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论文ICLR 2026 Poster2026 年trustworthy medical AI

ATPO:面向多轮医学对话的自适应树策略优化

ICLR 2026 Poster accepted paper at ICLR 2026. Effective information seeking in multi-turn medical dialogues is critical for accurate diagnosis, especially when dealing with incomplete information. Aligning Large Language Models (LLMs) for these interactive scenarios is challenging due to the uncertainty inherent in user-agent interactions, which we formulate as a Hierarchical Markov Decision Process (H-MDP). While conventional Reinforcement Learning (RL) methods like Group Relative Policy Optimization (GRPO) struggle with long-horizon credit assignment and Proximal Policy Optimization (PPO) suffers from unstable value estimation in this context, we propose a novel uncertainty-aware Adaptive Tree Policy Optimization (ATPO) algorithm. Our method adaptively allocates the rollout budget to states with high uncertainty, quantified by a composite metric of Bellman error and action-value variance.

论文ICLR 2026 Poster2026 年medical LLM agent

Doctor-R1:通过体验式 Agent 强化学习掌握临床问诊

ICLR 2026 Poster accepted paper at ICLR 2026. The professionalism of a human doctor in outpatient service depends on two core abilities: the ability to make accurate medical decisions and the medical consultation skill to conduct strategic, empathetic patient inquiry. Existing Large Language Models (LLMs) have achieved remarkable accuracy on medical decision-making benchmarks. However, they often lack the ability to conduct the strategic and empathetic consultation, which is essential for real-world clinical scenarios. To address this gap, we propose Doctor-R1, an AI doctor agent trained to master both of the capabilities by ask high-yield questions and conduct strategic multi-turn inquiry to guide decision-making.

论文ICLR 2026 Poster2026 年trustworthy medical AI

基于强化学习的假设驱动临床决策语言 Agent

ICLR 2026 Poster accepted paper at ICLR 2026. Clinical decision-making is a dynamic, interactive, and cyclic process where doctors have to repeatedly decide on which clinical action to perform and consider newly uncovered information for diagnosis and treatment. Large Language Models (LLMs) have the potential to support clinicians in this process, however, most applications of LLMs in clinical decision support suffer from one of two limitations: Either they assume the unrealistic scenario of immediate availability of all patient information and do not model the interactive and iterative investigation process, or they restrict themselves to the limited "out-of-the-box" capabilities of large pre-trained models without performing task-specific training. In contrast to this, we propose to model clinical decision-making for diagnosis with a hypothesis-driven uncertainty-aware language agent, LA-CDM, that converges towards a diagnosis via repeatedly requesting and interpreting relevant tests. Using a hybrid training paradigm combining supervised and reinforcement learning, we train LA-CDM with three objectives targeting critical aspects of clinical decision-making: accurate hypothesis generation, hypothesis uncertainty estimation, and efficient decision-making. Code/project link: https://github.com/dharouni/LA-CDM

论文ICLR 2026 Poster2026 年trustworthy medical AI

从对话到查询执行:EHR 数据库 Agent 的用户与工具交互基准

ICLR 2026 Poster accepted paper at ICLR 2026. Despite the impressive performance of LLM-powered agents, their adoption for Electronic Health Record (EHR) data access remains limited by the absence of benchmarks that adequately capture real-world clinical data access flows. In practice, two core challenges hinder deployment: query ambiguity from vague user questions and value mismatch between user terminology and database entries. To address this, we introduce EHR-ChatQA, an interactive database question answering benchmark that evaluates the end-to-end workflow of database agents: clarifying user questions, using tools to resolve value mismatches, and generating correct SQL to deliver accurate answers. To cover diverse patterns of query ambiguity and value mismatch, EHR-ChatQA assesses agents in a simulated environment with an LLM-based user across two interaction flows: Incremental Query Refinement (IncreQA), where users add constraints to existing queries, and Adaptive Query Refinement (AdaptQA), where users adjust their search goals mid-conversation. Code/project link: https://github.com/glee4810/EHR-ChatQA

论文ICLR 2026 Poster2026 年医学影像

你指点,我学习:交互式分割模型在线适配医学影像分布偏移

ICLR 2026 Poster accepted paper at ICLR 2026. Interactive segmentation uses real-time user inputs, such as mouse clicks, to iteratively refine model predictions. Although not originally designed to address distribution shifts, this paradigm naturally lends itself to such challenges. In medical imaging, where distribution shifts are common, interactive methods can use user inputs to guide models towards improved predictions. Moreover, once a model is deployed, user corrections can be used to adapt the network parameters to the new data distribution, mitigating distribution shift. Based on these insights, we aim to develop a practical, effective method for improving the adaptive capabilities of interactive segmentation models to new data distributions in medical imaging. Code/project link: https://github.com/WenTXuL/OAIMS

论文ICLR 2026 Poster2026 年medical LLM agent

K-Prism:知识引导与提示融合的通用医学图像分割模型

ICLR 2026 Poster accepted paper at ICLR 2026. Medical image segmentation is fundamental to clinical decision-making, yet existing models remain fragmented. They are usually trained on single knowledge sources and specific to individual tasks, modalities, or organs. This fragmentation contrasts sharply with clinical practice, where experts seamlessly integrate diverse knowledge: anatomical priors from training, exemplar-based reasoning from reference cases, and iterative refinement through real-time interaction. We present $\textbf{K-Prism}$, a unified segmentation framework that mirrors this clinical flexibility by systematically integrating three knowledge paradigms: (i) $\textit{semantic priors}$ learned from annotated datasets, (ii) $\textit{in-context knowledge}$ from few-shot reference examples, and (iii) $\textit{interactive feedback}$ from user inputs like clicks or scribbles. Code/project link: https://github.com/bangwayne/K-Prism

技术竞赛Open soonperipelvic fracture segmentation and reduction planningpelvic fracture CT imaging截止 北京时间 2026-08-19

骨盆周围骨折分割与复位规划挑战

Grand Challenge official API lists this medical AI challenge with status OPEN_SOON. Peripelvic fractures are severe injuries with high disability and mortality rates. The PENGWIN 2026 Challenge aims to advance state-of-the-art techniques for intelligent surgical planning in 3D CT scans. It consists of three tasks: fully automated peripelvic fracture segmentation (Task 1), interactive segmentation (Task 2), and fracture reduction planning (Task 3). The dataset features 500 clinical cases with expert annotations and 16,000 simulated fracture cases to support the training of data-driven reduction models. Start date: 2026-05-10. End/deadline date: 2026-08-19.