# A Question-Entailment Approach to Question Answering

arXiv: https://arxiv.org/abs/1901.08079 · HTML: https://mlsanity.com/paper/1901.08079/

## Key facts

- Cited by 134 papers in the map (data through 14 Oct 2026).
- First posted on arXiv 23 Jan 2019.

## Built on by (most cited first, 30 of 134)

- [Benchmarking Retrieval-Augmented Generation for Medicine](https://mlsanity.com/paper/2402.13178/) (2024)
- [GatorTron: A Large Clinical Language Model to Unlock Patient Information from Unstructured Electronic Health Records](https://mlsanity.com/paper/2203.03540/) (2022)
- [Lingshu: A Generalist Foundation Model for Unified Multimodal Medical Understanding and Reasoning](https://mlsanity.com/paper/2506.07044/) (2025)
- [MedCPT: Contrastive Pre-trained Transformers with Large-scale PubMed Search Logs for Zero-shot Biomedical Information Retrieval](https://mlsanity.com/paper/2307.00589/) (2023)
- [A Survey of Large Language Models in Medicine: Progress, Application, and Challenge](https://mlsanity.com/paper/2311.05112/) (2023)
- [CMB: A Comprehensive Medical Benchmark in Chinese](https://mlsanity.com/paper/2308.08833/) (2023)
- [Benchmarking Large Language Models on Answering and Explaining Challenging Medical Questions](https://mlsanity.com/paper/2402.18060/) (2024)
- [SycEval: Evaluating LLM Sycophancy](https://mlsanity.com/paper/2502.08177/) (2025)
- [Benchmarking Large Language Models on CMExam -- A Comprehensive Chinese Medical Exam Dataset](https://mlsanity.com/paper/2306.03030/) (2023)
- [Med42-v2: A Suite of Clinical LLMs](https://mlsanity.com/paper/2408.06142/) (2024)
- [Towards Mitigating Hallucination in Large Language Models via Self-Reflection](https://mlsanity.com/paper/2310.06271/) (2023)
- [A Survey of Multimodal Large Language Model from A Data-centric Perspective](https://mlsanity.com/paper/2405.16640/) (2024)
- [Self-Guard: Empower the LLM to Safeguard Itself](https://mlsanity.com/paper/2310.15851/) (2023)
- [Med42 -- Evaluating Fine-Tuning Strategies for Medical LLMs: Full-Parameter vs. Parameter-Efficient Approaches](https://mlsanity.com/paper/2404.14779/) (2024)
- [Biomedical Question Answering: A Survey of Approaches and Challenges](https://mlsanity.com/paper/2102.05281/) (2021)
- [Huatuo-26M, a Large-scale Chinese Medical QA Dataset](https://mlsanity.com/paper/2305.01526/) (2023)
- [A Comprehensive Survey of Large Language Models and Multimodal Large Language Models in Medicine](https://mlsanity.com/paper/2405.08603/) (2024)
- [Clinical Outcome Prediction from Admission Notes using Self-Supervised Knowledge Integration](https://mlsanity.com/paper/2102.04110/) (2021)
- [Evidentiality-guided Generation for Knowledge-Intensive NLP Tasks](https://mlsanity.com/paper/2112.08688/) (2021)
- [Neural Natural Language Processing for Unstructured Data in Electronic Health Records: a Review](https://mlsanity.com/paper/2107.02975/) (2021)
- [Technical Report on the Pangram AI-Generated Text Classifier](https://mlsanity.com/paper/2402.14873/) (2024)
- [A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directions](https://mlsanity.com/paper/2406.03712/) (2024)
- [Artificial General Intelligence for Medical Imaging Analysis](https://mlsanity.com/paper/2306.05480/) (2023)
- [Paper Plain: Making Medical Research Papers Approachable to Healthcare Consumers with Natural Language Processing](https://mlsanity.com/paper/2203.00130/) (2022)
- [GOLD: Improving Out-of-Scope Detection in Dialogues using Data Augmentation](https://mlsanity.com/paper/2109.03079/) (2021)
- [Word-Sequence Entropy: Towards Uncertainty Estimation in Free-Form Medical Question Answering Applications and Beyond](https://mlsanity.com/paper/2402.14259/) (2024)
- [Token-Level Density-Based Uncertainty Quantification Methods for Eliciting Truthfulness of Large Language Models](https://mlsanity.com/paper/2502.14427/) (2025)
- [Advanced Natural-based interaction for the ITAlian language: LLaMAntino-3-ANITA](https://mlsanity.com/paper/2405.07101/) (2024)
- [Large Language Model Benchmarks in Medical Tasks](https://mlsanity.com/paper/2410.21348/) (2024)
- [Q-Pain: A Question Answering Dataset to Measure Social Bias in Pain Management](https://mlsanity.com/paper/2108.01764/) (2021)

## Abstract (arXiv)

One of the challenges in large-scale information retrieval (IR) is to develop fine-grained and domain-specific methods to answer natural language questions. Despite the availability of numerous sources and datasets for answer retrieval, Question Answering (QA) remains a challenging problem due to the difficulty of the question understanding and answer extraction tasks. One of the promising tracks investigated in QA is to map new questions to formerly answered questions that are `similar'. In this paper, we propose a novel QA approach based on Recognizing Question Entailment (RQE) and we describe the QA system and resources that we built and evaluated on real medical questions. First, we compare machine learning and deep learning methods for RQE using different kinds of datasets, including textual inference, question similarity and entailment in both the open and clinical domains. Second, we combine IR models with the best RQE method to select entailed questions and rank the retrieved answers. To study the end-to-end QA approach, we built the MedQuAD collection of 47,457 question-answer pairs from trusted medical sources, that we introduce and share in the scope of this paper. Following the evaluation process used in TREC 2017 LiveQA, we find that our approach exceeds the best results of the medical task with a 29.8% increase over the best official score. The evaluation results also support the relevance of question entailment for QA and highlight the effectiveness of combining IR and RQE for future QA efforts. Our findings also show that relying on a restricted set of reliable answer sources can bring a substantial improvement in medical QA.
