A foundation model for human-AI collaboration in medical literature mining.

TitleA foundation model for human-AI collaboration in medical literature mining.
Publication TypeJournal Article
Year of Publication2025
AuthorsWang Z, Cao L, Jin Q, Chan J, Wan N, Afzali B, Cho H-J, Choi C-I, Emamverdi M, Gill MK, Kim S-H, Li Y, Liu Y, Luo Y, Ong H, Rousseau JF, Sheikh I, Wei JJ, Xu Z, Zallek CM, Kim K, Peng Y, Lu Z, Sun J
JournalNat Commun
Volume16
Issue1
Pagination8361
Date Published2025 Sep 24
ISSN2041-1723
KeywordsArtificial Intelligence, Data Mining, Evidence-Based Medicine, Humans
Abstract

Applying artificial intelligence (AI) for systematic literature review holds great potential for enhancing evidence-based medicine, yet has been limited by insufficient training and evaluation. Here, we present LEADS, an AI foundation model trained on 633,759 samples curated from 21,335 systematic reviews, 453,625 clinical trial publications, and 27,015 clinical trial registries. In experiments, LEADS demonstrates consistent improvements over four cutting-edge large language models (LLMs) on six literature mining tasks, e.g., study search, screening, and data extraction. We conduct a user study with 16 clinicians and researchers from 14 institutions to assess the utility of LEADS integrated into the expert workflow. In study selection, experts using LEADS achieve 0.81 recall vs. 0.78 without, saving 20.8% time. For data extraction, accuracy reached 0.85 vs. 0.80, with 26.9% time savings. These findings encourage future work on leveraging high-quality domain data to build specialized LLMs that outperform generic models and enhance expert productivity in literature mining.

DOI10.1038/s41467-025-62058-5
Alternate JournalNat Commun
PubMed ID40993125
PubMed Central IDPMC12460617
Grant ListR01 LM014306 / LM / NLM NIH HHS / United States
R01 LM014573 / LM / NLM NIH HHS / United States
R44 DK075149 / DK / NIDDK NIH HHS / United States
R43 DK075149 / DK / NIDDK NIH HHS / United States
ZIA DK075149 / ImNIH / Intramural NIH HHS / United States