arXiv:2603.03292cs.CLcs.AI2026-03被引 2

通过多轮迭代优化,让AI在医疗问答中更准更可信。

From Conflict to Consensus: Boosting Medical Reasoning via Multi-Round Agentic RAG

  • 用多轮代理循环,把不同答案的冲突变作新检索线索。
  • 在7个医疗问答数据集上平均准确率提升6.8分。
  • 适合需要高可靠性的医疗AI推理场景。

大型语言模型在医疗问答中展现出强大的推理能力,但其易产生幻觉和使用过时知识的问题在医疗领域带来重大风险。尽管检索增强生成(RAG)能缓解这些问题,现有方法依赖嘈杂的词级别信号,缺乏复杂推理所需的多轮精炼机制。本文提出MA-RAG(多轮代理式RAG),通过在代理精炼循环中迭代演化外部证据与内部推理历史,实现测试时的可扩展性。每轮中,代理将候选回答间的语义冲突转化为可执行查询以获取外部证据,并优化推理轨迹以缓解长上下文退化问题。MA-RAG通过利用不一致性作为主动信号,扩展了自一致性原则,模拟一种逐步减少残差误差的增强机制,最终达成稳定且高保真的医学共识。在7个医疗问答基准上的广泛评估表明,MA-RAG持续优于现有的推理时扩展与RAG基线,在骨干模型基础上平均准确率提升+6.8点。代码已开源:https://github.com/NJU-RL/MA-RAG。

原文摘要 · Abstract (English)

Large Language Models (LLMs) exhibit high reasoning capacity in medical question-answering, but their tendency to produce hallucinations and outdated knowledge poses critical risks in healthcare fields. While Retrieval-Augmented Generation (RAG) mitigates these issues, existing methods rely on noisy token-level signals and lack the multi-round refinement required for complex reasoning. In this paper, we propose MA-RAG (Multi-Round Agentic RAG), a framework that facilitates test-time scaling for complex medical reasoning by iteratively evolving both external evidence and internal reasoning history within an agentic refinement loop. At each round, the agent transforms semantic conflict among candidate responses into actionable queries to retrieve external evidence, while optimizing history reasoning traces to mitigate long-context degradation. MA-RAG extends the self-consistency principle by leveraging the lack of consistency as a proactive signal for multi-round agentic reasoning and retrieval, and mirrors a boosting mechanism that iteratively minimizes the residual error toward a stable, high-fidelity medical consensus. Extensive evaluations across 7 medical Q&A benchmarks show that MA-RAG consistently surpasses competitive inference-time scaling and RAG baselines, delivering substantial +6.8 points on average accuracy over the backbone model. Our code is available at https://github.com/NJU-RL/MA-RAG.

医疗AI推理增强多轮对话RAG

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