Exploring the Boundaries of GPT-4 in Radiology
Qianchu Liu, Stephanie Hyland, Shruthi Bannur, Kenza Bouzid, Daniel Castro, Maria Wetscherek, Robert Tinn, Harshita Sharma, Fernando Pérez-García, Anton Schwaighofer, Pranav Rajpurkar, Sameer Khanna, Hoifung Poon, Naoto Usuyama, Anja Thieme, Aditya Nori, Matthew Lungren, Ozan Oktay, Javier Alvarez-Valle
Abstract
The recent success of general-domain large language models (LLMs) has significantly changed the natural language processing paradigm towards a unified foundation model across domains and applications. In this paper, we focus on assessing the performance of GPT-4, the most capable LLM so far, on the text-based applications for radiology reports, comparing against state-of-the-art (SOTA) radiology-specific models. Exploring various prompting strategies, we evaluated GPT-4 on a diverse range of common radiology tasks and we found GPT-4 either outperforms or is on par with current SOTA radiology models. With zero-shot prompting, GPT-4 already obtains substantial gains (≈ 10% absolute improvement) over radiology models in temporal sentence similarity classification (accuracy) and natural language inference (F1). For tasks that require learning dataset-specific style or schema (e.g. findings summarisation), GPT-4 improves with example-based prompting and matches supervised SOTA. Our extensive error analysis with a board-certified radiologist shows GPT-4 has a sufficient level of radiology knowledge with only occasional errors in complex context that require nuanced domain knowledge. For findings summarisation, GPT-4 outputs are found to be overall comparable with existing manually-written impressions.- Anthology ID:
- 2023.emnlp-main.891
- Volume:
- Proceedings of the 2023 Conference on Empirical Methods in Natural Language Processing
- Month:
- December
- Year:
- 2023
- Address:
- Singapore
- Editors:
- Houda Bouamor, Juan Pino, Kalika Bali
- Venue:
- EMNLP
- SIG:
- Publisher:
- Association for Computational Linguistics
- Note:
- Pages:
- 14414–14445
- Language:
- URL:
- https://aclanthology.org/2023.emnlp-main.891
- DOI:
- 10.18653/v1/2023.emnlp-main.891
- Cite (ACL):
- Qianchu Liu, Stephanie Hyland, Shruthi Bannur, Kenza Bouzid, Daniel Castro, Maria Wetscherek, Robert Tinn, Harshita Sharma, Fernando Pérez-García, Anton Schwaighofer, Pranav Rajpurkar, Sameer Khanna, Hoifung Poon, Naoto Usuyama, Anja Thieme, Aditya Nori, Matthew Lungren, Ozan Oktay, and Javier Alvarez-Valle. 2023. Exploring the Boundaries of GPT-4 in Radiology. In Proceedings of the 2023 Conference on Empirical Methods in Natural Language Processing, pages 14414–14445, Singapore. Association for Computational Linguistics.
- Cite (Informal):
- Exploring the Boundaries of GPT-4 in Radiology (Liu et al., EMNLP 2023)
- PDF:
- https://preview.aclanthology.org/nschneid-patch-1/2023.emnlp-main.891.pdf