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Peer-Reviewed Publication
Nat Commun2026;17(1)February 3, 2026Journal Article

Human-AI teaming to improve accuracy and efficiency of eligibility criteria prescreening for oncology trials: a randomized evaluation trial using retrospective electronic health records.

Ravi B Parikh1, Likhitha Kolla2, Elizabeth A Beothy3, William J Ferrell4, Brenda Laventure3, Matthew Guido4, Anthony Girard5, Yang Li3, Khaled Essam Mahmoud Dosoky6, Karim Tarabishy6, Parth S Patel6, Ayana Andalcio6, Kristin Maloney6, Jose Ulises Mena6, Wael Salloum6, Jinbo Chen2, Ezekiel J Emanuel4
1Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA, USA. ravi.bharat.parikh@emory.edu.
2Department of Biostatistics, Epidemiology & Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
3Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
4Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
5Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA, USA.
6Mendel.ai, San Jose, CA, USA.

Abstract

Few adult patients with cancer enroll in oncology clinical trials. A rate-limiting step to trial enrollment is prescreening, involving clinical research staff manually abstracting unstructured health records to identify patients who meet eligibility criteria. Prescreening is time-consuming, labor-intensive, and prone to human error, resulting in under-identification of eligible patients. Neurosymb…

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