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Oct 16

Beyond Sparse Captions: Aligning Slide-Level Text and Patch-Level Vision in Pathology

Contrastive vision-language (VL) pretraining in computational pathology has generally relied on curated image-caption datasets sourced from social media, educational videos, and research publications. These corpora are sparse relative to the diversity of tissue morphology and difficult to scale further, as pathologists do not routinely produce descriptive captions in clinical practice. We propose to instead leverage slide-level pathology reports which can be generated during routine diagnostic workflows in a scalable manner. A key challenge in this weakly-supervised setting is that pathology reports describe macroscopic, diagnostic findings while patch-level visual features describe microscopic findings. We introduce Locked Image Multiple Instance PreTraining (LIMIT), which addresses this gap by freezing a pretrained vision encoder and fine-tuning only the text encoder: report embeddings serve as cross-attention queries over bags of patch features, producing report-conditioned slide representations optimized via InfoNCE. Using LIMIT, we establish CONCH-Z, which aligns the text encoder of CONCH v1.5 to 335k clinical reports. Evaluated across 22 tasks spanning patch-level classification, tumor detection, and slide-level subtyping, CONCH-Z establishes state-of-the-art zero-shot performance over VL encoders trained on curated caption datasets, while simultaneously closing the gap with slide-level foundation models trained with substantially more parameters and compute. The code and model is available at https://github.com/mahmoodlab/LIMIT.

  • 9 authors
·
Oct 11

iSight: Towards expert-AI co-assessment for improved immunohistochemistry staining interpretation

Immunohistochemistry (IHC) provides information on protein expression in tissue sections and is commonly used to support pathology diagnosis and disease triage. While AI models for H\&E-stained slides show promise, their applicability to IHC is limited due to domain-specific variations. Here we introduce HPA10M, a dataset that contains 10,495,672 IHC images from the Human Protein Atlas with comprehensive metadata included, and encompasses 45 normal tissue types and 20 major cancer types. Based on HPA10M, we trained iSight, a multi-task learning framework for automated IHC staining assessment. iSight combines visual features from whole-slide images with tissue metadata through a token-level attention mechanism, simultaneously predicting staining intensity, location, quantity, tissue type, and malignancy status. On held-out data, iSight achieved 85.5\% accuracy for location, 76.6\% for intensity, and 75.7\% for quantity, outperforming fine-tuned foundation models (PLIP, CONCH) by 2.5--10.2\%. In addition, iSight demonstrates well-calibrated predictions with expected calibration errors of 0.0150-0.0408. Furthermore, in a user study with eight pathologists evaluating 200 images from two datasets, iSight outperformed initial pathologist assessments on the held-out HPA dataset (79\% vs 68\% for location, 70\% vs 57\% for intensity, 68\% vs 52\% for quantity). Inter-pathologist agreement also improved after AI assistance in both held-out HPA (Cohen's κ increased from 0.63 to 0.70) and Stanford TMAD datasets (from 0.74 to 0.76), suggesting expert--AI co-assessment can improve IHC interpretation. This work establishes a foundation for AI systems that can improve IHC diagnostic accuracy and highlights the potential for integrating iSight into clinical workflows to enhance the consistency and reliability of IHC assessment.

  • 20 authors
·
Feb 3

Is ChatGPT a Good Teacher Coach? Measuring Zero-Shot Performance For Scoring and Providing Actionable Insights on Classroom Instruction

Coaching, which involves classroom observation and expert feedback, is a widespread and fundamental part of teacher training. However, the majority of teachers do not have access to consistent, high quality coaching due to limited resources and access to expertise. We explore whether generative AI could become a cost-effective complement to expert feedback by serving as an automated teacher coach. In doing so, we propose three teacher coaching tasks for generative AI: (A) scoring transcript segments based on classroom observation instruments, (B) identifying highlights and missed opportunities for good instructional strategies, and (C) providing actionable suggestions for eliciting more student reasoning. We recruit expert math teachers to evaluate the zero-shot performance of ChatGPT on each of these tasks for elementary math classroom transcripts. Our results reveal that ChatGPT generates responses that are relevant to improving instruction, but they are often not novel or insightful. For example, 82% of the model's suggestions point to places in the transcript where the teacher is already implementing that suggestion. Our work highlights the challenges of producing insightful, novel and truthful feedback for teachers while paving the way for future research to address these obstacles and improve the capacity of generative AI to coach teachers.

  • 2 authors
·
Jun 5, 2023

CPMobius: Iterative Coach-Player Reasoning for Data-Free Reinforcement Learning

Large Language Models (LLMs) have demonstrated strong potential in complex reasoning, yet their progress remains fundamentally constrained by reliance on massive high-quality human-curated tasks and labels, either through supervised fine-tuning (SFT) or reinforcement learning (RL) on reasoning-specific data. This dependence renders supervision-heavy training paradigms increasingly unsustainable, with signs of diminishing scalability already evident in practice. To overcome this limitation, we introduce CPMöbius (CPMobius), a collaborative Coach-Player paradigm for data-free reinforcement learning of reasoning models. Unlike traditional adversarial self-play, CPMöbius, inspired by real world human sports collaboration and multi-agent collaboration, treats the Coach and Player as independent but cooperative roles. The Coach proposes instructions targeted at the Player's capability and receives rewards based on changes in the Player's performance, while the Player is rewarded for solving the increasingly instructive tasks generated by the Coach. This cooperative optimization loop is designed to directly enhance the Player's mathematical reasoning ability. Remarkably, CPMöbius achieves substantial improvement without relying on any external training data, outperforming existing unsupervised approaches. For example, on Qwen2.5-Math-7B-Instruct, our method improves accuracy by an overall average of +4.9 and an out-of-distribution average of +5.4, exceeding RENT by +1.5 on overall accuracy and R-zero by +4.2 on OOD accuracy.

  • 10 authors
·
Feb 2

ROAD: Reflective Optimization via Automated Debugging for Zero-Shot Agent Alignment

Automatic Prompt Optimization (APO) has emerged as a critical technique for enhancing Large Language Model (LLM) performance, yet current state-of-the-art methods typically rely on large, labeled gold-standard development sets to compute fitness scores for evolutionary or Reinforcement Learning (RL) approaches. In real-world software engineering, however, such curated datasets are rarely available during the initial cold start of agent development, where engineers instead face messy production logs and evolving failure modes. We present ROAD (Reflective Optimization via Automated Debugging), a novel framework that bypasses the need for refined datasets by treating optimization as a dynamic debugging investigation rather than a stochastic search. Unlike traditional mutation strategies, ROAD utilizes a specialized multi-agent architecture, comprising an Analyzer for root-cause analysis, an Optimizer for pattern aggregation, and a Coach for strategy integration, to convert unstructured failure logs into robust, structured Decision Tree Protocols. We evaluated ROAD across both a standardized academic benchmark and a live production Knowledge Management engine. Experimental results demonstrate that ROAD is highly sample-efficient, achieving a 5.6 percent increase in success rate (73.6 percent to 79.2 percent) and a 3.8 percent increase in search accuracy within just three automated iterations. Furthermore, on complex reasoning tasks in the retail domain, ROAD improved agent performance by approximately 19 percent relative to the baseline. These findings suggest that mimicking the human engineering loop of failure analysis and patching offers a viable, data-efficient alternative to resource-intensive RL training for deploying reliable LLM agents.

  • 9 authors
·
Dec 30, 2025

A community-based transcriptomics classification and nomenclature of neocortical cell types

To understand the function of cortical circuits it is necessary to classify their underlying cellular diversity. Traditional attempts based on comparing anatomical or physiological features of neurons and glia, while productive, have not resulted in a unified taxonomy of neural cell types. The recent development of single-cell transcriptomics has enabled, for the first time, systematic high-throughput profiling of large numbers of cortical cells and the generation of datasets that hold the promise of being complete, accurate and permanent. Statistical analyses of these data have revealed the existence of clear clusters, many of which correspond to cell types defined by traditional criteria, and which are conserved across cortical areas and species. To capitalize on these innovations and advance the field, we, the Copenhagen Convention Group, propose the community adopts a transcriptome-based taxonomy of the cell types in the adult mammalian neocortex. This core classification should be ontological, hierarchical and use a standardized nomenclature. It should be configured to flexibly incorporate new data from multiple approaches, developmental stages and a growing number of species, enabling improvement and revision of the classification. This community-based strategy could serve as a common foundation for future detailed analysis and reverse engineering of cortical circuits and serve as an example for cell type classification in other parts of the nervous system and other organs.

  • 71 authors
·
Sep 5, 2019

Proposing and solving olympiad geometry with guided tree search

Mathematics olympiads are prestigious competitions, with problem proposing and solving highly honored. Building artificial intelligence that proposes and solves olympiads presents an unresolved challenge in automated theorem discovery and proving, especially in geometry for its combination of numerical and spatial elements. We introduce TongGeometry, a Euclidean geometry system supporting tree-search-based guided problem proposing and solving. The efficient geometry system establishes the most extensive repository of geometry theorems to date: within the same computational budget as the existing state-of-the-art, TongGeometry discovers 6.7 billion geometry theorems requiring auxiliary constructions, including 4.1 billion exhibiting geometric symmetry. Among them, 10 theorems were proposed to regional mathematical olympiads with 3 of TongGeometry's proposals selected in real competitions, earning spots in a national team qualifying exam or a top civil olympiad in China and the US. Guided by fine-tuned large language models, TongGeometry solved all International Mathematical Olympiad geometry in IMO-AG-30, outperforming gold medalists for the first time. It also surpasses the existing state-of-the-art across a broader spectrum of olympiad-level problems. The full capabilities of the system can be utilized on a consumer-grade machine, making the model more accessible and fostering widespread democratization of its use. By analogy, unlike existing systems that merely solve problems like students, TongGeometry acts like a geometry coach, discovering, presenting, and proving theorems.

  • 8 authors
·
Dec 13, 2024

MIMESIS: Learning User Simulators as Training Environments for Interactive Agents

Training and evaluating interactive language agents typically requires rich user interactions, yet collecting human feedback is expensive and difficult to scale. Simulated users offer a scalable alternative, but they must both resemble real user behavior and provide useful learning experiences for agents. In contrast, most agent-training frameworks rely on off-the-shelf assistant LLMs, whose helpfulness can make them overly cooperative, explicit, and behaviorally homogeneous compared with real users. We introduce MIMESIS, a purpose-built user simulator trained on human conversations with explicit reasoning supervision and 13 realistic behavioral patterns derived from real user interactions. Empirically, our 9B model achieves a SOUL-Index of 65.7, surpassing the strongest frontier model. Compared with Claude-Opus-5, the strongest baseline on RealUserSim and SimulatorArena, MIMESIS improves behavioral fidelity by 13.4 points and reduces Turing distance by 3.6 points, respectively. We then freeze the simulator and train an agent by interacting with the frozen simulator using multi-turn reinforcement learning. Across eight environments, training with MIMESIS yields better agent performance than training with GPT-5.5 under all nine unseen user simulators, demonstrating stronger generalization to new user simulators. Moreover, we propose Coached On-Policy Self-Distillation (CSD), which leverages simulator-generated private reasoning traces and subsequent utterances as feedback on how well the agent addresses user needs. A coach converts this information into concise coaching notes that describe how the agent can better anticipate user needs and adapt its behavior over the course of an interaction. CSD turns this feedback into dense, token-level supervision beyond sparse task rewards, yielding further gains across all nine evaluation user models.

facebook AI at Meta
·
Oct 6 2

WebCoach: Self-Evolving Web Agents with Cross-Session Memory Guidance

Multimodal LLM-powered agents have recently demonstrated impressive capabilities in web navigation, enabling agents to complete complex browsing tasks across diverse domains. However, current agents struggle with repetitive errors and lack the ability to learn from past experiences across sessions, limiting their long-term robustness and sample efficiency. We introduce WebCoach, a model-agnostic self-evolving framework that equips web browsing agents with persistent cross-session memory, enabling improved long-term planning, reflection, and continual learning without retraining. WebCoach consists of three key components: (1) a WebCondenser, which standardizes raw navigation logs into concise summaries; (2) an External Memory Store, which organizes complete trajectories as episodic experiences; and (3) a Coach, which retrieves relevant experiences based on similarity and recency, and decides whether to inject task-specific advice into the agent via runtime hooks. This design empowers web agents to access long-term memory beyond their native context window, improving robustness in complex browsing tasks. Moreover, WebCoach achieves self-evolution by continuously curating episodic memory from new navigation trajectories, enabling agents to improve over time without retraining. Evaluations on the WebVoyager benchmark demonstrate that WebCoach consistently improves the performance of browser-use agents across three different LLM backbones. With a 38B model, it increases task success rates from 47% to 61% while reducing or maintaining the average number of steps. Notably, smaller base models with WebCoach achieve performance comparable to the same web agent using GPT-4o.

amazon Amazon
·
Nov 17, 2025 1

The Anatomy of a Personal Health Agent

Health is a fundamental pillar of human wellness, and the rapid advancements in large language models (LLMs) have driven the development of a new generation of health agents. However, the application of health agents to fulfill the diverse needs of individuals in daily non-clinical settings is underexplored. In this work, we aim to build a comprehensive personal health agent that is able to reason about multimodal data from everyday consumer wellness devices and common personal health records, and provide personalized health recommendations. To understand end-users' needs when interacting with such an assistant, we conducted an in-depth analysis of web search and health forum queries, alongside qualitative insights from users and health experts gathered through a user-centered design process. Based on these findings, we identified three major categories of consumer health needs, each of which is supported by a specialist sub-agent: (1) a data science agent that analyzes personal time-series wearable and health record data, (2) a health domain expert agent that integrates users' health and contextual data to generate accurate, personalized insights, and (3) a health coach agent that synthesizes data insights, guiding users using a specified psychological strategy and tracking users' progress. Furthermore, we propose and develop the Personal Health Agent (PHA), a multi-agent framework that enables dynamic, personalized interactions to address individual health needs. To evaluate each sub-agent and the multi-agent system, we conducted automated and human evaluations across 10 benchmark tasks, involving more than 7,000 annotations and 1,100 hours of effort from health experts and end-users. Our work represents the most comprehensive evaluation of a health agent to date and establishes a strong foundation towards the futuristic vision of a personal health agent accessible to everyone.

  • 38 authors
·
Aug 27, 2025