3.3MAMar 1
MedCollab: Causal-Driven Multi-Agent Collaboration for Full-Cycle Clinical Diagnosis via IBIS-Structured ArgumentationYuqi Zhan, Xinyue Wu, Tianyu Lin et al.
Large language models (LLMs) have shown promise in healthcare applications, however, their use in clinical practice is still limited by diagnostic hallucinations and insufficiently interpretable reasoning. We present MedCollab, a novel multi-agent framework that emulates the hierarchical consultation workflow of modern hospitals to autonomously navigate the full-cycle diagnostic process. The framework incorporates a dynamic specialist recruitment mechanism that adaptively assembles clinical and examination agents according to patient-specific symptoms and examination results. To ensure the rigor of clinical work, we adopt a structured Issue-Based Information System (IBIS) argumentation protocol that requires agents to provide ``Positions'' backed by traceable evidence from medical knowledge and clinical data. Furthermore, the framework constructs a Hierarchical Disease Causal Chain that transforms flattened diagnostic predictions into a structured model of pathological progression through explicit logical operators. A multi-round Consensus Mechanism iteratively filters low-quality reasoning through logic auditing and weighted voting. Evaluated on real-world clinical datasets, MedCollab significantly outperforms pure LLMs and medical multi-agent systems in Accuracy and RaTEScore, demonstrating a marked reduction in medical hallucinations. These findings indicate that MedCollab provides an extensible, transparent, and clinically compliant approach to medical decision-making.
0.6CLJan 14
OrthoGeoLoRA: Geometric Parameter-Efficient Fine-Tuning for Structured Social Science Concept Retrieval on theWebZeqiang Wang, Xinyue Wu, Chenxi Li et al.
Large language models and text encoders increasingly power web-based information systems in the social sciences, including digital libraries, data catalogues, and search interfaces used by researchers, policymakers, and civil society. Full fine-tuning is often computationally and energy intensive, which can be prohibitive for smaller institutions and non-profit organizations in the Web4Good ecosystem. Parameter-Efficient Fine-Tuning (PEFT), especially Low-Rank Adaptation (LoRA), reduces this cost by updating only a small number of parameters. We show that the standard LoRA update $ΔW = BA^\top$ has geometric drawbacks: gauge freedom, scale ambiguity, and a tendency toward rank collapse. We introduce OrthoGeoLoRA, which enforces an SVD-like form $ΔW = BΣA^\top$ by constraining the low-rank factors to be orthogonal (Stiefel manifold). A geometric reparameterization implements this constraint while remaining compatible with standard optimizers such as Adam and existing fine-tuning pipelines. We also propose a benchmark for hierarchical concept retrieval over the European Language Social Science Thesaurus (ELSST), widely used to organize social science resources in digital repositories. Experiments with a multilingual sentence encoder show that OrthoGeoLoRA outperforms standard LoRA and several strong PEFT variants on ranking metrics under the same low-rank budget, offering a more compute- and parameter-efficient path to adapt foundation models in resource-constrained settings.