Eros Rojas Velez

Matin Daghyani, Lyuyang Wang, Nima Hashemi et al.

Purpose: Echocardiographic interpretation requires video-level reasoning and guideline-based measurement analysis, which current deep learning models for cardiac ultrasound do not support. We present EchoAgent, a framework that enables structured, interpretable automation for this domain. Methods: EchoAgent orchestrates specialized vision tools under Large Language Model (LLM) control to perform temporal localization, spatial measurement, and clinical interpretation. A key contribution is a measurement-feasibility prediction model that determines whether anatomical structures are reliably measurable in each frame, enabling autonomous tool selection. We curated a benchmark of diverse, clinically validated video-query pairs for evaluation. Results: EchoAgent achieves accurate, interpretable results despite added complexity of spatiotemporal video analysis. Outputs are grounded in visual evidence and clinical guidelines, supporting transparency and traceability. Conclusion: This work demonstrates the feasibility of agentic, guideline-aligned reasoning for echocardiographic video analysis, enabled by task-specific tools and full video-level automation. EchoAgent sets a new direction for trustworthy AI in cardiac ultrasound.

Devon Graham, Eros Rojas Velez, Kevin Leyton-Brown

Utilitarian algorithm configuration identifies a parameter setting for a given algorithm that maximizes a user's utility. Utility functions offer a theoretically well-grounded approach to optimizing decision-making under uncertainty and are flexible enough to capture a user's preferences over algorithm runtimes (e.g., they can describe a sharp cutoff after which a solution is no longer required, a per-hour cost for compute, or diminishing returns from algorithms that take longer to run). COUP is a recently-introduced utilitarian algorithm configuration procedure which was designed mainly to offer strong theoretical guarantees about the quality of the configuration it returns, with less attention paid to its practical performance. This paper closes that gap, bringing theoretically-grounded, utilitarian algorithm configuration to the point where it is competitive with widely used, heuristic configuration procedures that offer no performance guarantees. We present a series of improvements to COUP that improve its empirical performance without degrading its theoretical guarantees and demonstrate their benefit experimentally. Using a case study, we also illustrate ways of exploring the robustness of a given solution to the algorithm selection problem to variations in the utility function.