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arXiv 2602.04813cs.AIcs.CY
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医疗与医学中的代理AI:一个七维分类法用于评估基于大语言模型的代理

Agentic AI in Healthcare & Medicine: A Seven-Dimensional Taxonomy for Empirical Evaluation of LLM-based Agents

Department of Computer Science, New York University, CIMS, New York, USA(纽约大学计算机科学系,CIMS,纽约,美国);Department of Computer Science, Cleveland State University, Cleveland, USA(克利夫兰州立大学计算机科学系,克利夫兰,美国)

Shubham Vatsal, Harsh Dubey, Aditi Singh

AI总结:

本文提出一个七维分类法,用于评估基于大语言模型的医疗代理在认知能力、知识管理、交互模式等方面的能力分布与实现情况。

摘要:

基于大语言模型(LLM)的代理,能够规划、使用工具并行动,已经开始塑造医疗和医学领域。已报告的研究在各种任务上展示了能力,从电子健康记录(EHR)分析和鉴别诊断到治疗计划和研究流程。然而,文献大多由概述组成,要么是广泛的综述,要么是深入探讨单一能力(例如,记忆、规划、推理),这使医疗工作缺乏共同的框架。我们通过使用七维分类法来回顾49项研究:认知能力、知识管理、交互模式、适应与学习、安全与伦理、框架类型学和核心任务与子任务,包含29个操作子维度。通过明确的包含和排除标准以及标签评级(完全实现、部分实现、未实现),我们将每个研究映射到该分类法,并报告能力普及率和共现模式的定量总结。我们的实证分析揭示了明显的不对称性。例如,在知识管理下的外部知识整合子维度通常实现(约76%完全实现),而在交互模式下的事件触发激活子维度几乎不存在(约92%未实现),而在适应与学习下的漂移检测与缓解子维度则很少(约98%未实现)。在架构上,框架类型学下的多代理设计子维度是主导模式(约82%完全实现),而协调层仍大多部分实现。在核心任务与子任务中,以信息为中心的能力例如医疗问题回答与决策支持以及基准测试与模拟,而以行动和发现为导向的领域如治疗计划与处方仍显示出显著差距(约59%未实现)。

英文摘要:

Large Language Model (LLM)-based agents that plan, use tools and act has begun to shape healthcare and medicine. Reported studies demonstrate competence on various tasks ranging from EHR analysis and differential diagnosis to treatment planning and research workflows. Yet the literature largely consists of overviews which are either broad surveys or narrow dives into a single capability (e.g., memory, planning, reasoning), leaving healthcare work without a common frame. We address this by reviewing 49 studies using a seven-dimensional taxonomy: Cognitive Capabilities, Knowledge Management, Interaction Patterns, Adaptation & Learning, Safety & Ethics, Framework Typology and Core Tasks & Subtasks with 29 operational sub-dimensions. Using explicit inclusion and exclusion criteria and a labeling rubric (Fully Implemented, Partially Implemented, Not Implemented), we map each study to the taxonomy and report quantitative summaries of capability prevalence and co-occurrence patterns. Our empirical analysis surfaces clear asymmetries. For instance, the External Knowledge Integration sub-dimension under Knowledge Management is commonly realized (~76% Fully Implemented) whereas Event-Triggered Activation sub-dimenison under Interaction Patterns is largely absent (~92% Not Implemented) and Drift Detection & Mitigation sub-dimension under Adaptation & Learning is rare (~98% Not Implemented). Architecturally, Multi-Agent Design sub-dimension under Framework Typology is the dominant pattern (~82% Fully Implemented) while orchestration layers remain mostly partial. Across Core Tasks & Subtasks, information centric capabilities lead e.g., Medical Question Answering & Decision Support and Benchmarking & Simulation, while action and discovery oriented areas such as Treatment Planning & Prescription still show substantial gaps (~59% Not Implemented).

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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