ChatGPT-4V prompt: A tool to enhance junior radiologists' diagnostic capabilities in cystic renal masses to senior-level accuracy.

A comparison of the pre- and post-ROT AUC values using DeLong's test revealed a significant improvement for the junior radiologist group (AUC difference, 0.098 [95 % CI: 0.018, 0.178]; P = 0.016), while the improvement for the senior radiologist group did not reach statistical significance (AUC difference, 0.041 [95 % CI: −0.019, 0.100]; P = 0.184).

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A notable trend was observed where the proportion of malignant CRMs rose with increasing BC categories (I to IV) in the assessment of CT, senior and junior radiologists, COT, as well as ROT.

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While few-shot generally outperformed zero-shot prompting (AUC: FIO > IO, FCOT > COT, FPCOT > PCOT), the observed differences failed to reach statistical significance, suggesting that the expected improvements from few-shot and chain reasoning strategies (COT, PCOT) were less evident in our findings.

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