基于一致性验证的多智能体推理改进医学多选题问答中的不确定性校准 / Multi-Agent Reasoning with Consistency Verification Improves Uncertainty Calibration in Medical MCQA
1️⃣ 一句话总结
这篇论文提出了一种多智能体框架,通过让不同医学专科的AI模型独立诊断并进行一致性验证,显著提升了AI在回答医学选择题时对自身答案不确定性的评估准确性,使其给出的置信度分数更可靠,更适合临床应用。
Miscalibrated confidence scores are a practical obstacle to deploying AI in clinical settings. A model that is always overconfident offers no useful signal for deferral. We present a multi-agent framework that combines domain-specific specialist agents with Two-Phase Verification and S-Score Weighted Fusion to improve both calibration and discrimination in medical multiple-choice question answering. Four specialist agents (respiratory, cardiology, neurology, gastroenterology) generate independent diagnoses using Qwen2.5-7B-Instruct. Each diagnosis is then subjected to a two-phase self-verification process that measures internal consistency and produces a Specialist Confidence Score (S-score). The S-scores drive a weighted fusion strategy that selects the final answer and calibrates the reported confidence. We evaluate across four experimental settings, covering 100-question and 250-question high-disagreement subsets of both MedQA-USMLE and MedMCQA. Calibration improvement is the central finding, with ECE reduced by 49-74% across all four settings, including the harder MedMCQA benchmark where these gains persist even when absolute accuracy is constrained by knowledge-intensive recall demands. On MedQA-250, the full system achieves ECE = 0.091 (74.4% reduction over the single-specialist baseline) and AUROC = 0.630 (+0.056) at 59.2% accuracy. Ablation analysis identifies Two-Phase Verification as the primary calibration driver and multi-agent reasoning as the primary accuracy driver. These results establish that consistency-based verification produces more reliable uncertainty estimates across diverse medical question types, providing a practical confidence signal for deferral in safety-critical clinical AI applications.
基于一致性验证的多智能体推理改进医学多选题问答中的不确定性校准 / Multi-Agent Reasoning with Consistency Verification Improves Uncertainty Calibration in Medical MCQA
这篇论文提出了一种多智能体框架,通过让不同医学专科的AI模型独立诊断并进行一致性验证,显著提升了AI在回答医学选择题时对自身答案不确定性的评估准确性,使其给出的置信度分数更可靠,更适合临床应用。
源自 arXiv: 2603.24481