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Paper · arXiv

LLM-Guided Evolution for Medical Decision Pipelines

Adapting large language models (LLMs) to clinical workflows often requires costly fine-tuning or manual prompt and pipeline engineering. We study LLM-guided MAP-Elites evolution as an inference-time alternative for discovering medical decision strategies and provide an implementation repository at https://github.com/univanxx/llm_guided_evo_medical. We formulate urgency triage, interactive consultation, and medical image classification as evolutionary searches over executable artifacts optimized by task-specific fitness functions. Across all three settings, evolution improves over manually designed baselines under practical constraints. In triage, evolved programs increase Semigran accurac...

AuthorsIvan Sviridov, Artem Oskin, Ivan Panin et al.
Primary categorycs.CL
Published5 June 2026
Last updated at source5 June 2026
cs.CLcs.NE
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