# Understanding Driving Risks using Large Language Models: Toward Elderly Driver Assessment

arXiv: https://arxiv.org/abs/2507.08367 · HTML: https://mlsanity.com/paper/2507.08367/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Driving VLMs and open-vocabulary detection, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 7 of its 21 references that are in the map.
- First posted on arXiv 11 Jul 2025.

## Placed in

- Multimodal LLMs / vision-language models / [Driving VLMs and open-vocabulary detection](https://mlsanity.com/mllm/driving-vlms-and-open-vocabulary-detection/)
- End-to-end autonomous driving / [VLMs for autonomous driving](https://mlsanity.com/driving/vlms-for-autonomous-driving/)

## Builds on (most cited first, 7 of 7)

- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [Large Language Models are Zero-Shot Reasoners](https://mlsanity.com/paper/2205.11916/) (2022)
- [DriveGPT4: Interpretable End-to-end Autonomous Driving via Large Language Model](https://mlsanity.com/paper/2310.01412/) (2023)
- [NuPlanQA: A Large-Scale Dataset and Benchmark for Multi-View Driving Scene Understanding in Multi-Modal Large Language Models](https://mlsanity.com/paper/2503.12772/) (2025)
- [SurrealDriver: Designing LLM-powered Generative Driver Agent Framework based on Human Drivers' Driving-thinking Data](https://mlsanity.com/paper/2309.13193/) (2023)
- [Exploring the Potential of Multi-Modal AI for Driving Hazard Prediction](https://mlsanity.com/paper/2310.04671/) (2023)
- [Unlocking the Potential of Medical Imaging with ChatGPT's Intelligent Diagnostics](https://mlsanity.com/paper/2305.07429/) (2023)

## Abstract (arXiv)

This study investigates the potential of a multimodal large language model (LLM), specifically ChatGPT-4o, to perform human-like interpretations of traffic scenes using static dashcam images. Herein, we focus on three judgment tasks relevant to elderly driver assessments: evaluating traffic density, assessing intersection visibility, and recognizing stop signs recognition. These tasks require contextual reasoning rather than simple object detection. Using zero-shot, few-shot, and multi-shot prompting strategies, we evaluated the performance of the model with human annotations serving as the reference standard. Evaluation metrics included precision, recall, and F1-score. Results indicate that prompt design considerably affects performance, with recall for intersection visibility increasing from 21.7% (zero-shot) to 57.0% (multi-shot). For traffic density, agreement increased from 53.5% to 67.6%. In stop-sign detection, the model demonstrated high precision (up to 86.3%) but a lower recall (approximately 76.7%), indicating a conservative response tendency. Output stability analysis revealed that humans and the model faced difficulties interpreting structurally ambiguous scenes. However, the model's explanatory texts corresponded with its predictions, enhancing interpretability. These findings suggest that, with well-designed prompts, LLMs hold promise as supportive tools for scene-level driving risk assessments. Future studies should explore scalability using larger datasets, diverse annotators, and next-generation model architectures for elderly driver assessments.