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


               cancer),  treatment phase (chemotherapy), prior   In an oncology chatbot system, a patient experiencing
               symptoms,  and  any  previously  logged  interactions   nausea might receive personalized advice tailored to their
               with the assistant.                             needs. For example, the chatbot could suggest symptom
               The patient has been diagnosed with breast cancer   management strategies, such as anti-nausea medications,
               and is currently undergoing chemotherapy. Previous   dietary changes, or relaxation techniques, based on the
               interactions  have  highlighted  that  common  side   patient’s treatment history and preferences. It would
               effects, such as nausea and fatigue, have been reported.  also proactively offer reminders to stay hydrated, which
            iii.  Step 3: NLP for intent detection             are crucial for managing nausea, and schedule potential
               NLP: The AI assistant identifies the main intent as   follow-up interactions to assess the patient’s condition. The
               “symptom management” for “nausea” and detects a   response style would be empathetic and supportive, offering
               secondary emotional need (patients may be distressed).  comfort and understanding while providing additional
            iv.  Step 4: Personalized response tailoring       resources, such as links to articles on managing nausea
               The assistant analyzes the patient’s symptoms and   during cancer treatment. Importantly, the system would
               matches nausea-related advice to their chemotherapy   ensure that all interactions are encrypted and comply with
               context, ensuring the response is tailored specifically   data security standards, such as HIPAA, to maintain patient
               to chemotherapy-induced nausea. The assistant then   confidentiality. For a straightforward case, such as nausea,
               provides response options, including dietary tips,   human escalation would not be required, as the system’s
               breathing exercises, and over-the-counter remedies,   advice and support would sufficiently address the patient’s
               to help manage the symptoms effectively.        needs. This approach aligns with current developments in
            v.  Step 5: Generate a personalized response       AI-driven healthcare tools, which are increasingly being
               Assistant response: “I’m here to help. Nausea can be   designed to  offer personalized,  empathetic, and  secure
               common during chemotherapy. Here are some tips   patient interactions while minimizing the need for human
               that might help: Try eating smaller, more frequent   intervention in routine cases.
               meals, focus on bland foods, and stay hydrated by   3.4. Data and evidence
               sipping water throughout the day. Ginger tea or
               peppermint tea can also help ease nausea. If symptoms   AI technologies have shown significant promise in
               persist, you can reach out to your care team to discuss   improving clinical outcomes in oncology, particularly
               other anti-nausea options. Would you like reminders   through applications, such as early cancer detection,
               to stay hydrated or for a follow-up?”           precision medicine, and personalized treatment planning.
            vi.  Step 6: Proactive support and adherence       Deep learning models and AI-driven imaging analysis have
               Proactive offers: The assistant offers to send hydration   enhanced diagnostic accuracy, with studies demonstrating
               reminders or follow-up prompts to check in on nausea   dermatologist-level accuracy in skin cancer detection using
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               symptoms.                                       CNNs.  Similarly, Liu  et al.  demonstrated AI’s ability
            vii.  Step 7: Is remote support required?          to predict malignancies from mammography scans with
               Remote care check: Since the patient is not in a remote   high sensitivity and specificity, outperforming traditional
               area, no additional telemedicine support is needed.  image analysis methods. AI tools have also revolutionized
            viii. Step 8: Continuous learning and medical updates  treatment planning by predicting chemotherapy resistance
                                                                                                9,17
               Learning integration: The interaction is logged for   and optimizing radiotherapy outcomes.  In addition,
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               continuous improvement, helping the assistant better   AI-driven genomic analysis  has contributed to identifying
               recognize similar cases and provide updated support.  mutations associated with poor survival rates, allowing
            ix.  Step 9: Data security and privacy             early intervention and targeted therapies. A meta-analysis
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               Security check: The assistant encrypts all data shared   by Tan et al.  further highlights that ML models improve
               and ensures it complies with healthcare privacy   survival predictions by 15% compared to traditional
               regulations such as HIPAA.                      clinical approaches.
            x.  Step 10: Need human intervention?                AI-powered virtual assistants and chatbots have
               Complexity assessment: Since the patient’s needs were   transformed patient engagement by offering personalized,
               straightforward, no human intervention was required.  accessible support. Studies  have shown that AI tools
            xi.  Step 11: Final response to patient            reduce patient stress and anxiety through real-time
               Response to patient: The assistant confirms, “I’ve   emotional support and sentiment analysis.  In addition,
                                                                                                  5,7
               noted your preference, and you will receive hydration   AI-driven  reminders  and  adherence  monitoring  have
               reminders twice daily. Feel free to reach out if you   improved treatment adherence, with Lee et al.  reporting
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               need further support.”                          a 20% increase in medication adherence due to AI-driven

            Volume 9 Issue 1 (2025)                        123                              doi: 10.36922/ejmo.6251
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