arXiv:2507.21159cs.AIcs.LG2025-07

通过动态筛选与协作优化,提升大模型在医疗决策中的表现。

MAC: Masked Agent Collaboration Boosts Large Language Model Medical Decision-Making

  • 基于帕累托最优筛选高效且多样化的模型作为协作代理。
  • 通过交叉一致性评估,自动屏蔽语义不一致的输出来源。
  • 支持自适应渐进式信息传播,适合医疗复杂场景下的决策任务。

大型语言模型(LLMs)在人工智能领域已展现强大能力,多智能体系统(MAS)通过协同多个LLM,在医疗发展方面具有巨大潜力。然而,当前方法缺乏系统的代理构建流程,且协作模式僵化,导致在医疗决策场景中易出现协作失败,性能显著下降。为此,我们提出一种新型掩码代理协作(MAC)框架,利用帕累托最优代理构建与交叉一致性最大化机制,实现协作信息的自适应渐进传播,增强医疗决策能力。具体而言,首先对LLM池进行帕累托前沿因素分析,综合考虑模型规模、推理时间、多样性得分和吞吐比,通过计算单个模型输出间的相似性获得其多样性得分;随后识别出在效率与能力间平衡的帕累托最优模型作为协作代理。进一步,通过测量代理间输出的成对相似性,计算交叉一致性值,并掩码一致性最低的代理以剔除可能语义不一致的输出。最后,通过提示工程实现代理的自适应渐进式协作,每层代理将前一层未被掩码代理的输出聚合为输入,生成最终结果。

原文摘要 · Abstract (English)

Large language models (LLMs) have proven effective in artificial intelligence, where the multi-agent system (MAS) holds considerable promise for healthcare development by achieving the collaboration of LLMs. However, the absence of a systematic pipeline for agent construction and the rigidity of static collaboration patterns render current MAS-based models vulnerable to collaboration failures, resulting in substantial performance degradation in medical decision-making scenarios. To this end, we propose a novel Masked Agent Collaboration (MAC) framework that harnesses Pareto-optimal agent construction and cross-consistency maximization mechanisms to achieve adaptive progressive propagation of collaborative information, boosting the medical decision-making capacity. Specifically, we first conduct a Pareto-frontier factors analysis towards the LLMs pool to consider their key factors, including the model size, inference time, diversity score, and throughput ratio, where we calculate the similarity between pairwise outputs within an LLM to derive its diversity score. Beyond this analysis, we enable the identification of Pareto-optimal models that balance efficiency and capability, which are subsequently selected as collaborative agents to consider the fundamental trade-offs inherent in practical LLM deployment. Afterward, we measure the pairwise similarity between the outputs from collaborative agents to determine their cross-consistency values, subsequently masking out the agent with the lowest cross-consistency value to eliminate the output that is likely semantically inconsistent. Finally, we conduct collaboration of agents by achieving adaptive progressive propagation, where each agent aggregates the outputs of unmasked agents from the previous layer as its input to generate the corresponding output via prompt engineering.

大模型医疗决策多智能体协作优化

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