arXiv Computation and Language

Knowledge-Graph Grounding Helps LLMs Only for Out-of-Training Knowledge: A Controlled Study on Clinical Question Answering

arXiv AI
Aug 13

A corpus-specific clinical RAG system matches or outperforms newer frontier LLMs on HealthBench

arXiv:2608. 12138v1 Announce Type: cross Abstract: General-purpose large language models (LLMs) have recently been reported to match or exceed specialized clinical AI tools on medical benchmarks, but such comparisons draw on a narrow set of systems and on benchmarks developed largely in high-income settings.

By Praveen Reddy, Charuta Mandke, Suvrankar Datta, Sarah Khan, Siddharth Reddy Anthireddy, Shitij Arora, Vishal Singh
arXiv Computation and Language
Aug 24

MedRAGChecker: Claim-Level Verification for Biomedical Retrieval-Augmented Generation

MedRAGChecker is a claim-level verification framework designed for biomedical retrieval‑augmented generation (RAG). It decomposes generated answers into atomic claims and assesses each claim’s support by combining evidence‑grounded natural language inference with biomedical knowledge‑graph consistency signals. The aggregated claim decisions provide diagnostics that distinguish retrieval and generation failures, such as faithfulness, under‑evidence, contradiction, and safety‑critical errors, and the system is distilled into compact models for scalable evaluation.

By Yuelyu Ji, Min Gu Kwak, Hang Zhang, Xizhi Wu, Chenyu Li, Yanshan Wang
arXiv AI
Sep 12

MOSAIC: Query-Aware Exploration Policy Adaptation for GraphRAG

MOSAIC is a training‑free framework that adapts Graph Retrieval‑Augmented Generation (GraphRAG) to each query by converting query‑specific evidence needs into a bounded policy over seed selection, traversal, stopping, and evidence selection. It keeps the corpus graph, indexes, scoring, grounding, and answer generation shared, while an LLM analyzer tailors the exploration strategy per query. On GraphRAG‑Bench, MOSAIC improves answer correctness by over 5 points on Medical and 4 points on Novel, achieves high evidence recall and context relevancy, and reduces path and evidence evaluations compared to fixed policies.

By EunKyeong Lee, Kyeong-Jin Oh, Jinwon Kim, Hye Woo Lee, Minsang Song, Hyeongjun Jang, Junyoung Youn
arXiv Computation and Language
Aug 28

Surgical Alignment in Knowledge Graph Training for Clinical Diagnosis with Large Language Models

The paper investigates how to incorporate biomedical knowledge graphs (KGs) into large language models (LLMs) for clinical diagnosis. It evaluates five KG task formulations, three training paradigms, two KGs, and three base LLMs, finding that all paradigms outperform a non‑finetuned baseline but differ in knowledge transfer behavior. Introducing Gradient Intervention Density (GID) and Gradient Distortion (GD) metrics, the study identifies a ‘surgical alignment’ regime—sparse, localized updates achieved by KG‑judgment training with KL regularization—that improves reasoning quality even when in‑domain accuracy is lower than task‑specific supervised fine‑tuning.

By Saksham Khatwani, He Cheng, Majid Afshar, Dmitriy Dligach, Yanjun Gao
arXiv AI
Jul 24

A Knowledge-Injection Framework for Zero-Shot Adaptation of LLMs to Delirium Prediction

arXiv:2607. 20453v1 Announce Type: cross Abstract: Large language models show promise for clinical prediction, but zero-shot performance on specialized tasks is limited by incomplete domain knowledge, especially for smaller locally deployable models.

By Jessica Sena, Shesadree Priyadarshani, Miguel Contreras, Bharat Gandhi, Scott Siegel, Subhash Nerella, Parisa Rashidi
arXiv AI
Jul 28

OpenAIs HealthBench in Action: Evaluating an LLM-Based Medical Assistant on Realistic Clinical Queries

arXiv:2509. 02594v3 Announce Type: replace-cross Abstract: Evaluating large language models (LLMs) on their ability to generate high-quality, accurate, situationally aware answers to clinical questions requires going beyond conventional benchmarks to assess how these systems behave in complex, high-stakes clinical scenarios.

By Sandhanakrishnan Ravichandran, Shivesh Kumar, Rogerio Corga Da Silva, Miguel Romano, Reinhard Berkels, Michiel van der Heijden, Olivier Fail, Valentine Emmanuel Gnanapragasam