Daily Papers

Current medical retrieval benchmarks primarily emphasize lexical or shallow semantic similarity, overlooking the reasoning-intensive demands that are central to clinical decision-making. In practice, physicians often retrieve authoritative medical evidence to support diagnostic hypotheses. Such evidence typically aligns with an inferred diagnosis rather than the surface form of a patient's symptoms, leading to low lexical or semantic overlap between queries and relevant documents. To address this gap, we introduce R2MED, the first benchmark explicitly designed for reasoning-driven medical retrieval. It comprises 876 queries spanning three tasks: Q&A reference retrieval, clinical evidence retrieval, and clinical case retrieval. These tasks are drawn from five representative medical scenarios and twelve body systems, capturing the complexity and diversity of real-world medical information needs. We evaluate 15 widely-used retrieval systems on R2MED and find that even the best model achieves only 31.4 nDCG@10, demonstrating the benchmark's difficulty. Classical re-ranking and generation-augmented retrieval methods offer only modest improvements. Although large reasoning models improve performance via intermediate inference generation, the best results still peak at 41.4 nDCG@10. These findings underscore a substantial gap between current retrieval techniques and the reasoning demands of real clinical tasks. We release R2MED as a challenging benchmark to foster the development of next-generation medical retrieval systems with enhanced reasoning capabilities. Data and code are available at https://github.com/R2MED/R2MED

In medical scenarios, effectively retrieving external knowledge and leveraging it for rigorous logical reasoning is of significant importance. Despite their potential, existing work has predominantly focused on enhancing either retrieval or reasoning capabilities of the models in isolation, with little attention given to their joint optimization, which leads to limited coordination between the two processes. Additionally, current methods rely heavily on supervised fine-tuning (SFT), which can cause models to memorize existing problem-solving pathways, thereby restricting their generalization ability when confronted with novel problem contexts. Furthermore, while some studies have explored to improve retrieval-augmented reasoning in general domains via reinforcement learning, their reward function designs do not adequately capture the specific demands of the medical domain. To address these challenges, we introduce **Med-R^3**, a **Med**ical **R**etrieval-augmented **R**easoning framework driven by progressive **R**einforcement learning. In this framework, we first develop the model's ability to perform logical reasoning over medical problems. Subsequently, on the basis of this foundation, we adaptively optimize the retrieval capability to better align with the characteristics of knowledge corpus and external information utilization throughout the reasoning process. Finally, we conduct joint optimization of the model's retrieval and reasoning coordination. Extensive experiments indicate that **Med-R^3** could achieve state-of-the-art performances, with LLaMA3.1-8B-Instruct + Med-R^3 surpassing closed-sourced GPT-4o-mini by 3.93\% at a comparable parameter scale, while Qwen2.5-14B augmented with Med-R^3 shows a more substantial gain of 13.53\%.

Incentivizing the reasoning ability of Multimodal Large Language Models (MLLMs) is essential for medical applications to transparently analyze medical scans and provide reliable diagnosis. However, existing medical MLLMs rely solely on internal knowledge during reasoning, leading to hallucinated reasoning and factual inaccuracies when encountering cases beyond their training scope. Although recent Agentic Retrieval-Augmented Generation (RAG) methods elicit the medical model's proactive retrieval ability during reasoning, they are confined to unimodal LLMs, neglecting the crucial visual information during reasoning and retrieval. Consequently, we propose the first Multimodal Medical Reasoning-with-Retrieval framework, Med-RwR, which actively retrieves external knowledge by querying observed symptoms or domain-specific medical concepts during reasoning. Specifically, we design a two-stage reinforcement learning strategy with tailored rewards that stimulate the model to leverage both visual diagnostic findings and textual clinical information for effective retrieval. Building on this foundation, we further propose a Confidence-Driven Image Re-retrieval (CDIR) method for test-time scaling when low prediction confidence is detected. Evaluation on various public medical benchmarks demonstrates Med-RwR's significant improvements over baseline models, proving the effectiveness of enhancing reasoning capabilities with external knowledge integration. Furthermore, Med-RwR demonstrates remarkable generalizability to unfamiliar domains, evidenced by 8.8% performance gain on our proposed EchoCardiography Benchmark (ECBench), despite the scarcity of echocardiography data in the training corpus. Our data, model, and codes will be made publicly available at https://github.com/xmed-lab/Med-RwR.

Retrieval-augmented generation has achieved strong performance on knowledge-intensive tasks where query-document relevance can be identified through direct lexical or semantic matches. However, many real-world queries involve abstract reasoning, analogical thinking, or multi-step inference, which existing retrievers often struggle to capture. To address this challenge, we present DIVER, a retrieval pipeline tailored for reasoning-intensive information retrieval. DIVER consists of four components: document processing to improve input quality, LLM-driven query expansion via iterative document interaction, a reasoning-enhanced retriever fine-tuned on synthetic multi-domain data with hard negatives, and a pointwise reranker that combines LLM-assigned helpfulness scores with retrieval scores. On the BRIGHT benchmark, DIVER achieves state-of-the-art nDCG@10 scores of 41.6 and 28.9 on original queries, consistently outperforming competitive reasoning-aware models. These results demonstrate the effectiveness of reasoning-aware retrieval strategies in complex real-world tasks. Our code and retrieval model will be released soon.

The emergence of advanced reasoning capabilities in Large Language Models (LLMs) marks a transformative development in healthcare applications. Beyond merely expanding functional capabilities, these reasoning mechanisms enhance decision transparency and explainability-critical requirements in medical contexts. This survey examines the transformation of medical LLMs from basic information retrieval tools to sophisticated clinical reasoning systems capable of supporting complex healthcare decisions. We provide a thorough analysis of the enabling technological foundations, with a particular focus on specialized prompting techniques like Chain-of-Thought and recent breakthroughs in Reinforcement Learning exemplified by DeepSeek-R1. Our investigation evaluates purpose-built medical frameworks while also examining emerging paradigms such as multi-agent collaborative systems and innovative prompting architectures. The survey critically assesses current evaluation methodologies for medical validation and addresses persistent challenges in field interpretation limitations, bias mitigation strategies, patient safety frameworks, and integration of multimodal clinical data. Through this survey, we seek to establish a roadmap for developing reliable LLMs that can serve as effective partners in clinical practice and medical research.

We propose RaDeR, a set of reasoning-based dense retrieval models trained with data derived from mathematical problem solving using large language models (LLMs). Our method leverages retrieval-augmented reasoning trajectories of an LLM and self-reflective relevance evaluation, enabling the creation of both diverse and hard-negative samples for reasoning-intensive relevance. RaDeR retrievers, trained for mathematical reasoning, effectively generalize to diverse reasoning tasks in the BRIGHT and RAR-b benchmarks, consistently outperforming strong baselines in overall performance. Notably, RaDeR achieves significantly higher performance than baselines on the Math and Coding splits. In addition, RaDeR presents the first dense retriever that outperforms BM25 when queries are Chain-of-Thought reasoning steps, underscoring the critical role of reasoning-based retrieval to augment reasoning language models. Furthermore, RaDeR achieves comparable or superior performance while using only 2.5% of the training data used by the concurrent work REASONIR, highlighting the quality of our synthesized training data.

Retrieval-augmented generation (RAG) has emerged as a promising approach to enhance the performance of large language models (LLMs) in knowledge-intensive tasks such as those from medical domain. However, the sensitive nature of the medical domain necessitates a completely accurate and trustworthy system. While existing RAG benchmarks primarily focus on the standard retrieve-answer setting, they overlook many practical scenarios that measure crucial aspects of a reliable medical system. This paper addresses this gap by providing a comprehensive evaluation framework for medical question-answering (QA) systems in a RAG setting for these situations, including sufficiency, integration, and robustness. We introduce Medical Retrieval-Augmented Generation Benchmark (MedRGB) that provides various supplementary elements to four medical QA datasets for testing LLMs' ability to handle these specific scenarios. Utilizing MedRGB, we conduct extensive evaluations of both state-of-the-art commercial LLMs and open-source models across multiple retrieval conditions. Our experimental results reveals current models' limited ability to handle noise and misinformation in the retrieved documents. We further analyze the LLMs' reasoning processes to provides valuable insights and future directions for developing RAG systems in this critical medical domain.

Large Language Models (LLMs) have demonstrated significant strides across various information retrieval tasks, particularly as rerankers, owing to their strong generalization and knowledge-transfer capabilities acquired from extensive pretraining. In parallel, the rise of LLM-based chat interfaces has raised user expectations, encouraging users to pose more complex queries that necessitate retrieval by ``reasoning'' over documents rather than through simple keyword matching or semantic similarity. While some recent efforts have exploited reasoning abilities of LLMs for reranking such queries, considerable potential for improvement remains. In that regards, we introduce InsertRank, an LLM-based reranker that leverages lexical signals like BM25 scores during reranking to further improve retrieval performance. InsertRank demonstrates improved retrieval effectiveness on -- BRIGHT, a reasoning benchmark spanning 12 diverse domains, and R2MED, a specialized medical reasoning retrieval benchmark spanning 8 different tasks. We conduct an exhaustive evaluation and several ablation studies and demonstrate that InsertRank consistently improves retrieval effectiveness across multiple families of LLMs, including GPT, Gemini, and Deepseek models. %In addition, we also conduct ablation studies on normalization by varying the scale of the BM25 scores, and positional bias by shuffling the order of the documents. With Deepseek-R1, InsertRank achieves a score of 37.5 on the BRIGHT benchmark. and 51.1 on the R2MED benchmark, surpassing previous methods.

Traditional information retrieval (IR) methods excel at textual and semantic matching but struggle in reasoning-intensive retrieval tasks that require multi-hop inference or complex semantic understanding between queries and documents. One promising solution is to explicitly rewrite or augment queries using large language models (LLMs) to elicit reasoning-relevant content prior to retrieval. However, the widespread use of large-scale language models like GPT-4 or LLaMA3-70B remains impractical due to their high inference cost and limited deployability in real-world systems. In this work, we introduce TongSearch QR (Previously Known as "TongSearch Reasoner"), a family of small-scale language models for query reasoning and rewriting in reasoning-intensive retrieval. With a novel semi-rule-based reward function, we employ reinforcement learning approaches enabling smaller language models, e,g, Qwen2.5-7B-Instruct and Qwen2.5-1.5B-Instruct, to achieve query reasoning performance rivaling large-scale language models without their prohibitive inference costs. Experiment results on BRIGHT benchmark show that with BM25 as retrievers, both TongSearch QR-7B and TongSearch QR-1.5B models significantly outperform existing baselines, including prompt-based query reasoners and some latest dense retrievers trained for reasoning-intensive retrieval tasks, offering superior adaptability for real-world deployment.

Large Language Models (LLMs) have shown remarkable capabilities in general domains but often struggle with tasks requiring specialized knowledge. Conventional Retrieval-Augmented Generation (RAG) techniques typically retrieve external information from static knowledge bases, which can be outdated or incomplete, missing fine-grained clinical details essential for accurate medical question answering. In this work, we propose SearchRAG, a novel framework that overcomes these limitations by leveraging real-time search engines. Our method employs synthetic query generation to convert complex medical questions into search-engine-friendly queries and utilizes uncertainty-based knowledge selection to filter and incorporate the most relevant and informative medical knowledge into the LLM's input. Experimental results demonstrate that our method significantly improves response accuracy in medical question answering tasks, particularly for complex questions requiring detailed and up-to-date knowledge.

Retrieval-Augmented Generation (RAG) systems often struggle with imperfect retrieval, as traditional retrievers focus on lexical or semantic similarity rather than logical relevance. To address this, we propose HopRAG, a novel RAG framework that augments retrieval with logical reasoning through graph-structured knowledge exploration. During indexing, HopRAG constructs a passage graph, with text chunks as vertices and logical connections established via LLM-generated pseudo-queries as edges. During retrieval, it employs a retrieve-reason-prune mechanism: starting with lexically or semantically similar passages, the system explores multi-hop neighbors guided by pseudo-queries and LLM reasoning to identify truly relevant ones. Experiments on multiple multi-hop benchmarks demonstrate that HopRAG's retrieve-reason-prune mechanism can expand the retrieval scope based on logical connections and improve final answer quality.

Existing medical RAG systems mainly leverage knowledge from medical knowledge bases, neglecting the crucial role of experiential knowledge derived from similar patient cases -- a key component of human clinical reasoning. To bridge this gap, we propose DoctorRAG, a RAG framework that emulates doctor-like reasoning by integrating both explicit clinical knowledge and implicit case-based experience. DoctorRAG enhances retrieval precision by first allocating conceptual tags for queries and knowledge sources, together with a hybrid retrieval mechanism from both relevant knowledge and patient. In addition, a Med-TextGrad module using multi-agent textual gradients is integrated to ensure that the final output adheres to the retrieved knowledge and patient query. Comprehensive experiments on multilingual, multitask datasets demonstrate that DoctorRAG significantly outperforms strong baseline RAG models and gains improvements from iterative refinements. Our approach generates more accurate, relevant, and comprehensive responses, taking a step towards more doctor-like medical reasoning systems.

Large language models (LLMs) often struggle with context fidelity, producing inconsistent answers when responding to questions based on provided information. Existing approaches either rely on expensive supervised fine-tuning to generate evidence post-answer or train models to perform web searches without necessarily improving utilization of the given context. We propose CARE, a novel native retrieval-augmented reasoning framework that teaches LLMs to explicitly integrate in-context evidence within their reasoning process with the model's own retrieval capabilities. Our method requires limited labeled evidence data while significantly enhancing both retrieval accuracy and answer generation performance through strategically retrieved in-context tokens in the reasoning chain. Extensive experiments on multiple real-world and counterfactual QA benchmarks demonstrate that our approach substantially outperforms supervised fine-tuning, traditional retrieval-augmented generation methods, and external retrieval solutions. This work represents a fundamental advancement in making LLMs more accurate, reliable, and efficient for knowledge-intensive tasks.

Multimodal large language models (MLLMs) have begun to demonstrate robust reasoning capabilities on general tasks, yet their application in the medical domain remains in its early stages. Constructing chain-of-thought (CoT) training data is essential for bolstering the reasoning abilities of medical MLLMs. However, existing approaches exhibit a deficiency in offering a comprehensive framework for searching and evaluating effective reasoning paths towards critical diagnosis. To address this challenge, we propose Mentor-Intern Collaborative Search (MICS), a novel reasoning-path searching scheme to generate rigorous and effective medical CoT data. MICS first leverages mentor models to initialize the reasoning, one step at a time, then prompts each intern model to continue the thinking along those initiated paths, and finally selects the optimal reasoning path according to the overall reasoning performance of multiple intern models. The reasoning performance is determined by an MICS-Score, which assesses the quality of generated reasoning paths. Eventually, we construct MMRP, a multi-task medical reasoning dataset with ranked difficulty, and Chiron-o1, a new medical MLLM devised via a curriculum learning strategy, with robust visual question-answering and generalizable reasoning capabilities. Extensive experiments demonstrate that Chiron-o1, trained on our CoT dataset constructed using MICS, achieves state-of-the-art performance across a list of medical visual question answering and reasoning benchmarks. Codes are available at GitHub - manglu097/Chiron-o1: Enhancing Step-by-Step and Verifiable Medical Reasoning in MLLMs

Identifying patient cohorts is fundamental to numerous healthcare tasks, including clinical trial recruitment and retrospective studies. Current cohort retrieval methods in healthcare organizations rely on automated queries of structured data combined with manual curation, which are time-consuming, labor-intensive, and often yield low-quality results. Recent advancements in large language models (LLMs) and information retrieval (IR) offer promising avenues to revolutionize these systems. Major challenges include managing extensive eligibility criteria and handling the longitudinal nature of unstructured Electronic Medical Records (EMRs) while ensuring that the solution remains cost-effective for real-world application. This paper introduces a new task, Automatic Cohort Retrieval (ACR), and evaluates the performance of LLMs and commercial, domain-specific neuro-symbolic approaches. We provide a benchmark task, a query dataset, an EMR dataset, and an evaluation framework. Our findings underscore the necessity for efficient, high-quality ACR systems capable of longitudinal reasoning across extensive patient databases.

Dense retrieval has become a prominent method to obtain relevant context or world knowledge in open-domain NLP tasks. When we use a learned dense retriever on a retrieval corpus at inference time, an often-overlooked design choice is the retrieval unit in which the corpus is indexed, e.g. document, passage, or sentence. We discover that the retrieval unit choice significantly impacts the performance of both retrieval and downstream tasks. Distinct from the typical approach of using passages or sentences, we introduce a novel retrieval unit, proposition, for dense retrieval. Propositions are defined as atomic expressions within text, each encapsulating a distinct factoid and presented in a concise, self-contained natural language format. We conduct an empirical comparison of different retrieval granularity. Our results reveal that proposition-based retrieval significantly outperforms traditional passage or sentence-based methods in dense retrieval. Moreover, retrieval by proposition also enhances the performance of downstream QA tasks, since the retrieved texts are more condensed with question-relevant information, reducing the need for lengthy input tokens and minimizing the inclusion of extraneous, irrelevant information.

Large Language Models (LLMs) have shown remarkable potential in reasoning while they still suffer from severe factual hallucinations due to timeliness, accuracy, and coverage of parametric knowledge. Meanwhile, integrating reasoning with retrieval-augmented generation (RAG) remains challenging due to ineffective task decomposition and redundant retrieval, which can introduce noise and degrade response quality. In this paper, we propose DeepRAG, a framework that models retrieval-augmented reasoning as a Markov Decision Process (MDP), enabling strategic and adaptive retrieval. By iteratively decomposing queries, DeepRAG dynamically determines whether to retrieve external knowledge or rely on parametric reasoning at each step. Experiments show that DeepRAG improves retrieval efficiency while improving answer accuracy by 21.99%, demonstrating its effectiveness in optimizing retrieval-augmented reasoning.

The exponential surge in online health information, coupled with its increasing use by non-experts, highlights the pressing need for advanced Health Information Retrieval models that consider not only topical relevance but also the factual accuracy of the retrieved information, given the potential risks associated with health misinformation. To this aim, this paper introduces a solution driven by Retrieval-Augmented Generation (RAG), which leverages the capabilities of generative Large Language Models (LLMs) to enhance the retrieval of health-related documents grounded in scientific evidence. In particular, we propose a three-stage model: in the first stage, the user's query is employed to retrieve topically relevant passages with associated references from a knowledge base constituted by scientific literature. In the second stage, these passages, alongside the initial query, are processed by LLMs to generate a contextually relevant rich text (GenText). In the last stage, the documents to be retrieved are evaluated and ranked both from the point of view of topical relevance and factual accuracy by means of their comparison with GenText, either through stance detection or semantic similarity. In addition to calculating factual accuracy, GenText can offer a layer of explainability for it, aiding users in understanding the reasoning behind the retrieval. Experimental evaluation of our model on benchmark datasets and against baseline models demonstrates its effectiveness in enhancing the retrieval of both topically relevant and factually accurate health information, thus presenting a significant step forward in the health misinformation mitigation problem.

Large Reasoning Models (LRMs) have demonstrated remarkable capabilities in multi-step reasoning and calling search engines at appropriate steps. However, existing retrieval-augmented reasoning approaches rely on separate retrieval models, limiting the LRM's role in retrieval to deciding when to retrieve and how to query. This separation not only increases hardware and operational costs but also leads to errors in the retrieval process due to the representation bottleneck, a phenomenon where the retriever's embedding space is not expressive enough to meet the generator's requirements. To address this, we shift our perspective from sequence-to-sequence matching to locating the answer-containing paths within the corpus, and propose a novel framework called FREESON (Retriever-FREE Retrieval-Augmented ReaSONing). This framework enables LRMs to retrieve relevant knowledge on their own by acting as both a generator and retriever. To achieve this, we introduce a variant of the MCTS algorithm specialized for the retrieval task, which we call CT-MCTS (Corpus-Traversing Monte Carlo Tree Search). In this algorithm, LRMs traverse through the corpus toward answer-containing regions. Our results on five open-domain QA benchmarks, including single-hop and multi-hop questions, show that FREESON achieves an average improvement of 14.4% in EM and F1 over four multi-step reasoning models with a separate retriever, and it also performs comparably to the strongest baseline, surpassing it by 3% on PopQA and 2WikiMultihopQA.

Modern IR systems are increasingly tasked with answering complex, multi-faceted queries that require deep reasoning rather than simple keyword or semantic matching. While LLM-based IR has shown great promise, the prevailing retrieve-then-rerank paradigm inherits the limitations of embedding-based retrieval; parametric generative approaches are difficult to update with new information; and long-context methods that place the entire corpus in context are computationally infeasible for large document collections. To address these challenges, we introduce LATTICE, a hierarchical retrieval framework that enables an LLM to reason over and navigate large corpora with logarithmic search complexity by imposing a semantic tree structure on the corpus. Our approach consists of two stages: (1) an offline phase that organizes the corpus into a semantic hierarchy via either a bottom-up agglomerative strategy or a top-down divisive strategy using multi-level summaries and (2) an online traversal phase where a search LLM navigates this tree. A central challenge in such LLM-guided search is that the model's relevance judgments are noisy, context-dependent, and unaware of the hierarchy, making cross-branch and cross-level comparisons difficult. To overcome this, we propose a traversal algorithm that estimates calibrated latent relevance scores from local LLM outputs and aggregates them into a global path relevance metric. Our training-free framework achieves state-of-the-art zero-shot performance on the reasoning-intensive BRIGHT benchmark, demonstrating up to 9% improvement in Recall@100 and 5% in nDCG@10 over the next best zero-shot baseline. Furthermore, compared to the fine-tuned SOTA method DIVER-v2, LATTICE attains comparable results on BRIGHT subsets that use a static corpus for evaluation.

The emergent abilities of large language models (LLMs) have demonstrated great potential in solving medical questions. They can possess considerable medical knowledge, but may still hallucinate and are inflexible in the knowledge updates. While Retrieval-Augmented Generation (RAG) has been proposed to enhance the medical question-answering capabilities of LLMs with external knowledge bases, it may still fail in complex cases where multiple rounds of information-seeking are required. To address such an issue, we propose iterative RAG for medicine (i-MedRAG), where LLMs can iteratively ask follow-up queries based on previous information-seeking attempts. In each iteration of i-MedRAG, the follow-up queries will be answered by a vanilla RAG system and they will be further used to guide the query generation in the next iteration. Our experiments show the improved performance of various LLMs brought by i-MedRAG compared with vanilla RAG on complex questions from clinical vignettes in the United States Medical Licensing Examination (USMLE), as well as various knowledge tests in the Massive Multitask Language Understanding (MMLU) dataset. Notably, our zero-shot i-MedRAG outperforms all existing prompt engineering and fine-tuning methods on GPT-3.5, achieving an accuracy of 69.68\% on the MedQA dataset. In addition, we characterize the scaling properties of i-MedRAG with different iterations of follow-up queries and different numbers of queries per iteration. Our case studies show that i-MedRAG can flexibly ask follow-up queries to form reasoning chains, providing an in-depth analysis of medical questions. To the best of our knowledge, this is the first-of-its-kind study on incorporating follow-up queries into medical RAG.

Existing dense retrieval models struggle with reasoning-intensive retrieval task as they fail to capture implicit relevance that requires reasoning beyond surface-level semantic information. To address these challenges, we propose Scenario-Profiled Indexing with Knowledge Expansion (SPIKE), a dense retrieval framework that explicitly indexes implicit relevance by decomposing documents into scenario-based retrieval units. SPIKE organizes documents into scenario, which encapsulates the reasoning process necessary to uncover implicit relationships between hypothetical information needs and document content. SPIKE constructs a scenario-augmented dataset using a powerful teacher large language model (LLM), then distills these reasoning capabilities into a smaller, efficient scenario generator. During inference, SPIKE incorporates scenario-level relevance alongside document-level relevance, enabling reasoning-aware retrieval. Extensive experiments demonstrate that SPIKE consistently enhances retrieval performance across various query types and dense retrievers. It also enhances the retrieval experience for users through scenario and offers valuable contextual information for LLMs in retrieval-augmented generation (RAG).

In recent years, the application of Large Language Models (LLMs) in healthcare has shown significant promise in improving the accessibility and dissemination of medical knowledge. This paper presents a detailed study of various LLMs trained on the MedQuAD medical question-answering dataset, with a focus on identifying the most effective model for providing accurate medical information. Among the models tested, the Sentence-t5 combined with Mistral 7B demonstrated superior performance, achieving a precision score of 0.762. This model's enhanced capabilities are attributed to its advanced pretraining techniques, robust architecture, and effective prompt construction methodologies. By leveraging these strengths, the Sentence-t5 + Mistral 7B model excels in understanding and generating precise medical answers. Our findings highlight the potential of integrating sophisticated LLMs in medical contexts to facilitate efficient and accurate medical knowledge retrieval, thus significantly enhancing patient education and support.

Current medical question answering systems have difficulty processing long, detailed and informally worded questions submitted by patients, called Consumer Health Questions (CHQs). To address this issue, we introduce a medical question understanding and answering system with knowledge grounding and semantic self-supervision. Our system is a pipeline that first summarizes a long, medical, user-written question, using a supervised summarization loss. Then, our system performs a two-step retrieval to return answers. The system first matches the summarized user question with an FAQ from a trusted medical knowledge base, and then retrieves a fixed number of relevant sentences from the corresponding answer document. In the absence of labels for question matching or answer relevance, we design 3 novel, self-supervised and semantically-guided losses. We evaluate our model against two strong retrieval-based question answering baselines. Evaluators ask their own questions and rate the answers retrieved by our baselines and own system according to their relevance. They find that our system retrieves more relevant answers, while achieving speeds 20 times faster. Our self-supervised losses also help the summarizer achieve higher scores in ROUGE, as well as in human evaluation metrics. We release our code to encourage further research.

Access to the right evidence does not guarantee that large language models (LLMs) will reason with it correctly. This gap between retrieval and reasoning is especially concerning in clinical settings, where outputs must align with structured protocols. We study this gap using Written Exposure Therapy (WET) guidelines as a testbed. In evaluating model responses to curated clinician-vetted questions, we find that errors persist even when authoritative passages are provided. To address this, we propose an evaluation framework that measures accuracy, consistency, and fidelity of reasoning. Our results highlight both the potential and the risks: retrieval-augmented generation (RAG) can constrain outputs, but safe deployment requires assessing reasoning as rigorously as retrieval.

Large-scale language models (LLMs) have achieved remarkable success across various language tasks but suffer from hallucinations and temporal misalignment. To mitigate these shortcomings, Retrieval-augmented generation (RAG) has been utilized to provide external knowledge to facilitate the answer generation. However, applying such models to the medical domain faces several challenges due to the lack of domain-specific knowledge and the intricacy of real-world scenarios. In this study, we explore LLMs with RAG framework for knowledge-intensive tasks in the medical field. To evaluate the capabilities of LLMs, we introduce MedicineQA, a multi-round dialogue benchmark that simulates the real-world medication consultation scenario and requires LLMs to answer with retrieved evidence from the medicine database. MedicineQA contains 300 multi-round question-answering pairs, each embedded within a detailed dialogue history, highlighting the challenge posed by this knowledge-intensive task to current LLMs. We further propose a new Distill-Retrieve-Read framework instead of the previous Retrieve-then-Read. Specifically, the distillation and retrieval process utilizes a tool calling mechanism to formulate search queries that emulate the keyword-based inquiries used by search engines. With experimental results, we show that our framework brings notable performance improvements and surpasses the previous counterparts in the evidence retrieval process in terms of evidence retrieval accuracy. This advancement sheds light on applying RAG to the medical domain.

Medical tasks such as diagnosis and treatment planning require precise and complex reasoning, particularly in life-critical domains. Unlike mathematical reasoning, medical reasoning demands meticulous, verifiable thought processes to ensure reliability and accuracy. However, there is a notable lack of datasets that provide transparent, step-by-step reasoning to validate and enhance the medical reasoning ability of AI models. To bridge this gap, we introduce MedReason, a large-scale high-quality medical reasoning dataset designed to enable faithful and explainable medical problem-solving in large language models (LLMs). We utilize a structured medical knowledge graph (KG) to convert clinical QA pairs into logical chains of reasoning, or ``thinking paths'', which trace connections from question elements to answers via relevant KG entities. Each path is validated for consistency with clinical logic and evidence-based medicine. Our pipeline generates detailed reasoning for various medical questions from 7 medical datasets, resulting in a dataset of 32,682 question-answer pairs, each with detailed, step-by-step explanations. Experiments demonstrate that fine-tuning with our dataset consistently boosts medical problem-solving capabilities, achieving significant gains of up to 7.7% for DeepSeek-Ditill-8B. Our top-performing model, MedReason-8B, outperforms the Huatuo-o1-8B, a state-of-the-art medical reasoning model, by up to 4.2% on the clinical benchmark MedBullets. We also engage medical professionals from diverse specialties to assess our dataset's quality, ensuring MedReason offers accurate and coherent medical reasoning. Our data, models, and code will be publicly available.

In this paper, we introduce Rank-R1, a novel LLM-based reranker that performs reasoning over both the user query and candidate documents before performing the ranking task. Existing document reranking methods based on large language models (LLMs) typically rely on prompting or fine-tuning LLMs to order or label candidate documents according to their relevance to a query. For Rank-R1, we use a reinforcement learning algorithm along with only a small set of relevance labels (without any reasoning supervision) to enhance the reasoning ability of LLM-based rerankers. Our hypothesis is that adding reasoning capabilities to the rerankers can improve their relevance assessement and ranking capabilities. Our experiments on the TREC DL and BRIGHT datasets show that Rank-R1 is highly effective, especially for complex queries. In particular, we find that Rank-R1 achieves effectiveness on in-domain datasets at par with that of supervised fine-tuning methods, but utilizing only 18\% of the training data used by the fine-tuning methods. We also find that the model largely outperforms zero-shot and supervised fine-tuning when applied to out-of-domain datasets featuring complex queries, especially when a 14B-size model is used. Finally, we qualitatively observe that Rank-R1's reasoning process improves the explainability of the ranking results, opening new opportunities for search engine results presentation and fruition.

We introduce MRMR, the first expert-level multidisciplinary multimodal retrieval benchmark requiring intensive reasoning. MRMR contains 1,502 queries spanning 23 domains, with positive documents carefully verified by human experts. Compared to prior benchmarks, MRMR introduces three key advancements. First, it challenges retrieval systems across diverse areas of expertise, enabling fine-grained model comparison across domains. Second, queries are reasoning-intensive, with images requiring deeper interpretation such as diagnosing microscopic slides. We further introduce Contradiction Retrieval, a novel task requiring models to identify conflicting concepts. Finally, queries and documents are constructed as image-text interleaved sequences. Unlike earlier benchmarks restricted to single images or unimodal documents, MRMR offers a realistic setting with multi-image queries and mixed-modality corpus documents. We conduct an extensive evaluation of 4 categories of multimodal retrieval systems and 14 frontier models on MRMR. The text embedding model Qwen3-Embedding with LLM-generated image captions achieves the highest performance, highlighting substantial room for improving multimodal retrieval models. Although latest multimodal models such as Ops-MM-Embedding perform competitively on expert-domain queries, they fall short on reasoning-intensive tasks. We believe that MRMR paves the way for advancing multimodal retrieval in more realistic and challenging scenarios.

Iterative retrieval refers to the process in which the model continuously queries the retriever during generation to enhance the relevance of the retrieved knowledge, thereby improving the performance of Retrieval-Augmented Generation (RAG). Existing work typically employs few-shot prompting or manually constructed rules to implement iterative retrieval. This introduces additional inference overhead and overlooks the remarkable reasoning capabilities of Large Language Models (LLMs). In this paper, we introduce Auto-RAG, an autonomous iterative retrieval model centered on the LLM's powerful decision-making capabilities. Auto-RAG engages in multi-turn dialogues with the retriever, systematically planning retrievals and refining queries to acquire valuable knowledge. This process continues until sufficient external information is gathered, at which point the results are presented to the user. To this end, we develop a method for autonomously synthesizing reasoning-based decision-making instructions in iterative retrieval and fine-tuned the latest open-source LLMs. The experimental results indicate that Auto-RAG is capable of autonomous iterative interaction with the retriever, effectively leveraging the remarkable reasoning and decision-making abilities of LLMs, which lead to outstanding performance across six benchmarks. Further analysis reveals that Auto-RAG can autonomously adjust the number of iterations based on the difficulty of the questions and the utility of the retrieved knowledge, without requiring any human intervention. Moreover, Auto-RAG expresses the iterative retrieval process in natural language, enhancing interpretability while providing users with a more intuitive experienceCode is available at \url{https://github.com/ictnlp/Auto-RAG.

With the growing success of reasoning models across complex natural language tasks, researchers in the Information Retrieval (IR) community have begun exploring how similar reasoning capabilities can be integrated into passage rerankers built on Large Language Models (LLMs). These methods typically employ an LLM to produce an explicit, step-by-step reasoning process before arriving at a final relevance prediction. But, does reasoning actually improve reranking accuracy? In this paper, we dive deeper into this question, studying the impact of the reasoning process by comparing reasoning-based pointwise rerankers (ReasonRR) to standard, non-reasoning pointwise rerankers (StandardRR) under identical training conditions, and observe that StandardRR generally outperforms ReasonRR. Building on this observation, we then study the importance of reasoning to ReasonRR by disabling its reasoning process (ReasonRR-NoReason), and find that ReasonRR-NoReason is surprisingly more effective than ReasonRR. Examining the cause of this result, our findings reveal that reasoning-based rerankers are limited by the LLM's reasoning process, which pushes it toward polarized relevance scores and thus fails to consider the partial relevance of passages, a key factor for the accuracy of pointwise rerankers.

Semantic textual similartiy (STS) and information retrieval tasks (IR) tasks have been the two major avenues to record the progress of embedding models in the past few years. Under the emerging Retrieval-augmented Generation (RAG) paradigm, we envision the need to evaluate next-level language understanding abilities of embedding models, and take a conscious look at the reasoning abilities stored in them. Addressing this, we pose the question: Can retrievers solve reasoning problems? By transforming reasoning tasks into retrieval tasks, we find that without specifically trained for reasoning-level language understanding, current state-of-the-art retriever models may still be far from being competent for playing the role of assisting LLMs, especially in reasoning-intensive tasks. Moreover, albeit trained to be aware of instructions, instruction-aware IR models are often better off without instructions in inference time for reasoning tasks, posing an overlooked retriever-LLM behavioral gap for the research community to align. However, recent decoder-based embedding models show great promise in narrowing the gap, highlighting the pathway for embedding models to achieve reasoning-level language understanding. We also show that, although current off-the-shelf re-ranker models fail on these tasks, injecting reasoning abilities into them through fine-tuning still appears easier than doing so to bi-encoders, and we are able to achieve state-of-the-art performance across all tasks by fine-tuning a reranking model. We release Reasoning as Retrieval Benchmark (RAR-b), a holistic suite of tasks and settings to evaluate the reasoning abilities stored in retriever models. RAR-b is available at https://github.com/gowitheflow-1998/RAR-b.

Formulating selective information needs results in queries that implicitly specify set operations, such as intersection, union, and difference. For instance, one might search for "shorebirds that are not sandpipers" or "science-fiction films shot in England". To study the ability of retrieval systems to meet such information needs, we construct QUEST, a dataset of 3357 natural language queries with implicit set operations, that map to a set of entities corresponding to Wikipedia documents. The dataset challenges models to match multiple constraints mentioned in queries with corresponding evidence in documents and correctly perform various set operations. The dataset is constructed semi-automatically using Wikipedia category names. Queries are automatically composed from individual categories, then paraphrased and further validated for naturalness and fluency by crowdworkers. Crowdworkers also assess the relevance of entities based on their documents and highlight attribution of query constraints to spans of document text. We analyze several modern retrieval systems, finding that they often struggle on such queries. Queries involving negation and conjunction are particularly challenging and systems are further challenged with combinations of these operations.

Retrieval systems are central to many NLP pipelines, but often rely on surface-level cues such as keyword overlap and lexical semantic similarity. To evaluate retrieval beyond these shallow signals, recent benchmarks introduce reasoning-heavy queries; however, they primarily shift the burden to query-side processing techniques -- like prompting or multi-hop retrieval -- that can help resolve complexity. In contrast, we present ImpliRet, a benchmark that shifts the reasoning challenge to document-side processing: The queries are simple, but relevance depends on facts stated implicitly in documents through temporal (e.g., resolving "two days ago"), arithmetic, and world knowledge relationships. We evaluate a range of sparse and dense retrievers, all of which struggle in this setting: the best nDCG@10 is only 15.07%. We also test whether long-context models can overcome this limitation. But even with a short context of only ten documents, including the positive document, GPT-4.1 scores only 35.06%, showing that document-side reasoning remains a challenge. Our codes are available at github.com/ZeinabTaghavi/IMPLIRET.Contribution.

This work introduces RARE (Retrieval-Augmented Reasoning Enhancement), a versatile extension to the mutual reasoning framework (rStar), aimed at enhancing reasoning accuracy and factual integrity across large language models (LLMs) for complex, knowledge-intensive tasks such as commonsense and medical reasoning. RARE incorporates two innovative actions within the Monte Carlo Tree Search (MCTS) framework: A6, which generates search queries based on the initial problem statement, performs information retrieval using those queries, and augments reasoning with the retrieved data to formulate the final answer; and A7, which leverages information retrieval specifically for generated sub-questions and re-answers these sub-questions with the relevant contextual information. Additionally, a Retrieval-Augmented Factuality Scorer is proposed to replace the original discriminator, prioritizing reasoning paths that meet high standards of factuality. Experimental results with LLaMA 3.1 show that RARE enables open-source LLMs to achieve competitive performance with top open-source models like GPT-4 and GPT-4o. This research establishes RARE as a scalable solution for improving LLMs in domains where logical coherence and factual integrity are critical.

The context window of large language models (LLMs) has been extended significantly in recent years. However, while the context length that the LLM can process has grown, the capability of the model to accurately reason over that context degrades noticeably. This occurs because modern LLMs often become overwhelmed by the vast amount of information in the context; when answering questions, the model must identify and reason over relevant evidence sparsely distributed throughout the text. To alleviate the challenge of long-context reasoning, we develop a retrieve-then-reason framework, enabling LLMs to reason over relevant evidence collected during an intermediate retrieval step. We find that modern LLMs struggle to accurately retrieve relevant facts and instead, often hallucinate "retrieved facts", resulting in flawed reasoning and the production of incorrect answers. To address these issues, we introduce ALR^2, a method that augments the long-context reasoning capability of LLMs via an explicit two-stage procedure, i.e., aligning LLMs with the objectives of both retrieval and reasoning. We demonstrate the efficacy of ALR^2 for mitigating performance degradation in long-context reasoning tasks. Through extensive experiments on long-context QA benchmarks, we find our method to outperform competitive baselines by large margins, achieving at least 8.4 and 7.9 EM gains on the long-context versions of HotpotQA and SQuAD datasets, respectively.

Large Language Models (LLMs) have demonstrated remarkable capabilities in natural language processing, and yet, their factual inaccuracies and hallucinations limits their application, particularly in critical domains like healthcare. Context retrieval methods, by introducing relevant information as input, have emerged as a crucial approach for enhancing LLM factuality and reliability. This study explores the boundaries of context retrieval methods within the healthcare domain, optimizing their components and benchmarking their performance against open and closed alternatives. Our findings reveal how open LLMs, when augmented with an optimized retrieval system, can achieve performance comparable to the biggest private solutions on established healthcare benchmarks (multiple-choice question answering). Recognizing the lack of realism of including the possible answers within the question (a setup only found in medical exams), and after assessing a strong LLM performance degradation in the absence of those options, we extend the context retrieval system in that direction. In particular, we propose OpenMedPrompt a pipeline that improves the generation of more reliable open-ended answers, moving this technology closer to practical application.

Augmenting pretrained language models with retrievers to select the supporting documents has shown promise in effectively solving common NLP problems, including language modeling and question answering, in an interpretable way. In this paper, we first study the strengths and weaknesses of different retriever-augmented language models (REALM, kNN-LM, FiD coupled with DPR, and ATLAS and Flan-T5 coupled with Contriever) in reasoning over the retrieved statements in different tasks. We show how the retrieve-then-read models' limitations in reasoning are rooted both in the retriever module as well as the language model. Our experimental results demonstrate that the similarity metric used by the retrievers is generally insufficient for reasoning tasks. Additionally, we show that the language models in retriever-augmented models do not take the complicated relations between the statements into account, which leads to poor reasoning performance even when using the larger models. Moreover, we analyze the reasoning performance of large language models using multihop retrieval but we only observe minor improvements. Overall, this shows great room for further research in this area.

Retrieval-Augmented Generation (RAG) lifts the factuality of Large Language Models (LLMs) by injecting external knowledge, yet it falls short on problems that demand multi-step inference; conversely, purely reasoning-oriented approaches often hallucinate or mis-ground facts. This survey synthesizes both strands under a unified reasoning-retrieval perspective. We first map how advanced reasoning optimizes each stage of RAG (Reasoning-Enhanced RAG). Then, we show how retrieved knowledge of different type supply missing premises and expand context for complex inference (RAG-Enhanced Reasoning). Finally, we spotlight emerging Synergized RAG-Reasoning frameworks, where (agentic) LLMs iteratively interleave search and reasoning to achieve state-of-the-art performance across knowledge-intensive benchmarks. We categorize methods, datasets, and open challenges, and outline research avenues toward deeper RAG-Reasoning systems that are more effective, multimodally-adaptive, trustworthy, and human-centric. The collection is available at https://github.com/DavidZWZ/Awesome-RAG-Reasoning.

Despite notable advancements in Retrieval-Augmented Generation (RAG) systems that expand large language model (LLM) capabilities through external retrieval, these systems often struggle to meet the complex and diverse needs of real-world industrial applications. The reliance on retrieval alone proves insufficient for extracting deep, domain-specific knowledge performing in logical reasoning from specialized corpora. To address this, we introduce sPecIalized KnowledgE and Rationale Augmentation Generation (PIKE-RAG), focusing on extracting, understanding, and applying specialized knowledge, while constructing coherent rationale to incrementally steer LLMs toward accurate responses. Recognizing the diverse challenges of industrial tasks, we introduce a new paradigm that classifies tasks based on their complexity in knowledge extraction and application, allowing for a systematic evaluation of RAG systems' problem-solving capabilities. This strategic approach offers a roadmap for the phased development and enhancement of RAG systems, tailored to meet the evolving demands of industrial applications. Furthermore, we propose knowledge atomizing and knowledge-aware task decomposition to effectively extract multifaceted knowledge from the data chunks and iteratively construct the rationale based on original query and the accumulated knowledge, respectively, showcasing exceptional performance across various benchmarks.

This study focuses on improving the performance of lightweight Large Language Models (LLMs) in mathematical reasoning tasks. We introduce a novel method for measuring mathematical logic similarity and design an automatic screening mechanism to construct a set of reference problems that integrate both semantic and logical similarity. By employing carefully crafted positive and negative example prompts, we guide the model towards adopting sound reasoning logic. To the best of our knowledge, this is the first attempt to utilize retrieval-enhanced generation for mathematical problem-solving. Experimental results demonstrate that our method achieves a 15.8% improvement over the Chain of Thought approach on the SVAMP dataset and a 21.5 % improvement on the GSM8K dataset. Further application of this method to a large-scale model with 175 billion parameters yields performance comparable to the best results on both aforementioned datasets. Finally, we conduct an analysis of errors during the reasoning process, providing valuable insights and directions for future research on reasoning tasks using large language models.

We present a novel approach for training small language models for reasoning-intensive document ranking that combines knowledge distillation with reinforcement learning optimization. While existing methods often rely on expensive human annotations or large black-box language models, our methodology leverages web data and a teacher LLM to automatically generate high-quality training examples with relevance explanations. By framing document ranking as a reinforcement learning problem and incentivizing explicit reasoning capabilities, we train a compact 3B parameter language model that achieves state-of-the-art performance on the BRIGHT benchmark. Our model ranks third on the leaderboard while using substantially fewer parameters than other approaches, outperforming models that are over 20 times larger. Through extensive experiments, we demonstrate that generating explanations during inference, rather than directly predicting relevance scores, enables more effective reasoning with smaller language models. The self-supervised nature of our method offers a scalable and interpretable solution for modern information retrieval systems.

We present a new dataset for machine comprehension in the medical domain. Our dataset uses clinical case reports with around 100,000 gap-filling queries about these cases. We apply several baselines and state-of-the-art neural readers to the dataset, and observe a considerable gap in performance (20% F1) between the best human and machine readers. We analyze the skills required for successful answering and show how reader performance varies depending on the applicable skills. We find that inferences using domain knowledge and object tracking are the most frequently required skills, and that recognizing omitted information and spatio-temporal reasoning are the most difficult for the machines.

Medical information retrieval (MIR) is essential for retrieving relevant medical knowledge from diverse sources, including electronic health records, scientific literature, and medical databases. However, achieving effective zero-shot dense retrieval in the medical domain poses substantial challenges due to the lack of relevance-labeled data. In this paper, we introduce a novel approach called Self-Learning Hypothetical Document Embeddings (SL-HyDE) to tackle this issue. SL-HyDE leverages large language models (LLMs) as generators to generate hypothetical documents based on a given query. These generated documents encapsulate key medical context, guiding a dense retriever in identifying the most relevant documents. The self-learning framework progressively refines both pseudo-document generation and retrieval, utilizing unlabeled medical corpora without requiring any relevance-labeled data. Additionally, we present the Chinese Medical Information Retrieval Benchmark (CMIRB), a comprehensive evaluation framework grounded in real-world medical scenarios, encompassing five tasks and ten datasets. By benchmarking ten models on CMIRB, we establish a rigorous standard for evaluating medical information retrieval systems. Experimental results demonstrate that SL-HyDE significantly surpasses existing methods in retrieval accuracy while showcasing strong generalization and scalability across various LLM and retriever configurations. CMIRB data and evaluation code are publicly available at: https://github.com/CMIRB-benchmark/CMIRB.

With the growing popularity of LLM agents and RAG, it has become increasingly important to retrieve documents that are essential for solving a task, even when their connection to the task is indirect or implicit. Addressing this problem requires fine-grained reasoning to accurately assess the relevance between the task and each candidate document. This capability, however, poses a significant challenge for existing IR techniques. Despite recent progress in reasoning-enhanced IR, existing approaches still face significant challenges in applicability, scalability, and efficiency. In this work, we propose Retro*, a novel approach for reasoning-intensive document retrieval. Our method introduces a rubric-based relevance scoring mechanism, enabling the model to reason about the relationship between a task and a document based on explicitly defined criteria, whereby producing a fine-grained, interpretable relevance score. Retro* also supports test-time scaling by combining multiple reasoning trajectories via score integration, which produces more reliable relevance estimates. To optimize Retro*'s reasoning capabilities, we introduce a novel reinforcement learning algorithm tailored for its relevance scoring mechanism, which employs two composite rewards to fully exploit the trajectories of each training sample. Our experiments show that Retro* outperforms existing document retrieval methods with notable advantages, leading to state-of-the-art performance on the BRIGHT benchmark.

Large language models (LLMs) have become a disruptive force in the industry, introducing unprecedented capabilities in natural language processing, logical reasoning and so on. However, the challenges of knowledge updates and hallucination issues have limited the application of LLMs in medical scenarios, where retrieval-augmented generation (RAG) can offer significant assistance. Nevertheless, existing retrieve-then-read approaches generally digest the retrieved documents, without considering the timeliness, authoritativeness and commonality of retrieval. We argue that these approaches can be suboptimal, especially in real-world applications where information from different sources might conflict with each other and even information from the same source in different time scale might be different, and totally relying on this would deteriorate the performance of RAG approaches. We propose PolyRAG that carefully incorporate judges from different perspectives and finally integrate the polyviews for retrieval augmented generation in medical applications. Due to the scarcity of real-world benchmarks for evaluation, to bridge the gap we propose PolyEVAL, a benchmark consists of queries and documents collected from real-world medical scenarios (including medical policy, hospital & doctor inquiry and healthcare) with multiple tagging (e.g., timeliness, authoritativeness) on them. Extensive experiments and analysis on PolyEVAL have demonstrated the superiority of PolyRAG.

Recent breakthroughs in large language models (LLMs), particularly in reasoning capabilities, have propelled Retrieval-Augmented Generation (RAG) to unprecedented levels. By synergizing retrieval mechanisms with advanced reasoning, LLMs can now tackle increasingly complex problems. This paper presents a systematic review of the collaborative interplay between RAG and reasoning, clearly defining "reasoning" within the RAG context. It construct a comprehensive taxonomy encompassing multi-dimensional collaborative objectives, representative paradigms, and technical implementations, and analyze the bidirectional synergy methods. Additionally, we critically evaluate current limitations in RAG assessment, including the absence of intermediate supervision for multi-step reasoning and practical challenges related to cost-risk trade-offs. To bridge theory and practice, we provide practical guidelines tailored to diverse real-world applications. Finally, we identify promising research directions, such as graph-based knowledge integration, hybrid model collaboration, and RL-driven optimization. Overall, this work presents a theoretical framework and practical foundation to advance RAG systems in academia and industry, fostering the next generation of RAG solutions.

We present ReasonIR-8B, the first retriever specifically trained for general reasoning tasks. Existing retrievers have shown limited gains on reasoning tasks, in part because existing training datasets focus on short factual queries tied to documents that straightforwardly answer them. We develop a synthetic data generation pipeline that, for each document, our pipeline creates a challenging and relevant query, along with a plausibly related but ultimately unhelpful hard negative. By training on a mixture of our synthetic data and existing public data, ReasonIR-8B achieves a new state-of-the-art of 29.9 nDCG@10 without reranker and 36.9 nDCG@10 with reranker on BRIGHT, a widely-used reasoning-intensive information retrieval (IR) benchmark. When applied to RAG tasks, ReasonIR-8B improves MMLU and GPQA performance by 6.4% and 22.6% respectively, relative to the closed-book baseline, outperforming other retrievers and search engines. In addition, ReasonIR-8B uses test-time compute more effectively: on BRIGHT, its performance consistently increases with longer and more information-rich rewritten queries; it continues to outperform other retrievers when combined with an LLM reranker. Our training recipe is general and can be easily extended to future LLMs; to this end, we open-source our code, data, and model.

Query expansion is a widely used technique to improve the recall of search systems. In this paper, we propose an approach to query expansion that leverages the generative abilities of Large Language Models (LLMs). Unlike traditional query expansion approaches such as Pseudo-Relevance Feedback (PRF) that relies on retrieving a good set of pseudo-relevant documents to expand queries, we rely on the generative and creative abilities of an LLM and leverage the knowledge inherent in the model. We study a variety of different prompts, including zero-shot, few-shot and Chain-of-Thought (CoT). We find that CoT prompts are especially useful for query expansion as these prompts instruct the model to break queries down step-by-step and can provide a large number of terms related to the original query. Experimental results on MS-MARCO and BEIR demonstrate that query expansions generated by LLMs can be more powerful than traditional query expansion methods.

In this paper, we introduce ReasonEmbed, a novel text embedding model developed for reasoning-intensive document retrieval. Our work includes three key technical contributions. First, we propose ReMixer, a new data synthesis method that overcomes the triviality problem prevalent in previous synthetic datasets, enabling large-scale production of 82K high-quality training samples. Second, we design Redapter, a self-adaptive learning algorithm that dynamically adjusts training each sample's weight based on its reasoning intensity. This allows the model to effectively capture the complex semantic relationships between queries and documents. Third, we implement ReasonEmbed across multiple backbones of varying sizes, all of which achieve superior performance on reasoning-intensive retrieval tasks. Notably, our ReasonEmbed-Qwen3-8B model offers a record-high nDCG@10 score of 38.1 on the BRIGHT benchmark, which significantly outperforms existing text embedding models. We will fully open-source our created resources in ReasonEmbed to push forward the research advancement in this field.

Large language models have shown promise in clinical decision making, but current approaches struggle to localize and correct errors at specific steps of the reasoning process. This limitation is critical in medicine, where identifying and addressing reasoning errors is essential for accurate diagnosis and effective patient care. We introduce Med-PRM, a process reward modeling framework that leverages retrieval-augmented generation to verify each reasoning step against established medical knowledge bases. By verifying intermediate reasoning steps with evidence retrieved from clinical guidelines and literature, our model can precisely assess the reasoning quality in a fine-grained manner. Evaluations on five medical QA benchmarks and two open-ended diagnostic tasks demonstrate that Med-PRM achieves state-of-the-art performance, with improving the performance of base models by up to 13.50% using Med-PRM. Moreover, we demonstrate the generality of Med-PRM by integrating it in a plug-and-play fashion with strong policy models such as Meerkat, achieving over 80\% accuracy on MedQA for the first time using small-scale models of 8 billion parameters. Our code and data are available at: https://med-prm.github.io/

Large language models (LLMs) are transforming the landscape of medicine, yet two fundamental challenges persist: keeping up with rapidly evolving medical knowledge and providing verifiable, evidence-grounded reasoning. Retrieval-augmented generation (RAG) has been widely adopted to address these limitations by supplementing model outputs with retrieved evidence. However, whether RAG reliably achieves these goals remains unclear. Here, we present the most comprehensive expert evaluation of RAG in medicine to date. Eighteen medical experts contributed a total of 80,502 annotations, assessing 800 model outputs generated by GPT-4o and Llama-3.1-8B across 200 real-world patient and USMLE-style queries. We systematically decomposed the RAG pipeline into three components: (i) evidence retrieval (relevance of retrieved passages), (ii) evidence selection (accuracy of evidence usage), and (iii) response generation (factuality and completeness of outputs). Contrary to expectation, standard RAG often degraded performance: only 22% of top-16 passages were relevant, evidence selection remained weak (precision 41-43%, recall 27-49%), and factuality and completeness dropped by up to 6% and 5%, respectively, compared with non-RAG variants. Retrieval and evidence selection remain key failure points for the model, contributing to the overall performance drop. We further show that simple yet effective strategies, including evidence filtering and query reformulation, substantially mitigate these issues, improving performance on MedMCQA and MedXpertQA by up to 12% and 8.2%, respectively. These findings call for re-examining RAG's role in medicine and highlight the importance of stage-aware evaluation and deliberate system design for reliable medical LLM applications.

Recent developments in Large Language Model (LLM)-based agents have shown impressive capabilities spanning multiple domains, exemplified by deep research systems that demonstrate superior performance on complex information-seeking and synthesis tasks. While general-purpose deep research agents have shown impressive capabilities, they struggle significantly with medical domain challenges, as evidenced by leading proprietary systems achieving limited accuracy on complex medical benchmarks. The key limitations are: (1) the model lacks sufficient dense medical knowledge for clinical reasoning, and (2) the framework is constrained by the absence of specialized retrieval tools tailored for medical contexts.We present a medical deep research agent that addresses these challenges through two core innovations. First, we develop a novel data synthesis framework using medical knowledge graphs, extracting the longest chains from subgraphs around rare medical entities to generate complex multi-hop question-answer pairs. Second, we integrate a custom-built private medical retrieval engine alongside general-purpose tools, enabling accurate medical information synthesis. Our approach generates 2100+ diverse trajectories across 12 medical specialties, each averaging 4.2 tool interactions.Through a two-stage training paradigm combining supervised fine-tuning and online reinforcement learning with composite rewards, our MedResearcher-R1-32B model demonstrates exceptional performance, establishing new state-of-the-art results on medical benchmarks while maintaining competitive performance on general deep research tasks. Our work demonstrates that strategic domain-specific innovations in architecture, tool design, and training data construction can enable smaller open-source models to outperform much larger proprietary systems in specialized domains.

Recent proprietary large language models (LLMs), such as GPT-4, have achieved a milestone in tackling diverse challenges in the biomedical domain, ranging from multiple-choice questions to long-form generations. To address challenges that still cannot be handled with the encoded knowledge of LLMs, various retrieval-augmented generation (RAG) methods have been developed by searching documents from the knowledge corpus and appending them unconditionally or selectively to the input of LLMs for generation. However, when applying existing methods to different domain-specific problems, poor generalization becomes apparent, leading to fetching incorrect documents or making inaccurate judgments. In this paper, we introduce Self-BioRAG, a framework reliable for biomedical text that specializes in generating explanations, retrieving domain-specific documents, and self-reflecting generated responses. We utilize 84k filtered biomedical instruction sets to train Self-BioRAG that can assess its generated explanations with customized reflective tokens. Our work proves that domain-specific components, such as a retriever, domain-related document corpus, and instruction sets are necessary for adhering to domain-related instructions. Using three major medical question-answering benchmark datasets, experimental results of Self-BioRAG demonstrate significant performance gains by achieving a 7.2% absolute improvement on average over the state-of-the-art open-foundation model with a parameter size of 7B or less. Overall, we analyze that Self-BioRAG finds the clues in the question, retrieves relevant documents if needed, and understands how to answer with information from retrieved documents and encoded knowledge as a medical expert does. We release our data and code for training our framework components and model weights (7B and 13B) to enhance capabilities in biomedical and clinical domains.

The growing power of large language models (LLMs) has revolutionized how people access and utilize information. Notably, the LLMs excel at performing fine-grained data representation, which facilitates precise retrieval of information. They also generate high-quality answers based on external references, enabling the production of useful knowledge. The recent introduction of reasoning models, like OpenAI O1 and DeepSeek R1, marks another leap forward, highlighting LLMs' ability to think progressively before delivering final answers. This breakthrough significantly improves the ability to address complex tasks, e.g., coding and math proofs. Inspired by this progress, we aim to develop similar capabilities for retrieval models, which hold great promise for tackling critical challenges in the field, including multi-task retrieval, zero-shot retrieval, and tasks requiring intensive reasoning of complex relationships. With this motivation, we propose a novel approach called O1 Embedder, which generates useful thoughts for the input query before making retrieval for the target documents. To realize this objective, we conquer two technical difficulties. First, we design a data synthesis workflow, creating training signals for O1 Embedder by generating initial thoughts from an LLM-expert and subsequently refining them using a retrieval committee. Second, we optimize the training process, enabling a pre-trained model to be jointly fine-tuned to generate retrieval thoughts via behavior cloning and perform dense retrieval through contrastive learning. Our approach is evaluated by comprehensive experiments, where substantial improvements are achieved across 12 popular datasets, spanning both in-domain and out-of-domain scenarios. These results highlight O1 Embedder's remarkable accuracy and generalizability, paving the way for the development of next-generation IR foundation models.

LLMs are bound to transform healthcare with advanced decision support and flexible chat assistants. However, LLMs are prone to generate inaccurate medical content. To ground LLMs in high-quality medical knowledge, LLMs have been equipped with external knowledge via RAG, where unstructured medical knowledge is split into small text chunks that can be selectively retrieved and integrated into the LLMs context. Yet, existing RAG pipelines rely on raw, unstructured medical text, which can be noisy, uncurated and difficult for LLMs to effectively leverage. Systematic approaches to organize medical knowledge to best surface it to LLMs are generally lacking. To address these challenges, we introduce MIRIAD, a large-scale, curated corpus of 5,821,948 medical QA pairs, each rephrased from and grounded in a passage from peer-reviewed medical literature using a semi-automated pipeline combining LLM generation, filtering, grounding, and human annotation. Unlike prior medical corpora, which rely on unstructured text, MIRIAD encapsulates web-scale medical knowledge in an operationalized query-response format, which enables more targeted retrieval. Experiments on challenging medical QA benchmarks show that augmenting LLMs with MIRIAD improves accuracy up to 6.7% compared to unstructured RAG baselines with the same source corpus and with the same amount of retrieved text. Moreover, MIRIAD improved the ability of LLMs to detect medical hallucinations by 22.5 to 37% (increase in F1 score). We further introduce MIRIAD-Atlas, an interactive map of MIRIAD spanning 56 medical disciplines, enabling clinical users to visually explore, search, and refine medical knowledge. MIRIAD promises to unlock a wealth of down-stream applications, including medical information retrievers, enhanced RAG applications, and knowledge-grounded chat interfaces, which ultimately enables more reliable LLM applications in healthcare.

Recent research highlights the challenges retrieval models face in retrieving useful contexts and the limitations of generation models in effectively utilizing those contexts in retrieval-augmented generation (RAG) settings. To address these challenges, we introduce RAG-RL, the first reasoning language model (RLM) specifically trained for RAG. RAG-RL demonstrates that stronger answer generation models can identify relevant contexts within larger sets of retrieved information -- thereby alleviating the burden on retrievers -- while also being able to utilize those contexts more effectively. Moreover, we show that curriculum design in the reinforcement learning (RL) post-training process is a powerful approach to enhancing model performance. We benchmark our method on two open-domain question-answering datasets and achieve state-of-the-art results, surpassing previous SOTA generative reader models. In addition, we offers empirical insights into various curriculum learning strategies, providing a deeper understanding of their impact on model performance.

We introduce MCTS-RAG, a novel approach that enhances the reasoning capabilities of small language models on knowledge-intensive tasks by leveraging retrieval-augmented generation (RAG) to provide relevant context and Monte Carlo Tree Search (MCTS) to refine reasoning paths. MCTS-RAG dynamically integrates retrieval and reasoning through an iterative decision-making process. Unlike standard RAG methods, which typically retrieve information independently from reasoning and thus integrate knowledge suboptimally, or conventional MCTS reasoning, which depends solely on internal model knowledge without external facts, MCTS-RAG combines structured reasoning with adaptive retrieval. This integrated approach enhances decision-making, reduces hallucinations, and ensures improved factual accuracy and response consistency. The experimental results on multiple reasoning and knowledge-intensive datasets datasets (i.e., ComplexWebQA, GPQA, and FoolMeTwice) show that our method enables small-scale LMs to achieve performance comparable to frontier LLMs like GPT-4o by effectively scaling inference-time compute, setting a new standard for reasoning in small-scale models.

There has been a surge of interest in harnessing the reasoning capabilities of Large Language Models (LLMs) to accelerate scientific discovery. While existing approaches rely on grounding the discovery process within the relevant literature, effectiveness varies significantly with the quality and nature of the retrieved literature. We address the challenge of retrieving prior work whose concepts can inspire solutions for a given research problem, a task we define as Methodology Inspiration Retrieval (MIR). We construct a novel dataset tailored for training and evaluating retrievers on MIR, and establish baselines. To address MIR, we build the Methodology Adjacency Graph (MAG); capturing methodological lineage through citation relationships. We leverage MAG to embed an "intuitive prior" into dense retrievers for identifying patterns of methodological inspiration beyond superficial semantic similarity. This achieves significant gains of +5.4 in Recall@3 and +7.8 in Mean Average Precision (mAP) over strong baselines. Further, we adapt LLM-based re-ranking strategies to MIR, yielding additional improvements of +4.5 in Recall@3 and +4.8 in mAP. Through extensive ablation studies and qualitative analyses, we exhibit the promise of MIR in enhancing automated scientific discovery and outline avenues for advancing inspiration-driven retrieval.

The integration of external knowledge through Retrieval-Augmented Generation (RAG) has become foundational in enhancing large language models (LLMs) for knowledge-intensive tasks. However, existing RAG paradigms often overlook the cognitive step of applying knowledge, leaving a gap between retrieved facts and task-specific reasoning. In this work, we introduce RAG+, a principled and modular extension that explicitly incorporates application-aware reasoning into the RAG pipeline. RAG+ constructs a dual corpus consisting of knowledge and aligned application examples, created either manually or automatically, and retrieves both jointly during inference. This design enables LLMs not only to access relevant information but also to apply it within structured, goal-oriented reasoning processes. Experiments across mathematical, legal, and medical domains, conducted on multiple models, demonstrate that RAG+ consistently outperforms standard RAG variants, achieving average improvements of 3-5%, and peak gains up to 7.5% in complex scenarios. By bridging retrieval with actionable application, RAG+ advances a more cognitively grounded framework for knowledge integration, representing a step toward more interpretable and capable LLMs.

Information retrieval (IR) is essential in biomedical knowledge acquisition and clinical decision support. While recent progress has shown that language model encoders perform better semantic retrieval, training such models requires abundant query-article annotations that are difficult to obtain in biomedicine. As a result, most biomedical IR systems only conduct lexical matching. In response, we introduce BioCPT, a first-of-its-kind Contrastively Pre-trained Transformer model for zero-shot biomedical IR. To train BioCPT, we collected an unprecedented scale of 255 million user click logs from PubMed. With such data, we use contrastive learning to train a pair of closely-integrated retriever and re-ranker. Experimental results show that BioCPT sets new state-of-the-art performance on five biomedical IR tasks, outperforming various baselines including much larger models such as GPT-3-sized cpt-text-XL. In addition, BioCPT also generates better biomedical article and sentence representations for semantic evaluations. As such, BioCPT can be readily applied to various real-world biomedical IR tasks. BioCPT API and code are publicly available at https://github.com/ncbi/BioCPT.

Recent advancements in large language models (LLMs) have shown promise in medical applications such as disease diagnosis and treatment planning. However, most existing medical LLMs struggle with the advanced reasoning required for complex clinical scenarios, such as differential diagnosis or personalized treatment suggestions. We proposed FineMedLM-o1, which leverages high-quality synthetic medical data and long-form reasoning data for Supervised Fine-Tuning (SFT) and Direct Preference Optimization (DPO), enabling advanced dialogue and deep reasoning capabilities. Additionally, we introduced Test-Time Training (TTT) in the medical domain for the first time, facilitating domain adaptation and ensuring reliable, accurate reasoning. Experimental results demonstrate that FineMedLM-o1 achieves a 23% average performance improvement over prior models on key medical benchmarks. Furthermore, the introduction of TTT provides an additional 14% performance boost, highlighting its effectiveness in enhancing medical reasoning capabilities. To support this process, we also proposed a novel method for synthesizing medical dialogue. Compared to other open-source datasets, our dataset stands out as superior in both quality and complexity. The project and data will be released on GitHub.

Recent advances such as Chain-of-Thought prompting have significantly improved large language models (LLMs) in zero-shot medical reasoning. However, prompting-based methods often remain shallow and unstable, while fine-tuned medical LLMs suffer from poor generalization under distribution shifts and limited adaptability to unseen clinical scenarios. To address these limitations, we present TAGS, a test-time framework that combines a broadly capable generalist with a domain-specific specialist to offer complementary perspectives without any model fine-tuning or parameter updates. To support this generalist-specialist reasoning process, we introduce two auxiliary modules: a hierarchical retrieval mechanism that provides multi-scale exemplars by selecting examples based on both semantic and rationale-level similarity, and a reliability scorer that evaluates reasoning consistency to guide final answer aggregation. TAGS achieves strong performance across nine MedQA benchmarks, boosting GPT-4o accuracy by 13.8%, DeepSeek-R1 by 16.8%, and improving a vanilla 7B model from 14.1% to 23.9%. These results surpass several fine-tuned medical LLMs, without any parameter updates. The code will be available at https://github.com/JianghaoWu/TAGS.

We present a corpus of 5,000 richly annotated abstracts of medical articles describing clinical randomized controlled trials. Annotations include demarcations of text spans that describe the Patient population enrolled, the Interventions studied and to what they were Compared, and the Outcomes measured (the `PICO' elements). These spans are further annotated at a more granular level, e.g., individual interventions within them are marked and mapped onto a structured medical vocabulary. We acquired annotations from a diverse set of workers with varying levels of expertise and cost. We describe our data collection process and the corpus itself in detail. We then outline a set of challenging NLP tasks that would aid searching of the medical literature and the practice of evidence-based medicine.

Information retrieval is a rapidly evolving field. However it still faces significant limitations in the scientific and industrial vast amounts of information, such as semantic divergence and vocabulary gaps in sparse retrieval, low precision and lack of interpretability in semantic search, or hallucination and outdated information in generative models. In this paper, we introduce a two-block approach to tackle these hurdles for long documents. The first block enhances language understanding in sparse retrieval by query expansion to retrieve relevant documents. The second block deepens the result by providing comprehensive and informative answers to the complex question using only the information spread in the long document, enabling bidirectional engagement. At various stages of the pipeline, intermediate results are presented to users to facilitate understanding of the system's reasoning. We believe this bidirectional approach brings significant advancements in terms of transparency, logical thinking, and comprehensive understanding in the field of scientific information retrieval.

Recent advancements in reasoning-enhanced large language models (LLMs), such as DeepSeek-R1 and OpenAI-o3, have demonstrated significant progress. However, their application in professional medical contexts remains underexplored, particularly in evaluating the quality of their reasoning processes alongside final outputs. Here, we introduce MedR-Bench, a benchmarking dataset of 1,453 structured patient cases, annotated with reasoning references derived from clinical case reports. Spanning 13 body systems and 10 specialties, it includes both common and rare diseases. To comprehensively evaluate LLM performance, we propose a framework encompassing three critical examination recommendation, diagnostic decision-making, and treatment planning, simulating the entire patient care journey. To assess reasoning quality, we present the Reasoning Evaluator, a novel automated system that objectively scores free-text reasoning responses based on efficiency, actuality, and completeness using dynamic cross-referencing and evidence checks. Using this benchmark, we evaluate five state-of-the-art reasoning LLMs, including DeepSeek-R1, OpenAI-o3-mini, and Gemini-2.0-Flash Thinking, etc. Our results show that current LLMs achieve over 85% accuracy in relatively simple diagnostic tasks when provided with sufficient examination results. However, performance declines in more complex tasks, such as examination recommendation and treatment planning. While reasoning outputs are generally reliable, with factuality scores exceeding 90%, critical reasoning steps are frequently missed. These findings underscore both the progress and limitations of clinical LLMs. Notably, open-source models like DeepSeek-R1 are narrowing the gap with proprietary systems, highlighting their potential to drive accessible and equitable advancements in healthcare.

Large Language Models (LLMs), although powerful in general domains, often perform poorly on domain-specific tasks like medical question answering (QA). Moreover, they tend to function as "black-boxes," making it challenging to modify their behavior. Addressing this, our study delves into model editing utilizing in-context learning, aiming to improve LLM responses without the need for fine-tuning or retraining. Specifically, we propose a comprehensive retrieval strategy to extract medical facts from an external knowledge base, and then we incorporate them into the query prompt for the LLM. Focusing on medical QA using the MedQA-SMILE dataset, we evaluate the impact of different retrieval models and the number of facts provided to the LLM. Notably, our edited Vicuna model exhibited an accuracy improvement from 44.46% to 48.54%. This work underscores the potential of model editing to enhance LLM performance, offering a practical approach to mitigate the challenges of black-box LLMs.

Medical question-answering (QA) is a critical task for evaluating how effectively large language models (LLMs) encode clinical knowledge and assessing their potential applications in medicine. Despite showing promise on multiple-choice tests, LLMs frequently struggle with open-ended medical questions, producing responses with dangerous hallucinations or lacking comprehensive coverage of critical aspects. Existing approaches attempt to address these challenges through domain-specific fine-tuning, but this proves resource-intensive and difficult to scale across models. To improve the comprehensiveness and factuality of medical responses, we propose a novel approach utilizing structured medical reasoning. Our method guides LLMs through an seven-step cognitive process inspired by clinical diagnosis, enabling more accurate and complete answers without additional training. Experiments on the MedLFQA benchmark demonstrate that our approach achieves the highest Factuality Score of 85.8, surpassing fine-tuned models. Notably, this improvement transfers to smaller models, highlighting the method's efficiency and scalability. Our code and datasets are available.

Open-domain complex Question Answering (QA) is a difficult task with challenges in evidence retrieval and reasoning. The complexity of such questions could stem from questions being compositional, hybrid evidence, or ambiguity in questions. While retrieval performance for classical QA tasks is well explored, their capabilities for heterogeneous complex retrieval tasks, especially in an open-domain setting, and the impact on downstream QA performance, are relatively unexplored. To address this, in this work, we propose a benchmark composing diverse complex QA tasks and provide a toolkit to evaluate state-of-the-art pre-trained dense and sparse retrieval models in an open-domain setting. We observe that late interaction models and surprisingly lexical models like BM25 perform well compared to other pre-trained dense retrieval models. In addition, since context-based reasoning is critical for solving complex QA tasks, we also evaluate the reasoning capabilities of LLMs and the impact of retrieval performance on their reasoning capabilities. Through experiments, we observe that much progress is to be made in retrieval for complex QA to improve downstream QA performance. Our software and related data can be accessed at https://github.com/VenkteshV/DEXTER

This paper presents a systematic study on enabling medical reasoning models (MRMs) to generate ranked lists of answers for open-ended questions. Clinical decision-making rarely relies on a single answer but instead considers multiple options, reducing the risks of narrow perspectives. Yet current MRMs are typically trained to produce only one answer, even in open-ended settings. We propose an alternative format: ranked lists and investigate two approaches: prompting and fine-tuning. While prompting is a cost-effective way to steer an MRM's response, not all MRMs generalize well across different answer formats: choice, short text, and list answers. Based on our prompting findings, we train and evaluate MRMs using supervised fine-tuning (SFT) and reinforcement fine-tuning (RFT). SFT teaches a model to imitate annotated responses, and RFT incentivizes exploration through the responses that maximize a reward. We propose new reward functions targeted at ranked-list answer formats, and conduct ablation studies for RFT. Our results show that while some SFT models generalize to certain answer formats, models trained with RFT are more robust across multiple formats. We also present a case study on a modified MedQA with multiple valid answers, finding that although MRMs might fail to select the benchmark's preferred ground truth, they can recognize valid answers. To the best of our knowledge, this is the first systematic investigation of approaches for enabling MRMs to generate answers as ranked lists. We hope this work provides a first step toward developing alternative answer formats that are beneficial beyond single answers in medical domains.

Recent studies demonstrate that query expansions generated by large language models (LLMs) can considerably enhance information retrieval systems by generating hypothetical documents that answer the queries as expansions. However, challenges arise from misalignments between the expansions and the retrieval corpus, resulting in issues like hallucinations and outdated information due to the limited intrinsic knowledge of LLMs. Inspired by Pseudo Relevance Feedback (PRF), we introduce Corpus-Steered Query Expansion (CSQE) to promote the incorporation of knowledge embedded within the corpus. CSQE utilizes the relevance assessing capability of LLMs to systematically identify pivotal sentences in the initially-retrieved documents. These corpus-originated texts are subsequently used to expand the query together with LLM-knowledge empowered expansions, improving the relevance prediction between the query and the target documents. Extensive experiments reveal that CSQE exhibits strong performance without necessitating any training, especially with queries for which LLMs lack knowledge.

Retrieval-augmented generation has gained significant attention due to its ability to integrate relevant external knowledge, enhancing the accuracy and reliability of the LLMs' responses. Most of the existing methods apply a dynamic multiple retrieval-generating process, to address multi-hop complex questions by decomposing them into sub-problems. However, these methods rely on an unidirectional forward reasoning paradigm, where errors from insufficient reasoning steps or inherent flaws in current retrieval systems are irreversible, potentially derailing the entire reasoning chain. For the first time, this work introduces Retroactive Retrieval-Augmented Generation (RetroRAG), a novel framework to build a retroactive reasoning paradigm. RetroRAG revises and updates the evidence, redirecting the reasoning chain to the correct direction. RetroRAG constructs an evidence-collation-discovery framework to search, generate, and refine credible evidence. It synthesizes inferential evidence related to the key entities in the question from the existing source knowledge and formulates search queries to uncover additional information. As new evidence is found, RetroRAG continually updates and organizes this information, enhancing its ability to locate further necessary evidence. Paired with an Answerer to generate and evaluate outputs, RetroRAG is capable of refining its reasoning process iteratively until a reliable answer is obtained. Empirical evaluations show that RetroRAG significantly outperforms existing methods.

We introduce Rank1, the first reranking model trained to take advantage of test-time compute. Rank1 demonstrates the applicability within retrieval of using a reasoning language model (i.e. OpenAI's o1, Deepseek's R1, etc.) for distillation in order to rapidly improve the performance of a smaller model. We gather and open-source a dataset of more than 600,000 examples of R1 reasoning traces from queries and passages in MS MARCO. Models trained on this dataset show: (1) state-of-the-art performance on advanced reasoning and instruction following datasets; (2) work remarkably well out of distribution due to the ability to respond to user-input prompts; and (3) have explainable reasoning chains that can be given to users or RAG-based systems. Further, we demonstrate that quantized versions of these models retain strong performance while using less compute/memory. Overall, Rank1 shows that test-time compute allows for a fundamentally new type of explainable and performant reranker model for search.

The proliferation of Large Language Models (LLMs) in medicine has enabled impressive capabilities, yet a critical gap remains in their ability to perform systematic, transparent, and verifiable reasoning, a cornerstone of clinical practice. This has catalyzed a shift from single-step answer generation to the development of LLMs explicitly designed for medical reasoning. This paper provides the first systematic review of this emerging field. We propose a taxonomy of reasoning enhancement techniques, categorized into training-time strategies (e.g., supervised fine-tuning, reinforcement learning) and test-time mechanisms (e.g., prompt engineering, multi-agent systems). We analyze how these techniques are applied across different data modalities (text, image, code) and in key clinical applications such as diagnosis, education, and treatment planning. Furthermore, we survey the evolution of evaluation benchmarks from simple accuracy metrics to sophisticated assessments of reasoning quality and visual interpretability. Based on an analysis of 60 seminal studies from 2022-2025, we conclude by identifying critical challenges, including the faithfulness-plausibility gap and the need for native multimodal reasoning, and outlining future directions toward building efficient, robust, and sociotechnically responsible medical AI.

Large reasoning models (LRMs) like OpenAI-o1 have demonstrated impressive long stepwise reasoning capabilities through large-scale reinforcement learning. However, their extended reasoning processes often suffer from knowledge insufficiency, leading to frequent uncertainties and potential errors. To address this limitation, we introduce Search-o1, a framework that enhances LRMs with an agentic retrieval-augmented generation (RAG) mechanism and a Reason-in-Documents module for refining retrieved documents. Search-o1 integrates an agentic search workflow into the reasoning process, enabling dynamic retrieval of external knowledge when LRMs encounter uncertain knowledge points. Additionally, due to the verbose nature of retrieved documents, we design a separate Reason-in-Documents module to deeply analyze the retrieved information before injecting it into the reasoning chain, minimizing noise and preserving coherent reasoning flow. Extensive experiments on complex reasoning tasks in science, mathematics, and coding, as well as six open-domain QA benchmarks, demonstrate the strong performance of Search-o1. This approach enhances the trustworthiness and applicability of LRMs in complex reasoning tasks, paving the way for more reliable and versatile intelligent systems. The code is available at https://github.com/sunnynexus/Search-o1.

Large Language Models (LLMs) have shown remarkable capabilities in reasoning, exemplified by the success of OpenAI-o1 and DeepSeek-R1. However, integrating reasoning with external search processes remains challenging, especially for complex multi-hop questions requiring multiple retrieval steps. We propose ReSearch, a novel framework that trains LLMs to Reason with Search via reinforcement learning without using any supervised data on reasoning steps. Our approach treats search operations as integral components of the reasoning chain, where when and how to perform searches is guided by text-based thinking, and search results subsequently influence further reasoning. We train ReSearch on Qwen2.5-7B(-Instruct) and Qwen2.5-32B(-Instruct) models and conduct extensive experiments. Despite being trained on only one dataset, our models demonstrate strong generalizability across various benchmarks. Analysis reveals that ReSearch naturally elicits advanced reasoning capabilities such as reflection and self-correction during the reinforcement learning process.

Though reasoning-based large language models (LLMs) have excelled in mathematics and programming, their capabilities in knowledge-intensive medical question answering remain underexplored. To address this, we introduce ReasonMed, the largest medical reasoning dataset, comprising 370k high-quality examples distilled from 1.7 million initial reasoning paths generated by various LLMs. ReasonMed is constructed through a multi-agent verification and refinement process, where we design an Error Refiner to enhance the reasoning paths by identifying and correcting error-prone steps flagged by a verifier. Leveraging ReasonMed, we systematically investigate best practices for training medical reasoning models and find that combining detailed Chain-of-Thought (CoT) reasoning with concise answer summaries yields the most effective fine-tuning strategy. Based on this strategy, we train ReasonMed-7B, which sets a new benchmark for sub-10B models, outperforming the prior best by 4.17\% and even exceeding LLaMA3.1-70B on PubMedQA by 4.60\%.

Existing retrieval benchmarks primarily consist of information-seeking queries (e.g., aggregated questions from search engines) where keyword or semantic-based retrieval is usually sufficient. However, many complex real-world queries require in-depth reasoning to identify relevant documents that go beyond surface form matching. For example, finding documentation for a coding question requires understanding the logic and syntax of the functions involved. To better benchmark retrieval on such challenging queries, we introduce BRIGHT, the first text retrieval benchmark that requires intensive reasoning to retrieve relevant documents. BRIGHT is constructed from the 1,398 real-world queries collected from diverse domains (such as economics, psychology, robotics, software engineering, earth sciences, etc.), sourced from naturally occurring or carefully curated human data. Extensive evaluation reveals that even state-of-the-art retrieval models perform poorly on BRIGHT. The leading model on the MTEB leaderboard [38 ], which achieves a score of 59.0 nDCG@10,2 produces a score of nDCG@10 of 18.0 on BRIGHT. We further demonstrate that augmenting queries with Chain-of-Thought reasoning generated by large language models (LLMs) improves performance by up to 12.2 points. Moreover, BRIGHT is robust against data leakage during pretraining of the benchmarked models as we validate by showing similar performance even when documents from the benchmark are included in the training data. We believe that BRIGHT paves the way for future research on retrieval systems in more realistic and challenging settings. Our code and data are available at https://brightbenchmark.github.io.

Medical reasoning in large language models (LLMs) aims to emulate clinicians' diagnostic thinking, but current benchmarks such as MedQA-USMLE, MedMCQA, and PubMedQA often mix reasoning with factual recall. We address this by separating 11 biomedical QA benchmarks into reasoning- and knowledge-focused subsets using a PubMedBERT classifier that reaches 81 percent accuracy, comparable to human performance. Our analysis shows that only 32.8 percent of questions require complex reasoning. We evaluate biomedical models (HuatuoGPT-o1, MedReason, m1) and general-domain models (DeepSeek-R1, o4-mini, Qwen3), finding consistent gaps between knowledge and reasoning performance. For example, m1 scores 60.5 on knowledge but only 47.1 on reasoning. In adversarial tests where models are misled with incorrect initial reasoning, biomedical models degrade sharply, while larger or RL-trained general models show more robustness. To address this, we train BioMed-R1 using fine-tuning and reinforcement learning on reasoning-heavy examples. It achieves the strongest performance among similarly sized models. Further gains may come from incorporating clinical case reports and training with adversarial and backtracking scenarios.

Making the contents generated by Large Language Model (LLM) such as ChatGPT, accurate, credible and traceable is crucial, especially in complex knowledge-intensive tasks that require multi-step reasoning and each of which needs knowledge to solve. Introducing Information Retrieval (IR) to provide LLM with external knowledge is good potential to solve this problem. However, where and how to introduce IR into LLM is a big challenge. Previous work has the disadvantage that the wrong knowledge retrieved by IR misleads the LLM or breaks the reasoning chain of LLM. In this paper, we propose a novel framework called Search-in-the-Chain (SearChain) for the interaction between LLM and IR to solve the challenges. First, LLM generates the global reasoning chain called Chain-of-Query (CoQ) where each node consists of an IR-oriented query and the answer to the query. Second, IR verifies the answer of each node of CoQ, it corrects the answer that is not consistent with the retrieved information when IR gives high confidence, which improves the credibility. Third, LLM can mark its missing knowledge in CoQ and IR can provide this knowledge to LLM. These three operations improve the accuracy of LLM for complex knowledge-intensive tasks in terms of reasoning ability and knowledge. Finally, SearChain generates the reasoning process and marks references to supporting documents for each reasoning step, which improves traceability. SearChain transforms the topology of reasoning from chain to tree, which can modify the reasoning direction. Experiment shows that SearChain outperforms baselines on complex knowledge-intensive tasks including multi-hop question-answering, slot filling, fact checking, and long-form question-answering.

Large Language Models (LLMs), despite their remarkable capabilities, rely on singular, pre-dominant reasoning paradigms, hindering their performance on intricate problems that demand diverse cognitive strategies. To address this, we introduce Composite Reasoning (CR), a novel reasoning approach empowering LLMs to dynamically explore and combine multiple reasoning styles like deductive, inductive, and abductive for more nuanced problem-solving. Evaluated on scientific and medical question-answering benchmarks, our approach outperforms existing baselines like Chain-of-Thought (CoT) and also surpasses the accuracy of DeepSeek-R1 style reasoning (SR) capabilities, while demonstrating superior sample efficiency and adequate token usage. Notably, CR adaptively emphasizes domain-appropriate reasoning styles. It prioritizes abductive and deductive reasoning for medical question answering, but shifts to causal, deductive, and inductive methods for scientific reasoning. Our findings highlight that by cultivating internal reasoning style diversity, LLMs acquire more robust, adaptive, and efficient problem-solving abilities.

Recent advances in reasoning with large language models (LLMs)has shown remarkable reasoning capabilities in domains such as mathematics and coding, yet their application to clinical diagnosis remains underexplored. Here, we introduce ClinicalGPT-R1, a reasoning enhanced generalist large language model for disease diagnosis. Trained on a dataset of 20,000 real-world clinical records, ClinicalGPT-R1 leverages diverse training strategies to enhance diagnostic reasoning. To benchmark performance, we curated MedBench-Hard, a challenging dataset spanning seven major medical specialties and representative diseases. Experimental results demonstrate that ClinicalGPT-R1 outperforms GPT-4o in Chinese diagnostic tasks and achieves comparable performance to GPT-4 in English settings. This comparative study effectively validates the superior performance of ClinicalGPT-R1 in disease diagnosis tasks. Resources are available at https://github.com/medfound/medfound.

This technical report details a novel approach to combining reasoning and retrieval augmented generation (RAG) within a single, lean language model architecture. While existing RAG systems typically rely on large-scale models and external APIs, our work addresses the increasing demand for performant and privacy-preserving solutions deployable in resource-constrained or secure environments. Building on recent developments in test-time scaling and small-scale reasoning models, we develop a retrieval augmented conversational agent capable of interpreting complex, domain-specific queries using a lightweight backbone model. Our system integrates a dense retriever with fine-tuned Qwen2.5-Instruct models, using synthetic query generation and reasoning traces derived from frontier models (e.g., DeepSeek-R1) over a curated corpus, in this case, the NHS A-to-Z condition pages. We explore the impact of summarisation-based document compression, synthetic data design, and reasoning-aware fine-tuning on model performance. Evaluation against both non-reasoning and general-purpose lean models demonstrates that our domain-specific fine-tuning approach yields substantial gains in answer accuracy and consistency, approaching frontier-level performance while remaining feasible for local deployment. All implementation details and code are publicly released to support reproducibility and adaptation across domains.

While large language models (LLMs) have achieved state-of-the-art performance on a wide range of medical question answering (QA) tasks, they still face challenges with hallucinations and outdated knowledge. Retrieval-augmented generation (RAG) is a promising solution and has been widely adopted. However, a RAG system can involve multiple flexible components, and there is a lack of best practices regarding the optimal RAG setting for various medical purposes. To systematically evaluate such systems, we propose the Medical Information Retrieval-Augmented Generation Evaluation (MIRAGE), a first-of-its-kind benchmark including 7,663 questions from five medical QA datasets. Using MIRAGE, we conducted large-scale experiments with over 1.8 trillion prompt tokens on 41 combinations of different corpora, retrievers, and backbone LLMs through the MedRAG toolkit introduced in this work. Overall, MedRAG improves the accuracy of six different LLMs by up to 18% over chain-of-thought prompting, elevating the performance of GPT-3.5 and Mixtral to GPT-4-level. Our results show that the combination of various medical corpora and retrievers achieves the best performance. In addition, we discovered a log-linear scaling property and the "lost-in-the-middle" effects in medical RAG. We believe our comprehensive evaluations can serve as practical guidelines for implementing RAG systems for medicine.

Large language models (LLMs) have recently become the leading source of answers for users' questions online. Despite their ability to offer eloquent answers, their accuracy and reliability can pose a significant challenge. This is especially true for sensitive domains such as biomedicine, where there is a higher need for factually correct answers. This paper introduces a biomedical retrieval-augmented generation (RAG) system designed to enhance the reliability of generated responses. The system is based on a fine-tuned LLM for the referenced question-answering, where retrieved relevant abstracts from PubMed are passed to LLM's context as input through a prompt. Its output is an answer based on PubMed abstracts, where each statement is referenced accordingly, allowing the users to verify the answer. Our retrieval system achieves an absolute improvement of 23% compared to the PubMed search engine. Based on the manual evaluation on a small sample, our fine-tuned LLM component achieves comparable results to GPT-4 Turbo in referencing relevant abstracts. We make the dataset used to fine-tune the models and the fine-tuned models based on Mistral-7B-instruct-v0.1 and v0.2 publicly available.

Answering complex real-world questions often requires accurate retrieval from textual knowledge graphs (TKGs). The scarcity of annotated data, along with intricate topological structures, makes this task particularly challenging. As the nature of relational path information could enhance the inference ability of Large Language Models (LLMs), efficiently retrieving more complex relational path information from TKGs presents another key challenge. To tackle these challenges, we first develop a Dataset for LLMs Complex Reasoning over Textual Knowledge Graphs (RiTeK) with a broad topological structure coverage.We synthesize realistic user queries that integrate diverse topological structures, relational information, and complex textual descriptions. We conduct rigorous expert evaluation to validate the quality of our synthesized queries. And then, we introduce an enhanced Monte Carlo Tree Search (MCTS) method, Relational MCTS, to automatically extract relational path information from textual graphs for specific queries. Our dataset mainly covers the medical domain as the relation types and entity are complex and publicly available. Experimental results indicate that RiTeK poses significant challenges for current retrieval and LLM systems, while the proposed Relational MCTS method enhances LLM inference ability and achieves state-of-the-art performance on RiTeK.

Large Language Models have shown strong potential as rerankers to enhance the overall performance of RAG systems. However, existing reranking paradigms are constrained by a core theoretical and practical dilemma: Pointwise methods, while simple and highly flexible, evaluate documents independently, making them prone to the Ranking Myopia Trap, overlooking the relative importance between documents. In contrast, Listwise methods can perceive the global ranking context, but suffer from inherent List Rigidity, leading to severe scalability and flexibility issues when handling large candidate sets. To address these challenges, we propose Groupwise, a novel reranking paradigm. In this approach, the query and a group of candidate documents are jointly fed into the model, which performs within-group comparisons to assign individual relevance scores to each document. This design retains the flexibility of Pointwise methods while enabling the comparative capability of Listwise methods. We further adopt GRPO for model training, equipped with a heterogeneous reward function that integrates ranking metrics with a distributional reward aimed at aligning score distributions across groups. To overcome the bottleneck caused by the scarcity of high quality labeled data, we further propose an innovative pipeline for synthesizing high quality retrieval and ranking data. The resulting data can be leveraged not only for training the reranker but also for training the retriever. Extensive experiments validate the effectiveness of our approach. On two reasoning intensive retrieval benchmarks, BRIGHT and R2MED.

Retrieval-augmented generation (RAG) has emerged as a foundational paradigm for knowledge-grounded text generation. However, existing RAG pipelines often fail to ensure that the reasoning trajectories align with the evidential constraints imposed by retrieved content. In this paper, we reframe RAG as a problem of retrieval-aware reasoning and identify a core challenge: reasoning misalignment-the mismatch between a model's reasoning trajectory and the retrieved evidence. To address this challenge, we propose AlignRAG, a novel test-time framework that mitigates reasoning misalignment through iterative Critique-Driven Alignment (CDA) steps. In contrast to prior approaches that rely on static training or post-hoc selection, AlignRAG actively refines reasoning trajectories during inference by enforcing fine-grained alignment with evidence. Our framework introduces a new paradigm for retrieval-aware reasoning by: (1) constructing context-rich training corpora; (2) generating contrastive critiques from preference-aware reasoning trajectories; (3) training a dedicated Critic Language Model (CLM) to identify reasoning misalignments; and (4) applying CDA steps to optimize reasoning trajectories iteratively. Empirical results demonstrate that AlignRAG consistently outperforms all baselines and could integrate as a plug-and-play module into existing RAG pipelines without further changes. By reconceptualizing RAG as a structured reasoning trajectory and establishing the test-time framework for correcting reasoning misalignments in RAG, AlignRAG provides practical advancements for retrieval-aware generation.

Scientific paper retrieval is essential for supporting literature discovery and research. While dense retrieval methods demonstrate effectiveness in general-purpose tasks, they often fail to capture fine-grained scientific concepts that are essential for accurate understanding of scientific queries. Recent studies also use large language models (LLMs) for query understanding; however, these methods often lack grounding in corpus-specific knowledge and may generate unreliable or unfaithful content. To overcome these limitations, we propose SemRank, an effective and efficient paper retrieval framework that combines LLM-guided query understanding with a concept-based semantic index. Each paper is indexed using multi-granular scientific concepts, including general research topics and detailed key phrases. At query time, an LLM identifies core concepts derived from the corpus to explicitly capture the query's information need. These identified concepts enable precise semantic matching, significantly enhancing retrieval accuracy. Experiments show that SemRank consistently improves the performance of various base retrievers, surpasses strong existing LLM-based baselines, and remains highly efficient.

Large language models (LLMs) have grown in their usage to provide support for question answering across numerous disciplines. The models on their own have already shown promise for answering basic questions, however fail quickly where expert domain knowledge is required or the question is nuanced. Scientific research often involves searching for relevant literature, distilling pertinent information from that literature and analysing how the findings support or contradict one another. The information is often encapsulated in the full text body of research articles, rather than just in the abstracts. Statements within these articles frequently require the wider article context to be fully understood. We have built an LLM-based system that performs such search and distillation of information encapsulated in scientific literature, and we evaluate our keyword based search and information distillation system against a set of biology related questions from previously released literature benchmarks. We demonstrate sparse retrieval methods exhibit results close to state of the art without the need for dense retrieval, with its associated infrastructure and complexity overhead. We also show how to increase the coverage of relevant documents for literature review generation.

Large language models augmented with task-relevant documents have demonstrated impressive performance on knowledge-intensive tasks. However, regarding how to obtain effective documents, the existing methods are mainly divided into two categories. One is to retrieve from an external knowledge base, and the other is to utilize large language models to generate documents. We propose an iterative retrieval-generation collaborative framework. It is not only able to leverage both parametric and non-parametric knowledge, but also helps to find the correct reasoning path through retrieval-generation interactions, which is very important for tasks that require multi-step reasoning. We conduct experiments on four question answering datasets, including single-hop QA and multi-hop QA tasks. Empirical results show that our method significantly improves the reasoning ability of large language models and outperforms previous baselines.

High-quality medical systematic reviews require comprehensive literature searches to ensure the recommendations and outcomes are sufficiently reliable. Indeed, searching for relevant medical literature is a key phase in constructing systematic reviews and often involves domain (medical researchers) and search (information specialists) experts in developing the search queries. Queries in this context are highly complex, based on Boolean logic, include free-text terms and index terms from standardised terminologies (e.g., MeSH), and are difficult and time-consuming to build. The use of MeSH terms, in particular, has been shown to improve the quality of the search results. However, identifying the correct MeSH terms to include in a query is difficult: information experts are often unfamiliar with the MeSH database and unsure about the appropriateness of MeSH terms for a query. Naturally, the full value of the MeSH terminology is often not fully exploited. This paper investigates methods to suggest MeSH terms based on an initial Boolean query that includes only free-text terms. These methods promise to automatically identify highly effective MeSH terms for inclusion in a systematic review query. Our study contributes an empirical evaluation of several MeSH term suggestion methods. We perform an extensive analysis of the retrieval, ranking, and refinement of MeSH term suggestions for each method and how these suggestions impact the effectiveness of Boolean queries.

Multi-hop reasoning (i.e., reasoning across two or more documents) is a key ingredient for NLP models that leverage large corpora to exhibit broad knowledge. To retrieve evidence passages, multi-hop models must contend with a fast-growing search space across the hops, represent complex queries that combine multiple information needs, and resolve ambiguity about the best order in which to hop between training passages. We tackle these problems via Baleen, a system that improves the accuracy of multi-hop retrieval while learning robustly from weak training signals in the many-hop setting. To tame the search space, we propose condensed retrieval, a pipeline that summarizes the retrieved passages after each hop into a single compact context. To model complex queries, we introduce a focused late interaction retriever that allows different parts of the same query representation to match disparate relevant passages. Lastly, to infer the hopping dependencies among unordered training passages, we devise latent hop ordering, a weak-supervision strategy in which the trained retriever itself selects the sequence of hops. We evaluate Baleen on retrieval for two-hop question answering and many-hop claim verification, establishing state-of-the-art performance.

Retrieval-augmented language models often struggle with knowledge-intensive tasks due to inefficient retrieval, unstructured knowledge integration, and single-pass architectures. We present Retrieval-And-Structuring (RAS), a novel framework that dynamically constructs and reasons over query-specific knowledge graphs through iterative retrieval and structuring. RAS introduces four key technical innovations: (1) a themescoped retrieval mechanism that efficiently narrows the search space while maintaining retrieval quality, (2) an action planning module that determines knowledge needs and generates focused sub-queries, (3) a dynamic knowledge structuring approach that converts retrieved text into an evolving knowledge graph, and (4) a graph-augmented answering component that leverages the accumulated structured information. Our framework achieves state-of-the-art performance, surpassing leading baselines by 6.4% with open-source language models and 7.0% with proprietary models on seven knowledge-intensive generation datasets across all evaluation metrics. Detailed ablation studies verify the contribution of each technical component to the overall system performance.

Accurate information retrieval (IR) is critical in the financial domain, where investors must identify relevant information from large collections of documents. Traditional IR methods -- whether sparse or dense -- often fall short in retrieval accuracy, as it requires not only capturing semantic similarity but also performing fine-grained reasoning over document structure and domain-specific knowledge. Recent advances in large language models (LLMs) have opened up new opportunities for retrieval with multi-step reasoning, where the model ranks passages through iterative reasoning about which information is most relevant to a given query. However, there exists no benchmark to evaluate such capabilities in the financial domain. To address this gap, we introduce FinAgentBench, the first large-scale benchmark for evaluating retrieval with multi-step reasoning in finance -- a setting we term agentic retrieval. The benchmark consists of 26K expert-annotated examples on S&P-500 listed firms and assesses whether LLM agents can (1) identify the most relevant document type among candidates, and (2) pinpoint the key passage within the selected document. Our evaluation framework explicitly separates these two reasoning steps to address context limitations. This design enables to provide a quantitative basis for understanding retrieval-centric LLM behavior in finance. We evaluate a suite of state-of-the-art models and further demonstrated how targeted fine-tuning can significantly improve agentic retrieval performance. Our benchmark provides a foundation for studying retrieval-centric LLM behavior in complex, domain-specific tasks for finance.

The recent emergence of Medical Large Vision Language Models (Med-LVLMs) has enhanced medical diagnosis. However, current Med-LVLMs frequently encounter factual issues, often generating responses that do not align with established medical facts. Retrieval-Augmented Generation (RAG), which utilizes external knowledge, can improve the factual accuracy of these models but introduces two major challenges. First, limited retrieved contexts might not cover all necessary information, while excessive retrieval can introduce irrelevant and inaccurate references, interfering with the model's generation. Second, in cases where the model originally responds correctly, applying RAG can lead to an over-reliance on retrieved contexts, resulting in incorrect answers. To address these issues, we propose RULE, which consists of two components. First, we introduce a provably effective strategy for controlling factuality risk through the calibrated selection of the number of retrieved contexts. Second, based on samples where over-reliance on retrieved contexts led to errors, we curate a preference dataset to fine-tune the model, balancing its dependence on inherent knowledge and retrieved contexts for generation. We demonstrate the effectiveness of RULE on three medical VQA datasets, achieving an average improvement of 20.8% in factual accuracy. We publicly release our benchmark and code in https://github.com/richard-peng-xia/RULE.

We introduce a novel graph-based Retrieval-Augmented Generation (RAG) framework specifically designed for the medical domain, called MedGraphRAG, aimed at enhancing Large Language Model (LLM) capabilities and generating evidence-based results, thereby improving safety and reliability when handling private medical data. Our comprehensive pipeline begins with a hybrid static-semantic approach to document chunking, significantly improving context capture over traditional methods. Extracted entities are used to create a three-tier hierarchical graph structure, linking entities to foundational medical knowledge sourced from medical papers and dictionaries. These entities are then interconnected to form meta-graphs, which are merged based on semantic similarities to develop a comprehensive global graph. This structure supports precise information retrieval and response generation. The retrieval process employs a U-retrieve method to balance global awareness and indexing efficiency of the LLM. Our approach is validated through a comprehensive ablation study comparing various methods for document chunking, graph construction, and information retrieval. The results not only demonstrate that our hierarchical graph construction method consistently outperforms state-of-the-art models on multiple medical Q\&A benchmarks, but also confirms that the responses generated include source documentation, significantly enhancing the reliability of medical LLMs in practical applications. Code will be at: https://github.com/MedicineToken/Medical-Graph-RAG/tree/main

Test-time scaling has emerged as a powerful technique for enhancing the reasoning capabilities of large language models. However, its effectiveness in medical reasoning remains uncertain, as the medical domain fundamentally differs from mathematical tasks in terms of knowledge representation and decision-making processes. In this paper, we provide the first comprehensive investigation of test-time scaling for medical reasoning and present m1, a simple yet effective approach that increases a model's medical reasoning capability at inference. Our evaluation across diverse medical tasks demonstrates that test-time scaling consistently enhances medical reasoning, enabling lightweight fine-tuned models under 10B parameters to establish new state-of-the-art performance, while our 32B model rivals previous 70B-scale medical LLMs. However, we identify an optimal reasoning token budget of approximately 4K, beyond which performance may degrade due to overthinking. Budget forcing, which extends test-time computation through iterative prompts, helps models double-check answers but does not necessarily improve the overall medical QA performance and, in some cases, even introduces errors into previously correct responses. Our case-by-case analysis identifies insufficient medical knowledge as a key bottleneck that prevents further performance gains through test-time scaling. We find that increasing data scale, improving data quality, and expanding model capacity consistently enhance medical knowledge grounding, enabling continued performance improvements, particularly on challenging medical benchmarks where smaller models reach saturation. These findings underscore fundamental differences between medical and mathematical reasoning in LLMs, highlighting that enriched medical knowledge, other than increased reasoning depth alone, is essential for realizing the benefits of test-time scaling.

Recent advancements in language models (LMs) have led to the emergence of powerful models such as Small LMs (e.g., T5) and Large LMs (e.g., GPT-4). These models have demonstrated exceptional capabilities across a wide range of tasks, such as name entity recognition (NER) in the general domain. (We define SLMs as pre-trained models with fewer parameters compared to models like GPT-3/3.5/4, such as T5, BERT, and others.) Nevertheless, their efficacy in the medical section remains uncertain and the performance of medical NER always needs high accuracy because of the particularity of the field. This paper aims to provide a thorough investigation to compare the performance of LMs in medical few-shot NER and answer How far is LMs from 100\% Few-shot NER in Medical Domain, and moreover to explore an effective entity recognizer to help improve the NER performance. Based on our extensive experiments conducted on 16 NER models spanning from 2018 to 2023, our findings clearly indicate that LLMs outperform SLMs in few-shot medical NER tasks, given the presence of suitable examples and appropriate logical frameworks. Despite the overall superiority of LLMs in few-shot medical NER tasks, it is important to note that they still encounter some challenges, such as misidentification, wrong template prediction, etc. Building on previous findings, we introduce a simple and effective method called RT (Retrieving and Thinking), which serves as retrievers, finding relevant examples, and as thinkers, employing a step-by-step reasoning process. Experimental results show that our proposed RT framework significantly outperforms the strong open baselines on the two open medical benchmark datasets

A common thread of retrieval-augmented methods in the existing literature focuses on retrieving encyclopedic knowledge, such as Wikipedia, which facilitates well-defined entity and relation spaces that can be modeled. However, applying such methods to commonsense reasoning tasks faces two unique challenges, i.e., the lack of a general large-scale corpus for retrieval and a corresponding effective commonsense retriever. In this paper, we systematically investigate how to leverage commonsense knowledge retrieval to improve commonsense reasoning tasks. We proposed a unified framework of retrieval-augmented commonsense reasoning (called RACo), including a newly constructed commonsense corpus with over 20 million documents and novel strategies for training a commonsense retriever. We conducted experiments on four different commonsense reasoning tasks. Extensive evaluation results showed that our proposed RACo can significantly outperform other knowledge-enhanced method counterparts, achieving new SoTA performance on the CommonGen and CREAK leaderboards.

Developing accurate biomedical Question Answering (QA) systems in low-resource languages remains a major challenge, limiting equitable access to reliable medical knowledge. This paper introduces BanglaMedQA and BanglaMMedBench, the first large-scale Bangla biomedical Multiple Choice Question (MCQ) datasets designed to evaluate reasoning and retrieval in medical artificial intelligence (AI). The study applies and benchmarks several Retrieval-Augmented Generation (RAG) strategies, including Traditional, Zero-Shot Fallback, Agentic, Iterative Feedback, and Aggregate RAG, combining textbook-based and web retrieval with generative reasoning to improve factual accuracy. A key novelty lies in integrating a Bangla medical textbook corpus through Optical Character Recognition (OCR) and implementing an Agentic RAG pipeline that dynamically selects between retrieval and reasoning strategies. Experimental results show that the Agentic RAG achieved the highest accuracy 89.54% with openai/gpt-oss-120b, outperforming other configurations and demonstrating superior rationale quality. These findings highlight the potential of RAG-based methods to enhance the reliability and accessibility of Bangla medical QA, establishing a foundation for future research in multilingual medical artificial intelligence.

Composing knowledge from multiple pieces of texts is a key challenge in multi-hop question answering. We present a multi-hop reasoning dataset, Question Answering via Sentence Composition(QASC), that requires retrieving facts from a large corpus and composing them to answer a multiple-choice question. QASC is the first dataset to offer two desirable properties: (a) the facts to be composed are annotated in a large corpus, and (b) the decomposition into these facts is not evident from the question itself. The latter makes retrieval challenging as the system must introduce new concepts or relations in order to discover potential decompositions. Further, the reasoning model must then learn to identify valid compositions of these retrieved facts using common-sense reasoning. To help address these challenges, we provide annotation for supporting facts as well as their composition. Guided by these annotations, we present a two-step approach to mitigate the retrieval challenges. We use other multiple-choice datasets as additional training data to strengthen the reasoning model. Our proposed approach improves over current state-of-the-art language models by 11% (absolute). The reasoning and retrieval problems, however, remain unsolved as this model still lags by 20% behind human performance.

Recently, deep learning-based language models have significantly enhanced text-to-SQL tasks, with promising applications in retrieving patient records within the medical domain. One notable challenge in such applications is discerning unanswerable queries. Through fine-tuning model, we demonstrate the feasibility of converting medical record inquiries into SQL queries. Additionally, we introduce an entropy-based method to identify and filter out unanswerable results. We further enhance result quality by filtering low-confidence SQL through log probability-based distribution, while grammatical and schema errors are mitigated by executing queries on the actual database. We experimentally verified that our method can filter unanswerable questions, which can be widely utilized even when the parameters of the model are not accessible, and that it can be effectively utilized in practice.

Large language models (LLMs), particularly those with reasoning capabilities, have rapidly advanced in recent years, demonstrating significant potential across a wide range of applications. However, their deployment in healthcare, especially in disease reasoning tasks, is hindered by the challenge of acquiring expert-level cognitive data. In this paper, we introduce Citrus, a medical language model that bridges the gap between clinical expertise and AI reasoning by emulating the cognitive processes of medical experts. The model is trained on a large corpus of simulated expert disease reasoning data, synthesized using a novel approach that accurately captures the decision-making pathways of clinicians. This approach enables Citrus to better simulate the complex reasoning processes involved in diagnosing and treating medical conditions.To further address the lack of publicly available datasets for medical reasoning tasks, we release the last-stage training data, including a custom-built medical diagnostic dialogue dataset. This open-source contribution aims to support further research and development in the field. Evaluations using authoritative benchmarks such as MedQA, covering tasks in medical reasoning and language understanding, show that Citrus achieves superior performance compared to other models of similar size. These results highlight Citrus potential to significantly enhance medical decision support systems, providing a more accurate and efficient tool for clinical decision-making.

Retrieval-augmented models have proven to be effective in natural language processing tasks, yet there remains a lack of research on their optimization using variational inference. We introduce the Variational Open-Domain (VOD) framework for end-to-end training and evaluation of retrieval-augmented models, focusing on open-domain question answering and language modelling. The VOD objective, a self-normalized estimate of the R\'enyi variational bound, approximates the task marginal likelihood and is evaluated under samples drawn from an auxiliary sampling distribution (cached retriever and/or approximate posterior). It remains tractable, even for retriever distributions defined on large corpora. We demonstrate VOD's versatility by training reader-retriever BERT-sized models on multiple-choice medical exam questions. On the MedMCQA dataset, we outperform the domain-tuned Med-PaLM by +5.3% despite using 2.500times fewer parameters. Our retrieval-augmented BioLinkBERT model scored 62.9% on the MedMCQA and 55.0% on the MedQA-USMLE. Last, we show the effectiveness of our learned retriever component in the context of medical semantic search.

The question-answering system for Life science research, which is characterized by the rapid pace of discovery, evolving insights, and complex interactions among knowledge entities, presents unique challenges in maintaining a comprehensive knowledge warehouse and accurate information retrieval. To address these issues, we introduce BioRAG, a novel Retrieval-Augmented Generation (RAG) with the Large Language Models (LLMs) framework. Our approach starts with parsing, indexing, and segmenting an extensive collection of 22 million scientific papers as the basic knowledge, followed by training a specialized embedding model tailored to this domain. Additionally, we enhance the vector retrieval process by incorporating a domain-specific knowledge hierarchy, which aids in modeling the intricate interrelationships among each query and context. For queries requiring the most current information, BioRAG deconstructs the question and employs an iterative retrieval process incorporated with the search engine for step-by-step reasoning. Rigorous experiments have demonstrated that our model outperforms fine-tuned LLM, LLM with search engines, and other scientific RAG frameworks across multiple life science question-answering tasks.

Large reasoning models (LRMs) have shown significant progress in test-time scaling through chain-of-thought prompting. Current approaches like search-o1 integrate retrieval augmented generation (RAG) into multi-step reasoning processes but rely on a single, linear reasoning chain while incorporating unstructured textual information in a flat, context-agnostic manner. As a result, these approaches can lead to error accumulation throughout the reasoning chain, which significantly limits its effectiveness in medical question-answering (QA) tasks where both accuracy and traceability are critical requirements. To address these challenges, we propose MIRAGE (Multi-chain Inference with Retrieval-Augmented Graph Exploration), a novel test-time scalable reasoning framework that performs dynamic multi-chain inference over structured medical knowledge graphs. Specifically, MIRAGE 1) decomposes complex queries into entity-grounded sub-questions, 2) executes parallel inference chains, 3) retrieves evidence adaptively via neighbor expansion and multi-hop traversal, and 4) integrates answers using cross-chain verification to resolve contradictions. Experiments on three medical QA benchmarks (GenMedGPT-5k, CMCQA, and ExplainCPE) show that MIRAGE consistently outperforms GPT-4o, Tree-of-Thought variants, and other retrieval-augmented baselines in both automatic and human evaluations. Additionally, MIRAGE improves interpretability by generating explicit reasoning chains that trace each factual claim to concrete chains within the knowledge graph, making it well-suited for complex medical reasoning scenarios. The code will be available for further research.

Large reasoning models have recently made significant strides in mathematical and code reasoning, yet their success has not transferred smoothly to the medical domain. While multiple factors contribute to this disparity, a critical issue is the inadequate focus on the quality of intermediate reflection steps, which is particularly crucial in high-stakes medical scenarios. To address this challenge, we propose Med-REFL, a \textbf{Med}ical \textbf{R}easoning \textbf{E}nhancement via self-corrected \textbf{F}ine-grained ref\textbf{L}ection. Our method leverages a tree-of-thought approach to decompose medical questions into fine-grained reasoning paths, quantitatively evaluating each step and its subsequent reflections. These assessments enable automatic construction of direct preference optimization data, reducing reliance on expensive expert annotations while guiding models to identify and correct reasoning errors. Experimental results on the MedQA-USMLE benchmark demonstrate Med-REFL achieves consistent improvements, with average gains up to 4.11\%. Notably, it further boosts the state-of-the-art performance of 7B/8B models by an additional 4.13\%. Furthermore, Med-REFL exhibits strong generalization capabilities and robustness across several challenging medical question-answering datasets. Our work illustrates that prioritizing reflection quality leads to more accurate and trustworthy reasoning in medical AI applications. Checkpoints, code, and data can be found https://github.com/TianYin123/Med-REFL{here}.

Efficiently acquiring external knowledge and up-to-date information is essential for effective reasoning and text generation in large language models (LLMs). Retrieval augmentation and tool-use training approaches where a search engine is treated as a tool lack complex multi-turn retrieval flexibility or require large-scale supervised data. Prompting advanced LLMs with reasoning capabilities during inference to use search engines is not optimal, since the LLM does not learn how to optimally interact with the search engine. This paper introduces Search-R1, an extension of the DeepSeek-R1 model where the LLM learns -- solely through reinforcement learning (RL) -- to autonomously generate (multiple) search queries during step-by-step reasoning with real-time retrieval. Search-R1 optimizes LLM rollouts with multi-turn search interactions, leveraging retrieved token masking for stable RL training and a simple outcome-based reward function. Experiments on seven question-answering datasets show that Search-R1 improves performance by 26% (Qwen2.5-7B), 21% (Qwen2.5-3B), and 10% (LLaMA3.2-3B) over SOTA baselines. This paper further provides empirical insights into RL optimization methods, LLM choices, and response length dynamics in retrieval-augmented reasoning. The code and model checkpoints are available at https://github.com/PeterGriffinJin/Search-R1.

A promising application of AI to healthcare is the retrieval of information from electronic health records (EHRs), e.g. to aid clinicians in finding relevant information for a consultation or to recruit suitable patients for a study. This requires search capabilities far beyond simple string matching, including the retrieval of concepts (diagnoses, symptoms, medications, etc.) related to the one in question. The suitability of AI methods for such applications is tested by predicting the relatedness of concepts with known relatedness scores. However, all existing biomedical concept relatedness datasets are notoriously small and consist of hand-picked concept pairs. We open-source a novel concept relatedness benchmark overcoming these issues: it is six times larger than existing datasets and concept pairs are chosen based on co-occurrence in EHRs, ensuring their relevance for the application of interest. We present an in-depth analysis of our new dataset and compare it to existing ones, highlighting that it is not only larger but also complements existing datasets in terms of the types of concepts included. Initial experiments with state-of-the-art embedding methods show that our dataset is a challenging new benchmark for testing concept relatedness models.

Retrieval-Augmented Generation (RAG) based on Large Language Models (LLMs) is a powerful solution to understand and query the industry's closed-source documents. However, basic RAG often struggles with complex QA tasks in legal and regulatory domains, particularly when dealing with numerous government documents. The top-k strategy frequently misses golden chunks, leading to incomplete or inaccurate answers. To address these retrieval bottlenecks, we explore two strategies to improve evidence coverage and answer quality. The first is a One-SHOT retrieval method that adaptively selects chunks based on a token budget, allowing as much relevant content as possible to be included within the model's context window. Additionally, we design modules to further filter and refine the chunks. The second is an iterative retrieval strategy built on a Reasoning Agentic RAG framework, where a reasoning LLM dynamically issues search queries, evaluates retrieved results, and progressively refines the context over multiple turns. We identify query drift and retrieval laziness issues and further design two modules to tackle them. Through extensive experiments on a dataset of government documents, we aim to offer practical insights and guidance for real-world applications in legal and regulatory domains.

In this work, we focus on the problem of retrieving relevant arguments for a query claim covering diverse aspects. State-of-the-art methods rely on explicit mappings between claims and premises, and thus are unable to utilize large available collections of premises without laborious and costly manual annotation. Their diversity approach relies on removing duplicates via clustering which does not directly ensure that the selected premises cover all aspects. This work introduces a new multi-step approach for the argument retrieval problem. Rather than relying on ground-truth assignments, our approach employs a machine learning model to capture semantic relationships between arguments. Beyond that, it aims to cover diverse facets of the query, instead of trying to identify duplicates explicitly. Our empirical evaluation demonstrates that our approach leads to a significant improvement in the argument retrieval task even though it requires less data.

The Retrieval-Augmented Language Model (RALM) has shown remarkable performance on knowledge-intensive tasks by incorporating external knowledge during inference, which mitigates the factual hallucinations inherited in large language models (LLMs). Despite these advancements, challenges persist in the implementation of RALMs, particularly concerning their reliability and traceability. To be specific, the irrelevant document retrieval may result in unhelpful response generation or even deteriorate the performance of LLMs, while the lack of proper citations in generated outputs complicates efforts to verify the trustworthiness of the models. To this end, we propose a novel self-reasoning framework aimed at improving the reliability and traceability of RALMs, whose core idea is to leverage reasoning trajectories generated by the LLM itself. The framework involves constructing self-reason trajectories with three processes: a relevance-aware process, an evidence-aware selective process, and a trajectory analysis process. We have evaluated our framework across four public datasets (two short-form QA datasets, one long-form QA dataset, and one fact verification dataset) to demonstrate the superiority of our method, which can outperform existing state-of-art models and can achieve comparable performance with GPT-4, while only using 2,000 training samples.

The increasing concern with misinformation has stimulated research efforts on automatic fact checking. The recently-released FEVER dataset introduced a benchmark fact-verification task in which a system is asked to verify a claim using evidential sentences from Wikipedia documents. In this paper, we present a connected system consisting of three homogeneous neural semantic matching models that conduct document retrieval, sentence selection, and claim verification jointly for fact extraction and verification. For evidence retrieval (document retrieval and sentence selection), unlike traditional vector space IR models in which queries and sources are matched in some pre-designed term vector space, we develop neural models to perform deep semantic matching from raw textual input, assuming no intermediate term representation and no access to structured external knowledge bases. We also show that Pageview frequency can also help improve the performance of evidence retrieval results, that later can be matched by using our neural semantic matching network. For claim verification, unlike previous approaches that simply feed upstream retrieved evidence and the claim to a natural language inference (NLI) model, we further enhance the NLI model by providing it with internal semantic relatedness scores (hence integrating it with the evidence retrieval modules) and ontological WordNet features. Experiments on the FEVER dataset indicate that (1) our neural semantic matching method outperforms popular TF-IDF and encoder models, by significant margins on all evidence retrieval metrics, (2) the additional relatedness score and WordNet features improve the NLI model via better semantic awareness, and (3) by formalizing all three subtasks as a similar semantic matching problem and improving on all three stages, the complete model is able to achieve the state-of-the-art results on the FEVER test set.

Answering real-world user queries, such as product search, often requires accurate retrieval of information from semi-structured knowledge bases or databases that involve blend of unstructured (e.g., textual descriptions of products) and structured (e.g., entity relations of products) information. However, previous works have mostly studied textual and relational retrieval tasks as separate topics. To address the gap, we develop STARK, a large-scale Semi-structure retrieval benchmark on Textual and Relational Knowledge Bases. We design a novel pipeline to synthesize natural and realistic user queries that integrate diverse relational information and complex textual properties, as well as their ground-truth answers. Moreover, we rigorously conduct human evaluation to validate the quality of our benchmark, which covers a variety of practical applications, including product recommendations, academic paper searches, and precision medicine inquiries. Our benchmark serves as a comprehensive testbed for evaluating the performance of retrieval systems, with an emphasis on retrieval approaches driven by large language models (LLMs). Our experiments suggest that the STARK datasets present significant challenges to the current retrieval and LLM systems, indicating the demand for building more capable retrieval systems that can handle both textual and relational aspects.

In this study, we introduced a new benchmark consisting of a curated dataset and a defined evaluation process to assess the compositional reasoning capabilities of large language models within the chemistry domain. We designed and validated a fully automated pipeline, verified by subject matter experts, to facilitate this task. Our approach integrates OpenAI reasoning models with named entity recognition (NER) systems to extract chemical entities from recent literature, which are then augmented with external knowledge bases to form a comprehensive knowledge graph. By generating multi-hop questions across these graphs, we assess LLM performance in both context-augmented and non-context augmented settings. Our experiments reveal that even state-of-the-art models face significant challenges in multi-hop compositional reasoning. The results reflect the importance of augmenting LLMs with document retrieval, which can have a substantial impact on improving their performance. However, even perfect retrieval accuracy with full context does not eliminate reasoning errors, underscoring the complexity of compositional reasoning. This work not only benchmarks and highlights the limitations of current LLMs but also presents a novel data generation pipeline capable of producing challenging reasoning datasets across various domains. Overall, this research advances our understanding of reasoning in computational linguistics.

High-quality and carefully curated data is a cornerstone of training medical large language models, as it directly impacts both generalization and robustness to unseen clinical tasks. We investigate strategies for training and data curation to develop a robust multimodal reasoning model in the medical domain. Our work focuses on supervised fine-tuning (SFT) and explores data recipes that leverage structured reasoning traces. Using our proposed data recipe, we scale experiments to a dataset of over 8 million examples and 6.8 billion response tokens, achieving state-of-the-art performance among open-source models across diverse out-of-distribution medical benchmark tasks. Our results further indicate that curating a high-quality, diverse training dataset with varying structured reasoning trace lengths enables the fine-tuned model to self-calibrate its reasoning trajectory lengths based on the downstream task, without explicit supervision. We present key insights, describe the data curation strategy, and outline next steps toward developing robust medical vision-language reasoning system.

When re-finding items, users who forget or are uncertain about identifying details often rely on creative strategies for expressing their information needs -- complex queries that describe content elements (e.g., book characters or events), information beyond the document text (e.g., descriptions of book covers), or personal context (e.g., when they read a book). This retrieval setting, called tip of the tongue (TOT), is especially challenging for models heavily reliant on lexical and semantic overlap between query and document text. In this work, we introduce a simple yet effective framework for handling such complex queries by decomposing the query into individual clues, routing those as sub-queries to specialized retrievers, and ensembling the results. This approach allows us to take advantage of off-the-shelf retrievers (e.g., CLIP for retrieving images of book covers) or incorporate retriever-specific logic (e.g., date constraints). We show that our framework incorportating query decompositions into retrievers can improve gold book recall up to 7% relative again for Recall@5 on a new collection of 14,441 real-world query-book pairs from an online community for resolving TOT inquiries.

This study presents a comprehensive analysis and comparison of two predominant fine-tuning methodologies - full-parameter fine-tuning and parameter-efficient tuning - within the context of medical Large Language Models (LLMs). We developed and refined a series of LLMs, based on the Llama-2 architecture, specifically designed to enhance medical knowledge retrieval, reasoning, and question-answering capabilities. Our experiments systematically evaluate the effectiveness of these tuning strategies across various well-known medical benchmarks. Notably, our medical LLM Med42 showed an accuracy level of 72% on the US Medical Licensing Examination (USMLE) datasets, setting a new standard in performance for openly available medical LLMs. Through this comparative analysis, we aim to identify the most effective and efficient method for fine-tuning LLMs in the medical domain, thereby contributing significantly to the advancement of AI-driven healthcare applications.

This paper presents a domain-specific implementation of Retrieval-Augmented Generation (RAG) tailored to the Fair Use Doctrine in U.S. copyright law. Motivated by the increasing prevalence of DMCA takedowns and the lack of accessible legal support for content creators, we propose a structured approach that combines semantic search with legal knowledge graphs and court citation networks to improve retrieval quality and reasoning reliability. Our prototype models legal precedents at the statutory factor level (e.g., purpose, nature, amount, market effect) and incorporates citation-weighted graph representations to prioritize doctrinally authoritative sources. We use Chain-of-Thought reasoning and interleaved retrieval steps to better emulate legal reasoning. Preliminary testing suggests this method improves doctrinal relevance in the retrieval process, laying groundwork for future evaluation and deployment of LLM-based legal assistance tools.