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CliCARE: Grounding Large Language Models in Clinical Guidelines for Decision Support over Longitudinal Cancer Electronic Health Records

arXiv:2507.22533v2 Announce Type: replace-cross Abstract: Large Language Models (LLMs) hold significant promise for improving clinical decision support and reducing physician burnout by synthesizing complex, longitudinal cancer Electronic Health Records (EHRs). However, their implementation in this critical field faces three primary challenges: the inability to effectively process the extensive length and fragmented nature of patient records for accurate temporal analysis; a heightened risk of clinical hallucination, as conventional grounding techniques such as Retrieval-Augmented Generation (RAG) do not adequately incorporate process-oriented clinical guidelines; and unreliable evaluation metrics that hinder the validation of AI systems in oncology. To address these issues, we propose CliCARE, a framework for Grounding Large Language Models in Clinical Guidelines for Decision Support over Longitudinal Cancer Electronic Health Records. The framework operates by transforming unstructured, longitudinal EHRs into patient-specific Temporal Knowledge Graphs (TKGs) to capture long-range dependencies, and then grounding the decision support process by aligning these real-world patient trajectories with a normative guideline knowledge graph. This approach provides oncologists with evidence-grounded decision support by generating a high-fidelity clinical summary and an actionable recommendation. We validated our framework using large-scale, longitudinal data from a private Chinese cancer dataset and the public English MIMIC-IV dataset. In these settings, CliCARE significantly outperforms baselines, including leading long-context LLMs and Knowledge Graph-enhanced RAG methods. The clinical validity of our results is supported by a robust evaluation protocol, which demonstrates a high correlation with assessments made by oncologists.

PatentMind: A Multi-Aspect Reasoning Graph for Patent Similarity Evaluation

arXiv:2505.19347v3 Announce Type: replace Abstract: Patent similarity evaluation plays a critical role in intellectual property analysis. However, existing methods often overlook the intricate structure of patent documents, which integrate technical specifications, legal boundaries, and application contexts. We introduce PatentMind, a novel framework for patent similarity assessment based on a Multi-Aspect Reasoning Graph (MARG). PatentMind decomposes patents into their three dimensions of technical features, application domains, and claim scopes, then dimension-specific similarity scores are calculated over the MARG. These scores are dynamically weighted through a context-aware reasoning process, which integrates contextual signals to emulate expert-level judgment. To support evaluation, we construct a human-annotated benchmark PatentSimBench, comprising 500 patent pairs. Experimental results demonstrate that the PatentMind-generated scores show a strong correlation ($r=0.938$) with expert annotations, significantly outperforming embedding-based models, patent-specific models, and advanced prompt engineering methods. Beyond computational linguistics, our framework provides a structured and semantically grounded foundation for real-world decision-making, particularly for tasks such as infringement risk assessment, underscoring its broader impact on both patent analytics and evaluation.
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