AILGMAJul 3, 2025

KERAP: A Knowledge-Enhanced Reasoning Approach for Accurate Zero-shot Diagnosis Prediction Using Multi-agent LLMs

arXiv:2507.02773v213 citationsh-index: 21AMIA ... Annual Symposium proceedings. AMIA Symposium
Originality Incremental advance
AI Analysis

This work addresses the challenge of accurate and scalable diagnosis prediction for healthcare, particularly in low-resource settings, but it appears incremental as it builds on existing LLM and knowledge graph methods.

The paper tackles the problem of zero-shot medical diagnosis prediction by addressing hallucinations and lack of structured reasoning in LLMs, proposing KERAP, a knowledge graph-enhanced multi-agent approach that improves diagnostic reliability efficiently.

Medical diagnosis prediction plays a critical role in disease detection and personalized healthcare. While machine learning (ML) models have been widely adopted for this task, their reliance on supervised training limits their ability to generalize to unseen cases, particularly given the high cost of acquiring large, labeled datasets. Large language models (LLMs) have shown promise in leveraging language abilities and biomedical knowledge for diagnosis prediction. However, they often suffer from hallucinations, lack structured medical reasoning, and produce useless outputs. To address these challenges, we propose KERAP, a knowledge graph (KG)-enhanced reasoning approach that improves LLM-based diagnosis prediction through a multi-agent architecture. Our framework consists of a linkage agent for attribute mapping, a retrieval agent for structured knowledge extraction, and a prediction agent that iteratively refines diagnosis predictions. Experimental results demonstrate that KERAP enhances diagnostic reliability efficiently, offering a scalable and interpretable solution for zero-shot medical diagnosis prediction.

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