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Dec 25

MEDDxAgent: A Unified Modular Agent Framework for Explainable Automatic Differential Diagnosis

Differential Diagnosis (DDx) is a fundamental yet complex aspect of clinical decision-making, in which physicians iteratively refine a ranked list of possible diseases based on symptoms, antecedents, and medical knowledge. While recent advances in large language models (LLMs) have shown promise in supporting DDx, existing approaches face key limitations, including single-dataset evaluations, isolated optimization of components, unrealistic assumptions about complete patient profiles, and single-attempt diagnosis. We introduce a Modular Explainable DDx Agent (MEDDxAgent) framework designed for interactive DDx, where diagnostic reasoning evolves through iterative learning, rather than assuming a complete patient profile is accessible. MEDDxAgent integrates three modular components: (1) an orchestrator (DDxDriver), (2) a history taking simulator, and (3) two specialized agents for knowledge retrieval and diagnosis strategy. To ensure robust evaluation, we introduce a comprehensive DDx benchmark covering respiratory, skin, and rare diseases. We analyze single-turn diagnostic approaches and demonstrate the importance of iterative refinement when patient profiles are not available at the outset. Our broad evaluation demonstrates that MEDDxAgent achieves over 10% accuracy improvements in interactive DDx across both large and small LLMs, while offering critical explainability into its diagnostic reasoning process.

  • 6 authors
·
Feb 26

History-Aware Reasoning for GUI Agents

Advances in Multimodal Large Language Models have significantly enhanced Graphical User Interface (GUI) automation. Equipping GUI agents with reliable episodic reasoning capabilities is essential for bridging the gap between users' concise task descriptions and the complexities of real-world execution. Current methods integrate Reinforcement Learning (RL) with System-2 Chain-of-Thought, yielding notable gains in reasoning enhancement. For long-horizon GUI tasks, historical interactions connect each screen to the goal-oriented episode chain, and effectively leveraging these clues is crucial for the current decision. However, existing native GUI agents exhibit weak short-term memory in their explicit reasoning, interpreting the chained interactions as discrete screen understanding, i.e., unawareness of the historical interactions within the episode. This history-agnostic reasoning challenges their performance in GUI automation. To alleviate this weakness, we propose a History-Aware Reasoning (HAR) framework, which encourages an agent to reflect on its own errors and acquire episodic reasoning knowledge from them via tailored strategies that enhance short-term memory in long-horizon interaction. The framework mainly comprises constructing a reflective learning scenario, synthesizing tailored correction guidelines, and designing a hybrid RL reward function. Using the HAR framework, we develop a native end-to-end model, HAR-GUI-3B, which alters the inherent reasoning mode from history-agnostic to history-aware, equipping the GUI agent with stable short-term memory and reliable perception of screen details. Comprehensive evaluations across a range of GUI-related benchmarks demonstrate the effectiveness and generalization of our method.

  • 7 authors
·
Nov 12

HiconAgent: History Context-aware Policy Optimization for GUI Agents

Graphical User Interface (GUI) agents require effective use of historical context to perform sequential navigation tasks. While incorporating past actions and observations can improve decision making, naive use of full history leads to excessive computational overhead and distraction from irrelevant information. To address this, we introduce HiconAgent, a GUI agent trained with History Context-aware Policy Optimization (HCPO) for efficient and effective utilization of historical information. HCPO optimizes history usage in both sampling and policy updates through two complementary components: (1) Dynamic Context Sampling (DCS) presents the agent with variable length histories during sampling, enabling adaptive use of the most relevant context; (2) Anchor-guided History Compression (AHC) refines the policy update phase with a dual branch strategy where the compressed branch removes history observations while keeping history actions as information flow anchors. The compressed and uncompressed branches are coupled through a history-enhanced alignment loss to enforce consistent history usage while maintaining efficiency. Experiments on mainstream GUI navigation benchmarks demonstrate strong performance. Despite being smaller, HiconAgent-3B outperforms GUI-R1-7B by +8.46 percent grounding accuracy and +11.32 percent step success rate on GUI-Odyssey, while achieving comparable results on AndroidControl and AITW with up to 2.47x computational speedup and 60 percent FLOPs reduction.