arXiv:2512.13510cs.AI2025-12被引 5

用证据图强化医疗大模型推理,让每步判断都有临床依据。

MedCEG: Reinforcing Verifiable Medical Reasoning with Critical Evidence Graph

  • 构建关键证据图(CEG)显式监督推理路径,确保逻辑可验证。
  • 在临床案例上超越现有方法,推理链完整且结构正确。
  • 适合医疗AI研发者、临床决策支持系统开发者使用。

具备推理能力的大语言模型在多个领域表现优异。在临床应用中,透明的逐步推理过程能为医生提供有力决策依据。尽管强化学习已有效提升医学推理性能,但其推理过程的准确性和有效性常被忽视。为此,我们提出MedCEG框架,通过关键证据图(CEG)显式监督推理过程,增强医疗语言模型的临床可信推理能力。我们收集了具有挑战性的临床病例,并算法构建每个样本的CEG,以表征高质量可验证的推理路径。为引导推理,引入临床推理过程奖励(Clinical Reasoning Procedure Reward),评估节点覆盖度、结构正确性与链条完整性,实现对推理质量的全面评估。实验表明,MedCEG在性能上优于现有方法,同时生成具有临床有效性的推理链,推动可靠医疗AI推理的发展。代码与模型已开源:https://github.com/LinjieMu/MedCEG。

原文摘要 · Abstract (English)

Large language models with reasoning capabilities have demonstrated impressive performance across a wide range of domains. In clinical applications, a transparent, step-by-step reasoning process provides physicians with strong evidence to support decision-making. While reinforcement learning has effectively enhanced reasoning performance in medical contexts, the clinical reliability of these reasoning processes remains limited because their accuracy and validity are often overlooked during training. To address this gap, we propose MedCEG, a framework that augments medical language models with clinically valid reasoning pathways by explicitly supervising the reasoning process through a Critical Evidence Graph (CEG). We curate a dataset of challenging clinical cases and algorithmically construct a CEG for each sample to represent a high-quality verifiable reasoning pathway. To guide the reasoning process, we introduce a Clinical Reasoning Procedure Reward, which evaluates Node Coverage, Structural Correctness, and Chain Completeness, thereby providing a holistic assessment of reasoning quality. Experimental results show that MedCEG surpasses existing methods in performance while producing clinically valid reasoning chains, representing a solid advancement in reliable medical AI reasoning. The code and models are available at https://github.com/LinjieMu/MedCEG.

医疗AI推理验证证据图

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