MMedAgent-RL: Optimizing Multi-Agent Collaboration for Multimodal Medical Reasoning

Fuente: arXiv
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Main Authors: Xia, Peng, Wang, Jinglu, Peng, Yibo, Zeng, Kaide, Dong, Zihan, Wu, Xian, Tang, Xiangru, Zhu, Hongtu, Li, Yun, Zhang, Linjun, Liu, Shujie, Lu, Yan, Yao, Huaxiu
Format: Preprint
Published: 2025
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author Xia, Peng
Wang, Jinglu
Peng, Yibo
Zeng, Kaide
Dong, Zihan
Wu, Xian
Tang, Xiangru
Zhu, Hongtu
Li, Yun
Zhang, Linjun
Liu, Shujie
Lu, Yan
Yao, Huaxiu
author_facet Xia, Peng
Wang, Jinglu
Peng, Yibo
Zeng, Kaide
Dong, Zihan
Wu, Xian
Tang, Xiangru
Zhu, Hongtu
Li, Yun
Zhang, Linjun
Liu, Shujie
Lu, Yan
Yao, Huaxiu
contents Medical Large Vision-Language Models (Med-LVLMs) have shown strong potential in multimodal diagnostic tasks. However, existing single-agent models struggle to generalize across diverse medical specialties, limiting their performance. Recent efforts introduce multi-agent collaboration frameworks inspired by clinical workflows, where general practitioners (GPs) and specialists interact in a fixed sequence. Despite improvements, these static pipelines lack flexibility and adaptability in reasoning. To address this, we propose MMedAgent-RL, a reinforcement learning (RL)-based multi-agent framework that enables dynamic, optimized collaboration among medical agents. Specifically, we train two GP agents based on Qwen2.5-VL via RL: the triage doctor learns to assign patients to appropriate specialties, while the attending physician integrates the judgments from multi-specialists and its own knowledge to make final decisions. To address the inconsistency in specialist outputs, we introduce a curriculum learning (CL)-guided RL strategy with dynamic entropy regulation, progressively teaching the attending physician to balance between imitating specialists and correcting their mistakes. Experiments on five medical VQA benchmarks demonstrate that MMedAgent-RL outperforms both open-source and proprietary Med-LVLMs. Notably, it achieves an average performance gain of 23.6% over strong baselines.
format Preprint
id arxiv_https___arxiv_org_abs_2506_00555
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MMedAgent-RL: Optimizing Multi-Agent Collaboration for Multimodal Medical Reasoning
Xia, Peng
Wang, Jinglu
Peng, Yibo
Zeng, Kaide
Dong, Zihan
Wu, Xian
Tang, Xiangru
Zhu, Hongtu
Li, Yun
Zhang, Linjun
Liu, Shujie
Lu, Yan
Yao, Huaxiu
Machine Learning
Artificial Intelligence
Computation and Language
Computer Vision and Pattern Recognition
Medical Large Vision-Language Models (Med-LVLMs) have shown strong potential in multimodal diagnostic tasks. However, existing single-agent models struggle to generalize across diverse medical specialties, limiting their performance. Recent efforts introduce multi-agent collaboration frameworks inspired by clinical workflows, where general practitioners (GPs) and specialists interact in a fixed sequence. Despite improvements, these static pipelines lack flexibility and adaptability in reasoning. To address this, we propose MMedAgent-RL, a reinforcement learning (RL)-based multi-agent framework that enables dynamic, optimized collaboration among medical agents. Specifically, we train two GP agents based on Qwen2.5-VL via RL: the triage doctor learns to assign patients to appropriate specialties, while the attending physician integrates the judgments from multi-specialists and its own knowledge to make final decisions. To address the inconsistency in specialist outputs, we introduce a curriculum learning (CL)-guided RL strategy with dynamic entropy regulation, progressively teaching the attending physician to balance between imitating specialists and correcting their mistakes. Experiments on five medical VQA benchmarks demonstrate that MMedAgent-RL outperforms both open-source and proprietary Med-LVLMs. Notably, it achieves an average performance gain of 23.6% over strong baselines.
title MMedAgent-RL: Optimizing Multi-Agent Collaboration for Multimodal Medical Reasoning
topic Machine Learning
Artificial Intelligence
Computation and Language
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2506.00555