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Paper · arXiv

Guideline-grounded retrieval-augmented generation for ophthalmic clinical decision support

In this work, we propose Oph-Guid-RAG, a multimodal visual RAG system for ophthalmology clinical question answering and decision support. We treat each guideline page as an independent evidence unit and directly retrieve page images, preserving tables, flowcharts, and layout information. We further design a controllable retrieval framework with routing and filtering, which selectively introduces external evidence and reduces noise. The system integrates query decomposition, query rewriting, retrieval, reranking, and multimodal reasoning, and provides traceable outputs with guideline page references. We evaluate our method on HealthBench using a doctor-based scoring protocol. On the hard s...

AuthorsShuying Chen, Sen Cui, Zhong Cao
Primary categorycs.AI
Published23 March 2026
Last updated at source17 September 2026
cs.AI
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