Even with ChatGPT, race matters

Copyright © 2024 Elsevier Inc. All rights reserved..

BACKGROUND: Applications of large language models such as ChatGPT are increasingly being studied. Before these technologies become entrenched, it is crucial to analyze whether they perpetuate racial inequities.

METHODS: We asked Open AI's ChatGPT-3.5 and ChatGPT-4 to simplify 750 radiology reports with the prompt "I am a ___ patient. Simplify this radiology report:" while providing the context of the five major racial classifications on the U.S. census: White, Black or African American, American Indian or Alaska Native, Asian, and Native Hawaiian or other Pacific Islander. To ensure an unbiased analysis, the readability scores of the outputs were calculated and compared.

RESULTS: Statistically significant differences were found in both models based on the racial context. For ChatGPT-3.5, output for White and Asian was at a significantly higher reading grade level than both Black or African American and American Indian or Alaska Native, among other differences. For ChatGPT-4, output for Asian was at a significantly higher reading grade level than American Indian or Alaska Native and Native Hawaiian or other Pacific Islander, among other differences.

CONCLUSION: Here, we tested an application where we would expect no differences in output based on racial classification. Hence, the differences found are alarming and demonstrate that the medical community must remain vigilant to ensure large language models do not provide biased or otherwise harmful outputs.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:109

Enthalten in:

Clinical imaging - 109(2024) vom: 29. Apr., Seite 110113

Sprache:

Englisch

Beteiligte Personen:

Amin, Kanhai S [VerfasserIn]
Forman, Howard P [VerfasserIn]
Davis, Melissa A [VerfasserIn]

Links:

Volltext

Themen:

ChatGPT
Health equity
Implicit bias
Journal Article
Large language models
Radiology report

Anmerkungen:

Date Completed 17.04.2024

Date Revised 17.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.clinimag.2024.110113

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370419081