Evidence map›Paper›PMID 39042516›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2024

A question-answering framework for automated abstract screening using large language models.

Opeoluwa Akinseloyin, Xiaorui Jiang, Vasile Palade

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  12. Large language models in biomedicine and health: current research landscape and future directions.Journal of the American Medical Informatics Association : JAMIA · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Opeoluwa AkinseloyinCentre for Computational Science and Mathematical Modelling, Coventry University, Coventry CV1 2TT, United Kingdom.
Xiaorui JiangInformation School, The University of Sheffield, Sheffield S10 2AH, United Kingdom.ORCID 0000-0003-4255-5445
Vasile PaladeCentre for Computational Science and Mathematical Modelling, Coventry University, Coventry CV1 2TT, United Kingdom.ORCID 0000-0002-6768-8394

Funding

Coventry UniversityInternational Exchange SchemeInternational Exchange Scheme of the Royal Society of the United Kingdom IESR1231175National Planning Office of Philosophy and Social Science of China 18ZDA238Research Excellence Development Framework award of Coventry UniversityRoyal Society of the United Kingdom IESR1231175
6 · The paper itself

Abstract

objectiveThis paper aims to address the challenges in abstract screening within systematic reviews (SR) by leveraging the zero-shot capabilities of large language models (LLMs).

methodsWe employ LLM to prioritize candidate studies by aligning abstracts with the selection criteria outlined in an SR protocol. Abstract screening was transformed into a novel question-answering (QA) framework, treating each selection criterion as a question addressed by LLM. The framework involves breaking down the selection criteria into multiple questions, properly prompting LLM to answer each question, scoring and re-ranking each answer, and combining the responses to make nuanced inclusion or exclusion decisions. RESULTS AND DISCUSSION: Large-scale validation was performed on the benchmark of CLEF eHealth 2019 Task 2: Technology-Assisted Reviews in Empirical Medicine. Focusing on GPT-3.5 as a case study, the proposed QA framework consistently exhibited a clear advantage over traditional information retrieval approaches and bespoke BERT-family models that were fine-tuned for prioritizing candidate studies (ie, from the BERT to PubMedBERT) across 31 datasets of 4 categories of SRs, underscoring their high potential in facilitating abstract screening. The experiments also showcased the viability of using selection criteria as a query for reference prioritization. The experiments also showcased the viability of the framework using different LLMs.

conclusionInvestigation justified the indispensable value of leveraging selection criteria to improve the performance of automated abstract screening. LLMs demonstrated proficiency in prioritizing candidate studies for abstract screening using the proposed QA framework. Significant performance improvements were obtained by re-ranking answers using the semantic alignment between abstracts and selection criteria. This further highlighted the pertinence of utilizing selection criteria to enhance abstract screening.

Indexed as

Artificial IntelligenceNatural Language ProcessingAbstracting and IndexingHumansInformation Storage and RetrievalSystematic Reviews as Topicabstract screeningautomated systematic reviewlarge language modelquestion answeringzero-shot re-ranking

Identifiers

PMID39042516
PMCPMC11339526

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.