Intelligent Pathological Diagnosis of Gestational Trophoblastic Diseases via Visual-Language Deep Learning Model

The pathological diagnosis of gestational trophoblastic disease(GTD) takes a long time, relies heavily on the experience of pathologists, and the consistency of initial diagnosis is low, which seriously threatens maternal health and reproductive outcomes. We developed an expert model for GTD pathological diagnosis, named GTDoctor. GTDoctor can perform pixel-based lesion segmentation on pathological slides, and output diagnostic conclusions and personalized pathological analysis results. We developed a software system, GTDiagnosis, based on this technology and conducted clinical trials. The retrospective results demonstrated that GTDiagnosis achieved a mean precision of over 0.91 for lesion detection in pathological slides (n=679 slides). In prospective studies, pathologists using GTDiagnosis attained a Positive Predictive Value of 95.59% (n=68 patients). The tool reduced average diagnostic time from 56 to 16 seconds per case (n=285 patients). GTDoctor and GTDiagnosis offer a novel solution for GTD pathological diagnosis, enhancing diagnostic performance and efficiency while maintaining clinical interpretability.

Graph-GRPO: Stabilizing Multi-Agent Topology Learning via Group Relative Policy Optimization

Optimizing communication topology is fundamental to the efficiency and effectiveness of Large Language Model (LLM)-based Multi-Agent Systems (MAS). While recent approaches utilize reinforcement learning to dynamically construct task-specific graphs, they typically rely on single-sample policy gradients with absolute rewards (e.g., binary correctness). This paradigm suffers from severe gradient variance and the credit assignment problem: simple queries yield non-informative positive rewards for suboptimal structures, while difficult queries often result in failures that provide no learning signal. To address these challenges, we propose Graph-GRPO, a novel topology optimization framework that integrates Group Relative Policy Optimization. Instead of evaluating a single topology in isolation, Graph-GRPO samples a group of diverse communication graphs for each query and computes the advantage of specific edges based on their relative performance within the group. By normalizing rewards across the sampled group, our method effectively mitigates the noise derived from task difficulty variance and enables fine-grained credit assignment. Extensive experiments on reasoning and code generation benchmarks demonstrate that Graph-GRPO significantly outperforms state-of-the-art baselines, achieving superior training stability and identifying critical communication pathways previously obscured by reward noise.