ArticleBioinformatics (Oxford, England)2024
Biomedical knowledge graph-optimized prompt generation for large language models.
Article in Bioinformatics (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Computational paradigms for antimicrobial resistance prediction: integrating multi-omics, structural modeling, and foundation artificial intelligence systems.Briefings in bioinformatics · 2026Pooled it
- Improving large language model applications in biomedicine with retrieval-augmented generation: a systematic review, meta-analysis, and clinical development guidelines.Journal of the American Medical Informatics Association : JAMIA · 2025Pooled it
- AResKGLM: a graph-grounded language-model framework for interpretable multi-hop antimicrobial resistance reasoning.Briefings in bioinformatics · 2026Article
- DentalEdu-AI graph: mapping evidence-grounded and knowledge-structured AI for dental education, assessment, and accuracy.The Saudi dental journal · 2026Article
- Evaluation Methods for Inference-Time Retrieval-Augmented and Graph Retrieval-Augmented Large Language Models in Health Care: Scoping Review.Journal of medical Internet research · 2026Article
- Integrating Clinical and Systemic Knowledge in Periodontal and Peri-Implant Disease Education Through a Knowledge Graph.Journal of dental education · 2026Article
- iS2C2: a cointelligent platform for mechanistic discovery of disease cellular crosstalk.Signal transduction and targeted therapy · 2026Article
- Enhancing the capabilities of large language models for API calls through knowledge graphs.Scientific reports · 2026Article
- Bridging data and discovery: a survey on knowledge graphs in AI for science.National science review · 2026Review
- RAG-based architectures for drug side effect retrieval using compact LLMs.Scientific reports · 2026Article
- Knowledge graph-augmented large language models for reconstructing life course risk pathways: a gestational diabetes mellitus-to-dementia case study.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Review of Artificial Intelligence for Clinical Use in Alzheimer's Disease and Related Dementias.Seminars in neurology · 2026Review
- Federated knowledge retrieval elevates large language model performance on biomedical benchmarks.GigaScience · 2026Article
- An agentic AI framework connecting language models to electronic health records and a biomedical knowledge graph for real-world evidence.Frontiers in artificial intelligence · 2026Article
- Desiderata for a biomedical knowledge network: opportunities, challenges and future directions.Bioinformatics advances · 2026Article
- Systematic discovery of disease-modifying targets by prediction from knowledge graph-based AI model and experimental validation: Parkinson's disease case.Computational and structural biotechnology journal · 2026Article
- AI-Driven Medical Device Risk Management: A New Paradigm Integrating Large Language Models and Prompt Engineering for Standard-Risk Knowledge Graph Construction and Application.Risk management and healthcare policy · 2026Article
- Optimising large language models for clinical information extraction: a benchmarking study in the context of ulcerative colitis research.BMJ digital health & AI · 2025Article
- Large Language Models in Bio-Ontology Research: A Review.Bioengineering (Basel, Switzerland) · 2025Review
- Improving Large Language Model Applications in the Medical and Nursing Domains With Retrieval-Augmented Generation: Scoping Review.Journal of medical Internet research · 2025Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
motivationLarge language models (LLMs) are being adopted at an unprecedented rate, yet still face challenges in knowledge-intensive domains such as biomedicine. Solutions such as pretraining and domain-specific fine-tuning add substantial computational overhead, requiring further domain-expertise. Here, we introduce a token-optimized and robust Knowledge Graph-based Retrieval Augmented Generation (KG-RAG) framework by leveraging a massive biomedical KG (SPOKE) with LLMs such as Llama-2-13b, GPT-3.5-Turbo, and GPT-4, to generate meaningful biomedical text rooted in established knowledge.
resultsCompared to the existing RAG technique for Knowledge Graphs, the proposed method utilizes minimal graph schema for context extraction and uses embedding methods for context pruning. This optimization in context extraction results in more than 50% reduction in token consumption without compromising the accuracy, making a cost-effective and robust RAG implementation on proprietary LLMs. KG-RAG consistently enhanced the performance of LLMs across diverse biomedical prompts by generating responses rooted in established knowledge, accompanied by accurate provenance and statistical evidence (if available) to substantiate the claims. Further benchmarking on human curated datasets, such as biomedical true/false and multiple-choice questions (MCQ), showed a remarkable 71% boost in the performance of the Llama-2 model on the challenging MCQ dataset, demonstrating the framework's capacity to empower open-source models with fewer parameters for domain-specific questions. Furthermore, KG-RAG enhanced the performance of proprietary GPT models, such as GPT-3.5 and GPT-4. In summary, the proposed framework combines explicit and implicit knowledge of KG and LLM in a token optimized fashion, thus enhancing the adaptability of general-purpose LLMs to tackle domain-specific questions in a cost-effective fashion. AVAILABILITY AND IMPLEMENTATION: SPOKE KG can be accessed at https://spoke.rbvi.ucsf.edu/neighborhood.html. It can also be accessed using REST-API (https://spoke.rbvi.ucsf.edu/swagger/). KG-RAG code is made available at https://github.com/BaranziniLab/KG_RAG. Biomedical benchmark datasets used in this study are made available to the research community in the same GitHub repository.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.