FT-MDT: Extracting Decision Trees from Medical Texts via a Novel Low-rank Adaptation Method

Knowledge of the medical decision process, which can be modeled as medical decision trees (MDTs), is critical to building clinical decision support systems. However, current MDT construction methods rely heavily on time-consuming and laborious manual annotation. To address this challenge, we propose PI-LoRA (Path-Integrated LoRA), a novel low-rank adaptation method for automatically extracting MDTs from clinical guidelines and textbooks. We integrate gradient path information to capture synergistic effects between different modules, enabling more effective and reliable rank allocation. This framework ensures that the most critical modules receive appropriate rank allocations while less important ones are pruned, resulting in a more efficient and accurate model for extracting medical decision trees from clinical texts. Extensive experiments on medical guideline datasets demonstrate that our PI-LoRA method significantly outperforms existing parameter-efficient fine-tuning approaches for the Text2MDT task, achieving better accuracy with substantially reduced model complexity. The proposed method achieves state-of-the-art results while maintaining a lightweight architecture, making it particularly suitable for clinical decision support systems where computational resources may be limited.

AMAS: Adaptively Determining Communication Topology for LLM-based Multi-Agent System

Although large language models (LLMs) have revolutionized natural language processing capabilities, their practical implementation as autonomous multi-agent systems (MAS) for industrial problem-solving encounters persistent barriers. Conventional MAS architectures are fundamentally restricted by inflexible, hand-crafted graph topologies that lack contextual responsiveness, resulting in diminished efficacy across varied academic and commercial workloads. To surmount these constraints, we introduce AMAS, a paradigm-shifting framework that redefines LLM-based MAS through a novel dynamic graph designer. This component autonomously identifies task-specific optimal graph configurations via lightweight LLM adaptation, eliminating the reliance on monolithic, universally applied structural templates. Instead, AMAS exploits the intrinsic properties of individual inputs to intelligently direct query trajectories through task-optimized agent pathways. Rigorous validation across question answering, mathematical deduction, and code generation benchmarks confirms that AMAS systematically exceeds state-of-the-art single-agent and multi-agent approaches across diverse LLM architectures. Our investigation establishes that context-sensitive structural adaptability constitutes a foundational requirement for high-performance LLM MAS deployments.

Sensitivity-LoRA: Low-Load Sensitivity-Based Fine-Tuning for Large Language Models

Large Language Models (LLMs) have transformed both everyday life and scientific research. However, adapting LLMs from general-purpose models to specialized tasks remains challenging, particularly in resource-constrained environments. Low-Rank Adaptation (LoRA), a prominent method within Parameter-Efficient Fine-Tuning (PEFT), has emerged as a promising approach to LLMs by approximating model weight updates using low-rank decomposition. However, LoRA is limited by its uniform rank ( r ) allocation to each incremental matrix, and existing rank allocation techniques aimed at addressing this issue remain computationally inefficient, complex, and unstable, hindering practical applications. To address these limitations, we propose Sensitivity-LoRA, an efficient fine-tuning method that dynamically allocates ranks to weight matrices based on both their global and local sensitivities. It leverages the second-order derivatives (Hessian Matrix) of the loss function to effectively capture weight sensitivity, enabling optimal rank allocation with minimal computational overhead. Our experimental results have demonstrated robust effectiveness, efficiency and stability of Sensitivity-LoRA across diverse tasks and benchmarks.

Efficient Fine-Tuning of Large Language Models for Automated Medical Documentation

Scientific research indicates that for every hour spent in direct patient care, physicians spend nearly two additional hours on administrative tasks, particularly on electronic health records (EHRs) and desk work. This excessive administrative burden not only reduces the time available for patient care but also contributes to physician burnout and inefficiencies in healthcare delivery. To address these challenges, this study introduces MediGen, a fine-tuned large language model (LLM) designed to automate the generation of medical reports from medical dialogues. By leveraging state-of-the-art methodologies for fine-tuning open-source pretrained models, including LLaMA3-8B, MediGen achieves high accuracy in transcribing and summarizing clinical interactions. The fine-tuned LLaMA3-8B model demonstrated promising results, achieving a ROUGE score of 58% and a BERTScore-F1 of 72%, indicating its effectiveness in generating accurate and clinically relevant medical reports. These findings suggest that MediGen has the potential to significantly reduce the administrative workload on physicians, improving both healthcare efficiency and physician well-being.