# MMed-Bench-IR: A Heterogeneous Benchmark for Multilingual Medical Information Retrieval

arXiv: https://arxiv.org/abs/2606.24200 · HTML: https://mlsanity.com/paper/2606.24200/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical and biomedical RAG, one of 15 directions in Retrieval-augmented generation.
- Builds on 14 of its 27 references that are in the map.
- First posted on arXiv 23 Jun 2026.

## Placed in

- Retrieval-augmented generation / [Medical and biomedical RAG](https://mlsanity.com/rag/medical-and-biomedical-rag/)

## Builds on (most cited first, 14 of 14)

- [Unsupervised Cross-lingual Representation Learning at Scale](https://mlsanity.com/paper/1911.02116/) (2019)
- [No Language Left Behind: Scaling Human-Centered Machine Translation](https://mlsanity.com/paper/2207.04672/) (2022)
- [BEIR: A Heterogenous Benchmark for Zero-shot Evaluation of Information Retrieval Models](https://mlsanity.com/paper/2104.08663/) (2021)
- [M3-Embedding: Multi-Linguality, Multi-Functionality, Multi-Granularity Text Embeddings Through Self-Knowledge Distillation](https://mlsanity.com/paper/2402.03216/) (2024)
- [Approximate Nearest Neighbor Negative Contrastive Learning for Dense Text Retrieval](https://mlsanity.com/paper/2007.00808/) (2020)
- [Self-Alignment Pretraining for Biomedical Entity Representations](https://mlsanity.com/paper/2010.11784/) (2020)
- [MedCPT: Contrastive Pre-trained Transformers with Large-scale PubMed Search Logs for Zero-shot Biomedical Information Retrieval](https://mlsanity.com/paper/2307.00589/) (2023)
- [Lifting the Curse of Multilinguality by Pre-training Modular Transformers](https://mlsanity.com/paper/2205.06266/) (2022)
- [Mr. TyDi: A Multi-lingual Benchmark for Dense Retrieval](https://mlsanity.com/paper/2108.08787/) (2021)
- [Towards Building Multilingual Language Model for Medicine](https://mlsanity.com/paper/2402.13963/) (2024)
- [CODER: Knowledge infused cross-lingual medical term embedding for term normalization](https://mlsanity.com/paper/2011.02947/) (2020)
- [BioLORD-2023: Semantic Textual Representations Fusing LLM and Clinical Knowledge Graph Insights](https://mlsanity.com/paper/2311.16075/) (2023)
- [CURE: A Dataset for Clinical Understanding & Retrieval Evaluation](https://mlsanity.com/paper/2412.06954/) (2024)
- [M3Retrieve: Benchmarking Multimodal Retrieval for Medicine](https://mlsanity.com/paper/2510.06888/) (2025)

## Abstract (arXiv)

Retrieval-augmented generation (RAG) in clinical settings increasingly requires multilingual retrieval against predominantly English evidence corpora. Multilingual medical retrieval demands three capabilities: cross-lingual alignment, concept discrimination, and evidence retrieval. However, existing benchmarks evaluate these only in isolation, leaving the interaction between biomedical expertise and multilingual coverage unmeasured. We introduce MMed-Bench-IR, a benchmark designed to disentangle these axes across 6 languages and three structurally heterogeneous tasks: (1) cross-lingual medical QA retrieval with 6,127 queries grounded in the Unified Medical Language System (UMLS), (2) concept discrimination over 4,975 confusion sets at three difficulty tiers, and (3) multilingual evidence retrieval for RAG with 2,040 quality-assured queries. The three tasks share zero concept and query overlap by design, ensuring that aggregate scores reflect genuine capability breadth. Evaluation of ten systems across six paradigm families reveals severe cross-lingual failure: biomedical encoders that score 0.818 nDCG@10 in English drop to 0.056 in Japanese, a gap that English-only benchmarks cannot detect.
