arXiv:2605.09505cs.AI2026-05

构建癫痫诊疗知识图谱,提升大模型在真实临床场景中的推理能力

EpiGraph: Building Generalists for Evidence-Intensive Epilepsy Reasoning in the Wild

论文配图:EpiGraph: Building Generalists for Evidence-Intensive Epilepsy Reasoning in the Wild
图 1 · 摘自论文原文
  • 基于4.8万篇论文构建跨层癫痫知识图谱,融合多源医学证据
  • 图谱增强后大模型在药物基因组推理上准确率提升30%~41%
  • 适合临床AI研究者、神经科医生及医学大模型开发者使用

癫痫诊断与治疗需整合异构临床知识,包括生物信号模式、遗传机制、药理基因组学、治疗策略及患者预后。本文提出 extsc{EpiGraph},一个大规模癫痫知识图谱及基准评测体系。该图谱整合48,166篇同行评审论文与七项临床资源,构建包含24,324个实体和32,009条证据支撑三元组的异构图谱,覆盖五个临床层级。基于此, extsc{EpiBench}定义了五项临床驱动任务:临床决策、脑电报告生成、药理基因组精准医疗、治疗推荐与深度研究规划。我们在标准与Graph-RAG两种设置下评估六种大语言模型,结果表明引入 extsc{EpiGraph}可持续提升所有任务表现,其中药理基因组推理提升最为显著(+30--41%)。研究证实结构化癫痫知识能显著增强基于证据的临床推理,并为真实神经科场景中知识增强型大模型提供实用评测框架。代码已开源:https://github.com/LabRAI/EEG-KG。

原文摘要 · Abstract (English)

Epilepsy diagnosis and treatment require evidence-intensive reasoning across heterogeneous clinical knowledge, including biosignal patterns, genetic mechanisms, pharmacogenomics, treatment strategies, and patient outcomes. In this work, we present \textsc{EpiGraph}, a large-scale epilepsy knowledge graph and benchmark for evaluating knowledge-augmented clinical reasoning. \textsc{EpiGraph} integrates 48,166 peer-reviewed papers and seven clinical resources into a heterogeneous graph containing 24,324 entities and 32,009 evidence-grounded triplets across five clinical layers. Built upon this graph, \textsc{EpiBench} defines five clinically motivated tasks spanning clinical decision-making, EEG report generation, pharmacogenomic precision medicine, treatment recommendation, and deep research planning. We evaluate six LLMs under both standard and Graph-RAG settings. Results show that integrating \textsc{EpiGraph} consistently improves performance across all tasks, with the largest gains observed in pharmacogenomic reasoning (+30--41\%). Our findings demonstrate that structured epilepsy knowledge substantially enhances evidence-grounded clinical reasoning and provides a practical benchmark framework for evaluating knowledge-augmented LLMs in real-world neurological settings. Our code is available at: https://github.com/LabRAI/EEG-KG.

知识图谱癫痫诊疗大模型应用临床推理

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