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Artificial intelligence-driven clinical decision support systems for early detection and precision therapy in oral cancer: a mini review

Manoj Kumar Karuppan Perumal, Remya Rajan Renuka, Suresh Kumar, Prabhu Manickam Natarajan

2025Frontiers in Oral Health32 citationsDOIOpen Access PDF

Abstract

Oral cancer (OC) is a significant global health burden, with life-saving improvements in survival and outcomes being dependent on early diagnosis and precise treatment planning. However, diagnosis and treatment planning are predicated on the synthesis of complicated information derived from clinical assessment, imaging, histopathology and patient histories. Artificial intelligence-based clinical decision support systems (AI-CDSS) provides a viable solution that can be implemented via advanced methodologies for data analysis, and synthesis for better diagnostic and prognostic evaluation. This review presents AI-CDSS as a promising solution through advanced methodologies for comprehensive data analysis. In addition, it examines current implementations of AI-CDSS that facilitate early OC detection, precise staging, and personalized treatment planning by processing multimodal patient information through machine learning, computer vision, and natural language processing. These systems effectively interpret clinical results, identify critical disease patterns (including clinical stage, site, tumor dimensions, histopathologic grading, and molecular profiles), and construct comprehensive patient profiles. This comprehensive AI-CDSS approach allows for early cancer detection, a reduction in diagnostic delays and improved intervention outcomes. Moreover, the AI-CDSS also optimizes treatment plans on the basis of unique patient parameters, tumor stages and risk factors, providing personalized therapy.

Topics & Concepts

Clinical decision support systemGrading (engineering)Artificial intelligenceImplementationComputer scienceDecision support systemRadiation treatment planningMachine learningMedical physicsMedicineRadiologySoftware engineeringCivil engineeringEngineeringRadiation therapyRadiomics and Machine Learning in Medical ImagingAI in cancer detectionArtificial Intelligence in Healthcare and Education