical Informatics
- Artificial Intelligence in Healthcare
- Clinical Decision Support
Background:
- Artificial intelligence (AI) is increasingly integrated into patient care, aiding in diagnosis and workflow optimization.
- However, AI algorithms can be opaque ('black boxes') and prone to errors, posing risks in clinical settings.
Purpose of the Study:
- To present a case study illustrating the risks of relying on AI tools for medical diagnosis.
- To emphasize the potential for significant treatment delays and adverse patient outcomes due to erroneous AI-generated information.
Main Methods:
- Case report analysis of a patient who received an incorrect diagnosis from ChatGPT.
- Review of the clinical implications and treatment delay resulting from reliance on the AI diagnosis.
Main Results:
- An erroneous ChatGPT diagnosis caused a patient to delay seeking appropriate medical evaluation.
- This delay led to a significantly prolonged treatment timeline and a potentially life-threatening situation.
Conclusions:
- AI tools not specifically validated for medical decision-making pose inherent risks in patient care.
- Healthcare professionals and patients must exercise caution and critical judgment when using general AI applications for medical advice.
Related Concept Videos
Acute Coronary Syndrome III: Diagnostic Studies
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Peripheral Artery Disease I: Introduction
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
Ischemic Stroke l: Introduction
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
Ischemic Stroke ll: Pathophysiology
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
Transient Ischemic Attack l: Introduction
A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...


