A synthetic radiograph of a hip generated by Mickael Tordjman using Chat GPT
A synthetic radiograph of a hip generated by Mickael Tordjman using ChatGPT. In a new study, Tordjman and colleagues tested whether radiologists could tell the difference between real X-rays and those generated by ChatGPT.Mickael Tordjman

Katie Palmer covers telehealth, clinical artificial intelligence, and the health data economy — with an emphasis on the impacts of digital health care for patients, providers, and businesses. You can reach Katie on Signal at palmer.01.

Deepfake images can mislead viewers, upend elections, and instigate violence. They can also, researchers say, disrupt medical care.

In a study published Tuesday in Radiology, an international team of researchers tested whether 17 radiologists could tell the difference between real X-rays and those generated by ChatGPT. Only 41% noticed that anything was awry when they were initially asked to diagnose patients based on the synthetic images. Even once they knew to look out for deepfake X-rays, they only differentiated them accurately 75% of the time. 

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These images aren’t hard to generate: The researchers used simple prompts to get ChatGPT to spit out X-rays with a specified anatomical location, disorder, and level of noise. But as easy as it is for the models to create convincing radiographs, they can’t reliably detect them. Four multimodal models, including the one that generated the images, accurately distinguished deepfakes just 57% to 85% of the time.  

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