Nancy Guo

Yuqiao Meng, Luoxi Tang, Dazheng Zhang et al.

The rapid adoption of large language models (LLMs) in digital health has been driven by a "scaling-first" philosophy, i.e., the assumption that clinical intelligence increases with model size and data. However, real-world clinical needs include not only effectiveness, but also reliability and reasonable deployment cost. Since clinical decision-making is inherently collaborative, we challenge the monolithic scaling paradigm and ask whether a Small Agent Group (SAG) can support better clinical reasoning. SAG shifts from single-model intelligence to collective expertise by distributing reasoning, evidence-based analysis, and critical audit through a collaborative deliberation process. To assess the clinical utility of SAG, we conduct extensive evaluations using diverse clinical metrics spanning effectiveness, reliability, and deployment cost. Our results show that SAG achieves superior performance compared to a single giant model, both with and without additional optimization or retrieval-augmented generation. These findings suggest that the synergistic reasoning represented by SAG can substitute for model parameter growth in clinical settings. Overall, SAG offers a scalable solution to digital health that better balances effectiveness, reliability, and deployment efficiency.

Taixi Chen, Jingyun Chen, Nancy Guo

Inspired by the recent success of the Mamba architecture in vision and language domains, we introduce a Unified Attention-Mamba (UAM) backbone. Unlike previous hybrid approaches that integrate Attention and Mamba modules in fixed proportions, our unified design flexibly combines their capabilities within a single cohesive architecture, eliminating the need for manual ratio tuning and improving encode capability. We develop two UAM variants to comprehensively evaluate the benefits of this unified structure. Building on this backbone, we further propose a multimodal UAM framework that jointly performs cell-level classification and image segmentation. Experimental results demonstrate that UAM achieves state-of-the-art performance across both tasks on public benchmarks, surpassing leading image-based foundation models. It improves cell classification accuracy from 74\% to 78\% ($n$=349,882 cells), and tumor segmentation precision from 75\% to 80\% ($n$=406 patches).