Virtual Tumor Board

An AI tumour board: a panel of specialist agents that reviews a cancer case the way a multidisciplinary team would, so patients far from major cancer centres can still get an expert, guideline-based treatment plan.

In the news

Times of India · Times Techies: AI for Social Impact

The Virtual Tumor Board was covered by the Times of India in their Times Techies: AI for Social Impact feature. Grateful for the coverage—it was encouraging to see interest in using AI for improving cancer care access.

Read the article →
Times of India clipping titled Agentic Tumour Board, featuring Ashish Makani with Nandan Nilekani and EkStep co-founder Shankar Maruwada.
“Agentic Tumour Board” in print. Tap to view full size.

The problem

The best cancer outcomes come from tumour boards: medical, surgical and radiation oncologists, radiologists and pathologists reviewing a case together and agreeing on a plan. Getting all of those specialists in one room is hard even in a large hospital, and for most patients in India it never happens.

<5%of cancer patients in India receive expert multidisciplinary review
1.4Mnew cancer cases in India every year
4×fewer oncologists per capita than the US

The result is delayed diagnoses, plans that drift from the evidence, and avoidable deaths, especially outside the major metros.

Why this matters to me

When my aunt was diagnosed with breast cancer, her staging MRI showed a lesion in a vertebra. The radiology report read: “sclerotic change, possibly age-related, cannot rule out metastatic disease.”

That one sentence was the difference between Stage II, which is curable, and Stage IV, which is not.

Through family connections we got her case in front of senior specialists. They concluded the lesion was benign, and she received curative treatment. Most patients don't have those connections, can't travel to a metro, and can't pay for several specialist opinions. I'm building this so the second opinion doesn't depend on who you know.

How it works

The system runs a panel of specialised AI agents, each reasoning from its own subspecialty, to simulate the collaborative reasoning of a real tumour board.

  • Medical oncology
  • Surgical oncology
  • Radiation oncology
  • Radiology
  • Pathology
  1. Structure the caseReports, scans and notes, often fragmented across documents, are organised into one clinical summary.
  2. Review by each specialistEvery agent assesses the case against subspecialty guidelines such as those from the National Comprehensive Cancer Network (NCCN).
  3. Deliberate and challengeThe agents debate, question each other's conclusions and flag uncertainty, as clinicians do in a real discussion.
  4. Synthesise a recommendationThe panel produces a treatment plan with its reasoning and evidence, aware of local drug availability and cost, for the treating oncologist to review.

What it's for

Faster decisions

Cut the time from diagnosis to a reviewed treatment plan from weeks to minutes.

Consistent quality

Evidence-based recommendations aligned with international guidelines.

Local context

Aware of drug availability, costs and insurance coverage in India.

Reach

Decision support for oncologists in tier-2 and tier-3 cities and rural hospitals.

Where it stands

There is a working prototype, evaluated so far on synthetic cases. It has drawn interest from academic and clinical stakeholders, including researchers at Harvard Medical School.

Early stage. This is a research prototype. It is not approved for clinical use and is meant to support, never replace, the treating physician.

I'm looking for:

  • Clinical validation partners: oncology departments interested in piloting on real cases
  • Health systems that want to extend or standardise multidisciplinary review
  • Oncologists in underserved areas who would use decision support day to day
  • Investors in India-focused healthtech and precision oncology

Interested? Let's talk.

Happy to share more detail under NDA.

Disclaimer: research prototype, not for clinical use without physician oversight.