Evidence map›Paper›PMID 41873926›Full record

ArticleEuropean journal of breast health2026

Evaluating the Role of Artificial Intelligence in Enhancing Multidisciplinary Team Decisions for Breast Cancer Management.

Merve Tokoçin, Turan Pehlivan, Selçuk Cin, Bülent Toksöz, Onur Tokoçin, Eda Cingöz, Nigar Erkoç, Aynur Özen, Nida Sünnetçi Arıkan, Şahin Bedir and 1 more

Abstract read
In one paragraph

Article in European journal of breast health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Merve TokoçinDepartment of General Surgery, University of Health Sciences Türkiye, İstanbul Bağcılar Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0001-8040-300X
Turan PehlivanDepartment of General Surgery, University of Health Sciences Türkiye, İstanbul Bağcılar Training and Research Hospital, İstanbul, Türkiye.ORCID 0009-0005-5568-2031
Selçuk CinDepartment of Pathology, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul, Türkiye.ORCID 0000-0001-5097-0505
Bülent ToksözDepartment of General Surgery, University of Health Sciences Türkiye, İstanbul Bağcılar Training and Research Hospital, İstanbul, Türkiye.ORCID 0009-0004-8151-4229
Onur TokoçinDepartment of Emergency Medicine, Arel University Faculty of Medicine, İstanbul, Türkiye.ORCID 0000-0002-2745-1026
Eda CingözDepartment of Radiology, University of Health Sciences Türkiye, İstanbul Bağcılar Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0003-0814-4597
Nigar ErkoçDepartment of Radiology, University of Health Sciences Türkiye, İstanbul Bağcılar Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0002-2162-9284
Aynur ÖzenDepartment of Nuclear Medicine, University of Health Sciences Türkiye, İstanbul Bağcılar Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0002-0648-8831
Nida Sünnetçi ArıkanDepartment of Radiation Oncology, University of Health Sciences Türkiye, İstanbul Bağcılar Training and Research Hospital, İstanbul, Türkiye.ORCID 0009-0002-1678-6354
Şahin BedirDepartment of Oncology, University of Health Sciences Türkiye, İstanbul Bağcılar Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0002-5797-0804
Atilla ÇelikDepartment of General Surgery, University of Health Sciences Türkiye, İstanbul Bağcılar Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0002-0732-9007

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Multidisciplinary teams (MDTs) are essential for optimizing breast cancer treatment, yet the role of general-purpose artificial intelligence (AI), such as ChatGPT, in supporting these teams remains underexplored. This study compared ChatGPT versions 3.5 and 4 with a hospital-based MDT in making treatment and follow-up recommendations, using St. Gallen, European Society for Medical Oncology, National Comprehensive Cancer Network, and American Society of Clinical Oncology guidelines as a reference. Materials and Methods: A retrospective analysis of 100 consecutive breast cancer patients diagnosed between January 2023 and January 2024 at a training hospital in İstanbul, Türkiye, was conducted. The MDT provided consensus-based recommendations, while anonymized patient data were processed by ChatGPT using English prompts based on guideline summaries. Two experienced breast surgeons independently rated recommendation appropriateness on a five-point scale post-treatment, focusing on clinical outcomes, with agreement assessed using weighted Cohen's kappa across cancer stage, molecular subtype, and proliferation index. Results: ChatGPT-4 (with a knowledge cut-off of March 2023) demonstrated substantial agreement with the MDT for primary treatments (weighted κ = 0.712), whereas ChatGPT-3.5 showed moderate agreement (κ = 0.600). Agreement for additional recommendations, such as genetic counseling, was lower (GPT-4: κ = 0.398; GPT-3.5: κ = 0.302), with better performance in early-stage and less aggressive subtypes compared to advanced or aggressive cases. Discrepancies were noted in complex or aggressive cases. Conclusion: The study suggests ChatGPT, particularly version 4, may serve as a supportive tool for breast cancer teams, especially in early-stage cases, though clinical expertise remains vital for complex scenarios, warranting further research to refine AI integration.

Indexed as

Breast cancerbreast neoplasmstreatment

Identifiers

PMID41873926
PMCPMC13011154

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.