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Articles Published Processes
12/11/2025 8:20:55 AM | Browse: 2 | Download: 1
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Received |
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2025-09-16 11:36 |
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Peer-Review Started |
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2025-09-16 11:44 |
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First Decision by Editorial Office Director |
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2025-09-20 01:50 |
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Return for Revision |
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2025-09-20 01:50 |
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Revised |
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2025-09-26 14:22 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2025-10-27 02:36 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2025-10-27 06:43 |
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Articles in Press |
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2025-10-27 06:43 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2025-12-02 02:04 |
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Publish the Manuscript Online |
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2025-12-11 08:20 |
| ISSN |
1948-5204 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Medicine, General & Internal |
| Manuscript Type |
Editorial |
| Article Title |
Cost vs clinical utility on application of large language models in clinical practice: A double-edged sword
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Sunny Chi Lik Au |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Sunny Chi Lik Au, Chief Physician, Clinical Assistant Professor (Honorary), Research Fellow, School of Clinical Medicine, The University of Hong Kong, 9/F, MO Office, Lo Ka Chow Memorial Ophthalmic Centre, No. 19 Eastern Hospital Road, Causeway Bay, Hong Kong 999077, China. kilihcua@gmail.com |
| Key Words |
Large language models; Artificial intelligence; ChatGPT; Cost; Patient education |
| Core Tip |
As large language models increasingly permeate medical workflows, this study offers insight into 3 areas: Performance parity, cost democratization, and clinical readiness. Perhaps one potentially compelling finding was cost efficiency. Yet cost-effectiveness alone does not ensure clinical utility. Notably, the study relied exclusively on text-based prompts, omitting multimodal data such as photographs or scans. This is an important limitation in a domain like endoscopy, which often can be driven visually. Large language model performance can drop precipitously when deprived of image context. Without multimodal integration, artificial intelligence tools may inevitably fail to capture key diagnostic signals. |
| Publish Date |
2025-12-11 08:20 |
| Citation |
Au SCL. Cost vs clinical utility on application of large language models in clinical practice: A double-edged sword. World J Gastrointest Oncol 2025; 17(12): 114341 |
| URL |
https://www.wjgnet.com/1948-5204/full/v17/i12/114341.htm |
| DOI |
https://dx.doi.org/10.4251/wjgo.v17.i12.114341 |
© 2004-2025 Baishideng Publishing Group Inc. All rights reserved. 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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