Daily Papers

Large language models (LLMs) are increasingly used to generate scientific reviews, yet existing evaluations rarely examine whether different providers align with both conference decisions and human reviewing priorities within the same controlled setting. We compare reviews from OpenAI GPT-5.4, Google Gemini 3.1 Pro Preview, and Anthropic Claude Opus 4.6 with human reviews and final decisions for 300 topic-matched ICLR 2026 submissions, equally divided among oral, poster, and rejected papers. Each model reviewed every paper using identical instructions and rating scales after decision information was removed. Our study contributes a cross-provider analysis of three complementary dimensions: alignment with broad and fine-grained decision categories, differences in recommendation-scale usage, and thematic agreement in identified weaknesses. All three LLMs distinguished accepted from rejected papers, but none reproduced the oral versus poster distinction present in human ratings. Scoring patterns were provider-specific: Gemini assigned systematically higher ratings, while OpenAI and Claude were closer to humans for rejected and poster papers but more critical of oral papers. Human and LLM reviews also differed in emphasis, with LLMs more frequently identifying missing baseline comparisons and humans more often raising computational-efficiency concerns. These results show that broad decision alignment does not imply agreement with finer human judgments or reviewing priorities.

Cross-entropy is a widely used loss function in applications. It coincides with the logistic loss applied to the outputs of a neural network, when the softmax is used. But, what guarantees can we rely on when using cross-entropy as a surrogate loss? We present a theoretical analysis of a broad family of loss functions, comp-sum losses, that includes cross-entropy (or logistic loss), generalized cross-entropy, the mean absolute error and other cross-entropy-like loss functions. We give the first H-consistency bounds for these loss functions. These are non-asymptotic guarantees that upper bound the zero-one loss estimation error in terms of the estimation error of a surrogate loss, for the specific hypothesis set H used. We further show that our bounds are tight. These bounds depend on quantities called minimizability gaps. To make them more explicit, we give a specific analysis of these gaps for comp-sum losses. We also introduce a new family of loss functions, smooth adversarial comp-sum losses, that are derived from their comp-sum counterparts by adding in a related smooth term. We show that these loss functions are beneficial in the adversarial setting by proving that they admit H-consistency bounds. This leads to new adversarial robustness algorithms that consist of minimizing a regularized smooth adversarial comp-sum loss. While our main purpose is a theoretical analysis, we also present an extensive empirical analysis comparing comp-sum losses. We further report the results of a series of experiments demonstrating that our adversarial robustness algorithms outperform the current state-of-the-art, while also achieving a superior non-adversarial accuracy.

Accurate particle shower simulation remains a critical computational bottleneck for high-energy physics. Traditional Monte Carlo methods, such as Geant4, are computationally prohibitive, while existing machine learning surrogates are tied to specific detector geometries and require complete retraining for each design change or alternative detector. We present a transfer learning framework for generative calorimeter simulation models that enables adaptation across diverse geometries with high data efficiency. Using point cloud representations and pre-training on the International Large Detector detector, our approach handles new configurations without re-voxelizing showers for each geometry. On the CaloChallenge dataset, transfer learning with only 100 target-domain samples achieves a 44% improvement on the geometric mean of Wasserstein distance over training from scratch. Parameter-efficient fine-tuning with bias-only adaptation achieves competitive performance while updating only 17% of model parameters. Our analysis provides insight into adaptation mechanisms for particle shower development, establishing a baseline for future progress of point cloud approaches in calorimeter simulation.

Text-to-image (T2I) generation has achieved remarkable progress in recent years. However, existing research has largely focused on English-only settings, leaving cross-lingual performance gaps and language-specific effects insufficiently explored. To fill this gap, we introduce LingT2I, a benchmark covering 10 widely used languages with 33K prompts, designed to evaluate cross-lingual effects in both content generation and text rendering. Building on this benchmark, we conduct a comprehensive cross-lingual analysis, uncovering linguistic inequality and language-dependent trade-offs across evaluation dimensions. Beyond quantitative evaluation, we further reveal a range of language-dependent generation patterns, highlighting how linguistic factors and their corresponding cultural contexts systematically impact model outputs. Our benchmark and analysis provide a foundation for studying cross-lingual behavior in T2I generation and facilitate the development of more robust and inclusive models. Code and dataset are available at https://github.com/RISys-Lab/LingT2I.

Relationship extraction (RE) is a core task in natural language processing. Traditional approaches typically frame RE as a supervised learning problem, directly mapping context to labels-an approach that often suffers from poor out-of-domain (OOD) generalization. Inspired by the workflow of human annotators, we reframe RE as a reasoning task guided by annotation guidelines and introduce R1-RE, the first reinforcement learning with verifiable reward (RLVR) framework for RE tasks. Our method elicits the reasoning abilities of small language models for annotation tasks, resulting in significantly improved OOD robustness. We evaluate our approach on the public Sem-2010 dataset and a private MDKG dataset. The R1-RE-7B model attains an average OOD accuracy of approximately 70%, on par with leading proprietary models such as GPT-4o. Additionally, our comprehensive analysis provides novel insights into the training dynamics and emergent reasoning behaviors of the RLVR paradigm for RE.

We present miniF2F, a dataset of formal Olympiad-level mathematics problems statements intended to provide a unified cross-system benchmark for neural theorem proving. The miniF2F benchmark currently targets Metamath, Lean, Isabelle (partially) and HOL Light (partially) and consists of 488 problem statements drawn from the AIME, AMC, and the International Mathematical Olympiad (IMO), as well as material from high-school and undergraduate mathematics courses. We report baseline results using GPT-f, a neural theorem prover based on GPT-3 and provide an analysis of its performance. We intend for miniF2F to be a community-driven effort and hope that our benchmark will help spur advances in neural theorem proving.

Molecular knowledge resides within three different modalities of information sources: molecular structures, biomedical documents, and knowledge bases. Effective incorporation of molecular knowledge from these modalities holds paramount significance in facilitating biomedical research. However, existing multimodal molecular foundation models exhibit limitations in capturing intricate connections between molecular structures and texts, and more importantly, none of them attempt to leverage a wealth of molecular expertise derived from knowledge graphs. In this study, we introduce MolFM, a multimodal molecular foundation model designed to facilitate joint representation learning from molecular structures, biomedical texts, and knowledge graphs. We propose cross-modal attention between atoms of molecular structures, neighbors of molecule entities and semantically related texts to facilitate cross-modal comprehension. We provide theoretical analysis that our cross-modal pre-training captures local and global molecular knowledge by minimizing the distance in the feature space between different modalities of the same molecule, as well as molecules sharing similar structures or functions. MolFM achieves state-of-the-art performance on various downstream tasks. On cross-modal retrieval, MolFM outperforms existing models with 12.13% and 5.04% absolute gains under the zero-shot and fine-tuning settings, respectively. Furthermore, qualitative analysis showcases MolFM's implicit ability to provide grounding from molecular substructures and knowledge graphs. Code and models are available on https://github.com/BioFM/OpenBioMed.

Hand segmentation and detection in truly unconstrained RGB-based settings is important for many applications. However, existing datasets are far from sufficient in terms of size and variety due to the infeasibility of manual annotation of large amounts of segmentation and detection data. As a result, current methods are limited by many underlying assumptions such as constrained environment, consistent skin color and lighting. In this work, we present Ego2Hands, a large-scale RGB-based egocentric hand segmentation/detection dataset that is semi-automatically annotated and a color-invariant compositing-based data generation technique capable of creating training data with large quantity and variety. For quantitative analysis, we manually annotated an evaluation set that significantly exceeds existing benchmarks in quantity, diversity and annotation accuracy. We provide cross-dataset evaluation as well as thorough analysis on the performance of state-of-the-art models on Ego2Hands to show that our dataset and data generation technique can produce models that generalize to unseen environments without domain adaptation.

In an era where symbolic mathematical equations are indispensable for modeling complex natural phenomena, scientific inquiry often involves collecting observations and translating them into mathematical expressions. Recently, deep learning has emerged as a powerful tool for extracting insights from data. However, existing models typically specialize in either numeric or symbolic domains, and are usually trained in a supervised manner tailored to specific tasks. This approach neglects the substantial benefits that could arise from a task-agnostic unified understanding between symbolic equations and their numeric counterparts. To bridge the gap, we introduce SNIP, a Symbolic-Numeric Integrated Pre-training, which employs joint contrastive learning between symbolic and numeric domains, enhancing their mutual similarities in the pre-trained embeddings. By performing latent space analysis, we observe that SNIP provides cross-domain insights into the representations, revealing that symbolic supervision enhances the embeddings of numeric data and vice versa. We evaluate SNIP across diverse tasks, including symbolic-to-numeric mathematical property prediction and numeric-to-symbolic equation discovery, commonly known as symbolic regression. Results show that SNIP effectively transfers to various tasks, consistently outperforming fully supervised baselines and competing strongly with established task-specific methods, especially in few-shot learning scenarios where available data is limited.

Multimodal large language models (MLLMs) have shown impressive capabilities, yet they often struggle to effectively capture the fine-grained textual information within images crucial for accurate image translation. This often leads to a modality gap between visual text inputs and textual inputs/outputs for image translation. Existing methods, primarily relying on instruction fine-tuning, risk parameter redundancy of pre-trained knowledge, hindering generalization performance. To address this, we introduce modality neuron-aware fine-tuning (MNAFT), a novel approach that takes advantage of the specialized roles of individual neurons within MLLMs for enhanced image translation. MNAFT identifies language-agnostic and language-specific neurons in both vision and language modules through an instruction-driven activation analysis, evaluating their importance in various translation tasks. We then perform selective fine-tuning, updating only the parameters of language-specific and language-agnostic neurons within the selected layers relevant to the target task, while preserving the knowledge encoded in other neurons and layers. Our extensive experiments on multiple benchmarks demonstrate that MNAFT significantly outperforms state-of-the-art image translation methods, including cascaded models, standard full fine-tuning, and parameter-efficient tuning techniques. Furthermore, we provide comprehensive analysis, including visualizations of neuron activations and clustering patterns, to offer insights into the roles of different neuron groups in mediating cross-modal understanding and facilitating accurate language-specific translation.

Stochastic differential equation (SDE)-based generative models have achieved substantial progress in conditional generation via training-free differentiable loss-guided approaches. However, existing methodologies utilizing posterior sam- pling typically confront a substantial estimation error, which results in inaccu- rate gradients for guidance and leading to inconsistent generation results. To mitigate this issue, we propose that performing an additional backward denois- ing step and Monte-Carlo sampling (ABMS) can achieve better guided diffu- sion, which is a plug-and-play adjustment strategy. To verify the effectiveness of our method, we provide theoretical analysis and propose the adoption of a dual-focus evaluation framework, which further serves to highlight the critical problem of cross-condition interference prevalent in existing approaches. We conduct experiments across various task settings and data types, mainly includ- ing conditional online handwritten trajectory generation, image inverse problems (inpainting, super resolution and gaussian deblurring) molecular inverse design and so on. Experimental results demonstrate that our approach can be effec- tively used with higher order samplers and consistently improves the quality of generation samples across all the different scenarios.

This paper introduces EXAdam (EXtended Adam), a novel optimization algorithm that builds upon the widely-used Adam optimizer. EXAdam incorporates three key enhancements: (1) new debiasing terms for improved moment estimation, (2) a gradient-based acceleration mechanism for increased responsiveness to the current loss landscape, and (3) a dynamic step size formula that allows for continuous growth of the learning rate throughout training. These innovations work synergistically to address limitations of the original Adam algorithm, potentially offering improved convergence properties, enhanced ability to escape saddle points, and greater robustness to hyperparameter choices. I provide a theoretical analysis of EXAdam's components and their interactions, highlighting the algorithm's potential advantages in navigating complex optimization landscapes. Empirical evaluations demonstrate EXAdam's superiority over Adam, achieving 48.07% faster convergence and yielding improvements of 4.6%, 4.13%, and 2.39% in training, validation, and testing accuracies, respectively, when applied to a CNN trained on the CIFAR-10 dataset. While these results are promising, further empirical validation across diverse tasks is essential to fully gauge EXAdam's efficacy. Nevertheless, EXAdam represents a significant advancement in adaptive optimization techniques, with promising implications for a wide range of machine learning applications. This work aims to contribute to the ongoing development of more efficient, adaptive, and universally applicable optimization methods in the field of machine learning and artificial intelligence.

We present CSWin Transformer, an efficient and effective Transformer-based backbone for general-purpose vision tasks. A challenging issue in Transformer design is that global self-attention is very expensive to compute whereas local self-attention often limits the field of interactions of each token. To address this issue, we develop the Cross-Shaped Window self-attention mechanism for computing self-attention in the horizontal and vertical stripes in parallel that form a cross-shaped window, with each stripe obtained by splitting the input feature into stripes of equal width. We provide a mathematical analysis of the effect of the stripe width and vary the stripe width for different layers of the Transformer network which achieves strong modeling capability while limiting the computation cost. We also introduce Locally-enhanced Positional Encoding (LePE), which handles the local positional information better than existing encoding schemes. LePE naturally supports arbitrary input resolutions, and is thus especially effective and friendly for downstream tasks. Incorporated with these designs and a hierarchical structure, CSWin Transformer demonstrates competitive performance on common vision tasks. Specifically, it achieves 85.4\% Top-1 accuracy on ImageNet-1K without any extra training data or label, 53.9 box AP and 46.4 mask AP on the COCO detection task, and 52.2 mIOU on the ADE20K semantic segmentation task, surpassing previous state-of-the-art Swin Transformer backbone by +1.2, +2.0, +1.4, and +2.0 respectively under the similar FLOPs setting. By further pretraining on the larger dataset ImageNet-21K, we achieve 87.5% Top-1 accuracy on ImageNet-1K and high segmentation performance on ADE20K with 55.7 mIoU. The code and models are available at https://github.com/microsoft/CSWin-Transformer.

Relation Extraction (RE) has attracted increasing attention, but current RE evaluation is limited to in-domain evaluation setups. Little is known on how well a RE system fares in challenging, but realistic out-of-distribution evaluation setups. To address this gap, we propose CrossRE, a new, freely-available cross-domain benchmark for RE, which comprises six distinct text domains and includes multi-label annotations. An additional innovation is that we release meta-data collected during annotation, to include explanations and flags of difficult instances. We provide an empirical evaluation with a state-of-the-art model for relation classification. As the meta-data enables us to shed new light on the state-of-the-art model, we provide a comprehensive analysis on the impact of difficult cases and find correlations between model and human annotations. Overall, our empirical investigation highlights the difficulty of cross-domain RE. We release our dataset, to spur more research in this direction.

Unlearning in large foundation models (e.g., LLMs) is essential for enabling dynamic knowledge updates, enforcing data deletion rights, and correcting model behavior. However, existing unlearning methods often require full-model fine-tuning or access to the original training data, which limits their scalability and practicality. In this work, we introduce Recover-to-Forget (R2F), a novel framework for efficient unlearning in LLMs based on reconstructing full-model gradient directions from low-rank LoRA adapter updates. Rather than performing backpropagation through the full model, we compute gradients with respect to LoRA parameters using multiple paraphrased prompts and train a gradient decoder to approximate the corresponding full-model gradients. To ensure applicability to larger or black-box models, the decoder is trained on a proxy model and transferred to target models. We provide a theoretical analysis of cross-model generalization and demonstrate that our method achieves effective unlearning while preserving general model performance. Experimental results demonstrate that R2F offers a scalable and lightweight alternative for unlearning in pretrained LLMs without requiring full retraining or access to internal parameters.

Self-supervised Multi-modal Contrastive Learning (SMCL) remarkably advances modern Vision-Language Pre-training (VLP) models by aligning visual and linguistic modalities. Due to noises in web-harvested text-image pairs, however, scaling up training data volume in SMCL presents considerable obstacles in terms of computational cost and data inefficiency. To improve data efficiency in VLP, we propose Text-aware Image Mixing (TiMix), which integrates mix-based data augmentation techniques into SMCL, yielding significant performance improvements without significantly increasing computational overhead. We provide a theoretical analysis of TiMixfrom a mutual information (MI) perspective, showing that mixed data samples for cross-modal contrastive learning implicitly serve as a regularizer for the contrastive loss. The experimental results demonstrate that TiMix exhibits a comparable performance on downstream tasks, even with a reduced amount of training data and shorter training time, when benchmarked against existing methods. This work empirically and theoretically demonstrates the potential of data mixing for data-efficient and computationally viable VLP, benefiting broader VLP model adoption in practical scenarios.

Neural text decoding is important for generating high-quality texts using language models. To generate high-quality text, popular decoding algorithms like top-k, top-p (nucleus), and temperature-based sampling truncate or distort the unreliable low probability tail of the language model. Though these methods generate high-quality text after parameter tuning, they are ad hoc. Not much is known about the control they provide over the statistics of the output, which is important since recent reports show text quality is highest for a specific range of likelihoods. Here, first we provide a theoretical analysis of perplexity in top-k, top-p, and temperature sampling, finding that cross-entropy behaves approximately linearly as a function of p in top-p sampling whereas it is a nonlinear function of k in top-k sampling, under Zipfian statistics. We use this analysis to design a feedback-based adaptive top-k text decoding algorithm called mirostat that generates text (of any length) with a predetermined value of perplexity, and thereby high-quality text without any tuning. Experiments show that for low values of k and p in top-k and top-p sampling, perplexity drops significantly with generated text length, which is also correlated with excessive repetitions in the text (the boredom trap). On the other hand, for large values of k and p, we find that perplexity increases with generated text length, which is correlated with incoherence in the text (confusion trap). Mirostat avoids both traps: experiments show that cross-entropy has a near-linear relation with repetition in generated text. This relation is almost independent of the sampling method but slightly dependent on the model used. Hence, for a given language model, control over perplexity also gives control over repetitions. Experiments with human raters for fluency, coherence, and quality further verify our findings.

The integration of biomolecular modeling with natural language (BL) has emerged as a promising interdisciplinary area at the intersection of artificial intelligence, chemistry and biology. This approach leverages the rich, multifaceted descriptions of biomolecules contained within textual data sources to enhance our fundamental understanding and enable downstream computational tasks such as biomolecule property prediction. The fusion of the nuanced narratives expressed through natural language with the structural and functional specifics of biomolecules described via various molecular modeling techniques opens new avenues for comprehensively representing and analyzing biomolecules. By incorporating the contextual language data that surrounds biomolecules into their modeling, BL aims to capture a holistic view encompassing both the symbolic qualities conveyed through language as well as quantitative structural characteristics. In this review, we provide an extensive analysis of recent advancements achieved through cross modeling of biomolecules and natural language. (1) We begin by outlining the technical representations of biomolecules employed, including sequences, 2D graphs, and 3D structures. (2) We then examine in depth the rationale and key objectives underlying effective multi-modal integration of language and molecular data sources. (3) We subsequently survey the practical applications enabled to date in this developing research area. (4) We also compile and summarize the available resources and datasets to facilitate future work. (5) Looking ahead, we identify several promising research directions worthy of further exploration and investment to continue advancing the field. The related resources and contents are updating in https://github.com/QizhiPei/Awesome-Biomolecule-Language-Cross-Modeling.

In recent years, the rapid evolution of generative AI has fundamentally reshaped the paradigm of image forgery, breaking the traditional boundaries between document editing, natural image manipulation, DeepFake generation, and full-image AIGC synthesis. Despite this shift toward unified forgery generation, existing research in Fake Image Detection and Localization (FIDL) remains fragmented. This creates a mismatch between increasingly unified forgery generation mechanisms and the domain-specific detection paradigm. Bridging this mismatch poses two key challenges for FIDL: understanding cross-domain artifacts transfer and interference, and building a high-capacity unified foundation model for joint detection and localization. To address these challenges, we propose DeFakerOne, a data-centric, unified FIDL foundation model integrating InternVL2 and SAM2. DeFakerOne enables simultaneous image-level detection and pixel-level forgery localization across diverse scenarios. Extensive experiments demonstrate that DeFakerOne achieves state-of-the-art performance, outperforming baselines on 39 forgery detection benchmarks and 9 localization benchmarks. Furthermore, the model exhibits superior robustness against real-world perturbations and state-of-the-art generators such as GPT-Image-2. Finally, we provide a systematic analysis of data scaling laws, cross-domain artifacts transfer-interference patterns, the necessity of fine-grained supervision, and the original resolution artifacts preservation, highlighting the design principles for scalable, robust, and unified FIDL.

In real-world data science and enterprise decision-making, critical information is often fragmented across directly queryable structured sources (e.g., SQL, CSV) and "zombie data" locked in unstructured visual documents (e.g., scanned reports, invoice images). Existing data analytics agents are predominantly limited to processing structured data, failing to activate and correlate this high-value visual information, thus creating a significant gap with industrial needs. To bridge this gap, we introduce DataCross, a novel benchmark and collaborative agent framework for unified, insight-driven analysis across heterogeneous data modalities. DataCrossBench comprises 200 end-to-end analysis tasks across finance, healthcare, and other domains. It is constructed via a human-in-the-loop reverse-synthesis pipeline, ensuring realistic complexity, cross-source dependency, and verifiable ground truth. The benchmark categorizes tasks into three difficulty tiers to evaluate agents' capabilities in visual table extraction, cross-modal alignment, and multi-step joint reasoning. We also propose the DataCrossAgent framework, inspired by the "divide-and-conquer" workflow of human analysts. It employs specialized sub-agents, each an expert on a specific data source, which are coordinated via a structured workflow of Intra-source Deep Exploration, Key Source Identification, and Contextual Cross-pollination. A novel reReAct mechanism enables robust code generation and debugging for factual verification. Experimental results show that DataCrossAgent achieves a 29.7% improvement in factuality over GPT-4o and exhibits superior robustness on high-difficulty tasks, effectively activating fragmented "zombie data" for insightful, cross-modal analysis.

Urdu fake news detection remains under-resourced despite Urdu being spoken by over 231 million people worldwide. While prior work has demonstrated strong in-domain performance on individual Urdu datasets, cross-dataset generalisation has received little systematic attention. This paper presents the first cross-dataset generalisation study for Urdu fake news detection, using two publicly available balanced datasets: the Ax-to-Grind Urdu corpus (10,083 articles, 15 domains) and the Notri-Fact Urdu dataset (13,388 articles). We fine-tune xlm-roberta-base under four experimental conditions, in-domain on each dataset and two zero-shot cross-domain transfer directions, comparing against TF-IDF baselines using Logistic Regression and Support Vector Machines. Our experiments reveal a striking asymmetry: Notri-Fact to Ax-to-Grind transfer achieves a macro F1 of 0.771, while the reverse collapses to F1 of 0.005, with the model predicting fake for 99.7% of test articles. We demonstrate that this collapse stems from a systematic length confound in Ax-to-Grind, where fake articles average 117 words versus 35 for real articles, a 3.4x asymmetry inducing shortcut learning. A length ablation capping articles at 50 words yields only a 0.0067 F1 drop, confirming the confound inflates but does not solely drive in-domain performance. We provide a reusable diagnostic methodology that combines bidirectional transfer analysis and prediction-collapse inspection to identify confound-driven behavior in multilingual fake news detection settings.

Safety alignment mechanisms in large language models prevent responses to harmful queries through learned refusal behavior, yet these same mechanisms impede legitimate research applications including cognitive modeling, adversarial testing, and security analysis. While abliteration techniques enable surgical removal of refusal representations through directional orthogonalization, the relative effectiveness of available implementations remains uncharacterized. This study evaluates four abliteration tools (Heretic, DECCP, ErisForge, FailSpy) across sixteen instruction-tuned models (7B-14B parameters), reporting tool compatibility on all 16 models and quantitative metrics on subsets dictated by tool support. Single-pass methods demonstrated superior capability preservation on the benchmarked subset (avg GSM8K change across three models: ErisForge -0.28 pp; DECCP -0.13 pp), while Bayesian-optimized abliteration produced variable distribution shift (KL divergence: 0.043-1.646) with model-dependent capability impact. These findings provide researchers with evidence-based selection criteria for abliteration tool deployment across diverse model architectures. The principal finding indicates that mathematical reasoning capabilities exhibit the highest sensitivity to abliteration interventions, with GSM8K change ranging from +1.51 pp to -18.81 pp (-26.5% relative) depending on tool selection and model architecture.

Modern information retrieval systems often employ a two-stage pipeline: an efficient initial retrieval stage followed by a computationally intensive reranking stage. Cross-encoders have shown strong effectiveness for reranking due to their deep analysis of query-document pairs. This paper studies the impact of the Lion optimizer, a recent alternative to AdamW, during fine-tuning of cross-encoder rerankers. We fine-tune three transformer models-MiniLM, GTE, and ModernBERT-on the MS MARCO passage ranking dataset using both optimizers. GTE and ModernBERT support extended context lengths (up to 8192 tokens). We evaluate effectiveness using TREC 2019 Deep Learning Track and MS MARCO dev set (MRR@10). Experiments, run on the Modal cloud platform, reveal that ModernBERT with Lion achieves the best NDCG@10 (0.7225) and MAP (0.5121) on TREC DL 2019, while MiniLM with Lion ties ModernBERT for MRR@10 (0.5988) on MS MARCO dev. Lion also provides superior GPU efficiency, improving utilization by 2.67% to 10.33% across models. We analyze performance trends using standard IR metrics and discuss the optimizer's impact on training dynamics across architectures.

2D assembly diagrams are often abstract and hard to follow, creating a need for intelligent assistants that can monitor progress, detect errors, and provide step-by-step guidance. In mixed reality settings, such systems must recognize completed and ongoing steps from the camera feed and align them with the diagram instructions. Vision Language Models (VLMs) show promise for this task, but face a depiction gap because assembly diagrams and video frames share few visual features. To systematically assess this gap, we construct IKEA-Bench, a benchmark of 1,623 questions across 6 task types on 29 IKEA furniture products, and evaluate 19 VLMs (2B-38B) under three alignment strategies. Our key findings: (1) assembly instruction understanding is recoverable via text, but text simultaneously degrades diagram-to-video alignment; (2) architecture family predicts alignment accuracy more strongly than parameter count; (3) video understanding remains a hard bottleneck unaffected by strategy. A three-level mechanistic analysis further reveals that diagrams and video occupy disjoint ViT subspaces, and that adding text shifts models from visual to text-driven reasoning. These results identify visual encoding as the primary target for improving cross-depiction robustness. Project page: https://ryenhails.github.io/IKEA-Bench/

Understanding the creation, evolution, and dissemination of scientific knowledge is crucial for bridging diverse subject areas and addressing complex global challenges such as pandemics, climate change, and ethical AI. Scientometrics, the quantitative and qualitative study of scientific literature, provides valuable insights into these processes. We introduce Scito2M, a longitudinal scientometric dataset with over two million academic publications, providing comprehensive contents information and citation graphs to support cross-disciplinary analyses. Using Scito2M, we conduct a temporal study spanning over 30 years to explore key questions in scientometrics: the evolution of academic terminology, citation patterns, and interdisciplinary knowledge exchange. Our findings reveal critical insights, such as disparities in epistemic cultures, knowledge production modes, and citation practices. For example, rapidly developing, application-driven fields like LLMs exhibit significantly shorter citation age (2.48 years) compared to traditional theoretical disciplines like oral history (9.71 years).

We present SParC, a dataset for cross-domainSemanticParsing inContext that consists of 4,298 coherent question sequences (12k+ individual questions annotated with SQL queries). It is obtained from controlled user interactions with 200 complex databases over 138 domains. We provide an in-depth analysis of SParC and show that it introduces new challenges compared to existing datasets. SParC demonstrates complex contextual dependencies, (2) has greater semantic diversity, and (3) requires generalization to unseen domains due to its cross-domain nature and the unseen databases at test time. We experiment with two state-of-the-art text-to-SQL models adapted to the context-dependent, cross-domain setup. The best model obtains an exact match accuracy of 20.2% over all questions and less than10% over all interaction sequences, indicating that the cross-domain setting and the con-textual phenomena of the dataset present significant challenges for future research. The dataset, baselines, and leaderboard are released at https://yale-lily.github.io/sparc.

In this paper, we address the text and image matching in cross-modal retrieval of the fashion industry. Different from the matching in the general domain, the fashion matching is required to pay much more attention to the fine-grained information in the fashion images and texts. Pioneer approaches detect the region of interests (i.e., RoIs) from images and use the RoI embeddings as image representations. In general, RoIs tend to represent the "object-level" information in the fashion images, while fashion texts are prone to describe more detailed information, e.g. styles, attributes. RoIs are thus not fine-grained enough for fashion text and image matching. To this end, we propose FashionBERT, which leverages patches as image features. With the pre-trained BERT model as the backbone network, FashionBERT learns high level representations of texts and images. Meanwhile, we propose an adaptive loss to trade off multitask learning in the FashionBERT modeling. Two tasks (i.e., text and image matching and cross-modal retrieval) are incorporated to evaluate FashionBERT. On the public dataset, experiments demonstrate FashionBERT achieves significant improvements in performances than the baseline and state-of-the-art approaches. In practice, FashionBERT is applied in a concrete cross-modal retrieval application. We provide the detailed matching performance and inference efficiency analysis.

Deep-learning survival models for electronic health record (EHR) data are hard to compare across papers because the upstream preprocessing step, which includes cohort definition, time discretisation, missingness handling, and censoring rules, is typically undocumented and inconsistent. A reported difference in concordance between two mortality models can therefore reflect any of these choices rather than a modelling contribution. We present SurvBench, an open-source preprocessing pipeline that converts raw PhysioNet exports into model-ready tensors for survival analysis. SurvBench covers four critical-care databases (MIMIC-IV, eICU, MC-MED, HiRID) and four input modalities: time-series vitals and laboratory values, static demographics, International Classification of Diseases (ICD) codes, and radiology report embeddings. Every preprocessing decision is controlled through YAML configuration. Imputation, scaling, and feature filtering are fit on the training fold only. Missingness is recorded as a binary mask alongside each feature tensor. The pipeline handles single-risk endpoints (in-hospital and in-ICU mortality) and competing-risks endpoints (a three-way emergency-department admission pathway, with home discharge treated as administrative censoring). We also provide support for harmonised cross-dataset external validation between eICU and MIMIC-IV. SurvBench is publicly available at https://github.com/munibmesinovic/SurvBench, providing a robust platform that future deep-learning EHR survival work, especially nascent multi-modal approaches, can be measured against under matched preprocessing.

Existing binary corpora typically capture only one or two axes of binary variation: they either provide cross-compiler builds without a temporal axis, or CVE labels for single-build binaries. None combine cross-build diversity, cross-version history, and CVE labels into a queryable structure. We present ASSEMBLAGE-DEEPHISTORY, which consolidates these dimensions into a unified framework where every binary's compilation context, source code, vulnerable functions, and package version are stored as first-class metadata. ASSEMBLAGE-DEEPHISTORY comprises 73,610 binaries spanning 248 open-source projects, compiled across GCC, Clang, and MSVC at multiple optimization levels on Linux and Windows, with multi-year historical builds. Each binary is indexed in a database that links it to its source code, functions, debug info, variant builds, historical versions, and vulnerable functions. Three analyses demonstrate this structure's value: (1) a three-stage LLM benchmark (recognition, strategy-guided detection, and cross-build transfer) to test whether LLMs reason about binary vulnerabilities or pattern-match on build-specific artifacts; (2) a comparison of MalConv embeddings, jTrans function embeddings, and TLSH fuzzy hashes quantifying how same-package versions cluster in each space; and (3) a Bayesian regression decomposing binary similarity into contributions from temporal distance, file changes, and commits.

Large language models (LLMs) have demonstrated remarkable potential in handling multilingual machine translation (MMT). In this paper, we systematically investigate the advantages and challenges of LLMs for MMT by answering two questions: 1) How well do LLMs perform in translating a massive number of languages? 2) Which factors affect LLMs' performance in translation? We evaluate popular LLMs, including XGLM, OPT, BLOOMZ, and ChatGPT, on 102 languages. Our empirical results show that even the best model ChatGPT still lags behind the supervised baseline NLLB in 83.33% of translation directions. Through further analysis, we discover that LLMs exhibit new working patterns when used for MMT. First, prompt semantics can surprisingly be ignored when given in-context exemplars, where LLMs still show strong performance even with unreasonable prompts. Second, cross-lingual exemplars can provide better task instruction for low-resource translation than exemplars in the same language pairs. Third, we observe the overestimated performance of BLOOMZ on dataset Flores-101, indicating the potential risk when using public datasets for evaluation.

We present Universal Sparse Autoencoders (USAEs), a framework for uncovering and aligning interpretable concepts spanning multiple pretrained deep neural networks. Unlike existing concept-based interpretability methods, which focus on a single model, USAEs jointly learn a universal concept space that can reconstruct and interpret the internal activations of multiple models at once. Our core insight is to train a single, overcomplete sparse autoencoder (SAE) that ingests activations from any model and decodes them to approximate the activations of any other model under consideration. By optimizing a shared objective, the learned dictionary captures common factors of variation-concepts-across different tasks, architectures, and datasets. We show that USAEs discover semantically coherent and important universal concepts across vision models; ranging from low-level features (e.g., colors and textures) to higher-level structures (e.g., parts and objects). Overall, USAEs provide a powerful new method for interpretable cross-model analysis and offers novel applications, such as coordinated activation maximization, that open avenues for deeper insights in multi-model AI systems

Cross-Chart Retrieval-Augmented Generation (RAG) is critical for complex multi-modal analytical tasks in scientific, business, and political domains. However, existing benchmarks either focus on tables, which are well-structured and textualized, or generate cross-chart questions by simply extracting key points, which often induces lexical overlap between queries and evidence and yields logically inconsistent reasoning chains. To address this, we introduce ChartWalker, a novel framework for constructing challenging cross-chart RAG tasks. ChartWalker features a hierarchical knowledge graph construction method tailored to charts, which organizes entities and relations by granularity to preserve analytical structure. We then propose a structure-aware sampling algorithm that synthesizes semantically coherent, multi-hop reasoning paths, enabling explicit control over query difficulty and granularity for QA generation. Built with this framework, we release ChartWalker-Bench, a comprehensive benchmark spanning diverse domains and cross-chart query types. Extensive evaluations across major RAG paradigms reveal significant performance gaps, underscoring the benchmark's difficulty and utility. Furthermore, we provide ChartWalker-Agent, an agentic baseline to facilitate analysis and inspire future system design.

With the rapid advancement of Multimodal Large Language Models (MLLMs), numerous evaluation benchmarks have emerged. However, comprehensive assessments of their performance across diverse industrial applications remain limited. In this paper, we introduce MME-Industry, a novel benchmark designed specifically for evaluating MLLMs in industrial settings.The benchmark encompasses 21 distinct domain, comprising 1050 question-answer pairs with 50 questions per domain. To ensure data integrity and prevent potential leakage from public datasets, all question-answer pairs were manually crafted and validated by domain experts. Besides, the benchmark's complexity is effectively enhanced by incorporating non-OCR questions that can be answered directly, along with tasks requiring specialized domain knowledge. Moreover, we provide both Chinese and English versions of the benchmark, enabling comparative analysis of MLLMs' capabilities across these languages. Our findings contribute valuable insights into MLLMs' practical industrial applications and illuminate promising directions for future model optimization research.

Magnetic Resonance Imaging (MRI) is a crucial imaging modality for viewing internal body structures. This research work analyses the performance of popular GAN models for accurate and precise MRI reconstruction by enhancing image quality and improving diagnostic accuracy. Three GAN architectures considered in this study are Vanilla GAN, Deep Convolutional GAN (DCGAN), and Wasserstein GAN (WGAN). They were trained and evaluated using knee, brain, and cardiac MRI datasets to assess their generalizability across body regions. While the Vanilla GAN operates on the fundamentals of the adversarial network setup, DCGAN advances image synthesis by securing the convolutional layers, giving a superior appearance to the prevalent spatial features. Training instability is resolved in WGAN through the Wasserstein distance to minimize an unstable regime, therefore, ensuring stable convergence and high-quality images. The GAN models were trained and tested using 1000 MR images of an anonymized knee, 805 images of Heart, 90 images of Brain MRI dataset. The Structural Similarity Index (SSIM) for Vanilla GAN is 0.84, DCGAN is 0.97, and WGAN is 0.99. The Peak Signal to Noise Ratio (PSNR) for Vanilla GAN is 26, DCGAN is 49.3, and WGAN is 43.5. The results were further statistically validated. This study shows that DCGAN and WGAN-based frameworks are promising in MR image reconstruction because of good image quality and superior accuracy. With the first cross-organ benchmark of baseline GANs under a common preprocessing pipeline, this work provides a reproducible benchmark for future hybrid GANs and clinical MRI applications.

In this work, we propose an architecture of LLM Modules that enables the transfer of knowledge from a large pre-trained model to a smaller model using an Enhanced Cross-Attention mechanism. In the proposed scheme, the Qwen2-1.5B model is frozen and its representations are passed through specially designed attention layers to the GPT-Neo-125M model, which is trained on limited computational resources. Experimental results on the Bespoke-Stratos-17k dataset demonstrate that after 15 epochs of training, the combined model generates responses comparable in quality to those obtained by distillation. We discuss the advantages of the modular approach, provide examples of input queries and comparative analysis, and outline prospects for further extension of the method.

We present a novel usage of Transformers to make image classification interpretable. Unlike mainstream classifiers that wait until the last fully-connected layer to incorporate class information to make predictions, we investigate a proactive approach, asking each class to search for itself in an image. We realize this idea via a Transformer encoder-decoder inspired by DEtection TRansformer (DETR). We learn ``class-specific'' queries (one for each class) as input to the decoder, enabling each class to localize its patterns in an image via cross-attention. We name our approach INterpretable TRansformer (INTR), which is fairly easy to implement and exhibits several compelling properties. We show that INTR intrinsically encourages each class to attend distinctively; the cross-attention weights thus provide a faithful interpretation of the prediction. Interestingly, via ``multi-head'' cross-attention, INTR could identify different ``attributes'' of a class, making it particularly suitable for fine-grained classification and analysis, which we demonstrate on eight datasets. Our code and pre-trained model are publicly accessible at https://github.com/Imageomics/INTR.

The question of "what is life?" has challenged scientists and philosophers for centuries, producing an array of definitions that reflect both the mystery of its emergence and the diversity of disciplinary perspectives brought to bear on the question. Despite significant progress in our understanding of biological systems, psychology, computation, and information theory, no single definition for life has yet achieved universal acceptance. This challenge becomes increasingly urgent as advances in synthetic biology, artificial intelligence, and astrobiology challenge our traditional conceptions of what it means to be alive. We undertook a methodological approach that leverages large language models (LLMs) to analyze a set of definitions of life provided by a curated set of cross-disciplinary experts. We used a novel pairwise correlation analysis to map the definitions into distinct feature vectors, followed by agglomerative clustering, intra-cluster semantic analysis, and t-SNE projection to reveal underlying conceptual archetypes. This methodology revealed a continuous landscape of the themes relating to the definition of life, suggesting that what has historically been approached as a binary taxonomic problem should be instead conceived as differentiated perspectives within a unified conceptual latent space. We offer a new methodological bridge between reductionist and holistic approaches to fundamental questions in science and philosophy, demonstrating how computational semantic analysis can reveal conceptual patterns across disciplinary boundaries, and opening similar pathways for addressing other contested definitional territories across the sciences.

Cross-view multi-object tracking aims to link objects between frames and camera views with substantial overlaps. Although cross-view multi-object tracking has received increased attention in recent years, existing datasets still have several issues, including 1) missing real-world scenarios, 2) lacking diverse scenes, 3) owning a limited number of tracks, 4) comprising only static cameras, and 5) lacking standard benchmarks, which hinder the investigation and comparison of cross-view tracking methods. To solve the aforementioned issues, we introduce DIVOTrack: a new cross-view multi-object tracking dataset for DIVerse Open scenes with dense tracking pedestrians in realistic and non-experimental environments. Our DIVOTrack has ten distinct scenarios and 550 cross-view tracks, surpassing all cross-view multi-object tracking datasets currently available. Furthermore, we provide a novel baseline cross-view tracking method with a unified joint detection and cross-view tracking framework named CrossMOT, which learns object detection, single-view association, and cross-view matching with an all-in-one embedding model. Finally, we present a summary of current methodologies and a set of standard benchmarks with our DIVOTrack to provide a fair comparison and conduct a comprehensive analysis of current approaches and our proposed CrossMOT. The dataset and code are available at https://github.com/shengyuhao/DIVOTrack.

Large language models (LLMs) are increasingly essential in processing natural languages, yet their application is frequently compromised by biases and inaccuracies originating in their training data. In this study, we introduce Cross-Care, the first benchmark framework dedicated to assessing biases and real world knowledge in LLMs, specifically focusing on the representation of disease prevalence across diverse demographic groups. We systematically evaluate how demographic biases embedded in pre-training corpora like ThePile influence the outputs of LLMs. We expose and quantify discrepancies by juxtaposing these biases against actual disease prevalences in various U.S. demographic groups. Our results highlight substantial misalignment between LLM representation of disease prevalence and real disease prevalence rates across demographic subgroups, indicating a pronounced risk of bias propagation and a lack of real-world grounding for medical applications of LLMs. Furthermore, we observe that various alignment methods minimally resolve inconsistencies in the models' representation of disease prevalence across different languages. For further exploration and analysis, we make all data and a data visualization tool available at: www.crosscare.net.

We present Open-TQ-Metal, the first implementation of fused compressed-domain attention on Apple Silicon, enabling 128K-context inference for Llama 3.1 70B on a single 64GB consumer Mac -- a configuration impossible with all existing inference frameworks. Open-TQ-Metal quantizes the KV cache to int4 on the fly and computes attention directly on the compressed representation via custom Metal compute shaders, eliminating all intermediate dequantization matrices. Across 330 experiments spanning two model families (Gemma 4 31B and Llama 3.1 70B), the fused sdpa_int4 kernel achieves 48x attention speedup at 128K context over the dequantize-then-attend baseline, reduces KV cache memory from 40 GB to 12.5 GB (3.2x compression), and maintains identical top-1 token predictions to FP16 inference. We further provide the first cross-architecture analysis of KV cache quantization methods, revealing that the attention scale factor -- not model size -- determines whether angular quantization schemes like PolarQuant succeed or fail, with Gemma 4's attn_scale=1.0 amplifying directional error 25-100x more than Llama's standard 1/sqrt(d) scaling.

A popular approach to post-training control of large language models (LLMs) is the steering of intermediate latent representations. Namely, identify a well-chosen direction depending on the task at hand and perturbs representations along this direction at inference time. While many propositions exist to pick this direction, considerably less is understood about how to choose the magnitude of the move, whereas its importance is clear: too little and the intended behavior does not emerge, too much and the model's performance degrades beyond repair. In this work, we propose the first theoretical analysis of steering strength. We characterize its effect on next token probability, presence of a concept, and cross-entropy, deriving precise qualitative laws governing these quantities. Our analysis reveals surprising behaviors, including non-monotonic effects of steering strength. We validate our theoretical predictions empirically on eleven language models, ranging from a small GPT architecture to modern models.

India's linguistic landscape is one of the most diverse in the world, comprising over 120 major languages and approximately 1,600 additional languages, with 22 officially recognized as scheduled languages in the Indian Constitution. Despite recent progress in multilingual neural machine translation (NMT), high-quality parallel corpora for Indian languages remain scarce, especially across varied domains. In this paper, we introduce a large-scale, high-quality annotated parallel corpus covering 11 of these languages : English, Telugu, Hindi, Punjabi, Odia, Kashmiri, Sindhi, Dogri, Kannada, Urdu, and Gujarati comprising a total of 772,000 bi-text sentence pairs. The dataset is carefully curated and systematically categorized into three key domains: Government, Health, and General, to enable domain-aware machine translation research and facilitate effective domain adaptation. To demonstrate the utility of CorIL and establish strong benchmarks for future research, we fine-tune and evaluate several state-of-the-art NMT models, including IndicTrans2, NLLB, and BhashaVerse. Our analysis reveals important performance trends and highlights the corpus's value in probing model capabilities. For instance, the results show distinct performance patterns based on language script, with massively multilingual models showing an advantage on Perso-Arabic scripts (Urdu, Sindhi) while other models excel on Indic scripts. This paper provides a detailed domain-wise performance analysis, offering insights into domain sensitivity and cross-script transfer learning. By publicly releasing CorIL, we aim to significantly improve the availability of high-quality training data for Indian languages and provide a valuable resource for the machine translation research community.

Intrinsic dimension (ID) is an important tool in modern LLM analysis, informing studies of training dynamics, scaling behavior, and dataset structure, yet its textual determinants remain underexplored. We provide the first comprehensive study grounding ID in interpretable text properties through cross-encoder analysis, linguistic features, and sparse autoencoders (SAEs). In this work, we establish three key findings. First, ID is complementary to entropy-based metrics: after controlling for length, the two are uncorrelated, with ID capturing geometric complexity orthogonal to prediction quality. Second, ID exhibits robust genre stratification: scientific prose shows low ID (~8), encyclopedic content medium ID (~9), and creative/opinion writing high ID (~10.5) across all models tested. This reveals that contemporary LLMs find scientific text "representationally simple" while fiction requires additional degrees of freedom. Third, using SAEs, we identify causal features: scientific signals (formal tone, report templates, statistics) reduce ID; humanized signals (personalization, emotion, narrative) increase it. Steering experiments confirm these effects are causal. Thus, for contemporary models, scientific writing appears comparatively "easy", whereas fiction, opinion, and affect add representational degrees of freedom. Our multi-faceted analysis provides practical guidance for the proper use of ID and the sound interpretation of ID-based results.

Bug reports provide critical insights into software quality, yet existing datasets often suffer from limited scope, outdated content, or insufficient metadata for machine learning. To address these limitations, we present GitBugs-a comprehensive and up-to-date dataset comprising over 150,000 bug reports from nine actively maintained open-source projects, including Firefox, Cassandra, and VS Code. GitBugs aggregates data from Github, Bugzilla and Jira issue trackers, offering standardized categorical fields for classification tasks and predefined train/test splits for duplicate bug detection. In addition, it includes exploratory analysis notebooks and detailed project-level statistics, such as duplicate rates and resolution times. GitBugs supports various software engineering research tasks, including duplicate detection, retrieval augmented generation, resolution prediction, automated triaging, and temporal analysis. The openly licensed dataset provides a valuable cross-project resource for benchmarking and advancing automated bug report analysis. Access the data and code at https://github.com/av9ash/gitbugs/.

The growing number of submitted papers has motivated the exploration of Large Language Models (LLMs) as a means to support and augment the peer review process, particularly in terms of improving its speed and scalability. Yet, it remains unknown whether LLMs engage with scientific manuscripts in the same manner as human reviewers, or whether they merely produce review-looking text. To address this, we introduce the Peer Review AI Benchmark (PRAIB), a novel framework comprising thoroughly defined metrics that measure review specificity, style, and behavior of engagement. To complement the PRAIB framework, we conduct a large-scale empirical study leveraging a dataset of 11,000 reviews generated by five proprietary and open-source models for 1,000 ICLR and NeurIPS papers. Spanning the 2021--2025 period, these machine-generated reviews are compared against original human feedback across diverse prompting strategies to identify systematic behavioral divergences. Our analysis reveals that the generated reviews diverge significantly from feedback provided by human reviewers: LLM ratings are less variable, positively biased, and overconfident, and their cross-reference patterns are model-dependent and distinct from human norms. Furthermore, when evaluated through PRAIB, we observe that LLMs tend to generate longer, more complex reviews, yet frequently overlook the atomic weaknesses noted by human reviewers. By characterizing where and how LLMs reviewing behavior departs from human norms, PRAIB provides the community with a diagnostic tool for identifying which aspects of the review process LLMs can reliably support today and which require further development before deployment.

We present the 2017 Visual Domain Adaptation (VisDA) dataset and challenge, a large-scale testbed for unsupervised domain adaptation across visual domains. Unsupervised domain adaptation aims to solve the real-world problem of domain shift, where machine learning models trained on one domain must be transferred and adapted to a novel visual domain without additional supervision. The VisDA2017 challenge is focused on the simulation-to-reality shift and has two associated tasks: image classification and image segmentation. The goal in both tracks is to first train a model on simulated, synthetic data in the source domain and then adapt it to perform well on real image data in the unlabeled test domain. Our dataset is the largest one to date for cross-domain object classification, with over 280K images across 12 categories in the combined training, validation and testing domains. The image segmentation dataset is also large-scale with over 30K images across 18 categories in the three domains. We compare VisDA to existing cross-domain adaptation datasets and provide a baseline performance analysis using various domain adaptation models that are currently popular in the field.

Molecular property prediction is crucial for drug discovery and materials science, yet existing approaches suffer from limited interpretability, poor cross-task generalization, and lack of chemical reasoning capabilities. Traditional machine learning models struggle with task transferability, while specialized molecular language models provide little insight into their decision-making processes. To address these limitations, we propose MPPReasoner, a multimodal large language model that incorporates chemical reasoning for molecular property prediction. Our approach, built upon Qwen2.5-VL-7B-Instruct, integrates molecular images with SMILES strings to enable comprehensive molecular understanding. We develop a two-stage training strategy: supervised fine-tuning (SFT) using 16,000 high-quality reasoning trajectories generated through expert knowledge and multiple teacher models, followed by Reinforcement Learning from Principle-Guided Rewards (RLPGR). RLPGR employs verifiable, rule-based rewards that systematically evaluate chemical principle application, molecular structure analysis, and logical consistency through computational verification. Extensive experiments across 8 datasets demonstrate significant performance improvements, with MPPReasoner outperforming the best baselines by 7.91\% and 4.53\% on in-distribution and out-of-distribution tasks respectively. MPPReasoner exhibits exceptional cross-task generalization and generates chemically sound reasoning paths that provide valuable insights into molecular property analysis, substantially enhancing both interpretability and practical utility for chemists. Code is available at https://anonymous.4open.science/r/MPPReasoner-12687.

Vision-Language Models (VLMs) have gained community-spanning prominence due to their ability to integrate visual and textual inputs to perform complex tasks. Despite their success, the internal decision-making processes of these models remain opaque, posing challenges in high-stakes applications. To address this, we introduce NOTICE, the first Noise-free Text-Image Corruption and Evaluation pipeline for mechanistic interpretability in VLMs. NOTICE incorporates a Semantic Minimal Pairs (SMP) framework for image corruption and Symmetric Token Replacement (STR) for text. This approach enables semantically meaningful causal mediation analysis for both modalities, providing a robust method for analyzing multimodal integration within models like BLIP. Our experiments on the SVO-Probes, MIT-States, and Facial Expression Recognition datasets reveal crucial insights into VLM decision-making, identifying the significant role of middle-layer cross-attention heads. Further, we uncover a set of ``universal cross-attention heads'' that consistently contribute across tasks and modalities, each performing distinct functions such as implicit image segmentation, object inhibition, and outlier inhibition. This work paves the way for more transparent and interpretable multimodal systems.

We introduce TFRBench, the first benchmark designed to evaluate the reasoning capabilities of forecasting systems. Traditionally, time-series forecasting has been evaluated solely on numerical accuracy, treating foundation models as ``black boxes.'' Unlike existing benchmarks, TFRBench provides a protocol for evaluating the reasoning generated by forecasting systems--specifically their analysis of cross-channel dependencies, trends, and external events. To enable this, we propose a systematic multi-agent framework that utilizes an iterative verification loop to synthesize numerically grounded reasoning traces. Spanning ten datasets across five domains, our evaluation confirms that this reasoning is causally effective; useful for evaluation; and prompting LLMs with our generated traces significantly improves forecasting accuracy compared to direct numerical prediction (e.g., avg. sim40.2%to56.6%), validating the quality of our reasoning. Conversely, benchmarking experiments reveal that off-the-shelf LLMs consistently struggle with both reasoning (lower LLM-as-a-Judge scores) and numerical forecasting, frequently failing to capture domain-specific dynamics. TFRBench thus establishes a new standard for interpretable, reasoning-based evaluation in time-series forecasting. Our benchmark is available at: https://tfrbench.github.io

Ex-post harmonisation is one of many data preprocessing processes used to combine the increasingly vast and diverse sources of data available for research and analysis. Documenting provenance and ensuring the quality of multi-source datasets is vital for ensuring trustworthy scientific research and encouraging reuse of existing harmonisation efforts. However, capturing and communicating statistically relevant properties of harmonised datasets is difficult without a universal standard for describing harmonisation operations. Our paper combines mathematical and computer science perspectives to address this need. The Crossmaps Framework defines a new approach for transforming existing variables collected under a specific measurement or classification standard to an imputed counterfactual variable indexed by some target standard. It uses computational graphs to separate intended transformation logic from actual data transformations, and avoid the risk of syntactically valid data manipulation scripts resulting in statistically questionable data. In this paper, we introduce the Crossmaps Framework through the example of ex-post harmonisation of aggregated statistics in the social sciences. We define a new provenance task abstraction, the crossmap transform, and formalise two associated objects, the shared mass array and the crossmap. We further define graph, matrix and list encodings of crossmaps and discuss resulting implications for understanding statistical properties of ex-post harmonisation and designing error minimising workflows.

As new products are emerging daily, recommendation systems are required to quickly adapt to possible new domains without needing extensive retraining. This work presents ``X-Cross'' -- a novel cross-domain sequential-recommendation model that recommends products in new domains by integrating several domain-specific language models; each model is fine-tuned with low-rank adapters (LoRA). Given a recommendation prompt, operating layer by layer, X-Cross dynamically refines the representation of each source language model by integrating knowledge from all other models. These refined representations are propagated from one layer to the next, leveraging the activations from each domain adapter to ensure domain-specific nuances are preserved while enabling adaptability across domains. Using Amazon datasets for sequential recommendation, X-Cross achieves performance comparable to a model that is fine-tuned with LoRA, while using only 25% of the additional parameters. In cross-domain tasks, such as adapting from Toys domain to Tools, Electronics or Sports, X-Cross demonstrates robust performance, while requiring about 50%-75% less fine-tuning data than LoRA to make fine-tuning effective. Furthermore, X-Cross achieves significant improvement in accuracy over alternative cross-domain baselines. Overall, X-Cross enables scalable and adaptive cross-domain recommendations, reducing computational overhead and providing an efficient solution for data-constrained environments.

Hospitals and healthcare systems rely on operational decisions that determine patient flow, cost, and quality of care. Despite strong performance on medical knowledge and conversational benchmarks, foundation models trained on general text may lack the specialized knowledge required for these operational decisions. We introduce Lang1, a family of models (100M-7B parameters) pretrained on a specialized corpus blending 80B clinical tokens from NYU Langone Health's EHRs and 627B tokens from the internet. To rigorously evaluate Lang1 in real-world settings, we developed the REalistic Medical Evaluation (ReMedE), a benchmark derived from 668,331 EHR notes that evaluates five critical tasks: 30-day readmission prediction, 30-day mortality prediction, length of stay, comorbidity coding, and predicting insurance claims denial. In zero-shot settings, both general-purpose and specialized models underperform on four of five tasks (36.6%-71.7% AUROC), with mortality prediction being an exception. After finetuning, Lang1-1B outperforms finetuned generalist models up to 70x larger and zero-shot models up to 671x larger, improving AUROC by 3.64%-6.75% and 1.66%-23.66% respectively. We also observed cross-task scaling with joint finetuning on multiple tasks leading to improvement on other tasks. Lang1-1B effectively transfers to out-of-distribution settings, including other clinical tasks and an external health system. Our findings suggest that predictive capabilities for hospital operations require explicit supervised finetuning, and that this finetuning process is made more efficient by in-domain pretraining on EHR. Our findings support the emerging view that specialized LLMs can compete with generalist models in specialized tasks, and show that effective healthcare systems AI requires the combination of in-domain pretraining, supervised finetuning, and real-world evaluation beyond proxy benchmarks.

Large language models perform well on many medical QA benchmarks, but real clinical reasoning often requires integrating evidence across multiple images rather than interpreting a single view. We introduce MedThinkVQA, an expert-annotated benchmark for thinking with multiple images, where models must interpret each image, combine cross-view evidence, and answer diagnostic questions with intermediate supervision and step-level evaluation. The dataset contains 8,067 cases, including 720 test cases, with an average of 6.62 images per case, substantially denser than prior work, whose expert-level benchmarks use at most 1.43 images per case. On the test set, the best closed-source models, Claude-4.6-Opus, Gemini-3-Pro, and GPT-5.2-xhigh, reach only 57.2%, 55.3%, and 54.9% accuracy, while GPT-5-mini and GPT-5-nano reach 39.7% and 30.8%. Strong open-source models lag behind, led by Qwen3.5-397B-A17B at 52.2% and Qwen3.5-27B at 50.6%. Further analysis identifies grounded multi-image reasoning as the main bottleneck: models often fail to extract, align, and compose evidence across views before higher-level inference can help. Providing expert single-image cues and cross-image summaries improves performance, whereas replacing them with self-generated intermediates reduces accuracy. Step-level analysis shows that over 70% of errors arise from image reading and cross-view integration. Scaling results further show that additional inference-time computation helps only when visual grounding is already reliable; when early evidence extraction is weak, longer reasoning yields limited or unstable gains and can amplify misread cues. These results suggest that the key challenge is not reasoning length alone, but reliable mechanisms for grounding, aligning, and composing distributed evidence across real-world multimodal clinical inputs.

Clinical early warning systems built on electronic health records, in which clinical observations are recorded as irregularly sampled medical time series (ISMTS), must deliver both calibrated risk scores for patient triage and interpretable rationales that clinicians can verify. Large Language Models (LLMs) have been explored for this task, yet they collapse graded clinical risk into overconfident binary predictions. This risk polarization undermines both calibration and cross-patient comparability. To address this, we propose TRIAGE, a framework that trains an LLM to generate dialectical reasoning over competing clinical outcomes by eliciting outcome-specific rationales. This dialectical formulation mitigates risk polarization, enabling a single LLM to yield continuous risk scores grounded in explicit clinical reasoning. Evaluated on three ISMTS benchmarks, TRIAGE achieves an average AUPRC improvement of 3.3% and reduces calibration error by 81% compared to the competitive baselines. An LLM-as-a-judge assessment further shows that our rationales surpass post-hoc explanations from the baseline by 20% in clinical reasoning quality. The source code is available at https://github.com/HyeongWon-Jang/TRIAGE .

Chest X-rays (CXRs) play an integral role in driving critical decisions in disease management and patient care. While recent innovations have led to specialized models for various CXR interpretation tasks, these solutions often operate in isolation, limiting their practical utility in clinical practice. We present MedRAX, the first versatile AI agent that seamlessly integrates state-of-the-art CXR analysis tools and multimodal large language models into a unified framework. MedRAX dynamically leverages these models to address complex medical queries without requiring additional training. To rigorously evaluate its capabilities, we introduce ChestAgentBench, a comprehensive benchmark containing 2,500 complex medical queries across 7 diverse categories. Our experiments demonstrate that MedRAX achieves state-of-the-art performance compared to both open-source and proprietary models, representing a significant step toward the practical deployment of automated CXR interpretation systems. Data and code have been publicly available at https://github.com/bowang-lab/MedRAX

We propose causal isotonic calibration, a novel nonparametric method for calibrating predictors of heterogeneous treatment effects. Furthermore, we introduce cross-calibration, a data-efficient variant of calibration that eliminates the need for hold-out calibration sets. Cross-calibration leverages cross-fitted predictors and generates a single calibrated predictor using all available data. Under weak conditions that do not assume monotonicity, we establish that both causal isotonic calibration and cross-calibration achieve fast doubly-robust calibration rates, as long as either the propensity score or outcome regression is estimated accurately in a suitable sense. The proposed causal isotonic calibrator can be wrapped around any black-box learning algorithm, providing robust and distribution-free calibration guarantees while preserving predictive performance.

The objective of this paper is to understand what characteristics and features of clinical data influence physician's decision about ordering laboratory tests or prescribing medications the most. We conduct our analysis on data and decisions extracted from electronic health records of 4486 post-surgical cardiac patients. The summary statistics for 335 different lab order decisions and 407 medication decisions are reported. We show that in many cases, physician's lab-order and medication decisions can be well predicted from a small subset of all features.

The global ramifications of the COVID-19 pandemic remain significant, exerting persistent pressure on nations even three years after its initial outbreak. Deep learning models have shown promise in improving COVID-19 diagnostics but require diverse and larger-scale datasets to improve performance. In this paper, we introduce COVIDx CXR-4, an expanded multi-institutional open-source benchmark dataset for chest X-ray image-based computer-aided COVID-19 diagnostics. COVIDx CXR-4 expands significantly on the previous COVIDx CXR-3 dataset by increasing the total patient cohort size by greater than 2.66 times, resulting in 84,818 images from 45,342 patients across multiple institutions. We provide extensive analysis on the diversity of the patient demographic, imaging metadata, and disease distributions to highlight potential dataset biases. To the best of the authors' knowledge, COVIDx CXR-4 is the largest and most diverse open-source COVID-19 CXR dataset and is made publicly available as part of an open initiative to advance research to aid clinicians against the COVID-19 disease.

We present CrossSum, a large-scale cross-lingual abstractive summarization dataset comprising 1.7 million article-summary samples in 1500+ language pairs. We create CrossSum by aligning identical articles written in different languages via cross-lingual retrieval from a multilingual summarization dataset. We propose a multi-stage data sampling algorithm to effectively train a cross-lingual summarization model capable of summarizing an article in any target language. We also propose LaSE, a new metric for automatically evaluating model-generated summaries and showing a strong correlation with ROUGE. Performance on ROUGE and LaSE indicate that pretrained models fine-tuned on CrossSum consistently outperform baseline models, even when the source and target language pairs are linguistically distant. To the best of our knowledge, CrossSum is the largest cross-lingual summarization dataset and the first-ever that does not rely solely on English as the pivot language. We are releasing the dataset, alignment and training scripts, and the models to spur future research on cross-lingual abstractive summarization. The resources can be found at https://github.com/csebuetnlp/CrossSum.

There has been a recent surge of interest in time series modeling using the Transformer architecture. However, forecasting multivariate time series with Transformer presents a unique challenge as it requires modeling both temporal (cross-time) and variate (cross-variate) dependencies. While Transformer-based models have gained popularity for their flexibility in capturing both sequential and cross-variate relationships, it is unclear how to best integrate these two sources of information in the context of the Transformer architecture while optimizing for both performance and efficiency. We re-purpose the Transformer architecture to effectively model both cross-time and cross-variate dependencies. Our approach begins by embedding each variate independently into a variate-wise representation that captures its cross-time dynamics, and then models cross-variate dependencies through attention mechanisms on these learned embeddings. Gating operations in both cross-time and cross-variate modeling phases regulate information flow, allowing the model to focus on the most relevant features for accurate predictions. Our method achieves state-of-the-art performance across 13 real-world datasets and can be seamlessly integrated into other Transformer-based and LLM-based forecasters, delivering performance improvements up to 20.7\% over original models. Code is available at this repository: https://github.com/nyuolab/Gateformer.

With the growing use of language models (LMs) in clinical environments, there is an immediate need to evaluate the accuracy and safety of LM-generated medical text. Currently, such evaluation relies solely on manual physician review. However, detecting errors in LM-generated text is challenging because 1) manual review is costly and 2) expert-composed reference outputs are often unavailable in real-world settings. While the "LM-as-judge" paradigm (a LM evaluating another LM) offers scalable evaluation, even frontier LMs can miss subtle but clinically significant errors. To address these challenges, we propose MedVAL, a self-supervised framework that leverages synthetic data to train evaluator LMs to assess whether LM-generated medical outputs are factually consistent with inputs, without requiring physician labels or reference outputs. To evaluate LM performance, we introduce MedVAL-Bench, a dataset containing 840 outputs annotated by physicians, following a physician-defined taxonomy of risk levels and error categories. Across 6 diverse medical tasks and 10 state-of-the-art LMs spanning open-source, proprietary, and medically adapted models, MedVAL fine-tuning significantly improves (p < 0.001) alignment with physicians on both seen and unseen tasks, increasing average F1 scores from 66% to 83%, with per-sample safety classification scores up to 86%. MedVAL improves the performance of even the best-performing proprietary LM (GPT-4o) by 8%. To support a scalable, risk-aware pathway towards clinical integration, we open-source the 1) codebase ( https://github.com/StanfordMIMI/MedVAL ), 2) MedVAL-Bench ( https://huggingface.co/datasets/stanfordmimi/MedVAL-Bench ), and 3) MedVAL-4B ( https://huggingface.co/stanfordmimi/MedVAL-4B ), the best-performing open-source LM. Our research provides the first evidence of LMs approaching expert-level validation ability for medical text.

The opioid crisis represents a significant moment in public health that reveals systemic shortcomings across regulatory systems, healthcare practices, corporate governance, and public policy. Analyzing how these interconnected systems simultaneously failed to protect public health requires innovative analytic approaches for exploring the vast amounts of data and documents disclosed in the UCSF-JHU Opioid Industry Documents Archive (OIDA). The complexity, multimodal nature, and specialized characteristics of these healthcare-related legal and corporate documents necessitate more advanced methods and models tailored to specific data types and detailed annotations, ensuring the precision and professionalism in the analysis. In this paper, we tackle this challenge by organizing the original dataset according to document attributes and constructing a benchmark with 400k training documents and 10k for testing. From each document, we extract rich multimodal information-including textual content, visual elements, and layout structures-to capture a comprehensive range of features. Using multiple AI models, we then generate a large-scale dataset comprising 360k training QA pairs and 10k testing QA pairs. Building on this foundation, we develop domain-specific multimodal Large Language Models (LLMs) and explore the impact of multimodal inputs on task performance. To further enhance response accuracy, we incorporate historical QA pairs as contextual grounding for answering current queries. Additionally, we incorporate page references within the answers and introduce an importance-based page classifier, further improving the precision and relevance of the information provided. Preliminary results indicate the improvements with our AI assistant in document information extraction and question-answering tasks. The dataset is available at: https://huggingface.co/datasets/opioidarchive/oida-qa

The development and evaluation of Large Language Models (LLMs) have largely focused on individual capabilities. However, this overlooks the intersection of multiple abilities across different types of expertise that are often required for real-world tasks, which we term cross capabilities. To systematically explore this concept, we first define seven core individual capabilities and then pair them to form seven common cross capabilities, each supported by a manually constructed taxonomy. Building on these definitions, we introduce CrossEval, a benchmark comprising 1,400 human-annotated prompts, with 100 prompts for each individual and cross capability. To ensure reliable evaluation, we involve expert annotators to assess 4,200 model responses, gathering 8,400 human ratings with detailed explanations to serve as reference examples. Our findings reveal that, in both static evaluations and attempts to enhance specific abilities, current LLMs consistently exhibit the "Law of the Weakest Link," where cross-capability performance is significantly constrained by the weakest component. Specifically, across 58 cross-capability scores from 17 models, 38 scores are lower than all individual capabilities, while 20 fall between strong and weak, but closer to the weaker ability. These results highlight the under-performance of LLMs in cross-capability tasks, making the identification and improvement of the weakest capabilities a critical priority for future research to optimize performance in complex, multi-dimensional scenarios.

Financial institutions deploy Large Language Models (LLMs) for reconciliations, regulatory reporting, and client communications, but nondeterministic outputs (output drift) undermine auditability and trust. We quantify drift across five model architectures (7B-120B parameters) on regulated financial tasks, revealing a stark inverse relationship: smaller models (Granite-3-8B, Qwen2.5-7B) achieve 100% output consistency at T=0.0, while GPT-OSS-120B exhibits only 12.5% consistency (95% CI: 3.5-36.0%) regardless of configuration (p<0.0001, Fisher's exact test). This finding challenges conventional assumptions that larger models are universally superior for production deployment. Our contributions include: (i) a finance-calibrated deterministic test harness combining greedy decoding (T=0.0), fixed seeds, and SEC 10-K structure-aware retrieval ordering; (ii) task-specific invariant checking for RAG, JSON, and SQL outputs using finance-calibrated materiality thresholds (plus or minus 5%) and SEC citation validation; (iii) a three-tier model classification system enabling risk-appropriate deployment decisions; and (iv) an audit-ready attestation system with dual-provider validation. We evaluated five models (Qwen2.5-7B via Ollama, Granite-3-8B via IBM watsonx.ai, Llama-3.3-70B, Mistral-Medium-2505, and GPT-OSS-120B) across three regulated financial tasks. Across 480 runs (n=16 per condition), structured tasks (SQL) remain stable even at T=0.2, while RAG tasks show drift (25-75%), revealing task-dependent sensitivity. Cross-provider validation confirms deterministic behavior transfers between local and cloud deployments. We map our framework to Financial Stability Board (FSB), Bank for International Settlements (BIS), and Commodity Futures Trading Commission (CFTC) requirements, demonstrating practical pathways for compliance-ready AI deployments.

Accurate classification of products under the Harmonized Tariff Schedule (HTS) is a critical bottleneck in global trade, yet it has received little attention from the machine learning community. Misclassification can halt shipments entirely, with major postal operators suspending deliveries to the U.S. due to incomplete customs documentation. We introduce the first benchmark for HTS code classification, derived from the U.S. Customs Rulings Online Search System (CROSS). Evaluating leading LLMs, we find that our fine-tuned Atlas model (LLaMA-3.3-70B) achieves 40 percent fully correct 10-digit classifications and 57.5 percent correct 6-digit classifications, improvements of 15 points over GPT-5-Thinking and 27.5 points over Gemini-2.5-Pro-Thinking. Beyond accuracy, Atlas is roughly five times cheaper than GPT-5-Thinking and eight times cheaper than Gemini-2.5-Pro-Thinking, and can be self-hosted to guarantee data privacy in high-stakes trade and compliance workflows. While Atlas sets a strong baseline, the benchmark remains highly challenging, with only 40 percent 10-digit accuracy. By releasing both dataset and model, we aim to position HTS classification as a new community benchmark task and invite future work in retrieval, reasoning, and alignment.

The absence of transparency and explainability hinders the clinical adoption of Machine learning (ML) algorithms. Although various methods of explainable artificial intelligence (XAI) have been suggested, there is a lack of literature that delves into their practicality and assesses them based on criteria that could foster trust in clinical environments. To address this gap this study evaluates two popular XAI methods used for explaining predictive models in the healthcare context in terms of whether they (i) generate domain-appropriate representation, i.e. coherent with respect to the application task, (ii) impact clinical workflow and (iii) are consistent. To that end, explanations generated at the cohort and patient levels were analysed. The paper reports the first benchmarking of the XAI methods applied to risk prediction models obtained by evaluating the concordance between generated explanations and the trigger of a future clinical deterioration episode recorded by the data collection system. We carried out an analysis using two Electronic Medical Records (EMR) datasets sourced from Australian major hospitals. The findings underscore the limitations of state-of-the-art XAI methods in the clinical context and their potential benefits. We discuss these limitations and contribute to the theoretical development of trustworthy XAI solutions where clinical decision support guides the choice of intervention by suggesting the pattern or drivers for clinical deterioration in the future.

Electronic Health Records (EHRs), which contain patients' medical histories in various multi-modal formats, often overlook the potential for joint reasoning across imaging and table modalities underexplored in current EHR Question Answering (QA) systems. In this paper, we introduce EHRXQA, a novel multi-modal question answering dataset combining structured EHRs and chest X-ray images. To develop our dataset, we first construct two uni-modal resources: 1) The MIMIC- CXR-VQA dataset, our newly created medical visual question answering (VQA) benchmark, specifically designed to augment the imaging modality in EHR QA, and 2) EHRSQL (MIMIC-IV), a refashioned version of a previously established table-based EHR QA dataset. By integrating these two uni-modal resources, we successfully construct a multi-modal EHR QA dataset that necessitates both uni-modal and cross-modal reasoning. To address the unique challenges of multi-modal questions within EHRs, we propose a NeuralSQL-based strategy equipped with an external VQA API. This pioneering endeavor enhances engagement with multi-modal EHR sources and we believe that our dataset can catalyze advances in real-world medical scenarios such as clinical decision-making and research. EHRXQA is available at https://github.com/baeseongsu/ehrxqa.

Electronic health record foundation models are limited by institutionally siloed data and substantial performance degradation under cross-site transfer. We evaluated federated training of tokenized generative event models (GEMs) across 122,251 intensive care hospitalizations from three independent health systems harmonized to the Common Longitudinal ICU Data Format. Models were assessed on 12 post-24-hour clinical prediction tasks using within-site, cross-site, centralized, and federated training configurations. GEMs achieved the highest mean within-site and cross-site ROC-AUC and were substantially more transportable than conventional supervised models: their average cross-site penalties were 0.025 ROC-AUC and 0.027 PR-AUC, compared with 0.079 and 0.089 for LightGBM. Federated Learning (FedAvg and FedAvgM) approached the performance of centralized GEM training, with most gains obtained within 5-10 communication rounds. However, centralized multi-site training provided only modest improvements over complete local training. Multi-site models were most useful when local training data were limited, with their advantage narrowing as institutional data accumulated. These findings show that federated GEM training is technically feasible and preserves most centralized performance, but that the main open challenge is learning transportable representations to translate larger, but heterogeneous data from multiple health systems into a reliable target-site benefit.

The possibility to use widespread and simple chest X-ray (CXR) imaging for early screening of COVID-19 patients is attracting much interest from both the clinical and the AI community. In this study we provide insights and also raise warnings on what is reasonable to expect by applying deep-learning to COVID classification of CXR images. We provide a methodological guide and critical reading of an extensive set of statistical results that can be obtained using currently available datasets. In particular, we take the challenge posed by current small size COVID data and show how significant can be the bias introduced by transfer-learning using larger public non-COVID CXR datasets. We also contribute by providing results on a medium size COVID CXR dataset, just collected by one of the major emergency hospitals in Northern Italy during the peak of the COVID pandemic. These novel data allow us to contribute to validate the generalization capacity of preliminary results circulating in the scientific community. Our conclusions shed some light into the possibility to effectively discriminate COVID using CXR.

In this work we design an end-to-end deep learning architecture for predicting, on Chest X-rays images (CXR), a multi-regional score conveying the degree of lung compromise in COVID-19 patients. Such semi-quantitative scoring system, namely Brixia~score, is applied in serial monitoring of such patients, showing significant prognostic value, in one of the hospitals that experienced one of the highest pandemic peaks in Italy. To solve such a challenging visual task, we adopt a weakly supervised learning strategy structured to handle different tasks (segmentation, spatial alignment, and score estimation) trained with a "from-the-part-to-the-whole" procedure involving different datasets. In particular, we exploit a clinical dataset of almost 5,000 CXR annotated images collected in the same hospital. Our BS-Net demonstrates self-attentive behavior and a high degree of accuracy in all processing stages. Through inter-rater agreement tests and a gold standard comparison, we show that our solution outperforms single human annotators in rating accuracy and consistency, thus supporting the possibility of using this tool in contexts of computer-assisted monitoring. Highly resolved (super-pixel level) explainability maps are also generated, with an original technique, to visually help the understanding of the network activity on the lung areas. We also consider other scores proposed in literature and provide a comparison with a recently proposed non-specific approach. We eventually test the performance robustness of our model on an assorted public COVID-19 dataset, for which we also provide Brixia~score annotations, observing good direct generalization and fine-tuning capabilities that highlight the portability of BS-Net in other clinical settings. The CXR dataset along with the source code and the trained model are publicly released for research purposes.

Medical Imaging (MI) datasets are fundamental to artificial intelligence in healthcare. The accuracy, robustness, and fairness of diagnostic algorithms depend on the data (and its quality) used to train and evaluate the models. MI datasets used to be proprietary, but have become increasingly available to the public, including on community-contributed platforms (CCPs) like Kaggle or HuggingFace. While open data is important to enhance the redistribution of data's public value, we find that the current CCP governance model fails to uphold the quality needed and recommended practices for sharing, documenting, and evaluating datasets. In this paper, we conduct an analysis of publicly available machine learning datasets on CCPs, discussing datasets' context, and identifying limitations and gaps in the current CCP landscape. We highlight differences between MI and computer vision datasets, particularly in the potentially harmful downstream effects from poor adoption of recommended dataset management practices. We compare the analyzed datasets across several dimensions, including data sharing, data documentation, and maintenance. We find vague licenses, lack of persistent identifiers and storage, duplicates, and missing metadata, with differences between the platforms. Our research contributes to efforts in responsible data curation and AI algorithms for healthcare.

End-to-end automation of realistic healthcare operations stresses three capabilities underrepresented in current benchmarks: policy density, decisions must be grounded in a large library of medical, insurance, and operational rules; Multi-role composition: a single task requires the agent to play multiple roles with handoffs; and multilateral interaction: intermediate workflow steps are multi-turn dialogs, such as peer-to-peer review and patient outreach. We introduce χ-Bench, a benchmark of long-horizon healthcare workflows across three domains: provider prior authorization, payer utilization management, and care management. Each task hands the agent a clinical case in a high-fidelity simulator of 20 healthcare apps exposed via 87 MCP tools, which it must drive to a terminal status through tool calls and writing the role's artifacts, guided by a 1,290+ document managed-care operations handbook skill. Across 30 agent harness/models configurations, the best agent resolves only 28.0% of tasks, no agent clears 20% on strict pass^3, and executing all tasks in a single session slumps the performance to 3.8%. These results raise the hypothesis that similar gaps are likely to surface in other policy-dense, role-composed, irreversible enterprise domains.

Respiratory acoustic foundation models (FMs) excel at cough classification, yet their ability to predict continuous health quantities from cough audio remains largely unexplored, despite the clinical value of passive age, BMI, and disease probability estimation in settings where physical measurements are unavailable. We introduce the multi-model, multi-target cough regression benchmark evaluating five FMs (OPERA-CT, OPERA-CE, OPERA-GT, HeAR, M2D+Resp) across six targets on three datasets under subject-disjoint protocols, comparing linear, MLP-small, and full MLP regression heads. MLP-small beats the mean-predictor baseline on all tasks and linear probing in 23 of 30 model x task cases, with full MLP overfitting on small clinical data but recovering on larger sets, revealing a dataset size x head-capacity trade-off. HeAR leads within-dataset age regression on Coswara (9.12 yr MAE); its CIDRZ result is excluded from headline claims owing to possible HeAR-CIDRZ pretraining overlap. OPERA-GT is favored over OPERA-CT on age in all three datasets, with the CIDRZ margin within seed variance, extending a generative-pretraining advantage from breath to cough. HeAR and M2D+Resp reach near-full performance at N = 50 samples while OPERA models require N = 400. Cross-dataset transfer is strongly asymmetric as large diverse data generalises to small clinical populations (CoughVID to CIDRZ: -0.17 yr) but not vice versa (CIDRZ to Coswara: +2.43 yr, +26.6%).

Health economic evaluations are sensitive to the choice of analytical perspective (e.g., health system vs. societal). While guidelines often recommend specific perspectives, the uncertainty associated with this choice - and the potential decision discordance it creates - is rarely quantified. We present vop_poc_nz, a Python package that implements a framework for Distributional Cost-Effectiveness Analysis (DCEA) and operationalizes the quantification of perspective uncertainty through the Value of Perspective (VoP) metric. The package provides tools for Markov modeling, probabilistic sensitivity analysis, value of information analysis, and equity impact assessment. Unlike existing tools that treat perspective as a fixed input, vop_poc_nz allows for the simultaneous evaluation of multiple perspectives. This enables decision-makers to estimate the opportunity cost of perspective misalignment. We demonstrate the package's capabilities using case studies from Aotearoa New Zealand.

This large scale study focuses on quantifying what X-rays diagnostic prediction tasks generalize well across multiple different datasets. We present evidence that the issue of generalization is not due to a shift in the images but instead a shift in the labels. We study the cross-domain performance, agreement between models, and model representations. We find interesting discrepancies between performance and agreement where models which both achieve good performance disagree in their predictions as well as models which agree yet achieve poor performance. We also test for concept similarity by regularizing a network to group tasks across multiple datasets together and observe variation across the tasks. All code is made available online and data is publicly available: https://github.com/mlmed/torchxrayvision

With the advent of Vision-Language Models (VLMs), medical artificial intelligence (AI) has experienced significant technological progress and paradigm shifts. This survey provides an extensive review of recent advancements in Medical Vision-Language Models (Med-VLMs), which integrate visual and textual data to enhance healthcare outcomes. We discuss the foundational technology behind Med-VLMs, illustrating how general models are adapted for complex medical tasks, and examine their applications in healthcare. The transformative impact of Med-VLMs on clinical practice, education, and patient care is highlighted, alongside challenges such as data scarcity, narrow task generalization, interpretability issues, and ethical concerns like fairness, accountability, and privacy. These limitations are exacerbated by uneven dataset distribution, computational demands, and regulatory hurdles. Rigorous evaluation methods and robust regulatory frameworks are essential for safe integration into healthcare workflows. Future directions include leveraging large-scale, diverse datasets, improving cross-modal generalization, and enhancing interpretability. Innovations like federated learning, lightweight architectures, and Electronic Health Record (EHR) integration are explored as pathways to democratize access and improve clinical relevance. This review aims to provide a comprehensive understanding of Med-VLMs' strengths and limitations, fostering their ethical and balanced adoption in healthcare.

Finding relevant literature underpins the practice of evidence-based medicine. From 2014 to 2016, TREC conducted a clinical decision support track, wherein participants were tasked with finding articles relevant to clinical questions posed by physicians. In total, 87 teams have participated over the past three years, generating 395 runs. During this period, each team has trialled a variety of methods. While there was significant overlap in the methods employed by different teams, the results were varied. Due to the diversity of the platforms used, the results arising from the different techniques are not directly comparable, reducing the ability to build on previous work. By using a stable platform, we have been able to compare different document and query processing techniques, allowing us to experiment with different search parameters. We have used our system to reproduce leading teams runs, and compare the results obtained. By benchmarking our indexing and search techniques, we can statistically test a variety of hypotheses, paving the way for further research.

Synthetic medical data generation has opened up new possibilities in the healthcare domain, offering a powerful tool for simulating clinical scenarios, enhancing diagnostic and treatment quality, gaining granular medical knowledge, and accelerating the development of unbiased algorithms. In this context, we present a novel approach called ViewXGen, designed to overcome the limitations of existing methods that rely on general domain pipelines using only radiology reports to generate frontal-view chest X-rays. Our approach takes into consideration the diverse view positions found in the dataset, enabling the generation of chest X-rays with specific views, which marks a significant advancement in the field. To achieve this, we introduce a set of specially designed tokens for each view position, tailoring the generation process to the user's preferences. Furthermore, we leverage multi-view chest X-rays as input, incorporating valuable information from different views within the same study. This integration rectifies potential errors and contributes to faithfully capturing abnormal findings in chest X-ray generation. To validate the effectiveness of our approach, we conducted statistical analyses, evaluating its performance in a clinical efficacy metric on the MIMIC-CXR dataset. Also, human evaluation demonstrates the remarkable capabilities of ViewXGen, particularly in producing realistic view-specific X-rays that closely resemble the original images.

AI assistants are becoming a primary interface for local discovery, yet almost nothing is known about which venues they surface -- especially in food and drink, where recommendations carry direct revenue consequences. We present the first census-denominated audit of AI venue recommendation: a complete enumeration of 4,776 cafes, restaurants, and bars across two bounded markets (Canggu and Ubud, Bali), against which we evaluate 2,208 search-grounded responses from four production AI systems (ChatGPT, Claude, Gemini, Perplexity) to 96 persona-conditioned queries, collected over seven days under a pre-registered protocol. Because we observe the full market, we can measure what sampled audits cannot: 85.6% of venues were never recommended by any system -- 72.6% even among established venues with fifty or more ratings. Visibility follows a two-margin structure. Entry into answers is associated with documentation: review volume (OR 1.64), an own website (OR 1.92), listed price information (OR 1.54), and third-party web mentions (OR 1.44) -- while star rating is null at this margin (OR 0.89). Rank within answers reverses the pattern: among recommended venues, rating significantly predicts first position (OR 1.17). Presence in an open POI dataset (Foursquare), a folk-theorized visibility factor, shows no positive effect at either margin. Outright fabrication is rare (0.08% of mentions), but systems recommended permanently closed venues 93 times -- staleness, not hallucination, is the practical failure mode. Cross-system agreement is low (top-20 Jaccard 0.33-0.54). A two-week test-retest shows cross-period answer similarity comparable to same-day rerun similarity: the churn is sampling stochasticity, not temporal drift. We release our protocol, registry construction method, and derived data.

Medical knowledge is context-dependent and requires consistent reasoning across various natural language expressions of semantically equivalent phrases. This is particularly crucial for drug names, where patients often use brand names like Advil or Tylenol instead of their generic equivalents. To study this, we create a new robustness dataset, RABBITS, to evaluate performance differences on medical benchmarks after swapping brand and generic drug names using physician expert annotations. We assess both open-source and API-based LLMs on MedQA and MedMCQA, revealing a consistent performance drop ranging from 1-10\%. Furthermore, we identify a potential source of this fragility as the contamination of test data in widely used pre-training datasets. All code is accessible at https://github.com/BittermanLab/RABBITS, and a HuggingFace leaderboard is available at https://huggingface.co/spaces/AIM-Harvard/rabbits-leaderboard.

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.

The rapid development of Large Language Models (LLMs) for healthcare applications has spurred calls for holistic evaluation beyond frequently-cited benchmarks like USMLE, to better reflect real-world performance. While real-world assessments are valuable indicators of utility, they often lag behind the pace of LLM evolution, likely rendering findings obsolete upon deployment. This temporal disconnect necessitates a comprehensive upfront evaluation that can guide model selection for specific clinical applications. We introduce MEDIC, a framework assessing LLMs across five critical dimensions of clinical competence: medical reasoning, ethics and bias, data and language understanding, in-context learning, and clinical safety. MEDIC features a novel cross-examination framework quantifying LLM performance across areas like coverage and hallucination detection, without requiring reference outputs. We apply MEDIC to evaluate LLMs on medical question-answering, safety, summarization, note generation, and other tasks. Our results show performance disparities across model sizes, baseline vs medically finetuned models, and have implications on model selection for applications requiring specific model strengths, such as low hallucination or lower cost of inference. MEDIC's multifaceted evaluation reveals these performance trade-offs, bridging the gap between theoretical capabilities and practical implementation in healthcare settings, ensuring that the most promising models are identified and adapted for diverse healthcare applications.

This position paper emphasizes the critical gap in the evaluation of Explainable AI (XAI) due to the lack of standardized and reliable metrics, which diminishes its practical value, trustworthiness, and ability to meet regulatory requirements. Current evaluation methods are often fragmented, subjective, and biased, making them prone to manipulation and complicating the assessment of complex models. A central issue is the absence of a ground truth for explanations, complicating comparisons across various XAI approaches. To address these challenges, we advocate for widespread research into developing robust, context-sensitive evaluation metrics. These metrics should be resistant to manipulation, relevant to each use case, and based on human judgment and real-world applicability. We also recommend creating domain-specific evaluation benchmarks that align with the user and regulatory needs of sectors such as healthcare and finance. By encouraging collaboration among academia, industry, and regulators, we can create standards that balance flexibility and consistency, ensuring XAI explanations are meaningful, trustworthy, and compliant with evolving regulations.

Money laundering presents a pervasive challenge, burdening society by financing illegal activities. The use of network information is increasingly being explored to effectively combat money laundering, given it involves connected parties. This led to a surge in research on network analytics for anti-money laundering (AML). The literature is, however, fragmented and a comprehensive overview of existing work is missing. This results in limited understanding of the methods to apply and their comparative detection power. This paper presents an extensive and unique literature review, based on 97 papers from Web of Science and Scopus, resulting in a taxonomy following a recently proposed fraud analytics framework. We conclude that most research relies on expert-based rules and manual features, while deep learning methods have been gaining traction. This paper also presents a comprehensive framework to evaluate and compare the performance of prominent methods in a standardized setup. We compare manual feature engineering, random walk-based, and deep learning methods on two publicly available data sets. We conclude that (1) network analytics increases the predictive power, but caution is needed when applying GNNs in the face of class imbalance and network topology, and that (2) care should be taken with synthetic data as this can give overly optimistic results. The open-source implementation facilitates researchers and practitioners to extend this work on proprietary data, promoting a standardised approach for the analysis and evaluation of network analytics for AML.

Many recent multivariate time series anomaly detection (MTSAD) models incorporate cross-channel modeling, under the implicit assumption that the structure of anomalies may be spread across multiple channels. We evaluate this assumption on eight widely used public benchmarks by introducing a per-segment diagnostic framework that flags, for each labeled anomaly, whether at least one channel deviates individually from its normal history, whether the cross-channel correlation structure changes, or both. The framework shows that no cross-channel rupture occurs without an accompanying univariate deviation across a range of reasonable thresholds. A complementary metric also reveals that on six of the eight benchmarks, at least half of the labeled anomaly segments deviate univariately on 89% to 100% of their timesteps, reaching 100% on three of these datasets. To verify that our framework captures cross-channel structure when present, we construct synthetic data of phase-shifted sinusoidal channels with shared noise. Each anomalous segment is altered through one of two channel-wise corruptions that preserve the per-channel marginal distribution while breaking cross-channel structure, and our framework correctly characterizes these segments as cross-channel-only. On these data, channel-dependent (CD) models successfully exploit the cross-channel signal whereas channel-independent (CI) ones fail. The CI/CD comparison of a recent SOTA detector on real benchmarks further confirms that CD modeling brings no measurable gain. We conclude that current MTSAD benchmarks are unsuitable for validating cross-channel modeling capabilities, and we call for the development of more structurally diverse evaluation sets. The code for this study is publicly available.

The COVID-19 pandemic strained healthcare resources and prompted discussion about how machine learning can alleviate physician burdens and contribute to diagnosis. Chest x-rays (CXRs) are used for diagnosis of COVID-19, but few studies predict the severity of a patient's condition from CXRs. In this study, we produce a large COVID severity dataset by merging three sources and investigate the efficacy of transfer learning using ImageNet- and CXR-pretrained models and vision transformers (ViTs) in both severity regression and classification tasks. A pretrained DenseNet161 model performed the best on the three class severity prediction problem, reaching 80% accuracy overall and 77.3%, 83.9%, and 70% on mild, moderate and severe cases, respectively. The ViT had the best regression results, with a mean absolute error of 0.5676 compared to radiologist-predicted severity scores. The project's source code is publicly available.

In the marketing field, understanding consumer heterogeneity, which is the internal or psychological difference among consumers that cannot be captured by behavioral logs, has long been a critical challenge. However, a number of consumers today usually post their evaluation on the specific product on the online platform, which can be the valuable source of such unobservable differences among consumers. Several previous studies have shown the validity of the analysis on text modality, but on the other hand, such analyses may not necessarily demonstrate sufficient predictive accuracy for text alone, as they may not include information readily available from cross-sectional data, such as consumer profile data. In addition, recent advances in machine learning techniques, such as large-scale language models (LLMs) and multimodal learning have made it possible to deal with the various kind of dataset simultaneously, including textual data and the traditional cross-sectional data, and the joint representations can be effectively obtained from multiple modalities. Therefore, this study constructs a product evaluation model that takes into account consumer heterogeneity by multimodal learning of online product reviews and consumer profile information. We also compare multiple models using different modalities or hyper-parameters to demonstrate the robustness of multimodal learning in marketing analysis.

Throughout the different phases of a drug development program, randomized trials are used to establish the tolerability, safety, and efficacy of a candidate drug. At each stage one aims to optimize the design of future studies by extrapolation from the available evidence at the time. This includes collected trial data and relevant external data. However, relevant external data are typically available as averages only, for example from trials on alternative treatments reported in the literature. Here we report on such an example from a drug development for wet age-related macular degeneration. This disease is the leading cause of severe vision loss in the elderly. While current treatment options are efficacious, they are also a substantial burden for the patient. Hence, new treatments are under development which need to be compared against existing treatments. The general statistical problem this leads to is meta-analysis, which addresses the question of how we can combine datasets collected under different conditions. Bayesian methods have long been used to achieve partial pooling. Here we consider the challenge when the model of interest is complex (hierarchical and nonlinear) and one dataset is given as raw data while the second dataset is given as averages only. In such a situation, common meta-analytic methods can only be applied when the model is sufficiently simple for analytic approaches. When the model is too complex, for example nonlinear, an analytic approach is not possible. We provide a Bayesian solution by using simulation to approximately reconstruct the likelihood of the external summary and allowing the parameters in the model to vary under the different conditions. We first evaluate our approach using fake-data simulations and then report results for the drug development program that motivated this research.

Retrieval-augmented generation (RAG) promises grounded question answering, yet domain settings with multiple heterogeneous knowledge bases (KBs) remain challenging. In Chinese Tibetan medicine, encyclopedia entries are often dense and easy to match, which can dominate retrieval even when classics or clinical papers provide more authoritative evidence. We study a practical setting with three KBs (encyclopedia, classics, and clinical papers) and a 500-query benchmark (cutoff K{=}5) covering both single-KB and cross-KB questions. We propose two complementary methods to improve traceability, reduce hallucinations, and enable cross-KB verification. First, DAKS performs KB routing and budgeted retrieval to mitigate density-driven bias and to prioritize authoritative sources when appropriate. Second, we use an alignment graph to guide evidence fusion and coverage-aware packing, improving cross-KB evidence coverage without relying on naive concatenation. All answers are generated by a lightweight generator, openPangu-Embedded-7B. Experiments show consistent gains in routing quality and cross-KB evidence coverage, with the full system achieving the best CrossEv@5 while maintaining strong faithfulness and citation correctness.

The cross-domain text-to-SQL task aims to build a system that can parse user questions into SQL on complete unseen databases, and the single-domain text-to-SQL task evaluates the performance on identical databases. Both of these setups confront unavoidable difficulties in real-world applications. To this end, we introduce the cross-schema text-to-SQL task, where the databases of evaluation data are different from that in the training data but come from the same domain. Furthermore, we present CSS, a large-scale CrosS-Schema Chinese text-to-SQL dataset, to carry on corresponding studies. CSS originally consisted of 4,340 question/SQL pairs across 2 databases. In order to generalize models to different medical systems, we extend CSS and create 19 new databases along with 29,280 corresponding dataset examples. Moreover, CSS is also a large corpus for single-domain Chinese text-to-SQL studies. We present the data collection approach and a series of analyses of the data statistics. To show the potential and usefulness of CSS, benchmarking baselines have been conducted and reported. Our dataset is publicly available at https://huggingface.co/datasets/zhanghanchong/css.

Cross-Video Reasoning (CVR) presents a significant challenge in video understanding, which requires simultaneous understanding of multiple videos to aggregate and compare information across groups of videos. Most existing video understanding benchmarks focus on single-video analysis, failing to assess the ability of multimodal large language models (MLLMs) to simultaneously reason over various videos. Recent benchmarks evaluate MLLMs' capabilities on multi-view videos that capture different perspectives of the same scene. However, their limited tasks hinder a thorough assessment of MLLMs in diverse real-world CVR scenarios. To this end, we introduce CrossVid, the first benchmark designed to comprehensively evaluate MLLMs' spatial-temporal reasoning ability in cross-video contexts. Firstly, CrossVid encompasses a wide spectrum of hierarchical tasks, comprising four high-level dimensions and ten specific tasks, thereby closely reflecting the complex and varied nature of real-world video understanding. Secondly, CrossVid provides 5,331 videos, along with 9,015 challenging question-answering pairs, spanning single-choice, multiple-choice, and open-ended question formats. Through extensive experiments on various open-source and closed-source MLLMs, we observe that Gemini-2.5-Pro performs best on CrossVid, achieving an average accuracy of 50.4%. Notably, our in-depth case study demonstrates that most current MLLMs struggle with CVR tasks, primarily due to their inability to integrate or compare evidence distributed across multiple videos for reasoning. These insights highlight the potential of CrossVid to guide future advancements in enhancing MLLMs' CVR capabilities.

Clinical trial matching is the task of identifying trials for which patients may be potentially eligible. Typically, this task is labor-intensive and requires detailed verification of patient electronic health records (EHRs) against the stringent inclusion and exclusion criteria of clinical trials. This process is manual, time-intensive, and challenging to scale up, resulting in many patients missing out on potential therapeutic options. Recent advancements in Large Language Models (LLMs) have made automating patient-trial matching possible, as shown in multiple concurrent research studies. However, the current approaches are confined to constrained, often synthetic datasets that do not adequately mirror the complexities encountered in real-world medical data. In this study, we present the first, end-to-end large-scale empirical evaluation of clinical trial matching using real-world EHRs. Our study showcases the capability of LLMs to accurately match patients with appropriate clinical trials. We perform experiments with proprietary LLMs, including GPT-4 and GPT-3.5, as well as our custom fine-tuned model called OncoLLM and show that OncoLLM, despite its significantly smaller size, not only outperforms GPT-3.5 but also matches the performance of qualified medical doctors. All experiments were carried out on real-world EHRs that include clinical notes and available clinical trials from a single cancer center in the United States.

Chest X-rays (CXRs) are the most frequently performed imaging test in clinical practice. Recent advances in the development of vision-language foundation models (FMs) give rise to the possibility of performing automated CXR interpretation, which can assist physicians with clinical decision-making and improve patient outcomes. However, developing FMs that can accurately interpret CXRs is challenging due to the (1) limited availability of large-scale vision-language datasets in the medical image domain, (2) lack of vision and language encoders that can capture the complexities of medical data, and (3) absence of evaluation frameworks for benchmarking the abilities of FMs on CXR interpretation. In this work, we address these challenges by first introducing CheXinstruct - a large-scale instruction-tuning dataset curated from 28 publicly-available datasets. We then present CheXagent - an instruction-tuned FM capable of analyzing and summarizing CXRs. To build CheXagent, we design a clinical large language model (LLM) for parsing radiology reports, a vision encoder for representing CXR images, and a network to bridge the vision and language modalities. Finally, we introduce CheXbench - a novel benchmark designed to systematically evaluate FMs across 8 clinically-relevant CXR interpretation tasks. Extensive quantitative evaluations and qualitative reviews with five expert radiologists demonstrate that CheXagent outperforms previously-developed general- and medical-domain FMs on CheXbench tasks. Furthermore, in an effort to improve model transparency, we perform a fairness evaluation across factors of sex, race and age to highlight potential performance disparities. Our project is at https://stanford-aimi.github.io/chexagent.html.

In this study, we provide solutions to two practical yet overlooked scenarios in federated learning for electronic health records (EHRs): firstly, we introduce EHRFL, a framework that facilitates federated learning across healthcare institutions with distinct medical coding systems and database schemas using text-based linearization of EHRs. Secondly, we focus on a scenario where a single healthcare institution initiates federated learning to build a model tailored for itself, in which the number of clients must be optimized in order to reduce expenses incurred by the host. For selecting participating clients, we present a novel precision-based method, leveraging data latents to identify suitable participants for the institution. Our empirical results show that EHRFL effectively enables federated learning across hospitals with different EHR systems. Furthermore, our results demonstrate the efficacy of our precision-based method in selecting reduced number of participating clients without compromising model performance, resulting in lower operational costs when constructing institution-specific models. We believe this work lays a foundation for the broader adoption of federated learning on EHRs.

We introduce Tencent WorkBuddy Bench, a multi-domain evaluation suite for coding agents; this report documents its construction methodology, scoring protocol, and a cross-model leaderboard. At its core is a unified evaluation framework for constructing and running distribution-informed coding-agent tasks across four work domains - Code, Web, Office, and Security. Rather than adapting public issue text, every task is reverse-engineered from a real commit, pull request, or business scenario and rewritten as a short, colloquial, role-played request, so that a task's prompt is not recoverable by web-searching the underlying issue, pull request, or commit thread. Because the dataset is released openly - task directories, environment images, evaluation harness, tests, and reference solutions - contamination resistance rests on this construction together with dataset versioning rather than on secrecy. The four subsets - repository-level engineering, front-end development, office and business workflows, and red-/blue-team security - probe complementary facets of real work, each with its own verification style. All are packaged in a uniform task-directory format and run, under a uniform and reproducible protocol, on two agent harnesses (CodeBuddy Code and Claude Code); the full open release makes the benchmark reproducible end to end and directly auditable, since any third party can re-run each task and inspect its content. Because each subset uses a different scoring instrument, scores are not comparable across subsets and the suite reports no suite-wide average. We report a cross-model leaderboard across several model families.

We seek to identify the most relevant benefits offered by Medicare Advantage Health Plans that drive membership and market share. As an example, we explore plans operating in a single county in New Jersey between 2018 and 2023. A dataset of benefits from publicly available data sources was created and the variance inflation factor was applied to identify the correlation between the extracted features, to avoid multicollinearity and overparameterization problems. We categorized the variable Market Share and used it as a multinomial response variable with three categories: less than 0.3\%, 0.3\% to 1.5\%, and over 1.5\%. Categories were chosen to achieve approximately uniform distribution of plans (47, 60, and 65 respectively). We built a multinomial Lasso model using 5-fold cross-validation to tune the penalty parameter. Lasso forced some features to be dropped from the model, which reduces the risk of overfitting and increases the interpretability of the results. For each category, important variables are different. Certain brands drive market share, as do PPO plans and prescription drug coverage. Benefits, particularly ancillary benefits that are not part of CMS's required benefits, appear to have little influence, while financial terms such as deductibles, copays, and out-of-pocket limits are associated with higher market share. Finally, we evaluated the predictive accuracy of the Lasso model with the test set. The accuracy is 0.76.

Causal inference has become an accepted analytic framework in settings where experimentation is impossible, which is frequently the case in sports analytics, particularly for studying in-game tactics. However, subtle differences in implementation can lead to important differences in interpretation. In this work, we provide a case study to demonstrate the utility and the nuance of these approaches. Motivated by a case study of crossing in soccer, two causal questions are considered: the overall impact of crossing on shot creation (Average Treatment Effect, ATE) and its impact in plays where crossing was actually attempted (Average Treatment Effect on the Treated, ATT). Using data from Shandong Taishan Luneng Football Club's 2017 season, we demonstrate how distinct matching strategies are used for different estimation targets - the ATE and ATT - though both aim to eliminate any spurious relationship between crossing and shot creation. Results suggest crossing yields a 1.6% additive increase in shot probability overall compared to not crossing (ATE), whereas the ATT is 5.0%. We discuss what insights can be gained from each estimand, and provide examples where one may be preferred over the alternative. Understanding and clearly framing analytics questions through a causal lens ensure rigorous analyses of complex questions.

Purpose: With advancements in Large Language Models (LLMs) for healthcare, the need arises for competitive open-source models to protect the public interest. This work contributes to the field of open medical LLMs by optimizing key stages of data preprocessing and training, while showing how to improve model safety (through DPO) and efficacy (through RAG). The evaluation methodology used, which includes four different types of tests, defines a new standard for the field. The resultant models, shown to be competitive with the best private alternatives, are released with a permisive license. Methods: Building on top of strong base models like Llama 3.1 and Qwen 2.5, Aloe Beta uses a custom dataset to enhance public data with synthetic Chain of Thought examples. The models undergo alignment with Direct Preference Optimization, emphasizing ethical and policy-aligned performance in the presence of jailbreaking attacks. Evaluation includes close-ended, open-ended, safety and human assessments, to maximize the reliability of results. Results: Recommendations are made across the entire pipeline, backed by the solid performance of the Aloe Family. These models deliver competitive performance across healthcare benchmarks and medical fields, and are often preferred by healthcare professionals. On bias and toxicity, the Aloe Beta models significantly improve safety, showing resilience to unseen jailbreaking attacks. For a responsible release, a detailed risk assessment specific to healthcare is attached to the Aloe Family models. Conclusion: The Aloe Beta models, and the recipe that leads to them, are a significant contribution to the open-source medical LLM field, offering top-of-the-line performance while maintaining high ethical requirements. This work sets a new standard for developing and reporting aligned LLMs in healthcare.

In this work we introduce Labrador, a pre-trained Transformer model for laboratory data. Labrador and BERT were pre-trained on a corpus of 100 million lab test results from electronic health records (EHRs) and evaluated on various downstream outcome prediction tasks. Both models demonstrate mastery of the pre-training task but neither consistently outperform XGBoost on downstream supervised tasks. Our ablation studies reveal that transfer learning shows limited effectiveness for BERT and achieves marginal success with Labrador. We explore the reasons for the failure of transfer learning and suggest that the data generating process underlying each patient cannot be characterized sufficiently using labs alone, among other factors. We encourage future work to focus on joint modeling of multiple EHR data categories and to include tree-based baselines in their evaluations.

Medical imaging artificial intelligence has achieved strong performance in isolated image interpretation, but remains poorly aligned with radiological practice, where diagnosis and follow-up rely on comparison across prior studies and analogous reference cases. Here we formulate radiological comparison as an entity-aware cross-image reasoning problem and introduce a framework that supports both reference-case retrieval and temporal comparative interpretation. We construct MedReCo-DB, a large-scale comparative imaging resource derived from routine image-report pairs, comprising more than 690,000 images from over 160,000 patients across eight institutions, four countries and seven imaging modalities. Reports are decomposed into anatomical structures, abnormal findings and pathological conditions to provide supervision for entity-conditioned retrieval and comparative visual question answering. Using this resource, we develop MedReCo, an entity-aware visual encoder for controllable retrieval of clinically analogous cases, and MedReCo-VLM, a vision--language extension for generative interpretation of interval change. Across internal, external and cross-center evaluations, MedReCo achieved the highest Recall@1 in all 12 internal retrieval settings and improved external retrieval by a mean of 6.0 percentage points. In clinically confusable differential groups, it consistently outperformed the strongest baselines. MedReCo-VLM achieved the best performance across all comparative generation evaluations and improved longitudinal follow-up accuracy by 14.5-46.5 percentage points on chest radiographs and 13.0-27.9 percentage points on CT. These findings suggest that entity-aware comparative reasoning can be learned from routine clinical data at scale and may provide a more clinically aligned foundation for medical imaging AI.

The demand for emergency department (ED) services is increasing across the globe, particularly during the current COVID-19 pandemic. Clinical triage and risk assessment have become increasingly challenging due to the shortage of medical resources and the strain on hospital infrastructure caused by the pandemic. As a result of the widespread use of electronic health records (EHRs), we now have access to a vast amount of clinical data, which allows us to develop predictive models and decision support systems to address these challenges. To date, however, there are no widely accepted benchmark ED triage prediction models based on large-scale public EHR data. An open-source benchmarking platform would streamline research workflows by eliminating cumbersome data preprocessing, and facilitate comparisons among different studies and methodologies. In this paper, based on the Medical Information Mart for Intensive Care IV Emergency Department (MIMIC-IV-ED) database, we developed a publicly available benchmark suite for ED triage predictive models and created a benchmark dataset that contains over 400,000 ED visits from 2011 to 2019. We introduced three ED-based outcomes (hospitalization, critical outcomes, and 72-hour ED reattendance) and implemented a variety of popular methodologies, ranging from machine learning methods to clinical scoring systems. We evaluated and compared the performance of these methods against benchmark tasks. Our codes are open-source, allowing anyone with MIMIC-IV-ED data access to perform the same steps in data processing, benchmark model building, and experiments. This study provides future researchers with insights, suggestions, and protocols for managing raw data and developing risk triaging tools for emergency care.

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.

In recent years, cross-modal reasoning (CMR), the process of understanding and reasoning across different modalities, has emerged as a pivotal area with applications spanning from multimedia analysis to healthcare diagnostics. As the deployment of AI systems becomes more ubiquitous, the demand for transparency and comprehensibility in these systems' decision-making processes has intensified. This survey delves into the realm of interpretable cross-modal reasoning (I-CMR), where the objective is not only to achieve high predictive performance but also to provide human-understandable explanations for the results. This survey presents a comprehensive overview of the typical methods with a three-level taxonomy for I-CMR. Furthermore, this survey reviews the existing CMR datasets with annotations for explanations. Finally, this survey summarizes the challenges for I-CMR and discusses potential future directions. In conclusion, this survey aims to catalyze the progress of this emerging research area by providing researchers with a panoramic and comprehensive perspective, illuminating the state of the art and discerning the opportunities. The summarized methods, datasets, and other resources are available at https://github.com/ZuyiZhou/Awesome-Interpretable-Cross-modal-Reasoning.

Reproducibility remains a significant challenge in machine learning (ML) for healthcare. In this field, datasets, model pipelines, and even task/cohort definitions are often private, leading to a significant barrier in sharing, iterating, and understanding ML results on electronic health record (EHR) datasets. In this paper, we address a significant part of this problem by introducing the Automatic Cohort Extraction System for Event-Stream Datasets (ACES). This tool is designed to simultaneously simplify the development of task/cohorts for ML in healthcare and enable the reproduction of these cohorts, both at an exact level for single datasets and at a conceptual level across datasets. To accomplish this, ACES provides (1) a highly intuitive and expressive configuration language for defining both dataset-specific concepts and dataset-agnostic inclusion/exclusion criteria, and (2) a pipeline to automatically extract patient records that meet these defined criteria from real-world data. ACES can be automatically applied to any dataset in either the Medical Event Data Standard (MEDS) or EventStreamGPT (ESGPT) formats, or to *any* dataset for which the necessary task-specific predicates can be extracted in an event-stream form. ACES has the potential to significantly lower the barrier to entry for defining ML tasks, redefine the way researchers interact with EHR datasets, and significantly improve the state of reproducibility for ML studies in this modality. ACES is available at https://github.com/justin13601/aces.

An effective method for cross-lingual transfer is to fine-tune a bilingual or multilingual model on a supervised dataset in one language and evaluating it on another language in a zero-shot manner. Translating examples at training time or inference time are also viable alternatives. However, there are costs associated with these methods that are rarely addressed in the literature. In this work, we analyze cross-lingual methods in terms of their effectiveness (e.g., accuracy), development and deployment costs, as well as their latencies at inference time. Our experiments on three tasks indicate that the best cross-lingual method is highly task-dependent. Finally, by combining zero-shot and translation methods, we achieve the state-of-the-art in two of the three datasets used in this work. Based on these results, we question the need for manually labeled training data in a target language. Code and translated datasets are available at https://github.com/unicamp-dl/cross-lingual-analysis

Objective: To improve performance of medical entity normalization across many languages, especially when fewer language resources are available compared to English. Materials and Methods: We introduce xMEN, a modular system for cross-lingual medical entity normalization, which performs well in both low- and high-resource scenarios. When synonyms in the target language are scarce for a given terminology, we leverage English aliases via cross-lingual candidate generation. For candidate ranking, we incorporate a trainable cross-encoder model if annotations for the target task are available. We also evaluate cross-encoders trained in a weakly supervised manner based on machine-translated datasets from a high resource domain. Our system is publicly available as an extensible Python toolkit. Results: xMEN improves the state-of-the-art performance across a wide range of multilingual benchmark datasets. Weakly supervised cross-encoders are effective when no training data is available for the target task. Through the compatibility of xMEN with the BigBIO framework, it can be easily used with existing and prospective datasets. Discussion: Our experiments show the importance of balancing the output of general-purpose candidate generators with subsequent trainable re-rankers, which we achieve through a rank regularization term in the loss function of the cross-encoder. However, error analysis reveals that multi-word expressions and other complex entities are still challenging. Conclusion: xMEN exhibits strong performance for medical entity normalization in multiple languages, even when no labeled data and few terminology aliases for the target language are available. Its configuration system and evaluation modules enable reproducible benchmarks. Models and code are available online at the following URL: https://github.com/hpi-dhc/xmen

Rare diseases collectively affect an estimated 3.5% to 5.9% of the population, yet more than 70% of patients are misdiagnosed and many endure years of evaluation before a diagnosis is reached, because early presentations are nonspecific and relevant expertise is scarce and unevenly distributed. Artificial intelligence could provide support, but existing systems address isolated stages of care, overwhelmingly diagnosis. They typically depend on the results of downstream investigations, and they treat the variability between models as noise to be eliminated. Here we present RareLens, a system that supports clinical decision-making across the entire rare disease trajectory by exploiting this variability. When heterogeneous large language models evaluate the same case, they generate divergent but complementary reasoning, which RareLens aligns and calibrates into a single convergent, actionable decision at each stage. Four coordinated modules perform primary-visit risk screening, diagnosis, treatment planning and prognosis. Developed and evaluated on RareBench, a real-world dataset of 157,525 cases spanning all 33 Orphanet categories and more than 7,000 conditions, RareLens outperformed every frontier model tested, including GPT-5, DeepSeek-R1, Claude-3.7-Sonnet and Gemini-2.5-Pro, at each stage. It achieved an area under the curve of 0.917 for screening and top-1 accuracies of 65.5% and 89.8% for diagnosis and treatment. In an external study spanning 1,287 cases and 23 physicians, autonomous RareLens and physicians assisted by RareLens both substantially outperformed unaided physicians. These findings indicate that aligning divergent model reasoning, rather than scaling a single model, offers a generalizable strategy for high-uncertainty clinical decision-making.

In recent years, Wi-Fi sensing has garnered significant attention due to its numerous benefits, such as privacy protection, low cost, and penetration ability. Extensive research has been conducted in this field, focusing on areas such as gesture recognition, people identification, and fall detection. However, many data-driven methods encounter challenges related to domain shift, where the model fails to perform well in environments different from the training data. One major factor contributing to this issue is the limited availability of Wi-Fi sensing datasets, which makes models learn excessive irrelevant information and over-fit to the training set. Unfortunately, collecting large-scale Wi-Fi sensing datasets across diverse scenarios is a challenging task. To address this problem, we propose CrossFi, a siamese network-based approach that excels in both in-domain scenario and cross-domain scenario, including few-shot, zero-shot scenarios, and even works in few-shot new-class scenario where testing set contains new categories. The core component of CrossFi is a sample-similarity calculation network called CSi-Net, which improves the structure of the siamese network by using an attention mechanism to capture similarity information, instead of simply calculating the distance or cosine similarity. Based on it, we develop an extra Weight-Net that can generate a template for each class, so that our CrossFi can work in different scenarios. Experimental results demonstrate that our CrossFi achieves state-of-the-art performance across various scenarios. In gesture recognition task, our CrossFi achieves an accuracy of 98.17% in in-domain scenario, 91.72% in one-shot cross-domain scenario, 64.81% in zero-shot cross-domain scenario, and 84.75% in one-shot new-class scenario. The code for our model is publicly available at https://github.com/RS2002/CrossFi.

We introduce SynGP500, a clinician-curated collection of 500 synthetic Australian general practice medical notes. The dataset integrates curriculum-based clinical breadth (RACGP 2022 Curriculum), epidemiologically-calibrated prevalence (BEACH study), and diverse consultation contexts. This approach systematically includes both common presentations and less-common curriculum-specified conditions that GPs must recognize but appear infrequently in single practice populations, potentially supporting more generalizable model training than datasets constrained by naturally occurring case distributions. SynGP500 is messy by design, reflecting the authentic complexity of healthcare delivery: telegraphic documentation, typos, patient non-adherence, socioeconomic barriers, and clinician-patient disagreements, unlike sanitized synthetic datasets that obscure clinical realities. Multi-faceted validation demonstrates dataset quality through epidemiological alignment with real Australian GP consultation patterns (BEACH study), stylometric analysis confirming high linguistic variation, semantic diversity analysis demonstrating broad coverage, and exploratory downstream evaluation using self-supervised medical concept extraction, showing F1 improvements. SynGP500 addresses a critical national gap, providing researchers and educators with a resource for developing and evaluating clinical NLP methods for Australian general practice while inherently protecting patient privacy.

In many machine learning for healthcare tasks, standard datasets are constructed by amassing data across many, often fundamentally dissimilar, sources. But when does adding more data help, and when does it hinder progress on desired model outcomes in real-world settings? We identify this situation as the Data Addition Dilemma, demonstrating that adding training data in this multi-source scaling context can at times result in reduced overall accuracy, uncertain fairness outcomes, and reduced worst-subgroup performance. We find that this possibly arises from an empirically observed trade-off between model performance improvements due to data scaling and model deterioration from distribution shift. We thus establish baseline strategies for navigating this dilemma, introducing distribution shift heuristics to guide decision-making on which data sources to add in data scaling, in order to yield the expected model performance improvements. We conclude with a discussion of the required considerations for data collection and suggestions for studying data composition and scale in the age of increasingly larger models.

Patient education materials for solid-organ transplantation vary substantially across U.S. centers, yet no systematic method exists to quantify this heterogeneity at scale. We introduce a framework that grounds the same patient questions in different centers' handbooks using retrieval-augmented language models and compares the resulting answers using a five-label consistency taxonomy. Applied to 102 handbooks from 23 centers and 1,115 benchmark questions, the framework quantifies heterogeneity across four dimensions: question, topic, organ, and center. We find that 20.8% of non-absent pairwise comparisons exhibit clinically meaningful divergence, concentrated in condition monitoring and lifestyle topics. Coverage gaps are even more prominent: 96.2% of question-handbook pairs miss relevant content, with reproductive health at 95.1% absence. Center-level divergence profiles are stable and interpretable, where heterogeneity reflects systematic institutional differences, likely due to patient diversity. These findings expose an information gap in transplant patient education materials, with document-grounded medical question answering highlighting opportunities for content improvement.

Multimodal foundation models are prone to hallucination, generating outputs that either contradict the input or are not grounded by factual information. Given the diversity in architectures, training data and instruction tuning techniques, there can be large variations in systems' susceptibility to hallucinations. To assess system hallucination robustness, hallucination ranking approaches have been developed for specific tasks such as image captioning, question answering, summarization, or biography generation. However, these approaches typically compare model outputs to gold-standard references or labels, limiting hallucination benchmarking for new domains. This work proposes "CrossCheckGPT", a reference-free universal hallucination ranking for multimodal foundation models. The core idea of CrossCheckGPT is that the same hallucinated content is unlikely to be generated by different independent systems, hence cross-system consistency can provide meaningful and accurate hallucination assessment scores. CrossCheckGPT can be applied to any model or task, provided that the information consistency between outputs can be measured through an appropriate distance metric. Focusing on multimodal large language models that generate text, we explore two information consistency measures: CrossCheck-explicit and CrossCheck-implicit. We showcase the applicability of our method for hallucination ranking across various modalities, namely the text, image, and audio-visual domains. Further, we propose the first audio-visual hallucination benchmark, "AVHalluBench", and illustrate the effectiveness of CrossCheckGPT, achieving correlations of 98% and 89% with human judgements on MHaluBench and AVHalluBench, respectively.

Since the COVID-19 pandemic, clinicians have seen a large and sustained influx in patient portal messages, significantly contributing to clinician burnout. To the best of our knowledge, there are no large-scale public patient portal messages corpora researchers can use to build tools to optimize clinician portal workflows. Informed by our ongoing work with a regional hospital, this study introduces an LLM-powered framework for configurable and realistic patient portal message generation. Our approach leverages few-shot grounded text generation, requiring only a small number of de-identified patient portal messages to help LLMs better match the true style and tone of real data. Clinical experts in our team deem this framework as HIPAA-friendly, unlike existing privacy-preserving approaches to synthetic text generation which cannot guarantee all sensitive attributes will be protected. Through extensive quantitative and human evaluation, we show that our framework produces data of higher quality than comparable generation methods as well as all related datasets. We believe this work provides a path forward for (i) the release of large-scale synthetic patient message datasets that are stylistically similar to ground-truth samples and (ii) HIPAA-friendly data generation which requires minimal human de-identification efforts.

The digitization of medical records ushered in a new era of big data to clinical science, and with it the possibility that data could be shared, to multiply insights beyond what investigators could abstract from paper records. The need to share individual-level medical data to accelerate innovation in precision medicine continues to grow, and has never been more urgent, as scientists grapple with the COVID-19 pandemic. However, enthusiasm for the use of big data has been tempered by a fully appropriate concern for patient autonomy and privacy. That is, the ability to extract private or confidential information about an individual, in practice, renders it difficult to share data, since significant infrastructure and data governance must be established before data can be shared. Although HIPAA provided de-identification as an approved mechanism for data sharing, linkage attacks were identified as a major vulnerability. A variety of mechanisms have been established to avoid leaking private information, such as field suppression or abstraction, strictly limiting the amount of information that can be shared, or employing mathematical techniques such as differential privacy. Another approach, which we focus on here, is creating synthetic data that mimics the underlying data. For synthetic data to be a useful mechanism in support of medical innovation and a proxy for real-world evidence, one must demonstrate two properties of the synthetic dataset: (1) any analysis on the real data must be matched by analysis of the synthetic data (statistical fidelity) and (2) the synthetic data must preserve privacy, with minimal risk of re-identification (privacy guarantee). In this paper we propose a framework for quantifying the statistical fidelity and privacy preservation properties of synthetic datasets and demonstrate these metrics for synthetic data generated by Syntegra technology.

Large language models (LLMs) are transforming the ways the general public accesses and consumes information. Their influence is particularly pronounced in pivotal sectors like healthcare, where lay individuals are increasingly appropriating LLMs as conversational agents for everyday queries. While LLMs demonstrate impressive language understanding and generation proficiencies, concerns regarding their safety remain paramount in these high-stake domains. Moreover, the development of LLMs is disproportionately focused on English. It remains unclear how these LLMs perform in the context of non-English languages, a gap that is critical for ensuring equity in the real-world use of these systems.This paper provides a framework to investigate the effectiveness of LLMs as multi-lingual dialogue systems for healthcare queries. Our empirically-derived framework XlingEval focuses on three fundamental criteria for evaluating LLM responses to naturalistic human-authored health-related questions: correctness, consistency, and verifiability. Through extensive experiments on four major global languages, including English, Spanish, Chinese, and Hindi, spanning three expert-annotated large health Q&A datasets, and through an amalgamation of algorithmic and human-evaluation strategies, we found a pronounced disparity in LLM responses across these languages, indicating a need for enhanced cross-lingual capabilities. We further propose XlingHealth, a cross-lingual benchmark for examining the multilingual capabilities of LLMs in the healthcare context. Our findings underscore the pressing need to bolster the cross-lingual capacities of these models, and to provide an equitable information ecosystem accessible to all.

Medical image encoders from different groups are increasingly treated as interchangeable, on the assumption that scale and clinical supervision concentrate their representations onto a shared structure. Whether this convergence is real, what produces it, and whether it is clinically usable are untested, and the similarity measures behind such claims are fragile. We present a controlled dissection across 18 image and 7 text encoders, all open-weight and run locally, spanning 7M to 27B parameters and five imaging modalities, including 650,982 chest radiographs from six datasets. To isolate cause, we train encoders that vary only the objective under fixed data, architecture, and scale, and reproduce the effect in a synthetic model. Convergence is modest but above a random floor, driven by the self-supervised objective, not clinical supervision: matched self-supervised encoders aligned most (40.4% on chest radiography), with label-supervised (21.1%) and image-text (3.3%) far lower, and did not grow with size (Spearman 0.302, p=0.223) or capability. It is within-modality, does not reach clinical language, and does not reproduce how radiologists judge case similarity. Yet a linear classifier transfers across encoders and to five held-out hospitals, retaining about 85% of within-encoder performance. Convergence in medical imaging is therefore set by the pretraining objective, not inherited from scale or clinical supervision. Interoperability is accordingly something to design for through that objective, and to validate where the shared geometry is weakest, across patient subgroups and against clinical judgment.

Cross-validation is the de facto standard for predictive model evaluation and selection. In proper use, it provides an unbiased estimate of a model's predictive performance. However, data sets often undergo various forms of data-dependent preprocessing, such as mean-centering, rescaling, dimensionality reduction, and outlier removal. It is often believed that such preprocessing stages, if done in an unsupervised manner (that does not incorporate the class labels or response values) are generally safe to do prior to cross-validation. In this paper, we study three commonly-practiced preprocessing procedures prior to a regression analysis: (i) variance-based feature selection; (ii) grouping of rare categorical features; and (iii) feature rescaling. We demonstrate that unsupervised preprocessing can, in fact, introduce a substantial bias into cross-validation estimates and potentially hurt model selection. This bias may be either positive or negative and its exact magnitude depends on all the parameters of the problem in an intricate manner. Further research is needed to understand the real-world impact of this bias across different application domains, particularly when dealing with small sample sizes and high-dimensional data.

Depression has proven to be a significant public health issue, profoundly affecting the psychological well-being of individuals. If it remains undiagnosed, depression can lead to severe health issues, which can manifest physically and even lead to suicide. Generally, Diagnosing depression or any other mental disorder involves conducting semi-structured interviews alongside supplementary questionnaires, including variants of the Patient Health Questionnaire (PHQ) by Clinicians and mental health professionals. This approach places significant reliance on the experience and judgment of trained physicians, making the diagnosis susceptible to personal biases. Given that the underlying mechanisms causing depression are still being actively researched, physicians often face challenges in diagnosing and treating the condition, particularly in its early stages of clinical presentation. Recently, significant strides have been made in Artificial neural computing to solve problems involving text, image, and speech in various domains. Our analysis has aimed to leverage these state-of-the-art (SOTA) models in our experiments to achieve optimal outcomes leveraging multiple modalities. The experiments were performed on the Extended Distress Analysis Interview Corpus Wizard of Oz dataset (E-DAIC) corpus presented in the Audio/Visual Emotion Challenge (AVEC) 2019 Challenge. The proposed solutions demonstrate better results achieved by Proprietary and Open-source Large Language Models (LLMs), which achieved a Root Mean Square Error (RMSE) score of 3.98 on Textual Modality, beating the AVEC 2019 challenge baseline results and current SOTA regression analysis architectures. Additionally, the proposed solution achieved an accuracy of 71.43% in the classification task. The paper also includes a novel audio-visual multi-modal network that predicts PHQ-8 scores with an RMSE of 6.51.

This study investigates the integration of diverse patient data sources into multimodal language models for automated chest X-ray (CXR) report generation. Traditionally, CXR report generation relies solely on CXR images and limited radiology data, overlooking valuable information from patient health records, particularly from emergency departments. Utilising the MIMIC-CXR and MIMIC-IV-ED datasets, we incorporate detailed patient information such as aperiodic vital signs, medications, and clinical history to enhance diagnostic accuracy. We introduce a novel approach to transform these heterogeneous data sources into embeddings that prompt a multimodal language model, significantly enhancing the diagnostic accuracy of generated radiology reports. Our comprehensive evaluation demonstrates the benefits of using a broader set of patient data, underscoring the potential for enhanced diagnostic capabilities and better patient outcomes through the integration of multimodal data in CXR report generation.

Databases of electronic health records (EHRs) are increasingly used to inform clinical decisions. Machine learning methods can find patterns in EHRs that are predictive of future adverse outcomes. However, statistical models may be built upon patterns of health-seeking behavior that vary across patient subpopulations, leading to poor predictive performance when training on one patient population and predicting on another. This note proposes two tests to better measure and understand model generalization. We use these tests to compare models derived from two data sources: (i) historical medical records, and (ii) electrocardiogram (EKG) waveforms. In a predictive task, we show that EKG-based models can be more stable than EHR-based models across different patient populations.