A Multi-granularity Concept Sparse Activation and Hierarchical Knowledge Graph Fusion Framework for Rare Disease Diagnosis

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Hauptverfasser: Zhang, Mingda, Zhao, Na, Qin, Jianglong, Ye, Guoyu, Tang, Ruixiang
Format: Preprint
Veröffentlicht: 2025
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author Zhang, Mingda
Zhao, Na
Qin, Jianglong
Ye, Guoyu
Tang, Ruixiang
author_facet Zhang, Mingda
Zhao, Na
Qin, Jianglong
Ye, Guoyu
Tang, Ruixiang
contents Despite advances from medical large language models in healthcare, rare-disease diagnosis remains hampered by insufficient knowledge-representation depth, limited concept understanding, and constrained clinical reasoning. We propose a framework that couples multi-granularity sparse activation of medical concepts with a hierarchical knowledge graph. Four complementary matching algorithms, diversity control, and a five-level fallback strategy enable precise concept activation, while a three-layer knowledge graph (taxonomy, clinical features, instances) provides structured, up-to-date context. Experiments on the BioASQ rare-disease QA set show BLEU gains of 0.09, ROUGE gains of 0.05, and accuracy gains of 0.12, with peak accuracy of 0.89 approaching the 0.90 clinical threshold. Expert evaluation confirms improvements in information quality, reasoning, and professional expression, suggesting our approach shortens the "diagnostic odyssey" for rare-disease patients.
format Preprint
id arxiv_https___arxiv_org_abs_2507_08529
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A Multi-granularity Concept Sparse Activation and Hierarchical Knowledge Graph Fusion Framework for Rare Disease Diagnosis
Zhang, Mingda
Zhao, Na
Qin, Jianglong
Ye, Guoyu
Tang, Ruixiang
Artificial Intelligence
Computation and Language
68T50, 92C50, 68T05
J.3; I.2.7; H.3.3; I.2.1
Despite advances from medical large language models in healthcare, rare-disease diagnosis remains hampered by insufficient knowledge-representation depth, limited concept understanding, and constrained clinical reasoning. We propose a framework that couples multi-granularity sparse activation of medical concepts with a hierarchical knowledge graph. Four complementary matching algorithms, diversity control, and a five-level fallback strategy enable precise concept activation, while a three-layer knowledge graph (taxonomy, clinical features, instances) provides structured, up-to-date context. Experiments on the BioASQ rare-disease QA set show BLEU gains of 0.09, ROUGE gains of 0.05, and accuracy gains of 0.12, with peak accuracy of 0.89 approaching the 0.90 clinical threshold. Expert evaluation confirms improvements in information quality, reasoning, and professional expression, suggesting our approach shortens the "diagnostic odyssey" for rare-disease patients.
title A Multi-granularity Concept Sparse Activation and Hierarchical Knowledge Graph Fusion Framework for Rare Disease Diagnosis
topic Artificial Intelligence
Computation and Language
68T50, 92C50, 68T05
J.3; I.2.7; H.3.3; I.2.1
url https://arxiv.org/abs/2507.08529