Cited by 23Publishing and Scholarly CommunicationAcademic Writing and PublishingAcademic integrity and plagiarism

Ensuring peer review integrity in the era of large language models: A critical stocktaking of challenges, red flags, and recommendations

Open access
Kocak, Burak, Onur, Mehmet Ruhi, Park, Seong Ho, Baltzer, Pascal, Dietzel, Matthias·2025·European Journal of Radiology Artificial Intelligence

Abstract

The rise of large language models (LLMs) like ChatGPT offers promising academic opportunities but also raises peer review concerns. Reviewers increasingly use LLMs to refine language or draft reviews, blurring the line between using artificial intelligence (AI) as a supportive tool and a leading role in the peer review of manuscripts. Given the impracticality of enforcing a ban on reviewers' use of LLMs, this obscurity poses challenges for editorial teams in maintaining peer review integrity. Based on the literature and authors' editorial experience, this brief paper examines the challenges of detecting LLM-shaped reviews, highlights key indicators, and offers recommendations to uphold the rigor of peer review—an imperfect system, yet still the best we have in scholarly publishing.

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Integrity signals

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Crossref · 10.1016/j.ejrai.2025.100018

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  • Existing LLM reviewer systems often generate unstructured outputs that vary substantially depending on prompting strategies, limiting reproducibility, traceability and editor interpretability.

    “Existing LLM reviewer systems often generate unstructured outputs that vary substantially depending on prompting strategies, limiting reproducibility, traceability and editor interpretability (Sun 2025;Kocak et al. 2025).”

    From Who Reviews the Reviewer? A Multi‐Agent LLM Architecture With Meta‐Review Synthesis for Editorial Peer Review (2026) · cites this paper as Kocak et al. 2025

    The Introduction says that a slight change in prompt wording can change an LLM’s response, supporting the concern about reliability. It also discusses opacity, but does not say that LLM reviewer systems often produce unstructured outputs or that their outputs limit editor interpretability. Its red-flags discussion instead describes LLM-shaped reviews as stylistically consistent and often organized with headings or bullet points. No page number is available in our copy. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • Distinguishing between fully AI-generated reviews and human-authored reviews refined with AI assistance remains extremely difficult.

    “Researchers note that distinguishing between fully AI-generated reviews and human-authored reviews refined with AI assistance remains extremely difficult (Kocak et al. 2025).”
  • Existing AI-review systems often operate as opaque evaluators, making it difficult for editors to inspect why certain conclusions were generated.

    “Existing AI-review systems often operate as opaque evaluators, making it difficult for editors to inspect why certain conclusions were generated (Sun 2025;Seghier 2025;Kocak et al. 2025).”

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Authors
Kocak, B., Onur, M. R., Park, S. H., Baltzer, P., & Dietzel, M.
Affiliations
  • Hacettepe University (TR)
  • Asan Medical Center (KR)
  • Medical University of Vienna (AT)
  • Universitätsklinikum Erlangen (DE)
Venue
European Journal of Radiology Artificial Intelligence
Publisher
Elsevier BV
Published
2025-06
Volume
2
Pages
100018
ISSN
3050-5771 (ISSN-L)
OpenAlex
W4409486296
Cited by
18
References
32
Citations by year
2026: 14 · 2025: 4
FWCI
67.72
Type
journal article
Language
en
Open access
Locations
European Journal of Radiology Artificial Intelligence (publishedVersion, cc-by)
Topics
  • Social Sciences › Arts and Humanities › History and Philosophy of Science › Publishing and Scholarly Communication
  • Social Sciences › Arts and Humanities › History and Philosophy of Science › Academic Writing and Publishing
  • Social Sciences › Safety Research › Academic integrity and plagiarism
Keywords
large language models, peer review integrity, ChatGPT, editorial policy, scholarly publishing, AI in peer review

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