Moderate-to-substantial agreement of ChatGPT-5 for Kellgren–Lawrence grading on synthetic knee radiographs: a controlled cross-sectional observer agreement study
ChatGPT-5 showed moderate-to-substantial agreement with expert consensus under standardized experimental conditions under curated synthetic dataset, however, the curated synthetic dataset, limited technical reproducibility of web-based inference, systematic grading tendencies, exploratory nature of the secondary-model analysis, and limited ecological validity preclude any inference of clinical readiness or real-world diagnostic performance without validation on real-world, multicenter, prevalence-based knee radiograph datasets.
Although ChatGPT-5.0 outperformed ChatGPT-4o, both models remained inferior to clinicians in detailed KL grading, feature-level interpretation, and reproducibility and are not suitable for standalone radiographic KOA assessment.
A. Akdoğan, Efe Kemal Akdoğan, Mehmet Fatih Tumer et al.· Skeletal Radiology· 0 citations
The examined LLMs showed grading tendencies partly comparable to those of human clinicians, without evidence of systematic directional bias; however, agreement remained below interexpert levels and was sensitive to conversational context.
S. Yoon, Jeong-Hun Yoo, Taejun Kim et al.· International Dental Journal· 0 citations
Arthroscopy demonstrated only moderate reliability for the assessment of TFCC pathology in this study, even among experienced hand surgeons, which highlights limitations of current arthroscopic classification systems and underscores the need for improved education and classification optimization to enhance diagnostic r...
M. Räisänen, Francesco Smeraglia, M. Clementson et al.· Journal of Hand Surgery-Amer...· 0 citations
It is demonstrated that a supervised dual junior rater approach yields substantial-to-excellent inter-observer agreement in non-structural clinical data coding, however, agreement is likely over-estimated when only the highest grade is recorded over an extended interval (e.g. 30 days).
Sam Pathmanathan, Shi Lam, Sarah Alsaad et al.· British Journal of Surgery· 0 citations
DASK measures the severity of papulosquamous Kushtha reliably enough for group comparison and, against a threshold of 8 points, for individual monitoring.
A. M, N. S, Saritha T· Adolescência e Saúde· 0 citations
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