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August 14, 2026Cancer Cytopathology

Leveraging large language models to enhance cytopathology: Opportunities, challenges, and future directions; a practical review from the ASC Clinical Practice Committee

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Authors

KBK. Hasan BilalJGJoanna GibsonDKDavid Kim

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Overview

Clinical committee review evaluates the applications, barriers, and regulatory pathways of large language models in cytopathology, suggesting incremental deployment starting with low-risk tasks.

Key Points

  • To evaluate current evidence, technical challenges, regulatory considerations, and practical implementation pathways for large language models and vision-language models in cytopathology.
  • Conducted an expert review by the American Society of Cytopathology Clinical Practice Committee evaluating LLM and vision-language model applications across cytopathology workflows.
  • Assessed technical barriers, clinical validation gaps, and United States and European Union regulatory frameworks for AI-enabled software as a medical device.
  • Identified promising cytopathology applications including structured reporting, diagnostic assistance, quality control, workflow optimization, and medical education.
  • Delineated key barriers to clinical deployment, including hallucination risk, limited model explainability, algorithmic bias, data privacy concerns, and infrastructure demands.
  • Recommended establishing cytopathology-specific performance benchmarks, conducting multi-institutional validation studies, and pursuing incremental adoption starting with low-risk tasks.

Cite This Study

Bilal et al. (2026) studied this question.

synapsesocial.com/papers/6a7ec79cb70b84ec8b9141cdhttps://doi.org/10.1002/cncy.70134
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