Abstract

Medical imaging datasets are often curated using global quality-control rules, although case eligibility depends on the predefined requirements of the intended task. AgentQC is a static artifact-grounded agentic framework for task-aware medical dataset curation that separates deterministic evidence extraction, calibrated comparison, controlled reasoning, medical critique, review routing, deterministic final policy, and post-hoc evaluation into typed artifacts with explicit provenance. Reasoning and critique are explanatory and nonbinding; final curation actions remain controlled by deterministic evidence, routing, and policy logic. We instantiate AgentQC for 1,000 pancreas CT cases with visible-pancreas, pancreas-lesion, and lesion-subregion curation requirements. Internal evaluation across task profiles identified 350, 429, and 226 changes in final actions between profile pairs. Nevertheless, lesion-present, confirmed-absent, and unresolved-evidence categories remained consistent across configurations. All cases contained complete reasoning and critique, and deterministic and calibrated modes produced identical final actions. These findings support artifact-backed compliance behavior under configured task requirements, not external medical correctness, expert agreement, or downstream model utility.

Links to Paper and Supplementary Materials

Main Paper (Open Access Version): https://papers.miccai.org/miccai-2026-sat/paper/MedAgent_028.pdf

SharedIt Link: Not yet available

SpringerLink (DOI): Not yet available

Supplementary Material: Not Submitted

Link to Open Review

Open Review Page: https://openreview.net/forum?id=kXMPfs8X8q

BibTex

@InProceedings{AndGus_AgentQC_MICCAISAT2026,
        author = { Andrade-Miranda, Gustavo AND Cao, Yiheng AND Collet, Tiphain AND Vega, Pedro J. Soto},
        title = { { AgentQC: Policy-Constrained Agentic Assessment of Task-Aware Reliability in Medical Imaging Datasets } },
        booktitle = {Medical Image Computing and Computer Assisted Intervention -- MICCAI 2026 Workshops and Challenges},
        year = {2026},
        publisher = {Springer Nature Switzerland},
        volume = {LNCS 17263},
        month = {pending},
        page = {pending}
}


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