Applications of Large Language Models in Radiation Oncology: From Workflow Automation to Clinical Intelligence

Fuente: arXiv
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Hauptverfasser: Ding, Yuzhen, Holmes, Jason, Hao, Yuexing, Liu, Zhengliang, Wang, Peilong, Cui, Junjie, Cao, Meiyun, Jiang, Caiwen, Wei, Shuoyang, Zhao, Lin, Liu, Chenbin, Zhang, Lian, Yang, Yunze, Liu, Tianming, Liu, Wei
Format: Preprint
Veröffentlicht: 2026
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author Ding, Yuzhen
Holmes, Jason
Hao, Yuexing
Liu, Zhengliang
Wang, Peilong
Cui, Junjie
Cao, Meiyun
Jiang, Caiwen
Wei, Shuoyang
Zhao, Lin
Liu, Chenbin
Zhang, Lian
Yang, Yunze
Liu, Tianming
Liu, Wei
author_facet Ding, Yuzhen
Holmes, Jason
Hao, Yuexing
Liu, Zhengliang
Wang, Peilong
Cui, Junjie
Cao, Meiyun
Jiang, Caiwen
Wei, Shuoyang
Zhao, Lin
Liu, Chenbin
Zhang, Lian
Yang, Yunze
Liu, Tianming
Liu, Wei
contents Large language models (LLMs) have emerged as transformative tools in medicine, with strong capabilities in language understanding, reasoning, and structured information extraction. Radiation oncology is particularly well suited for LLM integration due to its data-intensive workflows, reliance on structured guidelines, and documentation burden. This review summarizes recent applications, including domain-specific fine-tuning for decision support, automated nomenclature standardization, registry curation using autonomous LLM agents, and protocol-aware radiotherapy plan evaluation using modular retrieval-augmented generation (RAG). Additional applications include patient safety analysis through incident classification and root cause analysis, electronic health record (EHR)-integrated communication, CT simulation order summarization, daily readiness briefings, and patient education systems. Emerging multimodal approaches enable context-aware contouring, while early studies show LLMs can assist treatment planning by interpreting dosimetric feedback. Together, these advances highlight a shift toward clinically grounded, auditable, and workflow-integrated AI systems that enhance efficiency, safety, and patient engagement.
format Preprint
id arxiv_https___arxiv_org_abs_2604_03509
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Applications of Large Language Models in Radiation Oncology: From Workflow Automation to Clinical Intelligence
Ding, Yuzhen
Holmes, Jason
Hao, Yuexing
Liu, Zhengliang
Wang, Peilong
Cui, Junjie
Cao, Meiyun
Jiang, Caiwen
Wei, Shuoyang
Zhao, Lin
Liu, Chenbin
Zhang, Lian
Yang, Yunze
Liu, Tianming
Liu, Wei
Medical Physics
Large language models (LLMs) have emerged as transformative tools in medicine, with strong capabilities in language understanding, reasoning, and structured information extraction. Radiation oncology is particularly well suited for LLM integration due to its data-intensive workflows, reliance on structured guidelines, and documentation burden. This review summarizes recent applications, including domain-specific fine-tuning for decision support, automated nomenclature standardization, registry curation using autonomous LLM agents, and protocol-aware radiotherapy plan evaluation using modular retrieval-augmented generation (RAG). Additional applications include patient safety analysis through incident classification and root cause analysis, electronic health record (EHR)-integrated communication, CT simulation order summarization, daily readiness briefings, and patient education systems. Emerging multimodal approaches enable context-aware contouring, while early studies show LLMs can assist treatment planning by interpreting dosimetric feedback. Together, these advances highlight a shift toward clinically grounded, auditable, and workflow-integrated AI systems that enhance efficiency, safety, and patient engagement.
title Applications of Large Language Models in Radiation Oncology: From Workflow Automation to Clinical Intelligence
topic Medical Physics
url https://arxiv.org/abs/2604.03509