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PreprintCC BYmedRxiv

AI-Based Synthetic Data in Biomedicine: A Decade of Growth and a Persistent Translation Gap

  1. 1Hebrew University

Abstract

AI-generated synthetic data are increasingly used to address data scarcity, privacy constraints and experimental limitations in biomedicine, but how far these methods have translated into practice remains unclear. We conducted a systematic mapping and bibliometric analysis of 4,143 publications spanning 2015-2025, combining expert annotation with LLM-assisted classification across data modality, medical domain, paper type, deployment status and research stance. Publication volume grew continuously; 77.8% of papers were strongly supportive while critical work remained below 1%. Medical imaging dominated the corpus, consistent with well-characterized transformation-group invariances supporting data augmentation and generative modeling. Highly cited primary research concentrated disproportionately in molecular and pharmaceutical applications, where SE(3)-equivariant architectures and structure-prediction models accelerated generative approaches. Only 27 publications reported operational use; omics and tabular clinical data, lacking well-characterized invariance structures, remained underrepresented. These findings reveal a gap between methodological growth and deployment, motivating investment in evaluation standards, deployment reporting and encoding domain-relevant invariances.

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BibTeX
@misc{asgari2026aibased,
  title = {{AI-Based Synthetic Data in Biomedicine: A Decade of Growth and a Persistent Translation Gap}},
  author = {N. Asgari and I. F. Perez and G. Epelde and L. Zhang and L. Horesh and C. Saab and M. Muszkat and M. Rosen-Zvi},
  howpublished = {medRxiv},
  year = {2026},
  month = sep,
  doi = {10.64898/2026.09.12.26360876},
  url = {https://www.medrxiv.org/content/10.64898/2026.09.12.26360876v1},
  note = {CC BY},
}
RIS
TY  - UNPB
TI  - AI-Based Synthetic Data in Biomedicine: A Decade of Growth and a Persistent Translation Gap
AU  - N. Asgari
AU  - I. F. Perez
AU  - G. Epelde
AU  - L. Zhang
AU  - L. Horesh
AU  - C. Saab
AU  - M. Muszkat
AU  - M. Rosen-Zvi
PY  - 2026
DA  - 2026/09/12
PB  - medRxiv
DO  - 10.64898/2026.09.12.26360876
UR  - https://www.medrxiv.org/content/10.64898/2026.09.12.26360876v1
AB  - AI-generated synthetic data are increasingly used to address data scarcity, privacy constraints and experimental limitations in biomedicine, but how far these methods have translated into practice remains unclear. We conducted a systematic mapping and bibliometric analysis of 4,143 publications spanning 2015-2025, combining expert annotation with LLM-assisted classification across data modality, medical domain, paper type, deployment status and research stance. Publication volume grew continuously; 77.8% of papers were strongly supportive while critical work remained below 1%. Medical imaging dominated the corpus, consistent with well-characterized transformation-group invariances supporting data augmentation and generative modeling. Highly cited primary research concentrated disproportionately in molecular and pharmaceutical applications, where SE(3)-equivariant architectures and structure-prediction models accelerated generative approaches. Only 27 publications reported operational use; omics and tabular clinical data, lacking well-characterized invariance structures, remained underrepresented. These findings reveal a gap between methodological growth and deployment, motivating investment in evaluation standards, deployment reporting and encoding domain-relevant invariances.
ER  -