Accuracy of AI content detectors in classifying human-written and AI-generated content: (A) Originality.ai, (B) Sapling, and (C) GPTZero. One hundred ASCO abstracts from 2018 to 2019, before the advent of modern large language models, were used as human-written negative controls. One hundred abstracts were generated each by OpenAI's GPT-3.5 and GPT-4 models as positive controls, using the titles from the human-written abstracts as part of the prompt for generation. As authors may use AI to write small sections of scientific work, we also created mixed abstracts that merged the Background section from the AI-generated abstracts with human-written Methods, Results, and Conclusion sections. As illustrated, GPTZero had the best discrimination of the pure AI-generated abstracts at an optimal threshold selected with Youden's index, identifying 99.5% of AI-written abstracts with no false positives among human-written text. AI, artificial intelligence.