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NPCBench：面向鼻咽癌多模态诊疗路径推理的临床学徒制基准

NPCBench: A Clinical Apprenticeship Benchmark for Multimodal Care-Pathway Reasoning in Nasopharyngeal Carcinoma

Pengkai Wang, Wei-Wei Zhang, Yan Li, Min Tang, Zhitian Hou, Zeyu Liu, Guanghao Zhu, Yuanyi Wang 等 16 位作者

AI 速览：作者提出 NPCBench，一个模拟专科培训进阶的鼻咽癌临床学徒制基准，用于评估模型能否在多模态证据下完成从知识到纵向诊疗路径的连贯推理。登录阅读完整解读 →

Current medical benchmarks typically break down clinical competence into isolated factual questions, single-image tasks, or static case vignettes. These tests score individual answers, but reveal less about whether a model can integrate subspecialty knowledge with multimodal evidence and track a patient's condition throughout a course of care. To close this gap, we introduce NPCBench, a clinical apprenticeship benchmark for nasopharyngeal carcinoma (NPC). NPCBench mirrors specialist training, from guideline and foundational knowledge to case planning, longitudinal review, CarePath integration, and open-ended consultation. It contains 4,777 component and consultation items and a 100-patient CarePath cohort with 417 scored diagnostic and care tasks. The episode-level evaluation tests whether diagnostic and care answers are jointly correct within a care pathway. By linking stepwise tasks to patient-level care trajectories, NPCBench evaluates whether models ground decisions in visual evidence, interpret changes in patient state, and meet clinical requirements in consultation. Across 30 evaluated models, we observe a composition gap: strong performance on individual tasks does not ensure jointly correct diagnostic and care answers for the same patient. Among 21 multimodal models, strict CarePath success reaches at most 23%. Paired controls and physician calibration further examine evidence grounding, longitudinal revision, and consultation judging. Overall, NPCBench broadens the evaluation of medical artificial intelligence beyond static question-answering paradigms to an apprenticeship-oriented assessment of clinical workflows, thereby offering a testbed for evidence-based and temporally coherent reasoning in oncology care.

Experience Memory Graph: Extracting Reusable Correction Knowledge from Agent Trajectories

Wenjun Wang, Yuchen Fang, Fengrui Liu, Zibo Liang, Kai Zheng

Large Language Model (LLM) agents have shown remarkable capabilities in autonomous decision-making by generating sequential trajectories of states, actions, and observations. However, in complex, long-horizon tasks, these agents frequently suffer from compounding errors and struggle to recover from failures. Despite advances in experience memory, extracting reliable and transferable correction knowledge from historical trajectories remains challenging. Existing methods, whether based on test-time reflection or offline memory construction, largely rely on LLMs to diagnose failures and formulate corrective strategies, which can produce brittle or task-specific insights that are difficult to generalize. To address this challenge, we propose Experience Memory Graph (EMG), a framework that reformulates agent failure recovery as a graph matching problem. During offline construction on the training set, we convert both failed exploration trajectories and successful expert trajectories into directed action decision graphs. By matching these graphs, we extract common subgraphs and graph edit paths that explicitly indicate how to correct failures, and store them in a memory graph with intra-task nodes and cross-task edges. At test time, EMG retrieves relevant insights and guides the agent in a single test-time attempt without additional reflection-and-replay rounds. Experiments on ALFWorld and ScienceWorld demonstrate consistent improvements over the evaluated memory construction and competitive baselines across seen and unseen splits.

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