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Updated: Jan 14, 2026

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
Published on: June 13, 2025
MEGA-RAG: a retrieval-augmented generation framework with multi-evidence guided answer refinement for mitigating
Shan Xu1,2, Zhaokun Yan2, Chengxiao Dai2,3
1Shanghai Institute of Infectious Disease and Biosecurity, School of Public Health, Fudan University, Shanghai, China.
Introduction:
The increasing adoption of large language models (LLMs) in public health has raised significant concerns about hallucinations-factually inaccurate or misleading outputs that can compromise clinical communication and policy decisions.
Methods:
We propose a retrieval-augmented generation framework with multi-evidence guided answer refinement (MEGA-RAG), specifically designed to mitigate hallucinations in public health applications. The framework integrates multi-source evidence retrieval (dense retrieval via FAISS, keyword-based retrieval via BM25, and biomedical knowledge graphs), employs a cross-encoder reranker to ensure semantic relevance, and incorporates a discrepancy-aware refinement module to further enhance factual accuracy.
Results:
Experimental evaluation demonstrates that MEGA-RAG outperforms four baseline models [PubMedBERT, PubMedGPT, standalone LLM, and LLM with standard retrieval-augmented generation (RAG)], achieving a reduction in hallucination rates by over 40%. It also achieves the highest accuracy (0.7913), precision (0.7541), recall (0.8304), and F1 score (0.7904).
Discussion:
These findings confirm that MEGA-RAG is highly effective in generating factually reliable and medically accurate responses, thereby enhancing the credibility of AI-generated health information for applications in health education, clinical communication, and evidence-based policy development.
