Transforming Cancer Care with AI

AIDA — AI & Data Analytics group in Radiation Oncology, Mayo Clinic, Rochester, MN.

Launched in January 2025, our multi-disciplinary team pioneers the rapid translation of AI innovations into real-world patient care, delivering high-impact solutions that reshape radiation oncology.

Projects

Translating models into measurable clinical benefit

PSA Control Tower

Presidential Award VIBE AI Finalist

The PSA Control Tower creates a unified dashboard that uses AI to predict prostate cancer recurrence sooner. It is one of the first Mayo Clinic projects to use Mayo Clinic Platform (MCP) data. Presidential Strategic Impact Fund award winner and VIBE AI award finalist.

Prostate CancerPredictive ModelingMCP

The Daily Dose

VIBE AI Finalist

The Daily Dose is an LLM-generated email sent to all physicians at RadOnc, enterprise-wide, providing context and history summaries for all appointments in the day. VIBE AI award finalist.

Key collaborator: Jason Holmes, Ph.D.

LLMClinical WorkflowEmail Automation

OncoTimeline

The OncoTimeline is an interactive visualization platform that unifies the longitudinal cancer care journey within a single dashboard. It integrates structured treatment records, free-text clinical notes, and dynamic biomarker trends to support rapid review of complex oncology histories. The interface includes an embedded AI chat assistant that enables natural language queries.

VisualizationAI ChatLongitudinal Data

Auto-Segmentation of Vertebral Body Sectors

Contouring CTVs for spine SBRT is a time-consuming process. Existing AI tools segment bones but do not generate customizable, guideline-based CTVs. This project creates the first spine CTV auto-segmentation model.

Key collaborators: Dalton Griner, Ph.D., Anne Rajkumar, M.D., John Lucido, Ph.D.

Spine SBRTAuto-SegmentationCTV

Automatic Treatment Summary Note Generation

This project uses LLMs to generate automatic treatment summaries for patients. Each summary is sent into Epic, is editable, and must be signed off by a clinician before being filed.

LLMEpic IntegrationDocumentation

Cancer Center AI Project — Head & Neck Cancer Prediction

This project develops clinically actionable AI predictions to support head & neck cancer treatment decisions. These predictions will improve accuracy in staging, guiding treatment intensity, and predicting patient-specific toxicity.

Head & NeckToxicity PredictionStaging

Prior Radiation Detection from Outside Clinical Notes

Patients receiving treatment at Mayo can have prior radiation therapy at outside institutions. Not flagging this can lead to severe issues. This project uses large language models to automatically read large amounts of outside notes and flag prior radiation therapy.

LLMClinical NotesSafety

AI Monitoring (AIM) Loop

A key concern when deploying models such as the Mayo auto-segmentation model is performance drift due to changes in imaging standards or changes in how users interact with the model. This project creates an automated monitoring system that computes metrics such as Dice score and reports them in a dashboard.

Model MonitoringDashboardMetrics

AI Data Extraction from Free-Text Notes

An enormous amount of data exists in free-text notes and cannot be efficiently queried or searched. This project uses LLMs to extract this data and make it accessible, allowing large-scale statistical studies without manual chart reviews.

LLMData ExtractionResearch

Per-Field Proton Dose Prediction

This project develops a neural network for predicting optimal dose in proton patients at both the plan and field level.

Proton TherapyNeural NetworkDose Prediction

AI-Generated Plan Dose Tuning

Radiotherapy treatment planning often requires multiple rounds of back-and-forth between physicians and dosimetrists regarding trade-offs. This project develops a novel AI method that generates an entire range of plans so that clinicians can explore the predicted trade-offs in real time.

Treatment PlanningOptimizationReal-time

Cancer Risk Prediction with Genomics Foundation Models

The Mayo Clinic GenAI program has created STRAND, a large-scale genomics foundation model. This project leverages STRAND to predict clinically significant prostate cancer from germline genomics data.

Key collaborator: Shant Ayanian, M.D.

GenomicsFoundation ModelProstate Cancer

Team

Team Members

Mark R. Waddle portrait placeholder

Mark R. Waddle, MD

Radiation Oncologist, Physician Co-Lead

Satomi Shiraishi portrait placeholder

Satomi Shiraishi, PhD

Medical Physicist, Physics Co-Lead

Andrew Y.K. Foong portrait placeholder

Andrew Y.K. Foong, PhD

AI Scientist, AI Co-Lead

David M. Routman portrait placeholder

David M. Routman, MD

Radiation Oncologist

Andrew Y.K. Foong portrait placeholder

Adam C. Amundson

Program Manager

Srinivas Seetamsetty portrait placeholder

Srinivas Seetamsetty

Lead Software Engineer

Mi Zhou portrait placeholder

Jasmine Zhou

Data Science · Mayo Clinic

Siqi Ye portrait placeholder

Siqi Ye, PhD

Research Associate

Mariana Borras-Osorio portrait placeholder

Mariana Borras-Osorio, MD

Research Fellow

Federico Mastroleo portrait placeholder

Federico Mastroleo, MD

Research Fellow

Shashank Yadav portrait placeholder

Shashank Yadav, PhD

Research Fellow

Publications

Selected outputs from AIDA-led collaborations

From BERT to GPT-4: A systematic review of AI-Driven toxicity extraction and grading in radiation oncology

Federico Mastroleo; Mariana Borras-Osorio; Shiv P. Patel; Sarah Peterson; Renthony Wilson; Mohammad Javad Namazi; Mi Zhou; Satomi Shiraishi; Andrew Y.K. Foong; David M. Routman; Mark R. Waddle · 2026

Large language models for toxicity extraction in oncology trials: A real-world benchmark in prostate radiotherapy

Federico Mastroleo; Mariana Borras-Osorio; Shiv P. Patel; Sarah Peterson; Renthony Wilson; Mi Zhou; Satomi Shiraishi; Andrew Y.K. Foong; David M. Routman; Mark R. Waddle · 2026

In the Spotlight

Media, talks, and coverage featuring AIDA