Chaoyi Wu

Hi! I'm Chaoyi, an Assistant Professor at the School of Artificial Intelligence, Shanghai Jiao Tong University , specializing in AI for Medicine.

My current research focuses on advancing medical foundation models in both language and multimodal domains, and on designing agentic systems that push the boundaries of AI4Medicine.

I'm looking for enthusiastic Master's and PhD students to join our team! If you're passionate about medical AI and motivated to explore new frontiers, I'd love to hear from you and work together to shape the future.

Email  /  Scholar  /  Github

profile photo

Latest Highlights❗
ASOCompass: Context- and Chemistry-Aware Activity Prediction for Transferable Antisense Oligonucleotide Screening
Shuyu Liu, Jin Zhuo, Shuchang Lei, Tianhao Wu, Jiaxuan Han, Tianhao Wu, Tianhao Wu, Chaoyi Wu, Yanfeng Wang, Weidi Xie
Technical Report, 2026

Antisense oligonucleotide (ASO) activity is jointly influenced by nucleotide sequence, chemical modification, target-RNA context, dose, delivery protocol, and cellular environment. We introduce ASOCompass, a context-and chemistry-aware framework for ASO activity prediction and candidate ranking.

A PRISMA-Aligned Agentic Framework for Medical Systematic Reviews and Evidence Synthesis
Haoming Huang, Qiaoyu Zheng, Pengcheng Qiu, Weike Zhao, Weidi Xie Ya Zhang, Yanfeng Wang, Xiaoman Zhang, Chaoyi Wu,
Technical Report, 2026

Medical systematic reviews are central to evidence-based medicine, but they remain slow, labor-intensive. We introduce MedSR-Copilot, a PRISMA-aligned multi-agent copilot that decomposes review automation into literature retrieval, coarse-to-fine screening, data extraction, Risk-of-Bias assessment, and evidence synthesis, while preserving structured intermediate artifacts throughout the workflow.

Evaluating Large Language Models in Dynamic Clinical Decision-Making with Standardized Patient Cases
Cheng Liang, Pengcheng Qiu, Ya Zhang, Yanfeng Wang, Chaoyi Wu, Weidi Xie
Technical Report, 2026

Large language models (LLMs) are increasingly proposed as clinical agents, yet static, single-turn benchmarks cannot capture how a model dynamically delivers care across an encounter: gathering information, planning treatment, and adapting longitudinal management across successive patient states. Medical education has long addressed an analogous challenge through standardized patients. Here we introduce MedSP1000, an SP-derived interactive benchmark for clinical-agent evaluation, including 1,638 SP cases with 24,602 trajectory-level peer-reviewed rubrics.

EHR-R1: A Reasoning-Enhanced Foundational Language Model for Electronic Health Record Analysis
Yusheng Liao*, Chaoyi Wu*, Junwei Liu* Shuyang Jiang, Pengcheng Qiu, Haowen Wang, Yun Yue, Shuai Zhen, Jian Wang, Qianrui Fan, Jinjie Gu, Ya Zhang, Yanfeng Wang, Yu Wang, Weidi Xie
Technical Report, 2025

In this paper, we present a reasoning-oriented large language model (LLM) designed for electronic health record (EHR) analysis, trained using reasoning-enhanced supervised fine-tuning (SFT) and reinforcement learning (RL). We construct a novel EHR analysis instruction dataset based on a thinking-graph-driven framework. Our final 72B-parameter model, EHR-R1, achieves state-of-the-art performance across 42 distinct EHR tasks, surpassing all previous LLM baselines.

Evolving Diagnostic Agents in a Virtual Clinical Environment
Pengcheng Qiu*, Chaoyi Wu*, Junwei Liu* Qiaoyu Zheng, Yusheng Liao, Haowen Wang, Yun Yue, Qianrui Fan, Shuai Zhen, Jian Wang, Jinjie Gu, Yanfeng Wang, Ya Zhang, Weidi Xie
Technical Report, 2025

In this paper, we introduce DiagGym, a diagnostic world model designed to enable end-to-end reinforcement learning for training interactive, long-term diagnostic agents. This framework transforms large language models (LLMs) from static consultants into dynamic managers of diagnostic trajectories.


Research

2026
Shuyu Liu, Jin Zhuo, Shuchang Lei, Tianhao Wu, Jiaxuan Han, Chaoyi Wu, Yanfeng Wang, Weidi Xie
Technical Report, 2026
Antisense oligonucleotide (ASO) activity is jointly influenced by nucleotide sequence, chemical modification, target-RNA context, dose, delivery protocol, and cellular environment. Most existing computational screening methods model only a subset of these factors, limiting their ability to predict experimentally measured activity across heterogeneous screening conditions and previously unseen biological contexts. We introduce ASOCompass, a context-and chemistry-aware framework for ASO activity prediction and candidate ranking.
Haoming Huang, Qiaoyu Zheng, Pengcheng Qiu, Weike Zhao, Ya Zhang, Weidi Xie, Yanfeng Wang, Xiaoman Zhang, Chaoyi Wu
Technical Report, 2026
Medical systematic reviews are central to evidence-based medicine, but they remain slow, labor-intensive. We introduce MedSR-Copilot, a PRISMA-aligned multi-agent copilot that decomposes review automation into literature retrieval, coarse-to-fine screening, data extraction, Risk-of-Bias assessment, and evidence synthesis, while preserving structured intermediate artifacts throughout the workflow.
Cheng Liang, Pencheng Qiu, Ya Zhang, Yanfeng Wang, Chaoyi Wu, Weidi Xie
Technical Report, 2026
In this paper, we construct MedSP1000, an SP-derived interactive benchmark for clinical-agent evaluation, including 1,638 SP cases with 24,602 trajectory-level peer-reviewed rubrics. MedSP1000 converts peer-reviewed SP teaching cases into executable scenarios with defined SP case scripts, clinical environment contexts, and human-validated structured rubric. In each simulation evaluation run, a clinical agent interacts in closed loop with a patient agent and an environment controller, and its behaviour is scored throughout the encounter against expert criteria specified in the original materials.
Cheng Liang, Chaoyi Wu, Weike Zhao, Ya Zhang, Yanfeng Wang, Weidi Xie
ECCV, 2026
In this paper, we construct PhenoKG, the first large-scale, phenotype-centric multimodal knowledge graph that encompasses over 520K high-quality image-text pairs linked to more than 3,000 phenotypes. Building upon PhenoKG, we propose PhenoLIP, a novel pretraining framework that explicitly incorporates structured phenotype knowledge into medical VLMs through a two-stage process.
2025
Qiaoyu Zheng, Yuze Sun, Chaoyi Wu, Weike Zhao, Pengcheng Qiu, Yongguo Yu, Kun Sun, Yanfeng Wang, Ya Zhang, Weidi Xie
Technical Report, 2025
In this paper, we propose an end-to-end reinforcement learning framework for training agentic RAG systems, evolving their action policies through large-scale data fitting to achieve enhanced traceable diagnostic reasoning capabilities.
Weike Zhao*, Chaoyi Wu*, Yanjie Fan*, Xiaoman Zhang, Pengcheng Qiu, Yuze Sun, Xiao Zhou, Yanfeng Wang, Ya Zhang, Yongguo Yu, Kun Sun, Weidi Xie
Nature, 2026
We develop DeepRare, the first agentic AI system for rare disease diagnosis that integrates specialized tools and medical knowledge sources to provide traceable diagnostic reasoning with exceptional accuracy across multiple evaluation datasets.
Ziqing Fan, Cheng Liang, Chaoyi Wu, Ya Zhang, Yanfeng Wang, Weidi Xie
arXiv preprint arXiv:2504.20930, 2025
We present ChestX-Reasoner, a radiology diagnosis reasoning MLLM that leverages naturally embedded reasoning structures in clinical reports to provide process-level supervision for PRM-based reinforcement learning, achieving significant improvements in diagnostic accuracy and reasoning ability.
Pengcheng Qiu*, Chaoyi Wu*, Pengcheng Qiu, Shuyu Liu, Weike Zhao, Ya Zhang, Yanfeng Wang, Weidi Xie
Nature Communications, 2025
In this study, we quantitatively evaluate the free-text reasoning abilities of various state-of-the-art LLMs, such as DeepSeek-R1 and OpenAI-o3-mini, in assessment recommendation, diagnostic decision, and treatment planning.
Jinghao Feng*, Qiaoyu Zheng*, Chaoyi Wu, Ziheng Zhao, Ya Zhang, Yanfeng Wang, Weidi Xie
MICCAI2025-Workshop, Oral
In this study, we develop an automated machine learning agentic AI system for medical imaging analysis, aiming to equip medical agent systems with self-evolution capabilities.
Tengfei Zhang*, Ziheng Zhao*, Chaoyi Wu, Xiao Zhou, Ya Zhang, Yanfeng Wang, Weidi Xie
MICCAI2025, Early Accepted
In this study, we propose a novel medical image similarity ordering pipeline that operates at multiple granularities by effectively utilizing rich information extracted from dense radiology report annotations.
2024
Qiaoyu Zheng*, Chaoyi Wu*, Pengcheng Qiu, Lisong Dai, Ya Zhang, Yanfeng Wang, Weidi Xie
Technical Report, 2024
In this study, we systematically investigate a pre-requisite question for building concrete radiology agents which is, 'Can modern LLMs act as agent cores in radiology environments?' Serving for this goal, we build up RadABench, a comprehensive LLM-based agent evaluation benchmark for radiology.
Chaoyi Wu*, Pengcheng Qiu*, Jinxin Liu, Hongfei Gu, Na Li, Ya Zhang, Yanfeng Wang, Weidi Xie
npj Digital Medicine, 2025
In this study, we present MedS-Bench, a comprehensive benchmark designed to evaluate the performance of large language models (LLMs) in clinical contexts beyond multiple-choice question-answering. Moreover, we build up a new comprehensive medical instruction dataset, termed as MedS-Ins.
Jiayu Lei, Xiaoman Zhang, Chaoyi Wu, Ya Zhang, Yanfeng Wang, Weidi Xie
Computerized Medical Imaging and Graphics (CMIG), 2024
In this paper, we propose a grounded report generation system for brain MRI leveraging the cooperation of different sub-tools. In real clinical scenarios, the system can significantly improve the efficiency of the radiologists.
Weike Zhao, Chaoyi Wu, Ya Zhang, Yanfeng Wang, Weidi Xie
EMNLP2024, Main
In this paper, we propose an entity-level assessment metric for radiological reports beyond chest x-ray using NER and synonym normalization models. Unlike LLM-based assessment pipelines, our metric is more lightweight and objective targeting large-scale auto-evaluation.
Xiaoman Zhang, Chaoyi Wu, Ziheng Zhao, Jiayu Lei, Ya Zhang, Yanfeng Wang, Weidi Xie
Technical Report, 2024
In this paper, we introduce RadGenome-Chest CT, a comprehensive, large-scale, region-guided 3D chest CT interpretation dataset based on CT-RATE. It includes: Organ-level segmentation for 197 categories; 665K multi-granularity grounded reports; 1.3M grounded VQA pairs.
Xiao Zhou, Xiaoman Zhang, Chaoyi Wu, Ya Zhang, Yanfeng Wang, Weidi Xie
ECCV2024 Oral
In this paper, we consider the problem of visual representation learning for computational pathology, by exploiting large-scale image-text pairs gathered from public resources, along with the domain specific knowledge in pathology.
Pengcheng Qiu*, Chaoyi Wu*, Xiaoman Zhang, Weixiong Lin, Haicheng Wang, Ya Zhang, Yanfeng Wang, Weidi Xie
Nature Communications, 2024
In this paper, we aim to develop a multilingual language corpus (MMedC), benchmark (MMedBench) and an open-source, multilingual language model (MMedLM) for medicine, that benefits a wider, linguistically diverse audience from different regions.
Ziheng Zhao, Yao Zhang, Chaoyi Wu, Xiaoman Zhang, Ya Zhang, Yanfeng Wang, Weidi Xie
npj Digital Medicine, 2025
In this paper, we build up a universal medical segmentation model, driven by text prompts (SAT).
Qiaoyu Zheng*, Weike Zhao*, Chaoyi Wu*, Xiaoman Zhang*, Ya Zhang, Yanfeng Wang, Weidi Xie
Nature Communications, 2024
In this paper, we collect a large-scale multi-modal, multi-scan, long-tailed multi-label diagnosis (classification) dataset. We further propose a vision encoder together with a fusion module, enabling arbitrary scan input per case. On evaluation, our methods achieve better experiment results on our benchmark and can also serve as a pre-train model for external datasets.
2023
Chaoyi Wu*, Jiayu Lei*, Qiaoyu Zheng*, Weike Zhao*, Weixiong Lin*, Xiaoman Zhang*, Xiao Zhou*, Ziheng Zhao*, Yanfeng Wang, Ya Zhang, Weidi Xie
Technical Report, 2023
We evaluate the GPT-4V on 92 radiographic cases, 20 pathology cases and 16 location cases across 17 medical systems covering 8 imaging modalities. In general, as the cases shown, GPT-4V is still far from clinical usage.
Jiayu Lei, Lisong Dai, Haoyun Jiang, Chaoyi Wu, Xiaoman Zhang, Yao Zhang, Jiangchao Yao, Weidi Xie, Yanyong Zhang, Yuehua Li, Ya Zhang, Yanfeng Wang
Computerized Medical Imaging and Graphics (CMIG), 2025
We release a new knowledge-enhanced Brain MRI pre-train foundation model leveraging image-report pairs which can realize zero-shot diagnosis of unseen brain diseases.
Chaoyi Wu*, Xiaoman Zhang*, Yanfeng Wang, Ya Zhang, Weidi Xie
Nature Communications
In this study, we aim to initiate the development of Radiology Foundation Model, termed as RadFM. We construct a large-scale Medical Multi-modal Dataset, MedMD, consisting of 16M 2D and 3D medical scans.
Xiaoman Zhang*, Chaoyi Wu*, Weixiong Lin, Ziheng Zhao, Yanfeng Wang, Ya Zhang, Weidi Xie
Nature Communications Medicine, 2024
In this paper, we focus on the problem of Medical Visual Question Answering (MedVQA). We propose a generative medical VQA model, MedVInT, together with a large scale MedVQA Dataset, PMC-VQA.
Chaoyi Wu, Xiaoman Zhang, Yanfeng Wang, Ya Zhang, Weidi Xie
Journal of the American Medical Informatics Association (JAMIA)
In this report, we introduce PMC-LLaMA, an open-source language model that is acquired leveraging large medical corpus, surpassing chatGPT on medicalQA benchmarks.
Weixiong Lin, Ziheng Zhao, Xiaoman Zhang, Chaoyi Wu, Yanfeng Wang, Ya Zhang, Weidi Xie
International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI), 2023
We collect a biomedical dataset, PMC-OA with 1.6M image-caption pairs collected from PubMedCentral's OpenAccess subset.
Xiaoman Zhang, Chaoyi Wu, Yanfeng Wang, Ya Zhang, Weidi Xie
Nature Communications, 2023
Here, we propose a knowledge-enhanced vision-language pre-training approach for auto-diagnosis on chest X-ray images. First trains a knowledge encoder based on an existing medical knowledge graph, then leverages the pre-trained knowledge encoder to guide the visual representation learning.
Chaoyi Wu*, Xiaoman Zhang*, Yanfeng Wang, Ya Zhang, Weidi Xie
MICCAI2023-Workshop, Oral
In this paper, we consider the problem of disease diagnosis. Unlike the conventional learning paradigm that treats labels independently, we propose a knowledge-enhanced framework, that enables training visual representation with the guidance of medical domain knowledge.
Chaoyi Wu, Xiaoman Zhang, Ya Zhang, Yanfeng Wang, Weidi Xie
International Conference on Computer Vision (ICCV), 2023
We propose to leverage medical specific knowledge enhancing language-image pre-training method, significantly advancing the ability of pre-trained models to handle unseen diseases on zero-shot classification and grounding tasks.
2022
Feng Chang, Chaoyi Wu, Yanfeng Wang, Ya Zhang, Xin Chen, Qi Tian
International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI), 2022
We propose Boundary-Enhanced Self-Supervised Learning (BE-SSL), leveraging supervoxel segmentation and registration as two related proxy tasks, enhancing brain structure segmentation.
Chaoyi Wu, Feng Chang, Xiao Su, Zhihan Wu, Yanfeng Wang, Ling Zhu, Ya Zhang
Computerized Medical Imaging and Graphics (CMIG), 2022, 101: 102108
We first leverage the information of LN stations for metastatic LN detection. Metastatic LN station classification is proposed as proxy task for metastatic LN detection. A GCN-based structure is adopted to model the mutual influence among LN stations.

Based on a template by Jon Barron.