{"about":{"site":"https://codewithpapers.app","non_affiliation":"Code with Papers and Syntology are not affiliated with, endorsed by, or sponsored by Papers with Code, Meta, or the pwc-archive mirror.","licence":"CC BY-SA 4.0","licence_url":"https://creativecommons.org/licenses/by-sa/4.0/legalcode","attribution":"https://codewithpapers.app/attribution","modified":"archive material modified by Syntology; see the attribution page"},"url":"/paper/gpt-4v-cannot-generate-radiology-reports-yet","title":"GPT-4V Cannot Generate Radiology Reports Yet","arxiv_id":"2407.12176","date":"2024-07-16","proceeding":null,"authors":["Yuyang Jiang","Chacha Chen","Dang Nguyen","Benjamin M. Mervak","Chenhao Tan"],"abstract":"GPT-4V's purported strong multimodal abilities raise interests in using it to automate radiology report writing, but there lacks thorough evaluations. In this work, we perform a systematic evaluation of GPT-4V in generating radiology reports on two chest X-ray report datasets: MIMIC-CXR and IU X-Ray. We attempt to directly generate reports using GPT-4V through different prompting strategies and find that it fails terribly in both lexical metrics and clinical efficacy metrics. To understand the low performance, we decompose the task into two steps: 1) the medical image reasoning step of predicting medical condition labels from images; and 2) the report synthesis step of generating reports from (groundtruth) conditions. We show that GPT-4V's performance in image reasoning is consistently low across different prompts. In fact, the distributions of model-predicted labels remain constant regardless of which groundtruth conditions are present on the image, suggesting that the model is not interpreting chest X-rays meaningfully. Even when given groundtruth conditions in report synthesis, its generated reports are less correct and less natural-sounding than a finetuned LLaMA-2. Altogether, our findings cast doubt on the viability of using GPT-4V in a radiology workflow.","url_abs":"https://arxiv.org/abs/2407.12176v4","url_pdf":"https://arxiv.org/pdf/2407.12176v4.pdf","source":{"archive":"pwc-archive (Hugging Face), CC BY-SA 4.0","snapshot":"2025-07-28","licence_url":"https://creativecommons.org/licenses/by-sa/4.0/legalcode","row_kind":"abstracts"},"code_links":[{"paper_slug":"gpt-4v-cannot-generate-radiology-reports-yet","repo_url":"https://github.com/chicagohai/cxr-eval-gpt-4v","is_official":1,"mentioned_in_paper":1,"mentioned_in_github":1,"framework":"none","reach":null},{"paper_slug":"gpt-4v-cannot-generate-radiology-reports-yet","repo_url":"https://github.com/yuyangj0/gpt-4v-evaluation-radiology-report","is_official":1,"mentioned_in_paper":1,"mentioned_in_github":0,"framework":"none","reach":null}],"tasks":[],"methods":[],"datasets_introduced":[],"methods_introduced":[],"results":[],"syntology":{"syntology_url":null,"atlas_url":null,"mcp":null,"developers":"https://syntology.ai/developers"},"arxiv_metadata":null,"syntology_extracted_results":null}