Evidence map›Paper›PMID 41023870›Full record

ArticleBMC medical research methodology2025

A human-LLM collaborative annotation approach for screening articles on precision oncology randomized controlled trials.

Hui Chen, Jiale Zhao, Sheng Zheng, Xinyu Zhang, Huilong Duan, Xudong Lu

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Article in BMC medical research methodology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
–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

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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

3 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Hui ChenCollege of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, 310058, China.
Jiale ZhaoCollege of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, 310058, China.
Sheng ZhengCollege of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, 310058, China.
Xinyu ZhangCollege of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, 310058, China.
Huilong DuanCollege of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, 310058, China.
Xudong LuCollege of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, 310058, China. lvxd@zju.edu.cn.

Funding

National Key Research and Development Program of China 2022YFF1203002
6 · The paper itself

Abstract

backgroundSupervised learning can accelerate article screening in systematic reviews, but still requires labor-intensive manual annotation. While large language models (LLMs) like GPT-3.5 offer a rapid and convenient alternative, their reliability is challenging. This study aims to design an efficient and reliable annotation method for article screening.

methodsGiven that relevant articles are typically a small subset of those retrieved articles during screening, we propose a human-LLM collaborative annotation method that focuses on verifying positive annotations made by the LLM. Initially, we optimized the prompt using a manually annotated standard dataset, refining it iteratively to achieve near-perfect recall for the LLM. Subsequently, the LLM, guided by the optimized prompt, annotated the articles, followed by human verification of the LLM-identified positive samples. This method was applied to screen articles on precision oncology randomized controlled trials, evaluating both its efficiency and reliability.

resultsFor prompt optimization, a standard dataset of 200 manually annotated articles was equally divided into a tuning set and a validation set (1:1 ratio). Through iterative prompt optimization, the LLM achieved near-perfect recall in the tuning and validation sets, with 100% and 85.71%, respectively. Using the optimized prompt, we conducted collaborative annotation. To evaluate its performance, we manually reviewed a random sample of 300 articles that had been annotated using the collaborative annotation method. The results showed that the collaborative annotation achieved an F1 score of 0.9583, reducing the annotation workload by approximately 80% compared to manual annotation alone. Additionally, we trained a BioBERT-based supervised model on the collaborative annotation data, which outperformed the model trained on data annotated solely by the LLM, further validating the reliability of the collaborative annotation method.

conclusionsThe human-LLM collaborative annotation method demonstrates potential for enhancing the efficiency and reliability of article screening, offering valuable support for systematic reviews and meta-analyses.

Indexed as

Data CurationMedical OncologyNeoplasmsPrecision MedicineRandomized Controlled Trials as TopicSupervised Machine LearningHumansReproducibility of ResultsArticle screeningHuman-LLM collaborationPrecision oncology randomized controlled trials

Identifiers

PMID41023870
PMCPMC12481989

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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.