Paper-to-patent citations connect scientific and technological documents, but their interpretability depends on how patents are used in the citing text. This study examines citation contexts and paper-level outcome associations in AI-related articles in PubMed Central (PMC). Screening 189,073 articles identified 746 with explicitly tagged patent references (0.395%), including 713 with 1,544 identifiable in-text patent-citation instances. Three large language models classified these instances by represented content, motivation, textual position, and evaluative stance. Regression models examined associations among these dimensions, and propensity-score-matched regressions compared patent-citing papers with XML-screened controls. Background-oriented citations were predominantly neutral and introductory, whereas adoption-oriented citations were more closely associated with methodological positions and supportive evaluations. These patterns suggest heuristic configurations of contextualization, operationalization, and problematization, although classification overlap and exclusion of rare categories limit their interpretation. In matched samples, the patent-citing indicator was associated with lower scholarly-citation measures and more citations received from patents. These associations are observational, not causal. Together, these findings show that paper-to-patent citations encode heterogeneous forms of engagement with patented technology and should be interpreted as selective bibliographic signals rather than direct indicators of technology-to-science knowledge transfer or research value.

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