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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AI-MDT | Experimental | 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. |
|
| Trad-MDT | No Intervention | The control group used traditional information retrieval methods (such as Google, literature, and textbooks) to write MDT diagnosis and treatment opinions. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LLM assists in MDT report writing | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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). |
| Measure | Description | Time Frame |
|---|---|---|
| The radiation oncology score of the MDT report | Clinical experts used a standardized Likert scale to score the radiotherapy department's diagnosis and treatment opinions reported by the MDT in 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). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yunfang Yu, PhD | Contact | +8613660238987 | yuyf9@mail.sysu.edu.cn | |
| Herui Yao, PhD | Contact | +8613500018020 | yaoherui@mail.sysu.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Yunfang Yu, PhD | Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University | Study Chair |
| Herui Yao, PhD | Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University | Recruiting | Guangzhou | Guangdong | 510000 | China |
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.
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| ID | Term |
|---|---|
| D008175 | Lung Neoplasms |
| D001943 | Breast Neoplasms |
| D015179 | Colorectal Neoplasms |
| D013274 | Stomach Neoplasms |
| D008113 | Liver Neoplasms |
| ID | Term |
|---|---|
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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|
| The medical oncology score of the MDT report | Clinical experts used the standardized Likert scale to score the medical oncology diagnosis and treatment opinions reported by the MDT in 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). |
| The pathology score of the MDT report | Clinical experts used the standardized Likert scale to score the pathological diagnosis and treatment opinions reported by the MDT in 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). |
| The radiology score of the MDT report | Clinical experts used a standardized Likert scale to score the radiology diagnosis and treatment opinions reported by the MDT in 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). |
| The time consumption in writing an MDT report | The intervention group and the control group completed the MDT report for each case at all times (unit: hours). | Up to 4 weeks, complete the writing of medical opinions for all cases (n=20). |
| Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University | Recruiting | Guangzhou | Guangdong | China |
|
| D008171 |
| Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D013272 | Stomach Diseases |
| D008107 | Liver Diseases |