September 15, 2026 · Radiology · DOI: 10.1148/radiol.253579

Bridging the Generalist-Subspecialist Gap with GPT-5-Thinking: Dual-Center Evaluation in Orbital and Head-and-Neck Tumor MRI Reports

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The authors aimed to determine whether the Generative Pretrained Transformer (GPT)-5-Thinking model could match subspecialist accuracy in interpreting MRI scans of orbital and head-and-neck tumors, thereby bridging the expertise gap for generalist radiologists. The study found that GPT-5-Thinking achieved diagnostic accuracy comparable to subspecialists and significantly improved the diagnostic performance of generalists when interpreting MRI reports.

Jie Li, Liang Xiao, Xiaoxia Qu, Lianze Du, Tingting Gong, Yao Yu, Yatong Li, Pengfei Xie, Guangyu Chu, He Li, Yidan Zhang, Hanxue Gao, Qinghai Yuan, Qinghe Han, Junfang Xian, Jianhua Liu

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