ChatGPT in Dermatology: A Comprehensive Systematic Review

BackgroundIn recent years, the field of dermatology has adopted the latest technologies to enhance patient care and medical education. Mobile technology and social media platforms have revolutionized the delivery of services, and AI-based procedures are poised to become part of dermatologists daily routines. There are already numerous papers on the use of the latest conversational AI tool, ChatGPT, in dermatology, and a systematic analysis of these studies can yield valuable insights. ObjectiveTo comprehensively evaluate the literature on the various applications of ChatGPT in dermatology and related areas. MethodsWe searched PubMed, Cochrane Library, EuropePMC, medRxiv, arXiv, bioRxiv, Dimensions AI, Semantic Scholar, and Google Scholar, to obtain articles published up until May 15, 2023. The eligibility criteria focused on studies examining the use of ChatGPT in dermatology-related areas. To address the risks of bias, we employed a meticulous selection process, incorporating diverse information sources, including preprints, in multiple languages. In addition to full text articles, acknowledgments and supplemental material were also examined to ensure a thorough analysis. The synthesis of findings utilized network analysis and thematic synthesis methodologies. ResultsThere was a total of 87 manuscripts that fulfilled eligibility requirements. Over a third of them (36%) acknowledged the assistance of ChatGPT in writing, data analysis or software development. About a quarter (24%) were case reports describing dermatological manifestations and complications. ChatGPT demonstrated successful performance answering questions related to dermatology, ranging from excellent in cancer to barely passable in specialized and lesser-known dermatology areas, although its performance improved with GPT 4. There are advancements in interactive learning, integrations with image-based AI, and enhancing language models for dermatology applications. ConclusionsThere has been a remarkable surge in the adoption of ChatGPT in areas related to dermatology, especially in writing case reports. As researchers are aware of safety and uncertainty, a continued feedback loop for reporting errors is crucial for the ongoing improvement and training of AI models, ensuring their reliability and effectiveness in the field.