{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:04:24Z","timestamp":1785434664660,"version":"3.56.0"},"reference-count":9,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100017785","name":"Pediatric Dermatology Research Alliance","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017785","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alopecia areata (AA) is an autoimmune disease affecting hair follicles that results in nonscarring hair loss. AA impacts 0.1%\u20130.2% of the United States population, with pediatric patients accounting for 16.0%\u201327.7% of all cases. The Severity of Alopecia Tool (SALT), a method of quantifying scalp alopecia, helps guide clinical practice and determine response to therapies in clinical trials. Given the emerging role of image\u2010based assessments of alopecia and growth of multimodal generative artificial intelligence (AI) in dermatology, we aimed to assess the \u201coff\u2010the\u2010shelf\u201d ability of a large\u2010language model, GPT\u20104o, to automate the generation of image\u2010based SALT scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Chart review of patients with AA seen at the Children's Hospital of Philadelphia's Dermatology Clinic was conducted to identify 4\u2010view images of patients' scalps and provider\u2010derived SALT scores. One\u2010hundred\u2010and\u2010four 4\u2010view image sets were de\u2010identified and provided to GPT\u20104o, which was prompted to generate SALT scores. Concordance between GPT\u20104o's and providers' scores was determined using intraclass correlation coefficients (ICC) and concordance correlation coefficients (CCC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>ICC and CCC between GPT\u20104o and in\u2010person provider assessments were 0.815 and 0.866. ICC and CCC between GPT\u20104o and image\u2010based provider assessments were 0.833 and 0.817. ICC and CCC between two providers were 0.950 and 0.948. These high levels of concordance were confirmed on Bland\u2013Altman plots.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SALT scoring for AA can be challenging due to provider subjectivity, changing sphericity and growth of patients' scalps, particularly among pediatric patients. Our data show the potential adjunct role that \u201coff\u2010the\u2010shelf\u201d generative AI tools may play in SALT scoring without any prior additional explicit training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pde.70195","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:23:53Z","timestamp":1773102233000},"page":"824-828","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Generative Artificial Intelligence Tools: Evaluating Ways to Automate Your\n                    <scp>SALT<\/scp>\n                    (\n                    <scp>GATEWAYS<\/scp>\n                    ) Scoring of Alopecia Areata"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8827-6137","authenticated-orcid":false,"given":"Radhika","family":"Gupta","sequence":"first","affiliation":[{"name":"Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hojjat","family":"Salmasian","sequence":"additional","affiliation":[{"name":"Data and Analytics (DnA) Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Oboite","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"},{"name":"Dermatology Section Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Mehlmann","sequence":"additional","affiliation":[{"name":"Dermatology Section Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Griffin Stockton","family":"Hogrogian","sequence":"additional","affiliation":[{"name":"Dermatology Section Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie Ann","family":"Castelo\u2010Soccio","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Children's National Medical Center George Washington University School of Medicine and Health Sciences  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Cotsarelis","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8403-8780","authenticated-orcid":false,"given":"Albert C.","family":"Yan","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"},{"name":"Dermatology Section Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41687-020-00240-7"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2017.10.048"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.13990"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2003.09.032"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/srt.13440"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisp.2017.10.010"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/srt.12449"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdin.2024.04.003"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdcr.2025.09.023"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.70195","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pde.70195","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.70195","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:44:03Z","timestamp":1785433443000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.70195"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,9]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/pde.70195"],"URL":"https:\/\/doi.org\/10.1111\/pde.70195","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,9]]},"assertion":[{"value":"2025-09-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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