arXiv:2510.25588cs.AI2025-10被引 11

用多个微调大模型+推理模型,让精神诊断更标准可靠。

Standardization of Psychiatric Diagnoses -- Role of Fine-tuned LLM Consortium and OpenAI-gpt-oss Reasoning LLM Enabled Decision Support System

  • 多个微调大模型协作诊断,结果由推理模型综合判断。
  • 原型系统在美军医疗团队合作下开发,诊断准确率显著提升。
  • 适合精神科医生、AI医疗研究者,推动诊疗标准化。

多数精神障碍的诊断依赖于精神科医生与患者的对话,该主观过程易导致不同临床人员间诊断不一致,影响结果可靠性。为解决此问题并实现精神诊断标准化,本文提出一个微调大语言模型(LLM)联盟与OpenAI-gpt-oss推理大模型驱动的决策支持系统。该系统基于包含精神健康对话的语料库对多个微调模型进行训练,再通过共识机制聚合各模型输出,并由OpenAI-gpt-oss推理模型进一步优化。我们设计了一种新型LLM代理架构,协调联盟模型与推理模型间的交互,确保诊断流程的透明性、可靠性与负责任的AI实践。实验表明,融合微调模型与推理模型可显著提升诊断系统的鲁棒性与准确性。原型平台已与美国弗吉尼亚州诺福克的陆军医学研究团队合作开发,集成三个微调模型与OpenAI-gpt-oss推理模型。据我们所知,这是首个将微调模型联盟与推理模型结合用于临床精神疾病诊断的研究,为下一代标准化AI赋能的精神健康系统铺平道路。

原文摘要 · Abstract (English)

The diagnosis of most mental disorders, including psychiatric evaluations, primarily depends on dialogues between psychiatrists and patients. This subjective process can lead to variability in diagnoses across clinicians and patients, resulting in inconsistencies and challenges in achieving reliable outcomes. To address these issues and standardize psychiatric diagnoses, we propose a Fine-Tuned Large Language Model (LLM) Consortium and OpenAI-gpt-oss Reasoning LLM-enabled Decision Support System for the clinical diagnosis of mental disorders. Our approach leverages fine-tuned LLMs trained on conversational datasets involving psychiatrist-patient interactions focused on mental health conditions (e.g., depression). The diagnostic predictions from individual models are aggregated through a consensus-based decision-making process, refined by the OpenAI-gpt-oss reasoning LLM. We propose a novel method for deploying LLM agents that orchestrate communication between the LLM consortium and the reasoning LLM, ensuring transparency, reliability, and responsible AI across the entire diagnostic workflow. Experimental results demonstrate the transformative potential of combining fine-tuned LLMs with a reasoning model to create a robust and highly accurate diagnostic system for mental health assessment. A prototype of the proposed platform, integrating three fine-tuned LLMs with the OpenAI-gpt-oss reasoning LLM, was developed in collaboration with the U.S. Army Medical Research Team in Norfolk, Virginia, USA. To the best of our knowledge, this work represents the first application of a fine-tuned LLM consortium integrated with a reasoning LLM for clinical mental health diagnosis paving the way for next-generation AI-powered eHealth systems aimed at standardizing psychiatric diagnoses.

精神健康大模型诊断系统

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