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Updated: Aug 15, 2025

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
Published on: June 13, 2025
Unsupervised title and abstract screening for systematic review: a retrospective case-study using topic modelling
Agnes Natukunda1,2, Leacky K Muchene3
1Immunomodulation and Vaccines Programme, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda. natukundagnes2@gmail.com.
Automated title and abstract screening for systematic reviews can reduce workload. This unsupervised method achieved high specificity but low sensitivity, suggesting its use as a supplementary tool alongside manual screening.
Area of Science:
- Bibliometrics
- Information Science
- Computational Biology
Background:
- Systematic reviews are crucial for synthesizing research but manual title and abstract screening is labor-intensive.
- Existing automation attempts face limitations like domain-specificity and reliance on labeled data.
- Developing statistical methods for automated screening is essential to improve efficiency.
Purpose of the Study:
- To develop statistical methodology for automated title and abstract screening in systematic reviews.
- To retrospectively apply and evaluate the methodology on existing systematic review datasets.
- To characterize the performance of the automated screening algorithm through simulation.
Main Methods:
- Implemented a Latent Dirichlet Allocation (LDA)-based topic model for deriving document topics from titles and abstracts.
- Defined a score threshold for classifying documents as relevant or not relevant for full-text review.
- Utilized search keywords, including database retrieval terms, to derive document scores.
Main Results:
- In a helminth dataset case study, sensitivity of [Formula: see text] and a false positive rate of [Formula: see text] were achieved.
- In a Wilson disease dataset case study, sensitivity of [Formula: see text] and specificity of [Formula: see text] were achieved.
- The methodology demonstrated a specificity of approximately [Formula: see text] on tested data.
Conclusions:
- Unsupervised title and abstract screening offers potential for reducing systematic review workload.
- The developed methodology achieved high specificity but low sensitivity, necessitating user awareness of potential limitations.
- Incorporating additional targeted search keywords and using automated screening as a supplementary tool to manual screening are recommended strategies.
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