Daily Papers

AI agents rely on a harness of skills, tools, and workflows to solve complex problems. Continually improving this harness is essential for adapting to new tasks. However, existing optimization methods typically require ground-truth validation sets, yet such labeled data is difficult to acquire in practical deployment settings. To address this problem, we introduce Retrospective Harness Optimization (RHO), a self-supervised method that optimizes the agent harness using only past trajectories. Specifically, RHO selects a diverse coreset of challenging tasks from past trajectories and re-solves them in parallel. The agent analyzes these rollouts using self-validation and self-consistency, then generates candidate harness updates and selects the most effective one by its own pairwise self-preference. We evaluate RHO across three diverse domains, spanning software engineering, technical work, and knowledge work. Notably, a single optimization round improves the pass rate on SWE-Bench Pro from 59% to 78% without any external grading. Furthermore, our analysis demonstrates that RHO effectively targets prior failure modes. As a result, the optimized harness alters the agent's behavior patterns and sustains higher accuracy during long-horizon sessions.

Multi-turn interactions between large language models (LLMs) and users naturally include implicit feedback signals. If an LLM responds in an unexpected way to an instruction, the user is likely to signal it by rephrasing the request, expressing frustration, or pivoting to an alternative task. Such signals are task-independent and occupy a relatively constrained subspace of language, allowing the LLM to identify them even if it fails on the actual task. This creates an avenue for continually learning from interactions without additional annotations. We introduce ReSpect, a method to learn from such signals in past interactions via retrospection. We deploy ReSpect in a new multimodal interaction scenario, where humans instruct an LLM to solve an abstract reasoning task with a combinatorial solution space. Through thousands of interactions with humans, we show how ReSpect gradually improves task completion rate from 31% to 82%, all without any external annotation.

Large Language Models (LLMs) are increasingly deployed in long-context tasks such as reasoning, code generation, and multi-turn dialogue. However, inference over extended contexts is bottlenecked by the Key-Value (KV) cache, whose memory footprint grows linearly with sequence length and dominates latency at each decoding step. While recent KV cache compression methods identify and load important tokens, they focus predominantly on input contexts and fail to address the cumulative attention errors that arise during long decoding. In this paper, we introduce RetroAttention, a novel KV cache update technique that retrospectively revises past attention outputs using newly arrived KV entries from subsequent decoding steps. By maintaining a lightweight output cache, RetroAttention enables past queries to efficiently access more relevant context, while incurring minimal latency overhead. This breaks the fixed-attention-output paradigm and allows continual correction of prior approximations. Extensive experiments on long-generation benchmarks show that RetroAttention consistently outperforms state-of-the-art (SOTA) KV compression methods, increasing effective KV exposure by up to 1.6times and accuracy by up to 21.9\%.

In MRI, motion artefacts are among the most common types of artefacts. They can degrade images and render them unusable for accurate diagnosis. Traditional methods, such as prospective or retrospective motion correction, have been proposed to avoid or alleviate motion artefacts. Recently, several other methods based on deep learning approaches have been proposed to solve this problem. This work proposes to enhance the performance of existing deep learning models by the inclusion of additional information present as image priors. The proposed approach has shown promising results and will be further investigated for clinical validity.

Machine reading comprehension (MRC) is an AI challenge that requires machine to determine the correct answers to questions based on a given passage. MRC systems must not only answer question when necessary but also distinguish when no answer is available according to the given passage and then tactfully abstain from answering. When unanswerable questions are involved in the MRC task, an essential verification module called verifier is especially required in addition to the encoder, though the latest practice on MRC modeling still most benefits from adopting well pre-trained language models as the encoder block by only focusing on the "reading". This paper devotes itself to exploring better verifier design for the MRC task with unanswerable questions. Inspired by how humans solve reading comprehension questions, we proposed a retrospective reader (Retro-Reader) that integrates two stages of reading and verification strategies: 1) sketchy reading that briefly investigates the overall interactions of passage and question, and yield an initial judgment; 2) intensive reading that verifies the answer and gives the final prediction. The proposed reader is evaluated on two benchmark MRC challenge datasets SQuAD2.0 and NewsQA, achieving new state-of-the-art results. Significance tests show that our model is significantly better than the strong ELECTRA and ALBERT baselines. A series of analysis is also conducted to interpret the effectiveness of the proposed reader.

We present a retrospective on the state of Embodied AI research. Our analysis focuses on 13 challenges presented at the Embodied AI Workshop at CVPR. These challenges are grouped into three themes: (1) visual navigation, (2) rearrangement, and (3) embodied vision-and-language. We discuss the dominant datasets within each theme, evaluation metrics for the challenges, and the performance of state-of-the-art models. We highlight commonalities between top approaches to the challenges and identify potential future directions for Embodied AI research.

Recent months have seen the emergence of a powerful new trend in which large language models (LLMs) are augmented to become autonomous language agents capable of performing objective oriented multi-step tasks on their own, rather than merely responding to queries from human users. Most existing language agents, however, are not optimized using environment-specific rewards. Although some agents enable iterative refinement through verbal feedback, they do not reason and plan in ways that are compatible with gradient-based learning from rewards. This paper introduces a principled framework for reinforcing large language agents by learning a retrospective model, which automatically tunes the language agent prompts from environment feedback through policy gradient. Specifically, our proposed agent architecture learns from rewards across multiple environments and tasks, for fine-tuning a pre-trained language model which refines the language agent prompt by summarizing the root cause of prior failed attempts and proposing action plans. Experimental results on various tasks demonstrate that the language agents improve over time and that our approach considerably outperforms baselines that do not properly leverage gradients from the environment. This demonstrates that using policy gradient optimization to improve language agents, for which we believe our work is one of the first, seems promising and can be applied to optimize other models in the agent architecture to enhance agent performances over time.

Competition retrospectives are useful when they explain what a leaderboard measured, how hidden evaluation changed conclusions, and which design patterns were rewarded. We revisit the CODS 2025 challenge, a privacy-aware Codabench competition on industrial multi-agent orchestration built on . We combine final rank sheets, a 300-submission server log, 149-team registrations, best-submission exports, the organizer winners report, the companion system paper, and verified planning-track source trees. Five results stand out. First, the public planning leaderboard saturates at 72.73\%, and richer prompts do not improve that peak. Second, hidden evaluation changes the story: public and private scores correlate moderately in planning (r{=}0.69) but negatively in execution (r{=}{-}0.13), with several 45.45\% public execution systems reaching 63.64\% on the hidden set. Third, the term is numerically almost inert in the official composite -- combined on a 0--1 scale with 0--100 percentage scores, it contributes at most 0.05 points per track, and rescaling would swap the top two teams. Fourth, the competition is operationally account-based but substantively team-based: 149 registered teams reduce to 24 with non-zero public scores and 11 fully ranked, while 52.3\% of deduplicated registrations list multiple usernames. Fifth, successful execution methods mostly improve guardrails -- response selection, contamination cleanup, fallback, and context control -- rather than novel agent architectures. These findings identify which behaviors the evaluation rewarded, and motivate scale-aware composites, skill-level diagnostics, and versioned artifact release.

Hepatocellular carcinoma (HCC), ranking as the third leading cause of cancer-related mortality worldwide, demands urgent improvements in early detection to enhance patient survival. While ultrasound remains the preferred screening modality due to its cost-effectiveness and real-time capabilities, its sensitivity (59%-78%) heavily relies on radiologists' expertise, leading to inconsistent diagnostic outcomes and operational inefficiencies. Recent advancements in AI technology offer promising solutions to bridge this gap. This study introduces the Hierarchical Sparse Query Transformer (HSQformer), a novel hybrid architecture that synergizes CNNs' local feature extraction with Vision Transformers' global contextual awareness through latent space representation and sparse learning. By dynamically activating task-specific experts via a Mixture-of-Experts (MoE) framework, HSQformer achieves hierarchical feature integration without structural redundancy. Evaluated across three clinical scenarios: single-center, multi-center, and high-risk patient cohorts, HSQformer outperforms state-of-the-art models (e.g., 95.38% AUC in multi-center testing) and matches senior radiologists' diagnostic accuracy while significantly surpassing junior counterparts. These results highlight the potential of AI-assisted tools to standardize HCC screening, reduce dependency on human expertise, and improve early diagnosis rates. The full code is available at https://github.com/Asunatan/HSQformer.

Chain-of-Thought (CoT) prompting has become the de facto method to elicit reasoning capabilities from large language models (LLMs). However, to mitigate hallucinations in CoT that are notoriously difficult to detect, current methods such as process reward models (PRMs) or self-consistency operate as opaque boxes and do not provide checkable evidence for their judgments, possibly limiting their effectiveness. To address this issue, we draw inspiration from the idea that "the gold standard for supporting a mathematical claim is to provide a proof". We propose a retrospective, step-aware formal verification framework Safe. Rather than assigning arbitrary scores, we strive to articulate mathematical claims in formal mathematical language Lean 4 at each reasoning step and provide formal proofs to identify hallucinations. We evaluate our framework Safe across multiple language models and various mathematical datasets, demonstrating a significant performance improvement while offering interpretable and verifiable evidence. We also propose FormalStep as a benchmark for step correctness theorem proving with 30,809 formal statements. To the best of our knowledge, our work represents the first endeavor to utilize formal mathematical language Lean 4 for verifying natural language content generated by LLMs, aligning with the reason why formal mathematical languages were created in the first place: to provide a robust foundation for hallucination-prone human-written proofs.

Transformers are not suited for processing long documents, due to their quadratically increasing memory and time consumption. Simply truncating a long document or applying the sparse attention mechanism will incur the context fragmentation problem or lead to an inferior modeling capability against comparable model sizes. In this paper, we propose ERNIE-Doc, a document-level language pretraining model based on Recurrence Transformers. Two well-designed techniques, namely the retrospective feed mechanism and the enhanced recurrence mechanism, enable ERNIE-Doc, which has a much longer effective context length, to capture the contextual information of a complete document. We pretrain ERNIE-Doc to explicitly learn the relationships among segments with an additional document-aware segment-reordering objective. Various experiments were conducted on both English and Chinese document-level tasks. ERNIE-Doc improved the state-of-the-art language modeling result of perplexity to 16.8 on WikiText-103. Moreover, it outperformed competitive pretraining models by a large margin on most language understanding tasks, such as text classification and question answering.

Aligning Video Large Multimodal Models (VLMMs) face challenges such as modality misalignment and verbose responses. Although iterative approaches such as self-rewarding or iterative direct preference optimization (DPO) recently showed a significant improvement in language model alignment, particularly on reasoning tasks, self-aligned models applied to large video-language models often result in lengthy and irrelevant responses. To address these challenges, we propose a novel method that employs self-retrospection to enhance both response generation and preference modeling, and call iterative self-retrospective judgment (i-SRT). By revisiting and evaluating already generated content and preference in loop, i-SRT improves the alignment between textual and visual modalities, reduce verbosity, and enhances content relevance. Our empirical evaluations across diverse video question answering benchmarks demonstrate that i-SRT significantly outperforms prior arts. We are committed to opensourcing our code, models, and datasets to encourage further investigation.

Learning per-point semantic features from the hierarchical feature pyramid is essential for point cloud semantic segmentation. However, most previous methods suffered from ambiguous region features or failed to refine per-point features effectively, which leads to information loss and ambiguous semantic identification. To resolve this, we propose Retro-FPN to model the per-point feature prediction as an explicit and retrospective refining process, which goes through all the pyramid layers to extract semantic features explicitly for each point. Its key novelty is a retro-transformer for summarizing semantic contexts from the previous layer and accordingly refining the features in the current stage. In this way, the categorization of each point is conditioned on its local semantic pattern. Specifically, the retro-transformer consists of a local cross-attention block and a semantic gate unit. The cross-attention serves to summarize the semantic pattern retrospectively from the previous layer. And the gate unit carefully incorporates the summarized contexts and refines the current semantic features. Retro-FPN is a pluggable neural network that applies to hierarchical decoders. By integrating Retro-FPN with three representative backbones, including both point-based and voxel-based methods, we show that Retro-FPN can significantly improve performance over state-of-the-art backbones. Comprehensive experiments on widely used benchmarks can justify the effectiveness of our design. The source is available at https://github.com/AllenXiangX/Retro-FPN

Large language model (LLM)-based agents trained with reinforcement learning (RL) have shown strong potential on complex interactive tasks. However, standard RL paradigms favor static problem-solving over continuous adaptation: agents often converge to suboptimal strategies due to insufficient exploration, while learned knowledge remains implicit within parameters rather than explicitly retrievable, limiting effective experiential learning. To address these limitations, we introduce RetroAgent, an online RL framework that empowers agents to master complex interactive environments not just by solving, but by evolving. Concretely, RetroAgent features a hindsight self-reflection mechanism that produces dual intrinsic feedback: (1) intrinsic numerical feedback that that tracks incremental subtask completion relative to prior attempts, rewarding promising explorations, and (2) intrinsic language feedback that distills reusable lessons into a memory buffer, retrieved via our proposed Similarity & Utility-Aware Upper Confidence Bound (SimUtil-UCB) strategy balancing relevance, utility, and exploration to effectively leverage past experiences. Extensive experiments on two model families across four challenging agentic tasks demonstrate that RetroAgent significantly outperforms existing methods, achieving state-of-the-art results -- e.g., surpassing Group Relative Policy Optimization (GRPO)-trained agents by +18.3% on ALFWorld, +15.4% on WebShop, +27.1% on Sokoban, and +8.9% on MineSweeper -- while exhibiting strong test-time adaptation and generalization to out-of-distribution scenarios.

The VoxCeleb Speaker Recognition Challenges (VoxSRC) were a series of challenges and workshops that ran annually from 2019 to 2023. The challenges primarily evaluated the tasks of speaker recognition and diarisation under various settings including: closed and open training data; as well as supervised, self-supervised, and semi-supervised training for domain adaptation. The challenges also provided publicly available training and evaluation datasets for each task and setting, with new test sets released each year. In this paper, we provide a review of these challenges that covers: what they explored; the methods developed by the challenge participants and how these evolved; and also the current state of the field for speaker verification and diarisation. We chart the progress in performance over the five installments of the challenge on a common evaluation dataset and provide a detailed analysis of how each year's special focus affected participants' performance. This paper is aimed both at researchers who want an overview of the speaker recognition and diarisation field, and also at challenge organisers who want to benefit from the successes and avoid the mistakes of the VoxSRC challenges. We end with a discussion of the current strengths of the field and open challenges. Project page : https://mm.kaist.ac.kr/datasets/voxceleb/voxsrc/workshop.html

Large Language Models have demonstrated profound utility in the medical domain. However, their application to autonomous Electronic Health Records~(EHRs) navigation remains constrained by a reliance on curated inputs and simplified retrieval tasks. To bridge the gap between idealized experimental settings and realistic clinical environments, we present AgentEHR. This benchmark challenges agents to execute complex decision-making tasks, such as diagnosis and treatment planning, requiring long-range interactive reasoning directly within raw and high-noise databases. In tackling these tasks, we identify that existing summarization methods inevitably suffer from critical information loss and fractured reasoning continuity. To address this, we propose RetroSum, a novel framework that unifies a retrospective summarization mechanism with an evolving experience strategy. By dynamically re-evaluating interaction history, the retrospective mechanism prevents long-context information loss and ensures unbroken logical coherence. Additionally, the evolving strategy bridges the domain gap by retrieving accumulated experience from a memory bank. Extensive empirical evaluations demonstrate that RetroSum achieves performance gains of up to 29.16% over competitive baselines, while significantly decreasing total interaction errors by up to 92.3%.

Recent literature has underscored the importance of dataset documentation work for machine learning, and part of this work involves addressing "documentation debt" for datasets that have been used widely but documented sparsely. This paper aims to help address documentation debt for BookCorpus, a popular text dataset for training large language models. Notably, researchers have used BookCorpus to train OpenAI's GPT-N models and Google's BERT models, even though little to no documentation exists about the dataset's motivation, composition, collection process, etc. We offer a preliminary datasheet that provides key context and information about BookCorpus, highlighting several notable deficiencies. In particular, we find evidence that (1) BookCorpus likely violates copyright restrictions for many books, (2) BookCorpus contains thousands of duplicated books, and (3) BookCorpus exhibits significant skews in genre representation. We also find hints of other potential deficiencies that call for future research, including problematic content, potential skews in religious representation, and lopsided author contributions. While more work remains, this initial effort to provide a datasheet for BookCorpus adds to growing literature that urges more careful and systematic documentation for machine learning datasets.

Chest X-ray (CXR) radiology report generation (RRG) models have shown rapid progress, yet their clinical utility remains uncertain due to limited evaluation by radiologists. We present CXRMate-2, a state-of-the-art CXR RRG model that integrates structured multimodal conditioning and reinforcement learning with a composite reward for semantic alignment with radiologist reports. Across the MIMIC-CXR, CheXpert Plus, and ReXgradient datasets, CXRMate-2 achieves statistically significant improvements over strong benchmarks, including gains of 11.2% and 24.4% in GREEN and RadGraph-XL, respectively, on MIMIC-CXR relative to MedGemma 1.5 (4B). To directly compare CXRMate-2 against radiologist reporting, we conduct a blinded, randomised qualitative retrospective evaluation. Three consultant radiologists compare generated and radiologist reports across 120 studies from the MIMIC-CXR test set. Generated reports were deemed acceptable (defined as preferred or rated equally to radiologist reports) in 45% of ratings, with no statistically significant difference in preference rates between radiologist reports and acceptable generated reports for seven of the eight analysed findings. Preference for radiologist reports was driven primarily by higher recall, while generated reports were often preferred for readability. Together, these results suggest a credible pathway to clinically acceptable CXR RRG. Improvements in recall, alongside better detection of subtle findings (e.g., pulmonary congestion), are likely sufficient to achieve non-inferiority to radiologist reporting. With these targeted advances, CXR RRG systems may be ready for prospective evaluation in assistive roles within radiologist-led workflows.

Tool-Integrated Reasoning (TIR) with search engines enables large language models to iteratively retrieve up-to-date external knowledge, enhancing adaptability and generalization in complex question-answering tasks. However, existing search agent pipelines typically depend on reinforcement learning based optimization, which often suffers from sparse outcome rewards, leading to inefficient exploration and unstable training. We introduce CriticSearch, a fine-grained credit-assignment framework that supplies dense, turn-level feedback via a retrospective critic mechanism. During training, a frozen, asymmetric critique LLM retrospectively evaluates each turn using privileged information from the full trajectory and gold answers, converting these assessments into stable, dense rewards that guide policy improvement. Experimental results across diverse multi-hop reasoning benchmarks demonstrate that CriticSearch consistently outperforms existing baselines, achieving faster convergence, improved training stability, and higher performance.

To facilitate research in the direction of fine-tuning foundation models from human feedback, we held the MineRL BASALT Competition on Fine-Tuning from Human Feedback at NeurIPS 2022. The BASALT challenge asks teams to compete to develop algorithms to solve tasks with hard-to-specify reward functions in Minecraft. Through this competition, we aimed to promote the development of algorithms that use human feedback as channels to learn the desired behavior. We describe the competition and provide an overview of the top solutions. We conclude by discussing the impact of the competition and future directions for improvement.

Vision-Language Models (VLMs) excel at visual understanding but often suffer from visual hallucinations, where they generate descriptions of nonexistent objects, actions, or concepts, posing significant risks in safety-critical applications. Existing hallucination mitigation methods typically follow one of two paradigms: generation adjustment, which modifies decoding behavior to align text with visual inputs, and post-hoc verification, where external models assess and correct outputs. While effective, generation adjustment methods often rely on heuristics and lack correction mechanisms, while post-hoc verification is complicated, typically requiring multiple models and tending to reject outputs rather than refine them. In this work, we introduce REVERSE, a unified framework that integrates hallucination-aware training with on-the-fly self-verification. By leveraging a new hallucination-verification dataset containing over 1.3M semi-synthetic samples, along with a novel inference-time retrospective resampling technique, our approach enables VLMs to both detect hallucinations during generation and dynamically revise those hallucinations. Our evaluations show that REVERSE achieves state-of-the-art hallucination reduction, outperforming the best existing methods by up to 12% on CHAIR-MSCOCO and 28% on HaloQuest. Our dataset, model, and code are available at: https://reverse-vlm.github.io.

Mobile agents that can leverage help from humans can potentially accomplish more complex tasks than they could entirely on their own. We develop "Help, Anna!" (HANNA), an interactive photo-realistic simulator in which an agent fulfills object-finding tasks by requesting and interpreting natural language-and-vision assistance. An agent solving tasks in a HANNA environment can leverage simulated human assistants, called ANNA (Automatic Natural Navigation Assistants), which, upon request, provide natural language and visual instructions to direct the agent towards the goals. To address the HANNA problem, we develop a memory-augmented neural agent that hierarchically models multiple levels of decision-making, and an imitation learning algorithm that teaches the agent to avoid repeating past mistakes while simultaneously predicting its own chances of making future progress. Empirically, our approach is able to ask for help more effectively than competitive baselines and, thus, attains higher task success rate on both previously seen and previously unseen environments. We publicly release code and data at https://github.com/khanhptnk/hanna . A video demo is available at https://youtu.be/18P94aaaLKg .

Coding agents often finish a session by returning one squashed patch that mixes feature implementation, bug fixes, refactorings, tests, and configuration edits. While the final code may be correct, collapsing unrelated edits into one patch removes the history structure needed for review, selective revert, and later maintenance. We study retrospective commit-history reconstruction: given a completed squashed change, an agent groups its hunks into commits and materializes a replayable commit sequence. We formalize the task as hunk-to-commit partitioning with a replay requirement and build AtomicCommitBench, containing 800 real consecutive-commit episodes from 10 Python projects. Because multiple decompositions may be reasonable, we evaluate outputs using complementary metrics: PPAR for replay validity, ARI for reference-based grouping quality, and TCR for failure containment on scoreable modified-test episodes. Natural retrospective reconstruction proves substantially harder than replay checking or synthetic tangling. Although nearly all non-random methods achieve replay validity (PPAR >= 0.988), grouping quality ranges from 0.03 to 0.46 ARI. Matched synthetic composites are much easier than real same-author squashed diffs (+0.333 ARI). In our evaluation, the GPT-5.4 setup driven by Codex CLI (0.46 ARI) and the GLM-5 setup driven by Claude Code (0.43 ARI) outperform MiniMax (0.31) and Kimi (0.29). Qualitative analysis identifies same-file lumping and support-hunk drift as recurring failure modes. Dependency-Aware Commit Evidence (DACE) improves the lower-scoring setups by 0.05 to 0.08 ARI, indicating that dependency cues and hunk-role information help agents avoid locality-driven grouping errors. AtomicCommitBench enables evaluation of the commit histories produced by coding agents alongside the final code.

Magnetic resonance imaging (MRI) is highly susceptible to patient motion due to its relatively long acquisition times and the fact that data are acquired sequentially in k-space. Even small patient movements introduce phase inconsistencies across measurements, leading to severe artifacts such as blurring, ghosting, and geometric distortions that can compromise diagnostic quality. Retrospective motion compensation remains challenging, particularly in accelerated acquisitions, due to the ill-posed nature of the joint reconstruction and motion estimation problem. In this work, we propose a unified Bayesian framework for motion-compensated 3D MRI that jointly estimates the anatomical image, rigid-body motion parameters, and coil sensitivity maps directly from motion-corrupted k-space data. Our approach integrates pretrained 3D complex-valued score-based diffusion models as expressive anatomical image priors within a physics-based forward model. Inference is performed by alternating diffusion posterior image updates with efficient proximal optimization steps for motion and coil sensitivity estimation, enabling fully unsupervised reconstruction without the need for paired motion-free training data. Experiments on simulated and real-motion brain MRI datasets demonstrate that the proposed method achieves improved image quality and motion robustness compared to state-of-the-art classical and learning-based motion correction techniques, particularly in the presence of severe motion and high acceleration.

We introduce a cross-domain behavioural assay of monitoring-control coupling in LLMs, grounded in the Nelson and Narens (1990) metacognitive framework and applying human psychometric methodology to LLM evaluation. The battery comprises 524 items across six cognitive domains (learning, metacognitive calibration, social cognition, attention, executive function, prospective regulation), each grounded in an established experimental paradigm. Tasks T1-T5 were pre-registered on OSF prior to data collection; T6 was added as an exploratory extension. After every forced-choice response, dual probes adapted from Koriat and Goldsmith (1996) ask the model to KEEP or WITHDRAW its answer and to BET or decline. The critical metric is the withdraw delta: the difference in withdrawal rate between incorrect and correct items. Applied to 20 frontier LLMs (10,480 evaluations), the battery discriminates three profiles consistent with the Nelson-Narens architecture: blanket confidence, blanket withdrawal, and selective sensitivity. Accuracy rank and metacognitive sensitivity rank are largely inverted. Retrospective monitoring and prospective regulation appear dissociable (r = .17, 95% CI wide given n=20; exemplar-based evidence is the primary support). Scaling on metacognitive calibration is architecture-dependent: monotonically decreasing (Qwen), monotonically increasing (GPT-5.4), or flat (Gemma). Behavioural findings converge structurally with an independent Type-2 SDT approach, providing preliminary cross-method construct validity. All items, data, and code: https://github.com/synthiumjp/metacognitive-monitoring-battery.

Traditional learning systems are trained in closed-world for a fixed number of classes, and need pre-collected datasets in advance. However, new classes often emerge in real-world applications and should be learned incrementally. For example, in electronic commerce, new types of products appear daily, and in a social media community, new topics emerge frequently. Under such circumstances, incremental models should learn several new classes at a time without forgetting. We find a strong correlation between old and new classes in incremental learning, which can be applied to relate and facilitate different learning stages mutually. As a result, we propose CO-transport for class Incremental Learning (COIL), which learns to relate across incremental tasks with the class-wise semantic relationship. In detail, co-transport has two aspects: prospective transport tries to augment the old classifier with optimal transported knowledge as fast model adaptation. Retrospective transport aims to transport new class classifiers backward as old ones to overcome forgetting. With these transports, COIL efficiently adapts to new tasks, and stably resists forgetting. Experiments on benchmark and real-world multimedia datasets validate the effectiveness of our proposed method.

In this work, we report the set-up and results of the Liver Tumor Segmentation Benchmark (LiTS), which was organized in conjunction with the IEEE International Symposium on Biomedical Imaging (ISBI) 2017 and the International Conferences on Medical Image Computing and Computer-Assisted Intervention (MICCAI) 2017 and 2018. The image dataset is diverse and contains primary and secondary tumors with varied sizes and appearances with various lesion-to-background levels (hyper-/hypo-dense), created in collaboration with seven hospitals and research institutions. Seventy-five submitted liver and liver tumor segmentation algorithms were trained on a set of 131 computed tomography (CT) volumes and were tested on 70 unseen test images acquired from different patients. We found that not a single algorithm performed best for both liver and liver tumors in the three events. The best liver segmentation algorithm achieved a Dice score of 0.963, whereas, for tumor segmentation, the best algorithms achieved Dices scores of 0.674 (ISBI 2017), 0.702 (MICCAI 2017), and 0.739 (MICCAI 2018). Retrospectively, we performed additional analysis on liver tumor detection and revealed that not all top-performing segmentation algorithms worked well for tumor detection. The best liver tumor detection method achieved a lesion-wise recall of 0.458 (ISBI 2017), 0.515 (MICCAI 2017), and 0.554 (MICCAI 2018), indicating the need for further research. LiTS remains an active benchmark and resource for research, e.g., contributing the liver-related segmentation tasks in http://medicaldecathlon.com/. In addition, both data and online evaluation are accessible via www.lits-challenge.com.

With the rapid advancement of large language models (LLMs), there is a pressing need for a comprehensive evaluation suite to assess their capabilities and limitations. Existing LLM leaderboards often reference scores reported in other papers without consistent settings and prompts, which may inadvertently encourage cherry-picking favored settings and prompts for better results. In this work, we introduce GPT-Fathom, an open-source and reproducible LLM evaluation suite built on top of OpenAI Evals. We systematically evaluate 10+ leading LLMs as well as OpenAI's legacy models on 20+ curated benchmarks across 7 capability categories, all under aligned settings. Our retrospective study on OpenAI's earlier models offers valuable insights into the evolutionary path from GPT-3 to GPT-4. Currently, the community is eager to know how GPT-3 progressively improves to GPT-4, including technical details like whether adding code data improves LLM's reasoning capability, which aspects of LLM capability can be improved by SFT and RLHF, how much is the alignment tax, etc. Our analysis sheds light on many of these questions, aiming to improve the transparency of advanced LLMs.

The rapid expansion of Large Language Models (LLMs) has posed significant challenges regarding the computational resources required for fine-tuning and deployment. Recent advancements in low-rank adapters have demonstrated their efficacy in parameter-efficient fine-tuning (PEFT) of these models. This retrospective paper comprehensively discusses innovative approaches that synergize low-rank representations with Neural Architecture Search (NAS) techniques, particularly weight-sharing super-networks. Robust solutions for compressing and fine-tuning large pre-trained models are developed by integrating these methodologies. Our analysis highlights the potential of these combined strategies to democratize the use of LLMs, making them more accessible for deployment in resource-constrained environments. The resulting models exhibit reduced memory footprints and faster inference times, paving the way for more practical and scalable applications of LLMs. Models and code are available at https://github.com/IntelLabs/Hardware-Aware-Automated-Machine-Learning.

As autonomous agentic systems scale across regulated critical infrastructures, the lack of mechanistic, hardware-rooted enforcement for high-frequency policy updates presents a fundamental safety gap. We introduce Ethical Hyper-Velocity (EHV), a novel architectural framework for the formal verification of AI governance policies at runtime. Unlike retrospective auditing frameworks (ISO/IEC 42001, NIST AI RMF) which introduce 14-30 day latencies, EHV relocates the Policy Enforcement Point (PEP) into the inference pipeline via a Governance-Aware Just-In-Time (JIT) Compiler. By integrating Conflict-free Replicated Data Types (CRDTs) for policy synchronization and Epoch-based Attestation Caching within Trusted Execution Environments (TEEs), EHV achieves Sub-millisecond Formal Determinism (SMFD). We demonstrate via TLA+ formal verification that non-compliant agentic actions are computationally unreachable within the system's bounded operating state space. We prove that O(1) runtime enforcement can eliminate the traditional trade-off between deployment velocity and governance integrity, reducing Governance Latency from O(days) to O(1).

Recent years have witnessed significant advancements in offline reinforcement learning (RL), resulting in the development of numerous algorithms with varying degrees of complexity. While these algorithms have led to noteworthy improvements, many incorporate seemingly minor design choices that impact their effectiveness beyond core algorithmic advances. However, the effect of these design choices on established baselines remains understudied. In this work, we aim to bridge this gap by conducting a retrospective analysis of recent works in offline RL and propose ReBRAC, a minimalistic algorithm that integrates such design elements built on top of the TD3+BC method. We evaluate ReBRAC on 51 datasets with both proprioceptive and visual state spaces using D4RL and V-D4RL benchmarks, demonstrating its state-of-the-art performance among ensemble-free methods in both offline and offline-to-online settings. To further illustrate the efficacy of these design choices, we perform a large-scale ablation study and hyperparameter sensitivity analysis on the scale of thousands of experiments.

This position paper argues that AI-assisted software engineering requires explicit mechanisms for tracking the epistemic status and temporal validity of architectural decisions. LLM coding assistants generate decisions faster than teams can validate them, yet no widely-adopted framework distinguishes conjecture from verified knowledge, prevents trust inflation through conservative aggregation, or detects when evidence expires. We propose three requirements for responsible AI-assisted engineering: (1) epistemic layers that separate unverified hypotheses from empirically validated claims, (2) conservative assurance aggregation grounded in the Gödel t-norm that prevents weak evidence from inflating confidence, and (3) automated evidence decay tracking that surfaces stale assumptions before they cause failures. We formalize these requirements as the First Principles Framework (FPF), ground its aggregation semantics in fuzzy logic, and define a quintet of invariants that any valid aggregation operator must satisfy. Our retrospective audit applying FPF criteria to two internal projects found that 20-25% of architectural decisions had stale evidence within two months, validating the need for temporal accountability. We outline research directions including learnable aggregation operators, federated evidence sharing, and SMT-based claim validation.

Autonomous research systems increasingly make the scientific workflow executable: agents can propose ideas, run code, inspect results, and draft papers. But executable workflows do not by themselves produce research judgment. We analyze where current systems lose trial experience: weak evidence becomes prose, pilot signals become broad claims, memory remains textual, and recurring process failures do not change later behavior. We introduce Sibyl-AutoResearch, a self-evolving AutoResearch framework built around Scientific Trial-and-Error Harnesses. A harness lets agents run bounded trials, preserve positive and negative outcomes, and route lessons into later planning, validation, claim scope, scheduling, critique, writing, and harness repair. We formalize this through two auditable conversion units: trial-to-behavior conversion, which links trial signals to later research actions, and trial-to-harness-behavior conversion, which links recurring process failures to system updates. We implement the framework in SIBYL, a file-backed autonomous research system that exposes the state, roles, memory, gates, and artifact traces needed to inspect these conversion paths. A retrospective audit identifies eight high-confidence conversion events, with a median latency of one iteration and a maximum latency of three iterations. A recovered-failure registry further shows how five naturally occurring failure classes, including duplicate results, stale numbers, and unsupported statistics, were blocked, downgraded, or routed into later repair. These traces do not establish a comparative performance claim; they show that the proposed conversion units are recoverable from realistic autonomous-research workspaces. The SIBYL framework and system are available at https://github.com/Sibyl-Research-Team/AutoResearch-SibylSystem.

Lung cancer patients frequently experience breakthrough pain episodes, with up to 91% requiring timely intervention. To enable proactive pain management, we propose a hybrid machine learning and large language model pipeline that predicts pain episodes within 48 and 72 hours of hospitalization using both structured and unstructured electronic health record data. A retrospective cohort of 266 inpatients was analyzed, with features including demographics, tumor stage, vital signs, and WHO-tiered analgesic use. The machine learning module captured temporal medication trends, while the large language model interpreted ambiguous dosing records and free-text clinical notes. Integrating these modalities improved sensitivity and interpretability. Our framework achieved an accuracy of 0.874 (48h) and 0.917 (72h), with an improvement in sensitivity of 8.6% and 10.4% due to the augmentation of large language model. This hybrid approach offers a clinically interpretable and scalable tool for early pain episode forecasting, with potential to enhance treatment precision and optimize resource allocation in oncology care.

PURPOSE: Subarachnoid hemorrhage (SAH) entails high morbidity and mortality rates. Convolutional neural networks (CNN), a form of deep learning, are capable of generating highly accurate predictions from imaging data. Our objective was to predict mortality in SAH patients by processing the initial CT scan on a CNN based algorithm. METHODS: Retrospective multicentric study of a consecutive cohort of patients with SAH between 2011-2022. Demographic, clinical and radiological variables were analyzed. Pre-processed baseline CT scan images were used as the input for training a CNN using AUCMEDI Framework. Our model's architecture leverages the DenseNet-121 structure, employing transfer learning principles. The output variable was mortality in the first three months. Performance of the model was evaluated by statistical parameters conventionally used in studies involving artificial intelligence methods. RESULTS: Images from 219 patients were processed, 175 for training and validation of the CNN and 44 for its evaluation. 52%(115/219) of patients were female, and the median age was 58(SD=13.06) years. 18.5%(39/219) were idiopathic SAH. Mortality rate was 28.5%(63/219). The model showed good accuracy at predicting mortality in SAH patients exclusively using the images of the initial CT scan (Accuracy=74%, F1=75% and AUC=82%). CONCLUSION: Modern image processing techniques based on AI and CNN make possible to predict mortality in SAH patients with high accuracy using CT scan images as the only input. These models might be optimized by including more data and patients resulting in better training, development and performance on tasks which are beyond the skills of conventional clinical knowledge.

Large language models (LLMs) increasingly solve complex reasoning tasks via long chain-of-thought, but their forward-only autoregressive generation process is fragile; early token errors can cascade, which creates a clear need for self-reflection mechanisms. However, existing self-reflection either performs revisions over full drafts or learns self-correction via expensive training, both fundamentally reactive and inefficient. To address this, we propose Self-Reflective Generation at Test Time (SRGen), a lightweight test-time framework that reflects before generating at uncertain points. During token generation, SRGen utilizes dynamic entropy thresholding to identify high-uncertainty tokens. For each identified token, it trains a specific corrective vector, which fully exploits the already generated context for a self-reflective generation to correct the token probability distribution. By retrospectively analyzing the partial output, this self-reflection enables more trustworthy decisions, thereby significantly reducing the probability of errors at highly uncertain points. Evaluated on challenging mathematical reasoning benchmarks and a diverse set of LLMs, SRGen can consistently strengthen model reasoning: improvements in single-pass quality also translate into stronger self-consistency voting. Especially, on AIME2024 with DeepSeek-R1-Distill-Qwen-7B, SRGen yields absolute improvements of +12.0% on Pass@1 and +13.3% on Cons@5. Moreover, our findings position SRGen as a plug-and-play method that integrates reflection into the generation process for reliable LLM reasoning, achieving consistent gains with bounded overhead and broad composability with other training-time (e.g., RLHF) and test-time (e.g., SLOT) techniques.

Multi-modal large language models (MM-LLMs) have shown strong performance in medical image understanding and clinical reasoning. Recent medical agent systems extend them with tool use and multi-agent collaboration, enabling complex decision-making. However, these systems rely almost entirely on frontier models (e.g., GPT), whose API-based deployment incurs high cost, high latency, and privacy risks that conflict with on-premise clinical requirements. We present Meissa, a lightweight 4B-parameter medical MM-LLM that brings agentic capability offline. Instead of imitating static answers, Meissa learns both when to engage external interaction (strategy selection) and how to execute multi-step interaction (strategy execution) by distilling structured trajectories from frontier models. Specifically, we propose: (1) Unified trajectory modeling: trajectories (reasoning and action traces) are represented within a single state-action-observation formalism, allowing one model to generalize across heterogeneous medical environments. (2) Three-tier stratified supervision: the model's own errors trigger progressive escalation from direct reasoning to tool-augmented and multi-agent interaction, explicitly learning difficulty-aware strategy selection. (3) Prospective-retrospective supervision: pairing exploratory forward traces with hindsight-rationalized execution traces enables stable learning of effective interaction policies. Trained on 40K curated trajectories, Meissa matches or exceeds proprietary frontier agents in 10 of 16 evaluation settings across 13 medical benchmarks spanning radiology, pathology, and clinical reasoning. Using over 25x fewer parameters than typical frontier models like Gemini-3, Meissa operates fully offline with 22x lower end-to-end latency compared to API-based deployment. Data, models, and environments are released at https://github.com/Schuture/Meissa.

Despite the much discussed capabilities of today's language models, they are still prone to silly and unexpected commonsense failures. We consider a retrospective verification approach that reflects on the correctness of LM outputs, and introduce Vera, a general-purpose model that estimates the plausibility of declarative statements based on commonsense knowledge. Trained on ~7M commonsense statements created from 19 QA datasets and two large-scale knowledge bases, and with a combination of three training objectives, Vera is a versatile model that effectively separates correct from incorrect statements across diverse commonsense domains. When applied to solving commonsense problems in the verification format, Vera substantially outperforms existing models that can be repurposed for commonsense verification, and it further exhibits generalization capabilities to unseen tasks and provides well-calibrated outputs. We find that Vera excels at filtering LM-generated commonsense knowledge and is useful in detecting erroneous commonsense statements generated by models like ChatGPT in real-world settings.

Embodied LLMs endow robots with high-level task reasoning, but they cannot reflect on what went wrong or why, turning deployment into a sequence of independent trials where mistakes repeat rather than accumulate into experience. Drawing upon human reflective practitioners, we introduce Reflective Test-Time Planning, which integrates two modes of reflection: reflection-in-action, where the agent uses test-time scaling to generate and score multiple candidate actions using internal reflections before execution; and reflection-on-action, which uses test-time training to update both its internal reflection model and its action policy based on external reflections after execution. We also include retrospective reflection, allowing the agent to re-evaluate earlier decisions and perform model updates with hindsight for proper long-horizon credit assignment. Experiments on our newly-designed Long-Horizon Household benchmark and MuJoCo Cupboard Fitting benchmark show significant gains over baseline models, with ablative studies validating the complementary roles of reflection-in-action and reflection-on-action. Qualitative analyses, including real-robot trials, highlight behavioral correction through reflection.

Conventional medical cancer screening methods are costly, labor-intensive, and extremely difficult to scale. Although AI can improve cancer detection, most systems rely on complex or specialized medical data, making them impractical for large-scale screening. We introduce Can-SAVE, a lightweight AI system that ranks population-wide cancer risks solely based on medical history events. By integrating survival model outputs into a gradient-boosting framework, our approach detects subtle, long-term patient risk patterns - often well before clinical symptoms manifest. Can-SAVE was rigorously evaluated on a real-world dataset of 2.5 million adults spanning five Russian regions, marking the study as one of the largest and most comprehensive deployments of AI-driven cancer risk assessment. In a retrospective oncologist-supervised study over 1.9M patients, Can-SAVE achieves a 4-10x higher detection rate at identical screening volumes and an Average Precision (AP) of 0.228 vs. 0.193 for the best baseline (LoRA-tuned Qwen3-Embeddings via DeepSeek-R1 summarization). In a year-long prospective pilot (426K patients), our method almost doubled the cancer detection rate (+91%) and increased population coverage by 36% over the national screening protocol. The system demonstrates practical scalability: a city-wide population of 1 million patients can be processed in under three hours using standard hardware, enabling seamless clinical integration. This work proves that Can-SAVE achieves nationally significant cancer detection improvements while adhering to real-world public healthcare constraints, offering immediate clinical utility and a replicable framework for population-wide screening. Code for training and feature engineering is available at https://github.com/sb-ai-lab/Can-SAVE.

The NLP community has long advocated for the construction of multi-annotator datasets to better capture the nuances of language interpretation, subjectivity, and ambiguity. This paper conducts a retrospective study to show how performance scores can vary when a dataset expands from a single annotation per instance to multiple annotations. We propose a novel multi-annotator simulation process to generate datasets with varying annotation budgets. We show that similar datasets with the same annotation budget can lead to varying performance gains. Our findings challenge the popular belief that models trained on multi-annotation examples always lead to better performance than models trained on single or few-annotation examples.

Rapid global population growth underscores the need for digitally enabled agricultural systems that support sustainable food production and data-driven resource management for farmers and stakeholders. The adoption of Internet of Things (IoT) technologies, capable of capturing real-time environmental (e.g., temperature, humidity) and operational (e.g., irrigation) parameters, is a crucial step toward enabling advanced applications such as AI-based yield forecasting. However, the effectiveness of such models is often constrained by limited data availability, particularly in dynamic farm environments where IoT observations must be accumulated over multiple growing seasons. In this study, we deployed IoT sensors in strawberry production polytunnels over two growing seasons to collect data on water usage, internal and external temperature and humidity, soil moisture, soil temperature, and photosynthetically active radiation. These observations were combined with manually recorded yield data spanning four seasons. To address gaps in IoT data for the two seasons without sensor coverage, we developed an AI-based backcasting approach that synthesizes missing sensor observations using historical weather data from a nearby station and existing polytunnel measurements. We then trained AI-based yield forecasting models using both real and synthetic datasets. In this retrospective evaluation, results show that incorporating synthetic data improved yield forecasting accuracy, with models trained on the combined dataset outperforming those using only real sensor, weather, and yield data.

We introduce iTRIALSPACE, a programmable evaluation framework for controlled assessment of lung CT models. Standard benchmarks are static retrospective collections that entangle lesion size, lobe prevalence, anatomy, and acquisition context, making it difficult to determine what structurally drives model accuracy. iTRIALSPACE addresses this limitation by composing real clinical CTs and lesion profiles into controlled virtual lesion trials through a four-stage pipeline: multidataset nodule profiling, explicit trial specification, anatomy-aware mask insertion, and ControlNet-conditioned CT synthesis. The framework is built on a unified 54-attribute nodule-profile dataset spanning 13,140 annotated nodules from seven public CT sources and instantiated as 13 trial modes. We evaluate iTRIALSPACE in a 55,469-sample Virtual Lesion Study spanning three medical VLMs, four spatialguidance conditions, and three clinical tasks. Across all 13 modes, the synthetic substrate remains within the real-to-real FID baseline, and synthetic performance rankings transfer strongly to real clinical data (ρ = 0.93, p < 10^{-15}). Controlled trial modes expose findings unavailable to fixed-distribution benchmarks, including shortcut-driven size prediction collapse under lobe-equalized sampling and hostto-donor variance ratios of 8.9x and 3.3x in twin-cross analysis. These results position iTRIALSPACE as an auditable evaluation infrastructure for controlled, falsifiable testing beyond static retrospective benchmarks.

On October 19 and 20, 2023, the authors of this report convened in Cambridge, MA, to discuss the state of the database research field, its recent accomplishments and ongoing challenges, and future directions for research and community engagement. This gathering continues a long standing tradition in the database community, dating back to the late 1980s, in which researchers meet roughly every five years to produce a forward looking report. This report summarizes the key takeaways from our discussions. We begin with a retrospective on the academic, open source, and commercial successes of the community over the past five years. We then turn to future opportunities, with a focus on core data systems, particularly in the context of cloud computing and emerging hardware, as well as on the growing impact of data science, data governance, and generative AI. This document is not intended as an exhaustive survey of all technical challenges or industry innovations in the field. Rather, it reflects the perspectives of senior community members on the most pressing challenges and promising opportunities ahead.

Objective: This study aims to evaluate and compare the performance of two Japanese language models-conventional Bidirectional Encoder Representations from Transformers (BERT) and the newer ModernBERT-in classifying findings from chest CT reports, with a focus on tokenization efficiency, processing time, and classification performance. Methods: We conducted a retrospective study using the CT-RATE-JPN dataset containing 22,778 training reports and 150 test reports. Both models were fine-tuned for multi-label classification of 18 common chest CT conditions. The training data was split in 18,222:4,556 for training and validation. Performance was evaluated using F1 scores for each condition and exact match accuracy across all 18 labels. Results: ModernBERT demonstrated superior tokenization efficiency, requiring 24.0% fewer tokens per document (258.1 vs. 339.6) compared to BERT Base. This translated to significant performance improvements, with ModernBERT completing training in 1877.67 seconds versus BERT's 3090.54 seconds (39% reduction). ModernBERT processed 38.82 samples per second during training (1.65x faster) and 139.90 samples per second during inference (1.66x faster). Despite these efficiency gains, classification performance remained comparable, with ModernBERT achieving superior F1 scores in 8 conditions, while BERT performed better in 4 conditions. Overall exact match accuracy was slightly higher for ModernBERT (74.67% vs. 72.67%), though this difference was not statistically significant (p=0.6291). Conclusion: ModernBERT offers substantial improvements in tokenization efficiency and training speed without sacrificing classification performance. These results suggest that ModernBERT is a promising candidate for clinical applications in Japanese radiology reports analysis.

In a rapidly evolving knowledge landscape and the increasing adoption of large language models, a need has emerged to keep these models continuously updated with current events. While existing benchmarks evaluate general factual recall, they often overlook two critical aspects: the ability of models to integrate evolving knowledge through continual learning and the significant regional disparities in their performance. To address these gaps, we introduce the Timely Events Benchmark (TiEBe), a dataset containing over 11,000 question-answer pairs focused on globally and regionally significant events. TiEBe leverages structured retrospective data from Wikipedia, enabling continuous updates to assess LLMs' knowledge of evolving global affairs and their understanding of events across different regions. Our benchmark demonstrates that LLMs exhibit substantial geographic disparities in factual recall, emphasizing the need for more balanced global knowledge representation. Furthermore, TiEBe serves as a tool for evaluating continual learning strategies, providing insights into models' ability to acquire new information without forgetting past knowledge.

Traditional language model-based theorem proving assumes that by training on a sufficient amount of formal proof data, a model will learn to prove theorems. Our key observation is that a wealth of informal information that is not present in formal proofs can be useful for learning to prove theorems. For instance, humans think through steps of a proof, but this thought process is not visible in the resulting code. We present Lean-STaR, a framework for training language models to produce informal thoughts prior to each step of a proof, thereby boosting the model's theorem-proving capabilities. Lean-STaR uses retrospective ground-truth tactics to generate synthetic thoughts for training the language model. At inference time, the trained model directly generates the thoughts prior to the prediction of the tactics in each proof step. Building on the self-taught reasoner framework, we then apply expert iteration to further fine-tune the model on the correct proofs it samples and verifies using the Lean solver. Lean-STaR achieves state-of-the-art results on the miniF2F-test benchmark within the Lean theorem proving environment, significantly outperforming base models (43.4% rightarrow 46.3%, Pass@64). We also analyze the impact of the augmented thoughts on various aspects of the theorem proving process, providing insights into their effectiveness.

Purpose: To evaluate the performance of an automated deep learning method in detecting ascites and subsequently quantifying its volume in patients with liver cirrhosis and ovarian cancer. Materials and Methods: This retrospective study included contrast-enhanced and non-contrast abdominal-pelvic CT scans of patients with cirrhotic ascites and patients with ovarian cancer from two institutions, National Institutes of Health (NIH) and University of Wisconsin (UofW). The model, trained on The Cancer Genome Atlas Ovarian Cancer dataset (mean age, 60 years +/- 11 [s.d.]; 143 female), was tested on two internal (NIH-LC and NIH-OV) and one external dataset (UofW-LC). Its performance was measured by the Dice coefficient, standard deviations, and 95% confidence intervals, focusing on ascites volume in the peritoneal cavity. Results: On NIH-LC (25 patients; mean age, 59 years +/- 14 [s.d.]; 14 male) and NIH-OV (166 patients; mean age, 65 years +/- 9 [s.d.]; all female), the model achieved Dice scores of 0.855 +/- 0.061 (CI: 0.831-0.878) and 0.826 +/- 0.153 (CI: 0.764-0.887), with median volume estimation errors of 19.6% (IQR: 13.2-29.0) and 5.3% (IQR: 2.4-9.7) respectively. On UofW-LC (124 patients; mean age, 46 years +/- 12 [s.d.]; 73 female), the model had a Dice score of 0.830 +/- 0.107 (CI: 0.798-0.863) and median volume estimation error of 9.7% (IQR: 4.5-15.1). The model showed strong agreement with expert assessments, with r^2 values of 0.79, 0.98, and 0.97 across the test sets. Conclusion: The proposed deep learning method performed well in segmenting and quantifying the volume of ascites in concordance with expert radiologist assessments.

Since the introduction of TotalSegmentator CT, there is demand for a similar robust automated MRI segmentation tool that can be applied across all MRI sequences and anatomic structures. In this retrospective study, a nnU-Net model (TotalSegmentator) was trained on MRI and CT examinations to segment 80 anatomic structures relevant for use cases such as organ volumetry, disease characterization, surgical planning and opportunistic screening. Examinations were randomly sampled from routine clinical studies to represent real-world examples. Dice scores were calculated between the predicted segmentations and expert radiologist reference standard segmentations to evaluate model performance on an internal test set, two external test sets and against two publicly available models, and TotalSegmentator CT. The model was applied to an internal dataset containing abdominal MRIs to investigate age-dependent volume changes. A total of 1143 examinations (616 MRIs, 527 CTs) (median age 61 years, IQR 50-72) were split into training (n=1088, CT and MRI) and an internal test set (n=55; only MRI), two external test sets (AMOS, n=20; CHAOS, n=20; only MRI), and an internal aging-study dataset of 8672 abdominal MRIs (median age 59 years, IQR 45-70) were included. The model showed a Dice Score of 0.839 on the internal test set and outperformed two other models (Dice Score, 0.862 versus 0.759; and 0.838 versus 0.560; p<.001 for both). The proposed open-source, easy-to-use model allows for automatic, robust segmentation of 80 structures, extending the capabilities of TotalSegmentator to MRIs of any sequence. The ready-to-use online tool is available at https://totalsegmentator.com, the model at https://github.com/wasserth/TotalSegmentator, and the dataset at https://zenodo.org/records/14710732.

Clinical routine and retrospective cohorts commonly include multi-parametric Magnetic Resonance Imaging; however, they are mostly acquired in different anisotropic 2D views due to signal-to-noise-ratio and scan-time constraints. Thus acquired views suffer from poor out-of-plane resolution and affect downstream volumetric image analysis that typically requires isotropic 3D scans. Combining different views of multi-contrast scans into high-resolution isotropic 3D scans is challenging due to the lack of a large training cohort, which calls for a subject-specific framework. This work proposes a novel solution to this problem leveraging Implicit Neural Representations (INR). Our proposed INR jointly learns two different contrasts of complementary views in a continuous spatial function and benefits from exchanging anatomical information between them. Trained within minutes on a single commodity GPU, our model provides realistic super-resolution across different pairs of contrasts in our experiments with three datasets. Using Mutual Information (MI) as a metric, we find that our model converges to an optimum MI amongst sequences, achieving anatomically faithful reconstruction. Code is available at: https://github.com/jqmcginnis/multi_contrast_inr/

We consider the task of evaluating policies of algorithmic resource allocation through randomized controlled trials (RCTs). Such policies are tasked with optimizing the utilization of limited intervention resources, with the goal of maximizing the benefits derived. Evaluation of such allocation policies through RCTs proves difficult, notwithstanding the scale of the trial, because the individuals' outcomes are inextricably interlinked through resource constraints controlling the policy decisions. Our key contribution is to present a new estimator leveraging our proposed novel concept, that involves retrospective reshuffling of participants across experimental arms at the end of an RCT. We identify conditions under which such reassignments are permissible and can be leveraged to construct counterfactual trials, whose outcomes can be accurately ascertained, for free. We prove theoretically that such an estimator is more accurate than common estimators based on sample means -- we show that it returns an unbiased estimate and simultaneously reduces variance. We demonstrate the value of our approach through empirical experiments on synthetic, semi-synthetic as well as real case study data and show improved estimation accuracy across the board.

We present a deep learning segmentation model that can automatically and robustly segment all major anatomical structures in body CT images. In this retrospective study, 1204 CT examinations (from the years 2012, 2016, and 2020) were used to segment 104 anatomical structures (27 organs, 59 bones, 10 muscles, 8 vessels) relevant for use cases such as organ volumetry, disease characterization, and surgical or radiotherapy planning. The CT images were randomly sampled from routine clinical studies and thus represent a real-world dataset (different ages, pathologies, scanners, body parts, sequences, and sites). The authors trained an nnU-Net segmentation algorithm on this dataset and calculated Dice similarity coefficients (Dice) to evaluate the model's performance. The trained algorithm was applied to a second dataset of 4004 whole-body CT examinations to investigate age dependent volume and attenuation changes. The proposed model showed a high Dice score (0.943) on the test set, which included a wide range of clinical data with major pathologies. The model significantly outperformed another publicly available segmentation model on a separate dataset (Dice score, 0.932 versus 0.871, respectively). The aging study demonstrated significant correlations between age and volume and mean attenuation for a variety of organ groups (e.g., age and aortic volume; age and mean attenuation of the autochthonous dorsal musculature). The developed model enables robust and accurate segmentation of 104 anatomical structures. The annotated dataset (https://doi.org/10.5281/zenodo.6802613) and toolkit (https://www.github.com/wasserth/TotalSegmentator) are publicly available.

This work proposes a framework for optimizing machine learning algorithms. The practicality of the framework is illustrated using an important case study from the healthcare domain, which is predicting the admission status of emergency department (ED) patients (e.g., admitted vs. discharged) using patient data at the time of triage. The proposed framework can mitigate the crowding problem by proactively planning the patient boarding process. A large retrospective dataset of patient records is obtained from the electronic health record database of all ED visits over three years from three major locations of a healthcare provider in the Midwest of the US. Three machine learning algorithms are proposed: T-XGB, T-ADAB, and T-MLP. T-XGB integrates extreme gradient boosting (XGB) and Tabu Search (TS), T-ADAB integrates Adaboost and TS, and T-MLP integrates multi-layer perceptron (MLP) and TS. The proposed algorithms are compared with the traditional algorithms: XGB, ADAB, and MLP, in which their parameters are tunned using grid search. The three proposed algorithms and the original ones are trained and tested using nine data groups that are obtained from different feature selection methods. In other words, 54 models are developed. Performance was evaluated using five measures: Area under the curve (AUC), sensitivity, specificity, F1, and accuracy. The results show that the newly proposed algorithms resulted in high AUC and outperformed the traditional algorithms. The T-ADAB performs the best among the newly developed algorithms. The AUC, sensitivity, specificity, F1, and accuracy of the best model are 95.4%, 99.3%, 91.4%, 95.2%, 97.2%, respectively.

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.

Recent efforts have augmented large language models (LLMs) with external resources (e.g., the Internet) or internal control flows (e.g., prompt chaining) for tasks requiring grounding or reasoning, leading to a new class of language agents. While these agents have achieved substantial empirical success, we lack a systematic framework to organize existing agents and plan future developments. In this paper, we draw on the rich history of cognitive science and symbolic artificial intelligence to propose Cognitive Architectures for Language Agents (CoALA). CoALA describes a language agent with modular memory components, a structured action space to interact with internal memory and external environments, and a generalized decision-making process to choose actions. We use CoALA to retrospectively survey and organize a large body of recent work, and prospectively identify actionable directions towards more capable agents. Taken together, CoALA contextualizes today's language agents within the broader history of AI and outlines a path towards language-based general intelligence.

Objective: To propose and retrospectively validate an integrated framework addressing three barriers to clinical translation of readmission prediction: lack of explainability, absence of deployment reliability infrastructure, and inadequate demographic fairness evaluation. Materials and Methods: We constructed a cohort of 415231 adult admissions from the MIMIC-IV database (30-day readmission prevalence 18.0%), split 70/15/15. Logistic regression, XGBoost, and LightGBM models were trained on 26 features. SHAP provided per-patient explanations. Fairness was evaluated across 16 subgroups using AUC-ROC, false negative rate (FNR), and positive predictive value (PPV). Calibration was assessed using Brier scores and calibration curves. Results: XGBoost achieved AUC-ROC 0.696 (95% CI 0.691-0.701), outperforming or matching the LACE baseline (AUC 0.60-0.68). LightGBM achieved best calibration (Brier 0.146). Prior admissions were the dominant predictor. All subgroups met equity thresholds (delta AUC <= 0.05, delta FNR <= 0.10). Conclusion: This framework delivers competitive performance, clinically actionable explanations, and strong demographic equity. Code is publicly available at https://github.com/Tomisin92/readmission-prediction.

Large reasoning models exhibit remarkable reasoning capabilities via long, elaborate reasoning trajectories. Supervised fine-tuning on such reasoning traces, also known as distillation, can be a cost-effective way to boost reasoning capabilities of student models. However, empirical observations reveal that these reasoning trajectories are often suboptimal, switching excessively between different lines of thought, resulting in under-thinking, over-thinking, and even degenerate responses. We introduce Retro-Search, an MCTS-inspired search algorithm, for distilling higher quality reasoning paths from large reasoning models. Retro-Search retrospectively revises reasoning paths to discover better, yet shorter traces, which can then lead to student models with enhanced reasoning capabilities with shorter, thus faster inference. Our approach can enable two use cases: self-improvement, where models are fine-tuned on their own Retro-Search-ed thought traces, and weak-to-strong improvement, where a weaker model revises stronger model's thought traces via Retro-Search. For self-improving, R1-distill-7B, fine-tuned on its own Retro-Search-ed traces, reduces the average reasoning length by 31.2% while improving performance by 7.7% across seven math benchmarks. For weak-to-strong improvement, we retrospectively revise R1-671B's traces from the OpenThoughts dataset using R1-distill-32B as the Retro-Search-er, a model 20x smaller. Qwen2.5-32B, fine-tuned on this refined data, achieves performance comparable to R1-distill-32B, yielding an 11.3% reduction in reasoning length and a 2.4% performance improvement compared to fine-tuning on the original OpenThoughts data. Our work counters recently emergent viewpoints that question the relevance of search algorithms in the era of large reasoning models, by demonstrating that there are still opportunities for algorithmic advancements, even for frontier models.

Artificial intelligence (AI) models are increasingly used in the medical domain. However, as medical data is highly sensitive, special precautions to ensure its protection are required. The gold standard for privacy preservation is the introduction of differential privacy (DP) to model training. Prior work indicates that DP has negative implications on model accuracy and fairness, which are unacceptable in medicine and represent a main barrier to the widespread use of privacy-preserving techniques. In this work, we evaluated the effect of privacy-preserving training of AI models regarding accuracy and fairness compared to non-private training. For this, we used two datasets: (1) A large dataset (N=193,311) of high quality clinical chest radiographs, and (2) a dataset (N=1,625) of 3D abdominal computed tomography (CT) images, with the task of classifying the presence of pancreatic ductal adenocarcinoma (PDAC). Both were retrospectively collected and manually labeled by experienced radiologists. We then compared non-private deep convolutional neural networks (CNNs) and privacy-preserving (DP) models with respect to privacy-utility trade-offs measured as area under the receiver-operator-characteristic curve (AUROC), and privacy-fairness trade-offs, measured as Pearson's r or Statistical Parity Difference. We found that, while the privacy-preserving trainings yielded lower accuracy, they did largely not amplify discrimination against age, sex or co-morbidity. Our study shows that -- under the challenging realistic circumstances of a real-life clinical dataset -- the privacy-preserving training of diagnostic deep learning models is possible with excellent diagnostic accuracy and fairness.

Can AI reason about a war before its trajectory becomes historically obvious? Analyzing this capability is difficult because retrospective geopolitical prediction is heavily confounded by training-data leakage. We address this challenge through a temporally grounded case study of the early stages of the 2026 Middle East conflict, which unfolded after the training cutoff of current frontier models. We construct 11 critical temporal nodes, 42 node-specific verifiable questions, and 5 general exploratory questions, requiring models to reason only from information that would have been publicly available at each moment. This design substantially mitigates training-data leakage concerns, creating a setting well-suited for studying how models analyze an unfolding crisis under the fog of war, and provides, to our knowledge, the first temporally grounded analysis of LLM reasoning in an ongoing geopolitical conflict. Our analysis reveals three main findings. First, current state-of-the-art large language models often display a striking degree of strategic realism, reasoning beyond surface rhetoric toward deeper structural incentives. Second, this capability is uneven across domains: models are more reliable in economically and logistically structured settings than in politically ambiguous multi-actor environments. Finally, model narratives evolve over time, shifting from early expectations of rapid containment toward more systemic accounts of regional entrenchment and attritional de-escalation. Since the conflict remains ongoing at the time of writing, this work can serve as an archival snapshot of model reasoning during an unfolding geopolitical crisis, enabling future studies without the hindsight bias of retrospective analysis.

The rapid advancement of multimodal large language models has demonstrated impressive capabilities, yet nearly all operate in an offline paradigm, hindering real-time interactivity. Addressing this gap, we introduce the Real-tIme Video intERaction Bench (RIVER Bench), designed for evaluating online video comprehension. RIVER Bench introduces a novel framework comprising Retrospective Memory, Live-Perception, and Proactive Anticipation tasks, closely mimicking interactive dialogues rather than responding to entire videos at once. We conducted detailed annotations using videos from diverse sources and varying lengths, and precisely defined the real-time interactive format. Evaluations across various model categories reveal that while offline models perform well in single question-answering tasks, they struggle with real-time processing. Addressing the limitations of existing models in online video interaction, especially their deficiencies in long-term memory and future perception, we proposed a general improvement method that enables models to interact with users more flexibly in real time. We believe this work will significantly advance the development of real-time interactive video understanding models and inspire future research in this emerging field. Datasets and code are publicly available at https://github.com/OpenGVLab/RIVER.

Objective: To enhance automated de-identification of radiology reports by scaling transformer-based models through extensive training datasets and benchmarking performance against commercial cloud vendor systems for protected health information (PHI) detection. Materials and Methods: In this retrospective study, we built upon a state-of-the-art, transformer-based, PHI de-identification pipeline by fine-tuning on two large annotated radiology corpora from Stanford University, encompassing chest X-ray, chest CT, abdomen/pelvis CT, and brain MR reports and introducing an additional PHI category (AGE) into the architecture. Model performance was evaluated on test sets from Stanford and the University of Pennsylvania (Penn) for token-level PHI detection. We further assessed (1) the stability of synthetic PHI generation using a "hide-in-plain-sight" method and (2) performance against commercial systems. Precision, recall, and F1 scores were computed across all PHI categories. Results: Our model achieved overall F1 scores of 0.973 on the Penn dataset and 0.996 on the Stanford dataset, outperforming or maintaining the previous state-of-the-art model performance. Synthetic PHI evaluation showed consistent detectability (overall F1: 0.959 [0.958-0.960]) across 50 independently de-identified Penn datasets. Our model outperformed all vendor systems on synthetic Penn reports (overall F1: 0.960 vs. 0.632-0.754). Discussion: Large-scale, multimodal training improved cross-institutional generalization and robustness. Synthetic PHI generation preserved data utility while ensuring privacy. Conclusion: A transformer-based de-identification model trained on diverse radiology datasets outperforms prior academic and commercial systems in PHI detection and establishes a new benchmark for secure clinical text processing.

We present OCTCube-M, a 3D OCT-based multi-modal foundation model for jointly analyzing OCT and en face images. OCTCube-M first developed OCTCube, a 3D foundation model pre-trained on 26,685 3D OCT volumes encompassing 1.62 million 2D OCT images. It then exploits a novel multi-modal contrastive learning framework COEP to integrate other retinal imaging modalities, such as fundus autofluorescence and infrared retinal imaging, into OCTCube, efficiently extending it into multi-modal foundation models. OCTCube achieves best performance on predicting 8 retinal diseases, demonstrating strong generalizability on cross-cohort, cross-device and cross-modality prediction. OCTCube can also predict cross-organ nodule malignancy (CT) and low cardiac ejection fraction as well as systemic diseases, such as diabetes and hypertension, revealing its wide applicability beyond retinal diseases. We further develop OCTCube-IR using COEP with 26,685 OCT and IR image pairs. OCTCube-IR can accurately retrieve between OCT and IR images, allowing joint analysis between 3D and 2D retinal imaging modalities. Finally, we trained a tri-modal foundation model OCTCube-EF from 4 million 2D OCT images and 400K en face retinal images. OCTCube-EF attains the best performance on predicting the growth rate of geographic atrophy (GA) across datasets collected from 6 multi-center global trials conducted in 23 countries. This improvement is statistically equivalent to running a clinical trial with more than double the size of the original study. Our analysis based on another retrospective case study reveals OCTCube-EF's ability to avoid false positive Phase-III results according to its accurate treatment effect estimation on the Phase-II results. In sum, OCTCube-M is a 3D multi-modal foundation model framework that integrates OCT and other retinal imaging modalities revealing substantial diagnostic and prognostic benefits.

Humans watch more than a billion hours of video per day. Most of this video was edited manually, which is a tedious process. However, AI-enabled video-generation and video-editing is on the rise. Building on text-to-image models like Stable Diffusion and Imagen, generative AI has improved dramatically on video tasks. But it's hard to evaluate progress in these video tasks because there is no standard benchmark. So, we propose a new dataset for text-guided video editing (TGVE), and we run a competition at CVPR to evaluate models on our TGVE dataset. In this paper we present a retrospective on the competition and describe the winning method. The competition dataset is available at https://sites.google.com/view/loveucvpr23/track4.

In this study, we aimed to determine if fine-tuned large language models (LLMs) can generate accurate, personalized impressions for whole-body PET reports. Twelve language models were trained on a corpus of PET reports using the teacher-forcing algorithm, with the report findings as input and the clinical impressions as reference. An extra input token encodes the reading physician's identity, allowing models to learn physician-specific reporting styles. Our corpus comprised 37,370 retrospective PET reports collected from our institution between 2010 and 2022. To identify the best LLM, 30 evaluation metrics were benchmarked against quality scores from two nuclear medicine (NM) physicians, with the most aligned metrics selecting the model for expert evaluation. In a subset of data, model-generated impressions and original clinical impressions were assessed by three NM physicians according to 6 quality dimensions (3-point scale) and an overall utility score (5-point scale). Each physician reviewed 12 of their own reports and 12 reports from other physicians. Bootstrap resampling was used for statistical analysis. Of all evaluation metrics, domain-adapted BARTScore and PEGASUSScore showed the highest Spearman's rank correlations (0.568 and 0.563) with physician preferences. Based on these metrics, the fine-tuned PEGASUS model was selected as the top LLM. When physicians reviewed PEGASUS-generated impressions in their own style, 89% were considered clinically acceptable, with a mean utility score of 4.08 out of 5. Physicians rated these personalized impressions as comparable in overall utility to the impressions dictated by other physicians (4.03, P=0.41). In conclusion, personalized impressions generated by PEGASUS were clinically useful, highlighting its potential to expedite PET reporting.

The rapid deployment of AI agents in commercial settings has outpaced the development of evaluation methodologies that reflect production realities. Existing benchmarks measure agent capabilities through retrospectively curated tasks with well-specified requirements and deterministic metrics -- conditions that diverge fundamentally from production environments where requirements contain implicit constraints, inputs are heterogeneous multi-modal documents with information fragmented across sources, tasks demand undeclared domain expertise, outputs are long-horizon professional deliverables, and success is judged by domain experts whose standards evolve over time. We present AlphaEval, a production-grounded benchmark of 94 tasks sourced from seven companies deploying AI agents in their core business, spanning six O*NET (Occupational Information Network) domains. Unlike model-centric benchmarks, AlphaEval evaluates complete agent products -- Claude Code, Codex, etc. -- as commercial systems, capturing performance variations invisible to model-level evaluation. Our evaluation framework covers multiple paradigms (LLM-as-a-Judge, reference-driven metrics, formal verification, rubric-based assessment, automated UI testing, etc.), with individual domains composing multiple paradigms. Beyond the benchmark itself, we contribute a requirement-to-benchmark construction framework -- a systematic methodology that transforms authentic production requirements into executable evaluation tasks in minimal time. This framework standardizes the entire pipeline from requirement to evaluation, providing a reproducible, modular process that any organization can adopt to construct production-grounded benchmarks for their own domains.

Evaluating the reasoning abilities of large language models (LLMs) is challenging. Existing benchmarks often depend on static datasets, which are vulnerable to data contamination and may get saturated over time, or on binary live human feedback that conflates reasoning with other abilities. As the most prominent dynamic benchmark, Chatbot Arena evaluates open-ended questions in real-world settings, but lacks the granularity in assessing specific reasoning capabilities. We introduce GameArena, a dynamic benchmark designed to evaluate LLM reasoning capabilities through interactive gameplay with humans. GameArena consists of three games designed to test specific reasoning capabilities (e.g., deductive and inductive reasoning), while keeping participants entertained and engaged. We analyze the gaming data retrospectively to uncover the underlying reasoning processes of LLMs and measure their fine-grained reasoning capabilities. We collect over 2000 game sessions and provide detailed assessments of various reasoning capabilities for five state-of-the-art LLMs. Our user study with 100 participants suggests that GameArena improves user engagement compared to Chatbot Arena. For the first time, GameArena enables the collection of step-by-step LLM reasoning data in the wild.

The differential diagnosis of neurodegenerative dementias is a challenging clinical task, mainly because of the overlap in symptom presentation and the similarity of patterns observed in structural neuroimaging. To improve diagnostic efficiency and accuracy, deep learning-based methods such as Convolutional Neural Networks and Vision Transformers have been proposed for the automatic classification of brain MRIs. However, despite their strong predictive performance, these models find limited clinical utility due to their opaque decision making. In this work, we propose a framework that integrates two core components to enhance diagnostic transparency. First, we introduce a modular pipeline for converting 3D T1-weighted brain MRIs into textual radiology reports. Second, we explore the potential of modern Large Language Models (LLMs) to assist clinicians in the differential diagnosis between Frontotemporal dementia subtypes, Alzheimer's disease, and normal aging based on the generated reports. To bridge the gap between predictive accuracy and explainability, we employ reinforcement learning to incentivize diagnostic reasoning in LLMs. Without requiring supervised reasoning traces or distillation from larger models, our approach enables the emergence of structured diagnostic rationales grounded in neuroimaging findings. Unlike post-hoc explainability methods that retrospectively justify model decisions, our framework generates diagnostic rationales as part of the inference process-producing causally grounded explanations that inform and guide the model's decision-making process. In doing so, our framework matches the diagnostic performance of existing deep learning methods while offering rationales that support its diagnostic conclusions.

Medicine is inherently multimodal, with rich data modalities spanning text, imaging, genomics, and more. Generalist biomedical artificial intelligence (AI) systems that flexibly encode, integrate, and interpret this data at scale can potentially enable impactful applications ranging from scientific discovery to care delivery. To enable the development of these models, we first curate MultiMedBench, a new multimodal biomedical benchmark. MultiMedBench encompasses 14 diverse tasks such as medical question answering, mammography and dermatology image interpretation, radiology report generation and summarization, and genomic variant calling. We then introduce Med-PaLM Multimodal (Med-PaLM M), our proof of concept for a generalist biomedical AI system. Med-PaLM M is a large multimodal generative model that flexibly encodes and interprets biomedical data including clinical language, imaging, and genomics with the same set of model weights. Med-PaLM M reaches performance competitive with or exceeding the state of the art on all MultiMedBench tasks, often surpassing specialist models by a wide margin. We also report examples of zero-shot generalization to novel medical concepts and tasks, positive transfer learning across tasks, and emergent zero-shot medical reasoning. To further probe the capabilities and limitations of Med-PaLM M, we conduct a radiologist evaluation of model-generated (and human) chest X-ray reports and observe encouraging performance across model scales. In a side-by-side ranking on 246 retrospective chest X-rays, clinicians express a pairwise preference for Med-PaLM M reports over those produced by radiologists in up to 40.50% of cases, suggesting potential clinical utility. While considerable work is needed to validate these models in real-world use cases, our results represent a milestone towards the development of generalist biomedical AI systems.

Social intelligence, the ability to navigate complex interpersonal interactions, presents a fundamental challenge for language agents. Training such agents via reinforcement learning requires solving the credit assignment problem: determining how individual utterances contribute to multi-turn dialogue outcomes. Existing approaches directly employ language models to distribute episode-level rewards, yielding attributions that are retrospective and lack theoretical grounding. We propose SAVOIR (ShApley Value fOr SocIal RL), a novel principled framework grounded in cooperative game theory. Our approach combines two complementary principles: expected utility shifts evaluation from retrospective attribution to prospective valuation, capturing an utterance's strategic potential for enabling favorable future trajectories; Shapley values ensure fair credit distribution with axiomatic guarantees of efficiency, symmetry, and marginality. Experiments on the SOTOPIA benchmark demonstrate that SAVOIR achieves new state-of-the-art performance across all evaluation settings, with our 7B model matching or exceeding proprietary models including GPT-4o and Claude-3.5-Sonnet. Notably, even large reasoning models consistently underperform, suggesting social intelligence requires qualitatively different capabilities than analytical reasoning.

Long-horizon agents rely on memory mechanisms to compress interaction history, but optimizing memory writing faces a distinct credit assignment challenge: a memory update may be rewarded or penalized due to downstream tool failures, noisy observations, or reasoning errors rather than its own contribution. This causally entangled credit can lead agents to discard useful evidence or preserve irrelevant information. We propose HiMPO, a Hindsight-Informed Memory Policy Optimization framework for assigning less-entangled credit to memory-writing actions in long-horizon agents. HiMPO first estimates the local utility of a memory update by comparing the task-relevant information recoverable from the previous and updated memories under the same pre-write state. It then uses hindsight relevance as a bounded retrospective filter that attenuates memory credit when local utility is not supported by the target outcome. The resulting memory-specific advantage is applied only to memory tokens, while trajectory-level rewards optimize the rest of the agent behavior. Across judge-based open-domain tasks and objective compressive-memory QA, HiMPO improves over strong memory-based and RL-based baselines while preserving compressed-context efficiency. Controlled interventions further show that HiMPO reduces blame leakage from tool-induced errors and improves attribution fidelity of memory updates.

Accurate prognosis for an individual patient is a key component of precision oncology. Recent advances in machine learning have enabled the development of models using a wider range of data, including imaging. Radiomics aims to extract quantitative predictive and prognostic biomarkers from routine medical imaging, but evidence for computed tomography radiomics for prognosis remains inconclusive. We have conducted an institutional machine learning challenge to develop an accurate model for overall survival prediction in head and neck cancer using clinical data etxracted from electronic medical records and pre-treatment radiological images, as well as to evaluate the true added benefit of radiomics for head and neck cancer prognosis. Using a large, retrospective dataset of 2,552 patients and a rigorous evaluation framework, we compared 12 different submissions using imaging and clinical data, separately or in combination. The winning approach used non-linear, multitask learning on clinical data and tumour volume, achieving high prognostic accuracy for 2-year and lifetime survival prediction and outperforming models relying on clinical data only, engineered radiomics and deep learning. Combining all submissions in an ensemble model resulted in improved accuracy, with the highest gain from a image-based deep learning model. Our results show the potential of machine learning and simple, informative prognostic factors in combination with large datasets as a tool to guide personalized cancer care.

The rapid progress of Multimodal Large Language Models (MLLMs) marks a significant step toward artificial general intelligence, offering great potential for augmenting human capabilities. However, their ability to provide effective assistance in dynamic, real-world environments remains largely underexplored. Existing video benchmarks predominantly assess passive understanding through retrospective analysis or isolated perception tasks, failing to capture the interactive and adaptive nature of real-time user assistance. To bridge this gap, we introduce LifeEval, a multimodal benchmark designed to evaluate real-time, task-oriented human-AI collaboration in daily life from an egocentric perspective. LifeEval emphasizes three key aspects: task-oriented holistic evaluation, egocentric real-time perception from continuous first-person streams, and human-assistant collaborative interaction through natural dialogues. Constructed via a rigorous annotation pipeline, the benchmark comprises 4,075 high-quality question-answer pairs across 6 core capability dimensions. Extensive evaluations of 26 state-of-the-art MLLMs on LifeEval reveal substantial challenges in achieving timely, effective and adaptive interaction, highlighting essential directions for advancing human-centered interactive intelligence.

Millions of clinical ECGs exist only as paper scans, making them unusable for modern automated diagnostics. We introduce a fully automated, modular framework that converts scanned or photographed ECGs into digital signals, suitable for both clinical and research applications. The framework is validated on 37,191 ECG images with 1,596 collected at Akershus University Hospital, where the algorithm obtains a mean signal-to-noise ratio of 19.65 dB on scanned papers with common artifacts. It is further evaluated on the Emory Paper Digitization ECG Dataset, comprising 35,595 images, including images with perspective distortion, wrinkles, and stains. The model improves on the state-of-the-art in all subcategories. The full software is released as open-source, promoting reproducibility and further development. We hope the software will contribute to unlocking retrospective ECG archives and democratize access to AI-driven diagnostics.

Immunotherapy is an effective precision medicine treatment for several cancers. Imaging signatures of the underlying genome (radiogenomics) in glioblastoma patients may serve as preoperative biomarkers of the tumor-host immune apparatus. Validated biomarkers would have the potential to stratify patients during immunotherapy clinical trials, and if trials are beneficial, facilitate personalized neo-adjuvant treatment. The increased use of whole genome sequencing data, and the advances in bioinformatics and machine learning make such developments plausible. We performed a systematic review to determine the extent of development and validation of immune-related radiogenomic biomarkers for glioblastoma. A systematic review was performed following PRISMA guidelines using the PubMed, Medline, and Embase databases. Qualitative analysis was performed by incorporating the QUADAS 2 tool and CLAIM checklist. PROSPERO registered CRD42022340968. Extracted data were insufficiently homogenous to perform a meta-analysis. Results Nine studies, all retrospective, were included. Biomarkers extracted from magnetic resonance imaging volumes of interest included apparent diffusion coefficient values, relative cerebral blood volume values, and image-derived features. These biomarkers correlated with genomic markers from tumor cells or immune cells or with patient survival. The majority of studies had a high risk of bias and applicability concerns regarding the index test performed. Radiogenomic immune biomarkers have the potential to provide early treatment options to patients with glioblastoma. Targeted immunotherapy, stratified by these biomarkers, has the potential to allow individualized neo-adjuvant precision treatment options in clinical trials. However, there are no prospective studies validating these biomarkers, and interpretation is limited due to study bias with little evidence of generalizability.

A major challenge of the long measurement times in magnetic resonance imaging (MRI), an important medical imaging technology, is that patients may move during data acquisition. This leads to severe motion artifacts in the reconstructed images and volumes. In this paper, we propose a deep learning-based test-time-training method for accurate motion estimation. The key idea is that a neural network trained for motion-free reconstruction has a small loss if there is no motion, thus optimizing over motion parameters passed through the reconstruction network enables accurate estimation of motion. The estimated motion parameters enable to correct for the motion and to reconstruct accurate motion-corrected images. Our method uses 2D reconstruction networks to estimate rigid motion in 3D, and constitutes the first deep learning based method for 3D rigid motion estimation towards 3D-motion-corrected MRI. We show that our method can provably reconstruct motion parameters for a simple signal and neural network model. We demonstrate the effectiveness of our method for both retrospectively simulated motion and prospectively collected real motion-corrupted data.

Functional magnetic resonance imaging techniques benefit from echo-planar imaging's fast image acquisition but are susceptible to inhomogeneities in the main magnetic field, resulting in geometric distortion and signal loss artifacts in the images. Traditional methods leverage a field map or voxel displacement map for distortion correction. However, voxel displacement map estimation requires additional sequence acquisitions, and the accuracy of the estimation influences correction performance. This work implements a novel approach called GDCNet, which estimates a geometric distortion map by non-linear registration to T1-weighted anatomical images and applies it for distortion correction. GDCNet demonstrated fast distortion correction of functional images in retrospectively and prospectively acquired datasets. Among the compared models, the 2D self-supervised configuration resulted in a statistically significant improvement to normalized mutual information between distortion-corrected functional and T1-weighted images compared to the benchmark methods FUGUE and TOPUP. Furthermore, GDCNet models achieved processing speeds 14 times faster than TOPUP in the prospective dataset.

Purpose: The need to streamline patient management for COVID-19 has become more pressing than ever. Chest X-rays provide a non-invasive (potentially bedside) tool to monitor the progression of the disease. In this study, we present a severity score prediction model for COVID-19 pneumonia for frontal chest X-ray images. Such a tool can gauge severity of COVID-19 lung infections (and pneumonia in general) that can be used for escalation or de-escalation of care as well as monitoring treatment efficacy, especially in the ICU. Methods: Images from a public COVID-19 database were scored retrospectively by three blinded experts in terms of the extent of lung involvement as well as the degree of opacity. A neural network model that was pre-trained on large (non-COVID-19) chest X-ray datasets is used to construct features for COVID-19 images which are predictive for our task. Results: This study finds that training a regression model on a subset of the outputs from an this pre-trained chest X-ray model predicts our geographic extent score (range 0-8) with 1.14 mean absolute error (MAE) and our lung opacity score (range 0-6) with 0.78 MAE. Conclusions: These results indicate that our model's ability to gauge severity of COVID-19 lung infections could be used for escalation or de-escalation of care as well as monitoring treatment efficacy, especially in the intensive care unit (ICU). A proper clinical trial is needed to evaluate efficacy. To enable this we make our code, labels, and data available online at https://github.com/mlmed/torchxrayvision/tree/master/scripts/covid-severity and https://github.com/ieee8023/covid-chestxray-dataset

Deep search capabilities have become an indispensable competency for frontier Large Language Model (LLM) agents, yet the development of high-performance search agents remains dominated by industrial giants due to a lack of transparent, high-quality training data. This persistent data scarcity has fundamentally hindered the progress of the broader research community in developing and innovating within this domain. To bridge this gap, we introduce OpenSeeker, the first fully open-source search agent (i.e., model and data) that achieves frontier-level performance through two core technical innovations: (1) Fact-grounded scalable controllable QA synthesis, which reverse-engineers the web graph via topological expansion and entity obfuscation to generate complex, multi-hop reasoning tasks with controllable coverage and complexity. (2) Denoised trajectory synthesis, which employs a retrospective summarization mechanism to denoise the trajectory, therefore promoting the teacher LLMs to generate high-quality actions. Experimental results demonstrate that OpenSeeker, trained (a single training run) on only 11.7k synthesized samples, achieves state-of-the-art performance across multiple benchmarks including BrowseComp, BrowseComp-ZH, xbench-DeepSearch, and WideSearch. Notably, trained with simple SFT, OpenSeeker significantly outperforms the second-best fully open-source agent DeepDive (e.g., 29.5% v.s. 15.3% on BrowseComp), and even surpasses industrial competitors such as Tongyi DeepResearch (trained via extensive continual pre-training, SFT, and RL) on BrowseComp-ZH (48.4% v.s. 46.7%). We fully open-source the complete training dataset and the model weights to democratize frontier search agent research and foster a more transparent, collaborative ecosystem.

Agent-based modeling (ABM) seeks to understand the behavior of complex systems by simulating a collection of agents that act and interact within an environment. Their practical utility requires capturing realistic environment dynamics and adaptive agent behavior while efficiently simulating million-size populations. Recent advancements in large language models (LLMs) present an opportunity to enhance ABMs by using LLMs as agents with further potential to capture adaptive behavior. However, the computational infeasibility of using LLMs for large populations has hindered their widespread adoption. In this paper, we introduce AgentTorch -- a framework that scales ABMs to millions of agents while capturing high-resolution agent behavior using LLMs. We benchmark the utility of LLMs as ABM agents, exploring the trade-off between simulation scale and individual agency. Using the COVID-19 pandemic as a case study, we demonstrate how AgentTorch can simulate 8.4 million agents representing New York City, capturing the impact of isolation and employment behavior on health and economic outcomes. We compare the performance of different agent architectures based on heuristic and LLM agents in predicting disease waves and unemployment rates. Furthermore, we showcase AgentTorch's capabilities for retrospective, counterfactual, and prospective analyses, highlighting how adaptive agent behavior can help overcome the limitations of historical data in policy design. AgentTorch is an open-source project actively being used for policy-making and scientific discovery around the world. The framework is available here: github.com/AgentTorch/AgentTorch.

AI powered code-recommendation systems, such as Copilot and CodeWhisperer, provide code suggestions inside a programmer's environment (e.g., an IDE) with the aim of improving productivity. We pursue mechanisms for leveraging signals about programmers' acceptance and rejection of code suggestions to guide recommendations. We harness data drawn from interactions with GitHub Copilot, a system used by millions of programmers, to develop interventions that can save time for programmers. We introduce a utility-theoretic framework to drive decisions about suggestions to display versus withhold. The approach, conditional suggestion display from human feedback (CDHF), relies on a cascade of models that provide the likelihood that recommended code will be accepted. These likelihoods are used to selectively hide suggestions, reducing both latency and programmer verification time. Using data from 535 programmers, we perform a retrospective evaluation of CDHF and show that we can avoid displaying a significant fraction of suggestions that would have been rejected. We further demonstrate the importance of incorporating the programmer's latent unobserved state in decisions about when to display suggestions through an ablation study. Finally, we showcase how using suggestion acceptance as a reward signal for guiding the display of suggestions can lead to suggestions of reduced quality, indicating an unexpected pitfall.

Existing medical video benchmarks primarily evaluate whether a model produces the correct answer, but rarely assess whether it answers at the right time. In real clinical settings, AI systems must decide not only what to predict, but also when to answer, defer judgment, or proactively raise alerts. This creates a critical gap between benchmark evaluation and deployment requirements. We present MedStreamBench, a benchmark for time-aware medical video understanding. MedStreamBench integrates 22 medical datasets and 5,419 QA instances across four temporal settings: retrospective, present, future, and proactive. Unlike conventional benchmarks that assume full-video access, MedStreamBench restricts models to temporally bounded evidence windows and supports both single-turn and streaming evaluation. We further introduce a proactive monitoring setting that requires models to determine whether and when clinically relevant alerts should be triggered. Beyond answer correctness, MedStreamBench evaluates temporal behavior through responsiveness and post-evidence stability. Experiments on leading general-purpose and medical vision-language models reveal a substantial gap between offline recognition and temporally grounded decision-making, with performance dropping markedly in streaming and proactive settings. Our benchmark is available at https://huggingface.co/datasets/Venn2024/MedStreamBench.

Intraoperative pathology is pivotal to precision surgery, yet its clinical impact is constrained by diagnostic complexity and the limited availability of high-quality frozen-section data. While computational pathology has made significant strides, the lack of large-scale, prospective validation has impeded its routine adoption in surgical workflows. Here, we introduce CRISP, a clinical-grade foundation model developed on over 100,000 frozen sections from eight medical centers, specifically designed to provide Clinical-grade Robust Intraoperative Support for Pathology (CRISP). CRISP was comprehensively evaluated on more than 15,000 intraoperative slides across nearly 100 retrospective diagnostic tasks, including benign-malignant discrimination, key intraoperative decision-making, and pan-cancer detection, etc. The model demonstrated robust generalization across diverse institutions, tumor types, and anatomical sites-including previously unseen sites and rare cancers. In a prospective cohort of over 2,000 patients, CRISP sustained high diagnostic accuracy under real-world conditions, directly informing surgical decisions in 92.6% of cases. Human-AI collaboration further reduced diagnostic workload by 35%, avoided 105 ancillary tests and enhanced detection of micrometastases with 87.5% accuracy. Together, these findings position CRISP as a clinical-grade paradigm for AI-driven intraoperative pathology, bridging computational advances with surgical precision and accelerating the translation of artificial intelligence into routine clinical practice.

Synthesizing clinical evidence largely relies on systematic reviews of clinical trials and retrospective analyses from medical literature. However, the rapid expansion of publications presents challenges in efficiently identifying, summarizing, and updating clinical evidence. Here, we introduce TrialMind, a generative artificial intelligence (AI) pipeline for facilitating human-AI collaboration in three crucial tasks for evidence synthesis: study search, screening, and data extraction. To assess its performance, we chose published systematic reviews to build the benchmark dataset, named TrialReviewBench, which contains 100 systematic reviews and the associated 2,220 clinical studies. Our results show that TrialMind excels across all three tasks. In study search, it generates diverse and comprehensive search queries to achieve high recall rates (Ours 0.711-0.834 v.s. Human baseline 0.138-0.232). For study screening, TrialMind surpasses traditional embedding-based methods by 30% to 160%. In data extraction, it outperforms a GPT-4 baseline by 29.6% to 61.5%. We further conducted user studies to confirm its practical utility. Compared to manual efforts, human-AI collaboration using TrialMind yielded a 71.4% recall lift and 44.2% time savings in study screening and a 23.5% accuracy lift and 63.4% time savings in data extraction. Additionally, when comparing synthesized clinical evidence presented in forest plots, medical experts favored TrialMind's outputs over GPT-4's outputs in 62.5% to 100% of cases. These findings show the promise of LLM-based approaches like TrialMind to accelerate clinical evidence synthesis via streamlining study search, screening, and data extraction from medical literature, with exceptional performance improvement when working with human experts.

Identifying patient cohorts is fundamental to numerous healthcare tasks, including clinical trial recruitment and retrospective studies. Current cohort retrieval methods in healthcare organizations rely on automated queries of structured data combined with manual curation, which are time-consuming, labor-intensive, and often yield low-quality results. Recent advancements in large language models (LLMs) and information retrieval (IR) offer promising avenues to revolutionize these systems. Major challenges include managing extensive eligibility criteria and handling the longitudinal nature of unstructured Electronic Medical Records (EMRs) while ensuring that the solution remains cost-effective for real-world application. This paper introduces a new task, Automatic Cohort Retrieval (ACR), and evaluates the performance of LLMs and commercial, domain-specific neuro-symbolic approaches. We provide a benchmark task, a query dataset, an EMR dataset, and an evaluation framework. Our findings underscore the necessity for efficient, high-quality ACR systems capable of longitudinal reasoning across extensive patient databases.

Knowledge about the hidden factors that determine particular system dynamics is crucial for both explaining them and pursuing goal-directed interventions. Inferring these factors from time series data without supervision remains an open challenge. Here, we focus on spatiotemporal processes, including wave propagation and weather dynamics, for which we assume that universal causes (e.g. physics) apply throughout space and time. A recently introduced DIstributed SpatioTemporal graph Artificial Neural network Architecture (DISTANA) is used and enhanced to learn such processes, requiring fewer parameters and achieving significantly more accurate predictions compared to temporal convolutional neural networks and other related approaches. We show that DISTANA, when combined with a retrospective latent state inference principle called active tuning, can reliably derive location-respective hidden causal factors. In a current weather prediction benchmark, DISTANA infers our planet's land-sea mask solely by observing temperature dynamics and, meanwhile, uses the self inferred information to improve its own future temperature predictions.

While highly accelerated non-Cartesian acquisition protocols significantly reduce scan time, they often entail long reconstruction delays. Deep learning based reconstruction methods can alleviate this, but often lack stability and robustness to distribution shifts. As an alternative, we train a rotation invariant weakly convex ridge regularizer (WCRR). The resulting variational reconstruction approach is benchmarked against state of the art methods on retrospectively simulated data and (out of distribution) on prospective GoLF SPARKLING and CAIPIRINHA acquisitions. Our approach consistently outperforms widely used baselines and achieves performance comparable to Plug and Play reconstruction with a state of the art 3D DRUNet denoiser, while offering substantially improved computational efficiency and robustness to acquisition changes. In summary, WCRR unifies the strengths of principled variational methods and modern deep learning based approaches.

Benchmarks are necessary for healthcare evaluation, but are not sufficient for predicting deployment performance. Our position is that the evaluation--deployment gap arises not because of poorly designed benchmarks, but from implicit assumptions about how users interact with models that cannot be surfaced from benchmarks alone. To make this precise, we propose a classification of assumptions into two categories: task, which can be tested from conversation data alone, and outcome, which requires outcome data and behavioral studies for testing. Critically, outcome assumptions depend on human behavior, something that even well-designed benchmarks cannot directly observe. To demonstrate the operationality of this framework, we retrospectively analyze a healthcare RCT as a case study and find that the gap naturally separates into task and outcome gaps of roughly equal size. To address this, we make two contributions: first, we propose BenchmarkCards, an artifact that documents assumptions, and second, we propose staged evaluation, a procedure that systematically tests assumptions and evaluates performance.

Large language model (LLM) agents are increasingly applied to long-horizon tasks such as scientific discovery and machine learning engineering (MLE), where sustained self-evolution becomes a key capability. However, existing MLE agents suffer from inter-branch information isolation, memoryless search, and lack of hierarchical control, which together hinder long-horizon optimization. We present MLEvolve, an LLM-based self-evolving multi-agent framework for end-to-end machine learning algorithm discovery. By extending tree search to Progressive MCGS, MLEvolve enables cross-branch information flow through graph-based reference edges and gradually shifts the search from broad exploration to focused exploitation with an entropy-inspired progressive schedule. To allow the agent to evolve with accumulated experience, we introduce Retrospective Memory, which combines a cold-start domain knowledge base with a dynamic global memory for task-specific experience retrieval and reuse. For stable long-horizon iteration, we further decouple strategic planning from code generation with adaptive coding modes. Evaluation on MLE-Bench shows that MLEvolve achieves state-of-the-art performance across multiple dimensions including average medal rate and valid submission rate under a 12-hour budget (half the standard runtime). Moreover, MLEvolve also outperforms specialized algorithm discovery methods including AlphaEvolve on mathematical algorithm optimization tasks, demonstrating strong cross-domain generalization. Our code is available at https://github.com/InternScience/MLEvolve.

Deploying massive diffusion models for real-time, infinite-duration, audio-driven avatar generation presents a significant engineering challenge, primarily due to the conflict between computational load and strict latency constraints. Existing approaches often compromise visual fidelity by enforcing strictly unidirectional attention mechanisms or reducing model capacity. To address this problem, we introduce SoulX-FlashTalk, a 14B-parameter framework optimized for high-fidelity real-time streaming. Diverging from conventional unidirectional paradigms, we use a Self-correcting Bidirectional Distillation strategy that retains bidirectional attention within video chunks. This design preserves critical spatiotemporal correlations, significantly enhancing motion coherence and visual detail. To ensure stability during infinite generation, we incorporate a Multi-step Retrospective Self-Correction Mechanism, enabling the model to autonomously recover from accumulated errors and preventing collapse. Furthermore, we engineered a full-stack inference acceleration suite incorporating hybrid sequence parallelism, Parallel VAE, and kernel-level optimizations. Extensive evaluations confirm that SoulX-FlashTalk is the first 14B-scale system to achieve a sub-second start-up latency (0.87s) while reaching a real-time throughput of 32 FPS, setting a new standard for high-fidelity interactive digital human synthesis.

Agentic coding assistants are increasingly given extra capabilities, such as browser based testing tools and design oriented system prompts, on the assumption that more capability yields better software. This study tested that assumption directly. Ninety independent agent runs built the same application, a real time retrospective board, from one detailed specification, each scored on a fixed 14 criterion functional rubric (42 point maximum) and a visual quality review. The runs spanned several model generations, two agent harnesses, two reasoning effort levels, a testing tool, and two design oriented prompts. Capability tier dominated: frontier models clustered near the ceiling while a low cost local model fell to 24 to 37 points. A criterion level analysis revealed what run totals conceal. Container deployment was the dominant defect, failing first try in 44 percent of runs, with its failure rate shifting sharply across model generations while mean totals moved less than a point. The testing tool raised cost by 42 to 68 percent without improving functional score or reliability, even on interface visible criteria. Raising reasoning effort from High to xHigh lifted first try perfect runs from 28 percent to 89 percent and cut corrective prompts about five fold, for 9 to 29 percent more cost. A design oriented prompt raised visual quality, 4.5 versus 3.0 on a 5 point scale, without lifting function, and a one paragraph paraphrase of its directive reproduced the entire lift. The practical lesson is to match the fix to the failure: most first run failures came from weak reasoning, which a stronger model or more effort prevents, not from visible flaws a checking tool would catch.

We introduce EgoSAT, the first comprehensive benchmark for egocentric video reasoning in streaming settings, designed to evaluate the capabilities of modern vision-language models (VLMs). The benchmark targets streaming interaction understanding, where video frames arrive sequentially and models must continuously interpret evolving visual context. EgoSAT unifies several previously distinct tasks within a single streaming framework. In this formulation, queries about completed events correspond to retrospective reasoning, queries about ongoing activities require online understanding, and queries about future actions involve prospective anticipation. This unified setting requires models to reason about the past, present, and future while operating under the constraint that only previously observed frames are available. EgoSAT contains 1,997 unique videos spanning 165 hours of egocentric footage and around 4,800 high-quality question-answer pairs, carefully designed to probe reasoning across varying temporal contexts. Using this benchmark, we evaluate a diverse set of both open-weight and closed-weight VLMs, providing a systematic assessment of their ability for streaming interaction understanding. By distinguishing answerability and conducting diagnostics on confidence of models, we find existing models not only struggle with prospective and retrospective modeling, but also exhibit severe mis-calibration: confidence often fails to track inherent answerability, leading to dangerous "confidently wrong" behaviors. Project page: https://leiyj23.github.io/EgoSAT/

While Large Language Models (LLMs) are increasingly deployed in long interactions, existing evaluations focus predominantly on retrospective memory (RM) via explicit queries. Prospective memory (PM), the critical ability to spontaneously recall and act on latent constraints without direct prompts, remains largely unevaluated. We introduce TriggerBench, a comprehensive PM benchmark spanning five dimensions across both daily assistants and professional workflows. TriggerBench pairs scenarios with matched RM controls, contrastive positive/negative variants, and overloaded triggers, enabling fine-grained measurement of proactive recall, false-alarm rate, and attentional robustness under a single protocol. Our evaluation yields three key findings. (i) PM shows a precision-recall trade-off and attentional fragility. Though enhanced reasoning significantly improves proactive recall, models may overfit to an "always-remind" heuristic. Furthermore, PM accuracy degrades substantially under implicit constraints or triggers overloaded by concurrent user requests, indicating that robust PM remains an open challenge. (ii) PM is notably harder than RM: on identical contexts, RM near-saturates up to 100K tokens, while PM decays sharply as context length scales. (iii) PM may serve as a behavioral probe of spare reasoning capacity. Pairing PM scenarios with AIME-2025 math problems reveals that successful trajectories yield higher PM accuracy than failed ones at the same context length, showing PM tracks spare reasoning budget that token count obscures. Project page: https://github.com/KristenZHANG/TriggerBench-Official.

Market manipulation now routinely originates from coordinated social media campaigns, not isolated trades. Retail investors, regulators, and brokerages need tools that connect online narratives and coordination patterns to market behavior. We present AIMM, an AI-driven framework that fuses Reddit activity, bot and coordination indicators, and OHLCV market features into a daily AIMM Manipulation Risk Score for each ticker. The system uses a parquet-native pipeline with a Streamlit dashboard that allows analysts to explore suspicious windows, inspect underlying posts and price action, and log model outputs over time. Due to Reddit API restrictions, we employ calibrated synthetic social features matching documented event characteristics; market data (OHLCV) uses real historical data from Yahoo Finance. This release makes three contributions. First, we build the AIMM Ground Truth dataset (AIMM-GT): 33 labeled ticker-days spanning eight equities, drawing from SEC enforcement actions, community-verified manipulation cases, and matched normal controls. Second, we implement forward-walk evaluation and prospective prediction logging for both retrospective and deployment-style assessment. Third, we analyze lead times and show that AIMM flagged GME 22 days before the January 2021 squeeze peak. The current labeled set is small (33 ticker-days, 3 positive events), but results show preliminary discriminative capability and early warnings for the GME incident. We release the code, dataset schema, and dashboard design to support research on social media-driven market surveillance.

Large language models are increasingly post-trained with reinforcement learning in verifiable domains such as code and math. Yet, current methods for reinforcement learning with verifiable rewards (RLVR) learn only from a scalar outcome reward per attempt, creating a severe credit-assignment bottleneck. Many verifiable environments actually provide rich textual feedback, such as runtime errors or judge evaluations, that explain why an attempt failed. We formalize this setting as reinforcement learning with rich feedback and introduce Self-Distillation Policy Optimization (SDPO), which converts tokenized feedback into a dense learning signal without any external teacher or explicit reward model. SDPO treats the current model conditioned on feedback as a self-teacher and distills its feedback-informed next-token predictions back into the policy. In this way, SDPO leverages the model's ability to retrospectively identify its own mistakes in-context. Across scientific reasoning, tool use, and competitive programming on LiveCodeBench v6, SDPO improves sample efficiency and final accuracy over strong RLVR baselines. Notably, SDPO also outperforms baselines in standard RLVR environments that only return scalar feedback by using successful rollouts as implicit feedback for failed attempts. Finally, applying SDPO to individual questions at test time accelerates discovery on difficult binary-reward tasks, achieving the same discovery probability as best-of-k sampling or multi-turn conversations with 3x fewer attempts.

Hallucination, posed as a pervasive challenge of multi-modal large language models (MLLMs), has significantly impeded their real-world usage that demands precise judgment. Existing methods mitigate this issue with either training with specific designed data or inferencing with external knowledge from other sources, incurring inevitable additional costs. In this paper, we present OPERA, a novel MLLM decoding method grounded in an Over-trust Penalty and a Retrospection-Allocation strategy, serving as a nearly free lunch to alleviate the hallucination issue without additional data, knowledge, or training. Our approach begins with an interesting observation that, most hallucinations are closely tied to the knowledge aggregation patterns manifested in the self-attention matrix, i.e., MLLMs tend to generate new tokens by focusing on a few summary tokens, but not all the previous tokens. Such partial over-trust inclination results in the neglecting of image tokens and describes the image content with hallucination. Statistically, we observe an 80%sim95% co-currency rate between hallucination contents and such knowledge aggregation patterns. Based on the observation, OPERA introduces a penalty term on the model logits during the beam-search decoding to mitigate the over-trust issue, along with a rollback strategy that retrospects the presence of summary tokens in the previously generated tokens, and re-allocate the token selection if necessary. With extensive experiments, OPERA shows significant hallucination-mitigating performance on different MLLMs and metrics, proving its effectiveness and generality. Our code is available at: https://github.com/shikiw/OPERA.

Code-recommendation systems, such as Copilot and CodeWhisperer, have the potential to improve programmer productivity by suggesting and auto-completing code. However, to fully realize their potential, we must understand how programmers interact with these systems and identify ways to improve that interaction. To make progress, we studied GitHub Copilot, a code-recommendation system used by millions of programmers daily. We developed CUPS, a taxonomy of common programmer activities when interacting with Copilot. Our study of 21 programmers, who completed coding tasks and retrospectively labeled their sessions with CUPS, showed that CUPS can help us understand how programmers interact with code-recommendation systems, revealing inefficiencies and time costs. Our insights reveal how programmers interact with Copilot and motivate new interface designs and metrics.

The training data for many Large Language Models (LLMs) is contaminated with test data. This means that public benchmarks used to assess LLMs are compromised, suggesting a performance gap between benchmark scores and actual capabilities. Ideally, a private holdout set could be used to accurately verify scores. Unfortunately, such datasets do not exist for most benchmarks, and post-hoc construction of sufficiently similar datasets is non-trivial. To address these issues, we introduce a systematic methodology for (i) retrospectively constructing a holdout dataset for a target dataset, (ii) demonstrating the statistical indistinguishability of this retro-holdout dataset, and (iii) comparing LLMs on the two datasets to quantify the performance gap due to the dataset's public availability. Applying these methods to TruthfulQA, we construct and release Retro-Misconceptions, on which we evaluate twenty LLMs and find that some have inflated scores by as much as 16 percentage points. Our results demonstrate that public benchmark scores do not always accurately assess model properties, and underscore the importance of improved data practices in the field.

Vision-Language Models (VLMs) are increasingly deployed in settings where reliable visual grounding carries operational consequences, yet their behavior under progressively coercive prompt phrasing remains undercharacterized. Existing hallucination benchmarks predominantly rely on neutral prompts and binary detection, leaving open how both the incidence and the intensity of fabrication respond to graded linguistic pressure across structurally distinct task types. We present Ghost-100, a procedurally constructed benchmark of 800 synthetically generated images spanning eight categories across three task families: text-illegibility, time-reading, and object-absence, each designed under a negative-ground-truth principle that guarantees the queried target is absent, illegible, or indeterminate by construction. Every image is paired with five prompts drawn from a structured 5-Level Prompt Intensity Framework, holding the image and task identity fixed while varying only directive force, so that tone is isolated as the sole independent variable. We adopt a dual-track evaluation protocol: a rule-based H-Rate measuring the proportion of responses in which a model crosses from grounded refusal into unsupported positive commitment, and a GPT-4o-mini-judged H-Score on a 1-5 scale characterizing the confidence and specificity of fabrication once it occurs. We additionally release a three-stage automated validation workflow, which retrospectively confirms 717 of 800 images as strictly compliant. Evaluating nine open-weight VLMs, we find that H-Rate and H-Score dissociate substantially across model families, reading-style and presence-detection subsets respond to prompt pressure in qualitatively different ways, and several models exhibit non-monotonic sensitivity peaking at intermediate tone levels: patterns that aggregate metrics obscure.

Data curriculums have become central to successful LLM training, yet principles governing optimal data placement remain unclear. We introduce the *training re-evaluation curve (TREC)*, a diagnostic that retrospectively evaluates training batches *using the final model weights*. The TREC characterizes how well a trained model retains training data as a function of *when* the data was encountered during training. Analyzing TRECs for models from 111M to 3.9B parameters, we show that placing high-quality data at low points on the TREC significantly improves performance. Importantly, while a TREC is initially observable only after training, we demonstrate it can be *predicted in advance* from AdamW's implicit EMA coefficients, enabling proactive curriculum design. By predicting TRECs for published training recipes, we explain prior ablations and reveal suboptimal data placements. We also align high-quality data with TREC minima in order to improve continual pre-training of a 3.9B-parameter LLM trained on 900B tokens.

Recent large reasoning models (LRMs) have demonstrated strong reasoning capabilities through reinforcement learning (RL). These improvements have primarily been observed within the short-context reasoning tasks. In contrast, extending LRMs to effectively process and reason on long-context inputs via RL remains a critical unsolved challenge. To bridge this gap, we first formalize the paradigm of long-context reasoning RL, and identify key challenges in suboptimal training efficiency and unstable optimization process. To address these issues, we propose QwenLong-L1, a framework that adapts short-context LRMs to long-context scenarios via progressive context scaling. Specifically, we utilize a warm-up supervised fine-tuning (SFT) stage to establish a robust initial policy, followed by a curriculum-guided phased RL technique to stabilize the policy evolution, and enhanced with a difficulty-aware retrospective sampling strategy to incentivize the policy exploration. Experiments on seven long-context document question-answering benchmarks demonstrate that QwenLong-L1-32B outperforms flagship LRMs like OpenAI-o3-mini and Qwen3-235B-A22B, achieving performance on par with Claude-3.7-Sonnet-Thinking, demonstrating leading performance among state-of-the-art LRMs. This work advances the development of practical long-context LRMs capable of robust reasoning across information-intensive environments.

LLM-based web agents show immense promise for information seeking, yet their effectiveness on long-horizon tasks is hindered by a fundamental trade-off in context management. Prevailing ReAct-based agents suffer from context saturation as they accumulate noisy, raw histories, while methods that fixedly summarize the full history at each step risk the irreversible loss of critical details. Addressing these, we introduce AgentFold, a novel agent paradigm centered on proactive context management, inspired by the human cognitive process of retrospective consolidation. AgentFold treats its context as a dynamic cognitive workspace to be actively sculpted, rather than a passive log to be filled. At each step, it learns to execute a `folding' operation, which manages its historical trajectory at multiple scales: it can perform granular condensations to preserve vital, fine-grained details, or deep consolidations to abstract away entire multi-step sub-tasks. The results on prominent benchmarks are striking: with simple supervised fine-tuning (without continual pre-training or RL), our AgentFold-30B-A3B agent achieves 36.2% on BrowseComp and 47.3% on BrowseComp-ZH. Notably, this performance not only surpasses or matches open-source models of a dramatically larger scale, such as the DeepSeek-V3.1-671B-A37B, but also surpasses leading proprietary agents like OpenAI's o4-mini.

Triggered by the realization that AI emulators can rival the performance of traditional numerical weather prediction models running on HPC systems, there is now an increasing number of large AI models that address use cases such as forecasting, downscaling, or nowcasting. While the parallel developments in the AI literature focus on foundation models -- models that can be effectively tuned to address multiple, different use cases -- the developments on the weather and climate side largely focus on single-use cases with particular emphasis on mid-range forecasting. We close this gap by introducing Prithvi WxC, a 2.3 billion parameter foundation model developed using 160 variables from the Modern-Era Retrospective Analysis for Research and Applications, Version 2 (MERRA-2). Prithvi WxC employs an encoder-decoder-based architecture, incorporating concepts from various recent transformer models to effectively capture both regional and global dependencies in the input data. The model has been designed to accommodate large token counts to model weather phenomena in different topologies at fine resolutions. Furthermore, it is trained with a mixed objective that combines the paradigms of masked reconstruction with forecasting. We test the model on a set of challenging downstream tasks namely: Autoregressive rollout forecasting, Downscaling, Gravity wave flux parameterization, and Extreme events estimation. The pretrained model with 2.3 billion parameters, along with the associated fine-tuning workflows, has been publicly released as an open-source contribution via Hugging Face.

Although Multimodal Large Language Models (MLLMs) demonstrate strong omni-modal perception, their ability to forecast future events from audio-visual cues remains largely unexplored, as existing benchmarks focus mainly on retrospective understanding. To bridge this gap, we introduce FutureOmni, the first benchmark designed to evaluate omni-modal future forecasting from audio-visual environments. The evaluated models are required to perform cross-modal causal and temporal reasoning, as well as effectively leverage internal knowledge to predict future events. FutureOmni is constructed via a scalable LLM-assisted, human-in-the-loop pipeline and contains 919 videos and 1,034 multiple-choice QA pairs across 8 primary domains. Evaluations on 13 omni-modal and 7 video-only models show that current systems struggle with audio-visual future prediction, particularly in speech-heavy scenarios, with the best accuracy of 64.8% achieved by Gemini 3 Flash. To mitigate this limitation, we curate a 7K-sample instruction-tuning dataset and propose an Omni-Modal Future Forecasting (OFF) training strategy. Evaluations on FutureOmni and popular audio-visual and video-only benchmarks demonstrate that OFF enhances future forecasting and generalization. We publicly release all code (https://github.com/OpenMOSS/FutureOmni) and datasets (https://huggingface.co/datasets/OpenMOSS-Team/FutureOmni).

Chain-of-Thought (CoT) reasoning improves multi-step mathematical problem solving in large language models but remains vulnerable to exposure bias and error accumulation, as early mistakes propagate irreversibly through autoregressive decoding. In this work, we propose DiffCoT, a diffusion-styled CoT framework that reformulates CoT reasoning as an iterative denoising process. DiffCoT integrates diffusion principles at the reasoning-step level via a sliding-window mechanism, enabling unified generation and retrospective correction of intermediate steps while preserving token-level autoregression. To maintain causal consistency, we further introduce a causal diffusion noise schedule that respects the temporal structure of reasoning chains. Extensive experiments on three multi-step CoT reasoning benchmarks across diverse model backbones demonstrate that DiffCoT consistently outperforms existing CoT preference optimization methods, yielding improved robustness and error-correction capability in CoT reasoning.

Patient contexts span hundreds of heterogeneous documents and thousands of structured data points, yet the document-level metadata that AI systems need for retrieval and triage is absent or incomplete. Standard retrieval-augmented generation fails on this data, mishandling temporal reasoning, cross-document dependencies, and missing metadata. We deploy ACIE (Agentic Clinical Information Extraction) at University Medicine Essen: an on-premise agentic RAG pipeline that reasons over complete patient contexts and grounds every answer in source passages for clinician verification. We quantify the metadata gap, trace the architectural decisions it shaped, and evaluate extraction alongside an independent retrospective lymphoma registry study, in which nuclear-medicine physicians verify every extracted value against its cited sources. Across 7,326 judgments, clinicians accepted 96.5\% of extractions, with per-type acceptance ranging from 80\% to 99\%.

Many real-world prediction problems lack labels observable at prediction time, creating a temporal gap between prediction and outcome that yields supervision only after events resolve. To address this setting, we extend reinforcement learning with verifiable rewards to temporally resolved real-world prediction, and use it to train language models to make probabilistic forecasts under causally masked information with retrospective evaluation using proper scoring rules. Supervision is derived solely from post-resolution outcomes, preserving delayed-reward semantics. On real-world forecasting benchmarks, Qwen3-32B trained using Foresight Learning improves Brier score by 27% and halves calibration error relative to its pretrained baseline, and outperforms Qwen3-235B on both constructed future-event prediction tasks and the Metaculus benchmark despite a 7x parameter disadvantage.

Reinforcement learning (RL) tasks are typically framed as Markov Decision Processes (MDPs), assuming that decisions are made at fixed time intervals. However, many applications of great importance, including healthcare, do not satisfy this assumption, yet they are commonly modelled as MDPs after an artificial reshaping of the data. In addition, most healthcare (and similar) problems are offline by nature, allowing for only retrospective studies. To address both challenges, we begin by discussing the Semi-MDP (SMDP) framework, which formally handles actions of variable timings. We next present a formal way to apply SMDP modifications to nearly any given value-based offline RL method. We use this theory to introduce three SMDP-based offline RL algorithms, namely, SDQN, SDDQN, and SBCQ. We then experimentally demonstrate that only these SMDP-based algorithms learn the optimal policy in variable-time environments, whereas their MDP counterparts do not. Finally, we apply our new algorithms to a real-world offline dataset pertaining to warfarin dosing for stroke prevention and demonstrate similar results.

Joint contact forces govern implant longevity, cartilage health, and rehabilitation outcomes, shaping who develops osteoarthritis, who recovers well from joint replacement, and who benefits from biomechanical interventions. Yet they remain measurable only invasively, in a few dozen patients with instrumented implants. I present a physics-free pipeline to predict instantaneous 3D hip and knee contact forces from an uncalibrated monocular video: no markers, force plates, electromyography, subject-specific imaging, or musculoskeletal model. Parametric body meshes are recovered per frame, encoded as kinematic features, and decoded into forces by a transformer whose pose stream is adaptively modulated at every layer by body shape, joint, side, activity text, and self-supervised video tokens (V-JEPA 2), unifying hip and knee in a single model. Under leave-one-subject-out cross-validation across 26 patients and 25 activity categories from the in vivo OrthoLoad database, the pipeline matches the accuracy of subject-specific musculoskeletal simulations (0.32 pm 0.08 BW RMSE for hip; 0.23 pm 0.03 BW for knee) and resolves peak force changes smaller than those reported for gait retraining and osteoarthritis progression. Applied zero-shot to an independent instrumented cohort, it rivals or outperforms prior published methods. Even without curated activity labels, video features alone preserve accuracy and enable end-to-end inference on raw footage. Driven by the predictor, a generative motion prior produces biomechanically plausible variants with reduced peak loading, rediscovering strategies from the predictive simulation literature. This pipeline establishes uncalibrated monocular video as a viable modality for estimating joint loading, opening a path toward retrospective analysis of archived clinical recordings, primary-care screening, and at-home rehabilitation tracking.

Neural networks acquire structured representations at specific moments during training, yet identifying these transitions typically relies on retrospective, label-dependent metrics. We introduce a bifurcation theory of representation dynamics to detect these moments in real time. Analyzing a passive GMM probe attached to the evolving encoder, we show the onset of structure corresponds to a supercritical pitchfork bifurcation driven by the loss Hessian. The system exhibits a theoretically predictable zero-crossing (β_c) that, compared to the network's current state (β), yields a dynamic ratio β(t)/β_c(t): a universal, label-free phase coordinate for representation dynamics, computable entirely from hidden states. We empirically validate four distinct transition regimes predicted by this coordinate across diverse settings: SAEs on language models (Pythia), SSL (CIFAR), and grokking (modular arithmetic). Crucially, under finite dissipation, macroscopic symmetry-breaking can lag the initial zero-crossing by orders of magnitude, which providing a rigorous dynamical account of the delayed escape observed in grokking. Microscopically, the bifurcation creates a shared unstable subspace, forcing collective symmetry breaking. We term this the "feature lottery" in SAE training: a feature's terminal interpretability becomes predictable remarkably early. By only 5% of training, early atom purity robustly predicts final convergence purity, with top-decile early atoms achieving over 12x the baseline purity at convergence. Beyond explaining concept emergence, β/β_c provides a practical early-warning indicator for training health, detecting the onset of usable structure, the crystallization of feature identity, and representational collapse epochs before downstream metrics react.

Current LLM assistants are powerful at answering questions, but they have limited access to the behavioral context that reveals when and where a user is struggling. We present a gaze-grounded multimodal LLM assistant that uses egocentric video with gaze overlays to identify likely points of difficulty and target follow-up retrospective assistance. We instantiate this vision in a controlled study (n=36) comparing the gaze-aware AI assistant to a text-only LLM assistant. Compared to a conventional LLM assistant, the gaze-aware assistant was rated as significantly more accurate and personalized in its assessments of users' reading behavior and significantly improved people's ability to recall information. Users spoke significantly fewer words with the gaze-aware assistant, indicating more efficient interactions. Qualitative results underscored both perceived benefits in comprehension and challenges when interpretations of gaze behaviors were inaccurate. Our findings suggest that gaze-aware LLM assistants can reason about cognitive needs to improve cognitive outcomes of users.

An important recurring pattern in scientific breakthroughs is a two-stage process: an initial phase of undirected experimentation that yields an unexpected finding, followed by a retrospective phase that explains why the finding works and situates it within existing theory. We present ResearchEVO, an end-to-end framework that computationally instantiates this discover-then-explain paradigm. The Evolution Phase employs LLM-guided bi-dimensional co-evolution -- simultaneously optimizing both algorithmic logic and overall architecture -- to search the space of code implementations purely by fitness, without requiring any understanding of the solutions it produces. The Writing Phase then takes the best-performing algorithm and autonomously generates a complete, publication-ready research paper through sentence-level retrieval-augmented generation with explicit anti-hallucination verification and automated experiment design. To our knowledge, ResearchEVO is the first system to cover this full pipeline end to end: no prior work jointly performs principled algorithm evolution and literature-grounded scientific documentation. We validate the framework on two cross-disciplinary scientific problems -- Quantum Error Correction using real Google quantum hardware data, and Physics-Informed Neural Networks -- where the Evolution Phase discovered human-interpretable algorithmic mechanisms that had not been previously proposed in the respective domain literatures. In both cases, the Writing Phase autonomously produced compilable LaTeX manuscripts that correctly grounded these blind discoveries in existing theory via RAG, with zero fabricated citations.

Reinforcement Learning with Verifiable Rewards (RLVR) has become a central post-training paradigm for improving the reasoning capabilities of large language models. Yet existing methods share a common blind spot: they optimize policies based on instantaneous group-level or batch-level statistics without ever verifying whether the resulting update actually improved the model. This open-loop design -- updating in isolation at each step, guided only by within-group (batch) reward signals -- means optimization can drift or collapse with no mechanism to detect and correct these failures. We argue that the missing ingredient is policy improvement feedback: the ability to measure and optimize inter-iteration progress directly. To this end, we introduce Policy Improvement Reinforcement Learning (PIRL), a framework that replaces surrogate reward maximization with the explicit objective of maximizing cumulative policy improvement across iterations, and prove this temporal objective is perfectly aligned with maximizing final task performance. Building on PIRL, we propose Policy Improvement Policy Optimization (PIPO), which implements closed-loop optimization through retrospective verification. At each iteration, PIPO evaluates whether the previous update yielded genuine improvement against a sliding-window historical baseline, then actively reinforces beneficial updates and suppresses the harmful ones -- transforming an open-loop process into a self-correcting one. We provide theoretical analysis showing that PIPO performs ascent on the PIRL objective in expectation, and experiments on mathematical reasoning benchmarks demonstrate improved stability and performance over GRPO and its variants.

Medical Multimodal Large Language Models (Med-MLLMs) require egocentric clinical intent understanding for real-world deployment, yet existing benchmarks fail to evaluate this critical capability. To address these challenges, we introduce MedGaze-Bench, the first benchmark leveraging clinician gaze as a Cognitive Cursor to assess intent understanding across surgery, emergency simulation, and diagnostic interpretation. Our benchmark addresses three fundamental challenges: visual homogeneity of anatomical structures, strict temporal-causal dependencies in clinical workflows, and implicit adherence to safety protocols. We propose a Three-Dimensional Clinical Intent Framework evaluating: (1) Spatial Intent: discriminating precise targets amid visual noise, (2) Temporal Intent: inferring causal rationale through retrospective and prospective reasoning, and (3) Standard Intent: verifying protocol compliance through safety checks. Beyond accuracy metrics, we introduce Trap QA mechanisms to stress-test clinical reliability by penalizing hallucinations and cognitive sycophancy. Experiments reveal current MLLMs struggle with egocentric intent due to over-reliance on global features, leading to fabricated observations and uncritical acceptance of invalid instructions.

Chain of Thought (CoT) prompting improves the reasoning performance of large language models (LLMs) by encouraging step by step thinking. However, CoT-based methods depend on intermediate reasoning steps, which limits scalability and generalization. Recent work explores recursive reasoning, where LLMs reuse internal layers across iterations to refine latent representations without explicit CoT supervision. While promising, these approaches often require costly pretraining and lack a principled framework for how reasoning should evolve across iterations. We address this gap by introducing Flow Chain of Thought (Flow CoT), a reasoning paradigm that models recursive inference as a progressive trajectory of latent cognitive states. Flow CoT frames each iteration as a distinct cognitive stage deepening reasoning across iterations without relying on manual supervision. To realize this, we propose SCOUT (Stepwise Cognitive Optimization Using Teachers), a lightweight fine tuning framework that enables Flow CoT style reasoning without the need for pretraining. SCOUT uses progressive distillation to align each iteration with a teacher of appropriate capacity, and a cross attention based retrospective module that integrates outputs from previous iterations while preserving the models original computation flow. Experiments across eight reasoning benchmarks show that SCOUT consistently improves both accuracy and explanation quality, achieving up to 1.8% gains under fine tuning. Qualitative analyses further reveal that SCOUT enables progressively deeper reasoning across iterations refining both belief formation and explanation granularity. These results not only validate the effectiveness of SCOUT, but also demonstrate the practical viability of Flow CoT as a scalable framework for enhancing reasoning in LLMs.

Complex tasks are increasingly delegated to ensembles of specialized LLM-based agents that reason, communicate, and coordinate actions-both among themselves and through interactions with external tools, APIs, and databases. While persistent memory has been shown to enhance single-agent performance, most approaches assume a monolithic, single-user context-overlooking the benefits and challenges of knowledge transfer across users under dynamic, asymmetric permissions. We introduce Collaborative Memory, a framework for multi-user, multi-agent environments with asymmetric, time-evolving access controls encoded as bipartite graphs linking users, agents, and resources. Our system maintains two memory tiers: (1) private memory-private fragments visible only to their originating user; and (2) shared memory-selectively shared fragments. Each fragment carries immutable provenance attributes (contributing agents, accessed resources, and timestamps) to support retrospective permission checks. Granular read policies enforce current user-agent-resource constraints and project existing memory fragments into filtered transformed views. Write policies determine fragment retention and sharing, applying context-aware transformations to update the memory. Both policies may be designed conditioned on system, agent, and user-level information. Our framework enables safe, efficient, and interpretable cross-user knowledge sharing, with provable adherence to asymmetric, time-varying policies and full auditability of memory operations.

Protein function prediction is a crucial task in bioinformatics, with significant implications for understanding biological processes and disease mechanisms. While the relationship between sequence and function has been extensively explored, translating protein structure to function continues to present substantial challenges. Various models, particularly, CNN and graph-based deep learning approaches that integrate structural and functional data, have been proposed to address these challenges. However, these methods often fall short in elucidating the functional significance of key residues essential for protein functionality, as they predominantly adopt a retrospective perspective, leading to suboptimal performance. Inspired by region proposal networks in computer vision, we introduce the Protein Region Proposal Network (ProteinRPN) for accurate protein function prediction. Specifically, the region proposal module component of ProteinRPN identifies potential functional regions (anchors) which are refined through the hierarchy-aware node drop pooling layer favoring nodes with defined secondary structures and spatial proximity. The representations of the predicted functional nodes are enriched using attention mechanisms and subsequently fed into a Graph Multiset Transformer, which is trained with supervised contrastive (SupCon) and InfoNCE losses on perturbed protein structures. Our model demonstrates significant improvements in predicting Gene Ontology (GO) terms, effectively localizing functional residues within protein structures. The proposed framework provides a robust, scalable solution for protein function annotation, advancing the understanding of protein structure-function relationships in computational biology.

Computational RNA design tasks are often posed as inverse problems, where sequences are designed based on adopting a single desired secondary structure without considering 3D geometry and conformational diversity. We introduce gRNAde, a geometric RNA design pipeline operating on 3D RNA backbones to design sequences that explicitly account for structure and dynamics. Under the hood, gRNAde is a multi-state Graph Neural Network that generates candidate RNA sequences conditioned on one or more 3D backbone structures where the identities of the bases are unknown. On a single-state fixed backbone re-design benchmark of 14 RNA structures from the PDB identified by Das et al. [2010], gRNAde obtains higher native sequence recovery rates (56% on average) compared to Rosetta (45% on average), taking under a second to produce designs compared to the reported hours for Rosetta. We further demonstrate the utility of gRNAde on a new benchmark of multi-state design for structurally flexible RNAs, as well as zero-shot ranking of mutational fitness landscapes in a retrospective analysis of a recent ribozyme. Open source code: https://github.com/chaitjo/geometric-rna-design

False assumptions about sex and gender are deeply embedded in the medical system, including that they are binary, static, and concordant. Machine learning researchers must understand the nature of these assumptions in order to avoid perpetuating them. In this perspectives piece, we identify three common mistakes that researchers make when dealing with sex/gender data: "sex confusion", the failure to identity what sex in a dataset does or doesn't mean; "sex obsession", the belief that sex, specifically sex assigned at birth, is the relevant variable for most applications; and "sex/gender slippage", the conflation of sex and gender even in contexts where only one or the other is known. We then discuss how these pitfalls show up in machine learning studies based on electronic health record data, which is commonly used for everything from retrospective analysis of patient outcomes to the development of algorithms to predict risk and administer care. Finally, we offer a series of recommendations about how machine learning researchers can produce both research and algorithms that more carefully engage with questions of sex/gender, better serving all patients, including transgender people.

Changepoints are abrupt variations in the generative parameters of a data sequence. Online detection of changepoints is useful in modelling and prediction of time series in application areas such as finance, biometrics, and robotics. While frequentist methods have yielded online filtering and prediction techniques, most Bayesian papers have focused on the retrospective segmentation problem. Here we examine the case where the model parameters before and after the changepoint are independent and we derive an online algorithm for exact inference of the most recent changepoint. We compute the probability distribution of the length of the current ``run,'' or time since the last changepoint, using a simple message-passing algorithm. Our implementation is highly modular so that the algorithm may be applied to a variety of types of data. We illustrate this modularity by demonstrating the algorithm on three different real-world data sets.

Sparse Autoencoders (SAEs) are a promising approach for extracting neural network representations by learning a sparse and overcomplete decomposition of the network's internal activations. However, SAEs are traditionally trained considering only activation values and not the effect those activations have on downstream computations. This limits the information available to learn features, and biases the autoencoder towards neglecting features which are represented with small activation values but strongly influence model outputs. To address this, we introduce Gradient SAEs (g-SAEs), which modify the k-sparse autoencoder architecture by augmenting the TopK activation function to rely on the gradients of the input activation when selecting the k elements. For a given sparsity level, g-SAEs produce reconstructions that are more faithful to original network performance when propagated through the network. Additionally, we find evidence that g-SAEs learn latents that are on average more effective at steering models in arbitrary contexts. By considering the downstream effects of activations, our approach leverages the dual nature of neural network features as both representations, retrospectively, and actions, prospectively. While previous methods have approached the problem of feature discovery primarily focused on the former aspect, g-SAEs represent a step towards accounting for the latter as well.