MAM: Modular Multi-Agent Framework for Multi-Modal Medical Diagnosis via Role-Specialized Collaboration

Recent advancements in medical Large Language Models (LLMs) have showcased their powerful reasoning and diagnostic capabilities. Despite their success, current unified multimodal medical LLMs face limitations in knowledge update costs, comprehensiveness, and flexibility. To address these challenges, we introduce the Modular Multi-Agent Framework for Multi-Modal Medical Diagnosis (MAM). Inspired by our empirical findings highlighting the benefits of role assignment and diagnostic discernment in LLMs, MAM decomposes the medical diagnostic process into specialized roles: a General Practitioner, Specialist Team, Radiologist, Medical Assistant, and Director, each embodied by an LLM-based agent. This modular and collaborative framework enables efficient knowledge updates and leverages existing medical LLMs and knowledge bases. Extensive experimental evaluations conducted on a wide range of publicly accessible multimodal medical datasets, incorporating text, image, audio, and video modalities, demonstrate that MAM consistently surpasses the performance of modality-specific LLMs. Notably, MAM achieves significant performance improvements ranging from 18% to 365% compared to baseline models. Our code is released at https://github.com/yczhou001/MAM.

Training Medical Large Vision-Language Models with Abnormal-Aware Feedback

Existing Medical Large Vision-Language Models (Med-LVLMs), which encapsulate extensive medical knowledge, demonstrate excellent capabilities in understanding medical images and responding to human queries based on these images. However, there remain challenges in visual localization in medical images, which is crucial for abnormality detection and interpretation. To address these issues, we propose a novel UMed-LVLM designed with Unveiling Medical abnormalities. Specifically, we collect a Medical Abnormalities Unveiling (MAU) dataset and propose a two-stage training method for UMed-LVLM training. To collect MAU dataset, we propose a prompt method utilizing the GPT-4V to generate diagnoses based on identified abnormal areas in medical images. Moreover, the two-stage training method includes Abnormal-Aware Instruction Tuning and Abnormal-Aware Rewarding, comprising Abnormal Localization Rewarding and Vision Relevance Rewarding. Experimental results demonstrate that our UMed-LVLM surpasses existing Med-LVLMs in identifying and understanding medical abnormality. In addition, this work shows that enhancing the abnormality detection capabilities of Med-LVLMs significantly improves their understanding of medical images and generalization capability.