Adaptive Knowledge Graphs Enhance Medical Question Answering: Bridging the Gap Between LLMs and Evolving Medical Knowledge

Large Language Models (LLMs) have significantly advanced medical question-answering by leveraging extensive clinical data and medical literature. However, the rapid evolution of medical knowledge and the labor-intensive process of manually updating domain-specific resources pose challenges to the reliability of these systems. To address this, we introduce Adaptive Medical Graph-RAG (AMG-RAG), a comprehensive framework that automates the construction and continuous updating of medical knowledge graphs, integrates reasoning, and retrieves current external evidence, such as PubMed and WikiSearch. By dynamically linking new findings and complex medical concepts, AMG-RAG not only improves accuracy but also enhances interpretability in medical queries. Evaluations on the MEDQA and MEDMCQA benchmarks demonstrate the effectiveness of AMG-RAG, achieving an F1 score of 74.1 percent on MEDQA and an accuracy of 66.34 percent on MEDMCQA, outperforming both comparable models and those 10 to 100 times larger. Notably, these improvements are achieved without increasing computational overhead, highlighting the critical role of automated knowledge graph generation and external evidence retrieval in delivering up-to-date, trustworthy medical insights.

The $α$-Alternator: Dynamic Adaptation To Varying Noise Levels In Sequences Using The Vendi Score For Improved Robustness and Performance

Current state-of-the-art dynamical models, such as Mamba, assume the same level of noisiness for all elements of a given sequence, which limits their performance on noisy temporal data. In this paper, we introduce the $\alpha$-Alternator, a novel generative model for time-dependent data that dynamically adapts to the complexity introduced by varying noise levels in sequences. The $\alpha$-Alternator leverages the Vendi Score (VS), a flexible similarity-based diversity metric, to adjust, at each time step $t$, the influence of the sequence element at time $t$ and the latent representation of the dynamics up to that time step on the predicted future dynamics. This influence is captured by a parameter that is learned and shared across all sequences in a given dataset. The sign of this parameter determines the direction of influence. A negative value indicates a noisy dataset, where a sequence element that increases the VS is considered noisy, and the model relies more on the latent history when processing that element. Conversely, when the parameter is positive, a sequence element that increases the VS is considered informative, and the $\alpha$-Alternator relies more on this new input than on the latent history when updating its predicted latent dynamics. The $\alpha$-Alternator is trained using a combination of observation masking and Alternator loss minimization. Masking simulates varying noise levels in sequences, enabling the model to be more robust to these fluctuations and improving its performance in trajectory prediction, imputation, and forecasting. Our experimental results demonstrate that the $\alpha$-Alternator outperforms both Alternators and state-of-the-art state-space models across neural decoding and time-series forecasting benchmarks.

AT-RAG: An Adaptive RAG Model Enhancing Query Efficiency with Topic Filtering and Iterative Reasoning

Recent advancements in QA with LLM, like GPT-4, have shown limitations in handling complex multi-hop queries. We propose AT-RAG, a novel multistep RAG incorporating topic modeling for efficient document retrieval and reasoning. Using BERTopic, our model dynamically assigns topics to queries, improving retrieval accuracy and efficiency. We evaluated AT-RAG on multihop benchmark datasets QA and a medical case study QA. Results show significant improvements in correctness, completeness, and relevance compared to existing methods. AT-RAG reduces retrieval time while maintaining high precision, making it suitable for general tasks QA and complex domain-specific challenges such as medical QA. The integration of topic filtering and iterative reasoning enables our model to handle intricate queries efficiently, which makes it suitable for applications that require nuanced information retrieval and decision-making.

Alternators For Sequence Modeling

This paper introduces alternators, a novel family of non-Markovian dynamical models for sequences. An alternator features two neural networks: the observation trajectory network (OTN) and the feature trajectory network (FTN). The OTN and the FTN work in conjunction, alternating between outputting samples in the observation space and some feature space, respectively, over a cycle. The parameters of the OTN and the FTN are not time-dependent and are learned via a minimum cross-entropy criterion over the trajectories. Alternators are versatile. They can be used as dynamical latent-variable generative models or as sequence-to-sequence predictors. When alternators are used as generative models, the FTN produces interpretable low-dimensional latent variables that capture the dynamics governing the observations. When alternators are used as sequence-to-sequence predictors, the FTN learns to predict the observed features. In both cases, the OTN learns to produce sequences that match the data. Alternators can uncover the latent dynamics underlying complex sequential data, accurately forecast and impute missing data, and sample new trajectories. We showcase the capabilities of alternators in three applications. We first used alternators to model the Lorenz equations, often used to describe chaotic behavior. We then applied alternators to Neuroscience, to map brain activity to physical activity. Finally, we applied alternators to Climate Science, focusing on sea-surface temperature forecasting. In all our experiments, we found alternators are stable to train, fast to sample from, yield high-quality generated samples and latent variables, and outperform strong baselines such as neural ODEs and diffusion models in the domains we studied.