Smart Processing and Intelligent Navigation for Evaluation (SPINE): Comparing Clinicians and AI Language Model (GPT-4) in Spinal Cord Stimulation Candidate Selection

A non-fine-tuned GPT-4 approximated but did not replicate MDT decision-making, functioning as a high-specificity, low-sensitivity filter. A layered workflow combining rule-based tools with expert oversight and targeted LLM adaptation may best optimize SCS candidate selection.