@inproceedings{liu-etal-2024-medcot,
    title = "{M}ed{C}o{T}: Medical Chain of Thought via Hierarchical Expert",
    author = "Liu, Jiaxiang  and
      Wang, Yuan  and
      Du, Jiawei  and
      Zhou, Joey Tianyi  and
      Liu, Zuozhu",
    editor = "Al-Onaizan, Yaser  and
      Bansal, Mohit  and
      Chen, Yun-Nung",
    booktitle = "Proceedings of the 2024 Conference on Empirical Methods in Natural Language Processing",
    month = nov,
    year = "2024",
    address = "Miami, Florida, USA",
    publisher = "Association for Computational Linguistics",
    url = "https://preview.aclanthology.org/add-emnlp-2024-awards/2024.emnlp-main.962/",
    doi = "10.18653/v1/2024.emnlp-main.962",
    pages = "17371--17389",
    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."
}