Evidence map›Paper›PMID 39842860›Full record

ArticleBioinformatics (Oxford, England)2025

ESCARGOT: an AI agent leveraging large language models, dynamic graph of thoughts, and biomedical knowledge graphs for enhanced reasoning.

Nicholas Matsumoto, Hyunjun Choi, Jay Moran, Miguel E Hernandez, Mythreye Venkatesan, Xi Li, Jui-Hsuan Chang, Paul Wang, Jason H Moore

Abstract read
In one paragraph

Article in Bioinformatics (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. A comprehensive survey of AI agents in healthcare.Journal of biomedical informatics · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. CellDuality: Unlocking Biological Reasoning in LLMs with Self-Supervised RLVR.... International Conference on Learning Representations · 2026
    Article
  10. Article
  11. Observational
  12. Article
  13. Automatic biomarker discovery and enrichment with BRAD.Bioinformatics (Oxford, England) · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nicholas MatsumotoDepartment of Computational Biomedicine, Center for Artificial Intelligence Research and Education, Cedars Sinai Medical Center, West Hollywood, CA 90069, United States.
Hyunjun ChoiDepartment of Computational Biomedicine, Center for Artificial Intelligence Research and Education, Cedars Sinai Medical Center, West Hollywood, CA 90069, United States.
Jay MoranDepartment of Computational Biomedicine, Center for Artificial Intelligence Research and Education, Cedars Sinai Medical Center, West Hollywood, CA 90069, United States.
Miguel E HernandezDepartment of Computational Biomedicine, Center for Artificial Intelligence Research and Education, Cedars Sinai Medical Center, West Hollywood, CA 90069, United States.
Mythreye VenkatesanDepartment of Computational Biomedicine, Center for Artificial Intelligence Research and Education, Cedars Sinai Medical Center, West Hollywood, CA 90069, United States.
Xi LiDepartment of Computational Biomedicine, Center for Artificial Intelligence Research and Education, Cedars Sinai Medical Center, West Hollywood, CA 90069, United States.
Jui-Hsuan ChangDepartment of Computational Biomedicine, Center for Artificial Intelligence Research and Education, Cedars Sinai Medical Center, West Hollywood, CA 90069, United States.
Paul WangDepartment of Computational Biomedicine, Center for Artificial Intelligence Research and Education, Cedars Sinai Medical Center, West Hollywood, CA 90069, United States.
Jason H MooreDepartment of Computational Biomedicine, Center for Artificial Intelligence Research and Education, Cedars Sinai Medical Center, West Hollywood, CA 90069, United States.ORCID 0000-0002-5015-1099

Funding

Artificial Intelligence Strategies for Alzheimer's Disease ResearchU01AG066833 · NIA · CEDARS-SINAI MEDICAL CENTER · PI MOORE, JASON H., RITCHIE, MARYLYN D · 2022 to 2025
$6.7M
Bioinformatics Strategies for Genome-Wide Association StudiesR01LM010098 · NLM · UNIVERSITY OF PENNSYLVANIA · PI MOORE, JASON H., WILLIAMS, SCOTT MATTHEW · 2009 to 2023
$5.1M
Knowledge-guided automated machine learning methods for modeling the interaction of HIV with addictive drugsR01LM014572 · NLM · CEDARS-SINAI MEDICAL CENTER · PI Jason H. Moore · 2024 to 2026
$1.5M
Center for AI Research and Education at Cedars-Sinai Medical CenterNIA NIH HHS U01 AG066833NLM NIH HHS R01 LM010098NLM NIH HHS R01 LM014572
6 · The paper itself

Abstract

motivationLLMs like GPT-4, despite their advancements, often produce hallucinations and struggle with integrating external knowledge effectively. While Retrieval-Augmented Generation (RAG) attempts to address this by incorporating external information, it faces significant challenges such as context length limitations and imprecise vector similarity search. ESCARGOT aims to overcome these issues by combining LLMs with a dynamic Graph of Thoughts and biomedical knowledge graphs, improving output reliability, and reducing hallucinations.

resultESCARGOT significantly outperforms industry-standard RAG methods, particularly in open-ended questions that demand high precision. ESCARGOT also offers greater transparency in its reasoning process, allowing for the vetting of both code and knowledge requests, in contrast to the black-box nature of LLM-only or RAG-based approaches. AVAILABILITY AND IMPLEMENTATION: ESCARGOT is available as a pip package and on GitHub at: https://github.com/EpistasisLab/ESCARGOT.

Indexed as

Artificial IntelligenceComputational BiologySoftwareAlgorithmsHumansLarge Language Models

Identifiers

PMID39842860
PMCPMC11796095

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.