Evidence map›Paper›PMID 41270181›Full record

ArticleScience advances2025

Benchmarking retrieval-augmented large language models in biomedical NLP: Application, robustness, and self-awareness.

Mingchen Li, Zaifu Zhan, Han Yang, Yongkang Xiao, Huixue Zhou, Jiatan Huang, Rui Zhang

Abstract read
In one paragraph

Article in Science advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. MedQA-CS: Objective Structured Clinical Examination (OSCE)-Style Benchmark for Evaluating LLM Clinical Skills.Proceedings of the conference. Association for Computational Linguistics. European Chapter. Conference · 2026
    Article
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  7. Review
  8. Article
  9. Article
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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

7 authors.

Mingchen LiDivision of Computational Health Sciences, Department of Surgery University of Minnesota, Minneapolis, MN, USA.ORCID 0009-0007-3999-0450
Zaifu ZhanDepartment of Electrical and Computer Engineering, University of Minnesota, Minneapolis, MN, USA.ORCID 0009-0007-5973-2432
Han YangInstitute for Health Informatics University of Minnesota, Minneapolis, MN, USA.ORCID 0009-0000-4322-6753
Yongkang XiaoInstitute for Health Informatics University of Minnesota, Minneapolis, MN, USA.
Huixue ZhouInstitute for Health Informatics University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-6524-5506
Jiatan HuangDivision of Computational Health Sciences, Department of Surgery University of Minnesota, Minneapolis, MN, USA.ORCID 0009-0005-6784-2282
Rui ZhangDivision of Computational Health Sciences, Department of Surgery University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0001-8258-3585

Funding

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
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
FDA HHS U01 FD008720NCCIH NIH HHS R01 AT009457NCI NIH HHS R01 CA287413NIA NIH HHS R01 AG078154
6 · The paper itself

Abstract

To reduce hallucinations in large language models (LLMs), retrieval-augmented LLMs (RALs) retrieve supporting knowledge from external databases. However, their performance on biomedical natural language processing (NLP) tasks remains underexplored. We introduce Biomedical Retrieval-Augmented Generation Benchmark, a comprehensive evaluation framework assessing RALs across five biomedical NLP tasks and 11 datasets, using four testbeds: unlabeled robustness, counterfactual robustness, diverse robustness, and self-awareness. To improve RALs' robustness and negative awareness, we propose a detect-and-correct strategy and a contrastive learning approach. Experimental results show that RALs generally outperform standard LLMs on most biomedical tasks, but still struggle with robustness and self-awareness, particularly under counterfactual and diverse scenarios. Our proposed methods significantly improve performance in robustness to unlabeled and counterfactual data, and increase the model's ability to detect and avoid incorrect predictions. These findings highlight key limitations in current RALs and underscore the need for continued refinement to ensure reliability and accuracy in high-stakes biomedical applications.

Indexed as

BenchmarkingInformation Storage and RetrievalNatural Language ProcessingAlgorithmsHumansLarge Language Models

Identifiers

PMID41270181
PMCPMC12637297

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.