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Title: Enhancing sonologist examination performance with large language models : an analytical study of ChatGPT-4 and Claude 3
Authors: Li, X
Chen, Z 
Xie, T
Liang, J
Chen, F
Issue Date: 2025
Source: Medical ultrasonography, 2025, v. 27, no. 3, p. 294-300
Abstract: Aim: To evaluate the effectiveness of two large language models, ChatGPT-4 and Claude 3, in improving the accuracy of question responses by senior sonologist and junior sonologist.
Material and methods: A senior and a junior sonologist were given a practice exam. After answering the questions, they reviewed the responses and explanations provided by ChatGPT-4 and Claude 3. The accuracy and scores before and after incorporating the models' input were analyzed to compare their effectiveness.
Results: No statistically significant differences were found between the two models' responses scores for each section (all p>0.05). For junior sonologist, both ChatGPT-4 (p=0.039) and Claude 3 (p=0.039) significantly improved scores in basic knowledge. The responses provided by ChatGPT-4 also significantly improved scores in relevant professional knowledge (p=0.038), though their explanations did not (p=0.077). For all exam sections, both models' responses and explanations significantly improved scores (all p<0.05). For senior sonologist, both ChatGPT-4's responses (p=0.022) and explanations (p=0.034) improved scores in basic knowledge, as did Claude 3's explanations (p=0.003). Across all sections, Claude 3's explanations significantly improved scores (p=0.041).
Conclusion: ChatGPT-4 and Claude 3 significantly improved sonologist' examination performance, particularly in basic knowledge.
Keywords: Medical education
Natural language processing
Ultrasound
Publisher: Romanian Society for Ultrasonography in Medicine and Biology
Journal: Medical ultrasonography 
ISSN: 1844-4172
EISSN: 2066-8643
DOI: 10.11152/mu-4505
Rights: Posted with permission of the publisher.
All rights are reserved to the Medical Publishing House of the „Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca; no parts of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without the permission of the editor. (copyright notice, https://www.medultrason.ro/medultrason/index.php/medultrason/about/submissions#copyrightNotice)
The following publication Li, X., Chen, Z., Xie, T., Liang, J., & Chen, F. (2025). Enhancing sonologist examination performance with large language models: an analytical study of ChatGPT-4 and Claude 3 [Natural language processing; Medical education; Ultrasound]. 2025, 27(3), 7 is available at https://doi.org/10.11152/mu-4505.
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