Evidence map›Paper›PMID 40760905›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2025

MMRAG: multi-mode retrieval-augmented generation with large language models for biomedical in-context learning.

Zaifu Zhan, Jun Wang, Shuang Zhou, Jiawen Deng, Rui Zhang

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zaifu ZhanDepartment of Electrical and Computer Engineering, University of Minnesota, Minneapolis, MN 55455, United States.
Jun WangDivision of Computational Health Sciences, Department of Surgery, University of Minnesota, Minneapolis, MN 55455, United States.
Shuang ZhouDivision of Computational Health Sciences, Department of Surgery, University of Minnesota, Minneapolis, MN 55455, United States.
Jiawen DengDepartment of Computer Science and Engineering, University of Minnesota, Minneapolis, MN 55455, United States.
Rui ZhangDivision of Computational Health Sciences, Department of Surgery, University of Minnesota, Minneapolis, MN 55455, United States.ORCID 0000-0001-8258-3585

Funding

Racial disparities in access to kidney transplantationR01DK115629 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI R. Adams Dudley, KIRSTEN L. JOHANSEN · 2018 to 2026
$4.5M
Detecting synergistic effects of pharmacological and non-pharmacological interventions for AD/ADRDR01AG078154 · NIA · UNIVERSITY OF MINNESOTA · PI HUA XU, RUI ZHANG · 2022 to 2026
$4.2M
A Translational Informatics Framework to Mine Efficacy and Safety of Dietary SupplementsR01AT009457 · NCCIH · UNIVERSITY OF MINNESOTA · PI RUI ZHANG · 2017 to 2026
$4.1M
COMBINI: connecting COmplementary Medicine evidence and BIological kNowledge to support Integrative HealthU01AT012871 · NCCIH · UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN · PI Halil Kilicoglu, Cui Tao · 2024 to 2026
$1.9M
SCH: A New Computational Framework for Learning from Imbalanced Biomedical DataR01CA287413 · NCI · UNIVERSITY OF MINNESOTA · PI CUI, YING, SUN, JU · 2023 to 2025
$1.2M
Mining minority enriched AllofUs data for innovative ethnic specific risk prediction modelingR21MD019134 · NIMHD · UNIVERSITY OF MINNESOTA · PI HOU, JUE, WANG, JINHUA · 2023 to 2024
$436k
National Institutes of Health'sNCCIH NIH HHS R01 AT009457NCCIH NIH HHS R01AT009457NCCIH NIH HHS U01 AT012871NCCIH NIH HHS U01AT012871NCI NIH HHS R01 CA287413NCI NIH HHS R01CA287413NIA NIH HHS R01 AG078154NIA NIH HHS R01AG078154NIDDK NIH HHS R01 DK115629NIDDK NIH HHS R01DK115629NIH HHSNIMHD NIH HHS 1R21MD019134-01NIMHD NIH HHS R21 MD019134
6 · The paper itself

Abstract

objectivesTo optimize in-context learning in biomedical natural language processing by improving example selection. MATERIALS AND

methodsWe introduce a novel multi-mode retrieval-augmented generation (MMRAG) framework, which integrates 4 retrieval strategies: (1) Random Mode, selecting examples arbitrarily; (2) Top Mode, retrieving the most relevant examples based on similarity; (3) Diversity Mode, ensuring variation in selected examples; and (4) Class Mode, selecting category-representative examples. This study evaluates MMRAG on 3 core biomedical NLP tasks: Named Entity Recognition (NER), Relation Extraction (RE), and Text Classification (TC). The datasets used include BC2GM for gene and protein mention recognition (NER), DDI for drug-drug interaction extraction (RE), GIT for general biomedical information extraction (RE), and HealthAdvice for health-related text classification (TC). The framework is tested with 2 large language models (Llama-2-7B and Llama-3-8B) and 3 retrievers (Contriever, MedCPT, and BGE-Large) to assess performance across different retrieval strategies.

resultsThe results from the Random Mode indicate that providing more examples in the prompt improves the model's generation performance. Meanwhile, Top Mode and Diversity Mode significantly outperform Random Mode on the RE (DDI) task, achieving an F1 score of 0.9669-a 26.4% improvement. Among the 3 retrievers tested, Contriever outperformed the other 2 in a greater number of experiments. Additionally, Llama 2 and Llama 3 demonstrated varying capabilities across different tasks, with Llama 3 showing a clear advantage in handling NER tasks.

conclusionMMRAG effectively enhances biomedical in-context learning by refining example selection, mitigating data scarcity issues, and demonstrating superior adaptability for NLP-driven healthcare applications.

Indexed as

Data MiningInformation Storage and RetrievalMachine LearningNatural Language ProcessingHumansLarge Language Modelsin-context learninglarge language modelretrieval augmented generation

Identifiers

PMID40760905
PMCPMC12451925

What OpenQuestion holds

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Registered trials

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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.