Promise and Pitfalls of AI Chatbots in Complex Decision-Making for Thyroid Nodules and Papillary Thyroid Cancer

AI chatbots show evolving but inconsistent performance in complex thyroid management scenarios. While guideline concordance can be relatively high, substantial variability across models, limited temporal reproducibility, and poor alignment with clinical practice highlight the need for ongoing longitudinal evaluation before safe integration into clinical decision-making.

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Publication Details

Journal
European Thyroid Journal
Published
2026-03-20
DOI
https://doi.org/10.1530/etj-25-0385
Primary Topic
Artificial Intelligence in Healthcare and Education
Type
article
Field-Weighted Citation Impact
0.00
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article

Promise and Pitfalls of AI Chatbots in Complex Decision-Making for Thyroid Nodules and Papillary Thyroid Cancer

Olga Karapanou, Marina Michalaki, Katerina Saltiki, Grigoris Effraimidis et al.
European Thyroid Journal
Artificial Intelligence in Healthcare and Education
article

Promise and Pitfalls of AI Chatbots in Complex Decision-Making for Thyroid Nodules and Papillary Thyroid Cancer

Olga Karapanou, Marina Michalaki, Katerina Saltiki, Grigoris Effraimidis, Athanasios Kasotas, Eleni Sazakli, Sofia Varsami
article en

Abstract

AI chatbots show evolving but inconsistent performance in complex thyroid management scenarios. While guideline concordance can be relatively high, substantial variability across models, limited temporal reproducibility, and poor alignment with clinical practice highlight the need for ongoing longitudinal evaluation before safe integration into clinical decision-making.

European Thyroid Journal
University of Copenhagen (DK), University of Thessaly (GR), University of Patras (GR), National and Kapodistrian University of Athens (GR), NIMTS Hospital (GR)
Gender equality
Openalex Percentile: Top 9%
Artificial Intelligence in Healthcare and Education
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