Hangeol Chang
Publications
Hypothesis-Conditioned Query Rewriting for Decision-Useful Retrieval
Retrieval-Augmented Generation (RAG) improves Large Language Models (LLMs) by grounding generation in external, non-parametric knowledge. However, when a task requires choosing among competing options, simply grounding generation in broadly relevant context is often insufficient to drive the final decision. Existing RAG methods typically rely on a single initial query, which often favors topical relevance over decision-relevant evidence, and therefore retrieves background information that can fail to discriminate among answer options. To address this issue, here we propose Hypothesis-Conditioned Query Rewriting (HCQR), a training-free pre-retrieval framework that reorients RAG from topic-oriented retrieval to evidence-oriented retrieval. HCQR first derives a lightweight working hypothesis from the input question and candidate options, and then rewrites retrieval into three targeted queries that seek evidence to: (1) support the hypothesis, (2) distinguish it from competing alternatives, and (3) verify salient clues in the question. This approach enables context retrieval that is more directly aligned with answer selection, allowing the generator to confirm or overturn the initial hypothesis based on the retrieved evidence. Experiments on MedQA and MMLU-Med show that HCQR consistently outperforms single-query RAG and re-rank/filter baselines, improving average accuracy over Simple RAG by 5.9 and 3.6 points, respectively. Code is available at https://anonymous.4open.science/r/HCQR-1C2E.
Dementia-R1: Reinforced Pretraining and Reasoning from Unstructured Clinical Notes for Real-World Dementia Prognosis
While Large Language Models (LLMs) have shown strong performance on clinical text understanding, they struggle with longitudinal prediction tasks such as dementia prognosis, which require reasoning over complex, non-monotonic symptom trajectories across multiple visits. Standard supervised training lacks explicit annotations for symptom evolution, while direct Reinforcement Learning (RL) is hindered by sparse binary rewards. To address this challenge, we introduce Dementia-R1, an RL-based framework for longitudinal dementia prognosis from unstructured clinical notes. Our approach adopts a Cold-Start RL strategy that pre-trains the model to predict verifiable clinical indices extracted from patient histories, enhancing the capability to reason about disease progression before determining the final clinical status. Extensive experiments demonstrate that Dementia-R1 achieves an F1 score of 77.03% on real-world unstructured clinical datasets. Notably, on the ADNI benchmark, our 7B model rivals GPT-4o, effectively capturing fluctuating cognitive trajectories. Code is available at https://anonymous.4open.science/r/dementiar1-CDB5