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Updated: Jan 16, 2026

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
Published on: June 13, 2025
BiomedSQL: Text-to-SQL for Scientific Reasoning on Biomedical Knowledge Bases.
Mathew J Koretsky1,2, Maya Willey1,2, Adi Asija1,2
1Center for Alzheimer's Disease and Related Dementias, NIA, NIH.
BiomedSQL, a new benchmark, evaluates scientific reasoning for text-to-SQL in biomedical research. Current AI models struggle with complex queries, highlighting the need for improved domain-specific reasoning in data analysis.
Area of Science:
- Biomedical Informatics
- Artificial Intelligence
- Database Management
Background:
- Biomedical researchers require advanced data analysis tools for large structured databases.
- Existing text-to-SQL systems lack the domain reasoning needed for complex scientific queries.
- Bridging the gap between natural language questions and executable SQL is crucial for scientific discovery.
Purpose of the Study:
- Introduce BiomedSQL, the first benchmark for evaluating scientific reasoning in text-to-SQL generation.
- Assess the performance of large language models (LLMs) on complex biomedical queries.
- Provide a foundation for developing AI systems that support scientific discovery over structured biomedical data.
Main Methods:
- Developed BiomedSQL, a benchmark with 68,000 question/SQL query/answer triples.
- Grounded the benchmark in a harmonized BigQuery knowledge base integrating gene-disease, omics, and drug data.
- Evaluated various LLMs using different prompting strategies and interaction paradigms.
Main Results:
- Current LLMs show a significant performance gap in executing scientific queries.
- GPT-3-mini achieved 59.0% accuracy, while the custom BMSQL agent reached 62.6%.
- Both models performed substantially below the expert baseline accuracy of 90.0%.
Conclusions:
- BiomedSQL effectively highlights the limitations of current text-to-SQL models in scientific reasoning.
- There is a substantial need for AI systems with enhanced domain-specific reasoning capabilities.
- The BiomedSQL dataset and code will foster advancements in AI for biomedical research.
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