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Paper · arXiv

Agentic systems for breast cancer treatment recommendations

Large language models (LLMs) are increasingly being explored for clinical decision support, but their reliability in complex oncology treatment planning remains unclear. We evaluated agentic LLM systems for breast cancer treatment recommendation generation using 72 real clinical cases across stages I to IV and 1,147 case-specific rubrics generated through Asymmetric Information Rubric Generation (AIRG), in which the rubric generator had access to real clinical decisions unavailable to the evaluated models. Seven pipelines were compared, including single-LLM baselines, tool-augmented systems, and multi-agent architectures with fact checking and autonomous subagent spawning. The best-perfor...

AuthorsVinicius Anjos de Almeida, Nícolas Henrique Borges, Leonardo Vicenzi et al.
Primary categorycs.CL
Published13 July 2026
Last updated at source13 July 2026
cs.CL
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