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Jul 9

Multi-ORFT: Stable Online Reinforcement Fine-Tuning for Multi-Agent Diffusion Planning in Cooperative Driving

Closed-loop cooperative driving requires planners that generate realistic multimodal multi-agent trajectories while improving safety and traffic efficiency. Existing diffusion planners can model multimodal behaviors from demonstrations, but they often exhibit weak scene consistency and remain poorly aligned with closed-loop objectives; meanwhile, stable online post-training in reactive multi-agent environments remains difficult. We present Multi-ORFT, which couples scene-conditioned diffusion pre-training with stable online reinforcement post-training. In pre-training, the planner uses inter-agent self-attention, cross-attention, and AdaLN-Zero-based scene conditioning to improve scene consistency and road adherence of joint trajectories. In post-training, we formulate a two-level MDP that exposes step-wise reverse-kernel likelihoods for online optimization, and combine dense trajectory-level rewards with variance-gated group-relative policy optimization (VG-GRPO) to stabilize training. On the WOMD closed-loop benchmark, Multi-ORFT reduces collision rate from 2.04% to 1.89% and off-road rate from 1.68% to 1.36%, while increasing average speed from 8.36 to 8.61 m/s relative to the pre-trained planner, and it outperforms strong open-source baselines including SMART-large, SMART-tiny-CLSFT, and VBD on the primary safety and efficiency metrics. These results show that coupling scene-consistent denoising with stable online diffusion-policy optimization improves the reliability of closed-loop cooperative driving.

  • 8 authors
·
Apr 13

Expert Evaluation of Clinical AI Tools on Real Point-of-Care Clinical Queries

Physicians now pose millions of clinical questions to AI tools each week, yet these tools are evaluated largely on hypothetical or exam-style questions, not those actually asked in practice. We report a blinded evaluation built on 620 Real-world Point-Of-Care Queries (Real-POCQi) submitted to the OpenEvidence (OE) platform by physicians spanning 30 specialties, as well as 187 questions from HealthBench. 149 practicing physicians across 36 states made head-to-head comparisons between answers from three frontier general-purpose models (Claude Opus 4.8, Gemini 3.1 Pro, and GPT-5.5) and a specialized clinical tool (OE), with graders matched to each question's specialty. When comparing answers along five dimensions relevant to clinical decision support -- accuracy, clinical utility, source quality, verifiability, & completeness -- physicians scored the specialized tool highest on all axes; in the primary analysis on Real-POCQi, win differences (margins between win and loss rates) ranged from 25 to 39 percentage points (p<0.001). Results remained consistent in sensitivity analyses stratifying by citation display, answer length, OE-user status, and Real-POCQi versus HealthBench. In parallel, LLM judges were found to systematically differ from expert judges, though both generally agreed on the best model. These findings underscore two conclusions: (i) AI tool evaluations should reflect real-world query distributions and use expert judges that mirror the specialization defining modern medicine and (ii) the consistent advantage of the specialized tool over general-purpose models does not necessarily mean that the latter cannot serve similar purposes, but that targeted engineering and customization can yield meaningful gains in performance for its users. We release Real-POCQi as a public benchmark, as well as the prespecified statistical analysis for reproducing results of this study.

  • 8 authors
·
Jun 26