# Translating Radiology Reports into Plain Language using ChatGPT and GPT-4 with Prompt Learning: Promising Results, Limitations, and Potential

arXiv: https://arxiv.org/abs/2303.09038 · HTML: https://mlsanity.com/paper/2303.09038/

## Key facts

- Cited by 39 papers in the map (data through 14 Oct 2026).
- Builds on 5 of its 20 references that are in the map.
- First posted on arXiv 16 Mar 2023.

## Builds on (most cited first, 5 of 5)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [XLNet: Generalized Autoregressive Pretraining for Language Understanding](https://mlsanity.com/paper/1906.08237/) (2019)
- [ChatGPT Makes Medicine Easy to Swallow: An Exploratory Case Study on Simplified Radiology Reports](https://mlsanity.com/paper/2212.14882/) (2022)
- [Can ChatGPT Write a Good Boolean Query for Systematic Review Literature Search?](https://mlsanity.com/paper/2302.03495/) (2023)

## Built on by (most cited first, 30 of 39)

- [A Survey on Evaluation of Large Language Models](https://mlsanity.com/paper/2307.03109/) (2023)
- [A Survey of Large Language Models for Healthcare: from Data, Technology, and Applications to Accountability and Ethics](https://mlsanity.com/paper/2310.05694/) (2023)
- [LLMs for Knowledge Graph Construction and Reasoning: Recent Capabilities and Future Opportunities](https://mlsanity.com/paper/2305.13168/) (2023)
- [A Survey of GPT-3 Family Large Language Models Including ChatGPT and GPT-4](https://mlsanity.com/paper/2310.12321/) (2023)
- [Prompt Engineering for Healthcare: Methodologies and Applications](https://mlsanity.com/paper/2304.14670/) (2023)
- [A Comprehensive Survey of Large Language Models and Multimodal Large Language Models in Medicine](https://mlsanity.com/paper/2405.08603/) (2024)
- [Exploring the Boundaries of GPT-4 in Radiology](https://mlsanity.com/paper/2310.14573/) (2023)
- [Generalization Bias in Large Language Model Summarization of Scientific Research](https://mlsanity.com/paper/2504.00025/) (2025)
- [Advancing Medical Imaging with Language Models: A Journey from N-grams to ChatGPT](https://mlsanity.com/paper/2304.04920/) (2023)
- [Foundation Models in Radiology: What, How, When, Why and Why Not](https://mlsanity.com/paper/2411.18730/) (2024)
- [Data-Centric Foundation Models in Computational Healthcare: A Survey](https://mlsanity.com/paper/2401.02458/) (2024)
- [Guiding Clinical Reasoning with Large Language Models via Knowledge Seeds](https://mlsanity.com/paper/2403.06609/) (2024)
- [IQAGPT: Image Quality Assessment with Vision-language and ChatGPT Models](https://mlsanity.com/paper/2312.15663/) (2023)
- [Evaluation of ChatGPT Family of Models for Biomedical Reasoning and Classification](https://mlsanity.com/paper/2304.02496/) (2023)
- [Towards Automatic Boundary Detection for Human-AI Collaborative Hybrid Essay in Education](https://mlsanity.com/paper/2307.12267/) (2023)
- [ChatAgri: Exploring Potentials of ChatGPT on Cross-linguistic Agricultural Text Classification](https://mlsanity.com/paper/2305.15024/) (2023)
- [Evaluation of ChatGPT-Generated Medical Responses: A Systematic Review and Meta-Analysis](https://mlsanity.com/paper/2310.08410/) (2023)
- [Evaluating Large Language Models for Radiology Natural Language Processing](https://mlsanity.com/paper/2307.13693/) (2023)
- [A dataset and benchmark for hospital course summarization with adapted large language models](https://mlsanity.com/paper/2403.05720/) (2024)
- [ChatGPT in the Age of Generative AI and Large Language Models: A Concise Survey](https://mlsanity.com/paper/2307.04251/) (2023)
- [X-ray Made Simple: Lay Radiology Report Generation and Robust Evaluation](https://mlsanity.com/paper/2406.17911/) (2024)
- [From Voices to Validity: Leveraging Large Language Models (LLMs) for Textual Analysis of Policy Stakeholder Interviews](https://mlsanity.com/paper/2312.01202/) (2023)
- [Investigating Large Language Models and Control Mechanisms to Improve Text Readability of Biomedical Abstracts](https://mlsanity.com/paper/2309.13202/) (2023)
- [MedKP: Medical Dialogue with Knowledge Enhancement and Clinical Pathway Encoding](https://mlsanity.com/paper/2403.06611/) (2024)
- [Transforming Dental Diagnostics with Artificial Intelligence: Advanced Integration of ChatGPT and Large Language Models for Patient Care](https://mlsanity.com/paper/2406.06616/) (2024)
- [ChatGPT in Drug Discovery: A Case Study on Anti-Cocaine Addiction Drug Development with Chatbots](https://mlsanity.com/paper/2308.06920/) (2023)
- [ReXplain: Translating Radiology into Patient-Friendly Video Reports](https://mlsanity.com/paper/2410.00441/) (2024)
- [Latent Diffusion Models with Image-Derived Annotations for Enhanced AI-Assisted Cancer Diagnosis in Histopathology](https://mlsanity.com/paper/2312.09792/) (2023)
- [Evaluation of Language Models in the Medical Context Under Resource-Constrained Settings](https://mlsanity.com/paper/2406.16611/) (2024)
- [Improving Expert Radiology Report Summarization by Prompting Large Language Models with a Layperson Summary](https://mlsanity.com/paper/2406.14500/) (2024)

## Abstract (arXiv)

The large language model called ChatGPT has drawn extensively attention because of its human-like expression and reasoning abilities. In this study, we investigate the feasibility of using ChatGPT in experiments on using ChatGPT to translate radiology reports into plain language for patients and healthcare providers so that they are educated for improved healthcare. Radiology reports from 62 low-dose chest CT lung cancer screening scans and 76 brain MRI metastases screening scans were collected in the first half of February for this study. According to the evaluation by radiologists, ChatGPT can successfully translate radiology reports into plain language with an average score of 4.27 in the five-point system with 0.08 places of information missing and 0.07 places of misinformation. In terms of the suggestions provided by ChatGPT, they are general relevant such as keeping following-up with doctors and closely monitoring any symptoms, and for about 37% of 138 cases in total ChatGPT offers specific suggestions based on findings in the report. ChatGPT also presents some randomness in its responses with occasionally over-simplified or neglected information, which can be mitigated using a more detailed prompt. Furthermore, ChatGPT results are compared with a newly released large model GPT-4, showing that GPT-4 can significantly improve the quality of translated reports. Our results show that it is feasible to utilize large language models in clinical education, and further efforts are needed to address limitations and maximize their potential.
