LungCURE: Benchmarking Multimodal Real-World Clinical Reasoning for Precision Lung Cancer Diagnosis and Treatment

Fuente: arXiv
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Auteurs principaux: Hao, Fangyu, Yang, Jiayu, Zhu, Yifan, Yu, Zijun, Wu, Qicen, Yunlong, Wang, Li, Jiawei, Liu, Yulin, Zeng, Xu, Chen, Guanting, Li, Shihao, Ou, Zhonghong, Song, Meina, Sun, Mengyang, Luo, Haoran, Shi, Yu, Wang, Yingyi
Format: Preprint
Publié: 2026
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author Hao, Fangyu
Yang, Jiayu
Zhu, Yifan
Yu, Zijun
Wu, Qicen
Yunlong, Wang
Li, Jiawei
Liu, Yulin
Zeng, Xu
Chen, Guanting
Li, Shihao
Ou, Zhonghong
Song, Meina
Sun, Mengyang
Luo, Haoran
Shi, Yu
Wang, Yingyi
author_facet Hao, Fangyu
Yang, Jiayu
Zhu, Yifan
Yu, Zijun
Wu, Qicen
Yunlong, Wang
Li, Jiawei
Liu, Yulin
Zeng, Xu
Chen, Guanting
Li, Shihao
Ou, Zhonghong
Song, Meina
Sun, Mengyang
Luo, Haoran
Shi, Yu
Wang, Yingyi
contents Lung cancer clinical decision support demands precise reasoning across complex, multi-stage oncological workflows. Existing multimodal large language models (MLLMs) fail to handle guideline-constrained staging and treatment reasoning. We formalize three oncological precision treatment (OPT) tasks for lung cancer, spanning TNM staging, treatment recommendation, and end-to-end clinical decision support. We introduce LungCURE, the first standardized multimodal benchmark built from 1,000 real-world, clinician-labeled cases across more than 10 hospitals. We further propose LCAgent, a multi-agent framework that ensures guideline-compliant lung cancer clinical decision-making by suppressing cascading reasoning errors across the clinical pathway. Experiments reveal large differences across various large language models (LLMs) in their capabilities for complex medical reasoning, when given precise treatment requirements. We further verify that LCAgent, as a simple yet effective plugin, enhances the reasoning performance of LLMs in real-world medical scenarios.
format Preprint
id arxiv_https___arxiv_org_abs_2604_06925
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle LungCURE: Benchmarking Multimodal Real-World Clinical Reasoning for Precision Lung Cancer Diagnosis and Treatment
Hao, Fangyu
Yang, Jiayu
Zhu, Yifan
Yu, Zijun
Wu, Qicen
Yunlong, Wang
Li, Jiawei
Liu, Yulin
Zeng, Xu
Chen, Guanting
Li, Shihao
Ou, Zhonghong
Song, Meina
Sun, Mengyang
Luo, Haoran
Shi, Yu
Wang, Yingyi
Multimedia
Lung cancer clinical decision support demands precise reasoning across complex, multi-stage oncological workflows. Existing multimodal large language models (MLLMs) fail to handle guideline-constrained staging and treatment reasoning. We formalize three oncological precision treatment (OPT) tasks for lung cancer, spanning TNM staging, treatment recommendation, and end-to-end clinical decision support. We introduce LungCURE, the first standardized multimodal benchmark built from 1,000 real-world, clinician-labeled cases across more than 10 hospitals. We further propose LCAgent, a multi-agent framework that ensures guideline-compliant lung cancer clinical decision-making by suppressing cascading reasoning errors across the clinical pathway. Experiments reveal large differences across various large language models (LLMs) in their capabilities for complex medical reasoning, when given precise treatment requirements. We further verify that LCAgent, as a simple yet effective plugin, enhances the reasoning performance of LLMs in real-world medical scenarios.
title LungCURE: Benchmarking Multimodal Real-World Clinical Reasoning for Precision Lung Cancer Diagnosis and Treatment
topic Multimedia
url https://arxiv.org/abs/2604.06925