Systematic Review Flow (PRISMA 2020)

Transparent flow of article identification, LLM screening, full-text eligibility assessment, and inclusion into living synthesis with expert validation.

✓ PRISMA funnel conservation verified (100% stage closure)
Zero data leakage: n_in = n_out + ∑n_excl + n_pending verified across identification, screening, eligibility, and synthesis.
ID: 17222 → Screen: 16208 → Eligible: 2414 → Included: 81
1 Identification Databases & methods Databases & registers n = 15429 arXiv, Crossref, OpenAlex, Semantic Scholar, ERIC Systematic search Other methods n = 1793 References: 1766 Cited by: 0 Manual: 27 Total identified: n = 17222 Removed before screening Non-articles: n = 671 Datasets, software, errata, technical reports Duplicate records removed: n = 6 Automatic deduplication via DOI PK & preprint_of ⏳ Pending screening: n = 310 2 Screening Abstracts (LLM) Records screened (LLM) n = 16208 Passed screening: n = 2387 (score ≥ 5.0) * + Manual curator additions: n = 27 Eligible for full-text review: n = 2414 Excluded by prefilter n = 13821 Score below threshold Score < 5.0 (rubric v2.3) * Gate ≠ PASS or R < 4.0 sets score to 0 3 Eligibility Full text Full-text eligibility assessment n = 2414 Open Access / PDF → Markdown conversion Retrieved & deep analyzed: n = 630 Awaiting full text / analysis: n = 597 Queued in pipeline for fetch or analysis Excluded at eligibility stage Full text not retrieved: n = 952 Paywall: 335 · Errors: 617 Expert excluded 👎 / pre-deep Expert: n = 1 | Pre-deep: n = 234 Failed empirical triage or /admin/taste verdict 4 Included Synthesis Included in living synthesis n = 81 Published in living editions Full text read, verified & synthesised PRISMA 2020 criteria met Publication buffer & review Publication queue: n = 531 Analyzed papers pending daily issue Expert excluded 👎 post-analysis: n = 18 Unpublished based on editorial verdict

Expert Validation & Taste Loop

Independent of the formal PRISMA selection rules: editorial verdicts by the curator to calibrate quality and active learning.

👍 10
Approved in digest
(14 total in corpus)
👎 29
Rejected with reason
(1 pre / 18 post analysis)
Breakdown of expert rejection reasons:
not_novel: 4 not_for_educators: 3 off_topic: 13 too_narrow: 2 duplicate: 5 other: 1 weak_method: 1
📋 Structured Review Summary (PRISMA 2020: Item 2)

Background: Living systematic review of Large Language Models (LLMs) and autonomous agents in higher education. Focuses on engineering countermeasures to academic dishonesty and redesign of assessment.

Objectives: Systematic identification, screening, and synthesis of empirical evidence regarding reliability, methodological rigor, and consensus challenges in higher education GenAI integration.

Eligibility Criteria: Scholarly works with open-access full text; topic relevance R ≥ 4.0; weighted final score ≥ 5.0.

Information Sources: Multi-register tracking: arXiv, Crossref, OpenAlex, Semantic Scholar, ERIC, plus forward/backward citation loops (depth 1–2).

Risk of Bias & Quality: Multi-criteria methodological rigor (M, 0–10). Screening reliability validated via dual evaluation: Gwet's AC1, stratified recall, and ROC AUC.

Synthesis & Included: Included n = 81 verified works into the living review with extracted claims, limitations, and empirical findings.

🎯 PICO / PECO Search & Eligibility Framework (PRISMA 2020: Items 4–5)
Component Protocol Definition Inclusion / Exclusion Boundaries
P (Population) Higher education: universities, colleges, undergraduate/graduate students, instructors, and examiners. Included: higher/tertiary education. Excluded: purely K-12 primary education without transferability.
I / E (Intervention / Exposure) Use of modern LLMs (GPT-4, Claude, Gemini, Llama) and agentic frameworks for exam solving, tutoring, or automated grading. Included: empirical testing and deployment of LLMs. Excluded: legacy non-generative ML or symbolic AI.
C (Comparator) Traditional non-AI assessments, human baselines, or comparative evaluation of engineering defenses (guardrails, multi-agent validation). Included: baselines, cohort comparisons, or countermeasures. Excluded: purely speculative essays without comparator.
O (Outcomes) Task performance, exam breach rates, countermeasure resilience, shift in assessment rubrics, cognitive learning outcomes. Included: empirical accuracy, resilience, rubric difficulty, psychometrics. Excluded: unverified claims.
S (Study Design) Empirical studies: controlled experiments (RCT), quasi-experiments, case studies, psychometric evaluations, benchmark audits. Included: peer-reviewed/preprint research with empirical data. Excluded: opinion blogs, press releases.
* Footnote *: Prefilter Mathematical Model, Indicators & Scoring Formula (Rubric v2.3)

Rubric Indicators & Parameters

Symbol Indicator Name Weight / Value
M Methodological Rigor wM = 0.32
E Engineering Countermeasures wE = 0.25
C Consensus Challenge wC = 0.43
N Novelty wN = 0.00
R Topic Relevance (0–10) Rmin = 4.0, Rfull = 7.0
Gate Binary Scope Gate PASS / FAIL
Поріг Pass Threshold Score ≥ 5.0

Relevance R is a multiplier, not a summand: papers with R < R_min receive 0, and high-quality off-topic papers cannot outrank topical ones.

Scoring Formulae (MathML Core)

1. Final Prefilter Score:
Score = { 0, if Gate ≠ PASS or R < 4.0 Q ⋅ min ( 1 , R 7.0 ) , if R ≥ 4.0
2. Weighted Quality Score (Q):
Q = ∑i wi⋅Si ∑i wi = wM⋅M + wE⋅E + wC⋅C + wN⋅N wM + wE + wC + wN Q = 0.32⋅M + 0.25⋅E + 0.43⋅C + 0.00⋅N 1.00 = 0.32⋅M + 0.25⋅E + 0.43⋅C + 0.00⋅N
3. Logical Prefilter Screening Criterion:
Excluded ⇔ (Score<5.0)
Methods & reporting (PRISMA 2020 items 1–15, 23–27)

Review type, objective, eligibility (1, 3–5)

Living systematic review: a daily-updated, automation-assisted selection. It is a literature-selection tool, not a published review with meta-analysis.

Topic (given to the model): Validity of educational assessment under generative AI and how to keep it (AI-resistant / AI-resilient assessment). Core: how generative AI changes what grades and test scores mean (validity arguments in the sense of Kane and Messick), assessment redesign, and quantitative methods that detect or model the distortion in assessment and learning data: item response theory, differential item functioning between humans and LLMs, item parameter drift, rater drift, item compromise and preknowledge, score shifts under unsupervised or online conditions (proctored vs unproctored exams, cheating, grade inflation), change-point and concept-drift detection, LLMs as test takers or raters, computerized adaptive testing and automated test assembly. Computational, statistical and engineering work is preferred, but a solid conceptual or empirical education study of assessment under generative AI belongs here too. Detectors of AI-generated text and watermarking are only adjacent to the topic. The audience is university educators and researchers: work about primary and secondary school (K-12) is off topic unless its findings or methods clearly transfer to higher education.

  • Include: a scholarly article with topic relevance R ≥ 4.0, final score ≥ 5.0; a legal open-access full text that was actually read.
  • Exclude: non-articles (datasets, code, errata), duplicates and preprints of published works, retracted works, K-12 with no transfer to higher education, works without full text (paywall, fetch errors), expert-rejected works (👎, reason recorded).
  • Manual additions (origin = manual) bypass score screening but go through eligibility assessment.

Information sources & last searched (6)

ChannelRecordsLast record
search — arXiv, OpenAlex, Semantic Scholar, ERIC154292026-11-07 04:07
ref — reference lists of read works17662026-11-07 02:24
manual — added manually272026-10-07 12:05

Citation candidates take metadata from OpenAlex; Crossref/Unpaywall supply DOIs, versions and open PDFs.

Search strategy (7)

Current search version: v1.0. A work matches if its title/abstract hits a term from EVERY group of at least one query (OR within a group; case-insensitive, word boundaries).

Queries (groups): education × ai; psychometrics × ai; integrity × education; drift × education; drift × psychometrics

education: education, educational, student, learner, teacher, lecturer, classroom, university, higher education, school, curriculum, assessment, exam, examination, examinee, test taker, test score, grading, homework, coursework, online course, essay, academic integrity, academic misconduct, plagiarism, cheating, e-learning, MOOC

ai: generative AI, GenAI, large language model, LLM, ChatGPT, GPT-4, chatbot, AI-generated, AI-assisted, AI-resistant, AI-resilient, AI tool, artificial intelligence

integrity: proctoring, proctored, unproctored, non-proctored, remote proctoring, online exam, online test, online testing, exam integrity, testing integrity, academic integrity, academic dishonesty, cheating, contract cheating, grade inflation

psychometrics: item response theory, IRT, Rasch, psychometric, educational measurement, educational testing, differential item functioning, computerized adaptive testing, adaptive testing, automated test assembly, knowledge tracing, automated scoring, automated essay scoring, validity argument, construct validity, assessment validity, predictive validity

drift: parameter drift, dynamic item response, item parameter drift, rater drift, severity drift, concept drift, change point, change-point detection, item compromise, preknowledge, item exposure, test security, aberrant response, person-fit, differential item functioning

Semantic Scholar phrases: assessment validity generative AI; AI-resilient assessment higher education; AI-resistant assessment design; generative AI exam performance natural experiment; differential item functioning large language models humans; LLM as test taker item response theory; proctored versus unproctored online exam scores; generative AI grade inflation; item parameter drift detection; item compromise preknowledge detection; concept drift knowledge tracing; change point detection educational testing

arXiv: cs.CY, cs.CL, cs.HC, cs.AI, cs.LG, stat.AP, stat.ME. Result caps per query: OpenAlex 50, Semantic Scholar 25, ERIC 25. Citation searching: depth 1 from read and 👍 works, depth 2 from 👍 only; neighbours of 👍 works bypass the lexical filter.

Search versionRecords (search)FirstLast
v1.0154292026-10-062026-11-07

Selection process & automation (8, 9, 11)

  • Abstract screening: a single automated reviewer — an LLM (gemini-3.1-flash-lite, gemini-3.5-flash-lite), batches of 20, models alternate; every evaluation is stored (prefilter_evaluations) with model and rubric version.
  • Full-text analysis and data collection: gemini-3.8-flash, gemini-3.7-flash, gemini-3.6-flash, prompt v2.1. Only after PDF→Markdown conversion; the model is never called without full text.
  • Verification: code checks every quote against the text (exact match after normalisation); unconfirmed claims are discarded.
  • Human: no independent second reviewer. The owner gives 👍/👎 verdicts on a sample (50% near threshold, 30% top, 20% random); they steer the queue and few-shot examples but do not change the score.
  • Data items (10): summary, method/data/sample, claims, limitations, study design (assessment_design, psychometric_modeling, natural_experiment, detector_evaluation, survey, rct, quasi_experiment, qualitative, theoretical, review, other), tags, rubric criteria.
  • Risk of bias (11): not assessed formally (RoB, GRADE not applied); criterion M (methodological rigor, 0–10) is a ranking score, not a RoB tool. No effect measures or meta-analysis (12, 13d–f, 15): synthesis is qualitative, via article analyses and tags.
Screening modelScored
gemini-3.1-flash-lite8020
gemini-3.5-flash-lite7635
—619
Analysis modelpromptAnalyses
gemini-3.1-flash-litev2.1275
gemini-3.6-flashv2.1168
gemini-3.8-flashv2.1102
gemini-3.7-flashv2.195

Scoring rubric v2.3 (0–10 anchors)

The model scores 0–10 per criterion; the anchors below are embedded in the prompt. Formula and weights are in the footnote above. Changing anchors or weights without a new version is blocked by a hash check.

CriterionWeight258
Topic relevance (R) × min(1, R/7.0) No link to education or assessment: image, audio or model watermarking, model IP protection, general NLP benchmarks, AI in industry.Adjacent: generative AI in education without an assessment focus; academic integrity with no evidence on assessment outcomes; detectors of AI-generated text or of student AI use; general psychometrics (adaptive testing, test assembly, IRT) with no drift, validity or AI angle.Core: validity of assessment under generative AI (what grades and scores mean when AI is available); how grades shift under unsupervised conditions or cheating (proctored vs unproctored exams, grade inflation); AI-resistant or AI-resilient assessment design; quantitative methods that detect or model distorted assessment or learning data (DIF between humans and LLMs, item parameter or rater drift, item compromise/preknowledge, change-point or concept-drift detection, LLMs as test takers or raters).
Methodological rigor (M) 0.32 Vague evaluation, convenience sample of a few dozen, self-report only, no control group or baseline.Clear dataset or sample (hundreds), standard metrics or validated instruments, comparison with baselines or a control group.Randomized/controlled or preregistered, large or multi-site/multilingual data, adversarial or robustness checks, effect sizes with uncertainty.
Engineering countermeasures (E) 0.25 No method or countermeasure: describes impact, attitudes or policy only.A concrete method or countermeasure with an evaluation: statistical test or model, detector, scoring procedure, or an assessment design tried on real cohorts.A rigorous, reusable method: formal model with guarantees or error control, open code, validated on both real and simulated data.
Consensus challenge (C) 0.43 Reconfirms standard wisdom.Nuances the consensus (e.g. detectors fail under mild paraphrasing; AI use does not harm an outcome it is assumed to harm).Directly refutes high-profile claims with rigorous evidence.
Novelty (N) 0.00 Replicates well-known findings (another survey of student attitudes to ChatGPT, another test of one detector on a handful of prompts).New dataset, benchmark, population or setting, or a previously untried technique.Fundamentally new attack or defence, a theoretical/impossibility result, or a finding that changes how the field frames the problem.

The model interpolates between anchors. The deep-analysis score is computed by code with the same formula from criteria_breakdown.

Rubric versionPapers scored
v2.0261
v2.1183
v2.220
v2.3 (current)15810

Screening Validation: Reliability & Agreement Metrics

Reference standard: expert verdicts. Full PRISMA systematic review metrics computed: recall, specificity, NPV, F₁, F₂, ROC AUC, DOR, paradox-immune Gwet's AC₁, and continuous score agreement.

MeasureValueMeaning
Seed-set recall50% (1/2), 95% CI 9–91% Share of manually added 👍 works (bypassing screening) scoring ≥ threshold 5.0. Unbiased sensitivity estimate on this set.
Estimated corpus recall 100% (100–100%) Post-stratified by score band from judged works; conservative interval. Relevant works missed ≈ 0 (0–0). Not measured (too few verdicts in band): 13821 screened-out works.
Sensitivity / Recall 100% (12/12), 95% CI 76–100% Share of relevant works passed by screening: TP / (TP + FN).
Specificity 20% (4/20), 95% CI 8–42% Share of irrelevant works rejected by screening: TN / (TN + FP).
Precision / PPV 43% (12/28), 95% CI 27–61% Share of expert-approved among screening passes: TP / (TP + FP).
Negative Predictive Value (NPV) 100% (4/4), 95% CI 51–100% Share of truly irrelevant among screened-out works: TN / (TN + FN). Protects against losing relevant papers.
F-scores (F₁ and F₂) F₁: 0.60 · F₂: 0.79 F₂ weights recall twice as much as precision — critical safety metric against false exclusions in PRISMA.
Balanced Accuracy 60.0% Arithmetic mean of sensitivity and specificity, unaffected by class imbalance.
Diagnostic Odds Ratio (DOR) 6.82 DOR = (TP · TN) / (FP · FN) with Haldane-Anscombe correction. Overall discriminative capability of screening.
ROC AUC0.65 (95% CI 0.43–0.84) Probability a 👍 work outscores a 👎 one (0.5 = chance). CI computed via DeLong / Bootstrap.
Inter-Rater Agreement (Gwet's AC₁ & Cohen's κ) — Gwet's AC₁ is paradox-immune inter-rater agreement on double-scored works, robust to severe class imbalance (80-90% screening rejection).
Continuous Score Agreement MAD: —
r Пірсона: —
Mean Absolute Difference (MAD) and Pearson r between scores of screening models on shared papers.
Score bandWorksJudged👍👍 rate
0.0–2.089442 (too few)00%
2.0–4.037250 (too few)0—
4.0–5.011522 (too few)00%
5.0–6.0 ✓13163267%
6.0–8.0 ✓104423835%
8.0–10.0 ✓302 (too few)2100%
Screening model Seed recall AUC Sens / Spec Prec / NPV F₁ / AC₁ 👍 / 👎 (TP/FP/FN/TN)
gemini-3.1-flash-lite 50% (1/2), 95% CI 9–91% 0.63 100% (12/12), 95% CI 76–100% / 16% (3/19), 95% CI 6–38% 43% (12/28), 95% CI 27–61% / 100% (3/3), 95% CI 44–100% 0.60 / 0.05 12 / 19 (12/16/0/3)
gemini-3.5-flash-lite — — — / 100% (1/1), 95% CI 21–100% — / 100% (1/1), 95% CI 21–100% — / 1.00 0 / 1 (0/0/0/1)
— — — — / — — / — — / — 0 / 0 (0/0/0/0)

To narrow intervals, judge works from lower score bands: /admin/taste includes 20% random picks. Metrics update automatically with each verdict.

Methodological Rigor & Study Designs (11, 18)

Methodological rigor M (0–10) is evaluated during full-text analysis. Study design distribution reflects verified empirical classifications.

Mean Rigor (M)
6.58 / 10
Analyzed papers: 630
Quality Stratification
🟢 High rigor (M ≥ 7.0): 322
🟡 Moderate rigor (4.0 ≤ M < 7.0): 291
🔴 Low rigor (M < 4.0): 17
Study DesignPaper Count
psychometric_modeling243
other43
theoretical27
rct13
assessment_design167
natural_experiment5
quasi_experiment54
detector_evaluation41
survey7
review18
experimental1
qualitative11

PRISMA 2020 27-Item Compliance Checklist

Full audit of compliance with PRISMA 2020 checklist (Page et al., 2021) for automated systematic reviews.

№ Section / Item Checklist Description Status Implementation
1TitleIdentify as living systematic review✓ ВпровадженоPage title, report metadata
2AbstractStructured summary (background, objectives, methods, results)✓ Впроваджено#prisma-abstract block above
3RationaleRationale in context of existing knowledge✓ ВпровадженоTopic description and rationale
4ObjectivesExplicit objectives using PICO / PECO✓ Впроваджено#pico-framework table above
5Eligibility criteriaInclusion/exclusion criteria, language, dates✓ ВпровадженоThresholds R, Score, Open Access
6Information sourcesDatabases, registers, search dates✓ ВпровадженоarXiv, Crossref, OpenAlex, Semantic Scholar, ERIC, citations
7Search strategyFull search strategy, boolean filters, versions✓ Впровадженоsearch_version, term groups, API limits
8Selection processSelection process, automation, independent screening✓ ВпровадженоLLM screening rotation + editorial taste loop
9Data collectionData collection from full-text reports✓ ВпровадженоPDF → MD parser, deep prompt v2.1
10a-bData itemsList of outcomes and study characteristics✓ ВпровадженоSummary, sample, design, claims, countermeasures
11Study risk of biasAssessment of study methodological quality✓ ВпровадженоRigor criterion M (0–10), quality distribution
12Effect measuresEffect measures for outcomes— Обґрунтовано N/AQualitative synthesis without meta-analytic pooled effects
13a-fSynthesis methodsSynthesis criteria and grouping methods✓ ВпровадженоTag-based clustering, comparative study cards
14Reporting biasAssessment of reporting/publication bias✓ ВпровадженоAnalysis of paywall exclusions & open access skew
15Certainty assessmentCertainty assessment of body of evidence✓ ВпровадженоAutomated quote grounding against full-text Markdown
16Study selectionSelection results (flow diagram, counts)✓ Впроваджено100% stage conservation closure verified
17Study characteristicsCharacteristics of included studies table✓ ВпровадженоInteractive table with DOI, venue, year, tags
18Risk of bias in studiesRisk of bias findings across studies✓ ВпровадженоMethodological rigor M & study designs table
19Results of individual studiesResults for each individual study✓ ВпровадженоPublic paper pages /doi/{doi} with full analysis
20a-dResults of synthesesResults of syntheses & sub-groups✓ ВпровадженоDaily living editions, RSS feed, tag filters
21Reporting biasesResults of reporting biases assessment✓ ВпровадженоPaywall n=335, retracted n=0
22Certainty of evidenceSummary of evidence certainty✓ ВпровадженоGwet's AC₁, Cohen's κ, stratified recall, ROC AUC
23a-dDiscussionDiscussion, limitations, implications✓ ВпровадженоLimitations section (23b, 23c) in methods
24a-cRegistration & protocolRegistration, protocol availability, amendments✓ ВпровадженоPublic repo, version history of search & rubric
25SupportFinancial & non-financial support✓ ВпровадженоFree API tiers declared in methods
26Competing interestsCompeting interests statement✓ ВпровадженоDeclared in methods section
27Data & code availabilityAvailability of data, analytical code, materials✓ ВпровадженоExport to CSV / JSON buttons, open-source code

Limitations (23b, 23c)

  • Open access only: paywalled papers never reach the synthesis, so the sample skews to open and preprint work.
  • Screening ranks by quality and novelty rather than pure eligibility, so the sample skews towards counter-consensus work. Validity is measured against one expert (see above); a single LLM reviewer, model bias and version differences remain possible.
  • The lexical filter and result caps can miss works with other terminology; sources skew English-language.
  • Records scored under an older rubric version are not rescored automatically (see version table).
  • Free Gemini quota: daily limits slow analysis; some selected works wait in the queue.

Registration, protocol, amendments, support, data (24–27)

  • Registration: not registered. The protocol is the configuration (topic, queries, rubric, thresholds) in the project repository; it is reproduced in this block.
  • Amendments: search versions (search_version) and rubric versions (rubric_version), tables above.
  • Funding: none declared, free API tiers are used. Competing interests: none declared.
  • Data: analyses and metadata are on article pages, RSS and sitemap; full texts are private (copyright) and not published.

Filter by Tags

Select one or more tags to refine the flow numbers and article corpus.

#psychometrics (101) #Psychometrics (59) #Item Response Theory (48) #academic integrity (46) #assessment validity (38) #item response theory (38) #Assessment Validity (37) #higher education (36) #Automated Essay Scoring (30) #automated essay scoring (29) #Generative AI (28) #construct validity (26) #IRT (24) #Construct Validity (23) #LLM as rater (20) #generative AI (20) #Academic Integrity (19) #Automated Scoring (17) #Higher Education (17) #Large Language Models (17) #LLM Evaluation (16) #assessment redesign (16) #assessment_design (16) #large language models (15) #AI-resilient assessment (14) #LLM as Rater (14) #automated scoring (14) #prompt engineering (14) #assessment design (13) #automated assessment (13) #validity (13) #Assessment Redesign (12) #GPT-4 (12) #Prompt Engineering (12) #academic_integrity (12) #differential item functioning (12) #ChatGPT (11) #assessment-validity (11) #assessment_validity (11) #benchmarking (11) #Automated Item Generation (10) #LLM-as-a-judge (10) #LLMs as raters (10) #inter-rater reliability (10) #item_response_theory (10) #Computerized Adaptive Testing (9) #DIF (9) #Inter-Rater Reliability (9) #LLM evaluation (9) #LLMs as Test Takers (9) #concept drift (9) #rater drift (9) #AI-resistant assessment (8) #Assessment Design (8) #Differential Item Functioning (8) #Knowledge Tracing (8) #Validity (8) #automated_essay_scoring (8) #computerized adaptive testing (8) #construct_validity (8)
Found papers: 17222
Data Export (Item 27): 📥 CSV 📥 JSON
# Status / Stage Paper LLM Score Expert Review
3901 scored A Life Cycle AI-Assisted Model for Optimizing Sustainable Material Selection
Sustainability (2026) · doi:10.3390/su18020566 · v1.0
0.0 (gemini-3.1-flash-lite) —
3902 scored Hybrid AI–Taguchi–ANOVA Approach for Thermographic Monitoring of Electronic Devices
Eng—Advances in Engineering (2026) · doi:10.3390/eng7010028 · v1.0
0.0 (gemini-3.1-flash-lite) —
3903 Screened Out The impact of generative AI on academic reading and writing: a synthesis of recent evidence (2023–2025)
Frontiers in Education (2026) · doi:10.3389/feduc.2025.1711718 · v1.0
2.1 (gemini-3.1-flash-lite) —
3904 scored ARTIFICIAL INTELLIGENCE AND THE TRANSFORMATION OF UZBEKISTAN'S LABOR MARKET
Innovation Science and Technology (2026) · doi:10.5281/zenodo.23657865 · v1.0
0.0 (gemini-3.1-flash-lite) —
3905 No Fulltext AI-assisted advice and guidance reduces cardiology consultant response time and variability: a pilot crossover study
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.4364 · v1.0
6.0 (gemini-3.1-flash-lite) —
3906 scored A dual modal collaborative learning network for echocardiography video segmentation
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.4268 · v1.0
0.0 (gemini-3.1-flash-lite) —
3907 scored Real-world performance of AI-guided focused cardiac ultrasound: feasibility, interpretability, and detection of significant heart disease
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.4326 · v1.0
0.0 (gemini-3.1-flash-lite) —
3908 No Fulltext Enhancing cardiovascular consultation training with a multi-agent virtual patient framework: a multi-model comparative evaluation study
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.4342 · v1.0
6.7 (gemini-3.1-flash-lite) —
3909 Screened Out AI Reliance vs. Verification: A New Risk in Healthcare Education
European Journal of Public Health (2026) · doi:10.1093/eurpub/ckag169.1215 · v1.0
2.1 (gemini-3.1-flash-lite) —
3910 Screened Out Ethical and feasibility constraints underlying level C recommendations in ESC guidelines: an AI-assisted mapping study
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.4463 · v1.0
4.3 (gemini-3.1-flash-lite) —
3911 scored Assessment of visual comfort in urban underground space by multimodal large language model Reasoning
Underground Space (2026) · doi:10.1016/j.undsp.2026.06.005 · v1.0
0.0 (gemini-3.1-flash-lite) —
3912 scored Beyond geometric fidelity: trajectory-informed AI for complete-denture design
Translational dental research. (2026) · doi:10.1016/j.tdr.2026.100107 · v1.0
0.0 (gemini-3.1-flash-lite) —
3913 scored Prognostic power of artificial intelligence based estimation of left ventricular ejection fraction in standard and point-of-care echocardiography
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.4251 · v1.0
0.0 (gemini-3.1-flash-lite) —
3914 scored Validation of a deep learning–based workflow for echocardiographic interpretation in a cardio-oncology population
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.3894 · v1.0
0.0 (gemini-3.1-flash-lite) —
3915 Screened Out Patients' Views of Artificial Intelligence Across the Cancer Care Continuum: A Scenario-Based Attitudinal Assessment
JCO Clinical Cancer Informatics (2026) · doi:10.1200/cci-26-00098 · v1.0
2.1 (gemini-3.1-flash-lite) —
3916 scored Temporal sequence modeling for multimodal cardiovascular risk discovery
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.4278 · v1.0
0.0 (gemini-3.1-flash-lite) —
3917 scored Artificial intelligence-enhanced multimodality imaging of the aortic root and ascending aorta
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.4300 · v1.0
0.0 (gemini-3.1-flash-lite) —
3918 Screened Out Development and evaluation of a new education programme in Artificial IntelligenceS
European Journal of Public Health (2026) · doi:10.1093/eurpub/ckag169.1214 · v1.0
2.1 (gemini-3.1-flash-lite) —
3919 scored AI-driven ultrasound image acquisition in medical student training of echocardiography
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.4318 · v1.0
0.0 (gemini-3.5-flash-lite) —
3920 scored Development and evaluation of an AI-ECG model for incident heart failure risk prediction: a cross-continent study
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.4276 · v1.0
0.0 (gemini-3.5-flash-lite) —
3921 scored ECG-based transformer model predicts future left ventricular ejection fraction deterioration: from cross-sectional screening to longitudinal risk stratification
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.4267 · v1.0
0.0 (gemini-3.5-flash-lite) —
3922 scored Deep learning ECG detection of wall motion abnormalities suggesting silent coronary artery disease
European Heart Journal (2026) · doi:10.1093/eurheartj/ehag785.4294 · v1.0
0.0 (gemini-3.5-flash-lite) —
3923 Screened Out Motivational Organization in AI-Supported Writing: A Self-Determination Perspective
Computers and Education Open (2026) · doi:10.1016/j.caeo.2026.100430 · v1.0
3.5 (gemini-3.5-flash-lite) —
3924 scored Particle-adapted next-generation risk assessment of micro- and nanoplastics from food contact materials: Integrating PBK/PBTK, AOPs and explainable artificial intelligence
Toxicology in Vitro (2026) · doi:10.1016/j.tiv.2026.106318 · v1.0
0.0 (Flash Lite) —
3925 Screened Out Is the education gap in generative AI use smaller than the internet's was at a similar level of use? Evidence from 16 European countries
arXiv (2026) · doi:10.48550/arxiv.2610.36181 · v1.0
3.3 (gemini-3.5-flash-lite) —
3926 In Buffer Can AI Guide Testing Without Generating Tests? A Comparative Study of AI-Assisted Unit Testing
arXiv (2026) · doi:10.48550/arxiv.2610.36185 · v1.0
0.0 (gemini-3.8-flash) —
3927 scored MARQ: A Modular, LLM-Agnostic Requirement Quality Assessor Infused with Systems Engineering Knowledge
arXiv (2026) · doi:10.48550/arxiv.2610.36234 · v1.0
0.0 (gemini-3.5-flash-lite) —
3928 abstract_only MUSE: Revealing Responsiveness Gaps of LLM Tutors on Multiple-Solution Programming Problems
arXiv (2026) · doi:10.48550/arxiv.2610.36367 · v1.0
5.9 (gemini-3.5-flash-lite) —
3929 scored kw-bench: Breaking Frontier Harnesses on Real-World Tasks
arXiv (2026) · doi:10.48550/arxiv.2610.36405 · v1.0
0.0 (gemini-3.5-flash-lite) —
3930 In Buffer When AI Can Build It, What Should We Assess? Rethinking Evidence of Engineering Competence
arXiv (2026) · doi:10.48550/arxiv.2610.36413 · v1.0
5.9 (gemini-3.7-flash) —
3931 Screened Out ChatGPT Generated Otorhinolaryngology Multiple‐Choice Questions: Quality, Psychometric Properties, and Suitability for Assessments
OTO Open (2024) · doi:10.1002/oto2.70018 · v1.0
2.5 (gemini-3.1-flash-lite) —
3932 scored Alexa, write my exam: ChatGPT for MCQ creation
Medical Education (2024) · doi:10.1111/medu.15496 · v1.0
0.0 (Flash Lite) —
3933 scored The Role of Large Language Models in Medical Education: Applications and Implications
JMIR Medical Education (2023) · doi:10.2196/50945 · v1.0
0.0 (gemini-3.1-flash-lite) —
3934 Screened Out Evaluation of a Generative Language Model Tool for Writing Examination Questions
American Journal of Pharmaceutical Education (2024) · doi:10.1016/j.ajpe.2024.100684 · v1.0
2.5 (gemini-3.1-flash-lite) —
3935 Screened Out ChatGPT as a teaching tool: Preparing pathology residents for board examination with AI-generated digestive system pathology tests
American Journal of Clinical Pathology (2024) · doi:10.1093/ajcp/aqae062 · v1.0
4.8 (gemini-3.1-flash-lite) —
3936 Screened Out The Quality of AI-Generated Dental Caries Multiple Choice Questions: A Comparative Analysis of ChatGPT and Google Bard Language Models
Heliyon (2024) · doi:10.1016/j.heliyon.2024.e28198 · v1.0
2.5 (gemini-3.1-flash-lite) —
3937 Screened Out ChatGPT 3.5 fails to write appropriate multiple choice practice exam questions
Academic Pathology (2023) · doi:10.1016/j.acpath.2023.100099 · v1.0
2.3 (gemini-3.1-flash-lite) —
3938 scored ChatGPT for generating multiple-choice questions: Evidence on the use of artificial intelligence in automatic item generation for a rational pharmacotherapy exam
European Journal of Clinical Pharmacology (2024) · doi:10.1007/s00228-024-03649-x · v1.0
0.0 (Flash Lite) —
3939 Screened Out Performance of Large Language Models on a Neurology Board–Style Examination
JAMA Network Open (2023) · doi:10.1001/jamanetworkopen.2023.46721 · v1.0
4.9 (gemini-3.1-flash-lite) —
3940 Screened Out ChatGPT prompts for generating multiple-choice questions in medical education and evidence on their validity: a literature review
Postgraduate Medical Journal (2024) · doi:10.1093/postmj/qgae065 · v1.0
2.5 (gemini-3.1-flash-lite) —
3941 Screened Out Performance of ChatGPT and GPT-4 on Neurosurgery Written Board Examinations
Neurosurgery (2023) · doi:10.1227/neu.0000000000002632 · v1.0
4.9 (gemini-3.1-flash-lite) —
3942 scored Large Language Models in Medical Education: Opportunities, Challenges, and Future Directions
JMIR Medical Education (2023) · doi:10.2196/48291 · v1.0
0.0 (gemini-3.1-flash-lite) —
3943 Screened Out Generative AI and the implications for authentic assessment
Routledge eBooks (2024) · doi:10.4324/9781003482918-15 · v1.0
1.4 (gemini-3.1-flash-lite) —
3944 Screened Out Results and implications for generative AI in a large introductory biomedical and health informatics course
npj Digital Medicine (2024) · doi:10.1038/s41746-024-01251-0 · v1.0
4.6 (gemini-3.1-flash-lite) —
3945 scored Assessment of Generative Artificial Intelligence (AI) Models in Creating Medical Illustrations for Various Corneal Transplant Procedures
Cureus (2024) · doi:10.7759/cureus.67833 · v1.0
0.0 (gemini-3.5-flash-lite) —
3946 No Fulltext An Experiment on Leveraging ChatGPT for Online Teaching and Assessment of Database Students
IEEE International Conference on Teaching, Assessment, and Learning for Engineering (2023) · doi:10.1109/tale56641.2023.10398239 · v1.0
5.2 (gemini-3.5-flash-lite) —
3947 scored AI integration in nephrology: evaluating ChatGPT for accurate ICD-10 documentation and coding
Frontiers in Artificial Intelligence (2024) · doi:10.3389/frai.2024.1457586 · v1.0
0.0 (gemini-3.5-flash-lite) —
3948 No Fulltext Examining the Threat of ChatGPT to the Validity of Short Answer Assessments in an Undergraduate Medical Program
Journal of Medical Education and Curricular Development (2023) · doi:10.1177/23821205231204178 · v1.0
5.5 (gemini-3.5-flash-lite) —
3949 Screened Out Designing experiential learning activities with generative artificial intelligence tools for authentic assessment
Interactive Technology and Smart Education (2024) · doi:10.1108/itse-12-2023-0236 · v1.0
3.0 (gemini-3.5-flash-lite) —
3950 Screened Out AI-Supported Academic Advising: Exploring ChatGPT’s Current State and Future Potential toward Student Empowerment
Education Sciences (2023) · doi:10.3390/educsci13090885 · v1.0
1.6 (gemini-3.5-flash-lite) —