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arXiv — cs.AI preprintsInternational9 October 2026

ActiveMedAgent: Cost-Aware Trajectory Learning for Multimodal Medical Diagnosis

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arXiv:2610.11140v1 Announce Type: cross Abstract: Clinical diagnosis is inherently sequential: clinicians escalate from cheap to costly tests only when additional evidence is expected to resolve diagnostic uncertainty. We present ActiveMedAgent, a framework that brings this cost-aware sequential logic to multimodal medical AI. Given a frozen, API-accessed vision-language model, ActiveMedAgent tracks probability distributions over candidate diagnoses and scores each acquisition by its per-step diagnostic utility minus cost. A lightweight MLP controller is then trained offline on these scored tr
— arXiv — cs.AI preprints

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