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LLMs Score High on FRCR Physics, Struggle on Anatomy in Comparative Study

Academic radiologyyesterday

Claude led physics (195/200) but Gemini led anatomy (160/200) on an FRCR Part 1-style exam. LLMs performed well on text but showed variable accuracy on image-based anatomy, highlighting educational potential and limitations.

  • Three frontier LLMs (GPT-5.4 Thinking, Gemini 3.1 Pro, Claude Opus 4.6) were tested on a custom 200-statement physics exam and 100 image-based anatomy questions.
  • Physics scores: Claude 195/200, GPT 189/200, Gemini 187/200. Claude significantly outperformed Gemini (adjusted P=0.023).
  • Anatomy scores: Gemini 160/200, GPT 137/200, Claude 83/200; all pairwise comparisons significant (adjusted P≤0.038).

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