Development and validation of an autonomous artificial intelligence agent for clinical decision-making in oncology Article Swipe
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· 2025
· Open Access
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· DOI: https://doi.org/10.1038/s43018-025-00991-6
Clinical decision-making in oncology is complex, requiring the integration of multimodal data and multidomain expertise. We developed and evaluated an autonomous clinical artificial intelligence (AI) agent leveraging GPT-4 with multimodal precision oncology tools to support personalized clinical decision-making. The system incorporates vision transformers for detecting microsatellite instability and KRAS and BRAF mutations from histopathology slides, MedSAM for radiological image segmentation and web-based search tools such as OncoKB, PubMed and Google. Evaluated on 20 realistic multimodal patient cases, the AI agent autonomously used appropriate tools with 87.5% accuracy, reached correct clinical conclusions in 91.0% of cases and accurately cited relevant oncology guidelines 75.5% of the time. Compared to GPT-4 alone, the integrated AI agent drastically improved decision-making accuracy from 30.3% to 87.2%. These findings demonstrate that integrating language models with precision oncology and search tools substantially enhances clinical accuracy, establishing a robust foundation for deploying AI-driven personalized oncology support systems.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1038/s43018-025-00991-6
- https://www.nature.com/articles/s43018-025-00991-6.pdf
- OA Status
- hybrid
- Cited By
- 26
- References
- 57
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4411100445
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4411100445Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1038/s43018-025-00991-6Digital Object Identifier
- Title
-
Development and validation of an autonomous artificial intelligence agent for clinical decision-making in oncologyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-06-06Full publication date if available
- Authors
-
Dyke Ferber, Omar S. M. El Nahhas, Georg Wölflein, Isabella C. Wiest, Jan Clusmann, Marie-Elisabeth Leßmann, Sebastian Foersch, Jacqueline Lammert, Maximilian Tschochohei, Dirk Jaeger, Manuel Salto‐Tellez, Nikolaus Schultz, Daniel Truhn, Jakob Nikolas KatherList of authors in order
- Landing page
-
https://doi.org/10.1038/s43018-025-00991-6Publisher landing page
- PDF URL
-
https://www.nature.com/articles/s43018-025-00991-6.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://www.nature.com/articles/s43018-025-00991-6.pdfDirect OA link when available
- Concepts
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Artificial intelligence, Clinical decision making, Computer science, KRAS, Precision oncology, Clinical microbiology, Medical physics, Precision medicine, Medicine, Internal medicine, Pathology, Cancer, Intensive care medicine, Colorectal cancer, Microbiology, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
26Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 26Per-year citation counts (last 5 years)
- References (count)
-
57Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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