Collaborative framework on responsible AI in LLM-driven CDSS for precision oncology leveraging real-world patient data.

Precision oncology leverages real-world data, essential for identifying biomarkers and therapies. Large language models (LLMs) can aid at structuring unstructured data, overcoming current bottlenecks in precision oncology. We propose a framework for responsible LLM integration into precision oncology, co-developed by multidisciplinary experts and supported by Cancer Core Europe. Five thematic dimensions and ten principles for practice are outlined and illustrated through application to uterine carcinosarcoma in a thought experiment.