[Submitted on 10 Aug 2026]
[View PDF](/pdf/2608.09861)
[HTML (experimental)](https://arxiv.org/html/2608.09861v1)
Abstract:Audio-visual interaction is the standard for patient-physician consultations, enabling natural communication and effective assessment of illness through non-verbal cues. While text-based AI has shown promise, it discards essential perceptual dimensions and limits patients who cannot articulate symptoms in writing. Early efforts to extend medical AI to audio-visual interaction have demonstrated feasibility but not reached clinician-level performance. Here, we provide the first demonstration of expert-level AI in real-time clinical video consultations using AMIE (Articulate Medical Intelligence Explorer) in a video configuration. AMIE (Video) is a Gemini-based multi-agent system integrating low-latency dialogue, clinical reasoning, and real-time audio-visual perception. To guide development, we established a taxonomy and automated evaluations for clinical audio-visual cues in telehealth settings. In a randomized Objective Structured Clinical Examination (OSCE) study with 30 primary care physicians (PCPs), 15 patient actors and 100 clinical scenarios, we compared AMIE (Video), its text-only counterpart AMIE (Text), and PCPs consulting via video. Clinical evaluators rated AMIE (Video) on par or better than PCPs in history-taking, diagnosis, management, and physical observation and examination. Patient actors preferred AMIE's approach to assessing and explaining conditions, while PCPs were preferred for rapport and partnership building. In modality ablation, patient actors preferred AMIE (Video)'s interface over text chat for communicative effectiveness, convenience, and feeling understood. Limitations remain in fine anatomical precision, subtle affective nuances, and high-frequency movements. While further research is needed before real-world translation, these results mark an important milestone toward AI systems capable of augmenting care across the sensory complexity of clinical practice.
Current browse context:
cs.AI
References & Citations
...
Bibliographic Explorer
(What is the Explorer?) Connected Papers
(What is Connected Papers?) Litmaps
(What is Litmaps?) scite Smart Citations
(What are Smart Citations?)# Code, Data and Media Associated with this Article alphaXiv
(What is alphaXiv?) CatalyzeX Code Finder for Papers
(What is CatalyzeX?) DagsHub
(What is DagsHub?) Gotit.pub
(What is GotitPub?) Hugging Face
(What is Huggingface?) ScienceCast
(What is ScienceCast?)# Demos Influence Flower
(What are Influence Flowers?) CORE Recommender
(What is CORE?)# arXivLabs: experimental projects with community collaborators arXivLabs is a framework that allows collaborators to develop and share new arXiv features directly on our website.
Both individuals and organizations that work with arXivLabs have embraced and accepted our values of openness, community, excellence, and user data privacy. arXiv is committed to these values and only works with partners that adhere to them.
Have an idea for a project that will add value for arXiv's community? Learn more about arXivLabs.