arXiv:2605.29163eess.IV2026-05中稿 · MICCAI 2026

让医学影像分析流程更可靠,解决长链条任务中的执行崩溃问题

BCER Agent: Reliable Long-Horizon MRI Workflow Execution via Compilation, Artifact Binding, and Bounded Local Recovery

论文配图:BCER Agent: Reliable Long-Horizon MRI Workflow Execution via Compilation, Artifact Binding, and Bounded Local Recovery
图 1 · 摘自论文原文
  • 分离规划与执行,支持局部故障恢复
  • 长链任务成功率显著提升,最高优于基线18.7%
  • 适合需要可审计性的临床影像工作流场景

许多近期的医疗视觉语言模型与智能体研究基于2D图像或较短的工具调用交互进行评估,而真实的MRI分析通常需要处理3D/4D体数据的长时序、强依赖性流程。在此背景下,传统的反应式工具调用智能体易因中间结果错误引用、参数不匹配及跨步骤依赖控制不足而导致级联失效。为此,本文提出BCER(Brain-Cerebellum-Extremity-Reflector)控制器架构,实现高阶规划与执行解耦,并支持有界局部恢复。我们在涵盖脑、前列腺和心脏任务的多器官MRI基准上评估了BCER,测试了短链与长链工作流,使用相同任务契约对比不同控制器变体及多个骨干模型。相较于反应式基线,BCER在端到端执行中表现一致更优,尤其在长链任务中提升最为显著。此外,通过显式维护最终输出与中间产物、测量值之间的链接,提升了系统的可审计性。代码与基准已开源于https://github.com/Albertlongzi/BCER。

原文摘要 · Abstract (English)

Many recent medical VLM and agent studies are benchmarked on 2D images or comparatively short tool-calling exchanges, whereas real MRI analysis typically demands long, interdependent pipelines that operate on 3D/4D volumetric data. Under these conditions, reactive tool-calling agents are prone to cascading breakdowns triggered by faulty intermediate references, mismatched tool arguments, and limited control over cross-step dependencies. To address this, we introduce BCER (Brain-Cerebellum-Extremity-Reflector), a controller architecture aimed at dependable long-horizon MRI workflow execution. BCER decouples high-level planning from execution and provides bounded local recovery. We assess BCER on a multi-organ MRI benchmark covering brain, prostate, and cardiac tasks with both short- and long-chain workflows, using matched task contracts across controller variants and several backbone models. Relative to reactive baselines, BCER yields consistent improvements in end-to-end execution, with the most pronounced gains observed on long-chain workflows. BCER additionally enables auditability by maintaining explicit links between final outputs and intermediate artifacts and measurements. Code and benchmark are released at https://github.com/Albertlongzi/BCER.

医学影像智能体长序列可审计

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