Role of large language models in the multidisciplinary decision-making process for patients with renal cell carcinoma: a pilot experience
Abstract We evaluated an AI chatbot’s ability to suggest diagnostic and therapeutic pathways for renal cell carcinoma (RCC) in a multidisciplinary tumor board (MDT). A retrospective analysis of 103 cases (2023–2024) found 62.1% agreement with MDT decisions (κ = 0.44, p< 0.001). Concordance was hi...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2025-07-01
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| Series: | npj Precision Oncology |
| Online Access: | https://doi.org/10.1038/s41698-025-01014-4 |
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| author | Riccardo Bertolo Lorenzo De Bon Filippo Caudana Greta Pettenuzzo Sarah Malandra Chiara Casolani Andrea Zivi Emanuela Fantinel Alessandro Borsato Riccardo Negrelli Emiliano Salah El Din Tantawy Giulia Volpi Matteo Brunelli Alessandro Veccia Maria Angela Cerruto Alessandro Antonelli AOUI Verona Uro-Oncology Multi-Disciplinary Team |
| author_facet | Riccardo Bertolo Lorenzo De Bon Filippo Caudana Greta Pettenuzzo Sarah Malandra Chiara Casolani Andrea Zivi Emanuela Fantinel Alessandro Borsato Riccardo Negrelli Emiliano Salah El Din Tantawy Giulia Volpi Matteo Brunelli Alessandro Veccia Maria Angela Cerruto Alessandro Antonelli AOUI Verona Uro-Oncology Multi-Disciplinary Team |
| author_sort | Riccardo Bertolo |
| collection | DOAJ |
| description | Abstract We evaluated an AI chatbot’s ability to suggest diagnostic and therapeutic pathways for renal cell carcinoma (RCC) in a multidisciplinary tumor board (MDT). A retrospective analysis of 103 cases (2023–2024) found 62.1% agreement with MDT decisions (κ = 0.44, p< 0.001). Concordance was highest in when follow-up imaging was suggested (p = 0.001), with disease status influencing agreement (p = 0.004). These results suggest AI could assist in RCC case assessments, warranting further research. |
| format | Article |
| id | doaj-art-bf9d0e3c299d4bbfbc9c26bc0766ee82 |
| institution | Kabale University |
| issn | 2397-768X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Precision Oncology |
| spelling | doaj-art-bf9d0e3c299d4bbfbc9c26bc0766ee822025-08-20T03:42:23ZengNature Portfolionpj Precision Oncology2397-768X2025-07-01911410.1038/s41698-025-01014-4Role of large language models in the multidisciplinary decision-making process for patients with renal cell carcinoma: a pilot experienceRiccardo Bertolo0Lorenzo De Bon1Filippo Caudana2Greta Pettenuzzo3Sarah Malandra4Chiara Casolani5Andrea Zivi6Emanuela Fantinel7Alessandro Borsato8Riccardo Negrelli9Emiliano Salah El Din Tantawy10Giulia Volpi11Matteo Brunelli12Alessandro Veccia13Maria Angela Cerruto14Alessandro Antonelli15AOUI Verona Uro-Oncology Multi-Disciplinary TeamDepartment of Surgery, Dentistry, Pediatrics and Gynecology, Urology Unit, Azienda Ospedaliera Universitaria Integrata, University of VeronaDepartment of Surgery, Dentistry, Pediatrics and Gynecology, Urology Unit, Azienda Ospedaliera Universitaria Integrata, University of VeronaDepartment of Surgery, Dentistry, Pediatrics and Gynecology, Urology Unit, Azienda Ospedaliera Universitaria Integrata, University of VeronaDepartment of Surgery, Dentistry, Pediatrics and Gynecology, Urology Unit, Azienda Ospedaliera Universitaria Integrata, University of VeronaDepartment of Surgery, Dentistry, Pediatrics and Gynecology, Urology Unit, Azienda Ospedaliera Universitaria Integrata, University of VeronaDepartment of Surgery, Dentistry, Pediatrics and Gynecology, Urology Unit, Azienda Ospedaliera Universitaria Integrata, University of VeronaDepartment of Medicine, Section of Oncology, Azienda Ospedaliera Universitaria IntegrataDepartment of Medicine, Section of Oncology, Azienda Ospedaliera Universitaria IntegrataUnit of Radiology, Azienda Ospedaliera Universitaria IntegrataUnit of Radiology, Azienda Ospedaliera Universitaria IntegrataUnit of Radiation Oncology, Azienda Ospedaliera Universitaria Integrata VeronaUnit of Radiation Oncology, Azienda Ospedaliera Universitaria Integrata VeronaDepartment of Diagnostic and Public Health, Section of Pathology, University of VeronaDepartment of Surgery, Dentistry, Pediatrics and Gynecology, Urology Unit, Azienda Ospedaliera Universitaria Integrata, University of VeronaDepartment of Surgery, Dentistry, Pediatrics and Gynecology, Urology Unit, Azienda Ospedaliera Universitaria Integrata, University of VeronaDepartment of Surgery, Dentistry, Pediatrics and Gynecology, Urology Unit, Azienda Ospedaliera Universitaria Integrata, University of VeronaAbstract We evaluated an AI chatbot’s ability to suggest diagnostic and therapeutic pathways for renal cell carcinoma (RCC) in a multidisciplinary tumor board (MDT). A retrospective analysis of 103 cases (2023–2024) found 62.1% agreement with MDT decisions (κ = 0.44, p< 0.001). Concordance was highest in when follow-up imaging was suggested (p = 0.001), with disease status influencing agreement (p = 0.004). These results suggest AI could assist in RCC case assessments, warranting further research.https://doi.org/10.1038/s41698-025-01014-4 |
| spellingShingle | Riccardo Bertolo Lorenzo De Bon Filippo Caudana Greta Pettenuzzo Sarah Malandra Chiara Casolani Andrea Zivi Emanuela Fantinel Alessandro Borsato Riccardo Negrelli Emiliano Salah El Din Tantawy Giulia Volpi Matteo Brunelli Alessandro Veccia Maria Angela Cerruto Alessandro Antonelli AOUI Verona Uro-Oncology Multi-Disciplinary Team Role of large language models in the multidisciplinary decision-making process for patients with renal cell carcinoma: a pilot experience npj Precision Oncology |
| title | Role of large language models in the multidisciplinary decision-making process for patients with renal cell carcinoma: a pilot experience |
| title_full | Role of large language models in the multidisciplinary decision-making process for patients with renal cell carcinoma: a pilot experience |
| title_fullStr | Role of large language models in the multidisciplinary decision-making process for patients with renal cell carcinoma: a pilot experience |
| title_full_unstemmed | Role of large language models in the multidisciplinary decision-making process for patients with renal cell carcinoma: a pilot experience |
| title_short | Role of large language models in the multidisciplinary decision-making process for patients with renal cell carcinoma: a pilot experience |
| title_sort | role of large language models in the multidisciplinary decision making process for patients with renal cell carcinoma a pilot experience |
| url | https://doi.org/10.1038/s41698-025-01014-4 |
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