用多智能体协作自动发现急性护理中可预警的新型生物标志物。
TriAgent: Automated Biomarker Discovery with Deep Research Grounding for Triage in Acute Care by LLM-Based Multi-Agent Collaboration
- 构建多智能体系统,从临床数据出发自动挖掘潜在生物标志物。
- 在文献验证任务中,主题契合度达55.7%,优于现有模型超10%。
- 适合关注临床决策支持与精准医疗的医生及研究者使用。
全球急诊科面临患者数量上升、人力短缺和分诊判断不一致的问题,威胁及时准确救治。当前分诊主要依赖生命体征、常规检验值和临床判断,虽有效但常遗漏可能提升感染分型或抗生素使用预测的新兴生物信号。为此,我们提出TriAgent——一个基于大语言模型的多智能体框架,实现从数据挖掘到文献知识验证的全流程自动化。该框架由监督研究智能体生成研究主题,并调度专业子智能体从多源数据中检索证据。结果被整合后将生物标志物分类为已有知识支持或新候选,提供透明解释并揭示未探索的急性护理风险分层路径。相较于仅限于现有常规生物标志物的框架,TriAgent实现了从数据分析到文献验证的端到端闭环,显著提升可解释性与创新边界。给定临床查询与量化分诊数据,TriAgent获得55.7%±5.0%的主题契合度F1分数,超越CoT-ReAct超过10%;忠实度得分0.42±0.39,优于所有基线超50%。在多个实验中,其在生物标志物论证与文献驱动的新颖性评估上均超越当前最优大模型智能体框架。代码已开源:https://github.com/CellFace/TriAgent。
原文摘要 · Abstract (English)
Emergency departments worldwide face rising patient volumes, workforce shortages, and variability in triage decisions that threaten the delivery of timely and accurate care. Current triage methods rely primarily on vital signs, routine laboratory values, and clinicians' judgment, which, while effective, often miss emerging biological signals that could improve risk prediction for infection typing or antibiotic administration in acute conditions. To address this challenge, we introduce TriAgent, a large language model (LLM)-based multi-agent framework that couples automated biomarker discovery with deep research for literature-grounded validation and novelty assessment. TriAgent employs a supervisor research agent to generate research topics and delegate targeted queries to specialized sub-agents for evidence retrieval from various data sources. Findings are synthesized to classify biomarkers as either grounded in existing knowledge or flagged as novel candidates, offering transparent justification and highlighting unexplored pathways in acute care risk stratification. Unlike prior frameworks limited to existing routine clinical biomarkers, TriAgent aims to deliver an end-to-end framework from data analysis to literature grounding to improve transparency, explainability and expand the frontier of potentially actionable clinical biomarkers. Given a user's clinical query and quantitative triage data, TriAgent achieved a topic adherence F1 score of 55.7 +/- 5.0%, surpassing the CoT-ReAct agent by over 10%, and a faithfulness score of 0.42 +/- 0.39, exceeding all baselines by more than 50%. Across experiments, TriAgent consistently outperformed state-of-the-art LLM-based agentic frameworks in biomarker justification and literature-grounded novelty assessment. We share our repo: https://github.com/CellFace/TriAgent.
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