# MEG: Medical Knowledge-Augmented Large Language Models for Question Answering

arXiv: https://arxiv.org/abs/2411.03883 · HTML: https://mlsanity.com/paper/2411.03883/

## Key facts

- Cited by 6 papers in the map (data through 14 Oct 2026).
- Builds on 43 of its 72 references that are in the map.
- First posted on arXiv 6 Nov 2024.

## Builds on (most cited first, 30 of 43)

- [The Llama 3 Herd of Models](https://mlsanity.com/paper/2407.21783/) (2024)
- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [Retrieval-Augmented Generation for Knowledge-Intensive NLP Tasks](https://mlsanity.com/paper/2005.11401/) (2020)
- [Measuring Massive Multitask Language Understanding](https://mlsanity.com/paper/2009.03300/) (2020)
- [Representation Learning with Contrastive Predictive Coding](https://mlsanity.com/paper/1807.03748/) (2018)
- [Momentum Contrast for Unsupervised Visual Representation Learning](https://mlsanity.com/paper/1911.05722/) (2019)
- [Inductive Representation Learning on Large Graphs](https://mlsanity.com/paper/1706.02216/) (2017)
- [FlashAttention-2: Faster Attention with Better Parallelism and Work Partitioning](https://mlsanity.com/paper/2307.08691/) (2023)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [From Local to Global: A Graph RAG Approach to Query-Focused Summarization](https://mlsanity.com/paper/2404.16130/) (2024)
- [What Disease does this Patient Have? A Large-scale Open Domain Question Answering Dataset from Medical Exams](https://mlsanity.com/paper/2009.13081/) (2020)
- [PubMedQA: A Dataset for Biomedical Research Question Answering](https://mlsanity.com/paper/1909.06146/) (2019)
- [Energy and Policy Considerations for Deep Learning in NLP](https://mlsanity.com/paper/1906.02243/) (2019)
- [Strategies for Pre-training Graph Neural Networks](https://mlsanity.com/paper/1905.12265/) (2019)
- [Embedding Entities and Relations for Learning and Inference in Knowledge Bases](https://mlsanity.com/paper/1412.6575/) (2014)
- [On Faithfulness and Factuality in Abstractive Summarization](https://mlsanity.com/paper/2005.00661/) (2020)
- [Unifying Large Language Models and Knowledge Graphs: A Roadmap](https://mlsanity.com/paper/2306.08302/) (2023)
- [ERNIE: Enhanced Language Representation with Informative Entities](https://mlsanity.com/paper/1905.07129/) (2019)
- [Trustworthy LLMs: a Survey and Guideline for Evaluating Large Language Models' Alignment](https://mlsanity.com/paper/2308.05374/) (2023)
- [Benchmarking Retrieval-Augmented Generation for Medicine](https://mlsanity.com/paper/2402.13178/) (2024)
- [Can Generalist Foundation Models Outcompete Special-Purpose Tuning? Case Study in Medicine](https://mlsanity.com/paper/2311.16452/) (2023)
- [BioMistral: A Collection of Open-Source Pretrained Large Language Models for Medical Domains](https://mlsanity.com/paper/2402.10373/) (2024)
- [ScispaCy: Fast and Robust Models for Biomedical Natural Language Processing](https://mlsanity.com/paper/1902.07669/) (2019)
- [Self-Alignment Pretraining for Biomedical Entity Representations](https://mlsanity.com/paper/2010.11784/) (2020)
- [Capabilities of Gemini Models in Medicine](https://mlsanity.com/paper/2404.18416/) (2024)
- [Can large language models reason about medical questions?](https://mlsanity.com/paper/2207.08143/) (2022)
- [Deep Bidirectional Language-Knowledge Graph Pretraining](https://mlsanity.com/paper/2210.09338/) (2022)
- [GraphFormers: GNN-nested Transformers for Representation Learning on Textual Graph](https://mlsanity.com/paper/2105.02605/) (2021)
- [Node Feature Extraction by Self-Supervised Multi-scale Neighborhood Prediction](https://mlsanity.com/paper/2111.00064/) (2021)

## Built on by (most cited first, 6 of 6)

- [A Survey of Graph Retrieval-Augmented Generation for Customized Large Language Models](https://mlsanity.com/paper/2501.13958/) (2025)
- [Medical Reasoning in the Era of LLMs: A Systematic Review of Enhancement Techniques and Applications](https://mlsanity.com/paper/2508.00669/) (2025)
- [Agent-based Condition Monitoring Assistance with Multimodal Industrial Database Retrieval Augmented Generation](https://mlsanity.com/paper/2506.09247/) (2025)
- [CURE: Confidence-driven Unified Reasoning Ensemble Framework for Medical Question Answering](https://mlsanity.com/paper/2510.14353/) (2025)
- [From Evidence-Based Medicine to Knowledge Graph: Retrieval-Augmented Generation for Sports Rehabilitation and a Domain Benchmark](https://mlsanity.com/paper/2601.00216/) (2026)
- [DrugReason: Dynamic Multi-View Reasoning over Knowledge Graph and Language Evidence for Drug Repurposing](https://mlsanity.com/paper/2609.06779/) (2026)

## Abstract (arXiv)

Question answering is a natural language understanding task that involves reasoning over both explicit context, and unstated relevant domain knowledge. Despite the high cost of training, large language models (LLMs) -- the backbone of most modern question-answering systems -- still struggle to reliably capture the nuanced relationships between concepts that are crucial for reasoning in specialized fields like medicine. In this work, we present MEG, a parameter-efficient approach for medical knowledge-augmented LLMs. MEG uses a lightweight mapping network to incorporate knowledge graph embeddings into the LLM, enabling it to leverage external knowledge in a cost-effective way. We evaluate our method on four popular medical multiple-choice datasets and show that LLMs i) can effectively interpret knowledge graph embeddings and ii) gain significant advantages from the factual grounding these embeddings provide. MEG attains an average of +6.7% and +9.9% accuracy over specialized models like BioMistral-7B and MediTron-7B, respectively. Finally, we show that MEG's performance remains robust to the choice of graph encoder.
