arXiv:2608.28662cs.AI2026-08

用多智能体+可信预测,让骨折诊断更安全可解释。

FRAC-MAS: A Safe and Explainable Multi-Agent System for Fracture Diagnosis

论文配图:FRAC-MAS: A Safe and Explainable Multi-Agent System for Fracture Diagnosis
图 1 · 摘自论文原文
  • 多智能体协作验证影像,自动分诊高置信病例
  • 86.6%病例可自动确认,不确定案例主动上报
  • 生成患者易懂报告,优于主流大模型

将深度视觉模型与智能体架构结合,显著提升骨折检测性能与临床可解释性。我们提出FRAC-MAS,一种用于自动化、可解释且安全的骨骼骨折检测的多智能体系统。该框架融合四个视觉模型的堆叠集成与共形预测,生成统计可靠的风险分层诊断;同时通过多智能体工作流实现独立验证、调取临床指南并生成面向患者的报告。管道深度消融实验表明,多智能体批评者可将86.6%的病例归入高置信度自动确认组,优于单智能体基线。患者偏好研究显示,其生成的临床报告在可读性上显著优于Llama、MedGemma和Gemini。结果表明,将多智能体批评者与共形保证结合,可在保障临床监督的前提下实现更安全的放射科分诊。更广泛而言,FRAC-MAS展示了协作式智能体架构如何作为可审计、人机协同的安全关键医疗决策支持系统。代码已开源:https://github.com/hardik1712/FRAC-MAS,官网:https://frac-mas.vercel.app。

原文摘要 · Abstract (English)

Fracture detection and its clinical interpretability see notable improvements when deep vision models are integrated with agentic AI architectures. While deep learning models achieve high diagnostic performance, their black-box nature limits clinical adoption. We propose FRAC-MAS, an agentic AI system for automated, explainable, and safe bone fracture detection. The framework combines a stacked ensemble of four vision models with conformal prediction to produce statistically grounded differential diagnoses, while a multi-agent workflow performs independent verification, retrieves clinical guidelines, and generates patient-friendly reports. A pipeline-depth ablation study confirms that our multi-agent critic triages 86.6% of cases into a high-confidence auto-confirmed cohort while escalating uncertain cases, outperforming a single-agent baseline. Patient preference studies against Llama, MedGemma, and Gemini further demonstrate significantly more comprehensible clinical reports. These results suggest that integrating multi-agent critics with conformal guarantees enables safer radiology triage while preserving clinician oversight. More broadly, FRAC-MAS demonstrates how cooperative agentic architectures can serve as auditable, human-in-the-loop decision support systems for safety-critical healthcare. Our code is available at https://github.com/hardik1712/FRAC-MAS, and the website is available at https://frac-mas.vercel.app.

骨折诊断多智能体可解释AI医疗AI

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