Biomedical IR

IR: Information Retrieval

Overview

Biomedical information retrieval finds evidence in resources such as PubMed, electronic health records, and biomedical knowledge graphs to support literature review, clinical question answering, trial matching, and terminology coding. Systems combine sparse search such as BM25 with dense biomedical encoders, hybrid rank fusion, query expansion, cross-encoder reranking, and structured knowledge from ontologies or constraints. Benchmarks including BioASQ, PubMedQA, TREC-COVID, and clinical-record QA tests measure relevance and downstream answer quality, but gains in retrieval do not always translate into more accurate answers. Key challenges include synthesizing evidence across documents and encounters, handling conflicting or temporally qualified claims, and maintaining performance across languages and complex relational queries.

Latest papers

43 papers7 papers in the last four weeks, up 17% on the four weeks before. 0.0% of all new papers.

May 7, 2026

Self-Driving Datasets: From 20 Million Papers to Nuanced Biomedical Knowledge at Scale

Manually curated biomedical repositories -- spanning bioactivity, genomics, and chemistry -- are expensive to maintain, lag behind primary literature, and discard experimental context, obscuring nuances needed to assess data correctness and coverage. We show that PubMed itself can be autonomously and cost-effectively turned into structured datasets that are larger, more nuanced, and more accurate than the curated databases they replace. We present three coupled contributions: (1) an LLM-based entity-tagging pipeline, grounded in nine biomedical ontologies, that tags 4.5B entities across 19 categories in a 22.5M-paper, 2.5T-token PubMed corpus; (2) hybrid sparse-dense retrieval supporting entity-filtered semantic queries over the tagged corpus; and (3) Starling, a multi-agent deep research system that, given only a natural-language task description, designs precision- and recall-targeted retrieval filters, induces an extraction schema, and emits structured records with nuance-rich fields and supporting passages. Across six tasks -- blood-brain barrier permeability, oral bioavailability, acute toxicity (LD50), gene-disease associations, protein subcellular localization, and chemical reactions -- Starling produces ~6.3M records (91K-3M per task); several are, to our knowledge, the largest public datasets for their property. Frontier-model rejection of our extractions is 0.6-7.7% across tasks, far below error rates we measure on widely used curated counterparts (e.g., 16.5% on BBB_Martins, 7.3% on Bioavailability_Ma). Beyond scale and accuracy, the supporting passages carry nuance tabular databases discard -- e.g., oral bioavailability may depend on fed vs. fasted state. Together, the corpus, retrieval, and agent establish a foundation for AI-driven therapeutic design. Code and datasets: https://github.com/starling-labs/starling.
May 7, 2026

GATHER: Convergence-Centric Hyper-Entity Retrieval for Zero-Shot Cell-Type Annotation

Zero-shot single-cell cell-type annotation aims to determine a cell's type from a given set of expressed genes without any training. Existing knowledge-graph-based RAG approaches retrieve evidence by expanding from source entities and relying on iterative LLM reasoning. However, in this setting each query contains tens to hundreds of genes, where no single gene is decisive and the label emerges only from their collective co-occurrence. Such hyper-entity queries fundamentally challenge local, entity-wise exploration strategies, which reason from individual genes, leading to poor scalability and substantial LLM cost. We propose GATHER (Graph-Aware Traversal with Hyper-Entity Retrieval), a convergence-centric retriever tailored to hyper-entity queries. It performs global multi-source graph traversal and identifies topological convergence points -- nodes jointly reachable from many input genes. These convergence nodes act as high-information hyper-entities that capture entity synergy. By incorporating node- and path-importance scoring, GATHER selects informative evidence entirely without LLM involvement during retrieval. Instantiated on a self-constructed cell-centric biological knowledge graph (VCKG), GATHER outperforms strong KG-RAG baselines (ToG, ToG-2, RoG, PoG) on two datasets (Immune and Lung), achieving the highest exact-match accuracy (27.45% and 59.64%) with only a single LLM call per sample, compared to 2--61 calls for KG-RAG baselines. Our results demonstrate that convergence nodes compress multi-entity signals into compact, high-information evidence that conveys more per item than multi-hop paths, providing an efficient global alternative to local entity-wise reasoning.
May 4, 2026

Benchmarking Retrieval Strategies for Biomedical Retrieval-Augmented Generation: A Controlled Empirical Study

Retrieval-Augmented Generation (RAG) offers a well-established path to grounding large language model (LLM) outputs in external knowledge, yet the question of which retrieval strategy works best in a high-stakes domain such as biomedicine has not received the controlled, multi-metric treatment it deserves. This paper presents a systematic empirical comparison of five retrieval strategies -- Dense Vector Search, Hybrid BM25 + Dense retrieval, Cross-Encoder Reranking, Multi-Query Expansion, and Maximal Marginal Relevance (MMR) -- within a biomedical question-answering RAG pipeline. All strategies share a fixed generation model (GPT-4o-mini), a common vector store (ChromaDB), and OpenAI's text-embedding-3-small embeddings, ensuring that observed differences are attributable to retrieval alone. Evaluation is conducted on 250 question-answer pairs drawn from a preprocessed subset of the BioASQ benchmark (rag-mini-bioasq) using four DeepEval metrics: contextual precision, contextual recall, faithfulness, and answer relevancy, each reported with 95% confidence intervals. A no-context ablation is included as a lower bound. Cross-Encoder Reranking achieves the best composite score (0.827) and highest contextual precision (0.852), confirming that query-document interaction yields measurable retrieval gains. Multi-Query Expansion, despite its recall-oriented design, produces the weakest contextual precision (0.671), suggesting naive query diversification introduces retrieval noise. MMR sacrifices answer relevancy for diversity, while the Dense baseline (composite 0.822) falls within 0.005 points of the top strategy. All RAG conditions dramatically outperform the no-context ablation on answer relevancy (0.658-0.701 vs. 0.287), confirming the practical value of retrieval. The full pipeline, hyperparameters, and evaluation code are publicly available.
Apr 21, 2026

Diagnosable ColBERT: Debugging Late-Interaction Retrieval Models Using a Learned Latent Space as Reference

Reliable biomedical and clinical retrieval requires more than strong ranking performance: it requires a practical way to find systematic model failures and curate the training evidence needed to correct them. Late-interaction models such as ColBERT provide a first solution thanks to the interpretable token-level interaction scores they expose between document and query tokens. Yet this interpretability is shallow: it explains a particular document--query pairwise score, but does not reveal whether the model has learned a clinical concept in a stable, reusable, and context-sensitive way across diverse expressions. As a result, these scores provide limited support for diagnosing misunderstandings, identifying irreasonably distant biomedical concepts, or deciding what additional data or feedback is needed to address this. In this short position paper, we propose Diagnosable ColBERT, a framework that aligns ColBERT token embeddings to a reference latent space grounded in clinical knowledge and expert-provided conceptual similarity constraints. This alignment turns document encodings into inspectable evidence of what the model appears to understand, enabling more direct error diagnosis and more principled data curation without relying on large batteries of diagnostic queries.
Apr 17, 2026

BioHiCL: Hierarchical Multi-Label Contrastive Learning for Biomedical Retrieval with MeSH Labels

Effective biomedical information retrieval requires modeling domain semantics and hierarchical relationships among biomedical texts. Existing biomedical generative retrievers build on coarse binary relevance signals, limiting their ability to capture semantic overlap. We propose BioHiCL (Biomedical Retrieval with Hierarchical Multi-Label Contrastive Learning), which leverages hierarchical MeSH annotations to provide structured supervision for multi-label contrastive learning. Our models, BioHiCL-Base (0.1B) and BioHiCL-Large (0.3B), achieve promising performance on biomedical retrieval, sentence similarity, and question answering tasks, while remaining computationally efficient for deployment.
Apr 15, 2026

Hybrid Retrieval for COVID-19 Literature: Comparing Rank Fusion and Projection Fusion with Diversity Reranking

We present a hybrid retrieval system for COVID-19 scientific literature, evaluated on the TREC-COVID benchmark (171,332 papers, 50 expert queries). The system implements six retrieval configurations spanning sparse (SPLADE), dense (BGE), rank-level fusion (RRF), and a projection-based vector fusion (B5) approach. RRF fusion achieves the best relevance (nDCG@10 = 0.828), outperforming dense-only by 6.1% and sparse-only by 14.9%. Our projection fusion variant reaches nDCG@10 = 0.678 on expert queries while being 33% faster (847 ms vs. 1271 ms) and producing 2.2x higher ILD@10 than RRF. Evaluation across 400 queries -- including expert, machine-generated, and three paraphrase styles -- shows that B5 delivers the largest relative gain on keyword-heavy reformulations (+8.8%), although RRF remains best in absolute nDCG@10. On expert queries, MMR reranking increases intra-list diversity by 23.8-24.5% at a 20.4-25.4% nDCG@10 cost. Both fusion pipelines evaluated for latency remain below the sub-2 s target across all query sets. The system is deployed as a Streamlit web application backed by Pinecone serverless indices.
Apr 10, 2026

SatIR: Scalable High-Recall Constraint-Satisfaction-Based Information Retrieval for Clinical Trials Matching

Many real-world retrieval and matching problems require more than topical relevance: a candidate must satisfy the specific constraints of one profile among many, not just be relevant to it. Clinical trials are a high-stakes instance of this challenge: they are central to evidence-based medicine, yet many struggle to meet enrollment targets, despite the availability of over half a million trials listed on ClinicalTrials.gov, which attracts approximately two million users monthly. Existing retrieval techniques, largely based on keyword and embedding-similarity matching, treat eligibility constraints as soft signals rather than binding requirements, resulting in low recall, low precision, and limited interpretability. We propose SatIR, a scalable, efficient, high-precision, high-recall, interpretable clinical trial retrieval method based on formal constraint satisfaction. Leveraging established medical ontologies, we use Large Language Models (LLMs) to convert informal reasoning -- regarding ambiguity, implicit clinical assumptions, and incomplete patient records -- into explicit, precise, controllable, and interpretable formal Satisfiability Modulo Theories (SMT) constraints. For scalable and efficient retrieval, we project the SMT matching problem onto relational algebra, enabling an efficient database implementation that retains high recall while sacrificing little precision. SatIR consistently improves eligibility-aware retrieval over similarity-based baselines on the SIGIR 2016 dataset and a benchmark derived from TREC 2022. Relative to TrialGPT-style retrieval, SatIR retrieves 32%-72% more relevant-and-eligible trials per patient on SIGIR 2016 and achieves 1.8-3.2x higher eligible-trial recall on the TREC benchmark. Retrieval is fast, requiring only 146 milliseconds per patient over 3,621 SIGIR trials.
Mar 28, 2026

PubMed Reasoner: Dynamic Reasoning-based Retrieval for Evidence-Grounded Biomedical Question Answering

Trustworthy biomedical question answering (QA) systems must not only provide accurate answers but also justify them with current, verifiable evidence. Retrieval-augmented approaches partially address this gap but lack mechanisms to iteratively refine poor queries, whereas self-reflection methods kick in only after full retrieval is completed. In this context, we introduce PubMed Reasoner, a biomedical QA agent composed of three stages: self-critic query refinement evaluates MeSH terms for coverage, alignment, and redundancy to enhance PubMed queries based on partial (metadata) retrieval; reflective retrieval processes articles in batches until sufficient evidence is gathered; and evidence-grounded response generation produces answers with explicit citations. PubMed Reasoner with a GPT-4o backbone achieves 78.32% accuracy on PubMedQA, slightly surpassing human experts, and showing consistent gains on MMLU Clinical Knowledge. Moreover, LLM-as-judge evaluations prefer our responses across: reasoning soundness, evidence grounding, clinical relevance, and trustworthiness. By orchestrating retrieval-first reasoning over authoritative sources, our approach provides practical assistance to clinicians and biomedical researchers while controlling compute and token costs.
Mar 23, 2026

Graph-Aware Late Chunking for Retrieval-Augmented Generation in Biomedical Literature

Retrieval-Augmented Generation (RAG) systems for biomedical literature are typically evaluated using ranking metrics like Mean Reciprocal Rank (MRR), which measure how well the system identifies the single most relevant chunk. We argue that for full-text scientific documents, this paradigm is incomplete: it rewards retrieval precision while ignoring retrieval breadth -- the ability to surface evidence from across a document's structural sections. We propose GraLC-RAG, a framework that unifies late chunking with graph-aware structural intelligence, introducing structure-aware chunk boundary detection, UMLS knowledge graph infusion, and graph-guided hybrid retrieval. We evaluate six strategies on 2,359 IMRaD-filtered PubMed Central articles using 2,033 cross-section questions and two metric families: standard ranking metrics (MRR, Recall@k) and structural coverage metrics (SecCov@k, CS Recall). Our results expose a sharp divergence: content-similarity methods achieve the highest MRR (0.517) but always retrieve from a single section, while structure-aware methods retrieve from up to 15.6x more sections. Generation experiments show that KG-infused retrieval narrows the answer-quality gap to delta-F1 = 0.009 while maintaining 4.6x section diversity. These findings demonstrate that standard metrics systematically undervalue structural retrieval and that closing the multi-section synthesis gap is a key open problem for biomedical RAG.
Mar 21, 2026

Errors in AI-Assisted Retrieval of Medical Literature: A Comparative Study

Large language models (LLMs) assisted literature retrieval may lead to erroneous references, but these errors have not been rigorously quantified. Therefore, we quantitatively assess errors in reference retrieval of widely used free-version LLM platforms and identify the factors associated with retrieval errors. We evaluated 2,000 references retrieved by 5 LLMs (Grok-2, ChatGPT GPT-4.1, Google Gemini Flash 2.5, Perplexity AI, and DeepSeek GPT-4) for 40 randomly-selected original articles (10 per journal) published Jan. 2024 to July 2025 from British Medical Journal (BMJ), Journal of the American Medical Association, and The New England Journal of Medicine (NEJM). Primary outcomes were a multimetric score ratio combining validity of digital object identifier, PubMed ID, Google-Scholar link, and relevance; and complete miss rate (proportion of references failing all applicable metrics). Multivariable regression was used to examine independent associations. LLM platforms completely failed to retrieve correct reference data 47.8% of the time. The average score ratio of the 5 LLM platforms was 0.29 (standard deviation, 0.35; range, 0-1.25), with a higher score ratio indicating a higher accuracy in retrieving relevant references and correct bibliographic data. The highest and lowest accuracies were achieved by Grok (0.57) and Genimi (0.11), respectively. Compared with BMJ, NEJM articles had lower score ratios and higher complete miss rates. Multivariable analysis shows LLM platforms and journals were independently associated with score ratios and complete miss rate, respectively. We show modest overall performance of LLMs and significant variability in retrieval accuracy across platforms and journals. LLM platforms and journals are associated with LLM's performance in retrieving medical literature. Bibliographic data should be carefully reviewed when using LLM-assisted literature retrieval.
Mar 12, 2026

ELISA: An Interpretable Hybrid Generative AI Agent for Expression-Grounded Discovery in Single-Cell Genomics

Translating single-cell RNA sequencing (scRNA-seq) data into mechanistic biological hypotheses remains a critical bottleneck, as agentic AI systems lack direct access to transcriptomic representations while expression foundation models remain opaque to natural language. Here we introduce ELISA (Embedding-Linked Interactive Single-cell Agent), an interpretable framework that unifies scGPT expression embeddings with BioBERT-based semantic retrieval and LLM-mediated interpretation for interactive single-cell discovery. An automatic query classifier routes inputs to gene marker scoring, semantic matching, or reciprocal rank fusion pipelines depending on whether the query is a gene signature, natural language concept, or mixture of both. Integrated analytical modules perform pathway activity scoringacross 60+ gene sets, ligand-receptor interaction prediction using 280+ curated pairs, condition-aware comparative analysis, and cell-type proportion estimation all operating directly on embedded data without access to the original count matrix. Benchmarked across six diverse scRNA-seq datasets spanning inflammatory lung disease, pediatric and adult cancers, organoid models, healthy tissue, and neurodevelopment, ELISA significantly outperforms CellWhisperer, a classical lexical retriever (BM25), and a random baseline in cell type retrieval (combined permutation test, p<2×10−5p < 2\times10^{-5} for each), with particularly large gains on gene-signature queries (Cohen's d=5.98d = 5.98 for MRR). ELISA replicates published biological findings (mean composite score 0.88), and generates candidate hypotheses through grounded LLM reasoning, bridging the gap between transcriptomic data exploration and biological discovery.
Mar 9, 2026

PathoScribe: Transforming Pathology Data into a Living Library with a Unified LLM-Driven Framework for Semantic Retrieval and Clinical Integration

Pathology underpins modern diagnosis and cancer care, yet its most valuable asset, the accumulated experience encoded in millions of narrative reports, remains largely inaccessible. Although institutions are rapidly digitizing pathology workflows, storing data without effective mechanisms for retrieval and reasoning risks transforming archives into a passive data repository, where institutional knowledge exists but cannot meaningfully inform patient care. True progress requires not only digitization, but the ability for pathologists to interrogate prior similar cases in real time while evaluating a new diagnostic dilemma. We present PathoScribe, a unified retrieval-augmented large language model (LLM) framework designed to transform static pathology archives into a searchable, reasoning-enabled living library. PathoScribe enables natural language case exploration, automated cohort construction, clinical question answering, immunohistochemistry (IHC) panel recommendation, and prompt-controlled report transformation within a single architecture. Evaluated on 70,000 multi-institutional surgical pathology reports, PathoScribe achieved perfect Recall@10 for natural language case retrieval and demonstrated high-quality retrieval-grounded reasoning (mean reviewer score 4.56/5). Critically, the system operationalized automated cohort construction from free-text eligibility criteria, assembling research-ready cohorts in minutes (mean 9.2 minutes) with 91.3% agreement to human reviewers and no eligible cases incorrectly excluded, representing orders-of-magnitude reductions in time and cost compared to traditional manual chart review. This work establishes a scalable foundation for converting digital pathology archives from passive storage systems into active clinical intelligence platforms.
Feb 4, 2026

Modular Expert Merging for Biomedical Retrieval

Adapting general-purpose LLMs into domain-specialized dense retrievers typically requires large-scale training on mixed-domain data. We show that merging independently trained domain-specialized experts consistently exceeds this approach across four decoder-only LLM families (0.6B-7B), four merging methods, and twelve medical and general retrieval tasks from MTEB, suggesting that parameter-space composition captures complementary domain strengths that large-scale mixed-domain training averages out. To further maximize expert quality, we introduce Synthesize-Train-Merge (STM), a modular framework that synthesizes hard negatives with a top-tier LLM and fine-tunes domain-specialized experts via LoRA before merging them, without continual pre-training. Synthesized hard negatives yield the largest gains for smaller models, and STM achieves strong performance on biomedical retrieval tasks while maintaining competitive general-domain results across all four backbone families.