arXiv subjects

Joshua Strong

Publications and source records attributed to Joshua Strong.

7 recordsLinked to original sources

arXiv2026

Coherent Hierarchical Multi-Label Learning to Defer for Medical Imaging

Learning to Defer (L2D) enables a model to predict autonomously or defer to an expert, but prior work largely assumes flat label spaces. We study the first L2D setting with hierarchical multi-label decisions, motivated by medical-imaging workflows in which findings are organised by clinical taxonomies. In this setting, deferral is a delegation action rather than a label assignment, so treating it as an independent per-label decision can produce deferral incoherence, including taxonomic contradictions, delegation violations, and deferrals of labels already implied by the model's own assertions. We formalise coherent hierarchical deferral under a Selective-Exclusion handoff contract, characterise the Bayes-optimal coherent deferral rule, and show that even nodewise Bayes L2D can be action-incoherent. We then propose two remedies: exact coherent projection, a dynamic-programming decoder over the coherent action set, and Taxonomic Belief Propagation (TBP) with Recursive Policy Optimisation (RPO), a contract-aware joint action model trained through the same recursion used at inference. Across real-reader and controlled-expert medical-imaging benchmarks, naive binary-relevance L2D exhibits non-trivial incoherence. Projection removes it exactly, and fast TBP+RPO drives incoherence near zero while retaining strong utility.

cs.AI↗

arXiv2026

Experience-Guided Self-Adaptive Cascaded Agents for Breast Cancer Screening and Diagnosis with Reduced Biopsy Referrals

We propose an experience-guided cascaded multi-agent framework for Breast Ultrasound Screening and Diagnosis, called BUSD-Agent, that aims to reduce diagnostic escalation and unnecessary biopsy referrals. Our framework models screening and diagnosis as a two-stage, selective decision-making process. A lightweight `screening clinic' agent, restricted to classification models as tools, selectively filters out benign and normal cases from further diagnostic escalation when malignancy risk and uncertainty are estimated as low. Cases that have higher risks are escalated to the `diagnostic clinic' agent, which integrates richer perception and radiological description tools to make a secondary decision on biopsy referral. To improve agent performance, past records of pathology-confirmed outcomes along with image embeddings, model predictions, and historical agent actions are stored in a memory bank as structured decision trajectories. For each new case, BUSD-Agent retrieves similar past cases based on image, model response and confidence similarity to condition the agent's current decision policy. This enables retrieval-conditioned in-context adaptation that dynamically adjusts model trust and escalation thresholds from prior experiences without parameter updates. Evaluation across 10 breast ultrasound datasets shows that the proposed experience-guided workflow reduces diagnostic escalation in BUSD-Agent from 84.95% to 58.72% and overall biopsy referrals from 59.50% to 37.08%, compared to the same architecture without trajectory conditioning, while improving average screening specificity by 68.48% and diagnostic specificity by 6.33%.

cs.CV↗

arXiv2026

Picking the Right Specialist: Attentive Neural Process-based Selection of Task-Specialized Models as Tools for Agentic Healthcare Systems

Task-specialized models form the backbone of agentic healthcare systems, enabling the agents to answer clinical queries across tasks such as disease diagnosis, localization, and report generation. Yet, for a given task, a single "best" model rarely exists. In practice, each task is better served by multiple competing specialist models where different models excel on different data samples. As a result, for any given query, agents must reliably select the right specialist model from a heterogeneous pool of tool candidates. To this end, we introduce ToolSelect, which adaptively learns model selection for tools by minimizing a population risk over sampled specialist tool candidates using a consistent surrogate of the task-conditional selection loss. Concretely, we propose an Attentive Neural Process-based selector conditioned on the query and per-model behavioral summaries to choose among the specialist models. Motivated by the absence of any established testbed, we, for the first time, introduce an agentic Chest X-ray environment equipped with a diverse suite of task-specialized models (17 disease detection, 19 report generation, 6 visual grounding, and 13 VQA) and develop ToolSelectBench, a benchmark of 1448 queries. Our results demonstrate that ToolSelect consistently outperforms 10 SOTA methods across four different task families.

cs.LG↗

arXiv2025

FedAgentBench: Towards Automating Real-world Federated Medical Image Analysis with Server-Client LLM Agents

Federated learning (FL) allows collaborative model training across healthcare sites without sharing sensitive patient data. However, real-world FL deployment is often hindered by complex operational challenges that demand substantial human efforts. This includes: (a) selecting appropriate clients (hospitals), (b) coordinating between the central server and clients, (c) client-level data pre-processing, (d) harmonizing non-standardized data and labels across clients, and (e) selecting FL algorithms based on user instructions and cross-client data characteristics. However, the existing FL works overlook these practical orchestration challenges. These operational bottlenecks motivate the need for autonomous, agent-driven FL systems, where intelligent agents at each hospital client and the central server agent collaboratively manage FL setup and model training with minimal human intervention. To this end, we first introduce an agent-driven FL framework that captures key phases of real-world FL workflows from client selection to training completion and a benchmark dubbed FedAgentBench that evaluates the ability of LLM agents to autonomously coordinate healthcare FL. Our framework incorporates 40 FL algorithms, each tailored to address diverse task-specific requirements and cross-client characteristics. Furthermore, we introduce a diverse set of complex tasks across 201 carefully curated datasets, simulating 6 modality-specific real-world healthcare environments, viz., Dermatoscopy, Ultrasound, Fundus, Histopathology, MRI, and X-Ray. We assess the agentic performance of 14 open-source and 10 proprietary LLMs spanning small, medium, and large model scales. While some agent cores such as GPT-4.1 and DeepSeek V3 can automate various stages of the FL pipeline, our results reveal that more complex, interdependent tasks based on implicit goals remain challenging for even the strongest models.

cs.LG↗

arXiv2025

Identity-Free Deferral For Unseen Experts

Learning to Defer (L2D) improves AI reliability in decision-critical environments by training AI to either make its own prediction or defer the decision to a human expert. A key challenge is adapting to unseen experts at test time, whose competence can differ from the training population. Current methods for this task, however, can falter when unseen experts are out-of-distribution (OOD) relative to the training population. We identify a core architectural flaw as the cause: they learn identity-conditioned policies by processing class-indexed signals in fixed coordinates, creating shortcuts that violate the problem's inherent permutation symmetry. We introduce Identity-Free Deferral (IFD), an architecture that enforces this symmetry by construction. From a few-shot context, IFD builds a query-independent Bayesian competence profile for each expert. It then supplies the deferral rejector with a low-dimensional, role-indexed state containing only structural information, such as the model's confidence in its top-ranked class and the expert's estimated skill for that same role, which obscures absolute class identities. We train IFD using an uncertainty-aware, context-only objective that removes the need for expensive query-time expert labels. We formally prove the permutation invariance of our approach, contrasting it with the generic non-invariance of standard population encoders. Experiments on medical imaging benchmarks and ImageNet-16H with real human annotators show that IFD consistently improves generalisation to unseen experts, with gains in OOD settings, all while using fewer annotations than alternative methods.

cs.LG↗

arXiv2024

Trustworthy and Practical AI for Healthcare: A Guided Deferral System with Large Language Models

Large language models (LLMs) offer a valuable technology for various applications in healthcare. However, their tendency to hallucinate and the existing reliance on proprietary systems pose challenges in environments concerning critical decision-making and strict data privacy regulations, such as healthcare, where the trust in such systems is paramount. Through combining the strengths and discounting the weaknesses of humans and AI, the field of Human-AI Collaboration (HAIC) presents one front for tackling these challenges and hence improving trust. This paper presents a novel HAIC guided deferral system that can simultaneously parse medical reports for disorder classification, and defer uncertain predictions with intelligent guidance to humans. We develop methodology which builds efficient, effective and open-source LLMs for this purpose, for the real-world deployment in healthcare. We conduct a pilot study which showcases the effectiveness of our proposed system in practice. Additionally, we highlight drawbacks of standard calibration metrics in imbalanced data scenarios commonly found in healthcare, and suggest a simple yet effective solution: the Imbalanced Expected Calibration Error.

cs.CL↗

arXiv2021

Synchronous Chip-to-Chip Communication with a Multi-Chip Resonator Clock Distribution Network

Superconducting digital circuits are a promising approach to build packaged-level integrated systems with high energy-efficiency and computational density. In such systems, performance of the data link between chips mounted on a multi-chip module (MCM) is a critical driver of performance. In this work we report a synchronous data link using Reciprocal Quantum Logic (RQL) enabled by resonant clock distribution on the chip and on the MCM carrier. The simple physical link has only four Josephson junctions and 3 fJ/bit dissipation, including a 300 W/W cooling overhead. The driver produces a signal with 35\,GHz analog bandwidth and connects to a single-ended receiver via 20 $\Omega$ Nb Passive Transmission Line (PTL). To validate this link, we have designed, fabricated and tested two 32$\times$32 mm$^2$ MCMs with eight 5$\times$5 mm$^2$ chips connected serially and powered with a meander clock, and with four 10$\times$10 mm$^2$ chips powered with a 2 GHz resonant clock. The meander clock MCM validates performance of the data link components, and achieved 5.4 dB AC bias margin with no degradation relative to individual chip test. The resonator MCM validates synchronization between chips, with a measured AC bias margin up to 4.8 dB between two chips. The resonator MCM is capable of powering circuits of 4 million Josephson junctions across the four chips with a projected 10 Gbps serial data rate.

physics.app-ph↗