用回顾性总结提升医疗大模型决策能力,让AI更懂真实病历。
AgentEHR: Advancing Autonomous Clinical Decision-Making via Retrospective Summarization
- 提出RetroSum框架,动态重评交互历史,防止信息丢失。
- 在复杂诊疗任务中,错误率降低92.3%,性能提升最高达29.16%。
- 适合研究智能诊疗系统或医疗AI的开发者与临床研究者。
大语言模型在医疗领域展现出巨大潜力,但其在自主电子健康记录(EHR)导航中的应用仍受限于对预处理输入的依赖和简化检索任务。为弥合理想实验环境与真实临床场景之间的差距,我们提出AgentEHR基准,要求智能体在原始、高噪声数据库中执行诊断与治疗规划等复杂决策任务,需具备长程交互推理能力。在此过程中,我们发现现有摘要方法存在关键信息丢失与推理断裂问题。为此,我们提出RetroSum框架,融合回顾性摘要机制与演化经验策略。通过动态重评交互历史,回顾性机制有效避免长上下文信息丢失,保障逻辑连贯性;演化策略则从记忆库中检索累积经验,缓解领域差异。大量实证评估表明,RetroSum相比基线模型性能提升最高达29.16%,总交互错误减少高达92.3%。
原文摘要 · Abstract (English)
Large Language Models have demonstrated profound utility in the medical domain. However, their application to autonomous Electronic Health Records~(EHRs) navigation remains constrained by a reliance on curated inputs and simplified retrieval tasks. To bridge the gap between idealized experimental settings and realistic clinical environments, we present AgentEHR. This benchmark challenges agents to execute complex decision-making tasks, such as diagnosis and treatment planning, requiring long-range interactive reasoning directly within raw and high-noise databases. In tackling these tasks, we identify that existing summarization methods inevitably suffer from critical information loss and fractured reasoning continuity. To address this, we propose RetroSum, a novel framework that unifies a retrospective summarization mechanism with an evolving experience strategy. By dynamically re-evaluating interaction history, the retrospective mechanism prevents long-context information loss and ensures unbroken logical coherence. Additionally, the evolving strategy bridges the domain gap by retrieving accumulated experience from a memory bank. Extensive empirical evaluations demonstrate that RetroSum achieves performance gains of up to 29.16% over competitive baselines, while significantly decreasing total interaction errors by up to 92.3%.
Thank you to arXiv for use of its open access interoperability. PaperDance 不是 arXiv 官方产品;中文卡片由大模型生成,请以原文为准。