Nathan Yu

Yujin Oh, Sangjoon Park, Xiang Li et al.

Clinical decision-making reflects diverse strategies shaped by regional patient populations and institutional protocols. However, most existing medical artificial intelligence (AI) models are trained on highly prevalent data patterns, which reinforces biases and fails to capture the breadth of clinical expertise. Inspired by the recent advances in Mixture of Experts (MoE), we propose a Mixture of Multicenter Experts (MoME) framework to address AI bias in the medical domain without requiring data sharing across institutions. MoME integrates specialized expertise from diverse clinical strategies to enhance model generalizability and adaptability across medical centers. We validate this framework using a multimodal target volume delineation model for prostate cancer radiotherapy. With few-shot training that combines imaging and clinical notes from each center, the model outperformed baselines, particularly in settings with high inter-center variability or limited data availability. Furthermore, MoME enables model customization to local clinical preferences without cross-institutional data exchange, making it especially suitable for resource-constrained settings while promoting broadly generalizable medical AI.

Stephen Mell, Botong Zhang, David Mell et al.

Modern large language models (LLMs) are often deployed as agents, calling external tools adaptively to solve tasks. Rather than directly calling tools, it can be more effective for LLMs to write code to perform the tool calls, enabling them to automatically generate complex control flow such as conditionals and loops. Such code actions are typically provided as Python code, since LLMs are quite proficient at it; however, Python may not be the ideal language due to limited built-in support for performance, security, and reliability. We propose a novel programming language for code actions, called Quasar, which has several benefits: (1) automated parallelization to improve performance, (2) uncertainty quantification to improve reliability and mitigate hallucinations, and (3) security features enabling the user to validate actions. LLMs can write code in a subset of Python, which is automatically transpiled to Quasar. We evaluate our approach on the ViperGPT visual question answering agent, applied to the GQA dataset, demonstrating that LLMs with Quasar actions instead of Python actions retain strong performance, while reducing execution time when possible by 42%, improving security by reducing user approval interactions when possible by 52%, and improving reliability by applying conformal prediction to achieve a desired target coverage level.