{"id":"https://openalex.org/W7155410582","doi":"https://doi.org/10.1038/s41746-026-02619-0","title":"The effect of medical explanations from large language models on diagnostic accuracy in radiology","display_name":"The effect of medical explanations from large language models on diagnostic accuracy in radiology","publication_year":2026,"publication_date":"2026-04-23","ids":{"openalex":"https://openalex.org/W7155410582","doi":"https://doi.org/10.1038/s41746-026-02619-0","pmid":"https://pubmed.ncbi.nlm.nih.gov/42026140"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-026-02619-0","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-026-02619-0","pdf_url":"https://www.nature.com/articles/s41746-026-02619-0.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41746-026-02619-0.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5134392649","display_name":"Philipp Spitzer","orcid":null},"institutions":[{"id":"https://openalex.org/I102335020","display_name":"Karlsruhe Institute of Technology","ror":"https://ror.org/04t3en479","country_code":"DE","type":"education","lineage":["https://openalex.org/I102335020","https://openalex.org/I1305996414"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Philipp Spitzer","raw_affiliation_strings":["Karlsruhe Institute of Technology, Karlsruhe, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Karlsruhe Institute of Technology, Karlsruhe, Germany","institution_ids":["https://openalex.org/I102335020"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134376197","display_name":"Daniel Hendriks","orcid":null},"institutions":[{"id":"https://openalex.org/I102335020","display_name":"Karlsruhe Institute of Technology","ror":"https://ror.org/04t3en479","country_code":"DE","type":"education","lineage":["https://openalex.org/I102335020","https://openalex.org/I1305996414"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Daniel Hendriks","raw_affiliation_strings":["Karlsruhe Institute of Technology, Karlsruhe, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Karlsruhe Institute of Technology, Karlsruhe, Germany","institution_ids":["https://openalex.org/I102335020"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067895405","display_name":"Jan Rudolph","orcid":"https://orcid.org/0000-0002-4849-8034"},"institutions":[{"id":"https://openalex.org/I3018771216","display_name":"LMU Klinikum","ror":"https://ror.org/02jet3w32","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I3018771216","https://openalex.org/I8204097"]},{"id":"https://openalex.org/I8204097","display_name":"Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen","ror":"https://ror.org/05591te55","country_code":"DE","type":"education","lineage":["https://openalex.org/I8204097"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Jan Rudolph","raw_affiliation_strings":["Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany","institution_ids":["https://openalex.org/I3018771216","https://openalex.org/I8204097"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051002965","display_name":"Sarah Schlaeger","orcid":"https://orcid.org/0000-0002-2736-9225"},"institutions":[{"id":"https://openalex.org/I3018771216","display_name":"LMU Klinikum","ror":"https://ror.org/02jet3w32","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I3018771216","https://openalex.org/I8204097"]},{"id":"https://openalex.org/I8204097","display_name":"Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen","ror":"https://ror.org/05591te55","country_code":"DE","type":"education","lineage":["https://openalex.org/I8204097"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Sarah Schlaeger","raw_affiliation_strings":["Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany","institution_ids":["https://openalex.org/I3018771216","https://openalex.org/I8204097"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057700552","display_name":"Jens Ricke","orcid":"https://orcid.org/0000-0001-8762-8594"},"institutions":[{"id":"https://openalex.org/I3018771216","display_name":"LMU Klinikum","ror":"https://ror.org/02jet3w32","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I3018771216","https://openalex.org/I8204097"]},{"id":"https://openalex.org/I8204097","display_name":"Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen","ror":"https://ror.org/05591te55","country_code":"DE","type":"education","lineage":["https://openalex.org/I8204097"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Jens Ricke","raw_affiliation_strings":["Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany","institution_ids":["https://openalex.org/I3018771216","https://openalex.org/I8204097"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134436753","display_name":"Niklas K\u00fchl","orcid":null},"institutions":[{"id":"https://openalex.org/I4210110507","display_name":"Fraunhofer Institute for Applied Information Technology","ror":"https://ror.org/01ak24c12","country_code":"DE","type":"facility","lineage":["https://openalex.org/I4210110507","https://openalex.org/I4923324"]},{"id":"https://openalex.org/I54009628","display_name":"University of Bayreuth","ror":"https://ror.org/0234wmv40","country_code":"DE","type":"education","lineage":["https://openalex.org/I54009628"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Niklas K\u00fchl","raw_affiliation_strings":["Fraunhofer FIT, Bayreuth, Germany","University of Bayreuth, Bayreuth, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fraunhofer FIT, Bayreuth, Germany","institution_ids":["https://openalex.org/I4210110507"]},{"raw_affiliation_string":"University of Bayreuth, Bayreuth, Germany","institution_ids":["https://openalex.org/I54009628"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041145907","display_name":"Boj Hoppe","orcid":"https://orcid.org/0000-0001-6248-5128"},"institutions":[{"id":"https://openalex.org/I3018771216","display_name":"LMU Klinikum","ror":"https://ror.org/02jet3w32","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I3018771216","https://openalex.org/I8204097"]},{"id":"https://openalex.org/I4403386549","display_name":"Munich Center for Machine Learning","ror":"https://ror.org/02nfy3535","country_code":null,"type":"education","lineage":["https://openalex.org/I4403386549","https://openalex.org/I62916508","https://openalex.org/I8204097"]},{"id":"https://openalex.org/I8204097","display_name":"Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen","ror":"https://ror.org/05591te55","country_code":"DE","type":"education","lineage":["https://openalex.org/I8204097"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Boj Friedrich Hoppe","raw_affiliation_strings":["Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany","Munich Center for Machine Learning, Munich, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, LMU University Hospital, LMU Munich, Munich, Germany","institution_ids":["https://openalex.org/I3018771216","https://openalex.org/I8204097"]},{"raw_affiliation_string":"Munich Center for Machine Learning, Munich, Germany","institution_ids":["https://openalex.org/I4403386549"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5134425960","display_name":"Stefan Feuerriegel","orcid":null},"institutions":[{"id":"https://openalex.org/I3018771216","display_name":"LMU Klinikum","ror":"https://ror.org/02jet3w32","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I3018771216","https://openalex.org/I8204097"]},{"id":"https://openalex.org/I8204097","display_name":"Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen","ror":"https://ror.org/05591te55","country_code":"DE","type":"education","lineage":["https://openalex.org/I8204097"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Stefan Feuerriegel","raw_affiliation_strings":["LMU Munich, Munich, Germany. feuerriegel@lmu.de","Munich Center for Machine Learning, Munich, Germany. feuerriegel@lmu.de"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"LMU Munich, Munich, Germany. feuerriegel@lmu.de","institution_ids":["https://openalex.org/I3018771216","https://openalex.org/I8204097"]},{"raw_affiliation_string":"Munich Center for Machine Learning, Munich, Germany. feuerriegel@lmu.de","institution_ids":["https://openalex.org/I3018771216"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5134425960"],"corresponding_institution_ids":["https://openalex.org/I3018771216","https://openalex.org/I8204097"],"apc_list":{"value":3060,"currency":"USD","value_usd":3060},"apc_paid":{"value":3060,"currency":"USD","value_usd":3060},"fwci":6.7575,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.96918483,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":98},"biblio":{"volume":"9","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.7531999945640564,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.7531999945640564,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.08229999989271164,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12026","display_name":"Explainable Artificial Intelligence (XAI)","score":0.03009999915957451,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vignette","display_name":"Vignette","score":0.7373999953269958},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"Diagnostic accuracy","score":0.5242000222206116},{"id":"https://openalex.org/keywords/medical-imaging","display_name":"Medical imaging","score":0.46709999442100525},{"id":"https://openalex.org/keywords/medical-diagnosis","display_name":"Medical diagnosis","score":0.4235000014305115},{"id":"https://openalex.org/keywords/medline","display_name":"MEDLINE","score":0.37549999356269836},{"id":"https://openalex.org/keywords/robustness","display_name":"Robustness (evolution)","score":0.3693999946117401},{"id":"https://openalex.org/keywords/process","display_name":"Process (computing)","score":0.34610000252723694}],"concepts":[{"id":"https://openalex.org/C9719361","wikidata":"https://www.wikidata.org/wiki/Q7928967","display_name":"Vignette","level":2,"score":0.7373999953269958},{"id":"https://openalex.org/C3020132585","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic accuracy","level":2,"score":0.5242000222206116},{"id":"https://openalex.org/C31601959","wikidata":"https://www.wikidata.org/wiki/Q931309","display_name":"Medical imaging","level":2,"score":0.46709999442100525},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.4235000014305115},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.41749998927116394},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.392300009727478},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.37549999356269836},{"id":"https://openalex.org/C63479239","wikidata":"https://www.wikidata.org/wiki/Q7353546","display_name":"Robustness (evolution)","level":3,"score":0.3693999946117401},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.34610000252723694},{"id":"https://openalex.org/C3018949938","wikidata":"https://www.wikidata.org/wiki/Q17166101","display_name":"Text messaging","level":2,"score":0.3458999991416931},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.31369999051094055},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.31139999628067017},{"id":"https://openalex.org/C82157600","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic test","level":2,"score":0.30559998750686646},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.30230000615119934},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3009999990463257},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.28529998660087585},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.2799000144004822},{"id":"https://openalex.org/C93226319","wikidata":"https://www.wikidata.org/wiki/Q193137","display_name":"Differential (mechanical device)","level":2,"score":0.2741999924182892},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.26980000734329224},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2632000148296356},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.25929999351501465}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1038/s41746-026-02619-0","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-026-02619-0","pdf_url":"https://www.nature.com/articles/s41746-026-02619-0.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:42026140","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42026140","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"NPJ digital medicine","raw_type":null},{"id":"pmh:oai:doaj.org/article:ae0f4a7059fd48239705fe4f92a83cf2","is_oa":true,"landing_page_url":"https://doaj.org/article/ae0f4a7059fd48239705fe4f92a83cf2","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"npj Digital Medicine, Vol 9, Iss 1 (2026)","raw_type":"article"},{"id":"pmh:oai:publica.fraunhofer.de:publica/515166","is_oa":true,"landing_page_url":"https://publica.fraunhofer.de/handle/publica/515166","pdf_url":null,"source":{"id":"https://openalex.org/S4306400318","display_name":"Fraunhofer-Publica (Fraunhofer-Gesellschaft)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I4923324","host_organization_name":"Fraunhofer-Gesellschaft","host_organization_lineage":["https://openalex.org/I4923324"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"journal article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13106719","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13106719/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NPJ Digit Med","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1038/s41746-026-02619-0","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-026-02619-0","pdf_url":"https://www.nature.com/articles/s41746-026-02619-0.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.76594078540802,"id":"https://metadata.un.org/sdg/16","display_name":"Peace, Justice and strong institutions"}],"awards":[{"id":"https://openalex.org/G6944272000","display_name":null,"funder_award_id":"186932","funder_id":"https://openalex.org/F4320320924","funder_display_name":"Schweizerischer Nationalfonds zur F\u00f6rderung der Wissenschaftlichen Forschung"}],"funders":[{"id":"https://openalex.org/F4320306076","display_name":"National Science Foundation","ror":"https://ror.org/021nxhr62"},{"id":"https://openalex.org/F4320320924","display_name":"Schweizerischer Nationalfonds zur F\u00f6rderung der Wissenschaftlichen Forschung","ror":"https://ror.org/00yjd3n13"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7155410582.pdf","grobid_xml":"https://content.openalex.org/works/W7155410582.grobid-xml"},"referenced_works_count":58,"referenced_works":["https://openalex.org/W2090435067","https://openalex.org/W2090443860","https://openalex.org/W2101105183","https://openalex.org/W2126629875","https://openalex.org/W2146072196","https://openalex.org/W2512902140","https://openalex.org/W2770332547","https://openalex.org/W2772081981","https://openalex.org/W2998326988","https://openalex.org/W3025011581","https://openalex.org/W3036298167","https://openalex.org/W3130937151","https://openalex.org/W4200191097","https://openalex.org/W4250185507","https://openalex.org/W4315631901","https://openalex.org/W4317935575","https://openalex.org/W4360991389","https://openalex.org/W4379598302","https://openalex.org/W4379742368","https://openalex.org/W4380730209","https://openalex.org/W4384524772","https://openalex.org/W4384561707","https://openalex.org/W4385798548","https://openalex.org/W4386693657","https://openalex.org/W4387012335","https://openalex.org/W4388237833","https://openalex.org/W4388452582","https://openalex.org/W4388525110","https://openalex.org/W4388834385","https://openalex.org/W4389519585","https://openalex.org/W4389554197","https://openalex.org/W4389917881","https://openalex.org/W4389947931","https://openalex.org/W4390943000","https://openalex.org/W4391215372","https://openalex.org/W4392034542","https://openalex.org/W4392818978","https://openalex.org/W4392956046","https://openalex.org/W4393386222","https://openalex.org/W4399567248","https://openalex.org/W4400324908","https://openalex.org/W4400921803","https://openalex.org/W4400986211","https://openalex.org/W4401397810","https://openalex.org/W4402559330","https://openalex.org/W4402683840","https://openalex.org/W4403229099","https://openalex.org/W4403681525","https://openalex.org/W4403813762","https://openalex.org/W4404759704","https://openalex.org/W4405239765","https://openalex.org/W4405853181","https://openalex.org/W4405971183","https://openalex.org/W4406276583","https://openalex.org/W4407150885","https://openalex.org/W4410531793","https://openalex.org/W4411128392","https://openalex.org/W4414668672"],"related_works":[],"abstract_inverted_index":{"Large":[0],"language":[1],"models":[2],"(LLMs)":[3],"are":[4,163],"increasingly":[5],"used":[6],"by":[7,89,147],"physicians":[8,26,226],"for":[9,37,53,122,222],"diagnostic":[10,134,145,265],"support.":[11],"A":[12],"key":[13],"advantage":[14],"of":[15,50,91,130,194,215,247,257],"LLMs":[16,251,262],"is":[17],"the":[18,28,34,48,100,123,128,140,144,151,167,179,192,212,220,242,245,254],"ability":[19],"to":[20,150,166,227,252],"generate":[21],"explanations":[22,39,55,131,138,162,248],"that":[23,127,260],"can":[24,263],"help":[25],"understand":[27],"reasoning":[29,120,221,255],"behind":[30],"a":[31,63,96,105,114,118,223],"diagnosis.":[32,124],"However,":[33],"best-suited":[35],"format":[36,129,182],"LLM-generated":[38,93],"remains":[40],"unclear.":[41],"In":[42],"this":[43],"large-scale":[44],"study,":[45,218],"we":[46,61],"examined":[47],"effect":[49],"different":[51,201],"formats":[52],"LLM":[54,82,155,234],"on":[56],"clinical":[57],"decision-making.":[58],"For":[59],"this,":[60],"conducted":[62],"randomized":[64],"experiment":[65],"with":[66,71],"radiologists":[67],"reviewing":[68],"patient":[69,269],"cases":[70],"radiological":[72],"images":[73],"(N":[74],"=":[75,158,176,187],"2020":[76],"assessments).":[77],"Participants":[78],"received":[79],"either":[80],"no":[81],"support":[83,156,253],"(control":[84],"group)":[85],"or":[86,112],"were":[87],"supported":[88],"one":[90],"three":[92],"explanations:":[94],"(1)":[95],"standard":[97,168],"output":[98,169],"providing":[99],"diagnosis":[101,107,181,224],"without":[102,154,170],"explanation;":[103],"(2)":[104],"differential":[106,180],"comparing":[108],"multiple":[109],"possible":[110],"diagnoses;":[111],"(3)":[113],"chain-of-thought":[115,137,161],"explanation":[116,171],"offering":[117],"detailed":[119],"process":[121],"We":[125,189],"find":[126],"significantly":[132],"influences":[133],"accuracy.":[135],"The":[136,160],"yielded":[139],"best":[141],"performance,":[142],"improving":[143],"accuracy":[146],"12.2%":[148],"compared":[149],"control":[152],"condition":[153],"(P":[157],"0.001).":[159],"also":[164],"superior":[165],"(":[172,183],"+":[173,184],"7.2%;":[174],"P":[175,186],"0.040)":[177],"and":[178,200,229,236],"9.7%;":[185],"0.004).":[188],"further":[190],"assessed":[191],"robustness":[193],"these":[195],"findings":[196],"across":[197],"case":[198],"difficulty":[199],"physician":[202],"backgrounds,":[203],"such":[204],"as":[205],"general":[206],"vs.":[207],"specialized":[208],"radiologists.":[209],"Evidently,":[210],"in":[211,233,249],"controlled":[213],"setting":[214],"our":[216],"vignette":[217],"explaining":[219],"helps":[225],"identify":[228],"correct":[230],"potential":[231],"errors":[232],"predictions":[235],"thus":[237],"improve":[238,264],"overall":[239],"decisions.":[240],"Altogether,":[241],"results":[243],"highlight":[244],"importance":[246],"medical":[250,261],"processes":[256],"physicians,":[258],"so":[259],"performance":[266],"and,":[267],"ultimately,":[268],"outcomes.":[270]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-06-18T10:00:31.954636","created_date":"2026-04-24T00:00:00"}
