MedReason: Eliciting Factual Medical Reasoning Steps in LLMs via Knowledge Graphs

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Main Authors: Wu, Juncheng, Deng, Wenlong, Li, Xingxuan, Liu, Sheng, Mi, Taomian, Peng, Yifan, Xu, Ziyang, Liu, Yi, Cho, Hyunjin, Choi, Chang-In, Cao, Yihan, Ren, Hui, Li, Xiang, Li, Xiaoxiao, Zhou, Yuyin
Format: Preprint
Published: 2025
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author Wu, Juncheng
Deng, Wenlong
Li, Xingxuan
Liu, Sheng
Mi, Taomian
Peng, Yifan
Xu, Ziyang
Liu, Yi
Cho, Hyunjin
Choi, Chang-In
Cao, Yihan
Ren, Hui
Li, Xiang
Li, Xiaoxiao
Zhou, Yuyin
author_facet Wu, Juncheng
Deng, Wenlong
Li, Xingxuan
Liu, Sheng
Mi, Taomian
Peng, Yifan
Xu, Ziyang
Liu, Yi
Cho, Hyunjin
Choi, Chang-In
Cao, Yihan
Ren, Hui
Li, Xiang
Li, Xiaoxiao
Zhou, Yuyin
contents Medical tasks such as diagnosis and treatment planning require precise and complex reasoning, particularly in life-critical domains. Unlike mathematical reasoning, medical reasoning demands meticulous, verifiable thought processes to ensure reliability and accuracy. However, there is a notable lack of datasets that provide transparent, step-by-step reasoning to validate and enhance the medical reasoning ability of AI models. To bridge this gap, we introduce MedReason, a large-scale high-quality medical reasoning dataset designed to enable faithful and explainable medical problem-solving in large language models (LLMs). We utilize a structured medical knowledge graph (KG) to convert clinical QA pairs into logical chains of reasoning, or ``thinking paths'', which trace connections from question elements to answers via relevant KG entities. Each path is validated for consistency with clinical logic and evidence-based medicine. Our pipeline generates detailed reasoning for various medical questions from 7 medical datasets, resulting in a dataset of 32,682 question-answer pairs, each with detailed, step-by-step explanations. Experiments demonstrate that fine-tuning with our dataset consistently boosts medical problem-solving capabilities, achieving significant gains of up to 7.7% for DeepSeek-Ditill-8B. Our top-performing model, MedReason-8B, outperforms the Huatuo-o1-8B, a state-of-the-art medical reasoning model, by up to 4.2% on the clinical benchmark MedBullets. We also engage medical professionals from diverse specialties to assess our dataset's quality, ensuring MedReason offers accurate and coherent medical reasoning. Our data, models, and code is available at https://github.com/UCSC-VLAA/MedReason.
format Preprint
id arxiv_https___arxiv_org_abs_2504_00993
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MedReason: Eliciting Factual Medical Reasoning Steps in LLMs via Knowledge Graphs
Wu, Juncheng
Deng, Wenlong
Li, Xingxuan
Liu, Sheng
Mi, Taomian
Peng, Yifan
Xu, Ziyang
Liu, Yi
Cho, Hyunjin
Choi, Chang-In
Cao, Yihan
Ren, Hui
Li, Xiang
Li, Xiaoxiao
Zhou, Yuyin
Computation and Language
Artificial Intelligence
Medical tasks such as diagnosis and treatment planning require precise and complex reasoning, particularly in life-critical domains. Unlike mathematical reasoning, medical reasoning demands meticulous, verifiable thought processes to ensure reliability and accuracy. However, there is a notable lack of datasets that provide transparent, step-by-step reasoning to validate and enhance the medical reasoning ability of AI models. To bridge this gap, we introduce MedReason, a large-scale high-quality medical reasoning dataset designed to enable faithful and explainable medical problem-solving in large language models (LLMs). We utilize a structured medical knowledge graph (KG) to convert clinical QA pairs into logical chains of reasoning, or ``thinking paths'', which trace connections from question elements to answers via relevant KG entities. Each path is validated for consistency with clinical logic and evidence-based medicine. Our pipeline generates detailed reasoning for various medical questions from 7 medical datasets, resulting in a dataset of 32,682 question-answer pairs, each with detailed, step-by-step explanations. Experiments demonstrate that fine-tuning with our dataset consistently boosts medical problem-solving capabilities, achieving significant gains of up to 7.7% for DeepSeek-Ditill-8B. Our top-performing model, MedReason-8B, outperforms the Huatuo-o1-8B, a state-of-the-art medical reasoning model, by up to 4.2% on the clinical benchmark MedBullets. We also engage medical professionals from diverse specialties to assess our dataset's quality, ensuring MedReason offers accurate and coherent medical reasoning. Our data, models, and code is available at https://github.com/UCSC-VLAA/MedReason.
title MedReason: Eliciting Factual Medical Reasoning Steps in LLMs via Knowledge Graphs
topic Computation and Language
Artificial Intelligence
url https://arxiv.org/abs/2504.00993