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LatentDx addresses the critical bottleneck of cross-hospital collaboration in rare disease diagnosis by enabling secure communication through compact latent KV blocks rather than raw clinical text. This framework effectively balances diagnostic performance with privacy preservation, even when hospitals utilize different large language model backbones via cross-family latent alignment. The approach represents a significant advancement in applying multi-agent systems to sensitive medical data without violating institutional boundaries.
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LatentDx: Latent Multi-Agent Communication for Cross-Hospital Rare-Disease Diagnosis

arXiv2 min read

arXiv:2606.13945v2 Announce Type: replace Abstract: Rare diseases affect over $300$ million patients across more than $7{,}000$ conditions, yet no single hospital encounters enough cases of any one condition for reliable diagnosis. Cross-hospital collaboration could help by allowing a diagnosing institution to use distributed, case-specific diagnostic evidence, but privacy regulations restrict the transmission of identifiable clinical text across institutional boundaries. This setting raises two challenges: existing medical agent systems often rely on textual evidence exchange, while raw latent states such as hidden states and KV caches may still reveal prompt-derived clinical content. We introduce LatentDx, a latent multi-agent communication framework in which hospital agents keep private clinical records and retrieved cases local, and send compact latent KV blocks to a host agent for rare-disease diagnosis. LatentDx supports two deployment settings: same-backbone hospital agents use latent KV distillation, while hospitals with different LLM backbones use cross-family latent alignment. On CrossRare-Bench, a self-built large-scale rare-disease benchmark with hospital-level partitions, LatentDx improves cross-hospital diagnostic performance while reducing reconstructable clinical content relative to raw-latent communication baselines.

Abstract:Rare diseases affect over $300$ million patients across more than $7{,}000$ conditions, yet no single hospital encounters enough cases of any one condition for reliable diagnosis. Cross-hospital collaboration could help by allowing a diagnosing institution to use distributed, case-specific diagnostic evidence, but privacy regulations restrict the transmission of identifiable clinical text across institutional boundaries. This setting raises two challenges: existing medical agent systems often rely on textual evidence exchange, while raw latent states such as hidden states and KV caches may still reveal prompt-derived clinical content. We introduce LatentDx, a latent multi-agent communication framework in which hospital agents keep private clinical records and retrieved cases local, and send compact latent KV blocks to a host agent for rare-disease diagnosis. LatentDx supports two deployment settings: same-backbone hospital agents use latent KV distillation, while hospitals with different LLM backbones use cross-family latent alignment. On CrossRare-Bench, a self-built large-scale rare-disease benchmark with hospital-level partitions, LatentDx improves cross-hospital diagnostic performance while reducing reconstructable clinical content relative to raw-latent communication baselines.

Computation and Language (cs.CL)

arXiv:2606.13945 [cs.CL]

(or arXiv:2606.13945v2 [cs.CL] for this version)

https://doi.org/10.48550/arXiv.2606.13945 Focus to learn more arXiv-issued DOI via DataCite

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Full text under the publisher's open licence · 259 words

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