{"ID":2828472,"CreatedAt":"2026-06-01T04:54:23.091178241Z","UpdatedAt":"2026-06-01T04:54:23.091178241Z","DeletedAt":null,"paper_url":"https://arxiv.org/abs/2512.14321","arxiv_id":"2512.14321","title":"Multi-Agent Medical Decision Consensus Matrix System: An Intelligent Collaborative Framework for Oncology MDT Consultations","abstract":"Multidisciplinary team (MDT) consultations are the gold standard for cancer care decision-making, yet current practice lacks structured mechanisms for quantifying consensus and ensuring decision traceability. We introduce a Multi-Agent Medical Decision Consensus Matrix System that deploys seven specialized large language model agents, including an oncologist, a radiologist, a nurse, a psychologist, a patient advocate, a nutritionist and a rehabilitation therapist, to simulate realistic MDT workflows. The framework incorporates a mathematically grounded consensus matrix that uses Kendall's coefficient of concordance to objectively assess agreement. To further enhance treatment recommendation quality and consensus efficiency, the system integrates reinforcement learning methods, including Q-Learning, PPO and DQN. Evaluation across five medical benchmarks (MedQA, PubMedQA, DDXPlus, MedBullets and SymCat) shows substantial gains over existing approaches, achieving an average accuracy of 87.5% compared with 83.8% for the strongest baseline, a consensus achievement rate of 89.3% and a mean Kendall's W of 0.823. Expert reviewers rated the clinical appropriateness of system outputs at 8.9/10. The system guarantees full evidence traceability through mandatory citations of clinical guidelines and peer-reviewed literature, following GRADE principles. This work advances medical AI by providing structured consensus measurement, role-specialized multi-agent collaboration and evidence-based explainability to improve the quality and efficiency of clinical decision-making.","short_abstract":"Multidisciplinary team (MDT) consultations are the gold standard for cancer care decision-making, yet current practice lacks structured mechanisms for quantifying consensus and ensuring decision traceability. We introduce a Multi-Agent Medical Decision Consensus Matrix System that deploys seven specialized large langua...","url_abs":"https://arxiv.org/abs/2512.14321","url_pdf":"https://arxiv.org/pdf/2512.14321v1","authors":"[\"Xudong Han\",\"Xianglun Gao\",\"Xiaoyi Qu\",\"Zhenyu Yu\"]","published":"2025-12-16T11:35:09Z","proceeding":"cs.MA","tasks":"[\"cs.MA\"]","methods":"[\"Reinforcement Learning\",\"Language Model\"]","has_code":false}