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“Vertigo, likely peripheral”: the dizzying rise of ChatGPT

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Abstract

Purpose

The use of artificial intelligence (AI) in medical decision-making has once again come to the forefront with the prevalence of Natural Language Processing (NLP). In this exploratory article, we tested one such model, ChatGPT, for its ability to identify vestibular causes of dizziness

Methods

Eight hypothetical scenarios were presented to ChatGPT, which included varying clinical pictures and types of prompts. The responses given by ChatGPT were evaluated for coherence, clarity, consistency, accuracy, appropriateness, and recognition of limitations. ChatGPT provided coherent and logical responses.

Results

The model accurately provided differentials for both vestibular and non-vestibular causes of dizziness, with the correct diagnosis presented first in six of the cases, with important limitations

Conclusion

Being an AI tool, ChatGPT lacks the ability to process certain nuances in clinical decision making, in both identifying atypical dizziness, as well as in recommending further examination steps to elucidate a clearer diagnosis. We believe that AI will continue to forge ahead in the medical field. Merging the immense knowledge base of AI programming with the nuances of clinical assessment and knowledge integration will surely enhance patient care in the years to come.

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Data availability

Data sharing is not applicable to this article as no new data were created or analyzed in this study.

References

  1. Kerber KA, Newman-Toker DE. Misdiagnosing Dizzy Patients: Common Pitfalls in Clinical Practice. Neurol Clin. 2015;33(3):565–75. https://doi.org/10.1016/j.ncl.2015.04.009

  2. Hybels RL. History taking in dizziness. The most important diagnostic step. Postgrad Med. 1984;75(3):41–3. https://doi.org/10.1080/00325481.1984.11698590

  3. Anh DT, Takakura H, Asai M, Ueda N, Shojaku H (2022) Application of machine learning in the diagnosis of vestibular disease. Sci Rep 12(1):20805. https://doi.org/10.1038/s41598-022-24979-9

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Howard A, Hope W, Gerada A (2023) ChatGPT and antimicrobial advice: the end of the consulting infection doctor? Lancet Infect Dis 23(4):405–406. https://doi.org/10.1016/S1473-3099(23)00113-5

    Article  PubMed  Google Scholar 

  5. Dmitriew C, Regis A, Bodunde O, Lepage R, Turgeon Z, McIsaac S et al (2021) Diagnostic accuracy of the HINTS exam in an emergency department: a retrospective chart review. Acad Emerg Med 28(4):387–393. https://doi.org/10.1111/acem.14171

    Article  PubMed  Google Scholar 

  6. Sallam M. ChatGPT Utility in Healthcare Education, Research, and Practice: Systematic Review on the Promising Perspectives and Valid Concerns. Healthcare (Basel). 2023; https://doi.org/10.3390/healthcare11060887

  7. OpenAI. OpenAI Blog [Internet]. OpenAI, editor. https://openai.com/blog/chatgpt2022. [cited 2023].

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Acknowledgements

The data that support the findings of this study are available on request from the corresponding author.

Author information

Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, National University Hospital, 1E Kent Ridge Rd, Singapore, 119228, Singapore

    Jeremy Chee, Eunice Dawn Kwa & Xueying Goh

  2. Department of Otolaryngology-Head and Neck Surgery, National University of Singapore, Singapore, Singapore

    Eunice Dawn Kwa & Xueying Goh

Authors
  1. Jeremy Chee
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  2. Eunice Dawn Kwa
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  3. Xueying Goh
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Contributions

JC, GX designed the study; All authors were involved in drafting, revision and approving of the manuscript. JC and GX agree to be accountable for all aspects of the work.

Corresponding author

Correspondence to Jeremy Chee.

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There are no funding sources or other conflicts of interest.

Ethical approval

Ethics board approval was not applicable for this study.

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No participant consent for publication is necessary.

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Chee, J., Kwa, E.D. & Goh, X. “Vertigo, likely peripheral”: the dizzying rise of ChatGPT. Eur Arch Otorhinolaryngol 280, 4687–4689 (2023). https://doi.org/10.1007/s00405-023-08135-1

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  • DOI: https://doi.org/10.1007/s00405-023-08135-1

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