# The Multi-Round Diagnostic RAG Framework for Emulating Clinical Reasoning

arXiv: https://arxiv.org/abs/2504.07724 · HTML: https://mlsanity.com/paper/2504.07724/

## Key facts

- Cited by 8 papers in the map (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 15 of its 32 references that are in the map.
- First posted on arXiv 10 Apr 2025.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)
- Retrieval-augmented generation / [Medical and biomedical RAG](https://mlsanity.com/rag/medical-and-biomedical-rag/)

## Builds on (most cited first, 15 of 15)

- [Qwen2 Technical Report](https://mlsanity.com/paper/2407.10671/) (2024)
- [Self-RAG: Learning to Retrieve, Generate, and Critique through Self-Reflection](https://mlsanity.com/paper/2310.11511/) (2023)
- [Think-on-Graph: Deep and Responsible Reasoning of Large Language Model on Knowledge Graph](https://mlsanity.com/paper/2307.07697/) (2023)
- [HuatuoGPT, towards Taming Language Model to Be a Doctor](https://mlsanity.com/paper/2305.15075/) (2023)
- [Fine-Tuning or Retrieval? Comparing Knowledge Injection in LLMs](https://mlsanity.com/paper/2312.05934/) (2023)
- [DoctorGLM: Fine-tuning your Chinese Doctor is not a Herculean Task](https://mlsanity.com/paper/2304.01097/) (2023)
- [CMB: A Comprehensive Medical Benchmark in Chinese](https://mlsanity.com/paper/2308.08833/) (2023)
- [DISC-MedLLM: Bridging General Large Language Models and Real-World Medical Consultation](https://mlsanity.com/paper/2308.14346/) (2023)
- [RAG vs Fine-tuning: Pipelines, Tradeoffs, and a Case Study on Agriculture](https://mlsanity.com/paper/2401.08406/) (2024)
- [Baichuan-M1: Pushing the Medical Capability of Large Language Models](https://mlsanity.com/paper/2502.12671/) (2025)
- [A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directions](https://mlsanity.com/paper/2406.03712/) (2024)
- [JMLR: Joint Medical LLM and Retrieval Training for Enhancing Reasoning and Professional Question Answering Capability](https://mlsanity.com/paper/2402.17887/) (2024)
- [HyKGE: A Hypothesis Knowledge Graph Enhanced Framework for Accurate and Reliable Medical LLMs Responses](https://mlsanity.com/paper/2312.15883/) (2023)
- [MedDM:LLM-executable clinical guidance tree for clinical decision-making](https://mlsanity.com/paper/2312.02441/) (2023)
- [Tool Calling: Enhancing Medication Consultation via Retrieval-Augmented Large Language Models](https://mlsanity.com/paper/2404.17897/) (2024)

## Built on by (most cited first, 8 of 8)

- [Synergizing RAG and Reasoning: A Systematic Review](https://mlsanity.com/paper/2504.15909/) (2025)
- [MedKGI: Iterative Differential Diagnosis with Medical Knowledge Graphs and Information-Guided Inquiring](https://mlsanity.com/paper/2512.24181/) (2025)
- [DoctorRAG: Medical RAG Fusing Knowledge with Patient Analogy through Textual Gradients](https://mlsanity.com/paper/2505.19538/) (2025)
- [LingxiDiagBench: A Multi-Agent Framework for Benchmarking LLMs in Chinese Psychiatric Consultation and Diagnosis](https://mlsanity.com/paper/2602.09379/) (2026)
- [MIND: Unified Inquiry and Diagnosis RL with Criteria Grounded Clinical Supports for Psychiatric Consultation](https://mlsanity.com/paper/2603.03677/) (2026)
- [Aligning Clinical Needs and AI Capabilities: A Survey on LLMs for Medical Reasoning](https://mlsanity.com/paper/2607.07761/) (2026)
- [Self-MedRAG: a Self-Reflective Hybrid Retrieval-Augmented Generation Framework for Reliable Medical Question Answering](https://mlsanity.com/paper/2601.04531/) (2026)
- [Think Like a Doctor: Conversational Diagnosis through the Exploration of Diagnostic Knowledge Graphs](https://mlsanity.com/paper/2602.01995/) (2026)

## Abstract (arXiv)

In recent years, accurately and quickly deploying medical large language models (LLMs) has become a trend. Among these, retrieval-augmented generation (RAG) has garnered attention due to rapid deployment and privacy protection. However, the challenge hinder the practical deployment of RAG for medical diagnosis: the semantic gap between colloquial patient descriptions and the professional terminology within medical knowledge bases. We try to address the challenge from the data perspective and the method perspective. First, to address the semantic gap in existing knowledge bases, we construct DiagnosGraph, a generalist knowledge graph covering both modern medicine and Traditional Chinese Medicine. It contains 876 common diseases with the graph of 7,997 nodes and 37,201 triples. To bridge the gap between colloquial patient narratives and academic medical knowledge, DiagnosGraph also introduces 1,908 medical record by formalizing the patient chief complaint and proposing a medical diagnosis. Second, we introduce the Multi-Round Diagnostic RAG (MRD-RAG) framework. It utilizes a multi-round dialogue to refine diagnostic possibilities, emulating the clinical reasoning of a physician. Experiments conducted on four medical benchmarks, with evaluations by human physicians, demonstrate that MRD-RAG enhances the diagnostic performance of LLMs, highlighting its potential to make automated diagnosis more accurate and human-aligned.