Evidence map›Paper›PMID 40519217›Full record

ReviewBMJ oncology2025

Large language models in oncology: a review.

David Chen, Rod Parsa, Karl Swanson, John-Jose Nunez, Andrew Critch, Danielle S Bitterman, Fei-Fei Liu, Srinivas Raman

Abstract readReview
In one paragraph

Review in BMJ oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Who Is Responsible When AI Gets Cancer Information Wrong? Implications for Patient Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Review
  16. Review
  17. Review
  18. ChatGPT in precision medicine.APL bioengineering · 2026
    Review
  19. Review
  20. Article
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

8 authors.

David ChenRadiation Medicine Program, Princess Margaret Hospital Cancer Centre, Toronto, Ontario, Canada.
Rod ParsaRadiation Medicine Program, Princess Margaret Hospital Cancer Centre, Toronto, Ontario, Canada.
Karl SwansonDepartment of Medicine, University of California-San Francisco, San Francisco, California, USA.
John-Jose NunezDepartment of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Andrew CritchCenter for Human-Compatible Artificial Intelligence, Department of Electrical Engineering and Computer Sciences, UC Berkeley, Berkeley, California, USA.
Danielle S BittermanArtificial Intelligence in Medicine (AIM) Program, Mass General Brigham, Harvard Medical School, Boston, Massachusetts, USA.
Fei-Fei LiuRadiation Medicine Program, Princess Margaret Hospital, Toronto, Ontario, Canada.
Srinivas RamanRadiation Medicine Program, Princess Margaret Hospital Cancer Centre, Toronto, Ontario, Canada.ORCID 0000-0001-5688-9628

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large language models (LLMs) have demonstrated emergent human-like capabilities in natural language processing, leading to enthusiasm about their integration in healthcare environments. In oncology, where synthesising complex, multimodal data is essential, LLMs offer a promising avenue for supporting clinical decision-making, enhancing patient care, and accelerating research. This narrative review aims to highlight the current state of LLMs in medicine; applications of LLMs in oncology for clinicians, patients, and translational research; and future research directions. Clinician-facing LLMs enable clinical decision support and enable automated data extraction from electronic health records and literature to inform decision-making. Patient-facing LLMs offer the potential for disseminating accessible cancer information and psychosocial support. However, LLMs face limitations that must be addressed before clinical adoption, including risks of hallucinations, poor generalisation, ethical concerns, and scope integration. We propose the incorporation of LLMs within compound artificial intelligence systems to facilitate adoption and efficiency in oncology. This narrative review serves as a non-technical primer for clinicians to understand, evaluate, and participate as active users who can inform the design and iterative improvement of LLM technologies deployed in oncology settings. While LLMs are not intended to replace oncologists, they can serve as powerful tools to augment clinical expertise and patient-centred care, reinforcing their role as a valuable adjunct in the evolving landscape of oncology.

Indexed as

Medical oncology

Identifiers

PMID40519217
PMCPMC12164365

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.