arXiv subjects

Angela Lin Wang

Publications and source records attributed to Angela Lin Wang.

2 recordsLinked to original sources

arXiv2026

Evidence-Grounded AI for Musculoskeletal Care

Musculoskeletal diseases are among the leading causes of disability and drive the greatest global need for rehabilitation. Because recovery, remodelling and degeneration of bones, joints and related tissues unfold over months to years, care requires longitudinal management rather than isolated decisions. Clinicians must repeatedly integrate evolving patient evidence, medical knowledge and stage-specific functional goals, yet evidence is often fragmented across visits, departments and hospital systems, disrupting continuous, individualised management. Here we report OrthoPilot, a clinical artificial intelligence (AI) system powered by a large language model (LLM) that integrates hospital data streams with authoritative external knowledge for continuous musculoskeletal care. It autonomously retrieves real-time imaging, laboratory, pathology and order data and translates evolving patient states into evidence-based decisions from admission diagnosis through rehabilitation planning. We established a specialist-validated benchmark from real-world electronic health records (EHRs) spanning 1,000 disease codes. In a full-pathway reader study against 81 orthopaedic physicians, OrthoPilot outperformed experts with 25 years of experience in diagnostic reasoning, clinical decision-making and management planning. This advantage generalised across 60 external clinical centres, where OrthoPilot surpassed all evaluated intelligent systems. In a prospective physician decision-making study of 1,870 complex cases, OrthoPilot improved full-chain management success by 10.6%. In a randomised deployment involving 8,240 inpatients, integration into routine care increased cumulative cases per bed by 9.7% and improved patient-reported access to health information. These results move clinical AI from predicting isolated events toward executing longitudinal management across complete musculoskeletal care pathways.

cs.AI↗

arXiv2025

CX-Mind: A Pioneering Multimodal Large Language Model for Interleaved Reasoning in Chest X-ray via Curriculum-Guided Reinforcement Learning

Chest X-ray (CXR) imaging is one of the most widely used diagnostic modalities in clinical practice, encompassing a broad spectrum of diagnostic tasks. Recent advancements have seen the extensive application of reasoning-based multimodal large language models (MLLMs) in medical imaging to enhance diagnostic efficiency and interpretability. However, existing multimodal models predominantly rely on "one-time" diagnostic approaches, lacking verifiable supervision of the reasoning process. This leads to challenges in multi-task CXR diagnosis, including lengthy reasoning, sparse rewards, and frequent hallucinations. To address these issues, we propose CX-Mind, the first generative model to achieve interleaved "think-answer" reasoning for CXR tasks, driven by curriculum-based reinforcement learning and verifiable process rewards (CuRL-VPR). Specifically, we constructed an instruction-tuning dataset, CX-Set, comprising 708,473 images and 2,619,148 samples, and generated 42,828 high-quality interleaved reasoning data points supervised by clinical reports. Optimization was conducted in two stages under the Group Relative Policy Optimization framework: initially stabilizing basic reasoning with closed-domain tasks, followed by transfer to open-domain diagnostics, incorporating rule-based conditional process rewards to bypass the need for pretrained reward models. Extensive experimental results demonstrate that CX-Mind significantly outperforms existing medical and general-domain MLLMs in visual understanding, text generation, and spatiotemporal alignment, achieving an average performance improvement of 25.1% over comparable CXR-specific models. On real-world clinical dataset (Rui-CXR), CX-Mind achieves a mean recall@1 across 14 diseases that substantially surpasses the second-best results, with multi-center expert evaluations further confirming its clinical utility across multiple dimensions.

cs.LG↗