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Record W4406352685 · doi:10.5195/jmla.2025.1936

Algorithmic indexing in MEDLINE frequently overlooks important concepts and may compromise literature search results

2025· article· en· W4406352685 on OpenAlexafffund
Alexandre Amar‐Zifkin, Taline Ekmekjian, Virginie Paquet, Tara Landry

Bibliographic record

VenueJournal of the Medical Library Association JMLA · 2025
Typearticle
Languageen
FieldBiochemistry, Genetics and Molecular Biology
TopicBiomedical Text Mining and Ontologies
Canadian institutionsPublic Health Agency of CanadaUniversité de Montréal
FundersMcGill University Health CentreMcGill University
KeywordsSearch engine indexingInformation retrievalMEDLINEComputer scienceMedical recordSubject (documents)Index (typography)Data miningMedicineLibrary scienceWorld Wide WebRadiology

Abstract

fetched live from OpenAlex

Objective: To evaluate the appropriateness of indexing of algorithmically-indexed MEDLINE records. Methods: We assessed the conceptual appropriateness of Medical Subject Headings (MeSH) used to index a sample of MEDLINE records from February and March 2023. Indexing was performed by the Medical Text Indexer-Auto (MTIA) algorithm. The primary outcome measure is the number of records for which the MTIA algorithm assigned subject headings that represented the main concepts of the publication. Results: Fifty-three percent of screened records had indexing that represented the main concepts discussed in the article; 47% had inadequacies in the indexing which could impact their retrieval. Three main issues with algorithmically-indexed records were identified: 1) inappropriate MeSH assigned due to acronyms, evocative language, exclusions of populations, or related records; 2) concepts represented by more general MeSH while a more precise MeSH is available; and 3) a significant concept not represented in the indexing at all. We also noted records with inappropriate combinations of headings and subheadings, even when the headings and subheadings on their own were appropriate. Conclusions: The indexing performed by the February-March 2023 calibration of the MTIA algorithm, as well as older calibrations, frequently applied irrelevant or imprecise terms to publications while neglecting to apply relevant terms. As a consequence, relevant publications may be omitted from search results and irrelevant ones may be retrieved. Evaluations and revisions of indexing algorithms should strive to ensure that relevant, accurate and precise MeSH terms are applied to MEDLINE records.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.346
Threshold uncertainty score0.296

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.005
GPT teacher head0.280
Teacher spread0.275 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations4
Published2025
Admission routes2
Has abstractyes

Explore more

Same venueJournal of the Medical Library Association JMLASame topicBiomedical Text Mining and OntologiesFrench-language works237,207