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Related papers: KnowGuard: Knowledge-Driven Abstention for Multi-R…

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LLMs utilizing chain-of-thought reasoning often waste substantial compute by producing long, incorrect responses. Abstention can mitigate this by withholding outputs unlikely to be correct. While most abstention methods decide to withhold…

Machine Learning · Computer Science 2026-05-26 Hen Davidov , Nachshon Cohen , Oren Kalinsky , Yaron Fairstein , Guy Kushilevitz , Ram Yazdi , Patrick Rebeschini

Evidence-based medicine (EBM) plays a crucial role in the application of large language models (LLMs) in healthcare, as it provides reliable support for medical decision-making processes. Although it benefits from current…

Computation and Language · Computer Science 2025-03-24 Chengfeng Dou , Ying Zhang , Zhi Jin , Wenpin Jiao , Haiyan Zhao , Yongqiang Zhao , Zhengwei Tao

Metacognition -- assessing the quality of one's own cognitive performance -- guides adaptive behavior across species. Substantial research demonstrates that confidence signals can be extracted from language model outputs, yet a fundamental…

Machine Learning · Computer Science 2026-05-20 Dharshan Kumaran , Nathaniel Daw , Simon Osindero , Petar Veličković , Viorica Patraucean

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…

Artificial Intelligence · Computer Science 2026-05-14 Yuyang Dai , Zheng Chen , Jathurshan Pradeepkumar , Yasuko Matsubara , Jimeng Sun , Yasushi Sakurai , Yushun Dong

We highlight a failure mode of large reasoning models on questions with insufficient information: models may recognize that a problem is under-specified, yet still continue reasoning and produce unsupported final answers instead of…

Artificial Intelligence · Computer Science 2026-05-28 Renjie Gu , Jiaxu Li , Yihao Wang , Yun Yue , Hansong Xiao , Yefei Chen , Yuan Wang , Chunxiao Guo , Pei Wei , Jinjie Gu , Yixin Cao

Large Language Models (LLMs) demonstrate strong reasoning capabilities but struggle with hallucinations and limited transparency. Recently, KG-enhanced LLMs that integrate knowledge graphs (KGs) have been shown to improve reasoning…

Artificial Intelligence · Computer Science 2025-12-10 Minbae Park , Hyemin Yang , Jeonghyun Kim , Kunsoo Park , Hyunjoon Kim

Existing medical RAG systems mainly leverage knowledge from medical knowledge bases, neglecting the crucial role of experiential knowledge derived from similar patient cases -- a key component of human clinical reasoning. To bridge this…

Computation and Language · Computer Science 2025-05-27 Yuxing Lu , Gecheng Fu , Wei Wu , Xukai Zhao , Sin Yee Goi , Jinzhuo Wang

Electronic Health Records (EHRs) and routine documentation practices play a vital role in patients' daily care, providing a holistic record of health, diagnoses, and treatment. However, complex and verbose EHR narratives overload healthcare…

Computation and Language · Computer Science 2025-02-26 Yanjun Gao , Ruizhe Li , Emma Croxford , John Caskey , Brian W Patterson , Matthew Churpek , Timothy Miller , Dmitriy Dligach , Majid Afshar

Large language models (LLMs) offer new opportunities for constructing knowledge graphs (KGs) from unstructured clinical narratives. However, existing approaches often rely on structured inputs and lack robust validation of factual accuracy…

Artificial Intelligence · Computer Science 2026-01-06 Udiptaman Das , Krishnasai B. Atmakuri , Duy Ho , Chi Lee , Yugyung Lee

Large language models (LLMs) have achieved strong performance on medical exam-style tasks, motivating growing interest in their deployment in real-world clinical settings. However, clinical decision-making is inherently safety-critical,…

Computation and Language · Computer Science 2026-04-13 Xiaohan Ren , Chenxiao Fan , Wenyin Ma , Hongliang He , Chongming Gao , Xiaoyan Zhao , Fuli Feng

Machine learning has advanced dramatically, narrowing the accuracy gap to humans in multimodal tasks like visual question answering (VQA). However, while humans can say "I don't know" when they are uncertain (i.e., abstain from answering a…

Computer Vision and Pattern Recognition · Computer Science 2022-10-21 Spencer Whitehead , Suzanne Petryk , Vedaad Shakib , Joseph Gonzalez , Trevor Darrell , Anna Rohrbach , Marcus Rohrbach

Large reasoning models (LRMs) have shown remarkable progress on complex reasoning tasks. However, some questions posed to LRMs are inherently unanswerable, such as math problems lacking sufficient conditions. We find that LRMs continually…

Artificial Intelligence · Computer Science 2026-01-21 Yi Liu , Xiangyu Liu , Zequn Sun , Wei Hu

Large Language Models (LLMs) have exhibited impressive proficiency in various natural language processing (NLP) tasks, which involve increasingly complex reasoning. Knowledge reasoning, a primary type of reasoning, aims at deriving new…

Computation and Language · Computer Science 2024-07-02 Yifei Zhang , Xintao Wang , Jiaqing Liang , Sirui Xia , Lida Chen , Yanghua Xiao

In this work, we propose a novel goal-oriented dialog task, automatic symptom detection. We build a system that can interact with patients through dialog to detect and collect clinical symptoms automatically, which can save a doctor's time…

Computation and Language · Computer Science 2021-01-26 Hongyin Luo , Shang-Wen Li , James Glass

Large language models (LLMs) have shown promise in medical question answering but often struggle with hallucinations and shallow reasoning, particularly in tasks requiring nuanced clinical understanding. Retrieval-augmented generation (RAG)…

Computation and Language · Computer Science 2025-08-25 Ziyu Wang , Elahe Khatibi , Amir M. Rahmani

Large language models (LLMs) are increasingly trained to abstain on difficult questions by answering unknown. However, we observe that LLMs often misuse this option: they output unknown even when LLMs can actually solve the questions, or…

Computation and Language · Computer Science 2026-01-07 Zipeng Ling , Yuehao Tang , Shuliang Liu , Junqi Yang , Shenghong Fu , Chen Huang , Kejia Huang , Yao Wan , Zhichao Hou , Xuming Hu

This study addresses the critical issue of reliability for AI-assisted medical diagnosis. We focus on the selection prediction approach that allows the diagnosis system to abstain from providing the decision if it is not confident in the…

Large language models (LLMs) show promise for diagnostic reasoning but often lack reliable, knowledge grounded inference. Knowledge graphs (KGs), such as the Unified Medical Language System (UMLS), offer structured biomedical knowledge that…

Computation and Language · Computer Science 2025-09-24 Saksham Khatwani , He Cheng , Majid Afshar , Dmitriy Dligach , Yanjun Gao

The transition of Large Language Models (LLMs) from passive knowledge retrievers to autonomous clinical agents demands a shift in evaluation-from static accuracy to dynamic behavioral reliability. To explore this boundary in dentistry, a…

Computation and Language · Computer Science 2026-01-21 Hongyang Ma , Tiantian Gu , Huaiyuan Sun , Huilin Zhu , Yongxin Wang , Jie Li , Wubin Sun , Zeliang Lian , Yinghong Zhou , Yi Gao , Shirui Wang , Zhihui Tang

Clinical diagnosis is time-consuming, requiring intensive interactions between patients and medical professionals. While large language models (LLMs) could ease the pre-diagnostic workload, their limited domain knowledge hinders effective…

Computation and Language · Computer Science 2026-03-03 Liwen Sun , Xiang Yu , Ming Tan , Zhuohao Chen , Anqi Cheng , Ashutosh Joshi , Chenyan Xiong