PathFinder: A Multi-Modal Multi-Agent System for Medical Diagnostic Decision-Making Applied to Histopathology

Diagnosing diseases through histopathology whole slide images (WSIs) is fundamental in modern pathology but is challenged by the gigapixel scale and complexity of WSIs. Trained histopathologists overcome this challenge by navigating the WSI, looking for relevant patches, taking notes, and compiling them to produce a final holistic diagnostic. Traditional AI approaches, such as multiple instance learning and transformer-based models, fail short of such a holistic, iterative, multi-scale diagnostic procedure, limiting their adoption in the real-world. We introduce PathFinder, a multi-modal, multi-agent framework that emulates the decision-making process of expert pathologists. PathFinder integrates four AI agents, the Triage Agent, Navigation Agent, Description Agent, and Diagnosis Agent, that collaboratively navigate WSIs, gather evidence, and provide comprehensive diagnoses with natural language explanations. The Triage Agent classifies the WSI as benign or risky; if risky, the Navigation and Description Agents iteratively focus on significant regions, generating importance maps and descriptive insights of sampled patches. Finally, the Diagnosis Agent synthesizes the findings to determine the patient's diagnostic classification. Our Experiments show that PathFinder outperforms state-of-the-art methods in skin melanoma diagnosis by 8% while offering inherent explainability through natural language descriptions of diagnostically relevant patches. Qualitative analysis by pathologists shows that the Description Agent's outputs are of high quality and comparable to GPT-4o. PathFinder is also the first AI-based system to surpass the average performance of pathologists in this challenging melanoma classification task by 9%, setting a new record for efficient, accurate, and interpretable AI-assisted diagnostics in pathology. Data, code and models available at https://pathfinder-dx.github.io/

On the Emergence of Thinking in LLMs I: Searching for the Right Intuition

Recent AI advancements, such as OpenAI's new models, are transforming LLMs into LRMs (Large Reasoning Models) that perform reasoning during inference, taking extra time and compute for higher-quality outputs. We aim to uncover the algorithmic framework for training LRMs. Methods like self-consistency, PRM, and AlphaZero suggest reasoning as guided search. We ask: what is the simplest, most scalable way to enable search in LLMs? We propose a post-training framework called Reinforcement Learning via Self-Play (RLSP). RLSP involves three steps: (1) supervised fine-tuning with human or synthetic demonstrations of the reasoning process, (2) using an exploration reward signal to encourage diverse and efficient reasoning behaviors, and (3) RL training with an outcome verifier to ensure correctness while preventing reward hacking. Our key innovation is to decouple exploration and correctness signals during PPO training, carefully balancing them to improve performance and efficiency. Empirical studies in the math domain show that RLSP improves reasoning. On the Llama-3.1-8B-Instruct model, RLSP can boost performance by 23% in MATH-500 test set; On AIME 2024 math problems, Qwen2.5-32B-Instruct improved by 10% due to RLSP. However, a more important finding of this work is that the models trained using RLSP, even with the simplest exploration reward that encourages the model to take more intermediate steps, showed several emergent behaviors such as backtracking, exploration of ideas, and verification. These findings demonstrate that RLSP framework might be enough to enable emergence of complex reasoning abilities in LLMs when scaled. Lastly, we propose a theory as to why RLSP search strategy is more suitable for LLMs inspired by a remarkable result that says CoT provably increases computational power of LLMs, which grows as the number of steps in CoT \cite{li2024chain,merrill2023expresssive}.

Towards Safer Heuristics With XPlain

Many problems that cloud operators solve are computationally expensive, and operators often use heuristic algorithms (that are faster and scale better than optimal) to solve them more efficiently. Heuristic analyzers enable operators to find when and by how much their heuristics underperform. However, these tools do not provide enough detail for operators to mitigate the heuristic's impact in practice: they only discover a single input instance that causes the heuristic to underperform (and not the full set), and they do not explain why. We propose XPlain, a tool that extends these analyzers and helps operators understand when and why their heuristics underperform. We present promising initial results that show such an extension is viable.

Towards Foundation Models for Mixed Integer Linear Programming

Mixed Integer Linear Programming (MILP) is essential for modeling complex decision-making problems but faces challenges in computational tractability and requires expert formulation. Current deep learning approaches for MILP focus on specific problem classes and do not generalize to unseen classes. To address this shortcoming, we take a foundation model training approach, where we train a single deep learning model on a diverse set of MILP problems to generalize across problem classes. As existing datasets for MILP lack diversity and volume, we introduce MILP-Evolve, a novel LLM-based evolutionary framework that is capable of generating a large set of diverse MILP classes with an unlimited amount of instances. We study our methodology on three key learning tasks that capture diverse aspects of MILP: (1) integrality gap prediction, (2) learning to branch, and (3) a new task of aligning MILP instances with natural language descriptions. Our empirical results show that models trained on the data generated by MILP-Evolve achieve significant improvements on unseen problems, including MIPLIB benchmarks. Our work highlights the potential of moving towards a foundation model approach for MILP that can generalize to a broad range of MILP applications. We are committed to fully open-sourcing our work to advance further research.

Small Language Models for Application Interactions: A Case Study

We study the efficacy of Small Language Models (SLMs) in facilitating application usage through natural language interactions. Our focus here is on a particular internal application used in Microsoft for cloud supply chain fulfilment. Our experiments show that small models can outperform much larger ones in terms of both accuracy and running time, even when fine-tuned on small datasets. Alongside these results, we also highlight SLM-based system design considerations.

Reflect-RL: Two-Player Online RL Fine-Tuning for LMs

As language models (LMs) demonstrate their capabilities in various fields, their application to tasks requiring multi-round interactions has become increasingly popular. These tasks usually have complex dynamics, so supervised fine-tuning (SFT) on a limited offline dataset does not yield good performance. However, only a few works attempted to directly train the LMs within interactive decision-making environments. We aim to create an effective mechanism to fine-tune LMs with online reinforcement learning (RL) in these environments. We propose Reflect-RL, a two-player system to fine-tune an LM using online RL, where a frozen reflection model assists the policy model. To generate data for the warm-up SFT stage, we use negative example generation to enhance the error-correction ability of the reflection model. Furthermore, we designed single-prompt action enumeration and applied curriculum learning to allow the policy model to learn more efficiently. Empirically, we verify that Reflect-RL outperforms SFT and online RL without reflection. Testing results indicate GPT-2-xl after Reflect-RL also outperforms those of untuned pre-trained LMs, such as Mistral 7B.

Computing in the Era of Large Generative Models: From Cloud-Native to AI-Native

In this paper, we investigate the intersection of large generative AI models and cloud-native computing architectures. Recent large models such as ChatGPT, while revolutionary in their capabilities, face challenges like escalating costs and demand for high-end GPUs. Drawing analogies between large-model-as-a-service (LMaaS) and cloud database-as-a-service (DBaaS), we describe an AI-native computing paradigm that harnesses the power of both cloud-native technologies (e.g., multi-tenancy and serverless computing) and advanced machine learning runtime (e.g., batched LoRA inference). These joint efforts aim to optimize costs-of-goods-sold (COGS) and improve resource accessibility. The journey of merging these two domains is just at the beginning and we hope to stimulate future research and development in this area.

AutoGen: Enabling Next-Gen LLM Applications via Multi-Agent Conversation Framework

This technical report presents AutoGen, a new framework that enables development of LLM applications using multiple agents that can converse with each other to solve tasks. AutoGen agents are customizable, conversable, and seamlessly allow human participation. They can operate in various modes that employ combinations of LLMs, human inputs, and tools. AutoGen's design offers multiple advantages: a) it gracefully navigates the strong but imperfect generation and reasoning abilities of these LLMs; b) it leverages human understanding and intelligence, while providing valuable automation through conversations between agents; c) it simplifies and unifies the implementation of complex LLM workflows as automated agent chats. We provide many diverse examples of how developers can easily use AutoGen to effectively solve tasks or build applications, ranging from coding, mathematics, operations research, entertainment, online decision-making, question answering, etc.

Large Language Models for Supply Chain Optimization

Supply chain operations traditionally involve a variety of complex decision making problems. Over the last few decades, supply chains greatly benefited from advances in computation, which allowed the transition from manual processing to automation and cost-effective optimization. Nonetheless, business operators still need to spend substantial efforts in explaining and interpreting the optimization outcomes to stakeholders. Motivated by the recent advances in Large Language Models (LLMs), we study how this disruptive technology can help bridge the gap between supply chain automation and human comprehension and trust thereof. We design OptiGuide -- a framework that accepts as input queries in plain text, and outputs insights about the underlying optimization outcomes. Our framework does not forgo the state-of-the-art combinatorial optimization technology, but rather leverages it to quantitatively answer what-if scenarios (e.g., how would the cost change if we used supplier B instead of supplier A for a given demand?). Importantly, our design does not require sending proprietary data over to LLMs, which can be a privacy concern in some circumstances. We demonstrate the effectiveness of our framework on a real server placement scenario within Microsoft's cloud supply chain. Along the way, we develop a general evaluation benchmark, which can be used to evaluate the accuracy of the LLM output in other scenarios.

Learning Oculomotor Behaviors from Scanpath

Identifying oculomotor behaviors relevant for eye-tracking applications is a critical but often challenging task. Aiming to automatically learn and extract knowledge from existing eye-tracking data, we develop a novel method that creates rich representations of oculomotor scanpaths to facilitate the learning of downstream tasks. The proposed stimulus-agnostic Oculomotor Behavior Framework (OBF) model learns human oculomotor behaviors from unsupervised and semi-supervised tasks, including reconstruction, predictive coding, fixation identification, and contrastive learning tasks. The resultant pre-trained OBF model can be used in a variety of applications. Our pre-trained model outperforms baseline approaches and traditional scanpath methods in autism spectrum disorder and viewed-stimulus classification tasks. Ablation experiments further show our proposed method could achieve even better results with larger model sizes and more diverse eye-tracking training datasets, supporting the model's potential for future eye-tracking applications. Open source code: http://github.com/BeibinLi/OBF.