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Main Authors: Ahuja, Naman, Mulla, Saniya, Khan, Muhammad Ali, Riaz, Zaryab Bin, Khakwani, Kaneez Zahra Rubab, Sonbol, Mohamad Bassam, Riaz, Irbaz Bin, Gupta, Vivek
Format: Preprint
Published: 2026
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Online Access:https://arxiv.org/abs/2604.14165
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author Ahuja, Naman
Mulla, Saniya
Khan, Muhammad Ali
Riaz, Zaryab Bin
Khakwani, Kaneez Zahra Rubab
Sonbol, Mohamad Bassam
Riaz, Irbaz Bin
Gupta, Vivek
author_facet Ahuja, Naman
Mulla, Saniya
Khan, Muhammad Ali
Riaz, Zaryab Bin
Khakwani, Kaneez Zahra Rubab
Sonbol, Mohamad Bassam
Riaz, Irbaz Bin
Gupta, Vivek
contents We present EviSearch, a multi-agent extraction system that automates the creation of ontology-aligned clinical evidence tables directly from native trial PDFs while guaranteeing per-cell provenance for audit and human verification. EviSearch pairs a PDF-query agent (which preserves rendered layout and figures) with a retrieval-guided search agent and a reconciliation module that forces page-level verification when agents disagree. The pipeline is designed for high-precision extraction across multimodal evidence sources (text, tables, figures) and for generating reviewer-actionable provenance that clinicians can inspect and correct. On a clinician-curated benchmark of oncology trial papers, EviSearch substantially improves extraction accuracy relative to strong parsed-text baselines while providing comprehensive attribution coverage. By logging reconciler decisions and reviewer edits, the system produces structured preference and supervision signals that bootstrap iterative model improvement. EviSearch is intended to accelerate living systematic review workflows, reduce manual curation burden, and provide a safe, auditable path for integrating LLM-based extraction into evidence synthesis pipelines.
format Preprint
id arxiv_https___arxiv_org_abs_2604_14165
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle EviSearch: A Human in the Loop System for Extracting and Auditing Clinical Evidence for Systematic Reviews
Ahuja, Naman
Mulla, Saniya
Khan, Muhammad Ali
Riaz, Zaryab Bin
Khakwani, Kaneez Zahra Rubab
Sonbol, Mohamad Bassam
Riaz, Irbaz Bin
Gupta, Vivek
Computation and Language
We present EviSearch, a multi-agent extraction system that automates the creation of ontology-aligned clinical evidence tables directly from native trial PDFs while guaranteeing per-cell provenance for audit and human verification. EviSearch pairs a PDF-query agent (which preserves rendered layout and figures) with a retrieval-guided search agent and a reconciliation module that forces page-level verification when agents disagree. The pipeline is designed for high-precision extraction across multimodal evidence sources (text, tables, figures) and for generating reviewer-actionable provenance that clinicians can inspect and correct. On a clinician-curated benchmark of oncology trial papers, EviSearch substantially improves extraction accuracy relative to strong parsed-text baselines while providing comprehensive attribution coverage. By logging reconciler decisions and reviewer edits, the system produces structured preference and supervision signals that bootstrap iterative model improvement. EviSearch is intended to accelerate living systematic review workflows, reduce manual curation burden, and provide a safe, auditable path for integrating LLM-based extraction into evidence synthesis pipelines.
title EviSearch: A Human in the Loop System for Extracting and Auditing Clinical Evidence for Systematic Reviews
topic Computation and Language
url https://arxiv.org/abs/2604.14165