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Medcot: Medical chain of thought via hieratrchical expert

4 Pith papers cite this work. Polarity classification is still indexing.

4 Pith papers citing it
abstract

Artificial intelligence has advanced in Medical Visual Question Answering (Med-VQA), but prevalent research tends to focus on the accuracy of the answers, often overlooking the reasoning paths and interpretability, which are crucial in clinical settings. Besides, current Med-VQA algorithms, typically reliant on singular models, lack the robustness needed for real-world medical diagnostics which usually require collaborative expert evaluation. To address these shortcomings, this paper presents MedCoT, a novel hierarchical expert verification reasoning chain method designed to enhance interpretability and accuracy in biomedical imaging inquiries. MedCoT is predicated on two principles: The necessity for explicit reasoning paths in Med-VQA and the requirement for multi-expert review to formulate accurate conclusions. The methodology involves an Initial Specialist proposing diagnostic rationales, followed by a Follow-up Specialist who validates these rationales, and finally, a consensus is reached through a vote among a sparse Mixture of Experts within the locally deployed Diagnostic Specialist, which then provides the definitive diagnosis. Experimental evaluations on four standard Med-VQA datasets demonstrate that MedCoT surpasses existing state-of-the-art approaches, providing significant improvements in performance and interpretability.

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cs.AI 2 cs.CV 2

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2026 2 2025 2

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representative citing papers

A Survey of Scaling in Large Language Model Reasoning

cs.AI · 2025-04-02 · unverdicted · novelty 3.0

A survey categorizing scaling in LLM reasoning across input size, steps, rounds, training, and future directions, noting that scaling can negatively affect performance.

Multimodal Chain-of-Thought Reasoning: A Comprehensive Survey

cs.CV · 2025-03-16 · unverdicted · novelty 2.0

The paper provides the first comprehensive survey of multimodal chain-of-thought reasoning, including foundational concepts, a taxonomy of methodologies, application analyses, challenges, and future directions.

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Showing 4 of 4 citing papers.