Evidence map›Paper›PMID 40896429›Full record

ArticleFrontiers in oncology2025

Clinical decision-making for uveal melanoma radiotherapy: comparative performance of experienced radiation oncologists and leading generative AI models.

Xing Wang, Peng Wang

Abstract read
In one paragraph

Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Comment on "Artificial Intelligence in melanoma research: a bibliometric analysis".International journal of surgery (London, England) · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Xing WangDepartment of Ophthalmology, The First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory for the Prevention and Treatment of Major Blinding Eye Diseases, Chongqing, China.
Peng WangDepartment of Ophthalmology, The First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory for the Prevention and Treatment of Major Blinding Eye Diseases, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Uveal melanoma is the most common primary intraocular malignancy in adults, yet radiotherapy decision-making for this disease often remains complex and variable. Although emerging generative AI models have shown promise in synthesizing vast clinical information, few studies have systematically compared their performance against experienced radiation oncologists in this specialized domain. This study examined the comparative accuracy of three leading generative AI models and experienced radiation oncologists in guideline-based clinical decision-making for uveal melanoma. Methods: A structured, 20-question examination reflecting standard radiotherapy guidelines was developed. Fifty radiation oncologists, each with 10-15 years of experience, completed an open-book exam following a 15-day standardized review. Meanwhile, Grok 3 (Think), Gemini 2.0 Flash Thinking, and Open ai o1 pro were each tested through 10 independent chat sessions. Twelve recognized experts in uveal melanoma, blinded to the source of each submission, scored all answer sets. Kruskal-Wallis tests with Results: Of the 80 total sets (50 from oncologists, 30 from AI), Open ai o1 pro achieved the highest mean total score (98.0 ± 1.9), followed by oncologists (91.5 ± 3.2), Grok 3 (82.3 ± 2.1), and Gemini 2.0 (74.2 ± 3.4). Statistically significant differences emerged across all domains, with human experts particularly excelling in treatment selection but still trailing Open ai o1 pro overall. Completion time was significantly shorter for the AI models compared with oncologists. Conclusion: These findings suggest that advanced generative AI can exceed expert-level performance in certain aspects of radiotherapy decision-making for uveal melanoma. Although AI may expedite clinical workflows and offer highly accurate guidance, human judgment remains indispensable for nuanced patient care.

Indexed as

clinical decision-makinggenerative AIoncologyradiotherapyuveal melanoma

Identifiers

PMID40896429
PMCPMC12392105

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.