Leveraging Large Language Models to Extract Prognostic Pathology Features in Ewing Sarcoma

Abstract

This study demonstrates that LLMs can reliably unlock "dark data" from historical clinical trials, rendering vast archives of unstructured medical documents accessible for retrospective analysis. The identification of NSE and S100 as robust prognostic biomarkers suggests that these widely available immunohistochemical stains provide valuable information beyond standard diagnostic information. These findings support the integration of automated data extraction tools in research workflows and suggest that NSE and S100 status should be considered in the design of future risk-stratified clinical trials for Ewing sarcoma.

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