This study investigates the transformative potential of Large Language Models
(LLMs), such as OpenAI ChatGPT, in medical imaging. With the aid of public
data, these models, which possess remarkable language understanding and
generation capabilities, are augmenting the interpretive skills of
radiologists, enhancing patient-physician communication, and streamlining
clinical workflows. The paper introduces an analytic framework for presenting
the complex interactions between LLMs and the broader ecosystem of medical
imaging stakeholders, including businesses, insurance entities, governments,
research institutions, and hospitals (nicknamed BIGR-H). Through detailed
analyses, illustrative use cases, and discussions on the broader implications
and future directions, this perspective seeks to raise discussion in strategic
planning and decision-making in the era of AI-enabled healthcare.

本研究探讨了大型语言模型，如 OpenAI ChatGPT 在医学成像方面的变革潜力。通过公共数据辅助，这些模型增强了放射科医生的解释技能，提高患者与医生之间的沟通，并简化了临床工作流程。本文提出了一个分析框架，解释了 LLMs 与医学成像利益相关者（包括企业、保险机构、政府、研究机构和医院）之间的复杂相互作用，通过详细分析、实例应用和探讨其广泛影响及未来方向，旨在引发就 AI 助力医疗保健的战略规划和决策的讨论。