arXiv:2604.07269cs.CL2026-04被引 3

让诊断AI像医生一样积累经验,自动提炼可复用的判断规则。

Joint Optimization of Reasoning and Dual-Memory for Self-Learning Diagnostic Agent

论文配图:Joint Optimization of Reasoning and Dual-Memory for Self-Learning Diagnostic Agent
图 1 · 摘自论文原文
  • 设计双记忆模块,联合优化推理与记忆管理
  • 在标准数据集上达92.46%准确率,领先基线19.6%
  • 适合医疗AI研发、临床决策支持系统开发者

临床能力不仅来自医学知识积累,更源于可复用的诊断经验。现有基于大模型的诊断助手多独立处理病例,限制了经验复用与持续学习。我们提出SEA——一种受认知启发的自学习诊断代理,配备双记忆模块,并设计针对性强化训练框架,实现推理与记忆管理的联合优化。在MedCaseReasoning标准评估中,SEA达到92.46%准确率,优于最强基线19.6%,证明联合优化的有效性;在长时程评估(ER-Reason数据集)中,最终准确率达0.7214,相较基线提升0.35 Acc@100,且表现稳定。专家评估显示,由SEA提取的规则具备高度临床正确性、实用性和可信度,表明其双记忆模块生成的知识可靠且具实际意义。整体上,SEA通过将经验高效转化为可复用知识,显著提升诊断推理与持续学习能力。

原文摘要 · Abstract (English)

Clinical expertise improves not only by acquiring medical knowledge, but by accumulating experience that yields reusable diagnostic patterns. Recent LLMs-based diagnostic agents have shown promising progress in clinical reasoning for decision support. However, most approaches treat cases independently, limiting experience reuse and continual adaptation. We propose SEA, a self-learning diagnostic agent with cognitively inspired dual-memory module. We design a reinforcement training framework tailored to our designed agent for joint optimization of reasoning and memory management. We evaluate SEA in two complementary settings. On standard evaluation with MedCaseReasoning dataset, SEA achieves 92.46% accuracy, outperforming the strongest baseline by +19.6%, demonstrating the benefit of jointly optimizing reasoning and memory. On the long-horizon with ER-Reason dataset, SEA attains the best final accuracy (0.7214) and the largest improvement (+0.35 Acc@100), while baseline methods show limited or unstable gains. Expert evaluation further indicates that rules consolidated from SEA show strong clinical correctness, usefulness and trust, suggesting that the induced rules in dual-memory module are reliable and practically meaningful. Overall, SEA improves both diagnostic reasoning ability and continual learning by effectively transforming experience into reusable knowledge.

医疗AI自学习双记忆推理优化

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