TY - JOUR AU - KAI WANG PY - 2026 CY - Berlin, Germany PB - Peter Lang Verlag JF - Journal of Translation Studies IS - 1 VL - 6 SN - 2673-6934 TI - Symmetrical Retrieval-Augmented Generation: A Risk-Averse Framework for Safety-Critical Translation of Biomedical Subject-matter DO - 10.3726/JTS012026.6 UR - https://www.peterlang.com/document/1737158 N2 - Large Language Models (LLMs) demonstrate high fluency in machine translation, yet their probabilistic nature can lead to hallucinations and terminological drift in dealing with safety-critical biomedical texts. To resolve this “fluency trap,” this study proposes a symmetrical Retrieval-Augmented Generation (RAG) framework powered by DeepSeek-V3. Functioning as a risk-management instrument, the architecture enforces a dual-constraint mechanism: a Lexical Stream applies rigid terminology injection to ensure high factual precision, while a Syntactic Stream retrieves structural templates from the authoritative New England Journal of Medicine (NEJM) corpus to preserve the professional style. Empirical evaluations on clinical trial protocols reveal that our framework significantly outperforms zero-shot GPT-4, achieving a near-perfect 99.2% Terminology Accuracy Rate (TAR) and superior semantic alignment. Ultimately, this study demonstrates that domain-specific, theory-driven architectures are more effective than larger model size, successfully transforming biomedical AI translation from probabilistic guessing into accurate, data-driven translation. KW - biomedical translation, retrieval-augmented generation (RAG), large language models (LLMs), risk management, dual-constraint architecture ER -