Large Language Models Assist in Tumor MDT
Evaluating Large Language Models as Decision Support Agents in Pan-Cancer Tumor Boards: A Randomized Controlled Trial
1 other identifier
interventional
60
1 country
2
Brief Summary
Multidisciplinary teams (MDTs) represent the gold standard for personalized tumor treatment, but they are limited by medical resources and accessibility Limitation. Although large language models (LLMs) have shown promise in medical reasoning, their multidisciplinary practicality in pan-cancer MDTs has not been fully explored. In the early stage of this project, LLMs with high clinical application efficacy were identified through benchmark tests, and an open-label randomized controlled study (RCT) was conducted based on these LLMs. The research aims to explore whether AI-assisted assistance can enhance the accuracy and writing efficiency of MDT diagnosis and treatment reports. This study intends to prospectively collect the diagnosis and treatment information of 20 patients and MDT diagnosis and treatment information. It is planned to recruit 40 junior doctors. Doctors in the intervention group will use LLM to assist in the writing of MDT reports, while doctors in the control group will use traditional information retrieval methods for the writing of MDT reports. Three clinical experts ultimately used a standardized Likert scale to conduct comprehensive and multidisciplinary scoring of the MDT reports of the intervention group and the control group. This study quantitatively compared the diagnosis and treatment quality and efficiency of the MDT AI-assisted model and the traditional model to verify the application potential of large language models in assisting tumor diagnosis and treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable lung-cancer
Started Jan 2026
Shorter than P25 for not_applicable lung-cancer
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2026
CompletedFirst Submitted
Initial submission to the registry
March 11, 2026
CompletedFirst Posted
Study publicly available on registry
March 31, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
March 31, 2026
March 1, 2026
12 months
March 11, 2026
March 25, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
The overall score of the MDT report
Clinical experts comprehensively evaluated the diagnosis and treatment opinions of different departments in the MDT report, and used the standardized Likert scale to comprehensively score the MDT reports of the intervention group and the control group (1 to 5 points, the higher the better).
Up to 4 weeks, complete the writing of medical opinions for all cases (n=20).
Secondary Outcomes (5)
The radiation oncology score of the MDT report
Up to 4 weeks, complete the writing of medical opinions for all cases (n=20).
The medical oncology score of the MDT report
Up to 4 weeks, complete the writing of medical opinions for all cases (n=20).
The pathology score of the MDT report
Up to 4 weeks, complete the writing of medical opinions for all cases (n=20).
The radiology score of the MDT report
Up to 4 weeks, complete the writing of medical opinions for all cases (n=20).
The time consumption in writing an MDT report
Up to 4 weeks, complete the writing of medical opinions for all cases (n=20).
Study Arms (2)
AI-MDT
EXPERIMENTALThis study was a prospective RCT, and the intervention content was an auxiliary tool for writing MDT reports. The intervention group used LLM to assist in the writing of MDT reports. The prescribed MDT medical records (excluding diagnosis and treatment opinions) were input into the LLM, and the output content could be used as a reference for the MDT report. Finally, the MDT diagnosis and treatment opinions were written under the personal judgment of the doctors.
Trad-MDT
NO INTERVENTIONThe control group used traditional information retrieval methods (such as Google, literature, and textbooks) to write MDT diagnosis and treatment opinions.
Interventions
This study was a prospective RCT, and the intervention content was an auxiliary tool for writing MDT reports. The intervention group used LLM to assist in the writing of MDT reports. The prescribed MDT medical records (excluding diagnosis and treatment opinions) were input into the LLM, and the output content could be used as a reference for the MDT report. Finally, the MDT diagnosis and treatment opinions were written under the personal judgment of the doctors. The control group used traditional information retrieval methods (such as Google, literature, and textbooks) to write MDT diagnosis and treatment opinions.
Eligibility Criteria
You may qualify if:
- A junior doctor with a practicing physician qualification certificate.
- Oncologists, surgeons, radiation oncologists, radiologists and pathologists with 3 to 5 years of clinical experience.
- Age: 25 to 33 years old, gender not limited.
- During the research period, one can participate for no less than 10 hours.
- Agree to participate in this research and sign the informed consent form.
You may not qualify if:
- Have participated in the previous diagnosis and treatment of any one of the 20 cases included in the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
Guangzhou, Guangdong, 510000, China
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
Guangzhou, Guangdong, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Yunfang Yu, PhD
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
- STUDY DIRECTOR
Herui Yao, PhD
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
March 11, 2026
First Posted
March 31, 2026
Study Start
January 1, 2026
Primary Completion (Estimated)
December 31, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
March 31, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share
Requests for the individual data or study documents will be considered where the proposed use aligns with public good purposes, does not conflict with other requests, and the requestor is willing to sign a data access agreement. Contact is though the corresponding author.