{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T16:36:13Z","timestamp":1781282173214,"version":"3.54.1"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643686318","type":"electronic"}],"license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,21]]},"abstract":"<jats:p>Medical question answering systems face deployment challenges including hallucinations, bias, computational demands, privacy concerns, and the need for specialized expertise across diverse domains. Here, we present SOLVE-Med, a multi-agent architecture combining domain-specialized small language models for complex medical queries. The system employs a Router Agent for dynamic specialist selection, ten specialized models (1B parameters each) fine-tuned on specific medical domains, and an Orchestrator Agent that synthesizes responses. Evaluated on Italian medical forum data across ten specialties, SOLVE-Med achieves superior performance with ROUGE-1 of 0.301 and BERTScore F1 of 0.697, outperforming standalone models up to 14B parameters while enabling local deployment. Our code is publicly available on GitHub: https:\/\/github.com\/PRAISELab-PicusLab\/SOLVE-Med.<\/jats:p>","DOI":"10.3233\/faia251438","type":"book-chapter","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:02:30Z","timestamp":1761127350000},"source":"Crossref","is-referenced-by-count":1,"title":["SOLVE-Med: Specialized Orchestration for Leading Vertical Experts Across Medical Specialties"],"prefix":"10.3233","author":[{"given":"Roberta","family":"Di Marino","sequence":"first","affiliation":[{"name":"University of Naples Federico II, DIETI, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Dioguardi","sequence":"additional","affiliation":[{"name":"University of Naples Federico II, DIETI, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Romano","sequence":"additional","affiliation":[{"name":"University of Naples Federico II, DIETI, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Riccio","sequence":"additional","affiliation":[{"name":"University of Naples Federico II, DIETI, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariano","family":"Barone","sequence":"additional","affiliation":[{"name":"University of Naples Federico II, DIETI, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Postiglione","sequence":"additional","affiliation":[{"name":"Northwestern University, Department of Computer Science, Evanston, IL, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flora","family":"Amato","sequence":"additional","affiliation":[{"name":"University of Naples Federico II, DIETI, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Moscato","sequence":"additional","affiliation":[{"name":"University of Naples Federico II, DIETI, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7437","container-title":["Frontiers in Artificial Intelligence and Applications","ECAI 2025"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/FAIA251438","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:02:30Z","timestamp":1761127350000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/FAIA251438"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,21]]},"ISBN":["9781643686318"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/faia251438","relation":{},"ISSN":["0922-6389","1879-8314"],"issn-type":[{"value":"0922-6389","type":"print"},{"value":"1879-8314","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,21]]}}}