3-agent AI nearly doubles diagnostic accuracy vs physicians at lower cost in 600+ NEJM/ER cases

EricTopol · x · 2026-10-23

Eric Topol and colleagues published in Science: a 3-agent AI system for sequential diagnosis nearly doubled accuracy compared with physicians across 300+ NEJM clinicopathological cases and 300+ ER cases, at substantially lower cost, outperforming many frontier models and physician-plus-AI setups.

The cost-accuracy Pareto chart shows DxO reaching 80% accuracy at $1k of diagnostic tests per case, with a questions-only mode hitting 63% at near-zero cost; physicians overall sit around 20-37%, while GPT-5, Claude 4.1 Opus, Grok 4, and Gemini 2.5 Pro cluster in the 70-80% range at higher spend.

Related event: Microsoft's Three-Agent AI Diagnostic System Hits Science Cover, Nearly Doubles Physician Accuracy(3 posts)→

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