Daily Papers

We present H-Node Adversarial Noise Cancellation (H-Node ANC), a mechanistic framework that identifies, exploits, and defends hallucination representations in transformer-based large language models (LLMs) at the level of individual hidden-state dimensions. A logistic regression probe trained on last-token hidden states localizes hallucination signal to a small set of high-variance dimensions -- termed Hallucination Nodes (H-Nodes) -- with probe AUC reaching 0.90 across four architectures. A white-box adversarial attack amplifies these dimensions at inference time via a real-time forward hook, achieving a selectivity of 3.02x with less than 10% visibility to the defender. Adaptive ANC defense suppresses H-Node excess in-pass using confidence-weighted cancellation, reducing grounded activation drift by 33-42% over static cancellation. A dynamic iterative extension that re-ranks cancellation targets across successive passes recovers up to 0.69 robustness from a single-pass baseline of 8%. All contributions are validated on OPT-125M, Phi-3-mini-4k-instruct, LLaMA-3-8B-Instruct, and Mistral-7B-Instruct-v0.3 (125M-8B parameters). Perplexity impact is surgical (<5%) and MMLU degradation is at most 3%, confirming that the defense does not impair general reasoning capability.

Large Language Models frequently generate fluent but factually incorrect text. We propose Adaptive Activation Cancellation (AAC), a real-time inference-time framework that treats hallucination-associated neural activations as structured interference within the transformer residual stream, drawing an explicit analogy to classical adaptive noise cancellation from signal processing. The framework identifies Hallucination Nodes (H-Nodes) via layer-wise linear probing and suppresses them using a confidence-weighted forward hook during auto-regressive generation -- requiring no external knowledge, no fine-tuning, and no additional inference passes. Evaluated across OPT-125M, Phi-3-mini, and LLaMA 3-8B on TruthfulQA and HaluEval, the real-time hook is the only intervention that consistently improves downstream accuracy on all three scales. Critically, the method is strictly surgical: WikiText-103 perplexity and MMLU reasoning accuracy are preserved at exactly 0.0% degradation across all three model scales, a property that distinguishes AAC from interventions that trade fluency or general capability for factual improvement. On the LLaMA 3-8B scale, the hook additionally yields positive generation-level gains (MC1 +0.04; MC2 +0.003; Token-F1 +0.003) while achieving probe-space selectivity 5.94x - 3.5x higher than the ITI baseline -- demonstrating that targeted neuron-level suppression can simultaneously improve factual accuracy and preserve model capability.

Graph Neural Networks (GNNs) have seen significant advances in recent years, yet their application to multigraphs, where parallel edges exist between the same pair of nodes, remains under-explored. Standard GNNs, designed for simple graphs, compute node representations by combining all connected edges at once, without distinguishing between edges from different neighbors. There are some GNN architectures proposed specifically for multigraphs, yet these architectures perform only node-level aggregation in their message passing layers, which limits their expressive power. Furthermore, these approaches either lack permutation equivariance when a strict total edge ordering is absent, or fail to preserve the topological structure of the multigraph. To address all these shortcomings, we propose MEGA-GNN, a unified framework for message passing on multigraphs that can effectively perform diverse graph learning tasks. Our approach introduces a two-stage aggregation process in the message passing layers: first, parallel edges are aggregated, followed by a node-level aggregation of messages from distinct neighbors. We show that MEGA-GNN is not only permutation equivariant but also universal given a strict total ordering on the edges. Experiments show that MEGA-GNN significantly outperforms state-of-the-art solutions by up to 13\% on Anti-Money Laundering datasets and is on par with their accuracy on real-world phishing classification datasets in terms of minority class F1 score.

Zero-shot learning relies on semantic class representations such as hand-engineered attributes or learned embeddings to predict classes without any labeled examples. We propose to learn class representations by embedding nodes from common sense knowledge graphs in a vector space. Common sense knowledge graphs are an untapped source of explicit high-level knowledge that requires little human effort to apply to a range of tasks. To capture the knowledge in the graph, we introduce ZSL-KG, a general-purpose framework with a novel transformer graph convolutional network (TrGCN) for generating class representations. Our proposed TrGCN architecture computes non-linear combinations of node neighbourhoods. Our results show that ZSL-KG improves over existing WordNet-based methods on five out of six zero-shot benchmark datasets in language and vision.

Vision-and-language navigation (VLN) requires an embodied agent to navigate in realistic 3D environments using natural language instructions. Existing VLN methods suffer from training on small-scale environments or unreasonable path-instruction datasets, limiting the generalization to unseen environments. There are massive house tour videos on YouTube, providing abundant real navigation experiences and layout information. However, these videos have not been explored for VLN before. In this paper, we propose to learn an agent from these videos by creating a large-scale dataset which comprises reasonable path-instruction pairs from house tour videos and pre-training the agent on it. To achieve this, we have to tackle the challenges of automatically constructing path-instruction pairs and exploiting real layout knowledge from raw and unlabeled videos. To address these, we first leverage an entropy-based method to construct the nodes of a path trajectory. Then, we propose an action-aware generator for generating instructions from unlabeled trajectories. Last, we devise a trajectory judgment pretext task to encourage the agent to mine the layout knowledge. Experimental results show that our method achieves state-of-the-art performance on two popular benchmarks (R2R and REVERIE). Code is available at https://github.com/JeremyLinky/YouTube-VLN

We introduce Trove, an easy-to-use open-source retrieval toolkit that simplifies research experiments without sacrificing flexibility or speed. For the first time, we introduce efficient data management features that load and process (filter, select, transform, and combine) retrieval datasets on the fly, with just a few lines of code. This gives users the flexibility to easily experiment with different dataset configurations without the need to compute and store multiple copies of large datasets. Trove is highly customizable: in addition to many built-in options, it allows users to freely modify existing components or replace them entirely with user-defined objects. It also provides a low-code and unified pipeline for evaluation and hard negative mining, which supports multi-node execution without any code changes. Trove's data management features reduce memory consumption by a factor of 2.6. Moreover, Trove's easy-to-use inference pipeline incurs no overhead, and inference times decrease linearly with the number of available nodes. Most importantly, we demonstrate how Trove simplifies retrieval experiments and allows for arbitrary customizations, thus facilitating exploratory research.

Large language models (LLMs) have demonstrated remarkable reasoning capability in solving mathematical problems. However, existing approaches primarily focus on improving the quality of correct training data, e.g., distilling high-quality correct solutions from advanced models, neglecting the value contained in error data, potentially hindering the model's reflective ability. Though some studies attempt to leverage error data, they often involve complex mechanisms, such as Monte Carlo Tree Search (MCTS) to explore error nodes. In this work, we propose to enhance LLMs' reasoning ability by Learning from Errors for Mathematical Advancement (LEMMA). LEMMA constructs data consisting of an incorrect solution with an erroneous step and a reflection connection to a correct solution for fine-tuning. Specifically, we systematically analyze the model-generated error types and introduce an error-type grounded mistake augmentation method to collect diverse and representative errors. Correct solutions are either from fixing the errors or generating a fresh start. Through a model-aware smooth reflection connection, the erroneous solution is transferred to the correct one. By fine-tuning on the constructed dataset, the model is able to self-correct errors autonomously within the generation process without relying on external critique models. Experimental results demonstrate that LEMMA achieves significant performance improvements over other strong baselines.

Large language models (LLMs) typically improve performance by either retrieving semantically similar information, or enhancing reasoning abilities through structured prompts like chain-of-thought. While both strategies are considered crucial, it remains unclear which has a greater impact on model performance or whether a combination of both is necessary. This paper answers this question by proposing a knowledge graph (KG)-based random-walk reasoning approach that leverages causal relationships. We conduct experiments on the commonsense question answering task that is based on a KG. The KG inherently provides both relevant information, such as related entity keywords, and a reasoning structure through the connections between nodes. Experimental results show that the proposed KG-based random-walk reasoning method improves the reasoning ability and performance of LLMs. Interestingly, incorporating three seemingly irrelevant sentences into the query using KG-based random-walk reasoning enhances LLM performance, contrary to conventional wisdom. These findings suggest that integrating causal structures into prompts can significantly improve reasoning capabilities, providing new insights into the role of causality in optimizing LLM performance.

This work presents an unsupervised method for automatically constructing and expanding topic taxonomies by using instruction-based fine-tuned LLMs (Large Language Models). We apply topic modeling and keyword extraction techniques to create initial topic taxonomies and LLMs to post-process the resulting terms and create a hierarchy. To expand an existing taxonomy with new terms, we use zero-shot prompting to find out where to add new nodes, which, to our knowledge, is the first work to present such an approach to taxonomy tasks. We use the resulting taxonomies to assign tags that characterize merchants from a retail bank dataset. To evaluate our work, we asked 12 volunteers to answer a two-part form in which we first assessed the quality of the taxonomies created and then the tags assigned to merchants based on that taxonomy. The evaluation revealed a coherence rate exceeding 90% for the chosen taxonomies, while the average coherence for merchant tagging surpassed 80%.

Biological neural networks define the brain function and intelligence of humans and other mammals, and form ultra-large, spatial, structured graphs. Their neuronal organization is closely interconnected with the spatial organization of the brain's microvasculature, which supplies oxygen to the neurons and builds a complementary spatial graph. This vasculature (or the vessel structure) plays an important role in neuroscience; for example, the organization of (and changes to) vessel structure can represent early signs of various pathologies, e.g. Alzheimer's disease or stroke. Recently, advances in tissue clearing have enabled whole brain imaging and segmentation of the entirety of the mouse brain's vasculature. Building on these advances in imaging, we are presenting an extendable dataset of whole-brain vessel graphs based on specific imaging protocols. Specifically, we extract vascular graphs using a refined graph extraction scheme leveraging the volume rendering engine Voreen and provide them in an accessible and adaptable form through the OGB and PyTorch Geometric dataloaders. Moreover, we benchmark numerous state-of-the-art graph learning algorithms on the biologically relevant tasks of vessel prediction and vessel classification using the introduced vessel graph dataset. Our work paves a path towards advancing graph learning research into the field of neuroscience. Complementarily, the presented dataset raises challenging graph learning research questions for the machine learning community, in terms of incorporating biological priors into learning algorithms, or in scaling these algorithms to handle sparse,spatial graphs with millions of nodes and edges. All datasets and code are available for download at https://github.com/jocpae/VesselGraph .

This work studies a central extremal graph theory problem inspired by a 1975 conjecture of Erdos, which aims to find graphs with a given size (number of nodes) that maximize the number of edges without having 3- or 4-cycles. We formulate this problem as a sequential decision-making problem and compare AlphaZero, a neural network-guided tree search, with tabu search, a heuristic local search method. Using either method, by introducing a curriculum -- jump-starting the search for larger graphs using good graphs found at smaller sizes -- we improve the state-of-the-art lower bounds for several sizes. We also propose a flexible graph-generation environment and a permutation-invariant network architecture for learning to search in the space of graphs.

Half a billion citation edges extracted from 100.7 million Ukrainian court decisions reveal that judicial citation structure encodes legal domain boundaries without supervision and predicts future legislative importance with near-perfect accuracy. We construct the first large-scale citation graph from the complete EDRSR registry (99.5 million full texts, 1.1 TB), extracting 502 million citation links across six types via regex on commodity hardware in approximately 5 hours, with precision of 1.00 on a 200-decision validation sample (95% Wilson CI: [0.982, 1.000]). Three principal findings emerge. (1) The degree distribution follows a power law (alpha = 1.57 +/- 0.008), placing the Ukrainian court network near the EU Court of Justice and below the US Supreme Court, with hub articles cited by millions of decisions. (2) Louvain community detection on the co-citation projection recovers legal domain boundaries (civil, criminal, administrative, commercial) with modularity Q = 0.44-0.55 and temporal stability (NMI = 0.83-0.86 across periods), constituting an automatically constructed legal ontology grounded in judicial practice. (3) Citation features predict top-1000 articles with AUC = 0.9984, substantially outperforming a naive frequency baseline (P@1000 = 0.655); temporal dynamics detect legislative regime changes as phase transitions and the 2022 invasion as a citation entropy spike (H: 11.02 -> 13.49) with emergent wartime legislation nodes. The citation-derived ontology is operationalized as the domain layer of a workflow memory system for LLM-assisted legal analysis, connecting to the ontology-controlled paradigm. The extraction pipeline, analysis code, and aggregated statistics are released as open data.

Automatic Music Transcription (AMT) converts audio recordings into symbolic musical representations. Training deep neural networks (DNNs) for AMT typically requires strongly aligned training pairs with precise frame-level annotations. Since creating such datasets is costly and impractical for many musical contexts, weakly aligned approaches using segment-level annotations have gained traction. However, existing methods often rely on Dynamic Time Warping (DTW) or soft alignment loss functions, both of which still require local semantic correspondences, making them error-prone and computationally expensive. In this article, we introduce CountEM, a novel AMT framework that eliminates the need for explicit local alignment by leveraging note event histograms as supervision, enabling lighter computations and greater flexibility. Using an Expectation-Maximization (EM) approach, CountEM iteratively refines predictions based solely on note occurrence counts, significantly reducing annotation efforts while maintaining high transcription accuracy. Experiments on piano, guitar, and multi-instrument datasets demonstrate that CountEM matches or surpasses existing weakly supervised methods, improving AMT's robustness, scalability, and efficiency. Our project page is available at https://yoni-yaffe.github.io/count-the-notes.

We train an object detector built from convolutional neural networks to count interference fringes in elliptical antinode regions in frames of high-speed video recordings of transient oscillations in Caribbean steelpan drums illuminated by electronic speckle pattern interferometry (ESPI). The annotations provided by our model aim to contribute to the understanding of time-dependent behavior in such drums by tracking the development of sympathetic vibration modes. The system is trained on a dataset of crowdsourced human-annotated images obtained from the Zooniverse Steelpan Vibrations Project. Due to the small number of human-annotated images and the ambiguity of the annotation task, we also evaluate the model on a large corpus of synthetic images whose properties have been matched to the real images by style transfer using a Generative Adversarial Network. Applying the model to thousands of unlabeled video frames, we measure oscillations consistent with audio recordings of these drum strikes. One unanticipated result is that sympathetic oscillations of higher-octave notes significantly precede the rise in sound intensity of the corresponding second harmonic tones; the mechanism responsible for this remains unidentified. This paper primarily concerns the development of the predictive model; further exploration of the steelpan images and deeper physical insights await its further application.

Comprehending how humans process visual information in dynamic settings is crucial for psychology and designing user-centered interactions. While mobile eye-tracking systems combining egocentric video and gaze signals can offer valuable insights, manual analysis of these recordings is time-intensive. In this work, we present a novel human-centered learning algorithm designed for automated object recognition within mobile eye-tracking settings. Our approach seamlessly integrates an object detector with a spatial relation-aware inductive message-passing network (I-MPN), harnessing node profile information and capturing object correlations. Such mechanisms enable us to learn embedding functions capable of generalizing to new object angle views, facilitating rapid adaptation and efficient reasoning in dynamic contexts as users navigate their environment. Through experiments conducted on three distinct video sequences, our interactive-based method showcases significant performance improvements over fixed training/testing algorithms, even when trained on considerably smaller annotated samples collected through user feedback. Furthermore, we demonstrate exceptional efficiency in data annotation processes and surpass prior interactive methods that use complete object detectors, combine detectors with convolutional networks, or employ interactive video segmentation.

This paper is dedicated to the design and evaluation of the first AMR parser tailored for clinical notes. Our objective was to facilitate the precise transformation of the clinical notes into structured AMR expressions, thereby enhancing the interpretability and usability of clinical text data at scale. Leveraging the colon cancer dataset from the Temporal Histories of Your Medical Events (THYME) corpus, we adapted a state-of-the-art AMR parser utilizing continuous training. Our approach incorporates data augmentation techniques to enhance the accuracy of AMR structure predictions. Notably, through this learning strategy, our parser achieved an impressive F1 score of 88% on the THYME corpus's colon cancer dataset. Moreover, our research delved into the efficacy of data required for domain adaptation within the realm of clinical notes, presenting domain adaptation data requirements for AMR parsing. This exploration not only underscores the parser's robust performance but also highlights its potential in facilitating a deeper understanding of clinical narratives through structured semantic representations.

Social determinants of health (SDoH) have an important impact on patient outcomes but are incompletely collected from the electronic health records (EHR). This study researched the ability of large language models to extract SDoH from free text in EHRs, where they are most commonly documented, and explored the role of synthetic clinical text for improving the extraction of these scarcely documented, yet extremely valuable, clinical data. 800 patient notes were annotated for SDoH categories, and several transformer-based models were evaluated. The study also experimented with synthetic data generation and assessed for algorithmic bias. Our best-performing models were fine-tuned Flan-T5 XL (macro-F1 0.71) for any SDoH, and Flan-T5 XXL (macro-F1 0.70). The benefit of augmenting fine-tuning with synthetic data varied across model architecture and size, with smaller Flan-T5 models (base and large) showing the greatest improvements in performance (delta F1 +0.12 to +0.23). Model performance was similar on the in-hospital system dataset but worse on the MIMIC-III dataset. Our best-performing fine-tuned models outperformed zero- and few-shot performance of ChatGPT-family models for both tasks. These fine-tuned models were less likely than ChatGPT to change their prediction when race/ethnicity and gender descriptors were added to the text, suggesting less algorithmic bias (p<0.05). At the patient-level, our models identified 93.8% of patients with adverse SDoH, while ICD-10 codes captured 2.0%. Our method can effectively extracted SDoH information from clinic notes, performing better compare to GPT zero- and few-shot settings. These models could enhance real-world evidence on SDoH and aid in identifying patients needing social support.

In applications such as elderly care, dementia anti-wandering and pandemic control, it is important to ensure that people are within a predefined area for their safety and well-being. We propose GEM, a practical, semi-supervised Geofencing system with network EMbedding, which is based only on ambient radio frequency (RF) signals. GEM models measured RF signal records as a weighted bipartite graph. With access points on one side and signal records on the other, it is able to precisely capture the relationships between signal records. GEM then learns node embeddings from the graph via a novel bipartite network embedding algorithm called BiSAGE, based on a Bipartite graph neural network with a novel bi-level SAmple and aggreGatE mechanism and non-uniform neighborhood sampling. Using the learned embeddings, GEM finally builds a one-class classification model via an enhanced histogram-based algorithm for in-out detection, i.e., to detect whether the user is inside the area or not. This model also keeps on improving with newly collected signal records. We demonstrate through extensive experiments in diverse environments that GEM shows state-of-the-art performance with up to 34% improvement in F-score. BiSAGE in GEM leads to a 54% improvement in F-score, as compared to the one without BiSAGE.

Purpose: Magnetic resonance imaging (MRI) to visualize anatomical motion is becoming increasingly important when treating cancer patients with radiotherapy. Hybrid MRI-linear accelerator (MRI-linac) systems allow real-time motion management during irradiation. This paper presents a multi-institutional real-time MRI time series dataset from different MRI-linac vendors. The dataset is designed to support developing and evaluating real-time tumor localization (tracking) algorithms for MRI-guided radiotherapy within the TrackRAD2025 challenge (https://trackrad2025.grand-challenge.org/). Acquisition and validation methods: The dataset consists of sagittal 2D cine MRIs in 585 patients from six centers (3 Dutch, 1 German, 1 Australian, and 1 Chinese). Tumors in the thorax, abdomen, and pelvis acquired on two commercially available MRI-linacs (0.35 T and 1.5 T) were included. For 108 cases, irradiation targets or tracking surrogates were manually segmented on each temporal frame. The dataset was randomly split into a public training set of 527 cases (477 unlabeled and 50 labeled) and a private testing set of 58 cases (all labeled). Data Format and Usage Notes: The data is publicly available under the TrackRAD2025 collection: https://doi.org/10.57967/hf/4539. Both the images and segmentations for each patient are available in metadata format. Potential Applications: This novel clinical dataset will enable the development and evaluation of real-time tumor localization algorithms for MRI-guided radiotherapy. By enabling more accurate motion management and adaptive treatment strategies, this dataset has the potential to advance the field of radiotherapy significantly.

Accurate real-time traffic forecast is critical for intelligent transportation systems (ITS) and it serves as the cornerstone of various smart mobility applications. Though this research area is dominated by deep learning, recent studies indicate that the accuracy improvement by developing new model structures is becoming marginal. Instead, we envision that the improvement can be achieved by transferring the "forecasting-related knowledge" across cities with different data distributions and network topologies. To this end, this paper aims to propose a novel transferable traffic forecasting framework: Domain Adversarial Spatial-Temporal Network (DASTNet). DASTNet is pre-trained on multiple source networks and fine-tuned with the target network's traffic data. Specifically, we leverage the graph representation learning and adversarial domain adaptation techniques to learn the domain-invariant node embeddings, which are further incorporated to model the temporal traffic data. To the best of our knowledge, we are the first to employ adversarial multi-domain adaptation for network-wide traffic forecasting problems. DASTNet consistently outperforms all state-of-the-art baseline methods on three benchmark datasets. The trained DASTNet is applied to Hong Kong's new traffic detectors, and accurate traffic predictions can be delivered immediately (within one day) when the detector is available. Overall, this study suggests an alternative to enhance the traffic forecasting methods and provides practical implications for cities lacking historical traffic data.

Automated testbench generation has become a critical bottleneck in large language model (LLM)-driven Register Transfer Level (RTL) workflows, where large numbers of candidate designs must be verified rapidly and reliably. Existing prompt-based approaches treat testbench generation as unconstrained code synthesis, yielding stochastic outputs with high token cost, low reproducibility, and insufficient coverage. To address this gap, we present STG, a Structured Testbench Generation framework that exploits the inherent structure of hardware designs to generate deterministic testbenches. As a direct verification tool, STG runs 720x faster than an iterative LLM-based testbench generation flow and higher rate of successful compilation, achieves higher coverage, and reduces false-pass verdicts on incorrect DUTs. STG also helps identify errors in RTL generation benchmarks by exposing faulty benchmark testbenches. As a data curation engine, it is 11x faster than LLM-based filtering on a single CPU core with 127x less energy, and the resulting distilled models provide state-of-the-art performance in our multi-benchmark evaluation. As a test-time scaling oracle, it reduces node count by 14-47\%. Our models are available at https://huggingface.co/collections/AS-SiliconMind/siliconmind-v12.

Floor labels of crowdsourced RF signals are crucial for many smart-city applications, such as multi-floor indoor localization, geofencing, and robot surveillance. To build a prediction model to identify the floor number of a new RF signal upon its measurement, conventional approaches using the crowdsourced RF signals assume that at least few labeled signal samples are available on each floor. In this work, we push the envelope further and demonstrate that it is technically feasible to enable such floor identification with only one floor-labeled signal sample on the bottom floor while having the rest of signal samples unlabeled. We propose FIS-ONE, a novel floor identification system with only one labeled sample. FIS-ONE consists of two steps, namely signal clustering and cluster indexing. We first build a bipartite graph to model the RF signal samples and obtain a latent representation of each node (each signal sample) using our attention-based graph neural network model so that the RF signal samples can be clustered more accurately. Then, we tackle the problem of indexing the clusters with proper floor labels, by leveraging the observation that signals from an access point can be detected on different floors, i.e., signal spillover. Specifically, we formulate a cluster indexing problem as a combinatorial optimization problem and show that it is equivalent to solving a traveling salesman problem, whose (near-)optimal solution can be found efficiently. We have implemented FIS-ONE and validated its effectiveness on the Microsoft dataset and in three large shopping malls. Our results show that FIS-ONE outperforms other baseline algorithms significantly, with up to 23% improvement in adjusted rand index and 25% improvement in normalized mutual information using only one floor-labeled signal sample.

Levin Tree Search (LTS) is a search algorithm that makes use of a policy (a probability distribution over actions) and comes with a theoretical guarantee on the number of expansions before reaching a goal node, depending on the quality of the policy. This guarantee can be used as a loss function, which we call the LTS loss, to optimize neural networks representing the policy (LTS+NN). In this work we show that the neural network can be substituted with parameterized context models originating from the online compression literature (LTS+CM). We show that the LTS loss is convex under this new model, which allows for using standard convex optimization tools, and obtain convergence guarantees to the optimal parameters in an online setting for a given set of solution trajectories -- guarantees that cannot be provided for neural networks. The new LTS+CM algorithm compares favorably against LTS+NN on several benchmarks: Sokoban (Boxoban), The Witness, and the 24-Sliding Tile puzzle (STP). The difference is particularly large on STP, where LTS+NN fails to solve most of the test instances while LTS+CM solves each test instance in a fraction of a second. Furthermore, we show that LTS+CM is able to learn a policy that solves the Rubik's cube in only a few hundred expansions, which considerably improves upon previous machine learning techniques.

Large language models (LLMs) integrated into agent-driven workflows hold immense promise for healthcare, yet a significant gap exists between their potential and practical implementation within clinical settings. To address this, we present a practitioner-oriented field manual for deploying generative agents that use electronic health record (EHR) data. This guide is informed by our experience deploying the "irAE-Agent", an automated system to detect immune-related adverse events from clinical notes at Mass General Brigham, and by structured interviews with 21 clinicians, engineers, and informatics leaders involved in the project. Our analysis reveals a critical misalignment in clinical AI development: less than 20% of our effort was dedicated to prompt engineering and model development, while over 80% was consumed by the sociotechnical work of implementation. We distill this effort into five "heavy lifts": data integration, model validation, ensuring economic value, managing system drift, and governance. By providing actionable solutions for each of these challenges, this field manual shifts the focus from algorithmic development to the essential infrastructure and implementation work required to bridge the "valley of death" and successfully translate generative AI from pilot projects into routine clinical care.

A cheap swarm of unreliable agents can be steered to a correct consensus by a few strong, expensive "oracle" correctors. We ask how much one must spend, and where to place the oracles. We model the swarm as a consensus on a graph in which each oracle pins one node toward the truth at a cost-coupled, concave strength, and measure quality by the coherence H(R)=tr M(R)^{-1}. Our first result is that H stays submodular (each added oracle helps less than the last) even when the oracles differ in strength, so a cost-benefit greedy comes within 1-1/e of the best placement at any budget. Inverting the budget gives the budget-correctness frontier B*(eps), the least spend that guarantees an eps-correct consensus: closed-form on the complete graph, and a minimal oracle count k* when oracles cost the same. Whether a budget then buys a few strong oracles or many medium onese curvature of the cost-quality law: diminishing returns favour spreadsharply increasion. Measured onthe Qwen3 ladder (0.6-32B), the law is concave for math verificatio convex foremergent code tracing, so the verdict is genuinely task-dependent.https://github.com/YehudaItkin/budgeted-oracle-placemen