Dr. Bharat Kwatra Comp. Precision Oncology
AI & cancer intelligence

Building cancer intelligence

Artificial intelligence in oncology should not simply generate text. It should help clinicians interpret complexity, connect evidence and retrieve what is relevant — and show its reasoning while doing so.

The interesting question is not what these systems can produce. It is which parts of oncological reasoning are genuinely bottlenecked.

Four bottlenecks recur: the volume of evidence, the amount of clinically important information that exists only as prose, the manual work of connecting molecular findings to disease context and evidence, and the difficulty of identifying genuinely relevant trials.

None of these is a shortage of generated text. Each is a retrieval, extraction or integration problem — which points the work somewhere quite specific.

A system whose reasoning cannot be interrogated must be either accepted on faith or ignored. Neither is a good outcome, which is why showing the evidence behind an output matters more than the fluency of the output itself.

Architecture
01 Data
02 Molecular knowledge
03 Computation
04 AI
05 Evidence
06 Clinical intelligence

Each layer constrains the one above it. A model cannot recover information the data layer never captured.

Fig. 1 · Code to consequence Illustrative

One base changes, and the biology changes with it

Reference DNA ATGGAGGATCTGGTGGGAGCCGGT
Reference protein MetGluAspLeuValGlyAlaGly
Variant DNA ATGGAGGATCTGGAGGGAGCCGGT
Variant protein MetGluAspLeuGluGlyAlaGly

A single substitution alters one amino acid. Whether that matters clinically depends on where it sits, what the protein does, and what the evidence says — which is the whole of the interpretive problem.

Categories

Research and technology areas

Eight areas where computational methods are applied to oncology. Each is chosen because a real bottleneck exists there, not because the technique is available.

AI-assisted molecular interpretation

Support for reading molecular findings in context — annotation, tiering, and surfacing the evidence behind a classification rather than only its label.

Clinical natural language processing

Extracting structured, checkable information from pathology narrative, clinic letters and the biomedical literature, while preserving negation and uncertainty.

Patient–trial matching

Representing eligibility criteria in a form that can be reasoned over, so that trial search returns relevance rather than volume.

Biomedical knowledge systems

Connecting genes, variants, drugs, diseases and evidence into structures that can be queried and kept current as the literature moves.

Clinical decision support

Systems that make reasoning visible — evidence tiers, actionability categories and explicit statements of what remains uncertain.

Multi-omics modelling

Joint models across genomic, transcriptomic and other molecular layers, with attention to whether integration is adding signal or noise.

Genomic reasoning

Moving from variant lists to mechanistic argument: pathway context, functional consequence, and the strength of the inference at each step.

Longitudinal cancer intelligence

Treating a cancer case as a trajectory rather than a snapshot, so that molecular and clinical change over time is part of the analysis.

Project

ExplainMyMutations.AI

A project built around a specific failure: molecular reports that are technically complete and practically unreadable.

In development

Explaining molecular findings without flattening their uncertainty

Patients and clinicians increasingly hold molecular reports that are technically complete and difficult to interpret. The barrier is not access to the result; it is understanding what it means, how confident it is, and what question it raises next.

The design goal is explanation with its uncertainty intact — including saying plainly when the evidence behind a finding is weak or absent, which is precisely what a fluent summary tends to lose.

Project details will be published here as the work develops.

OnKommon

Technology and computational intelligence ecosystem

OnKommon is the technology and computational intelligence ecosystem. It is a separate entity from KPCIRC, which is the clinical and institutional ecosystem, and the two are not interchangeable.

Technology, AI/SaaS and molecular data-platform activities are maintained as separate institutional and technology functions, distinct from clinical services.

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Talk it through before you decide

Monday to Saturday, 12:00 – 18:00 · by appointment at KPCIRC, Paschim Vihar. Remote review available for patients and clinicians elsewhere.

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