Daily Papers

Reusing pretrained medical-imaging models offers an alternative to training from scratch. A model trained for the same task may perform poorly at a new hospital because imaging protocols and preprocessing differ. Effective adaptation depends on the model architecture, domain shift, and available labels and compute. Adaptation can improve scores on a small labeled set yet reduce performance on unseen data. We present MedAdaptAgent, an automatic harness that turns a supplied model, target data, and a free-text request into a new-site adaptation workflow. Its LLM-driven Adaptation Planner uses model-site evidence to choose compatible experiments and revise subsequent adjustments. The harness requires evidence of improvement over the pretrained model, then delivers the selected model as a complete, runnable package. Evaluation spans 26 segmentation and classification transfers across architectures and compute settings, with segmentation annotation budgets ranging from zero-shot transfer to few-shot adaptation. With 20 local annotations, mean segmentation Dice rises from 0.483 to 0.774 across 10 transfers, a 60.1% relative gain, with no harmful replacements. Mean classification AUROC rises from 0.810 to 0.837 across 13 transfers, a 3.4% relative gain. Comparing adapted models with the pretrained model reduces harmful classification replacements by 30.8% versus selecting the highest-scoring model on the available labels, using identical candidates. Seven public-model deployments demonstrate adaptation and reproducible package delivery across contrast and modality shifts. A CT-to-MRI study extends the evaluation to four LLM planners, including two open-weight models. We release the code on GitHub.

Motivation: Ab initio protein docking represents a major challenge for optimizing a noisy and costly "black box"-like function in a high-dimensional space. Despite progress in this field, there is no docking method available for rigorous uncertainty quantification (UQ) of its solution quality (e.g. interface RMSD or iRMSD). Results: We introduce a novel algorithm, Bayesian Active Learning (BAL), for optimization and UQ of such black-box functions and flexible protein docking. BAL directly models the posterior distribution of the global optimum (or native structures for protein docking) with active sampling and posterior estimation iteratively feeding each other. Furthermore, we use complex normal modes to represent a homogeneous Euclidean conformation space suitable for high-dimension optimization and construct funnel-like energy models for encounter complexes. Over a protein docking benchmark set and a CAPRI set including homology docking, we establish that BAL significantly improve against both starting points by rigid docking and refinements by particle swarm optimization, providing for one third targets a top-3 near-native prediction. BAL also generates tight confidence intervals with half range around 25% of iRMSD and confidence level at 85%. Its estimated probability of a prediction being native or not achieves binary classification AUROC at 0.93 and AUPRC over 0.60 (compared to 0.14 by chance); and also found to help ranking predictions. To the best of our knowledge, this study represents the first uncertainty quantification solution for protein docking, with theoretical rigor and comprehensive assessment. Source codes are available at https://github.com/Shen-Lab/BAL.

Bumblebee is a foundation model for particle physics discovery, inspired by BERT. By removing positional encodings and embedding particle 4-vectors, Bumblebee captures both generator- and reconstruction-level information while ensuring sequence-order invariance. Pre-trained on a masked task, it improves dileptonic top quark reconstruction resolution by 10-20% and excels in downstream tasks, including toponium discrimination (AUROC 0.877) and initial state classification (AUROC 0.625). The flexibility of Bumblebee makes it suitable for a wide range of particle physics applications, especially the discovery of new particles.

Deep neural networks excel in radiological image classification but frequently suffer from poor interpretability, limiting clinical acceptance. We present MedicalPatchNet, an inherently self-explainable architecture for chest X-ray classification that transparently attributes decisions to distinct image regions. MedicalPatchNet splits images into non-overlapping patches, independently classifies each patch, and aggregates predictions, enabling intuitive visualization of each patch's diagnostic contribution without post-hoc techniques. Trained on the CheXpert dataset (223,414 images), MedicalPatchNet matches the classification performance (AUROC 0.907 vs. 0.908) of EfficientNet-B0, while substantially improving interpretability: MedicalPatchNet demonstrates substantially improved interpretability with higher pathology localization accuracy (mean hit-rate 0.485 vs. 0.376 with Grad-CAM) on the CheXlocalize dataset. By providing explicit, reliable explanations accessible even to non-AI experts, MedicalPatchNet mitigates risks associated with shortcut learning, thus improving clinical trust. Our model is publicly available with reproducible training and inference scripts and contributes to safer, explainable AI-assisted diagnostics across medical imaging domains. We make the code publicly available: https://github.com/TruhnLab/MedicalPatchNet

Sleep is a complex physiological process evaluated through various modalities recording electrical brain, cardiac, and respiratory activities. We curate a large polysomnography dataset from over 14,000 participants comprising over 100,000 hours of multi-modal sleep recordings. Leveraging this extensive dataset, we developed SleepFM, the first multi-modal foundation model for sleep analysis. We show that a novel leave-one-out approach for contrastive learning significantly improves downstream task performance compared to representations from standard pairwise contrastive learning. A logistic regression model trained on SleepFM's learned embeddings outperforms an end-to-end trained convolutional neural network (CNN) on sleep stage classification (macro AUROC 0.88 vs 0.72 and macro AUPRC 0.72 vs 0.48) and sleep disordered breathing detection (AUROC 0.85 vs 0.69 and AUPRC 0.77 vs 0.61). Notably, the learned embeddings achieve 48% top-1 average accuracy in retrieving the corresponding recording clips of other modalities from 90,000 candidates. This work demonstrates the value of holistic multi-modal sleep modeling to fully capture the richness of sleep recordings. SleepFM is open source and available at https://github.com/rthapa84/sleepfm-codebase.

Respiratory acoustic foundation models (FMs) are benchmarked exclusively on smartphone recordings, yet clinical deployment increasingly targets body-coupled (BC) wearables whose sensors attenuate high-frequency content through tissue and bone, leaving FM reliability uncharacterised. We introduce BCoughBench, evaluating five FMs (OPERA-CT/CE/GT, HeAR, M2D+Resp) on nine classification tasks (AUROC, sensitivity at 95% specificity, Expected Calibration Error) and three age regression tasks (MAE vs. a mean-predictor baseline) across five EBEN-simulated BC sensor conditions on five labeled cough datasets. Mean AUROC declines from 0.785 (smartphone) to 0.689-0.723, degrading most under temple vibration pickup (Δ = -0.096) and least under the soft in-ear (Δ = -0.062). No FM meets the clinical sensitivity threshold (Se@Sp95 geq 0.20) on most disease tasks under any BC sensor. Sex classification on the CIDRZ cohort collapses (AUROC 0.954 to 0.596-0.628, Δ = -0.341) while COVID detection is nearly unaffected (Δ = -0.004). Age regression is robust, improving under the forehead accelerometer on CoughVID (MAE 9.61 to 8.97 yr); HeAR leads on regression and demographic tasks, M2D+Resp on disease and characteristic tasks. BCoughBench provides a reproducible framework for FM evaluation under wearable conditions.

Medical image classification in radiology faces significant challenges, particularly in generalizing to unseen pathologies. In contrast, CLIP offers a promising solution by leveraging multimodal learning to improve zero-shot classification performance. However, in the medical domain, lesions can be small and might not be well represented in the embedding space. Therefore, in this paper, we explore the potential of visual prompt engineering to enhance the capabilities of Vision Language Models (VLMs) in radiology. Leveraging BiomedCLIP, trained on extensive biomedical image-text pairs, we investigate the impact of embedding visual markers directly within radiological images to guide the model's attention to critical regions. Our evaluation on the JSRT dataset, focusing on lung nodule malignancy classification, demonstrates that incorporating visual prompts x2013 such as arrows, circles, and contours x2013 significantly improves classification metrics including AUROC, AUPRC, F1 score, and accuracy. Moreover, the study provides attention maps, showcasing enhanced model interpretability and focus on clinically relevant areas. These findings underscore the efficacy of visual prompt engineering as a straightforward yet powerful approach to advance VLM performance in medical image analysis.

Pre-trained audio models excel at detecting acoustic patterns in auscultation sounds but often fail to grasp their clinical significance, limiting their use and performance in diagnostic tasks. To bridge this gap, we introduce AcuLa (Audio-Clinical Understanding via Language Alignment), a lightweight post-training framework that instills semantic understanding into any audio encoder by aligning it with a medical language model, which acts as a "semantic teacher." To enable alignment at scale, we construct a large-scale dataset by leveraging off-the-shelf large language models to translate the rich, structured metadata accompanying existing audio recordings into coherent clinical reports. Our alignment strategy combines a representation-level contrastive objective with a self-supervised modeling, ensuring that the model learns clinical semantics while preserving fine-grained temporal cues. AcuLa achieves state-of-the-art results across 18 diverse cardio-respiratory tasks from 10 different datasets, improving the mean AUROC on classification benchmarks from 0.68 to 0.79 and, on the most challenging COVID-19 cough detection task, boosting the AUROC from 0.55 to 0.89. Our work demonstrates that this audio-language alignment transforms purely acoustic models into clinically-aware diagnostic tools, establishing a novel paradigm for enhancing physiological understanding in audio-based health monitoring.

Electrocardiography (ECG), photoplethysmography (PPG), and phonocardiography (PCG) provide complementary views of the same cardiac cycle, yet existing cardiac foundation models are trained for a single sensing modality, leaving the shared physiology across sensors unexploited. We introduce CardioState-JEPA, a cardiac foundation model to learn a single shared representation jointly across ECG, PPG, and PCG, built on a physiology-aware joint-embedding predictive architecture. The model maps heterogeneous waveforms into a common token space, processes them with a single shared Transformer encoder, and learns by predicting masked latent cardiac states, placing the pretraining target on shared physiology rather than sensor-specific waveform appearance. To handle the temporal offsets between electrical, mechanical, and hemodynamic events, cross-modal prediction uses a learned delay aligner that matches signals at the corresponding cardiac time. Because synchronized multi-sensor recordings are scarce, CardioState-JEPA first learns within-modality structure from abundant unimodal data and then uses paired data to align modalities in latent cardiac time. Evaluated as a frozen encoder across 25 downstream tasks spanning ECG, PPG, and PCG, our encoder improves average PPG classification by 8.2 AUROC points, PCG murmur detection by 18.8 AUROC points, and ECG classification by 15.5 AUROC points over the best self-supervised signal baseline and matches or exceeds cardiac models trained with privileged clinical text or supervised labels on several ECG benchmarks. These results establish that heterogeneous cardiac signals can mutually supervise a single foundation model of cardiac physiology.

Time-series foundation models have demonstrated strong cross-domain transfer, yet their common architectural assumptions remain poorly aligned with wearable physiological signals, which are multichannel, irregularly sampled, noisy, and governed by coupled continuous-time dynamics spanning distinct spectral scales. We present SOTER, a generative foundation model for wearable physiological time series that unifies cross-channel coupling, spectrum-guided expert specialization, and continuous-time latent evolution within a single pre-training framework. SOTER combines a spatial feature-aware backbone that models inter-signal dependencies, a power spectral density (PSD)-guided mixture-of-experts layer that routes representations to experts associated with fixed spectral bands through an inspectable, non-learned rule, and a neural controlled differential equation decoder that supports prediction and imputation at arbitrary timestamps. We pre-train SOTER on 226 billion time points from five public physiological datasets and evaluate the same pre-trained model across out-of-distribution zero-shot forecasting, frozen-encoder linear-probe classification, and continuous-time imputation on wearable benchmarks. SOTER achieves the best RMSE on 4 of 6 datasets and the best MAE on 5 of 6 in zero-shot forecasting, the highest average Macro-AUROC in classification, and the lowest imputation error on all six datasets at 75% missingness. It further remains robust to additive acquisition noise, matching or surpassing baselines evaluated on clean inputs even under the strongest corruption. These results indicate that domain-specialized foundation models for wearable physiology benefit from jointly modeling channel structure, spectral scale, and continuous-time dynamics.

Self-supervised learning (SSL) has advanced visual representation learning, but its value in chest radiography, a high-volume imaging modality with fine-grained findings, remains unclear. Meta's DINOv3 extends earlier SSL models through Gram-anchored self-distillation. Whether these design choices improve transfer learning for chest radiography has not been systematically tested. We benchmarked DINOv3 against DINOv2 and ImageNet initialization across seven datasets (n>814,000). Two representative backbones were evaluated: ViT-B/16 and ConvNeXt-B. Images were analyzed at 224x224, 512x512, and 1024x1024 pixels. We additionally assessed frozen features from a 7B model. The primary outcome was mean AUROC across labels. At 224x224, DINOv3 and DINOv2 achieved comparable performance on adult datasets. Increasing resolution to 512x512 yielded consistent improvements for DINOv3 over both DINOv2 and ImageNet. In contrast, results in pediatric cohort showed no differences across initializations. Across all settings, ConvNeXt-B outperformed ViT-B/16. Models using frozen DINOv3-7B features underperformed relative to fully finetuned 86-89M-parameter backbones, highlighting the importance of domain adaptation. Scaling to 1024x1024 did not further improve accuracy. Resolution-related gains were most evident for boundary-dependent and small focal abnormalities. In chest radiography, higher input resolution is critical for leveraging the benefits of modern self-supervised models. 512x512 pixels represent a practical upper limit where DINOv3-initialized ConvNeXt-B networks provide the strongest performance, while larger inputs offer minimal return on cost. Clinically, these findings support use of finetuned, mid-sized backbones at 512x512 for chest radiograph interpretation, with the greatest gains expected in detecting subtle or boundary-centered lesions relevant to emergency and critical care settings.

In machine learning (ML), a widespread adage is that the area under the precision-recall curve (AUPRC) is a superior metric for model comparison to the area under the receiver operating characteristic (AUROC) for binary classification tasks with class imbalance. This paper challenges this notion through novel mathematical analysis, illustrating that AUROC and AUPRC can be concisely related in probabilistic terms. We demonstrate that AUPRC, contrary to popular belief, is not superior in cases of class imbalance and might even be a harmful metric, given its inclination to unduly favor model improvements in subpopulations with more frequent positive labels. This bias can inadvertently heighten algorithmic disparities. Prompted by these insights, a thorough review of existing ML literature was conducted, utilizing large language models to analyze over 1.5 million papers from arXiv. Our investigation focused on the prevalence and substantiation of the purported AUPRC superiority. The results expose a significant deficit in empirical backing and a trend of misattributions that have fuelled the widespread acceptance of AUPRC's supposed advantages. Our findings represent a dual contribution: a significant technical advancement in understanding metric behaviors and a stark warning about unchecked assumptions in the ML community. All experiments are accessible at https://github.com/mmcdermott/AUC_is_all_you_need.

Toxic comment detection on social media has proven to be essential for content moderation. This paper compares a wide set of different models on a highly skewed multi-label hate speech dataset. We consider inference time and several metrics to measure performance and bias in our comparison. We show that all BERTs have similar performance regardless of the size, optimizations or language used to pre-train the models. RNNs are much faster at inference than any of the BERT. BiLSTM remains a good compromise between performance and inference time. RoBERTa with Focal Loss offers the best performance on biases and AUROC. However, DistilBERT combines both good AUROC and a low inference time. All models are affected by the bias of associating identities. BERT, RNN, and XLNet are less sensitive than the CNN and Compact Convolutional Transformers.

Automated slice classification is clinically relevant since it can be incorporated into medical image segmentation workflows as a preprocessing step that would flag slices with a higher probability of containing tumors, thereby directing physicians attention to the important slices. In this work, we train a ResNet-18 network to classify axial slices of lymphoma PET/CT images (collected from two institutions) depending on whether the slice intercepted a tumor (positive slice) in the 3D image or if the slice did not (negative slice). Various instances of the network were trained on 2D axial datasets created in different ways: (i) slice-level split and (ii) patient-level split; inputs of different types were used: (i) only PET slices and (ii) concatenated PET and CT slices; and different training strategies were employed: (i) center-aware (CAW) and (ii) center-agnostic (CAG). Model performances were compared using the area under the receiver operating characteristic curve (AUROC) and the area under the precision-recall curve (AUPRC), and various binary classification metrics. We observe and describe a performance overestimation in the case of slice-level split as compared to the patient-level split training. The model trained using patient-level split data with the network input containing only PET slices in the CAG training regime was the best performing/generalizing model on a majority of metrics. Our models were additionally more closely compared using the sensitivity metric on the positive slices from their respective test sets.

While there has been a growing research interest in developing out-of-distribution (OOD) detection methods, there has been comparably little discussion around how these methods should be evaluated. Given their relevance for safe(r) AI, it is important to examine whether the basis for comparing OOD detection methods is consistent with practical needs. In this work, we take a closer look at the go-to metrics for evaluating OOD detection, and question the approach of exclusively reducing OOD detection to a binary classification task with little consideration for the detection threshold. We illustrate the limitations of current metrics (AUROC & its friends) and propose a new metric - Area Under the Threshold Curve (AUTC), which explicitly penalizes poor separation between ID and OOD samples. Scripts and data are available at https://github.com/glhr/beyond-auroc

Radiographs are used as the most important imaging tool for identifying spine anomalies in clinical practice. The evaluation of spinal bone lesions, however, is a challenging task for radiologists. This work aims at developing and evaluating a deep learning-based framework, named VinDr-SpineXR, for the classification and localization of abnormalities from spine X-rays. First, we build a large dataset, comprising 10,468 spine X-ray images from 5,000 studies, each of which is manually annotated by an experienced radiologist with bounding boxes around abnormal findings in 13 categories. Using this dataset, we then train a deep learning classifier to determine whether a spine scan is abnormal and a detector to localize 7 crucial findings amongst the total 13. The VinDr-SpineXR is evaluated on a test set of 2,078 images from 1,000 studies, which is kept separate from the training set. It demonstrates an area under the receiver operating characteristic curve (AUROC) of 88.61% (95% CI 87.19%, 90.02%) for the image-level classification task and a mean average precision (mAP@0.5) of 33.56% for the lesion-level localization task. These results serve as a proof of concept and set a baseline for future research in this direction. To encourage advances, the dataset, codes, and trained deep learning models are made publicly available.

Visual anomaly classification and segmentation are vital for automating industrial quality inspection. The focus of prior research in the field has been on training custom models for each quality inspection task, which requires task-specific images and annotation. In this paper we move away from this regime, addressing zero-shot and few-normal-shot anomaly classification and segmentation. Recently CLIP, a vision-language model, has shown revolutionary generality with competitive zero-/few-shot performance in comparison to full-supervision. But CLIP falls short on anomaly classification and segmentation tasks. Hence, we propose window-based CLIP (WinCLIP) with (1) a compositional ensemble on state words and prompt templates and (2) efficient extraction and aggregation of window/patch/image-level features aligned with text. We also propose its few-normal-shot extension WinCLIP+, which uses complementary information from normal images. In MVTec-AD (and VisA), without further tuning, WinCLIP achieves 91.8%/85.1% (78.1%/79.6%) AUROC in zero-shot anomaly classification and segmentation while WinCLIP+ does 93.1%/95.2% (83.8%/96.4%) in 1-normal-shot, surpassing state-of-the-art by large margins.

This paper studies zero-shot anomaly classification (AC) and segmentation (AS) in industrial vision. We reveal that the abundant normal and abnormal cues implicit in unlabeled test images can be exploited for anomaly determination, which is ignored by prior methods. Our key observation is that for the industrial product images, the normal image patches could find a relatively large number of similar patches in other unlabeled images, while the abnormal ones only have a few similar patches. We leverage such a discriminative characteristic to design a novel zero-shot AC/AS method by Mutual Scoring (MuSc) of the unlabeled images, which does not need any training or prompts. Specifically, we perform Local Neighborhood Aggregation with Multiple Degrees (LNAMD) to obtain the patch features that are capable of representing anomalies in varying sizes. Then we propose the Mutual Scoring Mechanism (MSM) to leverage the unlabeled test images to assign the anomaly score to each other. Furthermore, we present an optimization approach named Re-scoring with Constrained Image-level Neighborhood (RsCIN) for image-level anomaly classification to suppress the false positives caused by noises in normal images. The superior performance on the challenging MVTec AD and VisA datasets demonstrates the effectiveness of our approach. Compared with the state-of-the-art zero-shot approaches, MuSc achieves a 21.1% PRO absolute gain (from 72.7% to 93.8%) on MVTec AD, a 19.4% pixel-AP gain and a 14.7% pixel-AUROC gain on VisA. In addition, our zero-shot approach outperforms most of the few-shot approaches and is comparable to some one-class methods. Code is available at https://github.com/xrli-U/MuSc.

Accurate detection of cardiac abnormalities from electrocardiogram recordings is regarded as essential for clinical diagnostics and decision support. Traditional deep learning models such as residual networks and transformer architectures have been applied successfully to this task, but their performance has been limited when long sequential signals are processed. Recently, state space models have been introduced as an efficient alternative. In this study, a hybrid framework named One Dimensional Convolutional Neural Network Electrocardiogram Mamba is introduced, in which convolutional feature extraction is combined with Mamba, a selective state space model designed for effective sequence modeling. The model is built upon Vision Mamba, a bidirectional variant through which the representation of temporal dependencies in electrocardiogram data is enhanced. Comprehensive experiments on the PhysioNet Computing in Cardiology Challenges of 2020 and 2021 were conducted, and superior performance compared with existing methods was achieved. Specifically, the proposed model achieved substantially higher AUPRC and AUROC scores than those reported by the best previously published algorithms on twelve lead electrocardiograms. These results demonstrate the potential of Mamba-based architectures to advance reliable ECG classification. This capability supports early diagnosis and personalized treatment, while enhancing accessibility in telemedicine and resource-constrained healthcare systems.

Interstitial lung diseases (ILD) present diagnostic challenges due to their varied manifestations and overlapping imaging features. To address this, we propose a machine learning approach that utilizes CLIP, a multimodal (image and text) self-supervised model, for ILD classification. We extensively integrate zero-shot CLIP throughout our workflow, starting from the initial extraction of image patches from volumetric CT scans and proceeding to ILD classification using "patch montages". Furthermore, we investigate how domain adaptive pretraining (DAPT) CLIP with task-specific images (CT "patch montages" extracted with ILD-specific prompts for CLIP) and/or text (lung-specific sections of radiology reports) affects downstream ILD classification performance. By leveraging CLIP-extracted "patch montages" and DAPT, we achieve strong zero-shot ILD classification results, including an AUROC of 0.893, without the need for any labeled training data. This work highlights the versatility and potential of multimodal models like CLIP for medical image classification tasks where labeled data is scarce.

Selective Classification, wherein models can reject low-confidence predictions, promises reliable translation of machine-learning based classification systems to real-world scenarios such as clinical diagnostics. While current evaluation of these systems typically assumes fixed working points based on pre-defined rejection thresholds, methodological progress requires benchmarking the general performance of systems akin to the AUROC in standard classification. In this work, we define 5 requirements for multi-threshold metrics in selective classification regarding task alignment, interpretability, and flexibility, and show how current approaches fail to meet them. We propose the Area under the Generalized Risk Coverage curve (AUGRC), which meets all requirements and can be directly interpreted as the average risk of undetected failures. We empirically demonstrate the relevance of AUGRC on a comprehensive benchmark spanning 6 data sets and 13 confidence scoring functions. We find that the proposed metric substantially changes metric rankings on 5 out of the 6 data sets.

Long-tailed chest X-ray classification requires visual representations that capture both common abnormalities and subtle, infrequent findings. We propose Med-AR-8B and Med-AR-2B, two radiology-native autoregressive vision-language models pretrained with structured reports, abnormality-focused text, and region annotations. We evaluate the transfer of their visual encoders to multi-label classification against contrastive, self-supervised, and supervised pretrained encoders, including Med-CLIP, CheXFound, EVA-Base, ARK, and BioViL-T, using a common ML-Decoder classification head. To assess fine-grained recognition, we also construct LLM-expanded, report-derived label sets for MIMIC-CXR and CheXpert. Across PadChest, MIMIC-CXR, and CheXpert, Med-AR-8B outperforms Med-CLIP in mean AUROC and AUPRC for head, medium, and tail findings. On MIMIC-CXR, it increases tail-label mean AUPRC from 0.1033 to 0.1441. Med-AR-2B achieves the strongest discrimination results on PadChest. Across the broader encoder comparison, a Med-AR variant achieves the highest mean AUROC and AUPRC in every reported prevalence group on each public dataset. Both Med-AR variants also achieve lower excess area under the risk-coverage curve than Med-CLIP on all three public datasets, indicating improved selective-prediction performance under the evaluated protocol. Internal results are metric-dependent, with Med-CLIP retaining advantages in overall and tail AUPRC and in selective prediction. These findings establish Med-AR as a strong pretraining recipe for long-tailed chest X-ray classification on the evaluated public benchmarks and demonstrate the value of assessing discrimination and selective prediction together.

Transformer-based models such as BERT have significantly advanced Natural Language Processing (NLP) across many languages. However, Nepali, a low-resource language written in Devanagari script, remains relatively underexplored. This study benchmarks multilingual, Indic, Hindi, and Nepali BERT variants to evaluate their effectiveness in Nepali topic classification. Ten pre-trained models, including mBERT, XLM-R, MuRIL, DevBERT, HindiBERT, IndicBERT, and NepBERTa, were fine-tuned and tested on the balanced Nepali dataset containing 25,006 sentences across five conceptual domains and the performance was evaluated using accuracy, weighted precision, recall, F1-score, and AUROC metrics. The results reveal that Indic models, particularly MuRIL-large, achieved the highest F1-score of 90.60%, outperforming multilingual and monolingual models. NepBERTa also performed competitively with an F1-score of 88.26%. Overall, these findings establish a robust baseline for future document-level classification and broader Nepali NLP applications.

Chest X-rays are widely used to diagnose thoracic diseases, but the lack of detailed information about these abnormalities makes it challenging to develop accurate automated diagnosis systems, which is crucial for early detection and effective treatment. To address this challenge, we employed deep learning techniques to identify patterns in chest X-rays that correspond to different diseases. We conducted experiments on the "ChestX-ray14" dataset using various pre-trained CNNs, transformers, hybrid(CNN+Transformer) models and classical models. The best individual model was the CoAtNet, which achieved an area under the receiver operating characteristic curve (AUROC) of 84.2%. By combining the predictions of all trained models using a weighted average ensemble where the weight of each model was determined using differential evolution, we further improved the AUROC to 85.4%, outperforming other state-of-the-art methods in this field. Our findings demonstrate the potential of deep learning techniques, particularly ensemble deep learning, for improving the accuracy of automatic diagnosis of thoracic diseases from chest X-rays. Code available at:https://github.com/syednabilashraf/SynthEnsemble

Aligning multilingual assistants with culturally grounded user preferences is essential for serving India's linguistically diverse population of over one billion speakers across multiple scripts. However, existing benchmarks either focus on a single language or conflate retrieval with generation, leaving open the question of whether current embedding models can encode persona-instruction compatibility without relying on response synthesis. We present a unified benchmark spanning 12 Indian languages and four evaluation tasks: monolingual and cross-lingual persona-to-instruction retrieval, reverse retrieval from instruction to persona, and binary compatibility classification. Eight multilingual embedding models are evaluated in a frozen-encoder setting with a thin logistic regression head for classification. E5-Large-Instruct achieves the highest Recall@1 of 27.4\% on monolingual retrieval and 20.7\% on cross-lingual transfer, while BGE-M3 leads reverse retrieval at 32.1\% Recall@1. For classification, LaBSE attains 75.3\% AUROC with strong calibration. These findings offer practical guidance for model selection in Indic multilingual retrieval and establish reproducible baselines for future work\footnote{Code, datasets, and models are publicly available at https://github.com/aryashah2k/PI-Indic-Align.

Anomaly detection is a critical task in industrial manufacturing, aiming to identify defective parts of products. Most industrial anomaly detection methods assume the availability of sufficient normal data for training. This assumption may not hold true due to the cost of labeling or data privacy policies. Additionally, mainstream methods require training bespoke models for different objects, which incurs heavy costs and lacks flexibility in practice. To address these issues, we seek help from Stable Diffusion (SD) model due to its capability of zero/few-shot inpainting, which can be leveraged to inpaint anomalous regions as normal. In this paper, a few-shot multi-class anomaly detection framework that adopts Stable Diffusion model is proposed, named AnomalySD. To adapt SD to anomaly detection task, we design different hierarchical text descriptions and the foreground mask mechanism for fine-tuning SD. In the inference stage, to accurately mask anomalous regions for inpainting, we propose multi-scale mask strategy and prototype-guided mask strategy to handle diverse anomalous regions. Hierarchical text prompts are also utilized to guide the process of inpainting in the inference stage. The anomaly score is estimated based on inpainting result of all masks. Extensive experiments on the MVTec-AD and VisA datasets demonstrate the superiority of our approach. We achieved anomaly classification and segmentation results of 93.6%/94.8% AUROC on the MVTec-AD dataset and 86.1%/96.5% AUROC on the VisA dataset under multi-class and one-shot settings.

The validity screen (Cacioli, 2026d, 2026e) classifies LLM confidence signals as Valid, Indeterminate, or Invalid. We test whether these classifications predict selective prediction performance. Twenty frontier LLMs from seven families were evaluated on 524 items across six cognitive tracks. Valid models show mean Type 2 AUROC = .624 (SD = .048). Invalid models show mean AUROC = .357 (SD = .231). Cohen's d = 2.81, p = .002. The tiers order monotonically: Invalid (.357) < Indeterminate (.554) < Valid (.624). Split-half cross-validation yields median d = 1.77, P(d > 0) = 1.0 across 1,000 splits. The three-tier classification accounts for 47% of the variance in AUROC. DeepSeek-R1 drops from 85.3% accuracy at full coverage to 11.3% at 10% coverage. The screen predicts the criterion. For selective prediction, the screen matters.

Adapting pretrained language models to novel domains, such as clinical applications, traditionally involves retraining their entire set of parameters. Parameter-Efficient Fine-Tuning (PEFT) techniques for fine-tuning language models significantly reduce computational requirements by selectively fine-tuning small subsets of parameters. In this study, we propose a two-step PEFT framework and evaluate it in the clinical domain. Our approach combines a specialised PEFT adapter layer designed for clinical domain adaptation with another adapter specialised for downstream tasks. We evaluate the framework on multiple clinical outcome prediction datasets, comparing it to clinically trained language models. Our framework achieves a better AUROC score averaged across all clinical downstream tasks compared to clinical language models. In particular, we observe large improvements of 4-5% AUROC in large-scale multilabel classification tasks, such as diagnoses and procedures classification. To our knowledge, this study is the first to provide an extensive empirical analysis of the interplay between PEFT techniques and domain adaptation in an important real-world domain of clinical applications.

Reliable uncertainty quantification is essential for deploying deep learning models in high-stakes settings, where out-of-distribution and adversarial inputs can induce confident but unreliable predictions. Evidential Deep Learning provides efficient uncertainty estimates in a single forward pass, but can still assign high evidential strength to inputs that are poorly supported by the learned representation, such as adversarial inputs. We introduce CLEAR, a lightweight, task-agnostic post-hoc method that improves evidential robustness without retraining or altering the base prediction. Using held-out calibration data, CLEAR characterises the group-conditioned geometry of the model's latent space. At inference, it efficiently generates perturbation views directly in the latent space and measures their conflict relative to the calibrated geometry of the predicted group. High latent conflict indicates unsupported evidence, which CLEAR uses to selectively reduce evidential strength while retaining evidence for latent-consistent inputs. On ImageNetrightarrowCUB, CLEAR improves OOD and adversarial AUROC by +8.29 and +5.01 while running 17.4times faster than competing post-hoc methods while preserving predictive performance across classification, regression, and object detection benchmarks.

Recent medical multimodal foundation models are built as multimodal LLMs (MLLMs) by connecting a CLIP-pretrained vision encoder to an LLM using LLaVA-style finetuning. This two-stage, decoupled approach introduces a projection layer that can distort visual features. This is especially concerning in medical imaging where subtle cues are essential for accurate diagnoses. In contrast, early-fusion generative approaches such as Chameleon eliminate the projection bottleneck by processing image and text tokens within a single unified sequence, enabling joint representation learning that leverages the inductive priors of language models. We present CheXmix, a unified early-fusion generative model trained on a large corpus of chest X-rays paired with radiology reports. We expand on Chameleon's autoregressive framework by introducing a two-stage multimodal generative pretraining strategy that combines the representational strengths of masked autoencoders with MLLMs. The resulting models are highly flexible, supporting both discriminative and generative tasks at both coarse and fine-grained scales. Our approach outperforms well-established generative models across all masking ratios by 6.0% and surpasses CheXagent by 8.6% on AUROC at high image masking ratios on the CheXpert classification task. We further inpaint images over 51.0% better than text-only generative models and outperform CheXagent by 45% on the GREEN metric for radiology report generation. These results demonstrate that CheXmix captures fine-grained information across a broad spectrum of chest X-ray tasks. Our code is at: https://github.com/StanfordMIMI/CheXmix.

Much of human health and function unfolds beyond the clinic, through the movements of everyday life. Wrist-worn accelerometers capture these movements continuously, yet their rich signals are often reduced to a small set of predefined behavioural summary measures. Here, we present Sensori, a self-supervised foundation model that learns general-purpose health representations directly from 24 hours of raw tri-axial wrist movement. We developed and evaluated the model across four population-based cohorts from the United Kingdom, China and the United States, comprising 122,640 participants contributing 683,617 person-days of free-living recordings. Sensori condensed each day of movement into a representation that captured diverse movement behaviours, demographic characteristics, health axes and physical function. Evaluation in independent cohorts showed that these representations generalised across populations and measurement settings without retraining. When added to common clinical covariates, Sensori significantly improved prevalent disease classification for 52 of 102 eligible conditions (median delta AUROC, 0.060; range, 0.012-0.242) and incident disease risk prediction for 26 of 87 eligible conditions (median delta Uno's C-index, 0.064; range, 0.025-0.172), with the largest gains for neurological and psychiatric disorders. These findings establish 24-hour wrist movement as a rich and scalable source of health information, with the potential to support passive health monitoring and disease prediction at population scale.

We present NV-Reason-CT, a generative vision--language model for chest and abdominal CT combining native 3D visual encoding with radiologist-guided reasoning. The model couples a native 3D vision transformer with a language model, passing all visual tokens and their explicit 3D coordinates into language decoding without further spatial token merging. This retains volumetric spatial information within the vision encoder and through the language model's positional encoding during joint processing with text. We train on a curated corpus of approximately 550,000 multimodal instruction examples from 70,111 unique CT image inputs, combining standardized reports, abnormality-focused and anatomy-specific questions, multi-turn interactions, and radiologist-authored reasoning from recorded and transcribed expert CT interpretations. Expert annotations provide direct supervision and guide additional report-grounded synthetic reasoning. End-to-end supervised fine-tuning (SFT) is followed by Group Relative Policy Optimization (GRPO), with verifiable rewards over chest and abdominal abnormality sets. The model supports abnormality classification, report generation, and interactive reasoning with reviewable observations, differential diagnoses, and uncertainty. Evaluation spans public CT benchmarks and a held-out NIH cohort. On CT-RATE, NV-Reason-CT achieves a macro-F1 of 0.614 and macro-AUROC of 0.871 without a task-specific classification head; generated reports achieve a report-derived macro-F1 of 0.592. In a preliminary study with expert radiologists, AI-assisted review received favorable confidence ratings and was associated with a 50% reduction in average reported interpretation and reporting time. We release the model and training code to support reproducible research on explainable AI for volumetric medical imaging.

Time series modeling is a well-established problem, which often requires that methods (1) expressively represent complicated dependencies, (2) forecast long horizons, and (3) efficiently train over long sequences. State-space models (SSMs) are classical models for time series, and prior works combine SSMs with deep learning layers for efficient sequence modeling. However, we find fundamental limitations with these prior approaches, proving their SSM representations cannot express autoregressive time series processes. We thus introduce SpaceTime, a new state-space time series architecture that improves all three criteria. For expressivity, we propose a new SSM parameterization based on the companion matrix -- a canonical representation for discrete-time processes -- which enables SpaceTime's SSM layers to learn desirable autoregressive processes. For long horizon forecasting, we introduce a "closed-loop" variation of the companion SSM, which enables SpaceTime to predict many future time-steps by generating its own layer-wise inputs. For efficient training and inference, we introduce an algorithm that reduces the memory and compute of a forward pass with the companion matrix. With sequence length ell and state-space size d, we go from O(d ell) na\"ively to O(d + ell). In experiments, our contributions lead to state-of-the-art results on extensive and diverse benchmarks, with best or second-best AUROC on 6 / 7 ECG and speech time series classification, and best MSE on 14 / 16 Informer forecasting tasks. Furthermore, we find SpaceTime (1) fits AR(p) processes that prior deep SSMs fail on, (2) forecasts notably more accurately on longer horizons than prior state-of-the-art, and (3) speeds up training on real-world ETTh1 data by 73% and 80% relative wall-clock time over Transformers and LSTMs.

Recently, large pre-trained vision-language models have shown remarkable performance in zero-shot anomaly detection (ZSAD). With fine-tuning on a single auxiliary dataset, the model enables cross-category anomaly detection on diverse datasets covering industrial defects and medical lesions. Compared to manually designed prompts, prompt learning eliminates the need for expert knowledge and trial-and-error. However, it still faces the following challenges: (i) static learnable tokens struggle to capture the continuous and diverse patterns of normal and anomalous states, limiting generalization to unseen categories; (ii) fixed textual labels provide overly sparse category information, making the model prone to overfitting to a specific semantic subspace. To address these issues, we propose Conditional Prompt Synthesis (CoPS), a novel framework that synthesizes dynamic prompts conditioned on visual features to enhance ZSAD performance. Specifically, we extract representative normal and anomaly prototypes from fine-grained patch features and explicitly inject them into prompts, enabling adaptive state modeling. Given the sparsity of class labels, we leverage a variational autoencoder to model semantic image features and implicitly fuse varied class tokens into prompts. Additionally, integrated with our spatially-aware alignment mechanism, extensive experiments demonstrate that CoPS surpasses state-of-the-art methods by 2.5% AUROC in both classification and segmentation across 13 industrial and medical datasets. Code will be available at https://github.com/cqylunlun/CoPS.

Pretrained transformers readily adapt to new sequence modeling tasks via zero-shot prompting, but relational domains still lack architectures that transfer across datasets and tasks. The core challenge is the diversity of relational data, with varying heterogeneous schemas, graph structures and functional dependencies. In this paper, we present the Relational Transformer (RT) architecture, which can be pretrained on diverse relational databases and directly applied to unseen datasets and tasks without task- or dataset-specific fine-tuning, or retrieval of in-context examples. RT (i) tokenizes cells with table/column metadata, (ii) is pretrained via masked token prediction, and (iii) utilizes a novel Relational Attention mechanism over columns, rows, and primary-foreign key links. Pretrained on RelBench datasets spanning tasks such as churn and sales forecasting, RT attains strong zero-shot performance, averaging 94% of fully supervised AUROC on binary classification tasks with a single forward pass of a 22M parameter model, as opposed to 84% for a 27B LLM. Fine-tuning yields state-of-the-art results with high sample efficiency. Our experiments show that RT's zero-shot transfer harnesses task-table context, relational attention patterns and schema semantics. Overall, RT provides a practical path toward foundation models for relational data.

Despite recent advances in medical vision-language pretraining, existing models still struggle to capture the diagnostic workflow: radiographs are typically treated as context-agnostic images, while radiologists' gaze -- a crucial cue for visual reasoning -- remains largely underexplored by existing methods. These limitations hinder the modeling of disease-specific patterns and weaken cross-modal alignment. To bridge this gap, we introduce CoGaze, a Context- and Gaze-guided vision-language pretraining framework for chest X-rays. We first propose a context-infused vision encoder that models how radiologists integrate clinical context -- including patient history, symptoms, and diagnostic intent -- to guide diagnostic reasoning. We then present a multi-level supervision paradigm that (1) enforces intra- and inter-modal semantic alignment through hybrid-positive contrastive learning, (2) injects diagnostic priors via disease-aware cross-modal representation learning, and (3) leverages radiologists' gaze as probabilistic priors to guide attention toward diagnostically salient regions. Extensive experiments demonstrate that CoGaze consistently outperforms state-of-the-art methods across diverse tasks, achieving up to +2.0% CheXbertF1 and +1.2% BLEU2 for free-text and structured report generation, +23.2% AUROC for zero-shot classification, and +12.2% Precision@1 for image-text retrieval. Code is available at https://github.com/mk-runner/CoGaze.

Vision-language models (VLMs) trained on paired chest radiographs and radiology reports learn a shared embedding space that can preserve instance-level image-report correspondence. This poses a privacy risk in settings where radiographs and reports are deliberately kept separate after acquisition, such as image-only data sharing or access-controlled reports, because a de-identified image may be re-linked to its original narrative report through cosine similarity alone. We formalized this as image-to-report retrieval and used public paired cohorts, in which the true pairing is known by design, as ground-truth benchmarks to audit the risk rather than as the privacy scenario. Evaluating VLMs of increasing clinical specialization on 406,241 paired examples from 126,804 patients across MIMIC-CXR (43,793 held-out pairs) and external CheXpert Plus (29,296 pairs), we found that re-linkage rose systematically with specialization: the strongest VLM retrieved the correct report at 15 times chance at a candidate pool of N = 100, 50 times chance at N = 10,000, and well above chance at full-database scale. The signal persisted under pathology-matched hard negatives that removed disease-label shortcuts, indicating correspondence beyond broad diagnostic categories. To reduce it without retraining, we froze both encoders and applied differentially private optimization only to the projection heads defining the alignment layer (epsilon = 0.34, delta = 6x10-6). This reduced Recall@1 by 61.8% at N = 10,000 on MIMIC-CXR and transferred to CheXpert Plus without retraining, while image-side utility was largely preserved: macro AUROC for linear-probe classification across 14 labels shifted only from 79.63% to 79.43%. Targeted DP finetuning of the shared alignment layer can substantially reduce cross-modal re-linkage without materially degrading the image representations that make these models clinically useful.

Power line maintenance and inspection are essential to avoid power supply interruptions, reducing its high social and financial impacts yearly. Automating power line visual inspections remains a relevant open problem for the industry due to the lack of public real-world datasets of power line components and their various defects to foster new research. This paper introduces InsPLAD, a Power Line Asset Inspection Dataset and Benchmark containing 10,607 high-resolution Unmanned Aerial Vehicles colour images. The dataset contains seventeen unique power line assets captured from real-world operating power lines. Additionally, five of those assets present six defects: four of which are corrosion, one is a broken component, and one is a bird's nest presence. All assets were labelled according to their condition, whether normal or the defect name found on an image level. We thoroughly evaluate state-of-the-art and popular methods for three image-level computer vision tasks covered by InsPLAD: object detection, through the AP metric; defect classification, through Balanced Accuracy; and anomaly detection, through the AUROC metric. InsPLAD offers various vision challenges from uncontrolled environments, such as multi-scale objects, multi-size class instances, multiple objects per image, intra-class variation, cluttered background, distinct point-of-views, perspective distortion, occlusion, and varied lighting conditions. To the best of our knowledge, InsPLAD is the first large real-world dataset and benchmark for power line asset inspection with multiple components and defects for various computer vision tasks, with a potential impact to improve state-of-the-art methods in the field. It will be publicly available in its integrity on a repository with a thorough description. It can be found at https://github.com/andreluizbvs/InsPLAD.

A foundation encoder is pretrained once on a large image corpus and then reused with its weights frozen. Each new task is solved by training a small head on the features it produces. This setup is common in medical imaging, where labeled cases are scarce and a frozen encoder can be reused across findings. All downstream tasks then depend on the class separation present in that fixed feature space. Encoder selection usually uses the area under the receiver operating characteristic curve (AUROC) of a trained downstream head. AUROC measures the predictive information a head can extract from the features, but it does not measure class separation in the frozen feature space. A positive image that lies near a negative image in feature space has a bounded normalized margin under any Lipschitz head. Chance-calibrated neighborhood discordance (CANDOR) measures this feature-space separation without training a head. For a positive image, it compares the k nearest positive-label neighbors with the k nearest negative-label neighbors, among images acquired the same way. Discordance rate D is the share of positives whose opposite-label neighbors are nearer. Drawing the 2 candidate sets at equal size makes the labels interchangeable, so label-independent features have chance level D=1/2 without simulation. We apply CANDOR to 22 frozen encoders on 605,443 images from 20 public datasets, covering 8 binary tasks in 7 domains. On every task, the best encoder is below 1/2. A discordant image bounds the normalized margin of every Lipschitz head on that encoder. A selector that is shown the true label and chooses among 11 encoders reduces the miss rate from 0.359 to 0.028. Discordance is associated with occlusion retention and with none of pretraining objective, parameter count, release year, or finding size. The fixed chance level lets D be computed for a frozen encoder before any downstream head is trained.

Large Language Models (LLMs) increasingly shape political discourse, yet exhibit inconsistent responses when challenged. While prior research categorizes LLMs as left- or right-leaning based on single-prompt responses, a critical question remains: Do these classifications reflect stable ideologies or superficial mimicry? Existing methods cannot distinguish between genuine ideological alignment and performative text generation. To address this, we propose a framework for evaluating ideological depth through (1) argumentative consistency and (2) uncertainty quantification. Testing 12 LLMs on 19 economic policies from the Political Compass Test, we classify responses as stable or performative ideological positioning. Results show 95% of left-leaning models and 89% of right-leaning models demonstrate behavior consistent with our classifications across different experimental conditions. Furthermore, semantic entropy strongly validates our classifications (AUROC=0.78), revealing uncertainty's relationship to ideological consistency. Our findings demonstrate that ideological stability is topic-dependent and challenge the notion of monolithic LLM ideologies, and offer a robust way to distinguish genuine alignment from performative behavior.

Few-shot industrial anomaly detection requires modeling category-specific normality from only a handful of defect-free images. Common approaches tie inference to stored exemplars, impose rigid linear structure, or risk reproducing anomalous content. Flownomaly instead casts the problem as normal-counterpart recovery in frozen DINOv2 feature space. Given normal supports, a velocity field is learned through conditional flow matching over frozen patch tokens to transport Gaussian noise toward normal features. Along straight paths, a single recovery step using one evaluation of the optimal field yields the posterior mean of the clean normal token without trajectory integration. The operating time governs how strongly recovery modifies a query token. With no anomalous validation samples available for tuning, a normal-only Jacobian gain-to-noise criterion selects this time from the supports alone. Squared residuals between query tokens and their recovered counterparts yield anomaly signals for both dense localization and image-level detection. Across 1-, 2-, and 4-shot benchmarks on MVTec-AD and VisA, together with sample-shot evaluations on Real-IAD, Flownomaly achieves state-of-the-art performance against recent category-specific methods. In the 1-shot setting, image- and pixel-level AUROC reach 97.8% and 98.0% on MVTec-AD and 95.3% and 98.7% on VisA, with a 2.1-point image-level AUROC improvement over the strongest baseline on VisA. Code is available at https://github.com/b-rbmp/Flownomaly.

To examine whether collector-generated terminal labels on the pump.fun platform can be interpreted as platform-side graduation outcomes, and whether a pre-registered logistic association model generalises across a subsequent temporal holdout of the same cohort. A frozen primary cohort of 749,816 unique mints recorded by a V3 off-chain collector between 12 May 2026 and 10 June 2026 is analysed. The design combines a source-code and reconstructed-state measurement audit of the collector's terminal-classification mechanism with a pre-registered locked logistic association model fitted on a 15-day development cohort and evaluated on a subsequent 14-day validation cohort under the pre-registered stability-gate framework. Calendar-day cluster-robust covariance and day-block bootstrap procedures assess uncertainty. Development discrimination is high (AUROC 0.8594), but the model does not generalise to the held-out validation cohort (AUROC 0.4642; 500 of 500 successful bootstrap replicates; 95% percentile interval [0.4112, 0.5196] containing 0.5000). Validation calibration deteriorates substantially (slope 0.013, intercept +2.816); the market-cap functional form is not stable across pre-registered specifications; and of nine automated evaluations, two pass, six fail, and one is not evaluable. The collector's TIMEOUT label does not establish platform-side non-graduation. The paper treats outcome ascertainment as a first-order measurement problem rather than assuming that an off-chain collector's terminal classification measures the platform-side event. It pairs this audit with a pre-registered held-out temporal-generalisation test and reports the resulting negative finding as registered, alongside a fully reproducible correction history.

Recent advances in visual anomaly detection research have seen AUROC and AUPRO scores on public benchmark datasets such as MVTec and VisA converge towards perfect recall, giving the impression that these benchmarks are near-solved. However, high AUROC and AUPRO scores do not always reflect qualitative performance, which limits the validity of these metrics in real-world applications. We argue that the artificial ceiling imposed by the lack of an adequate evaluation metric restrains progression of the field, and it is crucial that we revisit the evaluation metrics used to rate our algorithms. In response, we introduce Per-IMage Overlap (PIMO), a novel metric that addresses the shortcomings of AUROC and AUPRO. PIMO retains the recall-based nature of the existing metrics but introduces two distinctions: the assignment of curves (and respective area under the curve) is per-image, and its X-axis relies solely on normal images. Measuring recall per image simplifies instance score indexing and is more robust to noisy annotations. As we show, it also accelerates computation and enables the usage of statistical tests to compare models. By imposing low tolerance for false positives on normal images, PIMO provides an enhanced model validation procedure and highlights performance variations across datasets. Our experiments demonstrate that PIMO offers practical advantages and nuanced performance insights that redefine anomaly detection benchmarks -- notably challenging the perception that MVTec AD and VisA datasets have been solved by contemporary models. Available on GitHub: https://github.com/jpcbertoldo/aupimo.

Background: AI-driven prediction algorithms have the potential to enhance emergency medicine by enabling rapid and accurate decision-making regarding patient status and potential deterioration. However, the integration of multimodal data, including raw waveform signals, remains underexplored in clinical decision support. Methods: We present a dataset and benchmarking protocol designed to advance multimodal decision support in emergency care. Our models utilize demographics, biometrics, vital signs, laboratory values, and electrocardiogram (ECG) waveforms as inputs to predict both discharge diagnoses and patient deterioration. Results: The diagnostic model achieves area under the receiver operating curve (AUROC) scores above 0.8 for 609 out of 1,428 conditions, covering both cardiac (e.g., myocardial infarction) and non-cardiac (e.g., renal disease, diabetes) diagnoses. The deterioration model attains AUROC scores above 0.8 for 14 out of 15 targets, accurately predicting critical events such as cardiac arrest, mechanical ventilation, ICU admission, and mortality. Conclusions: Our study highlights the positive impact of incorporating raw waveform data into decision support models, improving predictive performance. By introducing a unique, publicly available dataset and baseline models, we provide a foundation for measurable progress in AI-driven decision support for emergency care.

Background and Objective: Radiation pneumonitis (RP) is a side effect of thoracic radiation therapy. Recently, Machine learning (ML) models enhanced with radiomic and dosiomic features provide better predictions by incorporating spatial information beyond DVHs. However, to improve the clinical decision process, we propose to use uncertainty quantification (UQ) to improve the confidence in model prediction. This study evaluates the impact of post hoc UQ methods on the discriminative performance and calibration of ML models for RP prediction. Methods: This study evaluated four ML models: logistic regression (LR), support vector machines (SVM), extreme gradient boosting (XGB), and random forest (RF), using radiomic, dosiomic, and dosimetric features to predict RP. We applied UQ methods, including Patt scaling, isotonic regression, Venn-ABERS predictor, and Conformal Prediction, to quantify uncertainty. Model performance was assessed through Area Under the Receiver Operating Characteristic curve (AUROC), Area Under the Precision-Recall Curve (AUPRC), and Adaptive Calibration Error (ACE) using Leave-One-Out Cross-Validation (LOO-CV). Results: UQ methods enhanced predictive performance, particularly for high-certainty predictions, while also improving calibration. Radiomic and dosiomic features increased model accuracy but introduced calibration challenges, especially for non-linear models like XGB and RF. Performance gains from UQ methods were most noticeable at higher certainty thresholds. Conclusion: Integrating UQ into ML models with radiomic and dosiomic features improves both predictive accuracy and calibration, supporting more reliable clinical decision-making. The findings emphasize the value of UQ methods in enhancing applicability of predictive models for RP in healthcare settings.

We present Pangram 4, the latest deep-learning-based AI-text classification model from Pangram Labs. We achieve an AUROC of 0.9916 with a false positive rate of 0.0041% and a false negative rate of 0.3396%. In addition to its increased overall accuracy compared with Pangram 3, Pangram 4 exhibits superior out-of-distribution generalization and robustness to adversarial attacks. Another novel contribution of Pangram 4 is its improved ability to distinguish fine-grained edits and mixed AI-human co-authored text. We demonstrate improvements to both boundary detection tasks and the detection of interleaved AI assistance. Finally, we report metrics on standard AI detection benchmarks showing that Pangram 4 achieves state-of-the-art performance on the AI text detection task across a wide variety of settings and domains.

The increasing prevalence of lumbar spinal canal stenosis has resulted in a surge of MRI (Magnetic Resonance Imaging), leading to labor-intensive interpretation and significant inter-reader variability, even among expert radiologists. This paper introduces a novel and efficient deep-learning framework that fully automates the grading of lumbar spinal canal stenosis. We demonstrate state-of-the-art performance in grading spinal canal stenosis on a dataset of 1,975 unique studies, each containing three distinct types of 3D cross-sectional spine images: Axial T2, Sagittal T1, and Sagittal T2/STIR. Employing a distinctive training strategy, our proposed multistage approach effectively integrates sagittal and axial images. This strategy employs a multi-view model with a sequence-based architecture, optimizing feature extraction and cross-view alignment to achieve an AUROC (Area Under the Receiver Operating Characteristic Curve) of 0.971 in spinal canal stenosis grading surpassing other state-of-the-art methods.

While auditing a perturbation-based OOD detector on a document benchmark, we recorded an AUROC of 0.326 -- well below the 0.5 chance level. The cause is a benchmark leak: the designated "OOD" class is one the model was trained on, so its examples sit inside the in-distribution fit set and the detector is penalized for correctly ranking them as familiar. Deleting the class and retraining 35 models across two domains raises the score to 0.911. We distill the contamination into a leak fingerprint -- near-perfect supervised decodability (AUROC approximately 1) coupled with unsupervised detection collapsed below 0.65 -- and validate it on a controlled battery of 52 settings (20 leaked, 32 clean) across ResNet-50 and ViT-B/16 on CIFAR-10/100, achieving sensitivity 18/20 and specificity 31/32 in embedding space; the matched fit-set-exclusion controls are perfect at 20/20. An in-the-wild audit of 24 standard near/far OOD benchmark pairs fires on exactly one (the intrinsically hard CIFAR-100 vs CIFAR-10 pair) and on no far-OOD pair, confirming specificity and that standard cross-dataset construction is clean. Under the corrected protocol, perturbation signals are decodable but not detectable: a supervised reader recovers the OOD signal (AUROC 0.87-1.00) while no unsupervised detector does, and the perturbation method does not improve on plain Mahalanobis distance. We provide a theoretical account of why and, for transparency, retract an earlier circular correlation. The contributions are a corrected protocol and a validated leak diagnostic, not a new OOD method.

Received OFDM grids preserve both pilot and payload observations, yet wireless foundation models are rarely pre-trained on them. We introduce LWM-TF, a 9.58M-parameter factorized masked autoencoder pre-trained on complex 5G NR uplink grids taken after the FFT and before channel estimation. Each block attends first across OFDM symbols and then across resource blocks and receive antennas, and the mask follows the same two axes. Because the payload phase is unpredictable, the model reconstructs the normalized log-power of each masked token and predicts its scale separately; ablations show that the two terms are complementary and that this target outperforms complex-signal reconstruction. The encoder is pre-trained on 850,496 physical uplink shared channel (PUSCH) slots from a 10^6-slot dataset simulated with the NR transmit chain under various channel conditions. With the encoder frozen, linear probes classify modulation, predict CRC success, and detect UE mobility. On a separately generated test set, 16 labeled slots per class give 0.85 modulation accuracy, 0.82 CRC area under the ROC curve (AUROC), and 0.73 mobility AUROC, ahead of a supervised CNN on every paired draw. With 10,000 labels the probes reach 0.94, 0.96, and 0.92, well above engineered receiver statistics, and detect mobility where the CNN stays at chance. Without any impairment labels, distances in the frozen feature space flag unseen waveform impairments with 0.78 macro AUROC, against 0.68 for receiver statistics. A single pre-trained encoder thus provides receiver features that transfer across tasks, most strongly when labels are scarce.

Linear probes trained on LLM activations are increasingly proposed as deception-detection metrics, yet report AUROC exceeding 0.96 on clean benchmarks while collapsing under distributional shift. This paper systematically pressure-tests probe-based metrics across the Gemma 3 model family (1B-27B parameters), diagnosing why they fail rather than merely documenting that they fail. We test four hypotheses about deception encoding: (1) single linear direction, (2) multi-dimensional subspace, (3) convex conic hull, (4) entropy proxy. Our design includes cross-domain transfer matrices, multi-dimensional probe analysis with permutation null baselines, entropy-residualization tests, and distractor evaluations across 8 stylistic shifts. We find that: (a) probes achieve near-perfect AUROC (>=0.998) on clean data but collapse under stylistic shifts; style-augmented probes recover near-perfect detection (mean AUROC 0.979-0.983) on unseen styles; (b) the single-direction hypothesis is rejected (k=1 captures only 0.61-0.80 AUROC), with cross-domain transfer failure confirmed as geometric rather than layer-mismatch-driven; (c) the entropy-proxy hypothesis is rejected (max |rho|=0.454, max Delta-AUROC after residualization=0.004); and (d) deception does not form a significant linear subspace (per-domain k*=0), yet multi-dimensional probes (k>=5) recover the signal through distributed sub-threshold features. Probe fragility reflects distributional narrowness rather than an architectural limitation: style-augmented probes recover near-perfect detection at both 4B and 27B, establishing that the inverse scaling pattern is a training-distribution artifact rather than a genuine scale-dependent phenomenon.

This study presents a deep learning system for breast cancer detection in mammography, developed using a modified EfficientNetV2 architecture with enhanced attention mechanisms. The model was trained on mammograms from a major Thai medical center and validated on three distinct datasets: an in-domain test set (9,421 cases), a biopsy-confirmed set (883 cases), and an out-of-domain generalizability set (761 cases) collected from two different hospitals. For cancer detection, the model achieved AUROCs of 0.89, 0.96, and 0.94 on the respective datasets. The system's lesion localization capability, evaluated using metrics including Lesion Localization Fraction (LLF) and Non-Lesion Localization Fraction (NLF), demonstrated robust performance in identifying suspicious regions. Clinical validation through concordance tests showed strong agreement with radiologists: 83.5% classification and 84.0% localization concordance for biopsy-confirmed cases, and 78.1% classification and 79.6% localization concordance for out-of-domain cases. Expert radiologists' acceptance rate also averaged 96.7% for biopsy-confirmed cases, and 89.3% for out-of-domain cases. The system achieved a System Usability Scale score of 74.17 for source hospital, and 69.20 for validation hospitals, indicating good clinical acceptance. These results demonstrate the model's effectiveness in assisting mammogram interpretation, with the potential to enhance breast cancer screening workflows in clinical practice.

We report that model quantisation restructures domain-level metacognitive efficiency in LLMs rather than degrading it uniformly. Evaluating Llama-3-8B-Instruct on the same 3,000 questions at Q5_K_M and f16 precision, we find that M-ratio profiles across four knowledge domains are uncorrelated between formats (Spearman rho = 0.00). Arts & Literature moves from worst-monitored (M-ratio = 0.606 at Q5_K_M) to best-monitored (1.542 at f16). Geography moves from well-monitored (1.210) to under-monitored (0.798). However, Type-2 AUROC profiles are perfectly stable across formats (rho = 1.00), localising the restructuring to the M-ratio normalisation rather than the underlying discrimination signal. This finding emerged from a pre-registered attempt to improve metacognition through domain-conditional training. We prescribed confidence-amplification SFT for the diagnosed weak domain, with matched-budget agnostic and wrong-prescription controls. All four confirmatory hypotheses were null (10,000 bootstrap resamples, seed = 42). The training successfully reshaped confidence distributions, doubling the NLP gap in Science from 0.076 to 0.152, but did not improve meta-d' because the diagnostic profile did not transfer across formats. Any system relying on domain-level M-ratio profiles has an unexamined dependency on inference format. Systems using AUROC_2 are safer. We release all code, pre-registrations, and trial-level data.

Accurate inpatient risk prediction requires modeling heterogeneous clinical evidence that accumulates irregularly over time. This challenge spans in-hospital mortality, prolonged length of stay, and readmission, each with task-specific observation windows. Existing multimodal approaches combine structured health record data, chest x-rays, and clinical text, but primarily focus on modality fusion or missing-modality compensation, with limited attention to temporal trajectories over an admission. We propose TRACE (TRAjectory modeling of multimodal Clinical Events), a daily-scale framework organizing clinical events into day-level trajectories, separating day-invariant global context from day-specific local events drawn from EHR data, chest x-rays, radiology reports, and discharge summaries. The trajectory is encoded using temporal attention, allowing unavailable modalities to emit no tokens. A phenotype-guided contrastive objective further organizes admissions under heterogeneous disease distributions. Across cohorts from MIMIC-IV, eICU, and MIMIC-III comprising nearly 180,000 total stays, we evaluate TRACE on mortality, length of stay, and readmission prediction. TRACE achieves the highest AUROC across all nine dataset-task settings and the highest ACC in eight, outperforming baselines. Ablation studies validate our attention masks and contrastive learning, while trajectory-level attribution localizes risk-associated hospital days and modalities.

Small instruct-tuned LLMs produce degenerate verbal confidence under minimal elicitation: ceiling rates above 95%, near-chance Type-2 AUROC, and Invalid validity profiles. We test whether confidence-conditioned supervised fine-tuning (CSFT) with self-consistency-derived targets can close the gap between internal information and verbal readout. A pre-registered Phase 0 protocol on Gemma 3 4B-it with a modal filter restricting training to items with correct modal answers produced a negative result: AUROC2 dropped from 0.554 to 0.509 due to label-entropy collapse in the training targets. An exploratory rescue removed the filter, training on all 2,000 calibration items. This produced a binary verbal correctness discriminator with AUROC2 = 0.774 on held-out TriviaQA, compressing a 10-sample self-consistency signal (AUROC2 = 0.999) into a single-pass readout exceeding logit entropy (0.701). The shuffled-target control showed no improvement (0.501). On MMLU, accuracy improved from 54.2% to 77.4% with the shuffled model at baseline (56.1%), supporting a target-dependent interpretation. The result is exploratory, binary rather than continuously calibrated, and observed at a single scale. It identifies two design lessons: confidence training requires label entropy, and correct targets regularise output format.

Clinical prognosis requires integrating structured measurements, physiological waveforms, longitudinal history, and population context. We introduce PRISM (Population-Retrieved Inference for Structured Multimodal Prognosis), a multimodal language model that combines per-feature numerical tokenization, recency-weighted aggregation of longitudinal ECGs, and a dual-modality population memory bank. Retrieval operates in representation space: the model receives mean-pooled embeddings of similar training-cohort encounters, while no individual retrieved record enters the prompt. On the 1,443-task MDS-ED benchmark, PRISM achieves AUROCs of 86.2% for diagnosis, 93.1% for deterioration, 91.8% for ICU admission, and 92.8% for mortality. These results use a 96-hour pre-arrival window unavailable to reported baselines. With benchmark-window inputs only, PRISM reaches 0.8895 AUROC, compared with 0.8937 for UniPACT and 0.8889 for MDS-ED. A matched-input compact fusion model using the same five evidence streams and frozen encoders reaches 0.7652 AUROC, versus 0.9092 for PRISM. Replacing numerical EHR encoding with text serialization reduces AUROC by 3.66 points; removing pre-arrival history reduces it by 1.97 points; and zeroing retrieval reduces it by 0.99 points. Genuine retrieval outperforms random-neighbor retrieval by 0.97 macro-average points, although a paired task-level sign test does not establish a uniform advantage (p=0.067). On the external MC-MED cohort, supervised fine-tuning reaches 0.8611 AUROC, compared with 0.8227 for locally trained gradient boosting and 0.7841 for source-only PRISM. These results support structure-aware multimodal integration and supervised external adaptation.

We introduce MURA, a large dataset of musculoskeletal radiographs containing 40,561 images from 14,863 studies, where each study is manually labeled by radiologists as either normal or abnormal. To evaluate models robustly and to get an estimate of radiologist performance, we collect additional labels from six board-certified Stanford radiologists on the test set, consisting of 207 musculoskeletal studies. On this test set, the majority vote of a group of three radiologists serves as gold standard. We train a 169-layer DenseNet baseline model to detect and localize abnormalities. Our model achieves an AUROC of 0.929, with an operating point of 0.815 sensitivity and 0.887 specificity. We compare our model and radiologists on the Cohen's kappa statistic, which expresses the agreement of our model and of each radiologist with the gold standard. Model performance is comparable to the best radiologist performance in detecting abnormalities on finger and wrist studies. However, model performance is lower than best radiologist performance in detecting abnormalities on elbow, forearm, hand, humerus, and shoulder studies. We believe that the task is a good challenge for future research. To encourage advances, we have made our dataset freely available at https://stanfordmlgroup.github.io/competitions/mura .

An approach to the construction of classifiers from imbalanced datasets is described. A dataset is imbalanced if the classification categories are not approximately equally represented. Often real-world data sets are predominately composed of "normal" examples with only a small percentage of "abnormal" or "interesting" examples. It is also the case that the cost of misclassifying an abnormal (interesting) example as a normal example is often much higher than the cost of the reverse error. Under-sampling of the majority (normal) class has been proposed as a good means of increasing the sensitivity of a classifier to the minority class. This paper shows that a combination of our method of over-sampling the minority (abnormal) class and under-sampling the majority (normal) class can achieve better classifier performance (in ROC space) than only under-sampling the majority class. This paper also shows that a combination of our method of over-sampling the minority class and under-sampling the majority class can achieve better classifier performance (in ROC space) than varying the loss ratios in Ripper or class priors in Naive Bayes. Our method of over-sampling the minority class involves creating synthetic minority class examples. Experiments are performed using C4.5, Ripper and a Naive Bayes classifier. The method is evaluated using the area under the Receiver Operating Characteristic curve (AUC) and the ROC convex hull strategy.

Context can change whether a request is harmful without changing its topic or surface form. We ask whether residual-stream probes distinguish harmful requests from surface-matched benign controls at a useful operating point. Across three 7-8B model families, an activation sensor blocks 95.5-97.7 percent of judge-classified compliant attacks in a taxonomy-selected set. It also blocks 59.6-68.4 percent of XSTest prompts. A fully disjoint audit reconstructs near-ceiling source-contrast AUROC (0.996-0.999), but fixed transfer to matched pairs is weaker: 0.656-0.819 on the guard-selected Twin-n70 subset and 0.590-0.690 on the full Twin-n163 cohort. We test ten axes on the reference family and seven across all families with leakage, hold-out, and permutation controls. On Twin-n163, no axis evaluated without direct pair-boundary fitting reaches the specified numerical threshold. Requiring persistence on that full cohort was added at analysis time. A separately specified 24B/32B extension gives the same result. Pair-trained classifiers weaken under category and generation-batch hold-out and false-block 79.6-100 percent of XSTest at 95 percent in-corpus TPR. At the tested read points, these activation scores behave as broad-risk detectors rather than standalone context adjudicators.

Hospital readmission is a crucial healthcare quality measure that helps in determining the level of quality of care that a hospital offers to a patient and has proven to be immensely expensive. It is estimated that more than $25 billion are spent yearly due to readmission of diabetic patients in the USA. This paper benchmarks existing models and proposes a new embedding based state-of-the-art deep neural network(DNN). The model can identify whether a hospitalized diabetic patient will be readmitted within 30 days or not with an accuracy of 95.2% and Area Under the Receiver Operating Characteristics(AUROC) of 97.4% on data collected from 130 US hospitals between 1999-2008. The results are encouraging with patients having changes in medication while admitted having a high chance of getting readmitted. Identifying prospective patients for readmission could help the hospital systems in improving their inpatient care, thereby saving them from unnecessary expenditures.

The reliance on Deep Neural Network (DNN)-based classifiers in safety-critical and real-world applications necessitates Open-Set Recognition (OSR). OSR enables the identification of input data from classes unknown during training as unknown, as opposed to misclassifying them as belonging to a known class. DNNs consist of a feature extraction backbone and classifier head; however, most OSR methods typically train both components jointly, often yielding feature representations that adapt poorly to unknown data. Other approaches employ off-the-shelf objectives, such as supervised contrastive learning, which are not specifically designed for OSR. To address these limitations, we propose SpHOR, which explicitly shapes the feature space via supervised representation learning, before training a classifier. Instead of relying on generic feature learning, SpHOR custom-designs representation learning for OSR through three key innovations: (1) enforcing discriminative class-specific features via orthogonal label embeddings, ensuring clearer separation between classes. (2) imposing a spherical constraint, modeling representations as a mixture of von Mises-Fisher distributions. (3) integrating Mixup and Label Smoothing (LS) directly into the representation learning stage. To quantify how these techniques enhance representations for OSR, we introduce two metrics: the Angular Separability (AS) and Norm Separability (NS). Combining all three innovations, SpHOR achieves state-of-the-art results (in AUROC and OSCR) across various coarse-grained and fine-grained open-set benchmarks, particularly excelling on the Semantic Shift Benchmark with improvements up to 5.1\%. Code at https://github.com/nadarasarbahavan/SpHOR

We present a novel framework for leveraging synthetic ICU time-series data not only to train but also to rigorously and trustworthily evaluate predictive models, both at the population level and within fine-grained demographic subgroups. Building on prior diffusion and VAE-based generators (TimeDiff, HealthGen, TimeAutoDiff), we introduce Enhanced TimeAutoDiff, which augments the latent diffusion objective with distribution-alignment penalties. We extensively benchmark all models on MIMIC-III and eICU, on 24-hour mortality and binary length-of-stay tasks. Our results show that Enhanced TimeAutoDiff reduces the gap between real-on-synthetic and real-on-real evaluation (``TRTS gap'') by over 70\%, achieving Δ_{TRTS} leq 0.014 AUROC, while preserving training utility (Δ_{TSTR} approx 0.01). Crucially, for 32 intersectional subgroups, large synthetic cohorts cut subgroup-level AUROC estimation error by up to 50\% relative to small real test sets, and outperform them in 72--84\% of subgroups. This work provides a practical, privacy-preserving roadmap for trustworthy, granular model evaluation in critical care, enabling robust and reliable performance analysis across diverse patient populations without exposing sensitive EHR data, contributing to the overall trustworthiness of Medical AI.

Out-of-distribution (OOD) detection aims to detect testing samples far away from the in-distribution (ID) training data, which is crucial for the safe deployment of machine learning models in the real world. Distance-based OOD detection methods have emerged with enhanced deep representation learning. They identify unseen OOD samples by measuring their distances from ID class centroids or prototypes. However, existing approaches learn the representation relying on oversimplified data assumptions, e.g, modeling ID data of each class with one centroid class prototype or using loss functions not designed for OOD detection, which overlook the natural diversities within the data. Naively enforcing data samples of each class to be compact around only one prototype leads to inadequate modeling of realistic data and limited performance. To tackle these issues, we propose PrototypicAl Learning with a Mixture of prototypes (PALM) which models each class with multiple prototypes to capture the sample diversities, and learns more faithful and compact samples embeddings to enhance OOD detection. Our method automatically identifies and dynamically updates prototypes, assigning each sample to a subset of prototypes via reciprocal neighbor soft assignment weights. PALM optimizes a maximum likelihood estimation (MLE) loss to encourage the sample embeddings to be compact around the associated prototypes, as well as a contrastive loss on all prototypes to enhance intra-class compactness and inter-class discrimination at the prototype level. Moreover, the automatic estimation of prototypes enables our approach to be extended to the challenging OOD detection task with unlabelled ID data. Extensive experiments demonstrate the superiority of PALM, achieving state-of-the-art average AUROC performance of 93.82 on the challenging CIFAR-100 benchmark. Code is available at https://github.com/jeff024/PALM.

Deep Neural Networks achieve high performance in vision tasks by learning features from regions of interest (ROI) within images, but their performance degrades when deployed on out-of-distribution (OOD) data that differs from training data. This challenge has led to OOD detection methods that aim to identify and reject unreliable predictions. Although prior work shows that OOD detection performance varies by artefact type, the underlying causes remain underexplored. To this end, we identify a previously unreported bias in OOD detection: for hard-to-detect artefacts (near-OOD), detection performance typically improves when the artefact shares visual similarity (e.g. colour) with the model's ROI and drops when it does not - a phenomenon we term the Invisible Gorilla Effect. For example, in a skin lesion classifier with red lesion ROI, we show the method Mahalanobis Score achieves a 31.5% higher AUROC when detecting OOD red ink (similar to ROI) compared to black ink (dissimilar) annotations. We annotated artefacts by colour in 11,355 images from three public datasets (e.g. ISIC) and generated colour-swapped counterfactuals to rule out dataset bias. We then evaluated 40 OOD methods across 7 benchmarks and found significant performance drops for most methods when artefacts differed from the ROI. Our findings highlight an overlooked failure mode in OOD detection and provide guidance for more robust detectors. Code and annotations are available at: https://github.com/HarryAnthony/Invisible_Gorilla_Effect.

Radiology plays an integral role in modern medicine, yet rising imaging volumes have far outpaced workforce growth. Foundation models offer a path toward assisting with the full spectrum of radiology tasks, but existing medical models remain limited: they process volumetric CT and MRI as low-fidelity 2D slices, discard critical grayscale contrast information, and lack evaluation frameworks that reflect real clinical practice. We introduce Pillar-0, a radiology foundation model pretrained on 42,990 abdomen-pelvis CTs, 86,411 chest CTs, 14,348 head CTs, and 11,543 breast MRIs from a large academic center, together with RATE, a scalable framework that extracts structured labels for 366 radiologic findings with near-perfect accuracy using LLMs. Across internal test sets of 14,230 abdomen-pelvis CTs, 10,646 chest CTs, 4,906 head CTs, and 1,585 breast MRIs, Pillar-0 establishes a new performance frontier, achieving mean AUROCs of 86.4, 88.0, 90.1, and 82.9, outperforming MedGemma (Google), MedImageInsight (Microsoft), Lingshu (Alibaba), and Merlin (Stanford) by 7.8-15.8 AUROC points and ranking best in 87.2\% (319/366) tasks. Pillar-0 similarly outperforms all baselines in an external validation on the Stanford Abdominal CT dataset, including Merlin (82.2 vs 80.6 AUROC). Pillar-0 extends to tasks beyond its pretraining, such as long-horizon lung cancer risk prediction, where it improves upon the state-of-the-art Sybil by 3.0 C-index points on NLST, and generalizes with gains of 5.9 (MGH) and 1.9 (CGMH). In brain hemorrhage detection, Pillar-0 obtained a >95 AUROC when using only 1/20th of the data of the next most sample efficient baseline. Pillar-0 and RATE together provide an open, clinically rigorous foundation for building high-performance radiology systems, enabling applications that were previously infeasible due to computational, data, and evaluation constraints.

Because anomalous samples cannot be used for training, many anomaly detection and localization methods use pre-trained networks and non-parametric modeling to estimate encoded feature distribution. However, these methods neglect the impact of position and neighborhood information on the distribution of normal features. To overcome this, we propose a new algorithm, PNI, which estimates the normal distribution using conditional probability given neighborhood features, modeled with a multi-layer perceptron network. Moreover, position information is utilized by creating a histogram of representative features at each position. Instead of simply resizing the anomaly map, the proposed method employs an additional refine network trained on synthetic anomaly images to better interpolate and account for the shape and edge of the input image. We conducted experiments on the MVTec AD benchmark dataset and achieved state-of-the-art performance, with 99.56\% and 98.98\% AUROC scores in anomaly detection and localization, respectively.

Aggregate metacognitive quality scores mask within-model variation across MMLU benchmark domains. We administered 1,500 MMLU items (250 per domain, under an a priori six-domain grouping) to 33 frontier LLMs from eight model families and computed Type-2 AUROC per model-domain cell using verbalized confidence (0-100). Total observations: 47,151. Every model with above-chance aggregate monitoring showed non-trivial domain-level variation. Applied/Professional knowledge was reliably the easiest benchmark domain to monitor (mean AUROC = .742, ranked top-2 in 21 of 33 models); Formal Reasoning and Natural Science were reliably the hardest (one of the two ranked bottom-2 in 27 of 33 models). The three middle domains were statistically indistinguishable (Kendall's W = .164). A subject-level coherence analysis (within-domain similarity ratio = 0.95) confirms the six-domain grouping is a pragmatic benchmark taxonomy, not a validated latent construct. Within-family profile-shape clustering is significant for Anthropic, Google-Gemini, and Qwen (permutation p < .0001) but not DeepSeek, Google-Gemma, or OpenAI. Gemma 4 31B showed a +.202 AUROC improvement over Gemma 3 27B. Three models classified Invalid on binary KEEP/WITHDRAW probes produced normal profiles under verbalized confidence, confirming probe-format specificity. Bootstrap 95% CIs on 198 cells have median width .199. Split-half aggregate stability r = .893; profile-level split-half is weaker (grand median r = .184). These results show stable benchmark-domain variation obscured by aggregate metrics, and support benchmark-stage domain screening as a step before deployment in specific application areas.

Many deployments must compare candidate language models for safety before a labeled benchmark exists for the relevant language, sector, or regulatory regime. We formalize this setting as benchmarkless comparative safety scoring and specify the contract under which a scenario-based audit can be interpreted as deployment evidence. Scores are valid only under a fixed scenario pack, rubric, auditor, judge, sampling configuration, and rerun budget. Because no labels are available, we replace ground-truth agreement with an instrumental-validity chain: responsiveness to a controlled safe-versus-abliterated contrast, dominance of target-driven variance over auditor and judge artifacts, and stability across reruns. We instantiate the chain in SimpleAudit, a local-first scoring instrument, and validate it on a Norwegian safety pack. Safe and abliterated targets separate with AUROC values between 0.89 and 1.00, target identity is the dominant variance component (η^2 approx 0.52), and severity profiles stabilize by ten reruns. Applying the same chain to Petri shows that it admits both tools. The substantial differences arise upstream of the chain, in claim-contract enforcement and deployment fit. A Norwegian public-sector procurement case comparing Borealis and Gemma 3 demonstrates the resulting evidence in practice: the safer model depends on scenario category and risk measure. Consequently, scores, matched deltas, critical rates, uncertainty, and the auditor and judge used must be reported together rather than collapsed into a single ranking.

Anomaly detection (AD) aims to identify defects using normal-only training data. Existing anomaly detection benchmarks (e.g., MVTec-AD with 15 categories) cover only a narrow range of categories, limiting the evaluation of cross-context generalization and scalability. We introduce ADNet, a large-scale, multi-domain benchmark comprising 380 categories aggregated from 49 publicly available datasets across Electronics, Industry, Agrifood, Infrastructure, and Medical domains. The benchmark includes a total of 196,294 RGB images, consisting of 116,192 normal samples for training and 80,102 test images, of which 60,311 are anomalous. All images are standardized with MVTec-style pixel-level annotations and structured text descriptions spanning both spatial and visual attributes, enabling multimodal anomaly detection tasks. Extensive experiments reveal a clear scalability challenge: existing state-of-the-art methods achieve 90.6% I-AUROC in one-for-one settings but drop to 78.5% when scaling to all 380 categories in a multi-class setting. To address this, we propose Dinomaly-m, a context-guided Mixture-of-Experts extension of Dinomaly that expands decoder capacity without increasing inference cost. It achieves 83.2% I-AUROC and 93.1% P-AUROC, demonstrating superior performance over existing approaches. ADNet is designed as a standardized and extensible benchmark, supporting the community in expanding anomaly detection datasets across diverse domains and providing a scalable foundation for future anomaly detection foundation models. Dataset: https://grainnet.github.io/ADNet

Diabetic retinopathy (DR) is a leading cause of vision loss in working-age adults. While screening reduces the risk of blindness, traditional imaging is often costly and inaccessible. Artificial intelligence (AI) algorithms present a scalable diagnostic solution, but concerns regarding fairness and generalization persist. This work evaluates the fairness and performance of image-trained models in DR prediction, as well as the impact of disentanglement as a bias mitigation technique, using the diverse mBRSET fundus dataset. Three models, ConvNeXt V2, DINOv2, and Swin V2, were trained on macula images to predict DR and sensitive attributes (SAs) (e.g., age and gender/sex). Fairness was assessed between subgroups of SAs, and disentanglement was applied to reduce bias. All models achieved high DR prediction performance in diagnosing (up to 94% AUROC) and could reasonably predict age and gender/sex (91% and 77% AUROC, respectively). Fairness assessment suggests disparities, such as a 10% AUROC gap between age groups in DINOv2. Disentangling SAs from DR prediction had varying results, depending on the model selected. Disentanglement improved DINOv2 performance (2% AUROC gain), but led to performance drops in ConvNeXt V2 and Swin V2 (7% and 3%, respectively). These findings highlight the complexity of disentangling fine-grained features in fundus imaging and emphasize the importance of fairness in medical imaging AI to ensure equitable and reliable healthcare solutions.

In ordinal classification, misclassifying neighboring ranks is common, yet the consequences of these errors are not the same. For example, misclassifying benign tumor categories is less consequential, compared to an error at the pre-cancerous to cancerous threshold, which could profoundly influence treatment choices. Despite this, existing ordinal classification methods do not account for the varying importance of these margins, treating all neighboring classes as equally significant. To address this limitation, we propose CLOC, a new margin-based contrastive learning method for ordinal classification that learns an ordered representation based on the optimization of multiple margins with a novel multi-margin n-pair loss (MMNP). CLOC enables flexible decision boundaries across key adjacent categories, facilitating smooth transitions between classes and reducing the risk of overfitting to biases present in the training data. We provide empirical discussion regarding the properties of MMNP and show experimental results on five real-world image datasets (Adience, Historical Colour Image Dating, Knee Osteoarthritis, Indian Diabetic Retinopathy Image, and Breast Carcinoma Subtyping) and one synthetic dataset simulating clinical decision bias. Our results demonstrate that CLOC outperforms existing ordinal classification methods and show the interpretability and controllability of CLOC in learning meaningful, ordered representations that align with clinical and practical needs.

Anomaly Detection (AD) in images is a fundamental computer vision problem and refers to identifying images and image substructures that deviate significantly from the norm. Popular AD algorithms commonly try to learn a model of normality from scratch using task specific datasets, but are limited to semi-supervised approaches employing mostly normal data due to the inaccessibility of anomalies on a large scale combined with the ambiguous nature of anomaly appearance. We follow an alternative approach and demonstrate that deep feature representations learned by discriminative models on large natural image datasets are well suited to describe normality and detect even subtle anomalies in a transfer learning setting. Our model of normality is established by fitting a multivariate Gaussian (MVG) to deep feature representations of classification networks trained on ImageNet using normal data only. By subsequently applying the Mahalanobis distance as the anomaly score we outperform the current state of the art on the public MVTec AD dataset, achieving an AUROC value of 95.8 pm 1.2 (mean pm SEM) over all 15 classes. We further investigate why the learned representations are discriminative to the AD task using Principal Component Analysis. We find that the principal components containing little variance in normal data are the ones crucial for discriminating between normal and anomalous instances. This gives a possible explanation to the often sub-par performance of AD approaches trained from scratch using normal data only. By selectively fitting a MVG to these most relevant components only, we are able to further reduce model complexity while retaining AD performance. We also investigate setting the working point by selecting acceptable False Positive Rate thresholds based on the MVG assumption. Code available at https://github.com/ORippler/gaussian-ad-mvtec

Voice activity detection (VAD) is essential for speech-driven applications, but remains far from perfect in noisy and resource-limited environments. Existing methods often lack robustness to noise, and their frame-wise classification losses are only loosely coupled with the evaluation metric of VAD. To address these challenges, we propose SincQDR-VAD, a compact and robust framework that combines a Sinc-extractor front-end with a novel quadratic disparity ranking loss. The Sinc-extractor uses learnable bandpass filters to capture noise-resistant spectral features, while the ranking loss optimizes the pairwise score order between speech and non-speech frames to improve the area under the receiver operating characteristic curve (AUROC). A series of experiments conducted on representative benchmark datasets show that our framework considerably improves both AUROC and F2-Score, while using only 69% of the parameters compared to prior arts, confirming its efficiency and practical viability.

Anti-money laundering (AML) regulations mandate financial institutions to deploy AML systems based on a set of rules that, when triggered, form the basis of a suspicious alert to be assessed by human analysts. Reviewing these cases is a cumbersome and complex task that requires analysts to navigate a large network of financial interactions to validate suspicious movements. Furthermore, these systems have very high false positive rates (estimated to be over 95\%). The scarcity of labels hinders the use of alternative systems based on supervised learning, reducing their applicability in real-world applications. In this work we present LaundroGraph, a novel self-supervised graph representation learning approach to encode banking customers and financial transactions into meaningful representations. These representations are used to provide insights to assist the AML reviewing process, such as identifying anomalous movements for a given customer. LaundroGraph represents the underlying network of financial interactions as a customer-transaction bipartite graph and trains a graph neural network on a fully self-supervised link prediction task. We empirically demonstrate that our approach outperforms other strong baselines on self-supervised link prediction using a real-world dataset, improving the best non-graph baseline by 12 p.p. of AUC. The goal is to increase the efficiency of the reviewing process by supplying these AI-powered insights to the analysts upon review. To the best of our knowledge, this is the first fully self-supervised system within the context of AML detection.

Deployed vision models auto-accept confident predictions, so high-confidence errors propagate silently. Maximum Softmax Probability (MSP), the standard failure predictor, has a structural blind spot: as a scalar read from the classifier head, it is first-order blind to feature variation orthogonal to its confidence gradient. Through a factorial analysis of feature-space detectors, we identify a conditional-redundancy principle explaining why they fail to complement MSP: the class-separability geometry they measure is already encoded in MSP and collapses under fusion. The signal that survives is class-conditional typicality on the off-manifold residual---and because this residual's distribution varies by backbone, from near-Gaussian to heavy-tailed, it must be estimated non-parametrically. We instantiate these findings as CANARY, a training-free detector that computes a per-class kNN distance on the PCA residual of the penultimate feature, percentile-calibrates it on validation data, and fuses it with MSP through a single validation-tuned weight. CANARY's benefit follows a headroom law: gains grow as baseline MSP quality falls, so a single clean-validation number forecasts the improvement. With every parameter selected on in-distribution data alone, CANARY matches or improves 382 of 385 shift cells (e-AURC; 379 on AUROC) across five backbones, with worst-case regression within seed noise (-0.0002 AUROC) and the largest gains on natural distribution shifts (ImageNet-A/R, ObjectNet)---where deployed models are most exposed.

This paper reports on the ReINTEL Shared Task for Responsible Information Identification on social network sites, which is hosted at the seventh annual workshop on Vietnamese Language and Speech Processing (VLSP 2020). Given a piece of news with respective textual, visual content and metadata, participants are required to classify whether the news is `reliable' or `unreliable'. In order to generate a fair benchmark, we introduce a novel human-annotated dataset of over 10,000 news collected from a social network in Vietnam. All models will be evaluated in terms of AUC-ROC score, a typical evaluation metric for classification. The competition was run on the Codalab platform. Within two months, the challenge has attracted over 60 participants and recorded nearly 1,000 submission entries.

The Mini-SiTian (MST) project is a pathfinder for China's next-generation large-scale time-domain survey, SiTian, aimed at discovering variable stars, transients, and explosive events. MST generates hundreds of thousands of transient alerts every night, approximately 99\% of which are false alarms, posing a significant challenge to its scientific goals. To mitigate the impact of false positives, we propose a deep learning-based solution and systematically evaluate thirteen convolutional neural networks. The results show that ResNet achieves exceptional specificity (99.70\%), EfficientNet achieves the highest recall rate (98.68\%), and DenseNet provides balanced performance with a recall rate of 94.55\% and specificity of 98.66\%. Leveraging these complementary strengths, we developed a bagging-based ensemble classifier that integrates ResNet18, DenseNet121, and EfficientNet\_B0 using a soft voting strategy. This classifier achieved the best AUC value (0.9961) among all models, with a recall rate of 95.37\% and specificity of 99.25\%. It has now been successfully deployed in the MST real-time data processing pipeline. Validation using 5,000 practically processed samples with a classification threshold of 0.798 showed that the classifier achieved 88.31\% accuracy, 91.89\% recall rate, and 99.82\% specificity, confirming its effectiveness and robustness under real application conditions.

Chronic Obstructive Pulmonary Disease (COPD), a major chronic respiratory disease with persistent airflow limitation, is a leading global cause of disability and mortality. Respiratory spirogram time series, routinely collected during pulmonary function tests (PFTs), play a critical role in the early detection of repsiratory diseases and in monitoring lung function over time. However, most current AI models for COPD diagnosis are limited to outputting classification results without providing a rationale for their diagnostic process, while current Large Language Models (LLMs) cannot understand spirograms yet, which severely limits their clinical trust and adoption. To tackle this challenge, we leverage a cohort of 234,028 individuals from the UK Biobank (UKB) to propose SpiroLLM, the first multimodal large language model that can understand spirogram. The model extracts morphological features from respiratory curves via a SpiroEncoder and aligns them with PFT numerical values in a unified latent space using a SpiroProjector, ultimately empowering a large language model to generate a comprehensive diagnostic report. Experimental results confirm that SpiroLLM achieved a diagnostic AUROC of 0.8980 (95% CI: 0.8820-0.9132). In a robustness test with missing core data, it maintained a 100% valid response rate, far surpassing the 13.4% of a text-only model and showcasing the superiority of its multimodal design. This work demonstrates the substantial potential of deeply fusing physiological signals with large language models, establishing a new paradigm for the next generation of interpretable and reliable clinical decision support tools.

Coronary angiography is the reference standard for evaluating coronary artery disease, yet visual interpretation remains variable between readers. Existing artificial intelligence methods typically analyze single frames or projections and focus mainly on stenosis, limiting comprehensive coronary assessment. We present DeepCORO-CLIP, a multi-view foundation model trained with video-text contrastive learning on 203,808 angiography videos from 28,117 patients across 32,473 studies at the Montreal Heart Institute and externally validated on 4,249 studies from the University of California, San Francisco. DeepCORO-CLIP integrates multiple projections with attention-based pooling for study-level assessment across diagnostic, prognostic, and disease progression tasks. For significant stenosis detection, the model achieved an AUROC of 0.888 internally and 0.89 on external validation. Mean absolute error against core laboratory quantitative coronary angiography was 13.6%, lower than clinical reports at 19.0%. The model also performed strongly for chronic total occlusion, intracoronary thrombus, and coronary calcification detection. Transfer learning enabled prediction of one-year major adverse cardiovascular events with AUROC 0.79 and estimation of left ventricular ejection fraction with mean absolute error 7.3%. Embeddings also captured disease progression across serial examinations. With a mean inference time of 4.2 seconds in hospital deployment, DeepCORO-CLIP provides a foundation for automated coronary angiography interpretation at the point of care. Code, sample data, model weights, and deployment infrastructure are publicly released.

Osteoporosis is a widespread and chronic metabolic bone disease that often remains undiagnosed and untreated due to limited access to bone mineral density (BMD) tests like Dual-energy X-ray absorptiometry (DXA). In response to this challenge, current advancements are pivoting towards detecting osteoporosis by examining alternative indicators from peripheral bone areas, with the goal of increasing screening rates without added expenses or time. In this paper, we present a method to predict osteoporosis using hand and wrist X-ray images, which are both widely accessible and affordable, though their link to DXA-based data is not thoroughly explored. Initially, our method segments the ulnar, radius, and metacarpal bones using a foundational model for image segmentation. Then, we use a self-supervised learning approach to extract meaningful representations without the need for explicit labels, and move on to classify osteoporosis in a supervised manner. Our method is evaluated on a dataset with 192 individuals, cross-referencing their verified osteoporosis conditions against the standard DXA test. With a notable classification score (AUC=0.83), our model represents a pioneering effort in leveraging vision-based techniques for osteoporosis identification from the peripheral skeleton sites.

Real-world synthetic image detectors often generalize poorly under domain shift despite strong in-domain performance. Using unsupervised UMAP projections, we find that natural and synthetic features remain partially separable on unseen datasets, yet performance still drops, suggesting that the classification head overfits to training-domain artifacts. Therefore, the key is to learn more transferable representations so that the decision criterion is more stable and robust to domain shifts. Based on the structural fact that synthetic images are produced by diverse generators, we propose a hierarchical contrastive learning framework that improves the separability between natural and synthetic images while preserving generator identity information. It jointly optimizes (i) a coarse contrastive objective between natural and synthetic images and (ii) a fine contrastive objective among synthetic images using generator identities. Trained on WildFake, our method achieves an average AUROC gain of +10.22 on cross-domain evaluation over Chameleon, AIGIBench, Community Forensics, and GenImage under the same settings as the strong baseline DIRE. For few-shot adaptation, we freeze the backbone and fit an SVM head on 10 labeled samples per class, improving AUROC by +10.64 on AIGIBench and +17.41 on Chameleon, averaged over 12 widely used detectors. Our code is publicly available at: https://github.com/heyongxin233/FiSeR.

Anomaly detection (AD) plays an important role in various real-world applications. Recent advancements in AD, however, are often biased towards industrial inspection, struggle to generalize to broader tasks like semantic anomaly detection and vice versa. Although recent methods have attempted to address general anomaly detection, their performance remains sensitive to dataset-specific settings and single-class tasks. In this paper, we propose a novel dual-model ensemble approach based on knowledge distillation (KD) to bridge this gap. Our framework consists of a teacher and two student models: an Encoder-Decoder model, specialized in detecting patch-level minor defects for industrial AD and an Encoder-Encoder model, optimized for semantic AD. Both models leverage a shared pre-trained encoder (DINOv2) to extract high-quality feature representations. The dual models are jointly learned using the Noisy-OR objective, and the final anomaly score is obtained using the joint probability via local and semantic anomaly scores derived from the respective models. We evaluate our method on eight public benchmarks under both single-class and multi-class settings: MVTec-AD, MVTec-LOCO, VisA and Real-IAD for industrial inspection and CIFAR-10/100, FMNIST and View for semantic anomaly detection. The proposed method achieved state-of-the-art accuracies in both domains, in multi-class as well as single-class settings, demonstrating generalization across multiple domains of anomaly detection. Our model achieved an image-level AUROC of 99.7% on MVTec-AD and 97.8% on CIFAR-10, which is significantly better than the prior general AD models in multi-class settings and even higher than the best specialist models on individual benchmarks.

Macro-AUC is the arithmetic mean of the class-wise AUCs in multi-label learning and is commonly used in practice. However, its theoretical understanding is far lacking. Toward solving it, we characterize the generalization properties of various learning algorithms based on the corresponding surrogate losses w.r.t. Macro-AUC. We theoretically identify a critical factor of the dataset affecting the generalization bounds: the label-wise class imbalance. Our results on the imbalance-aware error bounds show that the widely-used univariate loss-based algorithm is more sensitive to the label-wise class imbalance than the proposed pairwise and reweighted loss-based ones, which probably implies its worse performance. Moreover, empirical results on various datasets corroborate our theory findings. To establish it, technically, we propose a new (and more general) McDiarmid-type concentration inequality, which may be of independent interest.

LLM agents fail mid-episode -- they loop, cascade tool errors, drift off goal, fabricate results, or silently absorb corrupted content -- and the standard remedy, judging every step with a second LLM, costs more than the agent itself. We ask how much detection is achievable from observable step telemetry alone, using monitors costing microseconds per step and trained only on healthy runs. On 2,823 committed agent episodes across three frameworks, three local models (qwen2.5 7b/3b, llama3.1 8b) and a commercial API (gemini-2.5-flash), a one-class echo-state-network ensemble with CUSUM alarms detects 0.71 of failures at a 5% false-alarm budget (AUROC 0.872). Its advantage over a memoryless baseline is a monotone function of post-onset horizon (+0.09 at <=3 steps, +0.40 at >=9), predicting its own failure region out of sample on AFTraj-2K. Ranking transfers with no retraining to two corpora from other groups (AFTraj-2K 0.745, ATBench 0.779). Monitors carry two burdens: a per-deployment healthy null (they do not transfer -- AUROC 0.527 cold against 0.885 recalibrated) and a residual false-alarm rate. We add a layer carrying neither: deterministic verification, which recomputes a run's stated total from the tool results it actually received and confirms every required call was made. Head-to-head it catches 60% of failures (96% with the coverage check) at 0 of 63 false positives against the monitor's 54% at 17%, transfers unchanged to llama3.1:8b (110 of 110 at 0 of 10), and trips on 0 of 1825 healthy episodes. Detection is then closed into repair: each flagged run is rolled back and re-run live, recovering 45% of failures against a 16% resampling control (p=0.0005) and lifting task success from 52% to 73% for about one extra model call per run. The system runs at ~200 microseconds per step, three orders of magnitude below a judge call. Code, traces and results are released.

Deep AUC Maximization (DAM) is a new paradigm for learning a deep neural network by maximizing the AUC score of the model on a dataset. Most previous works of AUC maximization focus on the perspective of optimization by designing efficient stochastic algorithms, and studies on generalization performance of large-scale DAM on difficult tasks are missing. In this work, we aim to make DAM more practical for interesting real-world applications (e.g., medical image classification). First, we propose a new margin-based min-max surrogate loss function for the AUC score (named as AUC min-max-margin loss or simply AUC margin loss for short). It is more robust than the commonly used AUC square loss, while enjoying the same advantage in terms of large-scale stochastic optimization. Second, we conduct extensive empirical studies of our DAM method on four difficult medical image classification tasks, namely (i) classification of chest x-ray images for identifying many threatening diseases, (ii) classification of images of skin lesions for identifying melanoma, (iii) classification of mammogram for breast cancer screening, and (iv) classification of microscopic images for identifying tumor tissue. Our studies demonstrate that the proposed DAM method improves the performance of optimizing cross-entropy loss by a large margin, and also achieves better performance than optimizing the existing AUC square loss on these medical image classification tasks. Specifically, our DAM method has achieved the 1st place on Stanford CheXpert competition on Aug. 31, 2020. To the best of our knowledge, this is the first work that makes DAM succeed on large-scale medical image datasets. We also conduct extensive ablation studies to demonstrate the advantages of the new AUC margin loss over the AUC square loss on benchmark datasets. The proposed method is implemented in our open-sourced library LibAUC (www.libauc.org).

Many robot manipulation videos do not indicate whether the task was successfully completed. RoboJev-27B is an open-weight vision-language model that takes a task instruction, 10 frames of a manipulation attempt, and (if available) final frames from auxiliary cameras and predicts whether the robot accomplished the task. RoboJev-27B is a variant of JEV-27B-VL, trained with a rank-32 LoRA adapter on the language model only (keeping the vision encoder frozen) using 52,598 episode records. It also uses a source-specific KL penalty that applies only to research data, anchoring predictions closer to the original model on those sources. It uses a calibrated two-token readout that outputs success/failure probabilities in a single forward pass. On 268 held-out episodes of the same robot model (SO-101), RoboJev-27B attains 95.2% balanced accuracy and 0.993 AUROC. It also generalises to episodes collected by unseen labs/robots (AUROC = 0.890 over 459 episodes) as well as to clearly labelled community-collected episodes (accuracy = 93.3% over 135 episodes), where the base model attains an AUROC = 0.900 on the unseen-lab/robot subset with the same inputs. It takes 0.26 seconds per episode (median, serial) to infer on a single H100, which is about \0.19 per 1,000 success predictions at 2.69 per GPU-hour (not including media processing and serving costs). RoboJev-27B is released together with its inference code, along with a transparent evaluation: 20,628 predictions organized into 29 model/protocol entries are made available to facilitate browsing and to enable reproducible benchmarking of success detection. We also compare against strong API-based frontier VLMs, which take in fewer input frames (4 images from the primary camera only); note that this comparison is not strictly like-for-like because RoboJev-27B is given more frames at inference.

Alarm fatigue in intensive care units (ICUs) is a well documented patient safety crisis. Clinical monitors generate 350 or more alarms per patient per day, out of which 72-99% are clinically irrelevant. Staff desensitization to non-actionable alarms increases the risk of missed true emergencies. This paper presents SigmaMedStat, a machine learning system that evaluates the trustworthiness of physiological alarm signals before clinical action is taken. Four approaches were evaluated on the PhysioNet/Computing in Cardiology Challenge 2015 dataset of 498 four-channel ICU alarm recordings. Primary contribution is a temporal modeling framework that splits each 60 second recording into six consecutive 10-second chunks, and this in turn generates Continuous Wavelet Transform (CWT) scalograms per chunk, encodes each chunk with a shared EfficientNet-B0 encoder, and passes the resulting feature sequence to a two-layer Long Short-Term Memory (LSTM) network. Five-fold stratified cross-validation yields a mean AUC of 0.822 +/- 0.016 (95% CI: [0.790,0.853]), compared to 0.641 for a static EfficientNet baseline trained on the full 60-second window. Ablation studies confirm that temporal chunking and multi-channel signal fusion both contribute independently to classification performance. Per-alarm type analysis reveals that Ventricular Flutter is the most accurately classified alarm type (AUC 0.820) while Asystole remains the hardest (AUC 0.722). Error analysis identifies 65 false negatives and 85 high-confidence misclassifications as the primary failure modes. All code and results are publicly available at https://github.com/Arun-K-Ram/sigmamedstat.

Perimeter triage faces a latency/semantics trade-off: signature engines are fast and format-safe but blind to unseen attacks, while generative models are semantic but slow and produce unparseable output. In late 2026 a class of commercial System One decision models (TypeSafe Jev; Microsoft-Decision-1) began selling typed decision primitives - binary gates, closed-set choices, ordinal scores - as product APIs, with no academic treatment. We present VX-One: a small multi-head network (100K-10M parameters) whose outputs are these primitives - a calibrated gate, a choice over a closed candidate set that always includes an explicit unknown option, and an ordinal score, trained multi-task, temperature-calibrated per head (~0.7-1.7 ms p50 on CPU). We evaluate it on UNSW-NB15, CIC-IDS2017, EMBER2024 against calibrated XGBoost, Random-Forest, MLP, Kitsune, and measure a two-phase cascade (Suricata with 52,674 Emerging-Threats rules -> VX-One) over five days of CIC-IDS2017. Findings: (i) VX-One wins detection (AUROC/FPR@95%TPR) on UNSW-NB15 and under temporal drift on CIC-IDS2017 (0.711 vs 0.637), but XGBoost wins multi-class attribution on all three benchmarks; (ii) leave-one-family-out gate detects never-seen families on 9/9 UNSW folds yet drops below chance on CIC recon family, and abstention threshold transfers poorly across benchmarks; (iii) on payload-less reconstructions signature engines resolve ~0.1% of flows - gray zone ~99.9% of traffic, recovered by Phase 2 (combined recall >=0.978); (iv) calibration collapses under temporal drift (ECE 0.04->0.40) for every method while ranking partially survives. We provide a measured account of where typed calibrated decisions help perimeter triage, and where they fail.

We study multiple rule-based and machine learning (ML) models for sepsis detection. We report the first neural network detection and prediction results on three categories of sepsis. We have used the retrospective Medical Information Mart for Intensive Care (MIMIC)-III dataset, restricted to intensive care unit (ICU) patients. Features for prediction were created from only common vital sign measurements. We show significant improvement of AUC score using neural network based ensemble model compared to single ML and rule-based models. For the detection of sepsis, severe sepsis, and septic shock, our model achieves an AUC of 0.97, 0.96 and 0.91, respectively. Four hours before the positive hours, it predicts the same three categories with an AUC of 0.90, 0.91 and 0.90 respectively. Further, we ranked the features and found that using six vital signs consistently provides higher detection and prediction AUC for all the models tested. Our novel ensemble model achieves highest AUC in detecting and predicting sepsis, severe sepsis, and septic shock in the MIMIC-III ICU patients, and is amenable to deployment in hospital settings.

The capacity of a modern deep learning system to determine if a sample falls within its realm of knowledge is fundamental and important. In this paper, we offer insights and analyses of recent state-of-the-art out-of-distribution (OOD) detection methods - extremely simple activation shaping (ASH). We demonstrate that activation pruning has a detrimental effect on OOD detection, while activation scaling enhances it. Moreover, we propose SCALE, a simple yet effective post-hoc network enhancement method for OOD detection, which attains state-of-the-art OOD detection performance without compromising in-distribution (ID) accuracy. By integrating scaling concepts into the training process to capture a sample's ID characteristics, we propose Intermediate Tensor SHaping (ISH), a lightweight method for training time OOD detection enhancement. We achieve AUROC scores of +1.85\% for near-OOD and +0.74\% for far-OOD datasets on the OpenOOD v1.5 ImageNet-1K benchmark. Our code and models are available at https://github.com/kai422/SCALE.

Background: AI-based classification models are essential for improving lung cancer diagnosis. However, the relative performance of lesion-level versus chest-region models in internal and external datasets remains unclear. Purpose: This study evaluates the performance of lesion-level and chest-region models for lung cancer classification, comparing their effectiveness across internal Duke Lung Nodule Dataset 2024 (DLND24) and external (LUNA16, NLST) datasets, with a focus on subgroup analyses by demographics, histology, and imaging characteristics. Materials and Methods: Two AI models were trained: one using lesion-centric patches (64,64,64) and the other using chest-region patches (512,512,8). Internal validation was conducted on DLND24, while external validation utilized LUNA16 and NLST datasets. The models performances were assessed using AUC-ROC, with subgroup analyses for demographic, clinical, and imaging factors. Statistical comparisons were performed using DeLongs test. Gradient-based visualizations and probability distribution were further used for analysis. Results: The lesion-level model consistently outperformed the chest-region model across datasets. In internal validation, the lesion-level model achieved an AUC of 0.71(CI: 0.61-0.81), compared to 0.68(0.57-0.77) for the chest-region model. External validation showed similar trends, with AUCs of 0.90(0.87-0.92) and 0.81(0.79-0.82) on LUNA16 and NLST, respectively. Subgroup analyses revealed significant advantages for lesion-level models in certain histological subtypes (adenocarcinoma) and imaging conditions (CT manufacturers). Conclusion: Lesion-level models demonstrate superior classification performance, especially for external datasets and challenging subgroups, suggesting their clinical utility for precision lung cancer diagnostics.

Are frontier models able to introspect about their internal states? Recent work suggests that under certain conditions a complex enough model can audit its own internals, call out what changed, and report back confidently about it. We tested that claim on eight open-weight models from seven families and found no such ability: asked whether their own computation had been altered, none answered better than chance. To test it we built Open-Weight Masked Introspection (OWMI), a framework that intervenes on residual-stream sites, attention heads and sparse-autoencoder features, then interrogates the model about the change against the null conditions an answer has to beat: sham runs where nothing was altered, impact-matched random perturbations, and a text-only observer that sees only the visible output. Over 78,000 measurements, no model's report discriminates a real intervention from a sham beyond chance (AUROC ~0.5007), and an equivalence test bounds the effect below 0.15 percentage points of AUROC. Surprisingly, all the information needed is in the models. A model fine-tuned to report this class of intervention reaches near-perfect recovery on held-out directions, and a linear probe recovers intervention presence from the same activations at 75% to 95.8% accuracy, sharpening to no held-out error at the last layer before the model speaks. In one model the signal surfaces in the confidence rather than the words: its yes-or-no report never varies, while the confidence attached to it separates intervention from sham at AUROC 0.647. The failure sits in the path from internal state to verbal report, so oversight that reads a model's own testimony needs validating against an internal reference. While our results show the inability of current open-weight models to introspect, the debate is not settled for future models.

Every prediction from a generative medical event model is bounded by how clinical events are tokenized, yet input representation is rarely isolated from other system and architectural choices. We evaluate how representation decisions affect downstream prediction after a shared one-epoch pretraining budget. We train 28 matched transformers on MIMIC-IV and evaluate them on 30 clinical outcomes in three experiments: (1) quantization granularity, reference-range anchoring, and code-value fusion; (2) value encoding (hard bins, soft discretization, code-normalized xVal) crossed with temporal encoding (event order, time tokens, admission-relative RoPE); and (3) native MIMIC laboratory/vital codes versus the Common Longitudinal ICU Format (CLIF)-remapped laboratory/vital codes with compression-preserving perturbation arms. In Experiment 1, fused code-value tokenization improves mortality AUROC from 0.891 to 0.915 (BH-adjusted p < 0.001), hospital length-of-stay AUROC from 0.763 to 0.788 (BH-adjusted p < 0.001), and, for the decile fused-vs-unfused comparison, mean regression Spearman rho across the 13 regression outcomes from 0.414 to 0.494. Across the three temporal encodings, event order only and admission-relative RoPE match or exceed inserting time tokens on average while shortening sequences by 11%. CLIF remapping preserves downstream performance in our single-site setting while yielding a smaller, clinically interpretable token set compatible with multi-site use. Finer-than-decile quantization, reference-range anchoring, and soft discretization help in selective outcomes, while code-normalized xVal remains well below the discrete and soft families, consistent with near-median suppression that persists after the affine variant.

This work presents the largest curation of Southern Resident Killer Whale (SRKW) acoustic data to date, also containing other marine mammals in their environment. We systematically search all available public archival hydrophone data within the SRKW habitat (over 30 years of audio data). The search consists of a weakly-supervised, positive-unlabelled, active learning strategy to identify all instances of marine mammals. The resulting transformer-based presence or absence classifiers outperform state-of-the-art classifiers on 3 of 4 expert-annotated datasets in terms of accuracy and energy efficiency. The fleet of WHISPER detection models range from 0.58 (0.48-0.67) AUROC with WHISPER-tiny to 0.77 (0.63-0.93) with WHISPER-large-v3. Our multiclass species classifier obtains a top-1 accuracy of 53.2\% (11 train classes, 4 test classes) and our ecotype classifier obtains a top-1 accuracy of 33.6\% (4 train classes, 5 test classes) on the DCLDE-2026 dataset. We yield 919 hours of SRKW data, 230 hours of Bigg's orca data, 1374 hours of orca data from unlabelled ecotypes, 1501 hours of humpback data, 88 hours of sea lion data, 246 hours of pacific white-sided dolphin data, and over 784 hours of unspecified marine mammal data. This SRKW dataset is larger than DCLDE-2026, Ocean Networks Canada, and OrcaSound combined. The curated species labels are available under CC-BY 4.0 license, and the corresponding audio data are available under the licenses of the original owners. The comprehensive nature of this dataset makes it suitable for unsupervised machine translation, habitat usage surveys, and conservation endeavours for this critically endangered ecotype.

Being able to spot defective parts is a critical component in large-scale industrial manufacturing. A particular challenge that we address in this work is the cold-start problem: fit a model using nominal (non-defective) example images only. While handcrafted solutions per class are possible, the goal is to build systems that work well simultaneously on many different tasks automatically. The best performing approaches combine embeddings from ImageNet models with an outlier detection model. In this paper, we extend on this line of work and propose PatchCore, which uses a maximally representative memory bank of nominal patch-features. PatchCore offers competitive inference times while achieving state-of-the-art performance for both detection and localization. On the challenging, widely used MVTec AD benchmark PatchCore achieves an image-level anomaly detection AUROC score of up to 99.6%, more than halving the error compared to the next best competitor. We further report competitive results on two additional datasets and also find competitive results in the few samples regime.^* Work done during a research internship at Amazon AWS. Code: github.com/amazon-research/patchcore-inspection.

ECG foundation models are increasingly popular due to their adaptability across various tasks. However, their clinical applicability is often limited by performance gaps compared to task-specific models, even after pre-training on large ECG datasets and fine-tuning on target data. This limitation is likely due to the lack of an effective post-training strategy. In this paper, we propose a simple yet effective post-training approach to enhance ECG foundation models. We evaluate it on a publicly available Transformer-based foundation model. Experiments across multiple ECG tasks show that our method consistently outperforms baseline fine-tuning. On the PTB-XL benchmarks, it improves macro AUROC by 0.7%-8.9% and macro AUPRC by 23.3%-77.9%, also outperforming several recent state-of-the-art approaches, including task-specific and advanced architectures. Further analyses demonstrate improved training dynamics and data efficiency, with only 30% of the training data outperforming the baseline trained on the full dataset. Ablation studies highlight the importance of stochastic depth and preview linear probing. These findings underscore the potential of post-training strategies to improve ECG foundation models, and we hope this work will contribute to the continued development of foundation models in the ECG domain.

Some recent studies have described deep convolutional neural networks to diagnose breast cancer in mammograms with similar or even superior performance to that of human experts. One of the best techniques does two transfer learnings: the first uses a model trained on natural images to create a "patch classifier" that categorizes small subimages; the second uses the patch classifier to scan the whole mammogram and create the "single-view whole-image classifier". We propose to make a third transfer learning to obtain a "two-view classifier" to use the two mammographic views: bilateral craniocaudal and mediolateral oblique. We use EfficientNet as the basis of our model. We "end-to-end" train the entire system using CBIS-DDSM dataset. To ensure statistical robustness, we test our system twice using: (a) 5-fold cross validation; and (b) the original training/test division of the dataset. Our technique reached an AUC of 0.9344 using 5-fold cross validation (accuracy, sensitivity and specificity are 85.13% at the equal error rate point of ROC). Using the original dataset division, our technique achieved an AUC of 0.8483, as far as we know the highest reported AUC for this problem, although the subtle differences in the testing conditions of each work do not allow for an accurate comparison. The inference code and model are available at https://github.com/dpetrini/two-views-classifier

We study whether demonstration-curation metrics that detect defective training episodes also improve the downstream behavior-cloning policy that trains on the curated data. On a contact-rich LIBERO pick-and-place benchmark with a controlled structural defect (early gripper release during the carry phase), we find that the two quantities are sharply decoupled. The metric with the highest defect-detection AUROC (0.804) produces the worst curated policy (13.3% task success), while a metric with a substantially lower AUROC (0.638) produces a policy that nearly matches the oracle trained on ground-truth clean data (90.0% vs. 93.3%). We further show that five of the seven metrics we evaluate exploit episode length as a trivial proxy for the defect label, a confound that inflates reported AUROCs to near-perfect values and disappears once episode length is controlled. Across all conditions, the contaminated baseline succeeds on only 3.3% of rollouts, and the two best curation methods close this to within 3 percentage points of the 93.3% oracle ceiling. Our results argue that curation methods should be evaluated by the policy they produce, not the defects they flag, and that any curation benchmark must control for episode length before reporting detection accuracy. We release the testbed, all metric implementations, and the evaluation pipeline.

Pre-training (PT) followed by fine-tuning (FT) is an effective method for training neural networks, and has led to significant performance improvements in many domains. PT can incorporate various design choices such as task and data reweighting strategies, augmentation policies, and noise models, all of which can significantly impact the quality of representations learned. The hyperparameters introduced by these strategies therefore must be tuned appropriately. However, setting the values of these hyperparameters is challenging. Most existing methods either struggle to scale to high dimensions, are too slow and memory-intensive, or cannot be directly applied to the two-stage PT and FT learning process. In this work, we propose an efficient, gradient-based algorithm to meta-learn PT hyperparameters. We formalize the PT hyperparameter optimization problem and propose a novel method to obtain PT hyperparameter gradients by combining implicit differentiation and backpropagation through unrolled optimization. We demonstrate that our method improves predictive performance on two real-world domains. First, we optimize high-dimensional task weighting hyperparameters for multitask pre-training on protein-protein interaction graphs and improve AUROC by up to 3.9%. Second, we optimize a data augmentation neural network for self-supervised PT with SimCLR on electrocardiography data and improve AUROC by up to 1.9%.

Machine learning classification problems are widespread in bioinformatics, but the technical knowledge required to perform model training, optimization, and inference can prevent researchers from utilizing this technology. This article presents an automated tool for machine learning classification problems to simplify the process of training models and producing results while providing informative visualizations and insights into the data. This tool supports both binary and multiclass classification problems, and it provides access to a variety of models and methods. Synthetic data can be generated within the interface to fill missing values, balance class labels, or generate entirely new datasets. It also provides support for feature evaluation and generates explainability scores to indicate which features influence the output the most. We present CLASSify, an open-source tool for simplifying the user experience of solving classification problems without the need for knowledge of machine learning.

Current artificial intelligence models for medical imaging are predominantly single modality and single disease. Attempts to create multimodal and multi-disease models have resulted in inconsistent clinical accuracy. Furthermore, training these models typically requires large, labour-intensive, well-labelled datasets. We developed MerMED-FM, a state-of-the-art multimodal, multi-specialty foundation model trained using self-supervised learning and a memory module. MerMED-FM was trained on 3.3 million medical images from over ten specialties and seven modalities, including computed tomography (CT), chest X-rays (CXR), ultrasound (US), pathology patches, color fundus photography (CFP), optical coherence tomography (OCT) and dermatology images. MerMED-FM was evaluated across multiple diseases and compared against existing foundational models. Strong performance was achieved across all modalities, with AUROCs of 0.988 (OCT); 0.982 (pathology); 0.951 (US); 0.943 (CT); 0.931 (skin); 0.894 (CFP); 0.858 (CXR). MerMED-FM has the potential to be a highly adaptable, versatile, cross-specialty foundation model that enables robust medical imaging interpretation across diverse medical disciplines.

Early diagnosis of lung cancer is challenging due to biological uncertainty and the limited understanding of the biological mechanisms driving nodule progression. To address this, we propose Nodule-Aligned Multimodal (Latent) Diffusion (NAMD), a novel framework that predicts lung nodule progression by generating 1-year follow-up nodule computed tomography images with baseline scans and the patient's and nodule's Electronic Health Record (EHR). NAMD introduces a nodule-aligned latent space, where distances between latents directly correspond to changes in nodule attributes, and utilizes an LLM-driven control mechanism to condition the diffusion backbone on patient data. On the National Lung Screening Trial (NLST) dataset, our method synthesizes follow-up nodule images that achieve an AUROC of 0.805 and an AUPRC of 0.346 for lung nodule malignancy prediction, significantly outperforming both baseline scans and state-of-the-art synthesis methods, while closely approaching the performance of real follow-up scans (AUROC: 0.819, AUPRC: 0.393). These results demonstrate that NAMD captures clinically relevant features of lung nodule progression, facilitating earlier and more accurate diagnosis.

The term "hallucination" converge different failure modes with specific geometric signatures in embedding space. We propose a taxonomy identifying three types: unfaithfulness (Type I: ignoring provided context), confabulation (Type II: inventing semantically foreign content), and factual error (Type III: wrong details within correct conceptual frames). We introduce two detection methods grounded in this taxonomy: the Semantic Grounding Index (SGI) for Type I, which measures whether a response moves toward provided context on the unit hypersphere, and the Directional Grounding Index (DGI) for Type II, which measures displacement geometry in context-free settings. DGI achieves AUROC=0.958 on human-crafted confabulations with 3.8% cross-domain degradation. External validation on three independently collected human-annotated benchmarks -WikiBio GPT-3, FELM, and ExpertQA- yields domain-specific AUROC 0.581-0.695, with DGI outperforming an NLI CrossEncoder baseline on expert-domain data, where surface entailment operates at chance. On LLM-generated benchmarks, detection is domain-local. We examine the Type III boundary through TruthfulQA, where apparent classifier signal (Logistic Regression with AUROC 0.731) is traced to a stylistic annotation confound: false answers are geometrically closer to queries than truthful ones, a pattern incompatible with factual-error detection. This identifies a theoretical constraint from a methodological limitation.

Despite the remarkable progress in the development of predictive models for healthcare, applying these algorithms on a large scale has been challenging. Algorithms trained on a particular task, based on specific data formats available in a set of medical records, tend to not generalize well to other tasks or databases in which the data fields may differ. To address this challenge, we propose General Healthcare Predictive Framework (GenHPF), which is applicable to any EHR with minimal preprocessing for multiple prediction tasks. GenHPF resolves heterogeneity in medical codes and schemas by converting EHRs into a hierarchical textual representation while incorporating as many features as possible. To evaluate the efficacy of GenHPF, we conduct multi-task learning experiments with single-source and multi-source settings, on three publicly available EHR datasets with different schemas for 12 clinically meaningful prediction tasks. Our framework significantly outperforms baseline models that utilize domain knowledge in multi-source learning, improving average AUROC by 1.2%P in pooled learning and 2.6%P in transfer learning while also showing comparable results when trained on a single EHR dataset. Furthermore, we demonstrate that self-supervised pretraining using multi-source datasets is effective when combined with GenHPF, resulting in a 0.6%P AUROC improvement compared to models without pretraining. By eliminating the need for preprocessing and feature engineering, we believe that this work offers a solid framework for multi-task and multi-source learning that can be leveraged to speed up the scaling and usage of predictive algorithms in healthcare.

Large language models (LLMs) are increasingly deployed for tabular question answering, yet calibration on structured data is largely unstudied. This paper presents the first systematic comparison of five confidence estimation methods across five frontier LLMs and two tabular QA benchmarks. All models are severely overconfident (smooth ECE 0.35-0.64 versus 0.10-0.15 reported for textual QA). A consistent self-evaluation versus perturbation dichotomy replicates across both benchmarks and all four fully-covered models: self-evaluation methods (verbalized, P(True)) achieve AUROC 0.42-0.76, while perturbation methods (semantic entropy, self-consistency, and our Multi-Format Agreement) achieve AUROC 0.78-0.86. Per-model paired bootstrap tests reject the null at p<0.001 after Holm-Bonferroni correction, and a 3-seed check on GPT-4o-mini gives a per-seed standard deviation of only 0.006. The paper proposes Multi-Format Agreement (MFA), which exploits the lossless and deterministic serialization variation unique to structured data (Markdown, HTML, JSON, CSV) to estimate confidence at 20% lower API cost than sampling baselines. MFA reduces ECE by 44-63%, generalizes across all four models on TableBench (mean AUROC 0.80), and combines complementarily with sampling: an MFA + self-consistency ensemble lifts AUROC from 0.74 to 0.82. A secondary contribution, structure-aware recalibration, improves AUROC by +10 percentage points over standard post-hoc methods.

In this study, we systematically investigate the impact of class imbalance on classification performance of convolutional neural networks (CNNs) and compare frequently used methods to address the issue. Class imbalance is a common problem that has been comprehensively studied in classical machine learning, yet very limited systematic research is available in the context of deep learning. In our study, we use three benchmark datasets of increasing complexity, MNIST, CIFAR-10 and ImageNet, to investigate the effects of imbalance on classification and perform an extensive comparison of several methods to address the issue: oversampling, undersampling, two-phase training, and thresholding that compensates for prior class probabilities. Our main evaluation metric is area under the receiver operating characteristic curve (ROC AUC) adjusted to multi-class tasks since overall accuracy metric is associated with notable difficulties in the context of imbalanced data. Based on results from our experiments we conclude that (i) the effect of class imbalance on classification performance is detrimental; (ii) the method of addressing class imbalance that emerged as dominant in almost all analyzed scenarios was oversampling; (iii) oversampling should be applied to the level that completely eliminates the imbalance, whereas the optimal undersampling ratio depends on the extent of imbalance; (iv) as opposed to some classical machine learning models, oversampling does not cause overfitting of CNNs; (v) thresholding should be applied to compensate for prior class probabilities when overall number of properly classified cases is of interest.

Decisions about managing patients on the heart transplant waitlist are currently made by committees of doctors who consider multiple factors, but the process remains largely ad-hoc. With the growing volume of longitudinal patient, donor, and organ data collected by the United Network for Organ Sharing (UNOS) since 2018, there is increasing interest in analytical approaches to support clinical decision-making at the time of organ availability. In this study, we benchmark machine learning models that leverage longitudinal waitlist history data for time-dependent, time-to-event modeling of waitlist mortality. We train on 23,807 patient records with 77 variables and evaluate both survival prediction and discrimination at a 1-year horizon. Our best model achieves a C-Index of 0.94 and AUROC of 0.89, significantly outperforming previous models. Key predictors align with known risk factors while also revealing novel associations. Our findings can support urgency assessment and policy refinement in heart transplant decision making.

Bronchopulmonary dysplasia (BPD) is a chronic lung disease affecting 35% of extremely low birth weight infants. Defined by oxygen dependence at 36 weeks postmenstrual age, it causes lifelong respiratory complications. However, preventive interventions carry severe risks, including neurodevelopmental impairment, ventilator-induced lung injury, and systemic complications. Therefore, early BPD prognosis and prediction of BPD outcome is crucial to avoid unnecessary toxicity in low risk infants. Admission radiographs of extremely preterm infants are routinely acquired within 24h of life and could serve as a non-invasive prognostic tool. In this work, we developed and investigated a deep learning approach using chest X-rays from 163 extremely low-birth-weight infants (leq32 weeks gestation, 401-999g) obtained within 24 hours of birth. We fine-tuned a ResNet-50 pretrained specifically on adult chest radiographs, employing progressive layer freezing with discriminative learning rates to prevent overfitting and evaluated a CutMix augmentation and linear probing. For moderate/severe BPD outcome prediction, our best performing model with progressive freezing, linear probing and CutMix achieved an AUROC of 0.78 pm 0.10, balanced accuracy of 0.69 pm 0.10, and an F1-score of 0.67 pm 0.11. In-domain pre-training significantly outperformed ImageNet initialization (p = 0.031) which confirms domain-specific pretraining to be important for BPD outcome prediction. Routine IRDS grades showed limited prognostic value (AUROC 0.57 pm 0.11), confirming the need of learned markers. Our approach demonstrates that domain-specific pretraining enables accurate BPD prediction from routine day-1 radiographs. Through progressive freezing and linear probing, the method remains computationally feasible for site-level implementation and future federated learning deployments.

Ensuring the quality and integrity of medical images is crucial for maintaining diagnostic accuracy in deep learning-based Computer-Aided Diagnosis and Computer-Aided Detection (CAD) systems. Covariate shifts are subtle variations in the data distribution caused by different imaging devices or settings and can severely degrade model performance, similar to the effects of adversarial attacks. Therefore, it is vital to have a lightweight and fast method to assess the quality of these images prior to using CAD models. AdverX-Ray addresses this need by serving as an image-quality assessment layer, designed to detect covariate shifts effectively. This Adversarial Variational Autoencoder prioritizes the discriminator's role, using the suboptimal outputs of the generator as negative samples to fine-tune the discriminator's ability to identify high-frequency artifacts. Images generated by adversarial networks often exhibit severe high-frequency artifacts, guiding the discriminator to focus excessively on these components. This makes the discriminator ideal for this approach. Trained on patches from X-ray images of specific machine models, AdverX-Ray can evaluate whether a scan matches the training distribution, or if a scan from the same machine is captured under different settings. Extensive comparisons with various OOD detection methods show that AdverX-Ray significantly outperforms existing techniques, achieving a 96.2% average AUROC using only 64 random patches from an X-ray. Its lightweight and fast architecture makes it suitable for real-time applications, enhancing the reliability of medical imaging systems. The code and pretrained models are publicly available.

Vision-language Models (VLMs) are essential for contextual understanding of both visual and textual information. However, their vulnerability to adversarially manipulated inputs presents significant risks, leading to compromised outputs and raising concerns about the reliability in VLM-integrated applications. Detecting these malicious prompts is thus crucial for maintaining trust in VLM generations. A major challenge in developing a safeguarding prompt classifier is the lack of a large amount of labeled benign and malicious data. To address the issue, we introduce VLMGuard, a novel learning framework that leverages the unlabeled user prompts in the wild for malicious prompt detection. These unlabeled prompts, which naturally arise when VLMs are deployed in the open world, consist of both benign and malicious information. To harness the unlabeled data, we present an automated maliciousness estimation score for distinguishing between benign and malicious samples within this unlabeled mixture, thereby enabling the training of a binary prompt classifier on top. Notably, our framework does not require extra human annotations and is robust to realistic prompt variations, offering strong flexibility and practicality for real-world applications. Extensive experiments show that VLMGuard achieves superior detection results, improving AUROC by 5.39% on average over the state-of-the-art method. Disclaimer: This paper may contain offensive examples; reader discretion is advised. Code is available at: https://github.com/radiolab-ntu/vlmguard.

Recent studies highlighted a practical setting of unsupervised anomaly detection (UAD) that builds a unified model for multi-class images. Despite various advancements addressing this challenging task, the detection performance under the multi-class setting still lags far behind state-of-the-art class-separated models. Our research aims to bridge this substantial performance gap. In this paper, we introduce a minimalistic reconstruction-based anomaly detection framework, namely Dinomaly, which leverages pure Transformer architectures without relying on complex designs, additional modules, or specialized tricks. Given this powerful framework consisted of only Attentions and MLPs, we found four simple components that are essential to multi-class anomaly detection: (1) Foundation Transformers that extracts universal and discriminative features, (2) Noisy Bottleneck where pre-existing Dropouts do all the noise injection tricks, (3) Linear Attention that naturally cannot focus, and (4) Loose Reconstruction that does not force layer-to-layer and point-by-point reconstruction. Extensive experiments are conducted across popular anomaly detection benchmarks including MVTec-AD, VisA, and Real-IAD. Our proposed Dinomaly achieves impressive image-level AUROC of 99.6%, 98.7%, and 89.3% on the three datasets respectively, which is not only superior to state-of-the-art multi-class UAD methods, but also achieves the most advanced class-separated UAD records.

One persistent obstacle in industrial quality inspection is the detection of anomalies. In real-world use cases, two problems must be addressed: anomalous data is sparse and the same types of anomalies need to be detected on previously unseen objects. Current anomaly detection approaches can be trained with sparse nominal data, whereas domain generalization approaches enable detecting objects in previously unseen domains. Utilizing those two observations, we introduce the hybrid task of domain generalization on sparse classes. To introduce an accompanying dataset for this task, we present a modification of the well-established MVTec AD dataset by generating three new datasets. In addition to applying existing methods for benchmark, we design two embedding-based approaches, Spatial Embedding MLP (SEMLP) and Labeled PatchCore. Overall, SEMLP achieves the best performance with an average image-level AUROC of 87.2 % vs. 80.4 % by MIRO. The new and openly available datasets allow for further research to improve industrial anomaly detection.

Supervised AI-text detectors report high benchmark accuracy, but it is not clear what their decisions are based on. We analyze a RoBERTa-based detector under semantic, structural, and tokenizer-level perturbations, using the M4 dataset (N = 10,000) and controlled generations (N = 300). When Mistral-7B-Instruct was asked to make machine text sound more human, Verb Diversity rose from 0.77 to 0.92 and the outputs became easier to detect. Detection scores appear to track statistical complexity, which also leads to a 76.3% false-positive rate on formal human writing. As a control, we evaluate event-based Latent Space detection. Paraphrasing changed 87% of its event sequences (Jaccard = 0.067), and homoglyphs altered 70% of the extracted verbs even though extraction still ran (Jaccard = 0.30). Its best domain AUC was 0.577. RoBERTa's robustness seems specific to the features it uses, and structural abstraction did not make detection more robust.

There are many challenges in the classification of hyper spectral images such as large dimensionality, scarcity of labeled data and spatial variability of spectral signatures. In this proposed method, we make a hybrid classifier (MLP-SVM) using multilayer perceptron (MLP) and support vector machine (SVM) which aimed to improve the various classification parameters such as accuracy, precision, recall, f-score and to predict the region without ground truth. In proposed method, outputs from the last hidden layer of the neural net-ork become the input to the SVM, which finally classifies into various desired classes. In the present study, we worked on Indian Pines, U. Pavia and Salinas dataset with 16, 9, 16 classes and 200, 103 and 204 reflectance bands respectively, which is provided by AVIRIS and ROSIS sensor of NASA Jet propulsion laboratory. The proposed method significantly increases the accuracy on testing dataset to 93.22%, 96.87%, 93.81% as compare to 86.97%, 88.58%, 88.85% and 91.61%, 96.20%, 90.68% based on individual classifiers SVM and MLP on Indian Pines, U. Pavia and Salinas datasets respectively.

The ability of deep learning models to learn continuously is essential for adapting to new data categories and evolving data distributions. In recent years, approaches leveraging frozen feature extractors after an initial learning phase have been extensively studied. Many of these methods estimate per-class covariance matrices and prototypes based on backbone-derived feature representations. Within this paradigm, we introduce FeNeC (Feature Neighborhood Classifier) and FeNeC-Log, its variant based on the log-likelihood function. Our approach generalizes the existing concept by incorporating data clustering to capture greater intra-class variability. Utilizing the Mahalanobis distance, our models classify samples either through a nearest neighbor approach or trainable logit values assigned to consecutive classes. Our proposition may be reduced to the existing approaches in a special case while extending them with the ability of more flexible adaptation to data. We demonstrate that two FeNeC variants achieve competitive performance in scenarios where task identities are unknown and establish state-of-the-art results on several benchmarks.

Linear probes are widely used in interpretability research and often compared by cosine similarity. The Mahalanobis cosine similarity (MCS) between two directions, which reweights the inner product by test data covariance, is a natural task-aware refinement. Ying et al. (2026) report that a probe's MCS to a reference probe trained on the out-of-distribution (OOD) data near-perfectly linearly predicts the probe's OOD AUROC (R^2 = 0.98). Here, we extend this empirical finding across models, layers, and concept domains, and prove this general phenomenon in closed form: For balanced classes whose projections are Gaussian, OOD AUROC and MCS to the reference probe are linear because both are sigmoid-shaped functions of the probe's signal-to-noise ratio (SNR) on the test data. The theory also predicts when this linearity fails, which we verify empirically. MCS offers a theoretically grounded and empirically effective alternative to Euclidean cosine similarity for comparing linear probes.

Unmanned aerial vehicles (UAVs), commonly known as drones, are increasingly used across diverse domains, including logistics, agriculture, surveillance, and defense. While these systems provide numerous benefits, their misuse raises safety and security concerns, making effective detection mechanisms essential. Acoustic sensing offers a low-cost and non-intrusive alternative to vision or radar-based detection, as drone propellers generate distinctive sound patterns. This study introduces AUDRON (AUdio-based Drone Recognition Network), a hybrid deep learning framework for drone sound detection, employing a combination of Mel-Frequency Cepstral Coefficients (MFCC), Short-Time Fourier Transform (STFT) spectrograms processed with convolutional neural networks (CNNs), recurrent layers for temporal modeling, and autoencoder-based representations. Feature-level fusion integrates complementary information before classification. Experimental evaluation demonstrates that AUDRON effectively differentiates drone acoustic signatures from background noise, achieving high accuracy while maintaining generalizability across varying conditions. AUDRON achieves 98.51 percent and 97.11 percent accuracy in binary and multiclass classification. The results highlight the advantage of combining multiple feature representations with deep learning for reliable acoustic drone detection, suggesting the framework's potential for deployment in security and surveillance applications where visual or radar sensing may be limited.

This paper introduces a new tool, OccCANINE, to automatically transform occupational descriptions into the HISCO classification system. The manual work involved in processing and classifying occupational descriptions is error-prone, tedious, and time-consuming. We finetune a preexisting language model (CANINE) to do this automatically thereby performing in seconds and minutes what previously took days and weeks. The model is trained on 14 million pairs of occupational descriptions and HISCO codes in 13 different languages contributed by 22 different sources. Our approach is shown to have accuracy, recall and precision above 90 percent. Our tool breaks the metaphorical HISCO barrier and makes this data readily available for analysis of occupational structures with broad applicability in economics, economic history and various related disciplines.

We introduce a simple and intuitive self-supervision task, Natural Synthetic Anomalies (NSA), for training an end-to-end model for anomaly detection and localization using only normal training data. NSA integrates Poisson image editing to seamlessly blend scaled patches of various sizes from separate images. This creates a wide range of synthetic anomalies which are more similar to natural sub-image irregularities than previous data-augmentation strategies for self-supervised anomaly detection. We evaluate the proposed method using natural and medical images. Our experiments with the MVTec AD dataset show that a model trained to localize NSA anomalies generalizes well to detecting real-world a priori unknown types of manufacturing defects. Our method achieves an overall detection AUROC of 97.2 outperforming all previous methods that learn without the use of additional datasets. Code available at https://github.com/hmsch/natural-synthetic-anomalies.

Electrocardiogram (ECG) can be reliably used as a measure to monitor the functionality of the cardiovascular system. Recently, there has been a great attention towards accurate categorization of heartbeats. While there are many commonalities between different ECG conditions, the focus of most studies has been classifying a set of conditions on a dataset annotated for that task rather than learning and employing a transferable knowledge between different tasks. In this paper, we propose a method based on deep convolutional neural networks for the classification of heartbeats which is able to accurately classify five different arrhythmias in accordance with the AAMI EC57 standard. Furthermore, we suggest a method for transferring the knowledge acquired on this task to the myocardial infarction (MI) classification task. We evaluated the proposed method on PhysionNet's MIT-BIH and PTB Diagnostics datasets. According to the results, the suggested method is able to make predictions with the average accuracies of 93.4% and 95.9% on arrhythmia classification and MI classification, respectively.

Research on AI-generated text detection has presented a number of approaches to discern human from AI prose, some of which achieving high in-distribution performance. However, real-world applicability has stalled because their outputs are misaligned with the needs of users, such as professors, who are presented with a numeric score that has no attached explanation. We tackle this issue with a novel architecture, TELL, that bakes explainability from the ground-up. While our system still offers a numerical score like other detectors for comparability, TELL takes a fundamentally different approach where we aim to show the user the "tells" by which the model believes a text is AI or human-written, to empower the user to decide who wrote a text using their own judgment and understanding of the context of the writing and its alleged author. We train TELL on a custom SFT dataset of domain-specific authorship annotations, and further refine the system using GRPO with curriculum learning to improve performance. We achieve competitive performance with state-of-the-art detectors (AUROC 0.927) while natively providing annotations that explain the basis for the detector's decision. We further evaluate the quality of our explanations using a dataset of human annotations and report a high (mean 72.3%) win-rate on annotation concreteness, falsifiability, coherence, plausibility and grounding, allowing users to critically think and decide for themselves. Our work thus reframes the problem of AI-generated text detection in a human-centric perspective and paves the way for a new family of detectors that focus on native explainability.