The paper introduces MedGym, a benchmark environment for dynamic medical treatment recommendation that models patient evolution in continuous time using Physics-Informed Neural Networks. It addresses gaps in existing reinforcement learning (RL) approaches by allowing evaluation of RL methods under irregular measurement intervals, personalized treatment responses, and safety considerations. MedGym enables direct comparison between discrete-time and continuous-time RL methods and supports clinically relevant metrics such as personalization and trajectory-level safety.
By Yuepeng Wang, Ken Kawano, Yoshihiko Fujisawa, Yongqi Zhou, Akifumi Wachi, Mehrshad Sadria, Lei Zhou, Richard Weiss, Katsuki Fujisawa, Ying Chen, Xin Liu, Kyoung-Sook Kim, Xiao Hu, Sebastien Gros, Xun Shen
arXiv:2606. 01028v1 Announce Type: new Abstract: Medical treatment recommendation poses several challenges to reinforcement learning (RL): patient physiology evolves in continuous time, measurements and interventions are performed at irregular intervals, and treatment effects vary substantially across individuals.
By Yuepeng Wang, Ken Kawano, Yongqi Zhou, Yoshihiko Fujisawa, Richard Weiss, Akifumi Wachi, Katsuki Fujisawa, Ying Chen, Mehrshad Sadria, Xin Liu, Kyoung-Sook Kim, Xiao Hu, Sebastien Gros, Xun Shen
arXiv:2607. 05620v1 Announce Type: cross Abstract: In many decision-making settings, new interventions are acceptable only if they do not reduce outcomes below some established threshold.
By Katherine Avery, Bruno Castro da Silva, David Jensen
arXiv:2607. 08793v1 Announce Type: cross Abstract: Sepsis is a leading cause of mortality, yet optimal treatment policies remain contested.
By Joshua Pickard, Wei Qi, Na Li, Ann Woolley, Lisa Cosimi, Roy Kishony, Deborah Hung
The paper introduces Exchange Policy Optimization (EPO), a framework for semi‑infinite safe reinforcement learning that handles infinitely many constraints by iteratively solving finite subproblems. EPO expands or deletes constraints based on tolerance violations and Lagrange multipliers, maintaining computational tractability while converging to an optimal policy with bounded safety violations. The authors prove finite convergence, provide iteration bounds, and quantify the suboptimality gap under mild assumptions.
By Jiaming Zhang, Yujie Yang, Haoning Wang, Liping Zhang, Shengbo Eben Li
arXiv:2606. 10376v1 Announce Type: new Abstract: Cancer treatment is at the core a sequential decision-making problem with partial observability, latent patient heterogeneity, and explicit constraints on the budget for medical measurements.
By Deniz Sargun, H. Bugra Tulay, C. Emre Koksal