arXiv:2509.23725cs.AI2025-09AAAI被引 14

用逻辑树+多轮辩论,让大模型更可靠地解决复杂医学问题。

MedLA: A Logic-Driven Multi-Agent Framework for Complex Medical Reasoning with Large Language Models

论文配图:MedLA: A Logic-Driven Multi-Agent Framework for Complex Medical Reasoning with Large Language Models
图 1 · 摘自论文原文
  • 每个智能体用三段论构建逻辑树,透明化推理过程。
  • 多轮讨论后达成共识,错误率比基线降低37%以上。
  • 适合医疗诊断、临床决策等需高可信度的场景。

回答复杂的医学问题不仅需要专业领域知识和患者特异性信息,还需要结构化、多视角的推理能力。现有基于多智能体的方法常依赖固定角色或浅层交互提示,难以发现并解决细粒度的逻辑矛盾。为此,我们提出 extsc{MedLA},一个基于大语言模型的逻辑驱动多智能体框架。每个智能体将其推理过程组织为基于三段论(大前提、小前提、结论)的显式逻辑树,实现可解释的推演与前提级对齐。智能体通过多轮、图引导的讨论,比较并迭代优化各自的逻辑树,经由错误修正与矛盾化解达成共识。实验表明, extsc{MedLA} 在挑战性基准 MedDDx 及标准医学问答任务上持续优于静态角色系统与单智能体基线。此外, extsc{MedLA} 在开源与商业 LLM 骨干上均表现良好,达到当前最优性能,为可信赖医学推理提供通用范式。

原文摘要 · Abstract (English)

Answering complex medical questions requires not only domain expertise and patient-specific information, but also structured and multi-perspective reasoning. Existing multi-agent approaches often rely on fixed roles or shallow interaction prompts, limiting their ability to detect and resolve fine-grained logical inconsistencies. To address this, we propose \textsc{MedLA}, a logic-driven multi-agent framework built on large language models. Each agent organizes its reasoning process into an explicit logical tree based on syllogistic triads (major premise, minor premise, and conclusion), enabling transparent inference and premise-level alignment. Agents engage in a multi-round, graph-guided discussion to compare and iteratively refine their logic trees, achieving consensus through error correction and contradiction resolution. We demonstrate that \textsc{MedLA} consistently outperforms both static role-based systems and single-agent baselines on challenging benchmarks such as MedDDx and standard medical QA tasks. Furthermore, \textsc{MedLA} scales effectively across both open-source and commercial LLM backbones, achieving state-of-the-art performance and offering a generalizable paradigm for trustworthy medical reasoning.

医学推理多智能体逻辑树LLM

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