en Health Management and Information Sciences Health Management and Information Sciences Review Article Review Article <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><b>&nbsp;&nbsp;</b><b><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp; Background: </span></span></b><span style="font-size:9.0pt"><span style="font-style:normal">Social media platforms, particularly X (former Twitter), are increasingly used by researchers to disseminate scientific knowledge. However, the extent to which X engagement influences traditional academic impact remains unclear. This study examines the association between X mentions, Altmetric Attention Scores (AAS), and citation counts for highly visible research outputs.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Methods:</b> A narrative review of studies on academic influencers in medical fields was combined with a quantitative correlation analysis of the top 100 Altmetric articles (2017&ndash;2021). Data included AAS, X mentions, and citation counts from Dimensions. Pearson correlation coefficients were calculated to assess year-by-year relationships. A systematic search was conducted in PubMed and Google Scholar on August 3, 2024, using MeSH terms and Boolean operators.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Results: </b>Strong positive correlations were found between X mentions and AAS (r = 0.673&ndash;0.944, </span></span><span style="font-size:9.0pt">P</span><span style="font-size:9.0pt"><span style="font-style:normal"> < 0.05). Correlations between AAS and citations were weaker and variable (r = 0.075&ndash;0.504, </span></span><span style="font-size:9.0pt">P</span><span style="font-size:9.0pt"><span style="font-style:normal"> < 0.05 in 2020 and 2021). The narrative review revealed mixed associations between social media influence and academic productivity across specialties.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Conclusion:</b> X amplifies research visibility but has limited predictive power for long-term citation impact. These findings inform research evaluation by highlighting altmetrics as complementary tools. Future studies should explore multi-platform data and address global disparities in digital influence.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal"></span></span></span></span></span></span></span></span><br> &nbsp; Social Media, Research, Communication, Altmetrics, Academic Influence 99 103 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-9753-1&slc_lang=en&sid=1 Mashallah Torabi mtorabi@tums.ac.ir 200319475328460096553 200319475328460096553 Yes Research Center for Science and Technology in Medicine, Service Desk and Office Automation, Tehran University of Medical Sciences, Tehran, Iran Fatemeh Hadavandsiri atemeh.hadavand70@gmail.com 200319475328460096554 200319475328460096554 No Tehran University of Medical Sciences, Tehran, Iran Houman Kazemzadeh houmankazemzadeh96@gmail.com 200319475328460096555 200319475328460096555 No Department of Medicinal Chemistry, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran Maryam Goodarzi m-goodarzi@farabi.tums.ac.ir 200319475328460096556 200319475328460096556 No Tehran University of Medical Sciences, Tehran, Iran