arXiv Computation and Language

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.

arXiv Machine Learning
Jun 2

OncoReason: Structuring Clinical Reasoning in LLMs for Robust and Interpretable Survival Prediction

arXiv:2510. 17532v2 Announce Type: replace-cross Abstract: Predicting cancer treatment outcomes requires models that are both accurate and interpretable, particularly in the presence of heterogeneous clinical data.

By Raghu Vamshi Hemadri, Geetha Krishna Guruju, Kristi Topollai, Anna Ewa Choromanska
arXiv AI
Jun 11

OpenMedReason: Scientific Reasoning Supervision for Medical Vision-Language Models

arXiv:2606. 12169v1 Announce Type: cross Abstract: High-stakes clinical use of large vision-language models (LVLMs) requires reasoning that is grounded in visual evidence and clinical knowledge, not just correct final answers.

By Negin Baghbanzadeh, Pritam Sarkar, Michael Colacci, Abeer Badawi, Adibvafa Fallahpour, Arash Afkanpour, Leonid Sigal, Ali Etemad, Elham Dolatabadi
arXiv AI
Aug 25

Teaching LLMs How ICU Physicians Approach Clinical Reasoning Through OMOP-Aligned Retrieval Improves Reasoning Across Clinical Domains

arXiv:2608.22622v1 Announce Type: cross Abstract: Clinical decision-making relies on identifying relevant patient information to guide diagnosis and treatment, a challenge that is especially difficul...

By Miguel Contreras, Scott Siegel, Subhash Nerella, Jessica Sena, Jiaqing Zhang, Heng Sun, Hruday Tej Akkaladevi, Peiyu Lu, Jordan Rosen, Sumit Kapoor, Sasank Desaraju, Grace R. Thompson, Jacob Purcell, Michael Petrauskis, Philip KW. Hong, Meghan Brennan, Sarah Chrabaszcz, Tierra Smith, Ronnie Ren, Michel S. Kabbash, Ceyhun Haziroglu, Rushi Patel, Gabriel Gomez, Charlotte Chaiklin, Randy Leung, Kenneth N. John, Whitman Wiggins, Philip Kayser, Vincent Bird, Maria Bruzzone, Tyler J. Loftus, Azra Bihorac, Parisa Rashidi
arXiv AI
Aug 18

DiagnosisArena: Benchmarking Diagnostic Reasoning for Large Language Models

arXiv:2505. 14107v5 Announce Type: replace-cross Abstract: The emergence of groundbreaking large language models capable of performing complex reasoning tasks holds significant promise for addressing various scientific challenges, including those arising in complex clinical scenarios.

By Yakun Zhu, Zhongzhen Huang, Linjie Mu, Yutong Huang, Wei Nie, Jiaji Liu, Shaoting Zhang, Pengfei Liu, Xiaofan Zhang
arXiv Computer Vision
Oct 9

Efficient Multi-Granularity Knowledge Transfer for Radiology Report Generation

The paper introduces Efficient Multi-Granularity Knowledge Transfer (EMGKT) for radiology report generation, aiming to improve medical knowledge extraction from X‑ray images. EMGKT encodes global knowledge via a medical vision‑language model and employs Fine‑Grained Knowledge Distillation (FGKD) to learn fine‑level embeddings without extra priors during inference. Additionally, a mixture of disease‑diagnosis expert classifiers is used to further enhance knowledge extraction, and the method is shown to be effective and transferable across datasets and baselines.

By Xubin Zhong, Zheyu Zhang, Wenjian Qin, Ning Wen
arXiv AI
Oct 7

Aligning LLMs with Biomedical Knowledge using Balanced Fine-Tuning

arXiv:2511.21075v4 Announce Type: replace-cross Abstract: Engineering LLMs to accelerate life sciences research requires a robust alignment with biomedical knowledge. We observe that biomedical text...

By Zhenchao Tang, Fang Wang, Haohuai He, Jiale Zhou, Tianxu Lv, Jun Zhu, Shouzhi Chen, Minghao Yang, Yu Wang, Jiayang Wu, Yidong Song, Yaokun Li, Jiehui Huang, Jun Zhou, Bing He, Jianhua Yao