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  1. Article ; Online: Chatbots and Large Language Models in Radiology: A Practical Primer for Clinical and Research Applications.

    Bhayana, Rajesh

    Radiology

    2024  Volume 310, Issue 1, Page(s) e232756

    Abstract: Although chatbots have existed for decades, the emergence of transformer-based large language models (LLMs) has captivated the world through the most recent wave of artificial intelligence chatbots, including ChatGPT. Transformers are a type of neural ... ...

    Abstract Although chatbots have existed for decades, the emergence of transformer-based large language models (LLMs) has captivated the world through the most recent wave of artificial intelligence chatbots, including ChatGPT. Transformers are a type of neural network architecture that enables better contextual understanding of language and efficient training on massive amounts of unlabeled data, such as unstructured text from the internet. As LLMs have increased in size, their improved performance and emergent abilities have revolutionized natural language processing. Since language is integral to human thought, applications based on LLMs have transformative potential in many industries. In fact, LLM-based chatbots have demonstrated human-level performance on many professional benchmarks, including in radiology. LLMs offer numerous clinical and research applications in radiology, several of which have been explored in the literature with encouraging results. Multimodal LLMs can simultaneously interpret text and images to generate reports, closely mimicking current diagnostic pathways in radiology. Thus, from requisition to report, LLMs have the opportunity to positively impact nearly every step of the radiology journey. Yet, these impressive models are not without limitations. This article reviews the limitations of LLMs and mitigation strategies, as well as potential uses of LLMs, including multimodal models. Also reviewed are existing LLM-based applications that can enhance efficiency in supervised settings.
    MeSH term(s) Humans ; Artificial Intelligence ; Radiography ; Radiology ; Benchmarking ; Industry
    Language English
    Publishing date 2024-01-16
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.232756
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Subcentimeter Echogenic Renal Lesions: Point-They Can Be Safely Ignored When Uniformly Echogenic.

    Krishna, Satheesh / Bhayana, Rajesh

    AJR. American journal of roentgenology

    2023  Volume 221, Issue 3, Page(s) 309–310

    MeSH term(s) Humans ; Female ; Pregnancy ; Kidney/diagnostic imaging ; Ultrasonography, Prenatal
    Language English
    Publishing date 2023-03-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 82076-3
    ISSN 1546-3141 ; 0361-803X ; 0092-5381
    ISSN (online) 1546-3141
    ISSN 0361-803X ; 0092-5381
    DOI 10.2214/AJR.23.29316
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: GPT-4 in Radiology: Improvements in Advanced Reasoning.

    Bhayana, Rajesh / Bleakney, Robert R / Krishna, Satheesh

    Radiology

    2023  Volume 307, Issue 5, Page(s) e230987

    Abstract: Supplemental material is available for this article. ...

    Abstract Supplemental material is available for this article.
    MeSH term(s) Humans ; Radiology ; Radiography
    Language English
    Publishing date 2023-05-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.230987
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Editorial for "Comparison of a Deep Learning-Accelerated vs. Conventional T2-Weighted Sequence in Biparametric MRI of the Prostate".

    Wu, Zhe / Bhayana, Rajesh / Uludağ, Kâmil

    Journal of magnetic resonance imaging : JMRI

    2023  Volume 58, Issue 4, Page(s) 1065–1066

    MeSH term(s) Male ; Humans ; Prostate/diagnostic imaging ; Deep Learning ; Magnetic Resonance Imaging ; Prostatic Neoplasms/diagnostic imaging ; Retrospective Studies
    Language English
    Publishing date 2023-01-18
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1146614-5
    ISSN 1522-2586 ; 1053-1807
    ISSN (online) 1522-2586
    ISSN 1053-1807
    DOI 10.1002/jmri.28603
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Use of GPT-4 With Single-Shot Learning to Identify Incidental Findings in Radiology Reports.

    Bhayana, Rajesh / Elias, Gavin / Datta, Daksh / Bhambra, Nishaant / Deng, Yangqing / Krishna, Satheesh

    AJR. American journal of roentgenology

    2024  Volume 222, Issue 3, Page(s) e2330651

    MeSH term(s) Humans ; Incidental Findings ; Tomography, X-Ray Computed ; Radiology ; Learning
    Language English
    Publishing date 2024-01-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 82076-3
    ISSN 1546-3141 ; 0361-803X ; 0092-5381
    ISSN (online) 1546-3141
    ISSN 0361-803X ; 0092-5381
    DOI 10.2214/AJR.23.30651
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Reply to "Zero-, Single-, and Few-Shot Learning in Large Language Models to Identify Incidental Findings From Radiology Reports".

    Bhayana, Rajesh / Elias, Gavin / Datta, Daksh / Bhambra, Nishaant / Deng, Yangqing / Krishna, Satheesh

    AJR. American journal of roentgenology

    2024  Volume 222, Issue 3, Page(s) e2431060

    MeSH term(s) Humans ; Incidental Findings ; Radiography ; Radiology ; Language
    Language English
    Publishing date 2024-03-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 82076-3
    ISSN 1546-3141 ; 0361-803X ; 0092-5381
    ISSN (online) 1546-3141
    ISSN 0361-803X ; 0092-5381
    DOI 10.2214/AJR.24.31060
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Supine headache and papilledema: A case and review of cerebral venous sinus thrombosis.

    Pasricha, Sachin V / Bhayana, Rajesh / Wu, Peter E

    Clinical case reports

    2023  Volume 11, Issue 5, Page(s) e07329

    Abstract: Key clinical message: Cerebral venous sinus thrombosis (CVST) should be on the differential for intracranial hypertension, and the preferred diagnostic tests are CT venogram or MR venography.: Abstract: Cerebral venous sinus thrombosis (CVST) is a ... ...

    Abstract Key clinical message: Cerebral venous sinus thrombosis (CVST) should be on the differential for intracranial hypertension, and the preferred diagnostic tests are CT venogram or MR venography.
    Abstract: Cerebral venous sinus thrombosis (CVST) is a rare cause of stroke and is on the differential for intracranial hypertension. Non-contrast head CT is often normal. CT venogram or MR venography are the preferred diagnostic tests, as was required in our patient. We review the presentation, diagnosis, and management of CVST.
    Language English
    Publishing date 2023-05-04
    Publishing country England
    Document type Case Reports
    ZDB-ID 2740234-4
    ISSN 2050-0904
    ISSN 2050-0904
    DOI 10.1002/ccr3.7329
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Performance of ChatGPT on a Radiology Board-style Examination: Insights into Current Strengths and Limitations.

    Bhayana, Rajesh / Krishna, Satheesh / Bleakney, Robert R

    Radiology

    2023  Volume 307, Issue 5, Page(s) e230582

    Abstract: Background ChatGPT is a powerful artificial intelligence large language model with great potential as a tool in medical practice and education, but its performance in radiology remains unclear. Purpose To assess the performance of ChatGPT on radiology ... ...

    Abstract Background ChatGPT is a powerful artificial intelligence large language model with great potential as a tool in medical practice and education, but its performance in radiology remains unclear. Purpose To assess the performance of ChatGPT on radiology board-style examination questions without images and to explore its strengths and limitations. Materials and Methods In this exploratory prospective study performed from February 25 to March 3, 2023, 150 multiple-choice questions designed to match the style, content, and difficulty of the Canadian Royal College and American Board of Radiology examinations were grouped by question type (lower-order [recall, understanding] and higher-order [apply, analyze, synthesize] thinking) and topic (physics, clinical). The higher-order thinking questions were further subclassified by type (description of imaging findings, clinical management, application of concepts, calculation and classification, disease associations). ChatGPT performance was evaluated overall, by question type, and by topic. Confidence of language in responses was assessed. Univariable analysis was performed. Results ChatGPT answered 69% of questions correctly (104 of 150). The model performed better on questions requiring lower-order thinking (84%, 51 of 61) than on those requiring higher-order thinking (60%, 53 of 89) (
    MeSH term(s) Humans ; Artificial Intelligence ; Prospective Studies ; Canada ; Radiography ; Radiology
    Language English
    Publishing date 2023-05-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.230582
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: From Bench to Bedside With Large Language Models:

    Bhayana, Rajesh / Biswas, Som / Cook, Tessa S / Kim, Woojin / Kitamura, Felipe C / Gichoya, Judy / Yi, Paul H

    AJR. American journal of roentgenology

    2024  

    Abstract: Large language models (LLMs) hold immense potential to revolutionize radiology. However, their integration into practice requires careful consideration. Artificial intelligence (AI) chatbots and general-purpose LLMs have potential pitfalls related to ... ...

    Abstract Large language models (LLMs) hold immense potential to revolutionize radiology. However, their integration into practice requires careful consideration. Artificial intelligence (AI) chatbots and general-purpose LLMs have potential pitfalls related to privacy, transparency, and accuracy, limiting their current clinical readiness. Thus, LLM-based tools must be optimized for radiology practice to overcome these limitations. While research and validation for radiology applications remain in their infancy, commercial products incorporating LLMs are becoming available alongside promises of transforming practice. To help radiologists navigate this landscape, this AJR Expert Panel Narrative Review provides a multidimensional perspective on LLMs, encompassing considerations from bench (development and optimization) to bedside (use in practice). At present, LLMs are not autonomous entities that can replace expert decision-making, and radiologists remain responsible for the content of their reports. Patient-facing tools, particularly medical AI chatbots, require additional guardrails to ensure safety and prevent misuse. Still, if responsibly implemented, LLMs are well-positioned to transform efficiency and quality in radiology. Radiologists must be well-informed and proactively involved in guiding the implementation of LLMs in practice to mitigate risks and maximize benefits to patient care.
    Language English
    Publishing date 2024-04-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 82076-3
    ISSN 1546-3141 ; 0361-803X ; 0092-5381
    ISSN (online) 1546-3141
    ISSN 0361-803X ; 0092-5381
    DOI 10.2214/AJR.24.30928
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Chatbots for Literature Review and Research-Insights from a Panel Discussion at the Annual Meeting of the International Society of Magnetic Resonance in Medicine (ISMRM) 2023.

    McIlvain, Grace / Oechtering, Thekla H / Shammi, Ummul Afia / Bhayana, Rajesh / Hutter, Jana / Moy, Linda / Schweitzer, Mark

    Journal of magnetic resonance imaging : JMRI

    2023  

    Language English
    Publishing date 2023-10-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1146614-5
    ISSN 1522-2586 ; 1053-1807
    ISSN (online) 1522-2586
    ISSN 1053-1807
    DOI 10.1002/jmri.29036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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