Perspectives of Radiologists and Pathologists on Technology-Enhanced Thoracic Multidisciplinary Cancer Conferences

BackgroundLung cancer remains the leading cause of cancer mortality worldwide, making effective multidisciplinary cancer conferences (MCCs) essential for improving patient outcomes.Accurate clinical information and expert input are critical for effective case discussions at MCCs.This study explored the roles/views of radiologists and pathologists on thoracic MCCs and the impact of technology. MethodsWe conducted a mixed-methods study using semi-structured interviews and observational data at a comprehensive cancer center.Using thematic analysis, we explored the views of radiologists/pathologists on thoracic MCCs.Observational data from a prior prospective study were also analyzed before and after implementation of a tumor board technology platform. ResultsA major role of pathologists is to leverage cell morphology data to provide diagnostic and prognostic insights that guide treatment decisions, while radiologists utilize radiological findings to support differential diagnoses and planning of radiation/surgical interventions.Participants reported that technology could extend MCC benefits to underserved communities, and AI-driven technology may optimize MCC case preparation and presentation through automated access to digital patient records.MCC participation also refined radiologists' and pathologists' approaches to clinical care planning.Our observational data showed improved quality of radiology and pathology presentations after implementation of the MCC technology platform (pre vs post mean scores: 3.5 vs 4.8, p<0.001; 3.2 vs 4.4, p<0.001, respectively).Radiologists' participation in case discussions increased (pre vs post: 7.4% vs 17.5%; p=0.019). ConclusionRadiologists/pathologists provide impactful insights into care planning at MCCs.Digital technologies may improve MCC efficiency and could extend the benefits of MCCs to underserved populations.