From Analytics to Tumor Boards: An Evidence-Linked Multi-Agent Workflow for Oncology Feature Extraction

📅 2026-08-28
📈 Citations: 0
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🤖 AI Summary
研究针对肿瘤文档信息提取难题,提出并评估了一种名为nMAS的多代理系统工作流方法,实现临床相关结构化数据的高效提取。
📝 Abstract
Clinically relevant oncology information is distributed across heterogeneous, longitudinal documentation, creating substantial abstraction burden and requiring accurate attribution across specimens, tumors, biomarkers, and time points, while manual cancer-registry abstraction can require 27.2 minutes per case, highlighting the need for scalable methods that preserve clinical context while converting documentation into structured data. We evaluate the Nimblemind Multi-Agent System (nMAS), a configurable oncology information-extraction workflow which extracts clinically relevant structured fields from fragmented oncology documentation. The extraction task uses a clinician-informed schema of 328 attributes spanning report metadata, diagnosis, staging, and cancer-type-specific information. nMAS separates clinician-defined field specifications from model execution and combines complexity-aware extraction, report-level consolidation, and source-grounded validation. The retrospective evaluation included 230 de-identified oncology documents from 40 patients and 418 clinician-reviewed document-field pairs containing 1,126 non-empty reference values. Evaluation focused on fields identified by clinicians as present in the source documents rather than exhaustively annotating all 328 schema fields. nMAS achieved a rank-weighted value-level precision of 82.6%, recall of 87.5%, and F1 of 85.0%, compared with an F1 of 66.4% for an independently implemented UMA-style MiniMax M2.5 comparator. These findings support the feasibility of using a configurable, source-grounded extraction workflow to convert fragmented oncology documentation into reusable structured data.
Problem

Research questions and friction points this paper is trying to address.

oncology information
structured data
clinical context
abstraction burden
scalable methods
Innovation

Methods, ideas, or system contributions that make the work stand out.

Multi-Agent System
Oncology Information Extraction
Configurable Workflow
Source-Grounded Validation
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