Evidence map›Paper›PMID 40604229›Full record

ArticleNPJ digital medicine2025

Large language model trained on clinical oncology data predicts cancer progression.

Menglei Zhu, Hui Lin, Jue Jiang, Abbas J Jinia, Justin Jee, Karl Pichotta, Michele Waters, Doori Rose, Nikolaus Schultz, Sulov Chalise and 9 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

  1. Pooled it
  2. Large Language Models in Lung Cancer: Systematic Review.Journal of medical Internet research · 2025
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
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  11. Article
  12. Review
  13. Article
  14. Current trends and future directions of artificial intelligence in lung cancer diagnosis.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2026
    Article
  15. Article
  16. Article
  17. State of clinical AI in 2026.BMJ digital health & AI · 2026
    Review
  18. Article
  19. Review
  20. Review
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

19 authors.

Menglei Zhu *Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Hui Lin *University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-7356-3611
Jue JiangMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Abbas J JiniaMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Justin JeeMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Karl PichottaMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Michele WatersMemorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-5416-5172
Doori RoseMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Nikolaus SchultzMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Sulov ChaliseMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Lohit ValleruMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Olivier MorinUniversity of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-9240-5704
Jean MoranMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Joseph O DeasyMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Shirin PilaiMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Chelsea NicholsMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Gregory RielyMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Lior Z BraunsteinMemorial Sloan Kettering Cancer Center, New York, NY, USA. braunstl@mskcc.org.
Anyi LiMemorial Sloan Kettering Cancer Center, New York, NY, USA. lia5@mskcc.org.ORCID http://orcid.org/0000-0002-1238-2072

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Subspecialty knowledge barriers have limited the adoption of large language models (LLMs) in oncology. We introduce Woollie, an open-source, oncology-specific LLM trained on real-world data from Memorial Sloan Kettering Cancer Center (MSK) across lung, breast, prostate, pancreatic, and colorectal cancers, with external validation using University of California, San Francisco (UCSF) data. Woollie surpasses ChatGPT in medical benchmarks and excels in eight non-medical benchmarks. Analyzing 39,319 radiology impression notes from 4002 patients, it achieved an overall area under the receiver operating characteristic curve (AUROC) of 0.97 for cancer progression prediction on MSK data, including a notable 0.98 AUROC for pancreatic cancer. On UCSF data, it achieved an overall AUROC of 0.88, excelling in lung cancer detection with an AUROC of 0.95. As the first oncology specific LLM validated across institutions, Woollie demonstrates high accuracy and consistency across cancer types, underscoring its potential to enhance cancer progression analysis.

Identifiers

PMID40604229
PMCPMC12223279

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.