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Microsoft’s AI Diagnostic Orchestrator Beats Doctors in Sequential Diagnosis Benchmark

Microsoft plans clinical trials, bias assessments, regulatory review, health-system collaborations after its AI tool cut misdiagnoses, reduced test costs in benchmark studies.

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Microsoft claims its AI tool can diagnose complex cases better than doctors

Overview

  • The MAI Diagnostic Orchestrator achieved 80–85.5% accuracy on 304 New England Journal of Medicine case studies versus a 20% average for 21 physicians in the Sequential Diagnosis Benchmark.
  • A multi-agent chain-of-debate approach queries leading large language models—OpenAI’s o3, Google’s Gemini, Anthropic’s Claude, Meta’s Llama and xAI’s Grok—to replicate expert clinician decision-making.
  • The orchestrator’s stepwise questioning, gatekeeper-managed data reveals and judge-verified diagnoses drove an approximate 20% reduction in estimated testing costs compared to human panels.
  • Microsoft AI executives frame the results as an early step toward “medical superintelligence,” emphasizing the need for peer review and real-world validation before any deployment.
  • Remaining in the research phase, MAI-DxO awaits further bias monitoring, regulatory approval and integration pilots in Bing, Copilot and partner health systems.