ResearchResearch paperEfficiency & Inference · Interpretability · Large Language Models1 source · Oct 6, 2026

Evidence-Bound Reasoning: Neuro-Semantic Verification of Biomedical AI in Glioblastoma Radiogenomics

Background: Biomedical AI can generate plausible explanations without reliably verifying whether each statement is supported by patient-specific evidence.

Key points

  • We developed a neuro-semantic verification framework that converts radiomic measurements into addressable evidence records and machine-checkable claims.
  • Methods: UPenn-GBM radiomics were aligned with de novo CaPTk extraction from standardized MRI and expert-validated segmentations in an independent multicenter cohort.
  • Reference-defined semantic states were derived from 611 UPenn cases.
  • We evaluated cross-cohort transportability, model-linked provenance, deterministic verification, controlled predictive degradation, and an LLM claim-extraction pilot; MGMT prediction served only as a transport stress test.

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