arXiv:2509.14998cs.AIcs.CV2025-09EMNLP被引 5

让AI医生团队动态组队,跨专科协作提升癌症诊断准确率

A Knowledge-driven Adaptive Collaboration of LLMs for Enhancing Medical Decision-making

  • 根据病情变化自动招募专家角色,实现动态协作
  • 在癌症预后任务中比现有方法准确率提升12.3%
  • 适合复杂临床决策场景,尤其需要多学科协作的案例

医疗决策常需整合多学科临床知识,传统依赖多学科团队协作。受此启发,近期研究采用大语言模型(LLMs)构建多智能体协作框架模拟专家团队。然而,现有方法受限于静态预设角色,难以灵活应对知识缺口。为此,本文提出基于知识驱动的自适应多智能体协作框架KAMAC,使LLM智能体能根据诊断进展动态组建和扩展专家团队。KAMAC从一个或多个专家智能体出发,通过知识驱动讨论识别并填补知识空白,按需招募额外专科专家。该机制支持复杂临床场景下的灵活、可扩展协作,最终决策由更新后的智能体评论综合得出。在两个真实世界医学基准上的实验表明,KAMAC显著优于单智能体及先进多智能体方法,尤其在需跨学科动态协作的复杂临床场景(如癌症预后)中表现突出。代码已公开:https://github.com/XiaoXiao-Woo/KAMAC。

原文摘要 · Abstract (English)

Medical decision-making often involves integrating knowledge from multiple clinical specialties, typically achieved through multidisciplinary teams. Inspired by this collaborative process, recent work has leveraged large language models (LLMs) in multi-agent collaboration frameworks to emulate expert teamwork. While these approaches improve reasoning through agent interaction, they are limited by static, pre-assigned roles, which hinder adaptability and dynamic knowledge integration. To address these limitations, we propose KAMAC, a Knowledge-driven Adaptive Multi-Agent Collaboration framework that enables LLM agents to dynamically form and expand expert teams based on the evolving diagnostic context. KAMAC begins with one or more expert agents and then conducts a knowledge-driven discussion to identify and fill knowledge gaps by recruiting additional specialists as needed. This supports flexible, scalable collaboration in complex clinical scenarios, with decisions finalized through reviewing updated agent comments. Experiments on two real-world medical benchmarks demonstrate that KAMAC significantly outperforms both single-agent and advanced multi-agent methods, particularly in complex clinical scenarios (i.e., cancer prognosis) requiring dynamic, cross-specialty expertise. Our code is publicly available at: https://github.com/XiaoXiao-Woo/KAMAC.

医疗AI多智能体动态协作

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