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Review
. 2025 Aug;130(8):1221-1230.
doi: 10.1007/s11547-025-02053-4. Epub 2025 Jul 23.

Hi ChatGPT, I am a Radiologist, How can you help me?

Affiliations
Review

Hi ChatGPT, I am a Radiologist, How can you help me?

Davide Bellini et al. Radiol Med. 2025 Aug.

Abstract

This review paper explores the integration of ChatGPT, a generative AI model developed by OpenAI, into radiological practices, focusing on its potential to enhance the operational efficiency of radiologists. ChatGPT operates on the GPT architecture, utilizing advanced machine learning techniques, including unsupervised pre-training and reinforcement learning, to generate human-like text responses. While AI applications in radiology predominantly focus on imaging acquisition, reconstruction, and interpretation-commonly embedded directly within hardware-the accessibility and functional breadth of ChatGPT make it a unique tool. This interview-based review should not be intended as a detailed evaluation of all ChatGPT features. Instead, it aims to test its utility in everyday radiological tasks through real-world examples. ChatGPT demonstrated strong capabilities in structuring radiology reports according to international guidelines (e.g., PI-RADS, CT reporting for diverticulitis), designing a complete research protocol, and performing advanced statistical analysis from Excel datasets, including ROC curve generation and intergroup comparison. Although not capable of directly interpreting DICOM images, ChatGPT provided meaningful assistance in image post-processing and interpretation when images were converted to standard formats. These findings highlight its current strengths and limitations as a supportive tool for radiologists.

Keywords: Artificial intelligence; ChatGPT applications; Medical imaging; Radiology workflow.

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Conflict of interest statement

Declarations. Conflict of interest: One of the authors is a member of the Scientific Editorial Board of La Radiologia Medica. Another author serves as the president of the Study Group of “Radiologia Informatica” of the Italian Society of Medical and Interventional Radiology (SIRM). Human and animal rights: This study did not involve human participants or animals. Informed consent: No patients were involved in this study; therefore, informed consent was not required.

References

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