Keith Moore

Keith Moore, Jun W. Kim, David Lyu et al.

We present Ask WhAI, a systems-level framework for inspecting and perturbing belief states in multi-agent interactions. The framework records and replays agent interactions, supports out-of-band queries into each agent's beliefs and rationale, and enables counterfactual evidence injection to test how belief structures respond to new information. We apply the framework to a medical case simulator notable for its multi-agent shared memory (a time-stamped electronic medical record, or EMR) and an oracle agent (the LabAgent) that holds ground truth lab results revealed only when explicitly queried. We stress-test the system on a multi-specialty diagnostic journey for a child with an abrupt-onset neuropsychiatric presentation. Large language model agents, each primed with strong role-specific priors ("act like a neurologist", "act like an infectious disease specialist"), write to a shared medical record and interact with a moderator across sequential or parallel encounters. Breakpoints at key diagnostic moments enable pre- and post-event belief queries, allowing us to distinguish entrenched priors from reasoning or evidence-integration effects. The simulation reveals that agent beliefs often mirror real-world disciplinary stances, including overreliance on canonical studies and resistance to counterevidence, and that these beliefs can be traced and interrogated in ways not possible with human experts. By making such dynamics visible and testable, Ask WhAI offers a reproducible way to study belief formation and epistemic silos in multi-agent scientific reasoning.

Keith Moore

Foundation segmentation models such as SAM and SAM-2 perform well on natural images but struggle with brain MRIs where structures like the caudate and thalamus lack sharp boundaries and have low contrast. Rather than fine tune these models (for example MedSAM), we propose a compositional alternative where the foundation model output is treated as an additional input channel and passed alongside the MRI to highlight regions of interest. We generate SAM-2 prompts by using a lightweight 3D U-Net that was previously trained on MRI segmentation. The U-Net may have been trained on a different dataset, so its guesses are often imprecise but usually in the correct region. The edges of the resulting foundation model guesses are smoothed to improve alignment with the MRI. We also test prompt free segmentation using DINO attention maps in the same framework. This has-a architecture avoids modifying foundation weights and adapts to domain shift without retraining the foundation model. It reaches about 96 percent volume accuracy on basal ganglia segmentation, which is sufficient for our study of longitudinal volume change. The approach is fast, label efficient, and robust to out of distribution scans. We apply it to study inflammation linked changes in sudden onset pediatric OCD.