The Influence of Large Language Model-Generated Artificial Intelligence Risk Estimates on Clinical Decision-Making in Breast Imaging: A Simulation-Based Study

Background/Objectives: Large language models (LLMs) are increasingly used as decision-support tools in radiology, yet their influence on clinical decision-making remains a significant concern. This study evaluates how artificial intelligence (AI)-generated malignancy risk estimates influence clinical decisions in breast imaging and assesses automation bias (AB) among radiology residents at different training levels.