ObjectivesTo investigate the attitudes of Chinese radiologists or interns towards generative pre-trained (GPT)-like technologies.MethodsA prospective survey was distributed to 1339 Chinese radiologists or interns via an online platform from October 2023 to May 2024. The questionnaire covered respondent characteristics, opinions on using GPT-like technologies (in clinical practice, training and education, environment and regulation, and development trends), and their attitudes toward these technologies. Logistic regression was conducted to identify underlying factors associated with the attitude.ResultsAfter quality control, 1289 respondents (median age, 37.0 years [IQR, 31.0–44.0 years]; 813 males) were surveyed. Most of the respondents (n = 1223, 94.9%) supported adoption of GPT-like technologies. Based on the acceptance level of GPT-like technologies, the respondents were 3 (0.2%), 29 (2.2%), 352 (27.3%), 677 (52.5%), and 228 (17.7%) from low to high acceptance degrees. Multivariable analysis revealed significant associations between positive attitudes towards GPT-like technologies and their acceptance: writing papers and language polishing (odds ratio [OR] = 1.99; p < 0.001), influence of colleagues using such technologies (OR = 1.77; p = 0.007), government regulation introduction (OR = 2.25; p < 0.001), and enhancement of decision support capabilities (OR = 2.67; p < 0.001). Sensitivity analyses confirmed these results for different acceptance thresholds (all p < 0.001).ConclusionsChinese radiologists or interns generally support GPT-like technologies due to their potential capabilities in clinical practice, medical education, and scientific research. They also emphasize the need for regulatory oversight and remain optimistic about their future medical applications.Critical relevance statementThis study highlights the broad support among Chinese radiologists for GPT-like technologies, emphasizing their potential to enhance clinical decision-making, streamline medical education, and improve research efficiency, while underscoring the need for regulatory oversight.Key PointsThe impact of GPT-like technologies on the radiology field is unclear.Most Chinese radiologists express the supportive adoption of GPT-like technologies.GPT-like technologies’ capabilities at research and clinic prompt the attitude.Graphical
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