Prospective multicentre expert evaluation of an artificial intelligence-based oncology clinical decision support system across major cancer types in India.

Of 124 submitted clinical queries, 110 (88.7%) met the eligibility criteria.

Expert-rated fully correct clinical accuracy was 82.7%, expert-rated clinical safety was 100%, and fully concordant guideline recommendations were 94.5%.

Composite rates for Expert-rated clinical accuracy and guideline concordance were 100%.

Expert-rated Clinical accuracy showed Gwet's AC1 = 0.707.