S Kevin Zhou

Karim Lekadir, Aasa Feragen, Abdul Joseph Fofanah et al. · eth-zurich

Despite major advances in artificial intelligence (AI) for medicine and healthcare, the deployment and adoption of AI technologies remain limited in real-world clinical practice. In recent years, concerns have been raised about the technical, clinical, ethical and legal risks associated with medical AI. To increase real world adoption, it is essential that medical AI tools are trusted and accepted by patients, clinicians, health organisations and authorities. This work describes the FUTURE-AI guideline as the first international consensus framework for guiding the development and deployment of trustworthy AI tools in healthcare. The FUTURE-AI consortium was founded in 2021 and currently comprises 118 inter-disciplinary experts from 51 countries representing all continents, including AI scientists, clinicians, ethicists, and social scientists. Over a two-year period, the consortium defined guiding principles and best practices for trustworthy AI through an iterative process comprising an in-depth literature review, a modified Delphi survey, and online consensus meetings. The FUTURE-AI framework was established based on 6 guiding principles for trustworthy AI in healthcare, i.e. Fairness, Universality, Traceability, Usability, Robustness and Explainability. Through consensus, a set of 28 best practices were defined, addressing technical, clinical, legal and socio-ethical dimensions. The recommendations cover the entire lifecycle of medical AI, from design, development and validation to regulation, deployment, and monitoring. FUTURE-AI is a risk-informed, assumption-free guideline which provides a structured approach for constructing medical AI tools that will be trusted, deployed and adopted in real-world practice. Researchers are encouraged to take the recommendations into account in proof-of-concept stages to facilitate future translation towards clinical practice of medical AI.

Hairu Wang, Yuan Feng, Yukun Cao et al.

Large language models excel at many tasks but often incur high inference costs during deployment. To mitigate hallucination, many systems use a knowledge graph to enhance retrieval-augmented generation (KG-RAG). However, the large amount of retrieved knowledge contexts increase these inference costs further. A promising solution to balance performance and cost is LLM routing, which directs simple queries to smaller LLMs and complex ones to larger LLMs. However, no dedicated routing methods currently exist for RAG, and existing training-based routers face challenges scaling to this domain due to the need for extensive training data. We observe that the score distributions produced by the retrieval scorer strongly correlate with query difficulty. Based on this, we propose an extremely simple yet effective routing framework, the first specifically designed for KG-RAG that efficiently balances performance and cost in a plug-and-play manner. It delivers over 3x higher routing effectiveness while reducing runtime to less than 0.001x compared to existing methods. Our code is available at https://github.com/hrwang00/SkewRoute.

Yukun Cao, Zengyi Gao, Zhiyang Li et al.

GraphRAG integrates (knowledge) graphs with large language models (LLMs) to improve reasoning accuracy and contextual relevance. Despite its promising applications and strong relevance to multiple research communities, such as databases and natural language processing, GraphRAG currently lacks modular workflow analysis, systematic solution frameworks, and insightful empirical studies. To bridge these gaps, we propose LEGO-GraphRAG, a modular framework that enables: 1) fine-grained decomposition of the GraphRAG workflow, 2) systematic classification of existing techniques and implemented GraphRAG instances, and 3) creation of new GraphRAG instances. Our framework facilitates comprehensive empirical studies of GraphRAG on large-scale real-world graphs and diverse query sets, revealing insights into balancing reasoning quality, runtime efficiency, and token or GPU cost, that are essential for building advanced GraphRAG systems.

Shuo Han, Yukun Cao, Zezhong Ding et al.

Vision-language models (VLMs) have shown promise in graph understanding, but remain limited by input-token constraints, facing scalability bottlenecks and lacking effective mechanisms to coordinate textual and visual modalities. To address these challenges, we propose GraphVista, a unified framework that enhances both scalability and modality coordination in graph understanding. For scalability, GraphVista organizes graph information hierarchically into a lightweight GraphRAG base, which retrieves only task-relevant textual descriptions and high-resolution visual subgraphs, compressing redundant context while preserving key reasoning elements. For modality coordination, GraphVista introduces a planning agent that routes tasks to the most suitable modality-using the text modality for simple property reasoning and the visual modality for local and structurally complex reasoning grounded in explicit topology. Extensive experiments demonstrate that GraphVista scales to large graphs, up to $200\times$ larger than those used in existing benchmarks, and consistently outperforms existing textual, visual, and fusion-based methods, achieving up to $4.4\times$ quality improvement over the state-of-the-art baselines by fully exploiting the complementary strengths of both modalities.