Page 132 - EJMO-9-1
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Eurasian Journal of Medicine and
            Oncology
                                                                             Oncology care with AI chatbots and assistants


            reminders. ML models, as demonstrated by Chen      enabling earlier detection, and supporting personalized
            et al.,  provide predictive monitoring of patient behavior,   treatment strategies. AI-powered chatbots and virtual
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            enabling early detection of non-adherence. AI-powered   assistants have also proven effective in improving patient
            virtual assistants have also bridged gaps in care for   engagement, treatment adherence, emotional well-being,
            underserved populations, reducing disparities in access to   and access to care. These tools provide 24/7 support,
                                    9,10
            critical oncology information.  Furthermore, AI chatbots   personalized information, and real-time  assistance,
            contribute to shared decision-making by offering evidence-  particularly for underserved or remote populations. In
            based treatment options and empowering patients to make   addition, AI’s integration into clinical trials has shown
            informed decisions. 13                             promising results, supporting improvements in diagnostic
              Overall, these findings demonstrate AI’s transformative   accuracy, chemotherapy response prediction, and the
            impact on oncology care, improving clinical outcomes,   delivery of care in remote or underserved areas through
            patient engagement, and access to care, particularly for   telemedicine platforms. Overall, AI’s adoption in oncology
            underserved populations.                           is driving advancements that address key challenges in
                                                               cancer care, particularly in improving access, reducing
            3.5. Evidence from AI implementation in clinical   geographic disparities, and enhancing the quality of
            trials                                             patient outcomes.
            Evidence from clinical trials underscores the growing role of   4. Result comparison
            AI in oncology, particularly in diagnostics, chemotherapy
            response prediction, and telemedicine. In diagnostic   AI-powered virtual assistants and chatbots have several
            trials,  AI-based  imaging  tools  have  demonstrated   advantages over traditional care, as detailed in  Table  1.
            superior  performance  compared  to  human  radiologists.   These tools provide 24/7 availability, faster response times,
            For  instance,  Rajpurkar  et al.   introduced  CheXNet,   and personalized support, which traditional care often
                                      12
                                                                   9,17
            an AI system capable of identifying disease patterns in   lacks.  However, as shown in Table 2, they fall short of
            chest X-rays with diagnostic accuracy comparable to   providing the nuanced emotional connection offered by
            radiologists. Bejnordi et al.  further validated AI’s ability   human providers. 5
                                  13
            to detect lymph node metastases in breast cancer patients   4.1. AI virtual assistants and chatbots versus
            with high sensitivity rates (85%).                 traditional oncology care (human-provider
              AI has also been leveraged in predicting chemotherapy   interaction)
            responses, with ML models analyzing clinical profiles   The comparison of AI virtual assistants and chatbots
            and genomic data to offer clinicians actionable insights   with  traditional  oncology  care,  telemedicine  solutions,
            for personalized treatment planning. Lee  et al.    and mobile health apps highlights key differences in
                                                         17
            reported a 20% improvement in chemotherapy response   functionality, cost, and the scope of support provided.
            prediction, enhancing treatment regimens and patient   AI  virtual  assistants  and  chatbots  offer  key  advantages
            outcomes. In addition, telemedicine trials powered   over traditional oncology care, telemedicine solutions,
            by AI have demonstrated significant improvements in   and mobile health apps in terms of accessibility, cost,
            treatment adherence and reduced missed appointments.   efficiency,  and  support  scope  (Tables  2-4).  They  provide
            Chen et al.  found that AI-driven telemedicine platforms   24/7 availability, lower operational costs, and real-time,
                     9
            improved adherence rates by 30%, especially for rural   personalized responses that enhance patient engagement
            populations, highlighting AI’s role in addressing   and symptom management. However, they complement—
            geographic disparities and ensuring access to oncology   not  replace—human  providers,  particularly  for  complex
            care.                                              cases requiring clinical judgment and emotional support.

              Overall, these clinical studies and real-world evidence
            highlight that AI tools improve diagnostic accuracy and   4.2. AI virtual assistants and chatbots versus
            enhance the delivery of treatment plans, while predictive   telemedicine solutions
            algorithms and AI-based remote interventions contribute   AI virtual assistants and chatbots present significant
            to better patient adherence and care quality in oncology.   advantages  over  telemedicine solutions in  terms of
            The studies and data presented highlight several key   accessibility, cost-effectiveness, efficiency, and the breadth
            findings. AI has played a crucial role in improving early   of support they offer (Table  3). While telemedicine
            cancer detection, treatment planning, and survival rates.   solutions provide a broader range of care, they often lack
            ML and deep learning algorithms have demonstrated   the interactive and adaptive capabilities that AI virtual
            significant promise in enhancing diagnostic accuracy,   assistants offer.


            Volume 9 Issue 1 (2025)                        124                              doi: 10.36922/ejmo.6251
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