用图谱增强的多智能体框架检测病历生成中的幻觉,提升临床安全。
CuraView: A Multi-Agent Framework for Medical Hallucination Detection with GraphRAG-Enhanced Knowledge Verification

- 构建EHR图谱,通过四等级证据链实现句子级幻觉检测
- 在250例患者数据上,关键指标F1达0.831,召回率90.9%
- 适合医疗AI安全验证与可解释性研究者使用
出院摘要需从长篇电子健康记录(EHR)中提取关键信息,人工操作耗时费力。大语言模型(LLMs)虽能提升生成效率,但易产生与原始记录矛盾的幻觉,直接威胁患者安全。为此,我们提出CuraView,一个基于多智能体的句子级幻觉检测与证据溯源框架。CuraView从患者级EHR构建GraphRAG知识图谱,实现闭环生成-检测流程,支持从强支持到直接矛盾(E1-E4)四等级证据检索与分类,生成结构化可解释的证据链。在Discharge-M基准的250例患者子集上评估,其中50例用于测试。微调后的Qwen3-14B检测模型在安全关键的E4指标上达到F1=0.831(召回率90.9%,精确率76.5%),E3+E4综合F1=0.823,相比基线模型相对提升50.0%,优于RAGTruth和QAGS类基线。结果表明,基于证据链的图谱检索验证显著提升临床文档事实可靠性,并产出可用于下游训练与蒸馏的可复用标注数据集。
原文摘要 · Abstract (English)
Discharge summaries require extracting critical information from lengthy electronic health records (EHRs), a process that is labor-intensive when performed manually. Large language models (LLMs) can improve generation efficiency; however, they are prone to producing faithfulness hallucinations, statements that contradict source records, posing direct risks to patient safety. To address this, we present CuraView, a multi-agent framework for sentence-level detection and evidence-grounded explanation of faithfulness hallucinations in discharge summaries. CuraView constructs a GraphRAG-based knowledge graph from patient-level EHRs and implements a closed-loop generation-detection pipeline with sentence-level evidence retrieval and classification spanning four evidence grades from strong support to direct contradiction (E1-E4), yielding structured and interpretable evidence chains. We evaluate CuraView on a subset of 250 patients from the Discharge-Me benchmark, with 50 patients held out for testing. Our fine-tuned Qwen3-14B detection model achieves an F1 of 0.831 on the safety-critical E4 metric (90.9% recall, 76.5% precision) and an F1 of 0.823 on E3+E4, representing a 50.0% relative improvement over the base model and outperforming RAGTruth-style and QAGS-style baselines. These results demonstrate that evidence-chain-based graph retrieval verification substantially improves the factual reliability of clinical documentation, while simultaneously producing reusable annotated datasets for downstream model training and distillation.
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