Turning Domain Expertise into Multi-Dimensional Evaluation of Biomedical AI with Karenina

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Abstract

Language models and agents are increasingly used in biomedicine, but current benchmarks reward correct answers even when the underlying reasoning is flawed. Here we introduce Karenina, an open-source framework that turns expert knowledge into multi-dimensional evaluations of questions, conversations and autonomous agents. Illustrated in Question-Answer pairs, multi-turn conversations and autonomous data-analysis, these dimensions together moves evaluation beyond scoring, enabling trustworthy decision-making with AI in biomedicine.

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