{"id":5545,"date":"2026-09-20T22:55:41","date_gmt":"2026-09-20T14:55:41","guid":{"rendered":"https:\/\/www.15zhi.net\/blog\/?p=5545"},"modified":"2026-09-20T23:16:22","modified_gmt":"2026-09-20T15:16:22","slug":"202609-%e8%ae%ba%e6%96%87%e7%a0%94%e8%af%bb-assessing-and-mitigating-medical-knowledge-drift-and-conflicts-in-large-language-models","status":"publish","type":"post","link":"https:\/\/www.15zhi.net\/blog\/202609-%e8%ae%ba%e6%96%87%e7%a0%94%e8%af%bb-assessing-and-mitigating-medical-knowledge-drift-and-conflicts-in-large-language-models\/","title":{"rendered":"202609 \u8bba\u6587\u7814\u8bfb-Assessing and Mitigating Medical Knowledge Drift and Conflicts in Large Language Models"},"content":{"rendered":"\n

\u4f5c\u8005\uff1aWeiyi Wu, Xinwen Xu, Chongyang Gao, Xingjian Diao, Siting Li,\u2028Lucas A. Salas, Jiang Gui<\/p>\n\n\n\n

\u5355\u4f4d\uff1aDartmouth College, Massachusetts General Hospital, Northwestern\u2028University<\/p>\n\n\n\n

\u6765\u6e90\uff1aEMNLP 2025 Findings<\/p>\n\n\n\n

\u65f6\u95f4\uff1a2025.11<\/p>\n\n\n\n

\u80cc\u666f<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u4e3b\u8981\u8d21\u732e<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u65b9\u6cd5<\/p>\n\n\n\n

    \n
  1. RAG<\/li>\n<\/ol>\n\n\n\n
    \"\"<\/figure>\n\n\n\n

    2.DPO<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n
    \"\"<\/figure>\n\n\n\n

    3.RoD<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    \u5b9e\u9a8c<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    \u8861\u91cf\u6307\u6807<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    \u5b9e\u9a8c\u7ed3\u679c<\/p>\n\n\n\n

    (1)<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n
    \"\"<\/figure>\n\n\n\n

    (2)\u5728\u5185\u90e8\u77e5\u8bc6\u4e00\u81f4\u6027\u65b9\u9762\uff0c\u6240\u6709\u6a21\u578b\u5728\u4e94\u7c7b\u6307\u5357\u53d8\u5316\u4e2d\u5747\u51fa\u73b0\u4e86\u4e0d\u540c\u7a0b\u5ea6\u7684\u77e5\u8bc6\u51b2\u7a81\u3002Ministral-8B\u7684\u6574\u4f53IKCR\u6700\u4f4e\uff0c\u7ea6\u4e3a0.34\uff0cGemma-2-27B\u7ea6\u4e3a0.39\u3002\u540c\u65f6\uff0cQwen2.5-72B\u548cLlama-3.3-70B\u5e76\u672a\u8868\u73b0\u51fa\u6bd4\u5176\u5c0f\u89c4\u6a21\u7248\u672c\u66f4\u4f4e\u7684\u51b2\u7a81\u6bd4\u4f8b\uff0c\u8bf4\u660e\u589e\u52a0\u6a21\u578b\u7684\u80fd\u529b\u6216\u89c4\u6a21\u5e76\u4e0d\u80fd\u4e00\u81f4\u6027\u5730\u6d88\u9664\u5185\u90e8\u77e5\u8bc6\u77db\u76fe\u3002<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    (3)\u5b9a\u6027\u7ed3\u679c\u8868\u660e\uff0c\u4ec5\u63d0\u4f9b\u6b63\u786e\u7684\u5916\u90e8\u77e5\u8bc6\u5e76\u4e0d\u80fd\u4fdd\u8bc1\u6a21\u578b\u6b63\u786e\u4f7f\u7528\u8be5\u77e5\u8bc6\u3002 \u5728 Figure 4\u7684\u4e59\u809d\u75ab\u82d7\u6848\u4f8b\u4e2d\uff0cRAG\u5df2\u6210\u529f\u68c0\u7d22\u5230\u201c\u7cd6\u5c3f\u75c5\u6210\u4eba\u63a8\u8350\u5e74\u9f84\u4e3a60\u5c81\u4ee5\u4e0b\u201d\u7684\u5f53\u524d\u6307\u5357\uff0c\u4f46RAG-only\u6a21\u578b\u4ecd\u9519\u8bef\u8ba4\u53ef\u4e86\u9488\u5bf965\u5c81\u60a3\u8005\u7684\u5efa\u8bae\u3002\u76f8\u6bd4\u4e4b\u4e0b\uff0cDPO\u4e0eRAG\u7ed3\u5408\u540e\u7684RoD\u80fd\u591f\u7ed9\u51fa\u4e0e\u5f53\u524d\u6307\u5357\u4e00\u81f4\u7684\u5224\u65ad\u3002<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n
    \"\"<\/figure>\n\n\n\n
    \"\"<\/figure>\n\n\n\n

    (4)\u6d88\u878d\u5b9e\u9a8c<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    \u603b\u7ed3<\/p>\n\n\n\n

    \uff081\uff09\u63d0\u51faConflictMedQA\u52a8\u6001\u533b\u5b66\u77e5\u8bc6\u51b2\u7a81\u8bc4\u4f30\u6846\u67b6\uff0c\u5c06195\u5bf9\u5f53\u524d\/\u4f2a\u8fc7\u65f6\u5efa\u8bae\u6269\u5c55\u4e3a4,290\u4e2a\u573a\u666f\u5316\u95ee\u7b54\uff0c\u7528\u4e8e\u6a21\u62df\u4e34\u5e8a\u6307\u5357\u66f4\u65b0\u540e\u7684\u77e5\u8bc6\u51b2\u7a81\u3002<\/p>\n\n\n\n

    \uff082\uff09\u5206\u522b\u91c7\u7528ECDA\u548cIKCR\u8861\u91cf\u6a21\u578b\u4e0e\u5f53\u524d\u6307\u5357\u7684\u5916\u90e8\u4e00\u81f4\u6027\u53ca\u6a21\u578b\u5185\u90e8\u77e5\u8bc6\u4e00\u81f4\u6027\uff0c\u53d1\u73b0\u201c\u80fd\u591f\u8ba4\u53ef\u5f53\u524d\u5efa\u8bae\u201d\u5e76\u4e0d\u610f\u5473\u7740\u201c\u80fd\u591f\u62d2\u7edd\u4f2a\u8fc7\u65f6\u5efa\u8bae\u201d\u3002<\/p>\n\n\n\n

    \uff083\uff09\u63d0\u51faRAG\u3001DPO\u548cRoD \u4e09\u79cd\u7f13\u89e3\u7b56\u7565\u3002RAG\u4ece\u5916\u90e8\u8865\u5145\u5f53\u524d\u533b\u5b66\u77e5\u8bc6\uff0cDPO\u5bf9\u6a21\u578b\u5185\u90e8\u504f\u597d\u8fdb\u884c\u53c2\u6570\u5316\u5bf9\u9f50\uff0cRoD\u5c06\u4e24\u8005\u7ed3\u5408\uff0c\u5728\u6d4b\u8bd5\u6a21\u578b\u4e0a\u53d6\u5f97\u66f4\u597d\u7684\u7efc\u5408\u8868\u73b0\u3002<\/p>\n\n\n\n

    \uff084\uff09\u6838\u5fc3\u4ef7\u503c\u5728\u4e8e\u5c06\u533b\u5b66LLM\u7684\u53ef\u9760\u6027\u95ee\u9898\u4ece\u9759\u6001\u77e5\u8bc6\u51c6\u786e\u7387\u6269\u5c55\u5230\u52a8\u6001\u77e5\u8bc6\u51b2\u7a81\uff0c\u4f7f\u6a21\u578b\u662f\u5426\u80fd\u591f\u5904\u7406\u65b0\u65e7\u3001\u76f8\u4e92\u77db\u76fe\u7684\u533b\u5b66\u77e5\u8bc6\u6210\u4e3a\u72ec\u7acb\u7684\u8bc4\u4ef7\u95ee\u9898\u3002<\/p>\n\n\n\n

    <\/p>\n","protected":false},"excerpt":{"rendered":"

    \u4f5c\u8005\uff1aWeiyi Wu, Xinwen Xu, Chongyang Gao, Xingjian Diao, S […]<\/p>\n","protected":false},"author":78,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5545","post","type-post","status-publish","format-standard","hentry","category-events"],"_links":{"self":[{"href":"https:\/\/www.15zhi.net\/blog\/wp-json\/wp\/v2\/posts\/5545","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.15zhi.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.15zhi.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.15zhi.net\/blog\/wp-json\/wp\/v2\/users\/78"}],"replies":[{"embeddable":true,"href":"https:\/\/www.15zhi.net\/blog\/wp-json\/wp\/v2\/comments?post=5545"}],"version-history":[{"count":2,"href":"https:\/\/www.15zhi.net\/blog\/wp-json\/wp\/v2\/posts\/5545\/revisions"}],"predecessor-version":[{"id":5581,"href":"https:\/\/www.15zhi.net\/blog\/wp-json\/wp\/v2\/posts\/5545\/revisions\/5581"}],"wp:attachment":[{"href":"https:\/\/www.15zhi.net\/blog\/wp-json\/wp\/v2\/media?parent=5545"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.15zhi.net\/blog\/wp-json\/wp\/v2\/categories?post=5545"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.15zhi.net\/blog\/wp-json\/wp\/v2\/tags?post=5545"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}