A recent evaluation on the performance of LLMs on radiation oncology physics using questions of randomly shuffled options

Purpose: We present an updated study evaluating the performance of large language models (LLMs) in answering radiation oncology physics questions, focusing on the recently released models. Methods: A set of 100 multiple choice radiation oncology physics questions, previously created by a well-experienced physicist, was used for this study. The answer options of the questions were randomly shuffled to create "new" exam sets. Five LLMs (OpenAI o1-preview, GPT-4o, LLaMA 3.1 (405B), Gemini 1.5 Pro, and Claude 3.5 Sonnet) with the versions released before September 30, 2024, were queried using these new exam sets. To evaluate their deductive reasoning capabilities, the correct answers in the questions were replaced with "None of the above." Then, the explaining-first and step-by-step instruction prompts were used to test if this strategy improved their reasoning capabilities. The performance of the LLMs was compared with the answers from medical physicists. Results: All models demonstrated expert-level performance on these questions, with o1-preview even surpassing medical physicists with a majority vote. When replacing the correct answers with "None of the above," all models exhibited a considerable decline in performance, suggesting room for improvement. The explaining-first and step-by-step instruction prompts helped enhance the reasoning capabilities of the LLaMA 3.1 (405B), Gemini 1.5 Pro, and Claude 3.5 Sonnet models. Conclusion: These recently released LLMs demonstrated expert-level performance in answering radiation oncology physics questions, exhibiting great potential to assist in radiation oncology physics training and education.