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Table 9 Statistics regarding 10 repeated translations of a chest CT report with the optimized prompt

From: Translating radiology reports into plain language using ChatGPT and GPT-4 with prompt learning: results, limitations, and potential

  

Good

Missing

Inaccurate

Incorrect

Description

Lung CT screen without contrast

3

7

-

-

 

Scanned on February 13, 2023

10

-

-

-

Indication

Lung cancer screening

10

-

-

-

 

Patient who has smoked 30 or more packs per year

10

-

-

-

Comparison

February 11, 2022

10

-

-

-

Technic

Low dose axial CT, “as low as reasonably achievable” protocol

10

-

-

-

Findings

     

     Lung nodules

Lung nodule 1: nodule in right upper lobe, 4.9 mm x 3.4 mm, stable

8

-

2

-

 

Lung nodule 2: pleura-based nodule in right middle lobe, 4.6 mm, stable

4

-

6

-

 

Lung nodule 3: nonsolid round nodule in right lower lobe, 4.2 mm, stable

3

-

7

-

 

Lung nodule 4: nonsolid subpleural round nodule in right lower lobe 4.6 mm, stable

3

-

7

-

 

Lung nodule 5: subpleural nodule in right lower lobe, right lower lobe, 3 mm, stable

3

-

7

-

 

No new nodules

4

6

-

-

     Lung

Linear atelectasis and/or scarring in the right upper lobe, right middle lobe, lingula, and left lower lobe is mild

10

-

-

-

 

Mild emphysema in the upper lung fields with minor central bronchial wall thickening bilaterally

7

-

3

-

     Pleura

No pleural thickening or effusion

10

-

-

-

 

No pneumothorax

8

2

-

-

     Heart

Heart size normal

9

1

-

-

 

No pericardial effusion

10

-

-

-

     Coronary artery calcification

None

9

1

-

-

     Mediastinum/ Hilum/Axillla

No adenopathy

9

1

-

-

     Other

Normal caliber thoracic aorta with minor atherosclerotic change

8

2

-

-

Conclusion

     

     Overall Lung-RADS category

2-benign appearance or behavior

8

-

2

-

     Based on lesion

ID multiple right-sided pulmonary nodules largest in the right upper lobe measuring 4.9 mm

7

3

-

-

     Management recommendation

Continue annual screening with low dose CT in 12 months, February 2024

10

-

-

-

S findings

Minor sequela of COPD

10

-

-

-