Page 124 - EJMO-9-1
P. 124

Eurasian Journal of Medicine and
            Oncology
                                                                             Oncology care with AI chatbots and assistants


            multifaceted nature of cancer, including (i) medical   and clinical practice. Machine learning (ML) algorithms are
            oncology, which utilizes chemotherapy, immunotherapy,   increasingly used to analyze complex datasets from medical
            and other pharmacological treatments, (ii) radiation   images, pathology slides, and genomic profiles. These
            oncology, which employs radiation therapy to target   algorithms provide valuable insights that allow for highly
            cancer cells, and (iii) surgical oncology, which focuses   personalized treatment plans. AI-driven image analysis,
            on the removal of tumors through surgery. In addition to   for instance, has demonstrated high accuracy in detecting
            treatment, oncology emphasizes prevention, surveillance   cancers, such as breast, lung, and skin cancers, often
            after  treatment,  and  palliative  care  for  advanced  cancer   outperforming human specialists in diagnostic accuracy.
                                                                                                            5,6
            stages. The holistic management of cancer typically   AI also plays an essential role in predictive modeling, helping
            involves a multidisciplinary team comprising oncologists,   to forecast treatment responses and identify new drug
            diagnostic radiologists, pathologists, oncology nurses, and   candidates for targeted therapies.  This shift not only improves
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            palliative care specialists. This collaborative approach aims   patient care but also accelerates research by automating data
            to optimize patient outcomes by enhancing survival rates,   analysis and uncovering previously unrecognized patterns in
            alleviating symptoms, and improving the quality of life of   cancer progression and treatment response. 8,9
            patients throughout their cancer journey.
                                                                 In addition, technologies, such as CRISPR gene editing,
              Historically, oncology faced significant challenges due to   have shown great promise in modifying immune cells to
            the limited knowledge of cancer’s biological mechanisms and   specifically target cancer cells, marking a significant step
            inadequate advanced diagnostic and treatment tools. Early   forward in the treatment of challenging cancers, such
            approaches were primarily based on physical examinations,   as multiple myeloma and sarcoma. 10,11  This innovative
            rudimentary surgical methods, and herbal remedies, which   approach is currently being explored in early-phase
            offered minimal efficacy in treating the disease. The absence   clinical trials and holds promise for revolutionizing cancer
            of understanding regarding cancer as a cellular and genetic   therapies. Meanwhile, robotic surgery enables precise,
            process hampered early detection and precise treatment   minimally invasive procedures that reduce recovery
            strategies. Consequently, effective diagnosis and intervention   times and improve patient outcomes. 12,13  Molecular-level
            were nearly impossible. However, advancements in modern   advancements, such as cryo-electron microscopy, provide
            molecular biology, imaging technologies, and advanced   invaluable insights into cancer biology, further advancing
            therapeutic modalities have significantly transformed   drug development and therapeutic options.  Despite these
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            oncology.  These  innovations  have  revolutionize  dearly   groundbreaking advances, challenges remain, particularly
            detection and targeted treatment options, offering hope for   in ensuring equitable access to these technologies and
            improved patient outcomes. Technological advancements   validating their clinical applications for widespread use.
            are crucial in addressing historical challenges related to early   Nonetheless, as the field continues to evolve, the integration
            detection,  personalized  treatment,  and  expanding  access   of these cutting-edge technologies in oncology promises to
            to  care, thus  significantly improving patient outcomes.   redefine the field by improving patient care and enhancing
            Advanced diagnostic tools, such as imaging technologies and   our overall understanding of cancer.
            genomic sequencing, have revolutionized cancer detection,
            allowing  for  earlier  and  more  precise  identification  of   AI  is  increasingly  leveraged  in  oncology  to  enhance
            malignancies. This technological progress has facilitated the   patient care and support. One of the notable developments
            development of precision medicine, where treatments can   is RITA, an AI-powered chatbot developed by Velindre
            be tailored to a patient’s unique genetic makeup, enhancing   Cancer Centre and recognized as the first virtual assistant
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            efficacy and minimizing adverse effects. 1-3       specifically trained in oncology.  RITA assists patients and
                                                               their  families  by answering frequently asked  questions,
              Furthermore, telehealth has emerged as a vital tool   offering information about cancer services, and providing
            in  extending  oncology  care  to patients  in  remote  or   guidance on emotional and psychological well-being. This
            underserved regions, thereby broadening access to essential   chatbot is available 24/7, making it an invaluable tool for
            services.  This is  particularly crucial  in  both high-  and   patients to access information at their convenience, thus
            low-income areas, where access to specialized cancer care   reducing the burden on healthcare staff and improving
            may otherwise be limited. The scope of technology in   patient empowerment. The chatbot development was
            oncology is vast and continues to evolve, with significant   inspired by the real-life receptionist, Rita, who played a
            contributions from artificial intelligence (AI), molecular   key role in supporting patients for many years. RITA’s
            biology, robotics, and digital health platforms. 4  functionality is designed to improve patient experience
              One of the most notable technological advancements is   by providing reliable information and alleviating some
            AI, which has made substantial strides in oncology research   of the challenges in understanding cancer diagnoses and


            Volume 9 Issue 1 (2025)                        116                              doi: 10.36922/ejmo.6251
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