Evidence map›Paper›PMID 40082662›Full record

ArticleNPJ digital medicine2025

Enhancing diagnostic capability with multi-agents conversational large language models.

Xi Chen, Huahui Yi, Mingke You, WeiZhi Liu, Li Wang, Hairui Li, Xue Zhang, Yingman Guo, Lei Fan, Gang Chen and 4 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed.

  1. Trial
  2. AI in Proton Therapy Treatment Planning: A Narrative Review.International journal of particle therapy · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. MES: A Multi-Agent Evidence Synthesis System for Medical Decision-Making.medRxiv : the preprint server for health sciences · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. MediHive: A Decentralized Agent Collective for Medical Reasoning.Journal of healthcare informatics research · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Diagnostic accuracy and citation integrity of four large language models on otolaryngology vignettes.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  17. A comprehensive survey of AI agents in healthcare.Journal of biomedical informatics · 2026
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Xi Chen *Sports Medicine Center, Department of Orthopedics and Orthopedic Research Institute, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.ORCID http://orcid.org/0000-0003-0165-6426
Huahui Yi *West China Biomedical Big Data Center, Med-X Center for Informatics, Sichuan University, Chengdu, Sichuan, China.
Mingke You *Sports Medicine Center, Department of Orthopedics and Orthopedic Research Institute, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.
WeiZhi LiuWest China School of Medicine, Sichuan University, Chengdu, Sichuan, China.
Li WangWest China School of Medicine, Sichuan University, Chengdu, Sichuan, China.ORCID http://orcid.org/0000-0003-3260-5998
Hairui LiDepartment of Plastic Surgery, West China Tianfu Hospital, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Xue ZhangWest China School of Medicine, Sichuan University, Chengdu, Sichuan, China.
Yingman GuoKidney Disease Center, First Affiliated Hospital, College of Medicine, Zhejiang University, Key laboratory of Kidney Disease, Hangzhou, Zhejiang, China.
Lei FanSports Medicine Center, Department of Orthopedics and Orthopedic Research Institute, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.
Gang ChenSports Medicine Center, Department of Orthopedics and Orthopedic Research Institute, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.
Qicheng LaoArtificial Intelligence, Beijing University of Posts and Telecommunications, Beijing, China.
Weili FuSports Medicine Center, Department of Orthopedics and Orthopedic Research Institute, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China. foxwin2008@163.com.
Kang LiWest China Biomedical Big Data Center, Med-X Center for Informatics, Sichuan University, Chengdu, Sichuan, China. likang@wchscu.cn.
Jian LiSports Medicine Center, Department of Orthopedics and Orthopedic Research Institute, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China. lijian_sportsmed@163.com.ORCID http://orcid.org/0009-0005-2666-6219

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large Language Models (LLMs) show promise in healthcare tasks but face challenges in complex medical scenarios. We developed a Multi-Agent Conversation (MAC) framework for disease diagnosis, inspired by clinical Multi-Disciplinary Team discussions. Using 302 rare disease cases, we evaluated GPT-3.5, GPT-4, and MAC on medical knowledge and clinical reasoning. MAC outperformed single models in both primary and follow-up consultations, achieving higher accuracy in diagnoses and suggested tests. Optimal performance was achieved with four doctor agents and a supervisor agent, using GPT-4 as the base model. MAC demonstrated high consistency across repeated runs. Further comparative analysis showed MAC also outperformed other methods including Chain of Thoughts (CoT), Self-Refine, and Self-Consistency with higher performance and more output tokens. This framework significantly enhanced LLMs' diagnostic capabilities, effectively bridging theoretical knowledge and practical clinical application. Our findings highlight the potential of multi-agent LLMs in healthcare and suggest further research into their clinical implementation.

Identifiers

PMID40082662
PMCPMC11906805

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.