Explore the Frontier of Global Academia

01.

PLOS Medicine 2026-06-09 DOI: HASH:3bca5e7decc64c7d9fa4fae317767573

Molecular Tumor Boards clinical impact on patient care and structural features: A systematic review and meta-analysis

Authors:

Luigi Russo↗

by Luigi Russo, Erika Giacobini, Nicolò Lentini, Tommaso Osti, Maud Kamal, Stefania Boccia, Roberta Pastorino Background Molecular Tumor Boards (MTBs) bring together multidisciplinary experts to translate genomic data into clinical decisions in oncology, however, their overall clinical impact remains unclear. The aim of this systematic review is to assess the clinical impact of MTB-recommended therapies on patients with cancer outcomes. Methods and findings In this systematic review and meta-analysis, we searched PubMed, Embase, Scopus, and CENTRAL up to July 2025. We included studies of any design, both single-arm studies and studies with a comparator group, that reported the clinical impact of MTBs in patients who received MTB-guided therapy. Meta-analyses were performed separately by study design, using hazard ratios (HRs) for overall survival (OS) and progression-free survival (PFS), relative risks (RRs) for objective response rate (ORR) and disease control rate (DCR), and pooled proportions for PFS ratio ≥1.3. All meta-analyses were conducted using random-effects models based on the inverse variance method. We evaluated the risk of bias using the RoB 2.0 for RCTs and ROBINS-I for non-randomized studies.From 6,846 records, 78 studies (9,195 patients; 4,569 treated per MTB recommendations) were included. MTB-guided therapies were associated with reduced risk of death (HR 0.87; 95% CI [0.76, 1.01]; p = 0.069; I2 = 0.0% in RCTs; 0.62 in retrospective studies) and disease progression (HR 0.73; 95% CI [0.64, 0.84]; p 

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02.

arXiv (CS.LG) 2026-06-12 DOI: arXiv:2606.12487

DynamicPTQ: Mitigating Activation Quantization Collapse via Residual-Stream Dynamics

Authors:

Zimo Zhao↗Maolin Wang↗Bowen Yu↗Bowen Liu↗Xiao Han↗Xiangyu Zhao↗

arXiv:2606.12487v1 Announce Type: new Abstract: Post-training quantization (PTQ) is essential for efficient large language model inference, but reliably quantizing activations remains challenging when weights, activations, and KV caches are all quantized to 4-bit precision. A key difficulty lies in massive activations, whose extreme values dominate the activation range and amplify quantization errors. State-of-the-art methods mainly mitigate massive activations through transformation-based smoothing, such as orthogonal rotations and affine scaling, but overlook the cross-layer dynamics of the residual stream. In this paper, we show that massive activations emerge and disappear in a phase-wise pattern across network depth, triggering large residual changes. These changes cause newly injected layer-wise updates to dominate the 4-bit quantization scale and weaken historical residual information. To characterize this behavior, we introduce Jump Ratio and Historical Feature SNR. This suggests that static transformation-based smoothing cannot fully resolve dynamic quantization instability caused by cross-layer residual changes. Based on this analysis, we propose DynamicPTQ, a Dynamic Post-Training Quantization policy for phase-aware mixed-precision activation quantization. DynamicPTQ identifies quantization-sensitive layers from residual-stream dynamics and assigns 8-bit activation precision only to these layers, while keeping weights, KV caches, and other activations in 4-bit precision. It can be directly integrated with strong PTQ baselines such as QuaRot, SpinQuant, and FlatQuant. Experiments on LLaMA-2 and LLaMA-3 show that DynamicPTQ consistently improves perplexity and zero-shot QA performance under W4A4KV4 quantization, while achieving 1.05 to 1.07 times throughput improvement with modest memory overhead. These results demonstrate a practical path toward robust low-bit LLM inference.

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03.

arXiv (CS.CV) 2026-06-25 DOI: arXiv:2606.26041

How Robust is OCR-Reasoning? Evaluating OCR-Reasoning Robustness of Vision-Language Models under Visual Perturbations

Authors:

Yuxing Cheng↗Yuan Wu↗Yi Chang↗

Vision-language models (VLMs) have achieved strong performance on OCR-based benchmarks and increasingly focused on text-rich understanding, but their robustness under controlled visual degradation remains insufficiently understood. This gap is critical for OCR reasoning, where visual corruption can induce OCR errors and structural distortions, thereby introducing uncertainty into the reasoning task. To systematically study this problem, we introduce OCR-Robust, a benchmark designed for evaluating OCR reasoning robustness under visual perturbations. It contains 812 samples across two complementary subsets: OCR1.0, covering documents, scene text, receipts, handwriting, and mathematical content, and OCR2.0, focusing on charts, geometry diagrams, and tables. To enable efficient yet informative evaluation, we conduct a pilot study over 18 candidate perturbations and select 5 representative types at 3 severity levels each based on their impact and cross-model discriminability. We evaluate robustness using clean accuracy, Relative Corruption Retention (RCR), Worst-Case Retention (WCR), and a composite Corruption Robustness Index (CRI), and benchmark 18 models spanning proprietary systems, open-source VLMs, and OCR+LLM pipelines. Our results show that higher clean accuracy does not necessarily imply stronger robustness, and that models can suffer pronounced degradation in the worst case on OCR tasks that are sensitive to structure, and charts and tables are substantially more fragile than document-like inputs under perturbation.

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04.

arXiv (CS.LG) 2026-06-24 DOI: arXiv:2508.12042

FAIRVAR: Fair Federated Learning via Variance Regularization

Authors:

Zahra Kharaghani↗Ali Dadras↗Tommy L\"ofstedt↗

arXiv:2508.12042v3 Announce Type: replace Abstract: Federated learning (FL) allows collaborative training of machine learning models across multiple parties without sharing raw data. However, heterogeneous data can cause some clients to have disproportionate influence on the global model, leading to disparities in their performance. Fairness, understood as reducing these disparities, is therefore a crucial concern in FL and has been addressed in various ways. We studied performance equitable fairness in FL, where the goal is to minimize performance disparities across clients. We evaluated several existing fairness-aware methods and introduce here a new gradient-variance-regularized method, implemented in two variants: FairGrad (approximate) and FairGrad* (exact). We theoretically characterize the connections between these methods and, empirically, on heterogeneous benchmarks, show that FairGrad and FairGrad* consistently improve fairness by reducing variance in client accuracies, while maintaining competitive or improved mean performance compared to existing fairness-aware baselines.

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05.

arXiv (CS.AI) 2026-06-25 DOI: arXiv:2605.20256

FBOS-RL: Feedback-Driven Bi-Objective Synergistic Reinforcement Learning

Authors:

Xikai Zhang↗Yongzhi Li↗Likang Xiao↗Yingze Zhang↗Yanhua Cheng↗Quan Chen↗Peng Jiang↗Wenjun Wu↗Liu Liu↗

arXiv:2605.20256v2 Announce Type: replace-cross Abstract: Reinforcement learning has become a cornerstone for aligning and unlocking the reasoning capabilities of large-scale models. At its core, the training loop of GRPO and its variants alternates between rollout sampling and policy update: the policy first samples rollouts from its action space, and then updates its parameters according to the advantages computed over them. Unlike supervised learning, where each gradient step is anchored to an explicit ground-truth target, the optimal gradient direction for updating model parameters in this setting is not known a priori; the high-quality rollouts drawn during the sampling stage therefore act as the implicit "teacher" that guides every parameter update. However, mainstream RL algorithms such as GRPO adopt a simple sampling scheme that conditions all rollouts on the same original prompt. When a task lies beyond the policy model's current capability, this sampling scheme rarely yields a high-quality rollout, leaving the policy model without a meaningful gradient direction when updating its parameters, which causes training to stall. To address this issue, we propose FBOS-RL. Specifically, we let the model perform Feedback-Guided Exploration Enhancement based on the feedback provided by the environment, and on top of this we design two mutually reinforcing training objectives: EPA and ECC. Extensive experiments demonstrate that EPA and ECC can mutually reinforce each other, forming a positive flywheel effect that significantly improves both the training efficiency and the final performance ceiling of reinforcement learning. Specifically, under both an identical number of rollouts and the same number of training steps, FBOS-RL learns substantially faster than GRPO and feedback-based baselines and ultimately attains a higher performance ceiling, while exhibiting higher policy entropy and lower gradient norms throughout training.

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06.

medRxiv (Medicine) 2026-06-15 DOI: HASH:a6882a76917327388ae93d17c50cd4e7

Identifying the risk profile of anemia subtypes and hemodynamic obstetric complications in relation to peripartum cardiomyopathy

Authors:

Sompel↗Shalowitz↗Davis↗Kudron↗Son↗S. L↗Kao↗D. P↗

Background: Peripartum cardiomyopathy (PPCM) is a leading cause of maternal mortality worldwide, with worse outcomes associated with African Ancestry and delayed presentation. However, the mechanisms underlying PPCM are incompletely understood. Objective: Use a large, nationwide cohort to explore associations between PPCM and underexplored perinatal risk factors and complications of childbirth. Methods: Public hospital discharge data were obtained from eleven U.S. states between 2003-2019. Delivery hospitalizations, patient characteristics and obstetric complications were identified using ICD-9 and -10 CM codes. Only cases with unique patient identifiers enabling readmission analysis were included. The primary outcome was incident PPCM coded between 30 days antepartum and 150 days postpartum. Results: Of 7,424,916 delivering patients, 5,488 patients were diagnosed with PPCM. Patients with PPCM had higher rates of anemia, anemia of chronic disease (ACD), iron deficiency anemia (IDA), sickle cell disease (SCD), sickle cell trait (SCT), red blood cell (RBC) transfusion, and postpartum hemorrhage (PPH) (p

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07.

arXiv (CS.CL) 2026-06-11 DOI: arXiv:2606.11074

Modeling Complex Behaviors: Multi-Personality Composition and Dynamic Switching in Vision-Language Models

Authors:

Peiqi Jia↗Haonan Jia↗Ziqi Miao↗Linkang Du↗Yuntao Wang↗Zhou Su↗

With the widespread deployment of Multimodal Large Language Models (MLLMs) in social interaction, understanding and controlling their behavior under complex personality conditions is essential. This paper introduces explicit personality conditioning and establishes a systematic evaluation framework encompassing single-personality induction, multi-personality induction, and personality switching. Experiments show that personality induction improves image captioning performance but can impair performance on tasks requiring precise reasoning, such as visual question answering (VQA). Balancing and residual effects are observed during multi-trait composition and dynamic switching, indicating that model behavior is co-modulated by both previous and current personality constraints. Existing prompt-based personality induction methods show limited transferability to multimodal settings. Our work reveals the dynamic and complex nature of personality modeling in MLLMs and underscores the need for robust, tailored methods for personality induction and evaluation. The code will be released when the paper is accepted.

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08.

arXiv (CS.CV) 2026-06-24 DOI: arXiv:2508.16650

Predicting brain tumour enhancement from non-contrast MR imaging with artificial intelligence: a multi-cohort retrospective diagnostic accuracy study

Authors:

James K Ruffle↗Samia Mohinta↗Guilherme Pombo↗Asthik Biswas↗Alan Campbell↗Indran Davagnanam↗David Doig↗Ahmed Hammam↗Harpreet Hyare↗Farrah Jabeen↗Emma Lim↗Dermot Mallon↗…

Brain tumour MRI typically requires both pre- and post-contrast imaging, but gadolinium is not always desirable (frequent follow-up, renal impairment, allergy, paediatric patients). We developed and validated a deep learning model to predict tumour contrast enhancement from non-contrast MRI alone. We assembled 11,089 brain MRI studies (2006-2024) from 10 datasets across four countries and three continents, spanning adult and paediatric populations with glioma, meningioma, metastases, and post-resection appearances. Three architectures were trained to detect and segment enhancing tumour from T1w, T2w and FLAIR alone. Performance was assessed in a 1,109-study held-out test set (primary endpoint: patient-level enhancement detection; secondary: voxel-level Dice). Eleven expert radiologists attempted the same task on a 564-case subset (100 cases each), blinded to history, prior imaging, and referral. The best model, nnU-Net, achieved 83.0% balanced accuracy (95% CI 79.1-87.2; sensitivity 91.5%, specificity 74.4%) for detection, with R2 = 0.859 for enhancement volume. Of enhancing cases, 76.8% reached Dice >= 0.3, 67.5% >= 0.5, and 50.2% >= 0.7. Under blinded conditions, radiologists' majority vote was lower (71.7% balanced accuracy; sensitivity 77.6%, specificity 65.8%). The proportion reaching Dice >= 0.3 varied by pathology (meningioma 93%, presurgical glioma 76%, metastases 74%, postoperative glioma 74%) and was lowest for paediatric cases (45%). Deep learning can identify contrast-enhancing brain tumours from non-contrast MRI. These models show promise as a triage or decision-support adjunct, such as in flagging studies likely to enhance so that contrast can be added to a non-contrast protocol, and may reduce gadolinium dependence in neuro-oncology imaging. Future work should optimise these models with radiologists.

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09.

arXiv (quant-ph) 2026-06-15 DOI: arXiv:2509.26494

Stab-QRAM: A Clifford-Only Quantum Oracle for Affine Boolean Data

Authors:

Guangyi Li↗Yu Gan↗Zeguan Wu↗Xueyue Zhang↗Zheshen Zhang↗Junyu Liu↗

arXiv:2509.26494v3 Announce Type: replace Abstract: Oracle-based quantum algorithms require coherent evaluation of classical functions on superposed inputs, and in fault-tolerant architectures this cost is dominated by non-Clifford gates: generic lookup constructions incur $T$-counts that grow with the data size. Here we show that affine Boolean functions $f(\mathbf{x})=A\mathbf{x}+\mathbf{b}$ over $\mathbb{F}_2$ – the algebraic core of parity checks, linear feedback shift registers, and cipher linear layers – are exactly the functions admitting computational-basis-preserving Clifford oracles, and we develop this correspondence into Stab-QRAM, a compiler mapping a specification $(A,\mathbf{b})$ to an ancilla-free circuit of CNOT and $X$ gates with zero $T$-count. Via K\"{o}nig's edge-coloring theorem, the compiled schedule provably attains the minimum depth for its gate set. Case studies spanning Simon-type oracles, block-encodings of $X$-type coset operators, and syndrome extraction for CSS codes show one compiler serving the algorithm, primitive, and error-correction layers of the quantum stack.

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10.

arXiv (CS.CL) 2026-06-18 DOI: arXiv:2606.18902

SAGE: Stochastic Prompt Optimization via Agent-Guided Exploration

Authors:

Ziyi Zhu↗Luka Smyth↗Saki Shinoda↗Jinghong Chen↗

Context engineering has emerged as a primary lever for improving AI systems without parameter updates. Recent work showing that textual gradients do not function as real gradients motivates treating automatic prompt optimization (APO) as black-box search. We introduce SPO (Stochastic Prompt Optimization), a framework for stochastic search over prompt space, and compare three strategies of increasing sophistication: error-informed random search, a genetic algorithm with evolutionary operators, and SAGE (SPO via Agent-Guided Exploration), a multi-agent pipeline with diagnostic code execution. Across three benchmarks, no single strategy dominates; effectiveness depends on the interaction of landscape structure with error type. We further deploy SAGE on a mental-health chatbot under a continuous optimization paradigm, where it compounds eight cycles of individually-noisy A/B tests into a statistically robust gain in next-day retention. We argue that coupling qualitative diagnosis with quantitative validation is what makes agentic optimization effective for open-ended task-oriented dialogue.

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11.

arXiv (CS.LG) 2026-06-17 DOI: arXiv:2606.18043

Uncertainty Quantification for Flow-Based Vision-Language-Action Models

Authors:

Ralf R\"omer↗Maximilian Seeliger↗Saida Liu↗Ben Sturgis↗Marco Bagatella↗Daniel Marta↗Andreas Krause↗Angela P. Schoellig↗

arXiv:2606.18043v1 Announce Type: cross Abstract: Vision-language-action models (VLAs) combine vision-language backbones with expressive generative action heads trained via flow matching on large-scale robotic datasets. Despite their strong empirical performance in robotic manipulation, VLAs lack mechanisms to quantify confidence in their predictions and to detect when their actions may be unreliable. This presents a critical limitation for real-world deployment in non-stationary environments, where models inevitably encounter scenarios outside their pretraining distribution and may fail without warning. To address this, we derive an efficient method for quantifying epistemic uncertainty in flow-matching models by leveraging velocity-field disagreement (VFD) across a small ensemble. We successfully use this uncertainty estimate for failure detection during deployment and active fine-tuning of flow-based VLAs. To this end, we propose SAVE, a framework for uncertainty-guided active multitask fine-tuning that reduces the number of costly expert demonstrations required to adapt VLAs to new tasks. Through extensive experiments on the LIBERO benchmark, we demonstrate that VFD yields better-calibrated uncertainty estimates predictive of downstream performance, that VFD achieves strong performance in detecting failures, and that uncertainty-guided data acquisition with SAVE requires at least 22% fewer samples than baselines. In summary, our work shows that quantifying epistemic uncertainty in flow-based VLAs improves both failure awareness and adaptation. Project website: tum-lsy.github.io/uq_vla/.

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12.

bioRxiv (Bioinfo) 2026-06-11 DOI: HASH:8c9495a74363d5e789c22e203a01cdd7

ANCHOR: haplotype-aware allelic and isoform inference from single-cell long-read RNA sequencing with de novo variant calling

Authors:

Fu↗Z.-C↗Zhang↗Yan↗Xu↗Yin↗Tao↗Lu↗Liang↗Wu↗Cui↗Hou↗…

Long-read RNA sequencing enables haplotype- and isoform-resolved allelic analysis of transcriptomes, yet extending this capability to single cells and distinct cell types remains computationally challenging due to sparse coverage, sequencing errors, incomplete variant information, and reference-biased transcript assignment. Here we present ANCHOR, a haplotype-aware framework for single-cell long-read RNA sequencing that performs de novo expressed-variant discovery, molecule-level haplotype assignment and isoform-resolved allelic quantification. ANCHOR combines a signed-graph variant caller, pair hidden Markov modelling and beta-binomial UMI aggregation to infer parental allele counts for genes and splice-resolved isoforms, without requiring a pre-existing phased genotype or deep learning. In human single-cell long-read RNA benchmarks, ANCHOR improved variant-calling performance over tested long-read RNA callers at single-cell and low-to-moderate coverage, and its beta-binomial model reduced depth-driven false positives in allele-specific expression testing. Applied to newly generated single-cell long-read RNA-seq data from reciprocal mouse crosses during gastrulation, ANCHOR resolved cell-type- and isoform-specific parent-of-origin imprinting and identified an antagonistic maternally biased Sgce isoform. ANCHOR provides a general framework for allele- and isoform-resolved analysis of diploid single-cell long-read transcriptomes.

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13.

arXiv (quant-ph) 2026-06-24 DOI: arXiv:2606.24238

Ground-State Energy Solutions of the Lithium Atom: Zeroth-, First-, and Second-Order Perturbation Theory and the Variational Method

Authors:

Afraa Mahboubi↗B\"u\c{s}ra G\"ok\c{c}e Zolmaz↗Devrim Karayer↗Handenur \c{S}ay↗O\u{g}uzhan Kaya↗Abdulkadir Senol↗

arXiv:2606.24238v1 Announce Type: new Abstract: In this work, the ground-state energy of the lithium atom is systematically investigated using both time-independent perturbation theory and the variational method to provide a comprehensive pedagogical analysis of many-body atomic systems. The unperturbed Hamiltonian is initially constructed by neglecting electron-electron interactions, treating the system as three independent hydrogen-like electrons to yield a zeroth-order energy baseline of -275.51 eV. The antisymmetric fermionic nature of the exact wave function is rigorously enforced through the Slater determinant formalism. First-order perturbation theory is applied to evaluate static inter-electronic repulsion using exact Coulomb and exchange integrals, refining the energy state to -192.01 eV. To account for dynamical electronic correlation, second-order perturbation theory is computed numerically for virtual single-electron s-orbital transitions, leading to a total perturbative energy of -196.36 eV. A brief discussion of two-electron excitations is also included to encapsulate further physical realism within the framework. Furthermore, a non-orthogonal two-parameter variational approach is employed to model the shell-specific shielding effect. By optimizing the effective nuclear charges, the variational method establishes a superior upper bound energy of -201.187 eV. The results of both methods are comprehensively contrasted against each other and the reference baseline to provide critical insights into the nature of electron correlation and screening in multi-electron atoms.

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14.

arXiv (CS.CV) 2026-06-12 DOI: arXiv:2606.13679

InterleaveThinker: Reinforcing Agentic Interleaved Generation

Authors:

Dian Zheng↗Harry Lee↗Manyuan Zhang↗Kaituo Feng↗Zoey Guo↗Ray Zhang↗Hongsheng Li↗

Recent image generators have demonstrated impressive photorealism and instruction-following capabilities in single-image generation and editing. However, constrained by their architectures, they cannot achieve interleaved generation (text-image sequence), which has crucial applications in visual narratives, guidance, and embodied manipulation. Even the latest open-source Unified Multimodal Models (UMMs) exhibit limited performance in this regard. In this paper, we introduce InterleaveThinker, the first multi-agent pipeline designed to endow any existing image generator with interleaved generation capabilities. Specifically, we employ a planner agent to organize the image-text input sequence, instructing the image generator on the required execution at each step. Subsequently, we introduce a critic agent to evaluate the generator's outputs, identify samples that deviate from the planned instructions, and refine the instructions for regeneration. To implement this pipeline, we construct the Interleave-Planner-SFT-80k and Interleave-Critic-SFT-112k to perform a format cold-start. Then we develop Interleave-Critic-RL-13k to reinforce the step-wise instruction correction capability within a generation trajectory using GRPO. Since a single interleaved generation trajectory may involve over 25 generator calls, optimizing the entire trajectory is computationally impractical. Therefore, we propose accuracy reward and step-wise reward, allowing single-step RL to effectively guide the entire generation trajectory. The results show that InterleaveThinker improves performance across various image generators. On interleaved generation benchmarks, it achieves performance comparable to Nano Banana and GPT-5. Surprisingly, it also significantly enhances the base model on reasoning-based benchmarks; for example, on 4-step FLUX.2-klein, we observe substantial gains on WISE and RISE.

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15.

arXiv (CS.LG) 2026-06-16 DOI: arXiv:2602.05779

How Controlling the Variance can Improve Training Stability of Sparsely Activated DNNs and CNNs

Authors:

Emily Dent↗Jared Tanner↗

arXiv:2602.05779v2 Announce Type: replace Abstract: The Edge-of-Chaos (EoC) theory developed for the random initialization of deep networks allows more efficient training by both preserving information in the initial outputs of the network and minimising exploding or vanishing gradients through characterisation of the intermediate layers as Gaussian processes. This EoC theory provides formulae for the choice of the initialisation distribution variances of the weights and biases. For activations which are approximately linear around the origin, the EoC theory typically encourages the Gaussian process variance to converge towards zero with increasing depth. Here we consider the less studied setting of highly sparsity inducing activations where a large region of values near the origin are set to zero. In this setting we prove a new phenomenon whereby initialisations leading to larger fixed Gaussian processes are beneficial to training stability. This theory informs a new, yet simple, initialisation strategy that allows training DNNs and CNNs with as large as 90\% sparsity in the hidden layers.

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16.

arXiv (CS.AI) 2026-06-19 DOI: arXiv:2606.19597

PrefSQA: Pairwise Preference Prediction for Speech Quality Assessment and the Critical Role of High Quality Datasets

Authors:

Junyi Fan↗Donald S. Williamson↗

arXiv:2606.19597v1 Announce Type: cross Abstract: Mean opinion scores (MOS) are widely used for speech quality assessment, yet scalar labels are sensitive to rater variability and listening test differences. This introduces labeling noise, which limits the reliability of MOS prediction. Preference prediction reduces this variability as listeners compare signals directly, producing cleaner labels. We study MOS-free preference prediction and propose PrefSQA, which incorporates uncertainty-aware logits, an impairment attention head, and a module based on non-matching-reference comparisons. We use and refine five datasets, including MOS-derived and low-noise simulated sets with matching and non-matching content, experiment with human preference sets, and test on unseen data. Experiments show small improvements on MOS-derived data, while other sets reveal clear improvement over the baselines, highlighting the value of high-quality preference data and demonstrating the effectiveness of the proposed method.

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17.

medRxiv (Medicine) 2026-06-18 DOI: HASH:044dfcf5f9e63b0a9fde64b658f103ac

MOSAIC: Methylation-Oriented Site Analysis and Information Classifier for Robust Epigenomic Classification of Acute Leukemia in Clinical Cohorts with Variable Tumor Purity

Authors:

Shah↗Green↗Wainmann↗Karrs↗

DNA methylation-based classification offers a rapid diagnostic complement to conventional molecular workflows in acute leukemia. Existing classifiers are trained on array-derived reference cohorts whose construction favors specimens with adequate tumor content, leaving clinically relevant low-purity specimens underrepresented and classifier robustness in this regime uncharacterized. On held-out low-purity specimens, existing classifiers were concordant with expert pathology in only 7 of 10 (MARLIN) and 5 of 10 (ALMA) cases, motivating a classifier built to maintain accuracy at low tumor purity. We developed MOSAIC (Methylation-Oriented Site Analysis and Information Classifier), a neural network classifier built to maintain accuracy across the full range of tumor purities encountered in clinical practice. MOSAIC is a neural network trained on publicly available array-based methylation data augmented with native methylation calls from Oxford Nanopore sequencing. MOSAIC was evaluated on low-purity specimens held out entirely from training. On these held-out low-blast leukemia specimens, all below 25% blasts and including a case at 1.4%, MOSAIC was concordant with expert pathology in every case, recovering the correct subtype where diluted disease signal would otherwise be mistaken for normal or unrelated tissue. Gradient-based saliency analysis showed that the network relies on a partially distinct set of discriminative CpG probes when classifying low-blast specimens. MOSAIC demonstrates that augmenting training with clinically representative clinical specimens yields methylation-based leukemia classification that maintains effectiveness under the variable tumor purity of real clinical cohorts.

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18.

arXiv (CS.CV) 2026-06-25 DOI: arXiv:2606.25542

SAC$^2$-Net: Semantic Anchoring and Complementary-Consensus Fusion for Multimodal Micro-Expression Recognition

Authors:

Xuepeng Zheng↗Tong Chen↗

Micro-expression recognition (MER) is challenging due to subtle facial movements, limited data, and the ambiguous relationship between Action Units (AUs) and emotion categories. Optical flow and motion magnification have been widely used to describe subtle facial dynamics from different perspectives: the former captures local motion displacement, while the latter amplifies weak appearance changes. In this work, we observe that these two modalities often exhibit asymmetric failure patterns: one modality may become noisy, distorted, or uninformative, while the other still preserves discriminative AU-related evidence. This phenomenon reveals their complementarity, but also raises two key challenges for fusion: cross-modal heterogeneity and spatially varying modality reliability. Motivated by this observation, we propose SAC$^2$-Net, a Semantic Anchoring and Complementary-Consensus Network for multimodal MER, which first aligns visual modalities with semantic anchors and then performs reliability-aware fusion. To reduce cross-modal heterogeneity before fusion, we introduce Semantic Anchoring Soft Alignment (SASA), which converts activated AUs into textual prompts and uses them as stable semantic anchors to align motion-magnified and optical-flow representations. Unlike hard contrastive learning, SASA constructs hierarchical AU-aware soft labels to preserve semantic proximity among samples with overlapping or anatomically related AU patterns. Based on the aligned representations, Complementary-Consensus Fusion (CCF) first repairs unreliable local evidence through complementary exchange and then enforces a shared spatial focus through consensus refinement. Extensive experiments on five MER benchmarks show that SAC$^2$-Net achieves state-of-the-art or highly competitive performance across coarse-grained, fine-grained, large-scale, and cross-dataset evaluation settings.

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19.

arXiv (CS.CL) 2026-06-15 DOI: arXiv:2606.14269

ScoreGate: Adaptive Chunk Selection for Retrieval-Augmented Generation via Dual-Score Statistical Fusion

Authors:

Karamvir Singh↗Arvind Jain↗

Fixed-cardinality retrieval injects a constant top-K chunks into the generator regardless of query complexity, causing over-retrieval for narrow queries and under-retrieval for compositional ones. We describe ScoreGate, a lightweight score-space decision mechanism that controls retrieval cardinality at inference time using two scores already produced by the standard pipeline: bi-encoder similarity s_i and cross-encoder reranker score r_i, with no additional model inference calls required. Its core insight is that cross-encoder affirmation can rescue semantically relevant chunks that bi-encoder retrieval ranks poorly due to vocabulary mismatch – a failure mode unaddressed by fixed-K or single-score thresholding. On MS MARCO (200 dev queries), ScoreGate achieves MRR@10 = 0.401 with 35% fewer retained chunks than Standard Top-K. On an internal benchmark (n=300, Fleiss' kappa=0.87), ScoreGate observed zero false positives (95% CI [96.4%, 100%]) at 97.77-99.34% recall, with 34.8% fewer tokens per query and only 31ms added latency. Results on both MS MARCO and real-world production traffic suggest that adaptive retrieval cardinality can improve retrieval efficiency without degrading retrieval quality.

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20.

arXiv (CS.AI) 2026-06-24 DOI: arXiv:2606.24605

ScaleToT: Generalizing Structured LLM Reasoning for Billion-Scale Low-Activity User Modeling

Authors:

Tianbao Ma↗Chang Xi↗Yichuan Zou↗Chengen Li↗Linxun Chen↗Zilong Lu↗Yanan Niu↗Zhaojie Liu↗Han Li↗Kun Gai↗

arXiv:2606.24605v1 Announce Type: new Abstract: Accurate user modeling often depends on rich interaction histories, which are unavailable for billions of low-activity users. Large Language Models (LLMs) can infer latent user states from static profiles, but this reasoning becomes unreliable when profiles are sparse, and applying an LLM to billions of users is prohibitively expensive. We present ScaleToT, which learns structured reasoning from a small LLM-processed subset and extends it to the broader low-activity user population. To improve reasoning reliability, ScaleToT constructs typed user-state chains with a bounded entropy-guided Tree-of-Thought (ToT) refinement procedure. To make this structured reasoning usable from sparse profiles, the teacher-curated chains are used to train a student model on static profiles through supervised fine-tuning (SFT) and Outcome-Driven Segment-Aware Implicit Reward Policy Optimization (OSIPO). ScaleToT then transfers the student's reasoning representations to a lightweight profile encoder, providing shared reasoning signals for the remaining users without LLM inference. We evaluate ScaleToT on lifetime value (LTV) prediction in a billion-scale advertising deployment. A randomized online A/B test increased LT30 by 6.738\%, while offline reasoning covered only 7.32\% of the potential population, greatly reducing compute cost compared with full-population reasoning.

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21.

arXiv (CS.CV) 2026-06-17 DOI: arXiv:2606.17639

ERQA-Plus: A Diagnostic Benchmark for Reasoning in Embodied AI

Authors:

Hong Yang↗Basura Fernando↗

Generalist embodied agents require more than object recognition: they must reason about spatial relations, actions, procedures, human intentions, environmental constraints, and commonsense consequences from situated visual observations. Yet existing visual and embodied question answering benchmarks often provide limited control over the reasoning dependencies being tested, making it difficult to distinguish grounded embodied reasoning from shortcut-driven visual or linguistic pattern matching. We present ERQA-Plus, a diagnostic benchmark for reasoning in embodied AI. ERQA-Plus contains 1,766 question-answer instances grounded in 711 robot-centric images and organized according to a structured taxonomy spanning perceptual, action-centric, social-interaction, navigation-environmental, and contextual commonsense reasoning. The dataset is constructed using a multi-stage generation and validation pipeline that combines taxonomy-guided question generation, automatic quality judging, iterative revision, and human assessment to improve visual grounding, answer validity, and reasoning quality. We benchmark representative general-purpose vision-language models and embodied models, including LLaVA-NeXT-8B, Prismatic-7B, MiniCPM-V-4.5-8B, Qwen3-VL, RoboRefer-8B, and RoboBrain2.5-8B. Although the strongest model, Qwen3-VL-32B, achieves 83.4% overall accuracy and 61.4 SBERT score, category-level results reveal persistent weaknesses in spatial reasoning, procedural reasoning, event prediction, and intention inference. ERQA-Plus therefore provides a fine-grained evaluation framework for measuring not only whether embodied agents answer correctly, but also which forms of embodied reasoning they can and cannot perform reliably. The dataset is available https://huggingface.co/datasets/huggingdas/erqa-plus and the project page at https://github.com/LUNAProject22/erqa-plus.

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22.

Nature Medicine 2026-06-08 DOI: HASH:7f47b16ecb7d5299a335dcb065d7f0a3

Post-adjuvant chemotherapy in ctDNA-positive patients with resected colorectal cancer: a randomized phase 3 trial

Authors:

Hideaki Bando↗

Tumor-informed circulating tumor DNA (ctDNA) enables detection of molecular residual disease (MRD) after curative resection of colorectal cancer (CRC), but whether early intervention improves outcomes remains uncertain. ALTAIR was a randomized, double-blind, phase 3 trial embedded in the CIRCULATE-Japan platform evaluating a post-adjuvant ctDNA surveillance strategy with treatment initiation upon molecular recurrence. Patients with resected stage 0–IV CRC who became ctDNA positive after completion of standard-of-care therapy and had no radiological evidence of disease were randomly assigned (1:1) to receive trifluridine/tipiracil (FTD/TPI) or placebo for 6 months. The primary endpoint was investigator-assessed disease-free survival (DFS). Between July 2020 and June 2023, 243 patients were randomized to FTD/TPI (n = 122) or placebo (n = 121). Median DFS was 9.30 months with FTD/TPI and 5.55 months with placebo (hazard ratio = 0.79, 95% confidence interval: 0.60–1.05, P = 0.107), and the primary endpoint was not met. FTD/TPI increased grade 3 or higher hematologic adverse events (73.0% versus 3.3%) without new safety signals. These findings indicate that post-adjuvant intervention with FTD/TPI did not significantly improve DFS in ctDNA-positive patients without radiological disease. ClinicalTrials.gov identifier: NCT04457297 . In the randomized, double-blind phase 3 ALTAIR trial, patients with resected colorectal cancer who became positive for circulating tumor DNA during post-adjuvant surveillance received trifluridine/tipiracil hydrochloride therapy, which did not significantly prolong disease-free survival compared with placebo.

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23.

arXiv (CS.CL) 2026-06-17 DOI: arXiv:2606.17281

Are you speaking my languages? On spoken language adherence in multimodal LLMs

Authors:

Hyungwon Kim↗Kandarp Joshi↗Lillian Zhou↗Pavel Golik↗Petar Aleksic↗

While Large Language Model (LLM) based Automatic Speech Recognition (ASR) enables seamless multilingual use, models often misidentify the output language, compromising transcription fidelity and downstream application quality. To preserve flexibility and code-switching capabilities, we propose a soft prompting approach that hints at potential spoken languages without strictly constraining the output. We formally define this challenge as a lack of language adherence, introduce a novel metric to quantify violations, and evaluate three mitigation strategies: (1) zero-shot prompting for robust guidance under uncertainty, (2) supervised fine-tuning (SFT) to improve prompt adherence, and (3) Chain-of-Thought (CoT) reasoning to enforce adherence during decoding. We present a comparative analysis of these methods across multiple languages, evaluating effectiveness in reducing the language violation while maintaining overall ASR performance. Finally, we discuss trade-offs to guide strategy selection under various compute constraints.

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24.

arXiv (CS.CV) 2026-06-11 DOI: arXiv:2606.12402

DIRECT: When and Where Should You Allocate Test-Time Compute in Embodied Planners?

Authors:

Jadelynn Dao↗Milan Ganai↗Yasmina Abukhadra↗Ajay Sridhar↗Mozhgan Nasr Azadani↗Katie Luo↗Clark Barrett↗Jiajun Wu↗Chelsea Finn↗Marco Pavone↗

Vision-Language Models (VLMs) are increasingly deployed as high-level planners for embodied agents, with an emerging strategy of scaling test-time compute to improve capability. However, we observe that doing so increases latency, token usage, and FLOPs while yielding uneven, often diminishing gains in downstream success, limiting where embodied agents can be deployed. We argue that choosing when and where to spend test-time compute is central to bringing frontier performance to the real world. We introduce DIRECT, a routing framework that uses multimodal scene context to allocate compute per prompt, improving the success–cost Pareto frontier over fixed model selection. Across three dominant scaling axes, namely chain-of-thought depth, model size, and memory history, our experiments on VLABench and RoboMME show that test-time compute is not a uniform lever: different axes yield qualitatively distinct capability gains. We validate these insights on a physical Franka arm in a DROID setup spanning zero-shot manipulation and long-horizon chaining, where our router matches or exceeds a stronger model's success rate at up to 65% lower average latency. Ultimately, our results show that naively scaling test-time compute is wasteful, and that DIRECT can provide frontier-level embodied planning in robotic systems at a fraction of the cost. Project page can be found at jadee-dao.github.io/direct/.

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25.

arXiv (CS.CL) 2026-06-18 DOI: arXiv:2606.18979

Mitigating Scoring Errors and Compensating for Nonverbal Subtests in Speech-Based Dementia Assessment

Authors:

Franziska Braun↗Christopher Witzl↗Andreas Erzigkeit↗Hartmut Lehfeld↗Thomas Hillemacher↗Tobias Bocklet↗Korbinian Riedhammer↗

Early detection of cognitive impairment relies on neuropsychological tests to minimize subjectivity by assessing multiple cognitive domains. Speech-based evaluation can support diagnostics and improve accessibility, but transcription errors and the omission of nonverbal subtests (e.g., motor skills) limit accuracy. Beyond conventional test scores, speech-derived features can provide additional insights into cognitive status. This study investigates the speech-based evaluation of the German "Syndrom-Kurz-Test," a standardized dementia screening test comprising verbal and motor subtests. We train models that integrate transcript-derived scores and Whisper embeddings per verbal subtest to reduce scoring errors. To compensate for missing motor subtests, we then leverage these fused representations to approximate expert overall ratings. Despite omitting subtests, our models strongly correlate with expert ratings and efficiently and accurately discriminate between cognitive status groups.

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