RadAgents: Multimodal Agentic Reasoning for Chest X-ray Interpretation with Radiologist-like Workflows

Fuente: arXiv
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Main Authors: Zhang, Kai, Barrett, Corey D, Kim, Jangwon, Sun, Lichao, Taghavi, Tara, Kenthapadi, Krishnaram
Format: Preprint
Published: 2025
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author Zhang, Kai
Barrett, Corey D
Kim, Jangwon
Sun, Lichao
Taghavi, Tara
Kenthapadi, Krishnaram
author_facet Zhang, Kai
Barrett, Corey D
Kim, Jangwon
Sun, Lichao
Taghavi, Tara
Kenthapadi, Krishnaram
contents Agentic systems offer a potential path to solve complex clinical tasks through collaboration among specialized agents, augmented by tool use and external knowledge bases. Nevertheless, for chest X-ray (CXR) interpretation, prevailing methods remain limited: (i) reasoning is frequently neither clinically interpretable nor aligned with guidelines, reflecting mere aggregation of tool outputs; (ii) multimodal evidence is insufficiently fused, yielding text-only rationales that are not visually grounded; and (iii) systems rarely detect or resolve cross-tool inconsistencies and provide no principled verification mechanisms. To bridge the above gaps, we present RadAgents, a multi-agent framework that couples clinical priors with task-aware multimodal reasoning and encodes a radiologist-style workflow into a modular, auditable pipeline. In addition, we integrate grounding and multimodal retrieval-augmentation to verify and resolve context conflicts, resulting in outputs that are more reliable, transparent, and consistent with clinical practice.
format Preprint
id arxiv_https___arxiv_org_abs_2509_20490
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle RadAgents: Multimodal Agentic Reasoning for Chest X-ray Interpretation with Radiologist-like Workflows
Zhang, Kai
Barrett, Corey D
Kim, Jangwon
Sun, Lichao
Taghavi, Tara
Kenthapadi, Krishnaram
Multiagent Systems
Computation and Language
Computer Vision and Pattern Recognition
Agentic systems offer a potential path to solve complex clinical tasks through collaboration among specialized agents, augmented by tool use and external knowledge bases. Nevertheless, for chest X-ray (CXR) interpretation, prevailing methods remain limited: (i) reasoning is frequently neither clinically interpretable nor aligned with guidelines, reflecting mere aggregation of tool outputs; (ii) multimodal evidence is insufficiently fused, yielding text-only rationales that are not visually grounded; and (iii) systems rarely detect or resolve cross-tool inconsistencies and provide no principled verification mechanisms. To bridge the above gaps, we present RadAgents, a multi-agent framework that couples clinical priors with task-aware multimodal reasoning and encodes a radiologist-style workflow into a modular, auditable pipeline. In addition, we integrate grounding and multimodal retrieval-augmentation to verify and resolve context conflicts, resulting in outputs that are more reliable, transparent, and consistent with clinical practice.
title RadAgents: Multimodal Agentic Reasoning for Chest X-ray Interpretation with Radiologist-like Workflows
topic Multiagent Systems
Computation and Language
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2509.20490