arXiv:2504.11301cs.AI2025-04中稿 · ACM MM 2025被引 8

自动设计医生智能体架构,让医疗AI能自我优化诊断流程。

Learning to Be A Doctor: Searching for Effective Medical Agent Architectures

  • 构建可动态调整的医疗智能体搜索空间,支持节点、结构、框架多级修改。
  • 在皮肤疾病诊断任务中,通过反馈迭代提升诊断准确率,效果显著优于静态流程。
  • 首个全自动医疗智能体架构设计框架,适合临床场景快速部署与适应。

基于大语言模型的智能体在多个任务中展现出强大能力,其在医疗领域的应用尤其具有潜力,因该领域需要高泛化性和跨学科知识整合。然而,现有医疗智能体系统多依赖静态、人工设计的工作流,缺乏灵活性,难以应对多样化的诊断需求和新兴临床情境。受自动化机器学习(AutoML)成功的启发,本文提出一种医疗智能体架构的自动化设计框架。具体而言,我们定义了一个分层且表达能力强的智能体搜索空间,通过在节点、结构和框架层面进行结构化修改,实现工作流的动态适配。该框架将医疗智能体视为由多种功能节点组成的图结构,并支持基于诊断反馈的迭代自我改进。在皮肤疾病诊断任务上的实验结果表明,所提方法能有效演化工作流结构,随时间显著提升诊断准确率。本工作是首个完全自动化的医疗智能体架构设计框架,为真实临床环境中智能体的可扩展、自适应部署提供了基础。

原文摘要 · Abstract (English)

Large Language Model (LLM)-based agents have demonstrated strong capabilities across a wide range of tasks, and their application in the medical domain holds particular promise due to the demand for high generalizability and reliance on interdisciplinary knowledge. However, existing medical agent systems often rely on static, manually crafted workflows that lack the flexibility to accommodate diverse diagnostic requirements and adapt to emerging clinical scenarios. Motivated by the success of automated machine learning (AutoML), this paper introduces a novel framework for the automated design of medical agent architectures. Specifically, we define a hierarchical and expressive agent search space that enables dynamic workflow adaptation through structured modifications at the node, structural, and framework levels. Our framework conceptualizes medical agents as graph-based architectures composed of diverse, functional node types and supports iterative self-improvement guided by diagnostic feedback. Experimental results on skin disease diagnosis tasks demonstrate that the proposed method effectively evolves workflow structures and significantly enhances diagnostic accuracy over time. This work represents the first fully automated framework for medical agent architecture design and offers a scalable, adaptable foundation for deploying intelligent agents in real-world clinical environments.

智能医疗自动架构LLM代理

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