The Triage and Diagnostic Accuracy of Frontier Large Language Models: Updated Comparison to Physician Performance
2024

Comparing Large Language Models to Doctors in Triage and Diagnosis

Sample size: 144 publication Evidence: moderate

Author Information

Author(s): Mavragani Amaryllis, Williams Christopher, Shi Qiming, Sorich Michael Joseph, Mangoni Arduino Aleksander, Bacchi Stephen, Menz Bradley Douglas, Hopkins Ashley Mark

Primary Institution: College of Medicine and Public Health Flinders University

Hypothesis

Are contemporary large language models (LLMs) as accurate as physicians in triage and diagnostic tasks?

Conclusion

Contemporary frontier LLMs have significantly improved in diagnostic and triage accuracy compared to earlier models and perform similarly to physicians.

Supporting Evidence

  • The correct diagnosis was among the top three proposed diagnoses for 98.6% of cases evaluated by frontier LLMs.
  • The most likely diagnosis prediction was correct for 86.8% of cases.
  • Triage was correct for 92.4% of cases evaluated by frontier LLMs.

Takeaway

This study shows that new AI models can help doctors make better decisions about patient care, almost as well as real doctors do.

Methodology

The study evaluated the performance of three large language models on 48 clinical case vignettes, comparing their triage and diagnostic accuracy to that of physicians.

Limitations

The study had a relatively small sample size of cases evaluated.

Digital Object Identifier (DOI)

10.2196/67409

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