The continuous improvement of digital assistance in the radiation oncologist's work: from web-based nomograms to the adoption of large-language models (LLMs). A systematic review by the young group of the Italian association of radiotherapy and clinical oncology (AIRO).

AI LLM Nomogram Radiation oncology

Journal

La Radiologia medica
ISSN: 1826-6983
Titre abrégé: Radiol Med
Pays: Italy
ID NLM: 0177625

Informations de publication

Date de publication:
13 Oct 2024
Historique:
received: 23 08 2024
accepted: 20 09 2024
medline: 14 10 2024
pubmed: 14 10 2024
entrez: 13 10 2024
Statut: aheadofprint

Résumé

Recently, the availability of online medical resources for radiation oncologists and trainees has significantly expanded, alongside the development of numerous artificial intelligence (AI)-based tools. This review evaluates the impact of web-based clinical decision-making tools in the clinical practice of radiation oncology. We searched databases, including PubMed, EMBASE, and Scopus, using keywords related to web-based clinical decision-making tools and radiation oncology, adhering to PRISMA guidelines. Out of 2161 identified manuscripts, 70 were ultimately included in our study. These papers all supported the evidence that web-based tools can be transversally integrated into multiple radiation oncology fields, with online applications available for dose and clinical calculations, staging and other multipurpose intents. Specifically, the possible benefit of web-based nomograms for educational purposes was investigated in 35 of the evaluated manuscripts. As regards to the applications of digital and AI-based tools to treatment planning, diagnosis, treatment strategy selection and follow-up adoption, a total of 35 articles were selected. More specifically, 19 articles investigated the role of these tools in heterogeneous cancer types, while nine and seven articles were related to breast and head & neck cancers, respectively. Our analysis suggests that employing web-based and AI tools offers promising potential to enhance the personalization of cancer treatment.

Identifiants

pubmed: 39397129
doi: 10.1007/s11547-024-01891-y
pii: 10.1007/s11547-024-01891-y
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. Italian Society of Medical Radiology.

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Auteurs

Antonio Piras (A)

UO Radioterapia Oncologica, Villa Santa Teresa, 90011, Bagheria, Palermo, Italy.
Ri.Med Foundation, 90133, Palermo, Italy.
Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, Molecular and Clinical Medicine, University of Palermo, 90127, Palermo, Italy.
Radiation Oncology, Mater Olbia Hospital, Olbia, Italy.

Ilaria Morelli (I)

Radiation Oncology Unit, Department of Experimental and Clinical Biomedical Sciences, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Florence, Italy.

Riccardo Ray Colciago (RR)

Department of Radiation Oncology, Fondazione IRCCS Istituto Nazionale Dei Tumori, 20133, Milan, Italy.

Luca Boldrini (L)

UOC Radioterapia Oncologica, Fondazione Policlinico Universitario IRCCS "A. Gemelli", Rome, Italy.
Università Cattolica del Sacro Cuore, Rome, Italy.

Andrea D'Aviero (A)

Department of Medical, Oral and Biotechnological Sciences, "G. D'Annunzio" University of Chieti, Chieti, Italy.
Department of Radiation Oncology, "S.S. Annunziata" Chieti Hospital, Chieti, Italy.

Francesca De Felice (F)

Radiation Oncology, Policlinico Umberto I, Department of Radiological, Oncological and Pathological Sciences, "Sapienza" University of Rome, Rome, Italy.

Roberta Grassi (R)

Department of Precision Medicine, University of Campania "L. Vanvitelli", Naples, Italy.

Giuseppe Carlo Iorio (GC)

Department of Oncology, Radiation Oncology, University of Turin, Turin, Italy.

Silvia Longo (S)

UOC Radioterapia Oncologica, Fondazione Policlinico Universitario IRCCS "A. Gemelli", Rome, Italy.

Federico Mastroleo (F)

Division of Radiation Oncology, European Institute of Oncology IRCCS, Via Ripamonti 435, 20141, Milan, Italy. federico.mastroleo@ieo.it.
Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy. federico.mastroleo@ieo.it.

Isacco Desideri (I)

Radiation Oncology Unit, Department of Experimental and Clinical Biomedical Sciences, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Florence, Italy.

Viola Salvestrini (V)

Radiation Oncology Unit, Department of Experimental and Clinical Biomedical Sciences, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Florence, Italy.

Classifications MeSH