AISep 28, 2025

MedLA: A Logic-Driven Multi-Agent Framework for Complex Medical Reasoning with Large Language Models

arXiv:2509.23725v211 citationsh-index: 12Has Code
Originality Highly original
AI Analysis

This addresses the need for more reliable and transparent medical question-answering systems, though it is an incremental improvement over existing multi-agent methods.

The paper tackled the problem of complex medical reasoning by proposing MedLA, a logic-driven multi-agent framework that uses explicit logical trees and multi-round discussions to resolve inconsistencies, achieving state-of-the-art performance on benchmarks like MedDDx.

Answering complex medical questions requires not only domain expertise and patient-specific information, but also structured and multi-perspective reasoning. Existing multi-agent approaches often rely on fixed roles or shallow interaction prompts, limiting their ability to detect and resolve fine-grained logical inconsistencies. To address this, we propose \textsc{MedLA}, a logic-driven multi-agent framework built on large language models. Each agent organizes its reasoning process into an explicit logical tree based on syllogistic triads (major premise, minor premise, and conclusion), enabling transparent inference and premise-level alignment. Agents engage in a multi-round, graph-guided discussion to compare and iteratively refine their logic trees, achieving consensus through error correction and contradiction resolution. We demonstrate that \textsc{MedLA} consistently outperforms both static role-based systems and single-agent baselines on challenging benchmarks such as MedDDx and standard medical QA tasks. Furthermore, \textsc{MedLA} scales effectively across both open-source and commercial LLM backbones, achieving state-of-the-art performance and offering a generalizable paradigm for trustworthy medical reasoning.

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