Gargari Omid Kohandel, Habibi Gholamreza
Farzan Artificial Intelligence Team, Farzan Clinical Research Institute, Tehran, Iran.
Digit Health. 2025 Apr 21;11:20552076251337177. doi: 10.1177/20552076251337177. eCollection 2025 Jan-Dec.
Retrieval-augmented generation (RAG) is a powerful technique in artificial intelligence (AI) and machine learning that enhances the capabilities of large language models (LLMs) by integrating external data sources, allowing for more accurate, contextually relevant responses. In medical applications, RAG has the potential to improve diagnostic accuracy, clinical decision support, and patient care. This narrative review explores the application of RAG across various medical domains, including guideline interpretation, diagnostic assistance, clinical trial eligibility screening, clinical information retrieval, and information extraction from scientific literature. Studies highlight the benefits of RAG in providing accurate, up-to-date information, improving clinical outcomes, and streamlining processes. Notable applications include GPT-4 models enhanced with RAG to interpret hepatologic guidelines, assist in differential diagnosis, and aid in clinical trial screening. Furthermore, RAG-based systems have demonstrated superior performance over traditional methods in tasks such as patient diagnosis, clinical decision-making, and medical information extraction. Despite its advantages, challenges remain, particularly in model evaluation, cost-efficiency, and reducing AI hallucinations. This review emphasizes the potential of RAG in advancing medical AI applications and advocates for further optimization of retrieval mechanisms, embedding models, and collaboration between AI researchers and healthcare professionals to maximize RAG's impact on medical practice.
检索增强生成(RAG)是人工智能(AI)和机器学习中的一项强大技术,它通过整合外部数据源来增强大语言模型(LLM)的能力,从而实现更准确、与上下文相关的回答。在医学应用中,RAG有潜力提高诊断准确性、临床决策支持和患者护理水平。这篇叙述性综述探讨了RAG在各个医学领域的应用,包括指南解读、诊断辅助、临床试验资格筛选、临床信息检索以及从科学文献中提取信息。研究强调了RAG在提供准确、最新信息、改善临床结果和简化流程方面的益处。值得注意的应用包括通过RAG增强的GPT-4模型来解读肝病学指南、协助鉴别诊断以及辅助临床试验筛选。此外,基于RAG的系统在患者诊断、临床决策和医学信息提取等任务中表现出优于传统方法的性能。尽管具有优势,但挑战依然存在,特别是在模型评估、成本效益以及减少AI幻觉方面。这篇综述强调了RAG在推进医学AI应用方面的潜力,并倡导进一步优化检索机制、嵌入模型,以及AI研究人员与医疗专业人员之间的合作,以最大限度地发挥RAG对医学实践的影响。