Evidence map›Paper›PMID 40153782›Full record

ArticleJMIR cancer2025

Large Language Model Applications for Health Information Extraction in Oncology: Scoping Review.

David Chen, Saif Addeen Alnassar, Kate Elizabeth Avison, Ryan S Huang, Srinivas Raman

Abstract readScoping Review
In one paragraph

Article in JMIR cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

David ChenTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-3178-519X
Saif Addeen AlnassarDepartment of Systems Design Engineering, University of Waterloo, Waterloo, ON, Canada.ORCID 0009-0006-0825-1658
Kate Elizabeth AvisonDepartment of Systems Design Engineering, University of Waterloo, Waterloo, ON, Canada.ORCID 0009-0001-1148-9177
Ryan S HuangTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-3404-5376
Srinivas RamanDepartment of Radiation Oncology, BC Cancer Vancouver, 600 W 10th Ave, Vancouver, BC, V5Z 4E6, Canada, 1 416-946-4501.ORCID 0000-0001-5688-9628

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Natural language processing systems for data extraction from unstructured clinical text require expert-driven input for labeled annotations and model training. The natural language processing competency of large language models (LLM) can enable automated data extraction of important patient characteristics from electronic health records, which is useful for accelerating cancer clinical research and informing oncology care. Objective: This scoping review aims to map the current landscape, including definitions, frameworks, and future directions of LLMs applied to data extraction from clinical text in oncology. Methods: We queried Ovid MEDLINE for primary, peer-reviewed research studies published since 2000 on June 2, 2024, using oncology- and LLM-related keywords. This scoping review included studies that evaluated the performance of an LLM applied to data extraction from clinical text in oncology contexts. Study attributes and main outcomes were extracted to outline key trends of research in LLM-based data extraction. Results: The literature search yielded 24 studies for inclusion. The majority of studies assessed original and fine-tuned variants of the BERT LLM (n=18, 75%) followed by the Chat-GPT conversational LLM (n=6, 25%). LLMs for data extraction were commonly applied in pan-cancer clinical settings (n=11, 46%), followed by breast (n=4, 17%), and lung (n=4, 17%) cancer contexts, and were evaluated using multi-institution datasets (n=18, 75%). Comparing the studies published in 2022-2024 versus 2019-2021, both the total number of studies (18 vs 6) and the proportion of studies using prompt engineering increased (5/18, 28% vs 0/6, 0%), while the proportion using fine-tuning decreased (8/18, 44.4% vs 6/6, 100%). Advantages of LLMs included positive data extraction performance and reduced manual workload. Conclusions: LLMs applied to data extraction in oncology can serve as useful automated tools to reduce the administrative burden of reviewing patient health records and increase time for patient-facing care. Recent advances in prompt-engineering and fine-tuning methods, and multimodal data extraction present promising directions for future research. Further studies are needed to evaluate the performance of LLM-enabled data extraction in clinical domains beyond the training dataset and to assess the scope and integration of LLMs into real-world clinical environments.

Indexed as

Data MiningInformation Storage and RetrievalMedical OncologyNatural Language ProcessingNeoplasmsElectronic Health RecordsHumansLarge Language ModelsAIartificial intelligencechatbotconversational agentdata extractiondigital healthelectronic health recordhealth informationhealth technologylarge language modelLLMnatural language processingNLPoncologyscoping review

Identifiers

PMID40153782
PMCPMC11970800

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.