<p>OpenAI’s GPT-5 demonstration showed a patient uploading pathology reports to guide treatment decisions, though privacy implications were not addressed. We evaluated GPT-5 against 100 gastrointestinal oncology cases with tumor-board validation and found identical 85% concordance to GPT-4o, contradicting superiority claims. We recommend mandatory accuracy disclosures and regulatory oversight for AI health demonstrations to protect patient safety and privacy.</p>

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Clinical Accuracy and Safety Concerns Following GPT-5 Public Demonstration in Cancer Care

  • Ivan Capobianco,
  • Andrea Della Penna,
  • André L. Mihaljevic,
  • Michael Bitzer,
  • Carsten Eickhoff,
  • Derna Stifini

摘要

OpenAI’s GPT-5 demonstration showed a patient uploading pathology reports to guide treatment decisions, though privacy implications were not addressed. We evaluated GPT-5 against 100 gastrointestinal oncology cases with tumor-board validation and found identical 85% concordance to GPT-4o, contradicting superiority claims. We recommend mandatory accuracy disclosures and regulatory oversight for AI health demonstrations to protect patient safety and privacy.