Xiang Li

Khaled Saab, Jan Freyberg, Chunjong Park et al.

Large Language Models (LLMs) have demonstrated great potential for conducting diagnostic conversations but evaluation has been largely limited to language-only interactions, deviating from the real-world requirements of remote care delivery. Instant messaging platforms permit clinicians and patients to upload and discuss multimodal medical artifacts seamlessly in medical consultation, but the ability of LLMs to reason over such data while preserving other attributes of competent diagnostic conversation remains unknown. Here we advance the conversational diagnosis and management performance of the Articulate Medical Intelligence Explorer (AMIE) through a new capability to gather and interpret multimodal data, and reason about this precisely during consultations. Leveraging Gemini 2.0 Flash, our system implements a state-aware dialogue framework, where conversation flow is dynamically controlled by intermediate model outputs reflecting patient states and evolving diagnoses. Follow-up questions are strategically directed by uncertainty in such patient states, leading to a more structured multimodal history-taking process that emulates experienced clinicians. We compared AMIE to primary care physicians (PCPs) in a randomized, blinded, OSCE-style study of chat-based consultations with patient actors. We constructed 105 evaluation scenarios using artifacts like smartphone skin photos, ECGs, and PDFs of clinical documents across diverse conditions and demographics. Our rubric assessed multimodal capabilities and other clinically meaningful axes like history-taking, diagnostic accuracy, management reasoning, communication, and empathy. Specialist evaluation showed AMIE to be superior to PCPs on 7/9 multimodal and 29/32 non-multimodal axes (including diagnostic accuracy). The results show clear progress in multimodal conversational diagnostic AI, but real-world translation needs further research.

Lingfeng Yang, Zhenyuan Chen, Xiang Li et al.

As information becomes more accessible, user-generated videos are increasing in length, placing a burden on viewers to sift through vast content for valuable insights. This trend underscores the need for an algorithm to extract key video information efficiently. Despite significant advancements in highlight detection, moment retrieval, and video summarization, current approaches primarily focus on selecting specific time intervals, often overlooking the relevance between segments and the potential for segment arranging. In this paper, we introduce a novel task called Video Trimming (VT), which focuses on detecting wasted footage, selecting valuable segments, and composing them into a final video with a coherent story. To address this task, we propose Agent-based Video Trimming (AVT), structured into three phases: Video Structuring, Clip Filtering, and Story Composition. Specifically, we employ a Video Captioning Agent to convert video slices into structured textual descriptions, a Filtering Module to dynamically discard low-quality footage based on the structured information of each clip, and a Video Arrangement Agent to select and compile valid clips into a coherent final narrative. For evaluation, we develop a Video Evaluation Agent to assess trimmed videos, conducting assessments in parallel with human evaluations. Additionally, we curate a new benchmark dataset for video trimming using raw user videos from the internet. As a result, AVT received more favorable evaluations in user studies and demonstrated superior mAP and precision on the YouTube Highlights, TVSum, and our own dataset for the highlight detection task. The code and models are available at https://ylingfeng.github.io/AVT.