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Large Language Models for Structured Chest CT Reporting in Portuguese: A Comparative Study with Radiologist Validation

Year: 2026
Type: conference-paper
Abstract: To evaluate LLMs for converting free-text Portuguese chest CT reports into structured JSON for clinical communication and data reuse. Gemini 1.5 Flash, GPT-4o, and LLaMA 3.3 were tested on 1,102 de-identified reports using a dynamic JSON template with few-shot prompting. Validation combined radiologist review and quantitative metrics. All models produced coherent structured outputs. Gemini achieved the best agreement (macro-F1 0.852; micro-F1 0.853), followed by LLaMA (0.806; 0.809) and GPT-4o (0.797;0.798). LLM-assisted structuring of Portuguese chest CT reports is feasible and attains high agreement with manual references; section-aware prompting and JSON validation improve robustness.
Field: Medicine
Open Access status: gold
OpenAlex ID: W7165679643
FWCI:
Cites: 18
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