arXiv subjects

Julian Friedrich

Publications and source records attributed to Julian Friedrich.

4 recordsLinked to original sources

arXiv2026

Case2Flow: Bridging Patient Cases and Guideline Flowcharts through Multimodal Retrieval

Medical guidelines encode rich, evidence-based decision logic, yet the specific decision artifact a clinician needs is hard to locate within a guideline, let alone across guidelines covering plausible diseases and treatments. While guideline passages have supported end-to-end question answering, flowcharts remain largely underused in decision support despite their ability to encode actionable clinical pathways. We therefore introduce Case2Flow, a task designed to retrieve the most relevant guideline flowchart for a given patient case from a collection of guideline documents. To support it, we construct FlowAtlas, a curated corpus of 202 flowcharts extracted from 2,080 medical guidelines, together with a pipeline that synthesises 1,911 aligned case-flowchart pairs. Our evaluation of multimodal retrieval methods reveals systematic failure modes, including overreliance on keywords and spurious token-patch matches induced by uninformative background regions in flowcharts. Motivated by this, we propose CRISP, a training-free scoring method that sharpens late-interaction retrieval by suppressing uninformative patches, discounting ambiguous token matches, and incorporating bidirectional query-image alignment. CRISP improves Recall@1 by up to 18.71 percentage points, while a blinded physician assessment on published case narratives provides preliminary feasibility evidence beyond synthetic queries.

cs.CL↗

arXiv2026

AIANO: Enhancing Information Retrieval with AI-Augmented Annotation

The rise of Large Language Models (LLMs) and Retrieval-Augmented Generation (RAG) has rapidly increased the need for high-quality, curated information retrieval datasets. These datasets, however, are currently created with off-the-shelf annotation tools that make the annotation process complex and inefficient. To streamline this process, we developed a specialized annotation tool - AIANO. By adopting an AI-augmented annotation workflow that tightly integrates human expertise with LLM assistance, AIANO enables annotators to leverage AI suggestions while retaining full control over annotation decisions. In a within-subject user study ($n = 15$), participants created question-answering datasets using both a baseline tool and AIANO. AIANO nearly doubled annotation speed compared to the baseline while being easier to use and improving retrieval accuracy. These results demonstrate that AIANO's AI-augmented approach accelerates and enhances dataset creation for information retrieval tasks, advancing annotation capabilities in retrieval-intensive domains.

cs.IR↗

arXiv2026

Modular Expert Merging for Biomedical Retrieval

Adapting general-purpose LLMs into domain-specialized dense retrievers typically requires large-scale training on mixed-domain data. We show that merging independently trained domain-specialized experts consistently exceeds this approach across four decoder-only LLM families (0.6B-7B), four merging methods, and twelve medical and general retrieval tasks from MTEB, suggesting that parameter-space composition captures complementary domain strengths that large-scale mixed-domain training averages out. To further maximize expert quality, we introduce Synthesize-Train-Merge (STM), a modular framework that synthesizes hard negatives with a top-tier LLM and fine-tunes domain-specialized experts via LoRA before merging them, without continual pre-training. Synthesized hard negatives yield the largest gains for smaller models, and STM achieves strong performance on biomedical retrieval tasks while maintaining competitive general-domain results across all four backbone families.

cs.CL↗

arXiv2025

MeDiSumQA: Patient-Oriented Question-Answer Generation from Discharge Letters

While increasing patients' access to medical documents improves medical care, this benefit is limited by varying health literacy levels and complex medical terminology. Large language models (LLMs) offer solutions by simplifying medical information. However, evaluating LLMs for safe and patient-friendly text generation is difficult due to the lack of standardized evaluation resources. To fill this gap, we developed MeDiSumQA. MeDiSumQA is a dataset created from MIMIC-IV discharge summaries through an automated pipeline combining LLM-based question-answer generation with manual quality checks. We use this dataset to evaluate various LLMs on patient-oriented question-answering. Our findings reveal that general-purpose LLMs frequently surpass biomedical-adapted models, while automated metrics correlate with human judgment. By releasing MeDiSumQA on PhysioNet, we aim to advance the development of LLMs to enhance patient understanding and ultimately improve care outcomes.

cs.CL↗