# Can Coding Agents Build Robust Baselines? A Skill-Based Approach for Automating the Medical Imaging Model-Development Pipeline

arXiv: https://arxiv.org/abs/2608.23336 · HTML: https://mlsanity.com/paper/2608.23336/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical and scientific domain agents, one of 16 directions in LLM agents and tool use.
- Builds on 10 of its 19 references that are in the map.
- First posted on arXiv 24 Aug 2026.

## 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, 10 of 10)

- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [RandAugment: Practical automated data augmentation with a reduced search space](https://mlsanity.com/paper/1909.13719/) (2019)
- [A Survey on Large Language Model based Autonomous Agents](https://mlsanity.com/paper/2308.11432/) (2023)
- [Voyager: An Open-Ended Embodied Agent with Large Language Models](https://mlsanity.com/paper/2305.16291/) (2023)
- [Neural Architecture Search with Reinforcement Learning](https://mlsanity.com/paper/1611.01578/) (2016)
- [A Survey on Deep Learning in Medical Image Analysis](https://mlsanity.com/paper/1702.05747/) (2017)
- [The AI Scientist: Towards Fully Automated Open-Ended Scientific Discovery](https://mlsanity.com/paper/2408.06292/) (2024)
- [MLE-bench: Evaluating Machine Learning Agents on Machine Learning Engineering](https://mlsanity.com/paper/2410.07095/) (2024)
- [Agent Laboratory: Using LLM Agents as Research Assistants](https://mlsanity.com/paper/2501.04227/) (2025)
- [Machine Learning Operations (MLOps): Overview, Definition, and Architecture](https://mlsanity.com/paper/2205.02302/) (2022)

## Abstract (arXiv)

Developing competitive deep learning baselines for medical imaging remains a highly iterative process requiring literature review, implementation, experimentation, and expert refinement. Existing automation approaches typically optimize isolated components, such as architecture search or hyperparameter tuning, rather than the complete baseline development process. We present an agentic AI Scientist workflow that combines literature-guided reasoning, automated code generation, and hypothesis-driven experimentation to generate competitive baseline models for medical imaging challenges. The framework is evaluated on four public benchmarks spanning segmentation, classification, and detection. Across all tasks, the Experimentation Pipeline consistently improves validation performance, achieving competitive leaderboard results, including 6th place on both PUMA tracks (15 teams) and 31st place on MILK10k (125 teams). On MIDOG25, the resulting model also demonstrates strong domain generalization across scanners, tumor types, and species. Using the same workflow across all challenges without task-specific redesign, we demonstrate that skill-based, literature-guided agentic workflows can substantially reduce the engineering effort required to develop competitive medical imaging baselines.
