Precision Oncology Decision Support

This application area focuses on using complex, multi‑modal patient data to guide individualized cancer diagnosis, prognosis, and treatment selection. It integrates genomics, pathology, radiology, and clinical records to identify tumor characteristics, predict treatment response, and refine therapeutic choices for each patient, rather than relying on one‑size‑fits‑all protocols or single‑marker tests. AI enables automated interpretation of high‑dimensional data, such as whole‑genome sequencing and imaging, to derive robust biomarkers, connect radiologic patterns to molecular features (radiogenomics), and continuously learn from real‑world outcomes. This improves the accuracy and speed of clinical decisions, helps match patients to targeted therapies and trials, and supports drug development by enabling better patient stratification and response prediction.

The Problem

Your oncology teams can’t keep up with the data needed for truly personalized cancer care

Organizations face these key challenges:

1

Genomic, imaging, and clinical data live in silos and are rarely analyzed together for each patient

2

Molecular tumor boards are overloaded, delaying treatment decisions for complex cases

3

Oncologists rely on simplified guidelines and small panels, missing actionable biomarkers and trial options

4

Outcome data from past patients is not systematically fed back into decision-making or model refinement

Impact When Solved

More accurate, individualized treatment decisionsFaster time from diagnosis to optimal therapyScalable precision oncology without linear headcount growth

The Shift

Before AI~85% Manual

Human Does

  • Order and interpret individual genetic tests (often small panels) and correlate results with pathology, radiology, and clinical history manually.
  • Review lengthy sequencing reports, literature, and guidelines case by case in tumor boards.
  • Select treatments and clinical trials based on personal experience, partial data, and static protocols.
  • Manually screen patient records against trial eligibility criteria and maintain spreadsheets of candidate patients.

Automation

  • Basic lab and imaging systems store data but do not interpret or integrate it across modalities.
  • Rule-based decision support tools (e.g., guideline checkers) provide limited alerts or reminders based on structured fields.
  • EMR workflows handle order entry, result viewing, and basic reporting without advanced analytics.
With AI~75% Automated

Human Does

  • Define clinical questions, oversee AI use, and validate or override AI-generated diagnostic and treatment suggestions.
  • Focus tumor board time on complex/ambiguous cases, edge scenarios, and shared decision-making with patients.
  • Decide on final treatment plans and trial enrollment, using AI-generated evidence summaries and risk/benefit projections.

AI Handles

  • Ingest and normalize multi-modal data (genomics, pathology slides, imaging, labs, notes) into a unified patient profile.
  • Automatically detect and annotate genomic variants, radiologic patterns, and pathology features; generate candidate biomarkers and risk scores.
  • Predict likely treatment response, toxicity risk, and prognosis; rank therapy options and clinical trials for each patient.
  • Continuously learn from real-world outcomes, updating response models and stratification rules as new data arrive.

Solution Spectrum

Four implementation paths from quick automation wins to enterprise-grade platforms. Choose based on your timeline, budget, and team capacity.

1

Quick Win

Guideline‑Linked Genomic Report Summarizer

Typical Timeline:Days

A lightweight assistant that ingests existing genomic and pathology PDF reports and produces concise, guideline‑linked summaries for oncologists. It highlights actionable variants, associated drugs, and key trial eligibility flags using current public knowledge bases, without deep integration into hospital systems. Ideal for validating value with a few early‑adopter clinicians or a molecular tumor board lead.

Architecture

Rendering architecture...

Key Challenges

  • Ensuring the LLM does not hallucinate unsupported treatment recommendations.
  • Keeping guideline content current without complex integrations.
  • Handling low‑quality scans and inconsistent report formats.
  • Designing summaries that fit into oncologists’ existing workflows.
  • Managing even minimal PHI risk in early pilots.

Vendors at This Level

Foundation MedicineCaris Life Sciences

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Market Intelligence

Technologies

Technologies commonly used in Precision Oncology Decision Support implementations:

Key Players

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Real-World Use Cases