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INNOSC Theranostics and
            Pharmacological Sciences                                           Precision medicine and beyond in oncology






































                                     Figure 3. Current summary of diverse applications of artificial intelligence
                          Abbreviations: CT: Computed tomography; EKGs: Electrocardiograms; FDA: Food and Drug Administration.

            automate the process of detecting and labeling tumor   the conventional double reading method. Radiologists in
            markers in cancers such as HCC and mesothelioma.    the AI-supported group had a detection rate that was 17.6%
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            In addition, numerous studies have demonstrated the   (95% confidence interval: 5.7, 30.8) higher than those in
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            diagnostic power of deep learning in histopathology. 137-139    the control group.  In the diagnosis of prostate cancer,
            For example, Ko et al.’s  study revealed how AI can be   AI can be used to identify clinically significant lesions to
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            used to increase efficiency and accuracy in diagnosing   allow more targeted biopsy procedures.  This enables
            gastrointestinal cancers.  In the study, pathologists   the clinician to focus on specific areas of the prostate,
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            used  an  AI-based  tool  instead  of  human  pathologists   potentially reducing the risk of under- and overtreatment.
            to double-check the screening of gastric and colorectal   5.2. AI in drug development
            biopsy specimens. By incorporating AI into their quality
            control protocol, they were able to increase the number   AI-based tools can also be used to investigate the
            of slides reviewed in the same period by 7–10 times. The   progression of carcinogenesis and predict the fitness of
            accuracy rates of the gastric and colorectal models were   potential anticancer targets. For example, AlphaFold 2 uses
            93.08% and 95.03%, respectively. These findings align   AI to obtain a protein sequence, predict its backbone shape
            with  broader trends  in the field: a meta-analysis of 48   and side-chain conformations, and subsequently generate
            AI-assisted diagnostic pathology studies found a mean   a model of the overall protein structure. 143  Increasing the
            sensitivity of 96.3% (confidence interval: 94.1–97.7) and a   accuracy of structure prediction can help researchers better
            mean specificity of 93.3% (confidence interval: 90.5–95.4)   understand factors, such as ligand binding and molecular
            in disease detection across all studies. 140       function, that contribute to drug-target interactions. Other
                                                               AI tools attempt to streamline the process of identifying the
              Similar principles driving AI innovations in pathology   most promising treatments for specific cancers. PINNED
            can be applied to developments in radiology. AI has   is one such machine learning model that can be used to
            demonstrated promise toward aiding the detection and   assess potential anticancer therapies and evaluate the
            diagnosis of cancerous lesions in radiological imaging.   druggability of potential target proteins by assigning scores
            A  2025 study compared breast cancer detection rates   based on the proteins’ structure, sequence, localization,
            between two groups of radiologists:  those who used   biological function, and network information.  In
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            AI-supported double reading and a control group who used   addition, Huang et al.’s  MADRIGAL is a multimodal AI
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            Volume 8 Issue 3 (2025)                         49                          doi: 10.36922/ITPS025140018
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