Tong Xia
Publications
WEQA: Wearable hEalth Question Answering with Query-Adaptive Agentic Reasoning
Language models are remarkably capable at medical question answering, in some cases surpassing the accuracy of general physicians. However, answering questions about wearable health data remains challenging and understudied, as these ubiquitous sensors produce continuous, high-dimensional, and longitudinal data, which is non-trivial to align with text-centric distributions in LLM pretraining. The diversity of sensor modalities and user intents cannot be effectively handled by a fixed reasoning workflow or a single pretrained foundation model. To address these challenges, we propose WEQA, a query-adaptive agent framework that unifies LLM reasoning with specialized wearable analytical and modeling tools. An LLM controller is employed to synthesize execution plans and dynamically route each query to the appropriate combination of sensor analysis and pretrained models, and perform grounded response auditing with external knowledge. We also curate a benchmark spanning four open wearable datasets comprising analytic and predictive tasks in three different health domains. Experiments show that our framework is 24% more accurate than LLM and agentic baselines, and a blinded study with 12 medical experts and 8 users shows substantial gains in usefulness and clinical soundness.
RAMoEA-QA: Hierarchical Specialization for Robust Respiratory Audio Question Answering
Conversational generative AI is rapidly entering healthcare, where general-purpose models must integrate heterogeneous patient signals and support diverse interaction styles while producing clinically meaningful outputs. In respiratory care, non-invasive audio, such as recordings captured via mobile microphones, enables scalable screening and longitudinal monitoring, but the heterogeneity challenge is particularly acute: recordings vary widely across devices, environments, and acquisition protocols, and questions span multiple intents and question formats. Existing biomedical audio-language QA systems are typically monolithic, without any specialization mechanisms for tackling diverse respiratory corpora and query intents. They are also only validated in limited settings, leaving it unclear how reliably they handle the shifts encountered in real-world settings. To address these limitations, we introduce RAMoEA-QA, a hierarchically routed generative model for respiratory audio question answering that unifies multiple question types and supports both discrete and continuous targets within a single multimodal system. RAMoEA-QA applies two-stage conditional specialization: an Audio Mixture-of-Experts routes each recording to a suitable pre-trained audio encoder, and a Language Mixture-of-Adapters selects a LoRA adapter on a shared frozen LLM to match the query intent and answer format. By specializing both acoustic representations and generation behaviour per example, RAMoEA-QA consistently outperforms strong baselines and routing ablations with minimal parameter overhead, improving in-domain test accuracy to 0.72 (vs. 0.61 and 0.67 for state-of-the-art baselines) and exhibiting the strongest generalization for diagnosis under domain, modality, and task shifts.