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May 7

MedSkillAudit: A Domain-Specific Audit Framework for Medical Research Agent Skills

Background: Agent skills are increasingly deployed as modular, reusable capability units in AI agent systems. Medical research agent skills require safeguards beyond general-purpose evaluation, including scientific integrity, methodological validity, reproducibility, and boundary safety. This study developed and preliminarily evaluated a domain-specific audit framework for medical research agent skills, with a focus on reliability against expert review. Methods: We developed MedSkillAudit (skill-auditor@1.0), a layered framework assessing skill release readiness before deployment. We evaluated 75 skills across five medical research categories (15 per category). Two experts independently assigned a quality score (0-100), an ordinal release disposition (Production Ready / Limited Release / Beta Only / Reject), and a high-risk failure flag. System-expert agreement was quantified using ICC(2,1) and linearly weighted Cohen's kappa, benchmarked against the human inter-rater baseline. Results: The mean consensus quality score was 72.4 (SD = 13.0); 57.3% of skills fell below the Limited Release threshold. MedSkillAudit achieved ICC(2,1) = 0.449 (95% CI: 0.250-0.610), exceeding the human inter-rater ICC of 0.300. System-consensus score divergence (SD = 9.5) was smaller than inter-expert divergence (SD = 12.4), with no directional bias (Wilcoxon p = 0.613). Protocol Design showed the strongest category-level agreement (ICC = 0.551); Academic Writing showed a negative ICC (-0.567), reflecting a structural rubric-expert mismatch. Conclusions: Domain-specific pre-deployment audit may provide a practical foundation for governing medical research agent skills, complementing general-purpose quality checks with structured audit workflows tailored to scientific use cases.

AIPOCH-AI AIPOCH
·
Apr 21 1

From Black Box to Glass Box: Cross-Model ASR Disagreement to Prioto Review in Ambient AI Scribe Documentation

Ambient AI "scribe" systems promise to reduce clinical documentation burden, but automatic speech recognition (ASR) errors can remain unnoticed without careful review, and high-quality human reference transcripts are often unavailable for calibrating uncertainty. We investigate whether cross-model disagreement among heterogeneous ASR systems can act as a reference-free uncertainty signal to prioritize human verification in medical transcription workflows. Using 50 publicly available medical education audio clips (8 h 14 min), we transcribed each clip with eight ASR systems spanning commercial APIs and open-source engines. We aligned multi-model outputs, built consensus pseudo-references, and quantified token-level agreement using a majority-strength metric; we further characterized disagreements by type (content vs. punctuation/formatting) and assessed per-model agreement via leave-one-model-out (jackknife) consensus scoring. Inter-model reliability was low (ICC[2,1] = 0.131), indicating heterogeneous failure modes across systems. Across 76,398 evaluated token positions, 72.1% showed near-unanimous agreement (7-8 models), while 2.5% fell into high-risk bands (0-3 models), with high-risk mass varying from 0.7% to 11.4% across accent groups. Low-agreement regions were enriched for content disagreements, with the content fraction increasing from 53.9% to 73.9% across quintiles of high-risk mass. These results suggest that cross-model disagreement provides a sparse, localizable signal that can surface potentially unreliable transcript spans without human-verified references, enabling targeted review; clinical accuracy of flagged regions remains to be established.

  • 3 authors
·
Mar 1

Long-tailed Medical Diagnosis with Relation-aware Representation Learning and Iterative Classifier Calibration

Recently computer-aided diagnosis has demonstrated promising performance, effectively alleviating the workload of clinicians. However, the inherent sample imbalance among different diseases leads algorithms biased to the majority categories, leading to poor performance for rare categories. Existing works formulated this challenge as a long-tailed problem and attempted to tackle it by decoupling the feature representation and classification. Yet, due to the imbalanced distribution and limited samples from tail classes, these works are prone to biased representation learning and insufficient classifier calibration. To tackle these problems, we propose a new Long-tailed Medical Diagnosis (LMD) framework for balanced medical image classification on long-tailed datasets. In the initial stage, we develop a Relation-aware Representation Learning (RRL) scheme to boost the representation ability by encouraging the encoder to capture intrinsic semantic features through different data augmentations. In the subsequent stage, we propose an Iterative Classifier Calibration (ICC) scheme to calibrate the classifier iteratively. This is achieved by generating a large number of balanced virtual features and fine-tuning the encoder using an Expectation-Maximization manner. The proposed ICC compensates for minority categories to facilitate unbiased classifier optimization while maintaining the diagnostic knowledge in majority classes. Comprehensive experiments on three public long-tailed medical datasets demonstrate that our LMD framework significantly surpasses state-of-the-art approaches. The source code can be accessed at https://github.com/peterlipan/LMD.

  • 5 authors
·
Feb 5, 2025

Segmentation variability and radiomics stability for predicting Triple-Negative Breast Cancer subtype using Magnetic Resonance Imaging

Most papers caution against using predictive models for disease stratification based on unselected radiomic features, as these features are affected by contouring variability. Instead, they advocate for the use of the Intraclass Correlation Coefficient (ICC) as a measure of stability for feature selection. However, the direct effect of segmentation variability on the predictive models is rarely studied. This study investigates the impact of segmentation variability on feature stability and predictive performance in radiomics-based prediction of Triple-Negative Breast Cancer (TNBC) subtype using Magnetic Resonance Imaging. A total of 244 images from the Duke dataset were used, with segmentation variability introduced through modifications of manual segmentations. For each mask, explainable radiomic features were selected using the Shapley Additive exPlanations method and used to train logistic regression models. Feature stability across segmentations was assessed via ICC, Pearson's correlation, and reliability scores quantifying the relationship between feature stability and segmentation variability. Results indicate that segmentation accuracy does not significantly impact predictive performance. While incorporating peritumoral information may reduce feature reproducibility, it does not diminish feature predictive capability. Moreover, feature selection in predictive models is not inherently tied to feature stability with respect to segmentation, suggesting that an overreliance on ICC or reliability scores for feature selection might exclude valuable predictive features.

  • 7 authors
·
Apr 2, 2025

CodePercept: Code-Grounded Visual STEM Perception for MLLMs

When MLLMs fail at Science, Technology, Engineering, and Mathematics (STEM) visual reasoning, a fundamental question arises: is it due to perceptual deficiencies or reasoning limitations? Through systematic scaling analysis that independently scales perception and reasoning components, we uncover a critical insight: scaling perception consistently outperforms scaling reasoning. This reveals perception as the true lever limiting current STEM visual reasoning. Motivated by this insight, our work focuses on systematically enhancing the perception capabilities of MLLMs by establishing code as a powerful perceptual medium--executable code provides precise semantics that naturally align with the structured nature of STEM visuals. Specifically, we construct ICC-1M, a large-scale dataset comprising 1M Image-Caption-Code triplets that materializes this code-as-perception paradigm through two complementary approaches: (1) Code-Grounded Caption Generation treats executable code as ground truth for image captions, eliminating the hallucinations inherent in existing knowledge distillation methods; (2) STEM Image-to-Code Translation prompts models to generate reconstruction code, mitigating the ambiguity of natural language for perception enhancement. To validate this paradigm, we further introduce STEM2Code-Eval, a novel benchmark that directly evaluates visual perception in STEM domains. Unlike existing work relying on problem-solving accuracy as a proxy that only measures problem-relevant understanding, our benchmark requires comprehensive visual comprehension through executable code generation for image reconstruction, providing deterministic and verifiable assessment. Code is available at https://github.com/TongkunGuan/Qwen-CodePercept.

Qwen Qwen
·
Mar 11 2

Deep learning automates Cobb angle measurement compared with multi-expert observers

Scoliosis, a prevalent condition characterized by abnormal spinal curvature leading to deformity, requires precise assessment methods for effective diagnosis and management. The Cobb angle is a widely used scoliosis quantification method that measures the degree of curvature between the tilted vertebrae. Yet, manual measuring of Cobb angles is time-consuming and labor-intensive, fraught with significant interobserver and intraobserver variability. To address these challenges and the lack of interpretability found in certain existing automated methods, we have created fully automated software that not only precisely measures the Cobb angle but also provides clear visualizations of these measurements. This software integrates deep neural network-based spine region detection and segmentation, spine centerline identification, pinpointing the most significantly tilted vertebrae, and direct visualization of Cobb angles on the original images. Upon comparison with the assessments of 7 expert readers, our algorithm exhibited a mean deviation in Cobb angle measurements of 4.17 degrees, notably surpassing the manual approach's average intra-reader discrepancy of 5.16 degrees. The algorithm also achieved intra-class correlation coefficients (ICC) exceeding 0.96 and Pearson correlation coefficients above 0.944, reflecting robust agreement with expert assessments and superior measurement reliability. Through the comprehensive reader study and statistical analysis, we believe this algorithm not only ensures a higher consensus with expert readers but also enhances interpretability and reproducibility during assessments. It holds significant promise for clinical application, potentially aiding physicians in more accurate scoliosis assessment and diagnosis, thereby improving patient care.

  • 14 authors
·
Mar 18, 2024

VideoCanvas: Unified Video Completion from Arbitrary Spatiotemporal Patches via In-Context Conditioning

We introduce the task of arbitrary spatio-temporal video completion, where a video is generated from arbitrary, user-specified patches placed at any spatial location and timestamp, akin to painting on a video canvas. This flexible formulation naturally unifies many existing controllable video generation tasks--including first-frame image-to-video, inpainting, extension, and interpolation--under a single, cohesive paradigm. Realizing this vision, however, faces a fundamental obstacle in modern latent video diffusion models: the temporal ambiguity introduced by causal VAEs, where multiple pixel frames are compressed into a single latent representation, making precise frame-level conditioning structurally difficult. We address this challenge with VideoCanvas, a novel framework that adapts the In-Context Conditioning (ICC) paradigm to this fine-grained control task with zero new parameters. We propose a hybrid conditioning strategy that decouples spatial and temporal control: spatial placement is handled via zero-padding, while temporal alignment is achieved through Temporal RoPE Interpolation, which assigns each condition a continuous fractional position within the latent sequence. This resolves the VAE's temporal ambiguity and enables pixel-frame-aware control on a frozen backbone. To evaluate this new capability, we develop VideoCanvasBench, the first benchmark for arbitrary spatio-temporal video completion, covering both intra-scene fidelity and inter-scene creativity. Experiments demonstrate that VideoCanvas significantly outperforms existing conditioning paradigms, establishing a new state of the art in flexible and unified video generation.

KlingTeam Kling Team
·
Oct 9, 2025 2

When Can We Trust LLMs in Mental Health? Large-Scale Benchmarks for Reliable LLM Evaluation

Evaluating Large Language Models (LLMs) for mental health support is challenging due to the emotionally and cognitively complex nature of therapeutic dialogue. Existing benchmarks are limited in scale, reliability, often relying on synthetic or social media data, and lack frameworks to assess when automated judges can be trusted. To address the need for large-scale dialogue datasets and judge reliability assessment, we introduce two benchmarks that provide a framework for generation and evaluation. MentalBench-100k consolidates 10,000 one-turn conversations from three real scenarios datasets, each paired with nine LLM-generated responses, yielding 100,000 response pairs. MentalAlign-70k}reframes evaluation by comparing four high-performing LLM judges with human experts across 70,000 ratings on seven attributes, grouped into Cognitive Support Score (CSS) and Affective Resonance Score (ARS). We then employ the Affective Cognitive Agreement Framework, a statistical methodology using intraclass correlation coefficients (ICC) with confidence intervals to quantify agreement, consistency, and bias between LLM judges and human experts. Our analysis reveals systematic inflation by LLM judges, strong reliability for cognitive attributes such as guidance and informativeness, reduced precision for empathy, and some unreliability in safety and relevance. Our contributions establish new methodological and empirical foundations for reliable, large-scale evaluation of LLMs in mental health. We release the benchmarks and codes at: https://github.com/abeerbadawi/MentalBench/

  • 9 authors
·
Oct 21, 2025

AI Predicts AGI: Leveraging AGI Forecasting and Peer Review to Explore LLMs' Complex Reasoning Capabilities

We tasked 16 state-of-the-art large language models (LLMs) with estimating the likelihood of Artificial General Intelligence (AGI) emerging by 2030. To assess the quality of these forecasts, we implemented an automated peer review process (LLM-PR). The LLMs' estimates varied widely, ranging from 3% (Reka- Core) to 47.6% (GPT-4o), with a median of 12.5%. These estimates closely align with a recent expert survey that projected a 10% likelihood of AGI by 2027, underscoring the relevance of LLMs in forecasting complex, speculative scenarios. The LLM-PR process demonstrated strong reliability, evidenced by a high Intraclass Correlation Coefficient (ICC = 0.79), reflecting notable consistency in scoring across the models. Among the models, Pplx-70b-online emerged as the top performer, while Gemini-1.5-pro-api ranked the lowest. A cross-comparison with external benchmarks, such as LMSYS Chatbot Arena, revealed that LLM rankings remained consistent across different evaluation methods, suggesting that existing benchmarks may not encapsulate some of the skills relevant for AGI prediction. We further explored the use of weighting schemes based on external benchmarks, optimizing the alignment of LLMs' predictions with human expert forecasts. This analysis led to the development of a new, 'AGI benchmark' designed to highlight performance differences in AGI-related tasks. Our findings offer insights into LLMs' capabilities in speculative, interdisciplinary forecasting tasks and emphasize the growing need for innovative evaluation frameworks for assessing AI performance in complex, uncertain real-world scenarios.

  • 3 authors
·
Dec 12, 2024

Wukong: A 100 Million Large-scale Chinese Cross-modal Pre-training Benchmark

Vision-Language Pre-training (VLP) models have shown remarkable performance on various downstream tasks. Their success heavily relies on the scale of pre-trained cross-modal datasets. However, the lack of large-scale datasets and benchmarks in Chinese hinders the development of Chinese VLP models and broader multilingual applications. In this work, we release a large-scale Chinese cross-modal dataset named Wukong, which contains 100 million Chinese image-text pairs collected from the web. Wukong aims to benchmark different multi-modal pre-training methods to facilitate the VLP research and community development. Furthermore, we release a group of models pre-trained with various image encoders (ViT-B/ViT-L/SwinT) and also apply advanced pre-training techniques into VLP such as locked-image text tuning, token-wise similarity in contrastive learning, and reduced-token interaction. Extensive experiments and a benchmarking of different downstream tasks including a new largest human-verified image-text test dataset are also provided. Experiments show that Wukong can serve as a promising Chinese pre-training dataset and benchmark for different cross-modal learning methods. For the zero-shot image classification task on 10 datasets, Wukong_{ViT-L} achieves an average accuracy of 73.03%. For the image-text retrieval task, it achieves a mean recall of 71.6% on AIC-ICC which is 12.9% higher than WenLan 2.0. Also, our Wukong models are benchmarked on downstream tasks with other variants on multiple datasets, e.g., Flickr8K-CN, Flickr-30K-CN, COCO-CN, et al. More information can be referred to: https://wukong-dataset.github.io/wukong-dataset/.

  • 12 authors
·
Feb 14, 2022

Generative Ontology: When Structured Knowledge Learns to Create

Traditional ontologies describe domain structure but cannot generate novel artifacts. Large language models generate fluently but produce outputs lacking structural validity, hallucinating mechanisms without components, goals without end conditions. We introduce Generative Ontology, a framework synthesizing these complementary strengths: ontology provides the grammar; the LLM provides the creativity. Generative Ontology encodes domain knowledge as executable Pydantic schemas constraining LLM generation via DSPy signatures. A multi-agent pipeline assigns specialized roles: a Mechanics Architect designs game systems, a Theme Weaver integrates narrative, a Balance Critic identifies exploits, each carrying a professional "anxiety" that prevents shallow outputs. Retrieval-augmented generation grounds designs in precedents from existing exemplars. We demonstrate the framework through GameGrammar, generating complete tabletop game designs, and present three empirical studies. An ablation study (120 designs, 4 conditions) shows multi-agent specialization produces the largest quality gains (fun d=1.12, depth d=1.59; p<.001), while schema validation eliminates structural errors (d=4.78). A benchmark against 20 published board games reveals structural parity but a bounded creative gap (fun d=1.86): generated designs score 7-8 while published games score 8-9. A test-retest study (50 evaluations) validates the LLM-based evaluator, with 7/9 metrics achieving Good-to-Excellent reliability (ICC 0.836-0.989). The pattern generalizes beyond games. Any domain with expert vocabulary, validity constraints, and accumulated exemplars is a candidate for Generative Ontology.

  • 1 authors
·
Feb 8

The Necessity of Imperfection:Reversing Model Collapse via Simulating Cognitive Boundedness

Although synthetic data is widely promoted as a remedy, its prevailing production paradigm -- one optimizing for statistical smoothness -- systematically removes the long-tail, cognitively grounded irregularities that characterize human text. Prolonged training on such statistically optimal but cognitively impoverished data accelerates model collapse. This paper proposes a paradigm shift: instead of imitating the surface properties of data, we simulate the cognitive processes that generate human text. We introduce the Prompt-driven Cognitive Computing Framework (PMCSF), whose core consists of a Cognitive State Decoder (CSD) that reverse-engineers unstructured text into structured cognitive vectors, and a Cognitive Text Encoder (CTE) that re-materializes these states into text enriched with human-typical imperfections via mathematically defined Cognitive Perturbation Operators. The framework is validated through a two-stage objective evaluation pipeline. First, in cognitive codec verification, CTE text yields a Jensen-Shannon divergence of 0.0614 from human text (vs. 0.4431 for standard LLM output), passes double-blind professional media review, and achieves an intraclass correlation coefficient ICC > 0.9 for cognitive profile alignment across heterogeneous models. Second, in functional gain evaluation, isomorphic stress tests in the A-share market show that strategies incorporating CTE-generated data reduce maximum drawdown by 47.4% during the 2015 crash and deliver 8.6% Defensive Alpha, exceeding transaction costs by a factor of 33. Our findings demonstrate that modelling human cognitive limitations -- not copying surface data -- enables synthetic data with genuine functional gain, offering a viable technical pathway toward resolving the AI data-collapse crisis.

  • 1 authors
·
Dec 1, 2025