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Radiology Guideline-derived Decision Graph for Efficient Clinical Decision Support
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First public release: 2026-10-29 · Indexed by Pub-AI: 2026-10-30 UTC
Radiology Guideline-derived Decision Graph for Efficient Clinical Decision Support
Preprint posted: 2026-10-29 · Original record ↗
- arxiv
- 2610.40327
Explicit source versions (1)
- v1 · 2026-10-29
- Preprint available
Source date: 2026-10-29 · First detected: 2026-10-30 UTC · Historical baseline
Source evidence (2)
- Official evidence ↗ · RSS guid=oai:arXiv.org:2610.40327v1; arxiv:announce_type=new; item pubDate (official metadata)
- Official evidence ↗ · atom:published (official metadata)
Abstract · arxiv
Radiological risk stratification and management planning are essential downstream tasks in medical imaging. Automating these tasks is challenging because clinical guideline criteria are distributed across prose, tables, and cross-referenced definitions. We present Guideline-derived Decision Graph (GDGraph), a framework that decouples guideline compilation from case evaluation. During compilation, a large language model partitions guidelines into section-based chunks, extracts local decision subgraphs with linked definitions, and aggregates related branches into an executable decision graph. During inference, a fast System One model answers localized clinical questions while deterministic traversal resolves Boolean logic, turning opaque single-pass predictions into a traceable decision path without task-specific training. Across 347 cases spanning renal cyst, adnexal mass, and thyroid nodule guidelines, GDGraph improves System One accuracy from 57.3% to 90.8%, outperforming retrieval-augmented GPT-4o (80.1%) and graph-guided GPT-4o with chain-of-thought (82.7%) at substantially lower latency and cost. The source code will be available.