Incorporating large language models as clinical decision support in oncology: the Woollie model

Integrating large language models (LLMs) into oncology holds promise for clinical decision support. Woollie is an LLM recently developed by Zhu et al., fine-tuned using radiology impression notes from Memorial Sloan Kettering Cancer Center and externally validated on UCSF oncology datasets. This methodology prioritizes data accuracy, preempts catastrophic forgetting, and demonstrates unparalleled rigor in predicting the progression of various cancer types. This work establishes a foundation for reliable, scalable, and equitable applications of LLMs in oncology.