# Artificial Intelligence Can Match Domain Experts in Evidence Extraction and Critical Appraisal of Microbial Oncogenesis Research Publications

arXiv: https://arxiv.org/abs/2608.07250 · HTML: https://mlsanity.com/paper/2608.07250/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 12 of its 85 references that are in the map.
- First posted on arXiv 7 Aug 2026.

## Builds on (most cited first, 12 of 12)

- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [Gemini 2.5: Pushing the Frontier with Advanced Reasoning, Multimodality, Long Context, and Next Generation Agentic Capabilities](https://mlsanity.com/paper/2507.06261/) (2025)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [A Survey on Hallucination in Large Language Models: Principles, Taxonomy, Challenges, and Open Questions](https://mlsanity.com/paper/2311.05232/) (2023)
- [Accelerating scientific discovery with Co-Scientist](https://mlsanity.com/paper/2502.18864/) (2025)
- [Evaluating the Factual Consistency of Large Language Models Through News Summarization](https://mlsanity.com/paper/2211.08412/) (2022)
- [Open Source Software for Efficient and Transparent Reviews](https://mlsanity.com/paper/2006.12166/) (2020)
- [Large Language Models and Mathematical Reasoning Failures](https://mlsanity.com/paper/2502.11574/) (2025)
- [Chain-of-Thought Prompting Obscures Hallucination Cues in Large Language Models: An Empirical Evaluation](https://mlsanity.com/paper/2506.17088/) (2025)
- [ContraDoc: Understanding Self-Contradictions in Documents with Large Language Models](https://mlsanity.com/paper/2311.09182/) (2023)
- [Using LLM-as-a-Judge/Jury to Advance Scalable, Clinically-Validated Safety Evaluations of Model Responses to Users Demonstrating Psychosis](https://mlsanity.com/paper/2604.02359/) (2026)
- [Small Language Models Can Use Nuanced Reasoning For Health Science Research Classification: A Microbial-Oncogenesis Case Study](https://mlsanity.com/paper/2512.06502/) (2025)

## Abstract (arXiv)

Confirmed oncogenic microbes contribute significantly to cancer burden. Identifying novel microbial oncogenicity could yield strategies that will reduce disease burdens. However, relevant evidence is dispersed and infeasible for humans to comprehensively synthesize. LLMs may enable scalable, expert-level systematic evidence synthesis to identify microbe-cancer pairs; however, such capabilities have not yet been demonstrated. Domain experts were recruited to create a dataset to benchmark LLM performance (Gemini 2.5 Pro, Gemini 2.5 Flash, GPT-5, GPT-5 Nano) on 24 research papers using MMTV-LV and breast cancer as a case study. We devised a structured template for evidence extraction and appraisal, consisting of MCQ, Likert-scale, multi-select, and free-text question types (77 items across 24 papers). Agreement between (1) experts and (2) experts and each LLM was determined per question instance using novel metrics. LLMs were assessed by comparing inter-expert and expert-LLM agreement distributions to determine whether LLMs behaved as additional experts by increasing or maintaining inter-expert agreement. Free-text responses were further evaluated qualitatively. Across all question types, LLM responses aligned closely with experts, with GPT-5 and GPT-5 Nano achieving score distributions indistinguishable from experts. Gemini models behaved similarly but were significantly more lenient in applying microbial oncogenesis criteria. Hallucinations were rare. Methodological appraisal and identification of contradictions within full-texts were the most persistent LLM vulnerabilities. GPT-5 and GPT-5 Nano were indistinguishable from experts on structured domain research paper evaluation tasks. This supports use of LLMs for automated systematic evidence synthesis. However, methodological appraisal tasks and contradiction identification in full-texts remain weaknesses requiring strengthening.
