Enhancing diagnostic capability with multi-agents conversational large language models.

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Tác giả: Gang Chen, Xi Chen, Lei Fan, Weili Fu, Yingman Guo, Qicheng Lao, Hairui Li, Jian Li, Kang Li, WeiZhi Liu, Li Wang, Huahui Yi, Mingke You, Xue Zhang

Ngôn ngữ: eng

Ký hiệu phân loại: 593.6 *Anthozoa

Thông tin xuất bản: England : NPJ digital medicine , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 711781

Large Language Models (LLMs) show promise in healthcare tasks but face challenges in complex medical scenarios. We developed a Multi-Agent Conversation (MAC) framework for disease diagnosis, inspired by clinical Multi-Disciplinary Team discussions. Using 302 rare disease cases, we evaluated GPT-3.5, GPT-4, and MAC on medical knowledge and clinical reasoning. MAC outperformed single models in both primary and follow-up consultations, achieving higher accuracy in diagnoses and suggested tests. Optimal performance was achieved with four doctor agents and a supervisor agent, using GPT-4 as the base model. MAC demonstrated high consistency across repeated runs. Further comparative analysis showed MAC also outperformed other methods including Chain of Thoughts (CoT), Self-Refine, and Self-Consistency with higher performance and more output tokens. This framework significantly enhanced LLMs' diagnostic capabilities, effectively bridging theoretical knowledge and practical clinical application. Our findings highlight the potential of multi-agent LLMs in healthcare and suggest further research into their clinical implementation.
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