PrivMeSA: Privacy-Aware Self-Evolving Multi-Agent System for Medicine via Local-Remote LLM Collaboration

arXiv cs.AIOctober 1, 2026en

arXiv:2609.38458v1 Announce Type: new Abstract: Clinical large language model (LLM) agents deployed locally can consult more capable remote models, but doing so risks exposing patient information. Privacy-conscious delegation places disclosure decisions with a local agent, yet removing explicit identifiers is insufficient: quasi-identifiers can accumulate across multi-turn consultations and repeated patient visits to enable re-identification. We introduce PrivMeSA, a privacy-aware self-evolving multi-agent system that learns to control disclosure and retains remote expertise for local reuse. A local agent manages each encounter and consults remote specialists that may request additional info

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