Large Language Models in Colorectal Cancer Care and Clinical Decision Support: Systematic Review - Summary - MDSpire

Large Language Models in Colorectal Cancer Care and Clinical Decision Support: Systematic Review

  • By

  • Jinglei Tian

  • Qifeng Lou

  • Xue Wang

  • Hangying Xu

  • Huiting Mei

  • Yanli Yu

  • May 21, 2026

  • 0 min

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Objective:

To evaluate the performance of different LLM categories across the full CRC care continuum and identify evidence gaps arising from fragmented research practices.

Key Findings:
  • LLMs can automate extraction and processing of clinical follow-up records and provide real-time responses to patient inquiries.
  • Research on LLMs in CRC has rapidly expanded, with applications in screening, diagnosis, and therapeutic decision support.
  • Heterogeneity in model selection, prompt engineering strategies, and evaluation metrics limits generalizability of findings.
Interpretation:

Limitations:
  • Inaccurate outputs due to hallucinations.
  • Quality assurance concerns in complex diagnostic and therapeutic recommendations.
  • Challenges related to model bias and limited generalizability.
Conclusion:

Original Source(s)

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