# FEAT: A Multi-Agent Forensic AI System with Domain-Adapted Large Language Model for Automated Cause-of-Death Analysis

arXiv: https://arxiv.org/abs/2508.07950 · HTML: https://mlsanity.com/paper/2508.07950/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Placed in Medical and scientific domain agents, one of 16 directions in LLM agents and tool use.
- Builds on 25 of its 71 references that are in the map.
- First posted on arXiv 11 Aug 2025.

## Placed in

- LLM agents and tool use / [Medical and scientific domain agents](https://mlsanity.com/agents/medical-and-scientific-domain-agents/)

## Builds on (most cited first, 25 of 25)

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- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [Retrieval-Augmented Generation for Knowledge-Intensive NLP Tasks](https://mlsanity.com/paper/2005.11401/) (2020)
- [Qwen3 Technical Report](https://mlsanity.com/paper/2505.09388/) (2025)
- [ReAct: Synergizing Reasoning and Acting in Language Models](https://mlsanity.com/paper/2210.03629/) (2022)
- [DeepSeek-R1: Incentivizing Reasoning Capability in LLMs via Reinforcement Learning](https://mlsanity.com/paper/2501.12948/) (2025)
- [Generative Agents: Interactive Simulacra of Human Behavior](https://mlsanity.com/paper/2304.03442/) (2023)
- [Tree of Thoughts: Deliberate Problem Solving with Large Language Models](https://mlsanity.com/paper/2305.10601/) (2023)
- [ChatGLM: A Family of Large Language Models from GLM-130B to GLM-4 All Tools](https://mlsanity.com/paper/2406.12793/) (2024)
- [Publicly Available Clinical BERT Embeddings](https://mlsanity.com/paper/1904.03323/) (2019)
- [Capabilities of GPT-4 on Medical Challenge Problems](https://mlsanity.com/paper/2303.13375/) (2023)
- [Text and Code Embeddings by Contrastive Pre-Training](https://mlsanity.com/paper/2201.10005/) (2022)
- [MedAgents: Large Language Models as Collaborators for Zero-shot Medical Reasoning](https://mlsanity.com/paper/2311.10537/) (2023)
- [LLM Lies: Hallucinations are not Bugs, but Features as Adversarial Examples](https://mlsanity.com/paper/2310.01469/) (2023)
- [MDAgents: An Adaptive Collaboration of LLMs for Medical Decision-Making](https://mlsanity.com/paper/2404.15155/) (2024)
- [Self-Discover: Large Language Models Self-Compose Reasoning Structures](https://mlsanity.com/paper/2402.03620/) (2024)
- [MMedAgent: Learning to Use Medical Tools with Multi-modal Agent](https://mlsanity.com/paper/2407.02483/) (2024)
- [AI Hospital: Benchmarking Large Language Models in a Multi-agent Medical Interaction Simulator](https://mlsanity.com/paper/2402.09742/) (2024)
- [ClinicalGPT: Large Language Models Finetuned with Diverse Medical Data and Comprehensive Evaluation](https://mlsanity.com/paper/2306.09968/) (2023)
- [Baichuan-M1: Pushing the Medical Capability of Large Language Models](https://mlsanity.com/paper/2502.12671/) (2025)
- [Sequence Model with Self-Adaptive Sliding Window for Efficient Spoken Document Segmentation](https://mlsanity.com/paper/2107.09278/) (2021)
- [Forensic Histopathological Recognition via a Context-Aware MIL Network Powered by Self-Supervised Contrastive Learning](https://mlsanity.com/paper/2308.14030/) (2023)
- [Large-vocabulary forensic pathological analyses via prototypical cross-modal contrastive learning](https://mlsanity.com/paper/2407.14904/) (2024)

## Built on by (most cited first, 1 of 1)

- [A Survey of Agent Memory in the Second Half: Towards Self-Evolving and Long-Horizon Agents](https://mlsanity.com/paper/2602.06052/) (2026)

## Abstract (arXiv)

Forensic cause-of-death determination faces systemic challenges, including workforce shortages and diagnostic variability, particularly in high-volume systems like China's medicolegal infrastructure. We introduce FEAT (ForEnsic AgenT), a multi-agent AI framework that automates and standardizes death investigations through a domain-adapted large language model. FEAT's application-oriented architecture integrates: (i) a central Planner for task decomposition, (ii) specialized Local Solvers for evidence analysis, (iii) a Memory & Reflection module for iterative refinement, and (iv) a Global Solver for conclusion synthesis. The system employs tool-augmented reasoning, hierarchical retrieval-augmented generation, forensic-tuned LLMs, and human-in-the-loop feedback to ensure legal and medical validity. In evaluations across diverse Chinese case cohorts, FEAT outperformed state-of-the-art AI systems in both long-form autopsy analyses and concise cause-of-death conclusions. It demonstrated robust generalization across six geographic regions and achieved high expert concordance in blinded validations. Senior pathologists validated FEAT's outputs as comparable to those of human experts, with improved detection of subtle evidentiary nuances. To our knowledge, FEAT is the first LLM-based AI agent system dedicated to forensic medicine, offering scalable, consistent death certification while maintaining expert-level rigor. By integrating AI efficiency with human oversight, this work could advance equitable access to reliable medicolegal services while addressing critical capacity constraints in forensic systems.
