Augmenting Head and Neck Multidisciplinary Tumor Board Recommendations With Locally Run Large Language Models: Prospective Evaluation of Real-World Implementation

Christoph Raphael Buhr   ^{1, 2} , MBA, MD, Dr ;   Lukas Müller   ³ , MBA, MD, Dr, PhD ;   Daniel Pinto dos Santos   ³ , MD, PD Dr ;   Daniel Thiem   ⁴ , MHBA, MD, PD Dr Dr ;   Jean-Jacques Ponciano   ^{1, 4} , MSc, Dr ;   Maximilian Krüger   ⁴ , MD, PD Dr Dr ;   Karoline O'Brien   ¹ , MD, Dr ;   Justus Kaufmann   ⁵ , MD, Dr ;   Hildegard Nolte   ⁶ , MD, Dr ;   Martin Gartenschläeger   ³ , MD, Dr ;   Stefanie Zimmer   ⁷ , MD, Dr ;   Sebastian Altmann   ⁸ , MD, PD Dr ;   Andrew Blaikie   ² , BSC, MBchB, FRCOphth, PhD, MD ;   Christian Ruckes   ⁹ , PhD ;   Christoph Matthias   ¹ , MD, Prof Dr ;   Sebastian Kuhn   ¹⁰ , MME, MD, Prof Dr ;   Jonas Eckrich   ¹ , MD, Dr

¹ Department of Otorhinolaryngology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany

² University of St Andrews, School of Medicine, St Andrews, United Kingdom

³ Department of Diagnostic and Interventional Radiology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany

⁴ Department of Oral and Maxillofacial Surgery-Plastic Surgery, University Medical Center Mainz of the Johannes Gutenberg-University Mainz, Mainz, Germany

⁵ Department of Radiotherapy and Oncology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany

⁶ Department of Hematology & Medical Oncology, University Medical Center Mainz of the Johannes Gutenberg-University Mainz, Mainz, Germany

⁷ Institute of Pathology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany

⁸ Department Neuroradiology, University Medical Center Mainz of the Johannes Gutenberg-University Mainz, Mainz, Germany

⁹ Interdisciplinary Center for Clinical Trials (IZKS), University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany

¹⁰ Institute for Digital Medicine Philipps-University Marburg and University Hospital of Giessen and Marburg, Marburg, Marburg, Germany