Peer-Reviewed Publication
JMIR AI2026;5e93239.August 20, 2026Journal Article

Large Language Models for Oncology Guideline Maintenance: Prospective Case Study.

Manuel Knauer1, Julian Greß1, Jakob Nikolas Kather2,3,4, Peter May1
1Department of Medicine III, TUM School of Medicine and Health, Technical University of Munich, Ismaninger Str. 22, Munich, Bavaria, 81675, Germany, +49 8941408753.
2Else Kroener Fresenius Center for Digital Health, Technische Universität Dresden, Dresden, Saxony, Germany.
3Department of Medicine I, Faculty of Medicine, Technische Universität Dresden, Dresden, Saxony, Germany.
4Medical Oncology, National Center for Tumor Diseases, Heidelberg, Baden-Wurttemberg, Germany.

Abstract

BACKGROUND: Maintenance of oncology clinical practice guidelines (CPGs) is increasingly challenged by the rapid growth of trial data and therapeutic complexity. While large language models (LLMs) have shown promise in information retrieval, their utility in the rigorous, end-to-end workflow of guideline maintenance remains underexplored. OBJECTIVE: This case study aimed to systematically evaluate…

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