Search arXiv⌕ Search
Home/Archive/arXiv

arXiv · 2403.09674

Navigating the Peril of Generated Alternative Facts: A ChatGPT-4 Fabricated Omega Variant Case as a Cautionary Tale in Medical Misinformation

Malik Sallam·Jan Egger·Rainer Roehrig·Behrus Puladi
View original source ↗Read source document ↗Export metadata ↓

Abstract

In an era where artificial intelligence (AI) intertwines with medical research, the delineation of truth becomes increasingly complex. This study ostensibly examines a purported novel SARS-CoV-2 variant, dubbed the Omega variant, showcasing 31 unique mutations in the S gene region. However, the real undercurrent of this narrative is a demonstration of the ease with which AI, specifically ChatGPT-4, can fabricate convincing yet entirely fictional scientific data. The so-called Omega variant was identified in a fully vaccinated, previously infected 35-year-old male presenting with severe COVID-19 symptoms. Through a detailed, albeit artificial, genomic analysis and contact tracing, this study mirrors the rigorous methodology of genuine case reports, thereby setting the stage for a compelling but entirely constructed narrative. The entire case study was generated by ChatGPT-4, a large language model by OpenAI. The fabricated Omega variant features an ensemble of mutations, including N501Y and E484K, known for enhancing ACE2 receptor affinity, alongside L452R and P681H, ostensibly indicative of immune evasion. This variant's contrived interaction dynamics - severe symptoms in a vaccinated individual versus mild ones in unvaccinated contacts - were designed to mimic real-world complexities, including suggestions of antibody-dependent enhancement (ADE). While the Omega variant is a product of AI-generated fiction, the implications of this exercise are real and profound. The ease with which AI can generate believable but false scientific information, as illustrated in this case, raises significant concerns about the potential for misinformation in medicine. This study, therefore, serves as a cautionary tale, emphasizing the necessity for critical evaluation of sources, especially in an age where AI tools like ChatGPT are becoming increasingly sophisticated and widespread in their use.

Explore related subjects

cs.CLcs.CYcs.IRcs.LG

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Malik Sallam, Jan Egger, Rainer Roehrig, Behrus Puladi. 2024-02-04. Navigating the Peril of Generated Alternative Facts: A ChatGPT-4 Fabricated Omega Variant Case as a Cautionary Tale in Medical Misinformation. https://arxiv.org/abs/2403.09674

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

arXiv2026

SafetyFlow: An Agent-Flow System for Automated LLM Safety Benchmarking

The rapid proliferation of large language models (LLMs) has intensified the requirement for reliable safety evaluation to uncover model vulnerabilities. To this end, numerous LLM safety evaluation benchmarks are proposed. However, existing benchmarks generally rely on labor-intensive manual curation, which causes excessive time and resource consumption. They also exhibit significant redundancy and limited difficulty. To alleviate these problems, we introduce SafetyFlow, the first agent-flow system designed to automate the construction of LLM safety benchmarks. SafetyFlow can automatically build a comprehensive safety benchmark in only four days without any human intervention by orchestrating seven specialized agents, significantly reducing time and resource cost. Equipped with versatile tools, the agents of SafetyFlow ensure process and cost controllability while integrating human expertise into the automatic pipeline. The final constructed dataset, SafetyFlowBench, contains 23,446 queries with low redundancy and strong discriminative power. Our contribution includes the first fully automated benchmarking pipeline and a comprehensive safety benchmark. We evaluate the safety of 49 advanced LLMs on our dataset and conduct extensive experiments to validate our efficacy and efficiency.

cs.CL↗
arXiv2026

Geometric Uncertainty for Detecting and Correcting Hallucinations in LLMs

Large language models are known to hallucinate, generating linguistically plausible but incorrect answers to questions. Uncertainty quantification has been proposed as a strategy to detect such behaviour, but existing methods lack a unified framework to assess reliability at both the prompt and answer level. We introduce a geometric framework which quantifies language model uncertainty at both levels by explicitly modelling a prompt-conditioned semantic distribution in answer embedding space. Our approach is black-box and sampling-based; we generate multiple answers per prompt, and use archetypal analysis to estimate a geometric support for the answer distribution. At the prompt level, we approximate the distribution entropy to quantify uncertainty; for each individual answer, we then use notions of atypicality to assess its reliability relative to the batch. We employ our framework to not only detect hallucinations but correct them, by selecting the batch example deemed most reliable. Experiments show that our framework performs comparably to or better than prior methods on short form question-answering datasets, and achieves superior results on medical datasets where hallucinations carry particularly critical risks. Beyond pure performance, we suggest the theoretical grounding of our work provides support for semantic distributions as useful objects of study for language model uncertainty.

cs.CL↗
arXiv2026

Calibrated Confidence Expression for Radiology Report Generation

Safe deployment of Large Vision-Language Models (LVLMs) in radiology report generation requires not only accurate predictions but also clinically interpretable indicators of when outputs should be thoroughly reviewed, enabling selective radiologist verification and reducing the risk of hallucinated findings influencing clinical decisions. One intuitive approach to this is verbalized confidence, where the model explicitly states its certainty. However, current state-of-the-art language models are often overconfident, and research on calibration in multimodal settings such as radiology report generation is limited. To address this gap, we introduce ConRad (Confidence Calibration for Radiology Reports), a reinforcement learning framework for fine-tuning medical LVLMs to produce calibrated verbalized confidence estimates alongside radiology reports. We study two settings: a single report-level confidence score and a sentence-level variant assigning a confidence to each claim. Both are trained using the GRPO algorithm with reward functions based on the logarithmic scoring rule, which incentivizes truthful self-assessment by penalizing miscalibration and guarantees optimal calibration under reward maximization. Experimentally, ConRad substantially improves calibration and outperforms competing methods. In a clinical evaluation we show that ConRad's report level scores are well aligned with clinicians' judgment. By highlighting full reports or low-confidence statements for targeted review, ConRad can support safer clinical integration of AI-assistance for report generation.

cs.CL↗