ChatGPT Insight and Opinion Regarding the Controversies in Neurogenic Thoracic Outlet Syndrome: A Case-Based Study

Abstract

Introduction There are several controversies regarding thoracic outlet syndrome. This manuscript evaluates the utility of ChatGPT in providing insights into the controversies surrounding neurogenic thoracic outlet syndrome (nTOS). Methods The following questions were chatted with ChatGPT based on OpenAI's GPT-4 architecture, which was last updated in September 2021. What is your opinion regarding the psychological abnormalities in patients with nTOS? What is your opinion about the role of duplex ultrasound in the diagnosis of nTOS? In your opinion, which one is preferred? First rib resection or only scalenectomy for the surgical management of nTOS? Results ChatGPT was accurate in addressing the psychiatric disorders associated with nTOS and the outcome of different types of surgical intervention while it failed to highlight the role of duplex scanning in this disease apart from ruling out another differential diagnosis. Conclusion While ChatGPT offers valuable insights, it should be noted that its last update was in September 2021. Hence, some newer developments in the field may not be addressed. Nonetheless, a comprehensive approach to understanding and managing nTOS, combining both clinical expertise and technological advancements, is vital for the well-being of patients.