We introduce EPAG, a benchmark dataset and framework designed for Evaluating the Pre-consultation Ability of LLMs using diagnostic Guidelines. LLMs are evaluated directly through HPI-diagnostic guideline comparison and indirectly through disease diagnosis. In our experiments, we observe that small open-source models fine-tuned with a well-curated, task-specific dataset can outperform frontier LLMs in pre-consultation. Additionally, we find that increased amount of HPI (History of Present Illness) does not necessarily lead to improved diagnostic performance. Further experiments reveal that the language of pre-consultation influences the characteristics of the dialogue. By open-sourcing our dataset and evaluation pipeline on https://github.com/seemdog/EPAG, we aim to contribute to the evaluation and further development of LLM applications in real-world clinical settings.
To think critically about arguments, human learners are trained to identify, reconstruct, and evaluate arguments. Argument reconstruction is especially important because it makes an argument's underlying inferences explicit. However, it remains unclear whether LLMs can similarly enhance their critical thinking ability by learning to reconstruct arguments. To address this question, we introduce a holistic framework with three contributions. We (1) propose an engine that automatically reconstructs arbitrary arguments (GAAR), (2) synthesize a new high-quality argument reconstruction dataset (Arguinas) using the GAAR engine, and (3) investigate whether learning argument reconstruction benefits downstream critical thinking tasks. Our experimental results show that, across seven critical thinking tasks, models trained to learn argument reconstruction outperform models that do not, with the largest performance gains observed when training on the proposed Arguinas dataset. The source code and dataset will be publicly available.
Recent "Thinking with Video" approaches use Video Generation Models (VGMs) for visual reasoning by producing temporally coherent Chain-of-Frames as reasoning artifacts. Even strong VGMs, however, exhibit two recurring failure modes on goal-directed tasks: long-horizon drift on multi-step tasks and mid-clip simulation errors that compound. Both stem from the absence of explicit reasoning built upon the VGM's short-horizon visual prior, a role naturally filled by Vision-Language Models (VLMs), but where to place the VLM is non-trivial: upfront plans commit before any frame is generated and post-hoc critiques over whole videos intervene too late. We propose VLM-VGM Collaborative Video Reasoning (CollabVR), a closed-loop framework that couples the VLM with the VGM at step-level granularity: the VLM plans the immediate next action, inspects the clip the VGM generates, and folds the verifier's diagnosis directly into the next action prompt to repair detected failures. On Gen-ViRe and VBVR-Bench, CollabVR improves both open-source and closed-source VGMs over single-inference, Pass@k, and prior test-time scaling baselines at matched compute, with the largest gains on the hardest tasks. It also yields further improvements on top of a reasoning-fine-tuned VGM, indicating that step-level VLM supervision is orthogonal to and stackable with reasoning-oriented fine-tuning. We provide video samples and additional qualitative results at our project page: https://joow0n-kim.github.io/collabvr-project-page.
Reinforcement Learning with Verifiable Rewards (RLVR) is a powerful framework for improving the reasoning abilities of Large Language Models (LLMs). However, current methods such as GRPO rely only on problems where the model responses to the same input differ in correctness, while ignoring those where all responses receive the same reward - so-called zero-variance prompts. In this work, we argue that such prompts are not useless but can, in fact, provide meaningful feedback for policy optimization. To this end, we introduce RL with Zero-Variance Prompts (RL-ZVP), a novel algorithm that extract learning signals from zero-variance prompts. RL-ZVP directly rewards correctness and penalizes errors even without contrasting responses, modulating feedback with token-level characteristics to preserve informative, nuanced signals. Across six math reasoning benchmarks, RL-ZVP achieves significant improvements of up to 8.61 points in accuracy and 7.77 points in pass rate over GRPO, while consistently outperforming other baselines that filter out zero-variance prompts. These results highlight the untapped potential of learning from zero-variance prompts in RLVR.
The inability to filter out in advance all potentially problematic data from the pre-training of large language models has given rise to the need for methods for unlearning specific pieces of knowledge after training. Existing techniques overlook the need for continuous and immediate action, causing them to suffer from degraded utility as updates accumulate and protracted exposure of sensitive information. To address these issues, we propose Continual Unlearning in Real Time with Ensured Preservation of LLM Knowledge (CURaTE). Our method begins by training a sentence embedding model on a dataset designed to enable the formation of sharp decision boundaries for determining whether a given input prompt corresponds to any stored forget requests. The similarity of a given input to the forget requests is then used to determine whether to answer or return a refusal response. We show that even with such a simple approach, not only does CURaTE achieve more effective forgetting than existing methods, but by avoiding modification of the language model parameters, it also maintains near perfect knowledge preservation over any number of updates and is the only method capable of continual unlearning in real-time.
The applicability of current lesion segmentation models for chest X-rays (CXRs) has been limited both by a small number of target labels and the reliance on long, detailed expert-level text inputs, creating a barrier to practical use. To address these limitations, we introduce a new paradigm: instruction-guided lesion segmentation (ILS), which is designed to segment diverse lesion types based on simple, user-friendly instructions. Under this paradigm, we construct MIMIC-ILS, the first large-scale instruction-answer dataset for CXR lesion segmentation, using our fully automated multimodal pipeline that generates annotations from chest X-ray images and their corresponding reports. MIMIC-ILS contains 1.1M instruction-answer pairs derived from 192K images and 91K unique segmentation masks, covering seven major lesion types. To empirically demonstrate its utility, we introduce ROSALIA, a vision-language model fine-tuned on MIMIC-ILS. ROSALIA can segment diverse lesions and provide textual explanations in response to user instructions. The model achieves high segmentation and textual accuracy in our newly proposed task, highlighting the effectiveness of our pipeline and the value of MIMIC-ILS as a foundational resource for pixel-level CXR lesion grounding.
Recent proprietary video generation models have demonstrated remarkable proficiency in synthesizing highly realistic videos from textual instructions. Most open-source text-to-video models, however, still struggle to accurately simulate real-world physics and dynamic entity interactions. Existing approaches rely on scaling laws and large-scale, high-quality video datasets to implicitly learn physical dynamics, yet this paradigm is constrained by prohibitive costs and the burdensome demands of data curation. Motivated by this, we propose a novel framework that integrates graph-structured temporal knowledge into video latent diffusion models to enhance compositional generation and interaction fidelity. Our framework constructs video scene graphs specifically designed to capture entity relationships, temporal dynamics, and global scene context. These graph-structured representations guide the generation process through cross-attention mechanisms. Additionally, we introduce Graph-Aligned Denoising Loss (GADL), a training objective that ensures adherence to conditioned graphs by incorporating node modification tasks within the denoising process, leveraging synchronized edited video-graph pairs. Comprehensive evaluations demonstrate that incorporating graph-structured knowledge significantly enhances compositionality and the accurate portrayal of real-world interactions in generated videos.
Electronic health records (EHR) are irregular, asynchronous multivariate time series. As time-series foundation models increasingly tokenize events rather than discretizing time, the input layout becomes a key design choice. Grids expose time×variable structure but require imputation or missingness masks, risking error or sampling-policy shortcuts. Point-set tokenization avoids discretization but loses within-variable trajectories and time-local cross-variable context (Fig.1). We restore these priors in STructure-AwaRe (STAR) Set Transformer by adding parameter-efficient soft attention biases: a temporal locality penalty -|Δt|/τ with learnable timescales and a variable-type affinity B_s_i,s_j from a learned feature-compatibility matrix. We benchmark 10 depth-wise fusion schedules (Fig.2). On three ICU prediction tasks, STAR-Set achieves AUC/APR of 0.7158/0.0026 (CPR), 0.9164/0.2033 (mortality), and 0.8373/0.1258 (vasopressor use), outperforming regular-grid, event-time grid, and prior set baselines. Learned τ and B provide interpretable summaries of temporal context and variable interactions, offering a practical plug-in for context-informed time-series models.
Large Vision-Language Models (LVLMs) have achieved strong performance on diverse visual tasks, yet their ability to reconstruct and reason about the 3D structure of the scene depicted in 2D images – referred to as spatial intelligence – remains limited. Existing approaches attempt to address this gap by using real-scene spatial question answering datasets that require dense geometric annotations. However, constructing such labels is costly, time-consuming, and often noisy due to reliance on external perception modules. In this work, we propose a novel paradigm inspired by human cognitive development: learning foundational spatial skills through structured block-manipulation tasks. We introduce SpatialBlock-15k, a synthetic dataset of 15,000 block-stacking problems covering 3D-to-2D projection, viewpoint transformation, and structural combination. The dataset further incorporates controlled color modulation as visual cues to encourage anchor-based reasoning in visually complex conditions. Experiments demonstrate that LVLMs trained on our dataset through either direct answering or reasoning-based prediction significantly outperform baselines and generalize to real-world spatial tasks, despite the dataset's synthetic and compact nature. Code and data are available at https://github.com/rsoohyun/SpatialBlock.
As large language models continue to scale, low-bit weight-only post-training quantization (PTQ) offers a practical solution to their memory-efficient deployment. Although block-wise PTQ is capable of matching the full-precision (FP) baseline on basic language modeling and understanding, its quality is degraded for \textit{generative} tasks---especially at longer responses and extended chains of thought, which is critical in boosting task accuracy. We attribute this shortfall to two factors: (i) the omission of the unembedding layer (the LM head) in block-wise optimization and (ii) the reliance on the mean squared error (MSE) objective. Both factors cause the token probability distribution of the quantized model to misalign with that of the FP model, yielding notable accuracy drops on text generation benchmarks. To rectify the discrepancy, we introduce \emph{Logit-aware Final-block Quantization (LFQ)}, a simple yet effective enhancement to block-wise PTQ that quantizes the final Transformer block by minimizing the cross-entropy between the logits of the FP model and those of its quantized counterpart. By aligning token probabilities at the logit level in the final block, LFQ consistently improves the accuracy of complex generation tasks over state-of-the-art block-wise PTQ across diverse model families and text generation tasks, while maintaining parity with FP baselines on language modeling and understanding.
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
Masked Diffusion Language Models (MDLMs) have emerged as a distinct paradigm for sequence generation. As MDLMs become diverse in capabilities and knowledge coverage, an important question is how to combine their knowledge. Toward this, we first investigate the unique decoding dynamics of MDLMs. We find that successful generations exhibit stable confidence dynamics over answer-relevant positions, while unreliable trajectories can often be corrected by injecting promising intermediate states from other models. Guided by this observation, we propose $\textbf{TIE}$ ($\textbf{T}$rajectory-based $\textbf{I}$terative $\textbf{E}$nsembling), a knowledge fusion framework in which MDLMs iteratively identify reliable decoding trajectories and relay them across models. TIE tracks confidence dynamics over answer-relevant positions to determine which model currently follows a more reliable trajectory and selectively transfers partially denoised sequences across models. As the model on the more promising trajectory often changes across denoising steps, TIE allows different models to contribute complementary strengths at different stages of generation. Strong performance across diverse reasoning tasks, along with our analyses, suggests that TIE offers a practical approach to the underexplored problem of MDLM ensembling.
With the widespread adoption of autonomous vehicles and robotics, amodal completion, which reconstructs the occluded parts of people and objects in an image, has become increasingly crucial. Just as humans infer hidden regions based on prior experience and common sense, this task inherently requires physical knowledge about real-world entities. However, existing approaches either depend solely on the image generation ability of visual generative models, which lack such knowledge, or leverage it only during the segmentation stage, preventing it from explicitly guiding the completion process. To address this, we propose AmodalCG, a novel framework that harnesses the real-world knowledge of Multimodal Large Language Models (MLLMs) to guide amodal completion. Our framework first assesses the extent of occlusion to selectively invoke MLLM guidance only when the target object is heavily occluded. If guidance is required, the framework further incorporates MLLMs to reason about both the (1) extent and (2) content of the missing regions. Finally, a visual generative model integrates these guidance and iteratively refines imperfect completions that may arise from inaccurate MLLM guidance. Experimental results on various real-world images show impressive improvements compared to all existing works, suggesting MLLMs as a promising direction for addressing challenging amodal completion.
Inference-time steering adapts pretrained diffusion and flow models to new tasks without retraining, often utilizing ratio-of-densities constructions that reweight time-indexed marginals with fixed exponents. We identify Marginal Path Collapse, a failure mode in which the intermediate density defined by such compositions becomes non-normalizable despite valid endpoints. This collapse can arise when composing heterogeneous experts trained with mismatched noise schedules (and/or negative exponents / partial supports). To address this, we provide (i) a necessary-and-sufficient Path Existence Criterion that characterizes when the composed intermediate densities are mathematically well-defined, and (ii) Adaptive path Correction with Exponents (ACE), which generalizes Feynman–Kac steering to support time-varying exponents. Our analysis reveals that ACE controls the quantile radius of the intermediate distributions, providing a theoretical mechanism for path stabilization observed in experiments. On flexible-pose scaffold decoration, a drug design task composed of de-novo, conformer, and protein-conditioned experts, ACE prevents collapse and significantly outperforms constant-exponent baselines. Furthermore, ACE improves attribute success rates in compositional image generation, establishing it as a general framework for compositional sampling.
Vision Transformers (ViTs) partition input images into uniformly sized patches regardless of their content, resulting in long input sequence lengths for high-resolution images. We present Adaptive Patch Transformers (APT), which addresses this by using multiple different patch sizes within the same image. APT reduces the total number of input tokens by allocating larger patch sizes in more homogeneous areas and smaller patches in more complex ones. APT achieves a drastic speedup in ViT inference and training, increasing throughput by 40\% on ViT-L and 50\% on ViT-H while maintaining downstream performance. It can be applied to a previously fine-tuned ViT and converges in as little as 1 epoch. It also significantly reduces training and inference time without loss of performance in high-resolution dense visual tasks, achieving up to 30\% faster training and inference in visual QA, object detection, and semantic segmentation. We will release all code and trained models.
Reinforcement learning with verifiable rewards (RLVR) has emerged as an effective post-training paradigm for improving the reasoning capabilities of large language models. However, existing group-based RLVR methods often suffer from severe sample inefficiency. This inefficiency stems from reliance on point estimation of rewards from a small number of rollouts, leading to high estimation variance, variance collapse, and ineffective utilization of generated responses. In this work, we reformulate RLVR from a statistical estimation perspective by modeling rewards as samples drawn from a policy-induced distribution and casting advantage computation as the problem of estimating the reward distribution from finite data. Building on this view, we propose iscounted eta-ernoulli () reward estimation, which leverages historical reward statistics for the non-stationary distribution. Although biased, the resulting estimator exhibits reduced and stable variance, theoretically avoids estimated variance collapse, and achieves lower mean squared error than standard point estimation. Extensive experiments across six in-distribution and three out-of-distribution reasoning benchmarks demonstrate that GRPO with DBB consistently outperforms naive GRPO, achieving average Acc@8 improvements of 3.22/2.42 points in-distribution and 12.49/6.92 points out-of-distribution on the 1.7B and 8B models, respectively, without additional computational cost or memory usage.
Automatic speech recognition (ASR) in non-English clinical settings is challenged by multiscript variability, where the same term may appear in multiple valid orthographic forms. Conventional string-matching evaluation metrics often underestimate ASR performance by treating orthographic variants as errors. To address this issue, we introduce MultiClin, a clinical ASR benchmark designed to evaluate robustness to multiscript variability. Experiments across diverse ASR models show that multiscript-aware evaluation provides a fairer assessment of recognition quality than conventional single-reference evaluation. We further investigate the impact of script consistency during training and find that inconsistent script mappings increase orthographic uncertainty and hinder model convergence, with a balanced 50% mapping ratio producing the highest entropy. In contrast, script unification consistently yields the best ASR performance. Our dataset and code are publicly available at: https://github.com/aitrics-ronaldo/Interspeech_MultiClin.
Self-evolving language models have recently emerged as a promising path toward superintelligence, with the advantage of reducing the cost of human supervision. While considerable progress has been made in verifiable domains, self-evolution in unverifiable domains remains substantially less explored. We propose Judge co-adaptation from Zero data (J-Zero), a unified Challenger–Solver–Judge co-evolution framework that supports self-improvement across both domains. The Challenger and Solver co-evolve through an adversarial interaction: the Challenger generates increasingly difficult tasks, while the Solver learns to produce higher-quality responses to them. In parallel, the Judge co-adapts using preference pairs whose ordering is known in advance from how each response was produced, i.e., the Solver's answer over the Challenger's, and its decomposed-and-recombined answer over its one-shot answer, rather than from the Judge's own scores. J-Zero outperforms the baselines by an average of 4.2 points on verifiable and 8.0 points on unverifiable domains, and continues to improve through at least ten iterations, whereas the baselines degrade after two.
RL-based post-training has been widely adopted to enable interleaved visual and textual reasoning in unified multimodal models capable of both text and image generation. However, most existing approaches are built upon autoregressive (AR) unified models, which require full image regeneration during visual reasoning. In this work, we demonstrate that multimodal discrete diffusion models are effective alternatives to AR models for reinforcement learning in interleaved reasoning, owing to their ability to perform efficient visual rollouts via localized visual editing rather than full image-token regeneration. This reduces rollout computation during GRPO by 26.9\% compared to AR baselines, with minimal performance drop. Despite the improved efficiency, we find that joint reward assignment, which employs a shared reward signal across modalities, introduces cross-modal interference between unrelated image and text token sequences during RL updates. To address this issue, we propose factorized reward assignment, a strategy that assigns rewards independently to text and vision segments. With factorized reward assignment, our RL approach achieves an 11.2% improvement over joint reward assignment and a 38.04% improvement over the base model.
As diffusion model-based services expand across various domains, safeguarding client data privacy has become increasingly critical. While fully homomorphic encryption and secure multi-party computation enable privacy-preserving inference, their high computational overhead poses challenges for large-scale diffusion applications. Recent work alleviates computational costs by substituting non-linear operations with low-degree polynomial approximations. While such relaxations reduce latency, they incur significant degradation in generative fidelity, and inference remains considerably slower than plaintext execution. To further accelerate secure inference while preserving performance, we explore more relaxed approximations and propose a score-correction framework that rectifies the conditional score shift induced by the relaxed approximation, rather than decreasing the approximation error itself. The key insight is that unconditional generation can be executed without approximation and thus provides a high-fidelity score signal. Leveraging this unconditional score as corrective guidance enables more relaxed approximations while preserving semantic and perceptual quality. In experiments, we demonstrate that our method significantly alleviates the performance degradation caused by relaxed approximations across various benchmarks.