Abstract:Existing multimodal RAG methods often flatten structured documents into isolated text and image units, weakening the source organization and local text-image logic needed for faithful evidence selection and placement. We propose HAM-RAG, a Hierarchy-Aware Multimodal RAG framework for structure-faithful interleaved generation. HAM-RAG uses document hierarchy as a grounding signal across retrieval and generation, contextualizing textual and visual evidence and preserving source position and local text-image relations in the prompt. We further introduce HAM-Bench, covering Wukong, Wiki, arXiv, and Recipe across game walkthroughs, web pages, scientific papers, and step-wise recipe documents. Across multiple backbones, HAM-RAG improves the main multimodal average by 17.3% over the strongest non-hierarchical baseline. On Wukong, HAM-RAG improves Img-CBS by 24.2% over the strongest non-hierarchical baseline, demonstrating substantially better local text-image alignment. The main experiments and ablation study together demonstrate that document hierarchy is a key grounding signal for faithful image selection, placement, and local text-image alignment. These findings highlight the value of hierarchy-aware grounding for reliable multimodal assistants that generate answers faithful to the source organization, procedural structure, and local text-image evidence of structured documents, such as technical manuals, maintenance guides, and industrial SOPs. The code is available at https://github.com/MCCodeAI/HAM-RAG.git.
Abstract:Background. Systematic reviews in comparative effectiveness research require timely evidence synthesis. Preprints accelerate knowledge dissemination but vary in quality, posing challenges for systematic reviews. Methods. We propose AutoConfidence (automated confidence assessment), an advanced framework for predicting preprint publication, which reduces reliance on manual curation and expands the range of predictors, including three key advancements: (1) automated data extraction using natural language processing techniques, (2) semantic embeddings of titles and abstracts, and (3) large language model (LLM)-driven evaluation scores. Additionally, we employed two prediction models: a random forest classifier for binary outcome and a survival cure model that predicts both binary outcome and publication risk over time. Results. The random forest classifier achieved AUROC 0.692 with LLM-driven scores, improving to 0.733 with semantic embeddings and 0.747 with article usage metrics. The survival cure model reached AUROC 0.716 with LLM-driven scores, improving to 0.731 with semantic embeddings. For publication risk prediction, it achieved a concordance index of 0.658, increasing to 0.667 with semantic embeddings. Conclusion. Our study advances the framework for preprint publication prediction through automated data extraction and multiple feature integration. By combining semantic embeddings with LLM-driven evaluations, AutoConfidence enhances predictive performance while reducing manual annotation burden. The framework has the potential to facilitate systematic incorporation of preprint articles in evidence-based medicine, supporting researchers in more effective evaluation and utilization of preprint resources.