Can AI write reports like a radiologist? A blinded evaluation of large language model-generated lumbar spine MRI reports

LLM-generated reports are clinically coherent and stylistically comparable to those written by expert radiologists. Radiologist-written reports scored significantly higher for clinical relevance, findings, and structure. LLM-generated reports were sometimes misclassified as human-written by clinicians.

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Publication Details

Journal
European Radiology Experimental
Published
2026-02-23
DOI
https://doi.org/10.1186/s41747-026-00682-6
Primary Topic
Radiology practices and education
Type
article
Field-Weighted Citation Impact
0.00

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article

Can AI write reports like a radiologist? A blinded evaluation of large language model-generated lumbar spine MRI reports

Renato Fabrizio, Moreno Zanardo, Francesco Traina, Luigi Asmundo et al.
European Radiology Experimental
Radiology practices and education
article

Can AI write reports like a radiologist? A blinded evaluation of large language model-generated lumbar spine MRI reports

Renato Fabrizio, Moreno Zanardo, Francesco Traina, Luigi Asmundo, Martina Conca, Valentina Molinari, Salvatore Gitto, Domenico Albano, Francesco Pardo, Michele Montechiari
article en

Abstract

LLM-generated reports are clinically coherent and stylistically comparable to those written by expert radiologists. Radiologist-written reports scored significantly higher for clinical relevance, findings, and structure. LLM-generated reports were sometimes misclassified as human-written by clinicians.

European Radiology ExperimentalVol. 10(1)
University of Milan (IT), Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT), IRCCS Policlinico San Donato (IT), IRCCS Ospedale Galeazzi - Sant'Ambrogio (IT), Istituto Ortopedico Rizzoli (IT), ASST Fatebenefratelli Sacco (IT), University of Bologna (IT)
Ministero della Salute
Quality Education
Openalex Percentile: Top 47%
Radiology practices and education
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