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Main Authors: Zhang, Jinning, Song, Jie, Tu, Wenhui, Li, Zecheng, Li, Jingxuan, Li, Jin, Liu, Xuan, Sha, Taole, Wei, Zichen, Li, Yan
Format: Preprint
Published: 2026
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Online Access:https://arxiv.org/abs/2601.00216
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author Zhang, Jinning
Song, Jie
Tu, Wenhui
Li, Zecheng
Li, Jingxuan
Li, Jin
Liu, Xuan
Sha, Taole
Wei, Zichen
Li, Yan
author_facet Zhang, Jinning
Song, Jie
Tu, Wenhui
Li, Zecheng
Li, Jingxuan
Li, Jin
Liu, Xuan
Sha, Taole
Wei, Zichen
Li, Yan
contents Current medical retrieval-augmented generation (RAG) approaches overlook evidence-based medicine (EBM) principles, leading to two key gaps: (1) the lack of PICO alignment between queries and retrieved evidence, and (2) the absence of evidence hierarchy considerations during reranking. We present SR-RAG, an EBM-adapted GraphRAG framework that integrates the PICO framework into knowledge graph construction and retrieval, and proposes Bayesian Evidence Tier Reranking (BETR) to calibrate ranking scores by evidence grade without predefined weights. Validated in sports rehabilitation, we release a knowledge graph (357,844 nodes, 371,226 edges) and a benchmark of 1,637 QA pairs. SR-RAG achieves 0.812 evidence recall@10, 0.830 nugget coverage, 0.819 answer faithfulness, 0.882 semantic similarity, and 0.788 PICOT match accuracy, substantially outperforming five baselines. Five expert clinicians rated the system 4.66--4.84 on a 5-point Likert scale, and system rankings are preserved on a human-verified gold subset (n=80).
format Preprint
id arxiv_https___arxiv_org_abs_2601_00216
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle From Evidence-Based Medicine to Knowledge Graph: Retrieval-Augmented Generation for Sports Rehabilitation and a Domain Benchmark
Zhang, Jinning
Song, Jie
Tu, Wenhui
Li, Zecheng
Li, Jingxuan
Li, Jin
Liu, Xuan
Sha, Taole
Wei, Zichen
Li, Yan
Computation and Language
Current medical retrieval-augmented generation (RAG) approaches overlook evidence-based medicine (EBM) principles, leading to two key gaps: (1) the lack of PICO alignment between queries and retrieved evidence, and (2) the absence of evidence hierarchy considerations during reranking. We present SR-RAG, an EBM-adapted GraphRAG framework that integrates the PICO framework into knowledge graph construction and retrieval, and proposes Bayesian Evidence Tier Reranking (BETR) to calibrate ranking scores by evidence grade without predefined weights. Validated in sports rehabilitation, we release a knowledge graph (357,844 nodes, 371,226 edges) and a benchmark of 1,637 QA pairs. SR-RAG achieves 0.812 evidence recall@10, 0.830 nugget coverage, 0.819 answer faithfulness, 0.882 semantic similarity, and 0.788 PICOT match accuracy, substantially outperforming five baselines. Five expert clinicians rated the system 4.66--4.84 on a 5-point Likert scale, and system rankings are preserved on a human-verified gold subset (n=80).
title From Evidence-Based Medicine to Knowledge Graph: Retrieval-Augmented Generation for Sports Rehabilitation and a Domain Benchmark
topic Computation and Language
url https://arxiv.org/abs/2601.00216