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MEDDxAgent: A Unified Modular Agent Framework for Explainable Automatic Differential Diagnosis

arXiv.org Artificial Intelligence

Differential Diagnosis (DDx) is a fundamental yet complex aspect of clinical decision-making, in which physicians iteratively refine a ranked list of possible diseases based on symptoms, antecedents, and medical knowledge. While recent advances in large language models have shown promise in supporting DDx, existing approaches face key limitations, including single-dataset evaluations, isolated optimization of components, unrealistic assumptions about complete patient profiles, and single-attempt diagnosis. We introduce a Modular Explainable DDx Agent (MEDDxAgent) framework designed for interactive DDx, where diagnostic reasoning evolves through iterative learning, rather than assuming a complete patient profile is accessible. MEDDxAgent integrates three modular components: (1) an orchestrator (DDxDriver), (2) a history taking simulator, and (3) two specialized agents for knowledge retrieval and diagnosis strategy. To ensure robust evaluation, we introduce a comprehensive DDx benchmark covering respiratory, skin, and rare diseases. We analyze single-turn diagnostic approaches and demonstrate the importance of iterative refinement when patient profiles are not available at the outset. Our broad evaluation demonstrates that MEDDxAgent achieves over 10% accuracy improvements in interactive DDx across both large and small LLMs, while offering critical explainability into its diagnostic reasoning process.


GTPA: A Generative Model For Online Mentor-Apprentice Networks

AAAI Conferences

There is a large body of work on the evolution of graphs in various domains, which shows that many real graphs evolve in a similar manner. In this paper we study a novel type of network formed by mentor-apprentice relationships in a massively multiplayer online role playing game. We observe that some of the static and dynamic laws which have been observed in many other real world networks are not observed in this network. Consequently well known graph generators like Preferential Attachment, Forest Fire, Butterfly, RTM, etc., cannot be applied to such mentoring networks. We propose a novel generative model to generate networks with the characteristics of mentoring networks.