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Apr 22

Large Language Models Reflect the Ideology of their Creators

Large language models (LLMs) are trained on vast amounts of data to generate natural language, enabling them to perform tasks like text summarization and question answering. These models have become popular in artificial intelligence (AI) assistants like ChatGPT and already play an influential role in how humans access information. However, the behavior of LLMs varies depending on their design, training, and use. In this paper, we uncover notable diversity in the ideological stance exhibited across different LLMs and languages in which they are accessed. We do this by prompting a diverse panel of popular LLMs to describe a large number of prominent and controversial personalities from recent world history, both in English and in Chinese. By identifying and analyzing moral assessments reflected in the generated descriptions, we find consistent normative differences between how the same LLM responds in Chinese compared to English. Similarly, we identify normative disagreements between Western and non-Western LLMs about prominent actors in geopolitical conflicts. Furthermore, popularly hypothesized disparities in political goals among Western models are reflected in significant normative differences related to inclusion, social inequality, and political scandals. Our results show that the ideological stance of an LLM often reflects the worldview of its creators. This raises important concerns around technological and regulatory efforts with the stated aim of making LLMs ideologically `unbiased', and it poses risks for political instrumentalization.

  • 10 authors
·
Oct 24, 2024

Fast Registration of Photorealistic Avatars for VR Facial Animation

Virtual Reality (VR) bares promise of social interactions that can feel more immersive than other media. Key to this is the ability to accurately animate a photorealistic avatar of one's likeness while wearing a VR headset. Although high quality registration of person-specific avatars to headset-mounted camera (HMC) images is possible in an offline setting, the performance of generic realtime models are significantly degraded. Online registration is also challenging due to oblique camera views and differences in modality. In this work, we first show that the domain gap between the avatar and headset-camera images is one of the primary sources of difficulty, where a transformer-based architecture achieves high accuracy on domain-consistent data, but degrades when the domain-gap is re-introduced. Building on this finding, we develop a system design that decouples the problem into two parts: 1) an iterative refinement module that takes in-domain inputs, and 2) a generic avatar-guided image-to-image style transfer module that is conditioned on current estimation of expression and head pose. These two modules reinforce each other, as image style transfer becomes easier when close-to-ground-truth examples are shown, and better domain-gap removal helps registration. Our system produces high-quality results efficiently, obviating the need for costly offline registration to generate personalized labels. We validate the accuracy and efficiency of our approach through extensive experiments on a commodity headset, demonstrating significant improvements over direct regression methods as well as offline registration.

  • 5 authors
·
Jan 19, 2024 1

Towards a Personal Health Large Language Model

In health, most large language model (LLM) research has focused on clinical tasks. However, mobile and wearable devices, which are rarely integrated into such tasks, provide rich, longitudinal data for personal health monitoring. Here we present Personal Health Large Language Model (PH-LLM), fine-tuned from Gemini for understanding and reasoning over numerical time-series personal health data. We created and curated three datasets that test 1) production of personalized insights and recommendations from sleep patterns, physical activity, and physiological responses, 2) expert domain knowledge, and 3) prediction of self-reported sleep outcomes. For the first task we designed 857 case studies in collaboration with domain experts to assess real-world scenarios in sleep and fitness. Through comprehensive evaluation of domain-specific rubrics, we observed that Gemini Ultra 1.0 and PH-LLM are not statistically different from expert performance in fitness and, while experts remain superior for sleep, fine-tuning PH-LLM provided significant improvements in using relevant domain knowledge and personalizing information for sleep insights. We evaluated PH-LLM domain knowledge using multiple choice sleep medicine and fitness examinations. PH-LLM achieved 79% on sleep and 88% on fitness, exceeding average scores from a sample of human experts. Finally, we trained PH-LLM to predict self-reported sleep quality outcomes from textual and multimodal encoding representations of wearable data, and demonstrate that multimodal encoding is required to match performance of specialized discriminative models. Although further development and evaluation are necessary in the safety-critical personal health domain, these results demonstrate both the broad knowledge and capabilities of Gemini models and the benefit of contextualizing physiological data for personal health applications as done with PH-LLM.

  • 34 authors
·
Jun 10, 2024

The Anatomy of a Personal Health Agent

Health is a fundamental pillar of human wellness, and the rapid advancements in large language models (LLMs) have driven the development of a new generation of health agents. However, the application of health agents to fulfill the diverse needs of individuals in daily non-clinical settings is underexplored. In this work, we aim to build a comprehensive personal health agent that is able to reason about multimodal data from everyday consumer wellness devices and common personal health records, and provide personalized health recommendations. To understand end-users' needs when interacting with such an assistant, we conducted an in-depth analysis of web search and health forum queries, alongside qualitative insights from users and health experts gathered through a user-centered design process. Based on these findings, we identified three major categories of consumer health needs, each of which is supported by a specialist sub-agent: (1) a data science agent that analyzes personal time-series wearable and health record data, (2) a health domain expert agent that integrates users' health and contextual data to generate accurate, personalized insights, and (3) a health coach agent that synthesizes data insights, guiding users using a specified psychological strategy and tracking users' progress. Furthermore, we propose and develop the Personal Health Agent (PHA), a multi-agent framework that enables dynamic, personalized interactions to address individual health needs. To evaluate each sub-agent and the multi-agent system, we conducted automated and human evaluations across 10 benchmark tasks, involving more than 7,000 annotations and 1,100 hours of effort from health experts and end-users. Our work represents the most comprehensive evaluation of a health agent to date and establishes a strong foundation towards the futuristic vision of a personal health agent accessible to everyone.

  • 38 authors
·
Aug 27, 2025

Foundation Model of Electronic Medical Records for Adaptive Risk Estimation

Hospitals struggle to predict critical outcomes. Traditional early warning systems, like NEWS and MEWS, rely on static variables and fixed thresholds, limiting their adaptability, accuracy, and personalization. We previously developed the Enhanced Transformer for Health Outcome Simulation (ETHOS), an AI model that tokenizes patient health timelines (PHTs) from EHRs and uses transformer-based architectures to predict future PHTs. ETHOS is a versatile framework for developing a wide range of applications. In this work, we develop the Adaptive Risk Estimation System (ARES) that leverages ETHOS to compute dynamic, personalized risk probabilities for clinician-defined critical events. ARES also features a personalized explainability module that highlights key clinical factors influencing risk estimates. We evaluated ARES using the MIMIC-IV v2.2 dataset together with its Emergency Department (ED) extension and benchmarked performance against both classical early warning systems and contemporary machine learning models. The entire dataset was tokenized resulting in 285,622 PHTs, comprising over 360 million tokens. ETHOS outperformed benchmark models in predicting hospital admissions, ICU admissions, and prolonged stays, achieving superior AUC scores. Its risk estimates were robust across demographic subgroups, with calibration curves confirming model reliability. The explainability module provided valuable insights into patient-specific risk factors. ARES, powered by ETHOS, advances predictive healthcare AI by delivering dynamic, real-time, personalized risk estimation with patient-specific explainability. Although our results are promising, the clinical impact remains uncertain. Demonstrating ARES's true utility in real-world settings will be the focus of our future work. We release the source code to facilitate future research.

  • 12 authors
·
Feb 9, 2025

$λ$-ECLIPSE: Multi-Concept Personalized Text-to-Image Diffusion Models by Leveraging CLIP Latent Space

Despite the recent advances in personalized text-to-image (P-T2I) generative models, subject-driven T2I remains challenging. The primary bottlenecks include 1) Intensive training resource requirements, 2) Hyper-parameter sensitivity leading to inconsistent outputs, and 3) Balancing the intricacies of novel visual concept and composition alignment. We start by re-iterating the core philosophy of T2I diffusion models to address the above limitations. Predominantly, contemporary subject-driven T2I approaches hinge on Latent Diffusion Models (LDMs), which facilitate T2I mapping through cross-attention layers. While LDMs offer distinct advantages, P-T2I methods' reliance on the latent space of these diffusion models significantly escalates resource demands, leading to inconsistent results and necessitating numerous iterations for a single desired image. Recently, ECLIPSE has demonstrated a more resource-efficient pathway for training UnCLIP-based T2I models, circumventing the need for diffusion text-to-image priors. Building on this, we introduce lambda-ECLIPSE. Our method illustrates that effective P-T2I does not necessarily depend on the latent space of diffusion models. lambda-ECLIPSE achieves single, multi-subject, and edge-guided T2I personalization with just 34M parameters and is trained on a mere 74 GPU hours using 1.6M image-text interleaved data. Through extensive experiments, we also establish that lambda-ECLIPSE surpasses existing baselines in composition alignment while preserving concept alignment performance, even with significantly lower resource utilization.

  • 4 authors
·
Feb 7, 2024 3

Question answering systems for health professionals at the point of care -- a systematic review

Objective: Question answering (QA) systems have the potential to improve the quality of clinical care by providing health professionals with the latest and most relevant evidence. However, QA systems have not been widely adopted. This systematic review aims to characterize current medical QA systems, assess their suitability for healthcare, and identify areas of improvement. Materials and methods: We searched PubMed, IEEE Xplore, ACM Digital Library, ACL Anthology and forward and backward citations on 7th February 2023. We included peer-reviewed journal and conference papers describing the design and evaluation of biomedical QA systems. Two reviewers screened titles, abstracts, and full-text articles. We conducted a narrative synthesis and risk of bias assessment for each study. We assessed the utility of biomedical QA systems. Results: We included 79 studies and identified themes, including question realism, answer reliability, answer utility, clinical specialism, systems, usability, and evaluation methods. Clinicians' questions used to train and evaluate QA systems were restricted to certain sources, types and complexity levels. No system communicated confidence levels in the answers or sources. Many studies suffered from high risks of bias and applicability concerns. Only 8 studies completely satisfied any criterion for clinical utility, and only 7 reported user evaluations. Most systems were built with limited input from clinicians. Discussion: While machine learning methods have led to increased accuracy, most studies imperfectly reflected real-world healthcare information needs. Key research priorities include developing more realistic healthcare QA datasets and considering the reliability of answer sources, rather than merely focusing on accuracy.

  • 9 authors
·
Jan 24, 2024

JeDi: Joint-Image Diffusion Models for Finetuning-Free Personalized Text-to-Image Generation

Personalized text-to-image generation models enable users to create images that depict their individual possessions in diverse scenes, finding applications in various domains. To achieve the personalization capability, existing methods rely on finetuning a text-to-image foundation model on a user's custom dataset, which can be non-trivial for general users, resource-intensive, and time-consuming. Despite attempts to develop finetuning-free methods, their generation quality is much lower compared to their finetuning counterparts. In this paper, we propose Joint-Image Diffusion (\jedi), an effective technique for learning a finetuning-free personalization model. Our key idea is to learn the joint distribution of multiple related text-image pairs that share a common subject. To facilitate learning, we propose a scalable synthetic dataset generation technique. Once trained, our model enables fast and easy personalization at test time by simply using reference images as input during the sampling process. Our approach does not require any expensive optimization process or additional modules and can faithfully preserve the identity represented by any number of reference images. Experimental results show that our model achieves state-of-the-art generation quality, both quantitatively and qualitatively, significantly outperforming both the prior finetuning-based and finetuning-free personalization baselines.

  • 7 authors
·
Jul 8, 2024 1

Bias after Prompting: Persistent Discrimination in Large Language Models

A dangerous assumption that can be made from prior work on the bias transfer hypothesis (BTH) is that biases do not transfer from pre-trained large language models (LLMs) to adapted models. We invalidate this assumption by studying the BTH in causal models under prompt adaptations, as prompting is an extremely popular and accessible adaptation strategy used in real-world applications. In contrast to prior work, we find that biases can transfer through prompting and that popular prompt-based mitigation methods do not consistently prevent biases from transferring. Specifically, the correlation between intrinsic biases and those after prompt adaptation remain moderate to strong across demographics and tasks -- for example, gender (rho >= 0.94) in co-reference resolution, and age (rho >= 0.98) and religion (rho >= 0.69) in question answering. Further, we find that biases remain strongly correlated when varying few-shot composition parameters, such as sample size, stereotypical content, occupational distribution and representational balance (rho >= 0.90). We evaluate several prompt-based debiasing strategies and find that different approaches have distinct strengths, but none consistently reduce bias transfer across models, tasks or demographics. These results demonstrate that correcting bias, and potentially improving reasoning ability, in intrinsic models may prevent propagation of biases to downstream tasks.

  • 7 authors
·
Sep 9, 2025

Training Chain-of-Thought via Latent-Variable Inference

Large language models (LLMs) solve problems more accurately and interpretably when instructed to work out the answer step by step using a ``chain-of-thought'' (CoT) prompt. One can also improve LLMs' performance on a specific task by supervised fine-tuning, i.e., by using gradient ascent on some tunable parameters to maximize the average log-likelihood of correct answers from a labeled training set. Naively combining CoT with supervised tuning requires supervision not just of the correct answers, but also of detailed rationales that lead to those answers; these rationales are expensive to produce by hand. Instead, we propose a fine-tuning strategy that tries to maximize the marginal log-likelihood of generating a correct answer using CoT prompting, approximately averaging over all possible rationales. The core challenge is sampling from the posterior over rationales conditioned on the correct answer; we address it using a simple Markov-chain Monte Carlo (MCMC) expectation-maximization (EM) algorithm inspired by the self-taught reasoner (STaR), memoized wake-sleep, Markovian score climbing, and persistent contrastive divergence. This algorithm also admits a novel control-variate technique that drives the variance of our gradient estimates to zero as the model improves. Applying our technique to GSM8K and the tasks in BIG-Bench Hard, we find that this MCMC-EM fine-tuning technique typically improves the model's accuracy on held-out examples more than STaR or prompt-tuning with or without CoT.

  • 10 authors
·
Nov 28, 2023

ATCO2 corpus: A Large-Scale Dataset for Research on Automatic Speech Recognition and Natural Language Understanding of Air Traffic Control Communications

Personal assistants, automatic speech recognizers and dialogue understanding systems are becoming more critical in our interconnected digital world. A clear example is air traffic control (ATC) communications. ATC aims at guiding aircraft and controlling the airspace in a safe and optimal manner. These voice-based dialogues are carried between an air traffic controller (ATCO) and pilots via very-high frequency radio channels. In order to incorporate these novel technologies into ATC (low-resource domain), large-scale annotated datasets are required to develop the data-driven AI systems. Two examples are automatic speech recognition (ASR) and natural language understanding (NLU). In this paper, we introduce the ATCO2 corpus, a dataset that aims at fostering research on the challenging ATC field, which has lagged behind due to lack of annotated data. The ATCO2 corpus covers 1) data collection and pre-processing, 2) pseudo-annotations of speech data, and 3) extraction of ATC-related named entities. The ATCO2 corpus is split into three subsets. 1) ATCO2-test-set corpus contains 4 hours of ATC speech with manual transcripts and a subset with gold annotations for named-entity recognition (callsign, command, value). 2) The ATCO2-PL-set corpus consists of 5281 hours of unlabeled ATC data enriched with automatic transcripts from an in-domain speech recognizer, contextual information, speaker turn information, signal-to-noise ratio estimate and English language detection score per sample. Both available for purchase through ELDA at http://catalog.elra.info/en-us/repository/browse/ELRA-S0484. 3) The ATCO2-test-set-1h corpus is a one-hour subset from the original test set corpus, that we are offering for free at https://www.atco2.org/data. We expect the ATCO2 corpus will foster research on robust ASR and NLU not only in the field of ATC communications but also in the general research community.

  • 14 authors
·
Nov 8, 2022

Anthropogenic Regional Adaptation in Multimodal Vision-Language Model

While the field of vision-language (VL) has achieved remarkable success in integrating visual and textual information across multiple languages and domains, there is still no dedicated framework for assessing human-centric alignment in vision-language systems. We offer two contributions to address this gap. First, we introduce Anthropogenic Regional Adaptation: a novel paradigm that aims to optimize model relevance to specific regional contexts while ensuring the retention of global generalization capabilities. Second, we present a simple, but effective adaptation method named Geographical-generalization-made-easy (GG-EZ), which utilizes regional data filtering and model merging. Through comprehensive experiments on 3 VL architectures: large vision-language models, text-to-image diffusion models, and vision-language embedding models, and a case study in Southeast Asia (SEA) regional adaptation, we demonstrate the importance of Anthropogenic Regional Adaptation and the effectiveness of GG-EZ, showing 5-15% gains in cultural relevance metrics across SEA while maintaining over 98% of global performance and even occasionally surpassing it. Our findings establish Anthropogenic Regional Alignment as a foundational paradigm towards applicability of multimodal vision-language models in diverse regions and demonstrate a simple-yet-effective baseline method that optimizes regional value alignment while preserving global generalization.

SEACrowd SEACrowd
·
Apr 12 2

Crowdsource, Crawl, or Generate? Creating SEA-VL, a Multicultural Vision-Language Dataset for Southeast Asia

Southeast Asia (SEA) is a region of extraordinary linguistic and cultural diversity, yet it remains significantly underrepresented in vision-language (VL) research. This often results in artificial intelligence (AI) models that fail to capture SEA cultural nuances. To fill this gap, we present SEA-VL, an open-source initiative dedicated to developing high-quality, culturally relevant data for SEA languages. By involving contributors from SEA countries, SEA-VL aims to ensure better cultural relevance and diversity, fostering greater inclusivity of underrepresented languages in VL research. Beyond crowdsourcing, our initiative goes one step further in the exploration of the automatic collection of culturally relevant images through crawling and image generation. First, we find that image crawling achieves approximately ~85% cultural relevance while being more cost- and time-efficient than crowdsourcing. Second, despite the substantial progress in generative vision models, synthetic images remain unreliable in accurately reflecting SEA cultures. The generated images often fail to reflect the nuanced traditions and cultural contexts of the region. Collectively, we gather 1.28M SEA culturally-relevant images, more than 50 times larger than other existing datasets. Through SEA-VL, we aim to bridge the representation gap in SEA, fostering the development of more inclusive AI systems that authentically represent diverse cultures across SEA.

SEACrowd SEACrowd
·
Mar 10, 2025 4

OpenAI GPT-5 System Card

This is the system card published alongside the OpenAI GPT-5 launch, August 2025. GPT-5 is a unified system with a smart and fast model that answers most questions, a deeper reasoning model for harder problems, and a real-time router that quickly decides which model to use based on conversation type, complexity, tool needs, and explicit intent (for example, if you say 'think hard about this' in the prompt). The router is continuously trained on real signals, including when users switch models, preference rates for responses, and measured correctness, improving over time. Once usage limits are reached, a mini version of each model handles remaining queries. This system card focuses primarily on gpt-5-thinking and gpt-5-main, while evaluations for other models are available in the appendix. The GPT-5 system not only outperforms previous models on benchmarks and answers questions more quickly, but -- more importantly -- is more useful for real-world queries. We've made significant advances in reducing hallucinations, improving instruction following, and minimizing sycophancy, and have leveled up GPT-5's performance in three of ChatGPT's most common uses: writing, coding, and health. All of the GPT-5 models additionally feature safe-completions, our latest approach to safety training to prevent disallowed content. Similarly to ChatGPT agent, we have decided to treat gpt-5-thinking as High capability in the Biological and Chemical domain under our Preparedness Framework, activating the associated safeguards. While we do not have definitive evidence that this model could meaningfully help a novice to create severe biological harm -- our defined threshold for High capability -- we have chosen to take a precautionary approach.

  • 484 authors
·
Dec 19, 2025

UniEgoMotion: A Unified Model for Egocentric Motion Reconstruction, Forecasting, and Generation

Egocentric human motion generation and forecasting with scene-context is crucial for enhancing AR/VR experiences, improving human-robot interaction, advancing assistive technologies, and enabling adaptive healthcare solutions by accurately predicting and simulating movement from a first-person perspective. However, existing methods primarily focus on third-person motion synthesis with structured 3D scene contexts, limiting their effectiveness in real-world egocentric settings where limited field of view, frequent occlusions, and dynamic cameras hinder scene perception. To bridge this gap, we introduce Egocentric Motion Generation and Egocentric Motion Forecasting, two novel tasks that utilize first-person images for scene-aware motion synthesis without relying on explicit 3D scene. We propose UniEgoMotion, a unified conditional motion diffusion model with a novel head-centric motion representation tailored for egocentric devices. UniEgoMotion's simple yet effective design supports egocentric motion reconstruction, forecasting, and generation from first-person visual inputs in a unified framework. Unlike previous works that overlook scene semantics, our model effectively extracts image-based scene context to infer plausible 3D motion. To facilitate training, we introduce EE4D-Motion, a large-scale dataset derived from EgoExo4D, augmented with pseudo-ground-truth 3D motion annotations. UniEgoMotion achieves state-of-the-art performance in egocentric motion reconstruction and is the first to generate motion from a single egocentric image. Extensive evaluations demonstrate the effectiveness of our unified framework, setting a new benchmark for egocentric motion modeling and unlocking new possibilities for egocentric applications.

  • 6 authors
·
Aug 1, 2025 3

A Machine Learning Challenge for Prognostic Modelling in Head and Neck Cancer Using Multi-modal Data

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

  • 15 authors
·
Jan 28, 2021

PoE: a Panel of Experts for Generalized Automatic Dialogue Assessment

Chatbots are expected to be knowledgeable across multiple domains, e.g. for daily chit-chat, exchange of information, and grounding in emotional situations. To effectively measure the quality of such conversational agents, a model-based automatic dialogue evaluation metric (ADEM) is expected to perform well across multiple domains. Despite significant progress, an ADEM that works well in one domain does not necessarily generalize to another. This calls for a dedicated network architecture for domain generalization. To tackle the multi-domain dialogue evaluation task, we propose a Panel of Experts (PoE), a multitask network that consists of a shared transformer encoder and a collection of lightweight adapters. The shared encoder captures the general knowledge of dialogues across domains, while each adapter specializes in one specific domain and serves as a domain expert. To validate the idea, we construct a high-quality multi-domain dialogue dataset leveraging data augmentation and pseudo-labeling. The PoE network is comprehensively assessed on 16 dialogue evaluation datasets spanning a wide range of dialogue domains. It achieves state-of-the-art performance in terms of mean Spearman correlation over all the evaluation datasets. It exhibits better zero-shot generalization than existing state-of-the-art ADEMs and the ability to easily adapt to new domains with few-shot transfer learning.

  • 5 authors
·
Dec 17, 2022

What's the Magic Word? A Control Theory of LLM Prompting

Prompt engineering is crucial for deploying LLMs but is poorly understood mathematically. We formalize LLM systems as a class of discrete stochastic dynamical systems to explore prompt engineering through the lens of control theory. We investigate the reachable set of output token sequences R_y(mathbf x_0) for which there exists a control input sequence mathbf u for each mathbf y in R_y(mathbf x_0) that steers the LLM to output mathbf y from initial state sequence mathbf x_0. We offer analytic analysis on the limitations on the controllability of self-attention in terms of reachable set, where we prove an upper bound on the reachable set of outputs R_y(mathbf x_0) as a function of the singular values of the parameter matrices. We present complementary empirical analysis on the controllability of a panel of LLMs, including Falcon-7b, Llama-7b, and Falcon-40b. Our results demonstrate a lower bound on the reachable set of outputs R_y(mathbf x_0) w.r.t. initial state sequences mathbf x_0 sampled from the Wikitext dataset. We find that the correct next Wikitext token following sequence mathbf x_0 is reachable over 97% of the time with prompts of kleq 10 tokens. We also establish that the top 75 most likely next tokens, as estimated by the LLM itself, are reachable at least 85% of the time with prompts of kleq 10 tokens. Intriguingly, short prompt sequences can dramatically alter the likelihood of specific outputs, even making the least likely tokens become the most likely ones. This control-centric analysis of LLMs demonstrates the significant and poorly understood role of input sequences in steering output probabilities, offering a foundational perspective for enhancing language model system capabilities.

  • 4 authors
·
Oct 2, 2023

A deep learning system for differential diagnosis of skin diseases

Skin conditions affect an estimated 1.9 billion people worldwide. A shortage of dermatologists causes long wait times and leads patients to seek dermatologic care from general practitioners. However, the diagnostic accuracy of general practitioners has been reported to be only 0.24-0.70 (compared to 0.77-0.96 for dermatologists), resulting in referral errors, delays in care, and errors in diagnosis and treatment. In this paper, we developed a deep learning system (DLS) to provide a differential diagnosis of skin conditions for clinical cases (skin photographs and associated medical histories). The DLS distinguishes between 26 skin conditions that represent roughly 80% of the volume of skin conditions seen in primary care. The DLS was developed and validated using de-identified cases from a teledermatology practice serving 17 clinical sites via a temporal split: the first 14,021 cases for development and the last 3,756 cases for validation. On the validation set, where a panel of three board-certified dermatologists defined the reference standard for every case, the DLS achieved 0.71 and 0.93 top-1 and top-3 accuracies respectively. For a random subset of the validation set (n=963 cases), 18 clinicians reviewed the cases for comparison. On this subset, the DLS achieved a 0.67 top-1 accuracy, non-inferior to board-certified dermatologists (0.63, p<0.001), and higher than primary care physicians (PCPs, 0.45) and nurse practitioners (NPs, 0.41). The top-3 accuracy showed a similar trend: 0.90 DLS, 0.75 dermatologists, 0.60 PCPs, and 0.55 NPs. These results highlight the potential of the DLS to augment general practitioners to accurately diagnose skin conditions by suggesting differential diagnoses that may not have been considered. Future work will be needed to prospectively assess the clinical impact of using this tool in actual clinical workflows.

  • 22 authors
·
Sep 11, 2019

Hackers or Hallucinators? A Comprehensive Analysis of LLM-Based Automated Penetration Testing

The rapid advancement of Large Language Models (LLMs) has created new opportunities for Automated Penetration Testing (AutoPT), spawning numerous frameworks aimed at achieving end-to-end autonomous attacks. However, despite the proliferation of related studies, existing research generally lacks systematic architectural analysis and large-scale empirical comparisons under a unified benchmark. Therefore, this paper presents the first Systematization of Knowledge (SoK) focusing on the architectural design and comprehensive empirical evaluation of current LLM-based AutoPT frameworks. At systematization level, we comprehensively review existing framework designs across six dimensions: agent architecture, agent plan, agent memory, agent execution, external knowledge, and benchmarks. At empirical level, we conduct large-scale experiments on 13 representative open-source AutoPT frameworks and 2 baseline frameworks utilizing a unified benchmark. The experiments consumed over 10 billion tokens in total and generated more than 1,500 execution logs, which were manually reviewed and analyzed over four months by a panel of more than 15 researchers with expertise in cybersecurity. By investigating the latest progress in this rapidly developing field, we provide researchers with a structured taxonomy to understand existing LLM-based AutoPT frameworks and a large-scale empirical benchmark, along with promising directions for future research.

  • 20 authors
·
Apr 6

How Far Are Surgeons from Surgical World Models? A Pilot Study on Zero-shot Surgical Video Generation with Expert Assessment

Foundation models in video generation are demonstrating remarkable capabilities as potential world models for simulating the physical world. However, their application in high-stakes domains like surgery, which demand deep, specialized causal knowledge rather than general physical rules, remains a critical unexplored gap. To systematically address this challenge, we present SurgVeo, the first expert-curated benchmark for video generation model evaluation in surgery, and the Surgical Plausibility Pyramid (SPP), a novel, four-tiered framework tailored to assess model outputs from basic appearance to complex surgical strategy. On the basis of the SurgVeo benchmark, we task the advanced Veo-3 model with a zero-shot prediction task on surgical clips from laparoscopic and neurosurgical procedures. A panel of four board-certified surgeons evaluates the generated videos according to the SPP. Our results reveal a distinct "plausibility gap": while Veo-3 achieves exceptional Visual Perceptual Plausibility, it fails critically at higher levels of the SPP, including Instrument Operation Plausibility, Environment Feedback Plausibility, and Surgical Intent Plausibility. This work provides the first quantitative evidence of the chasm between visually convincing mimicry and causal understanding in surgical AI. Our findings from SurgVeo and the SPP establish a crucial foundation and roadmap for developing future models capable of navigating the complexities of specialized, real-world healthcare domains.

  • 10 authors
·
Nov 3, 2025 1

NitroFusion: High-Fidelity Single-Step Diffusion through Dynamic Adversarial Training

We introduce NitroFusion, a fundamentally different approach to single-step diffusion that achieves high-quality generation through a dynamic adversarial framework. While one-step methods offer dramatic speed advantages, they typically suffer from quality degradation compared to their multi-step counterparts. Just as a panel of art critics provides comprehensive feedback by specializing in different aspects like composition, color, and technique, our approach maintains a large pool of specialized discriminator heads that collectively guide the generation process. Each discriminator group develops expertise in specific quality aspects at different noise levels, providing diverse feedback that enables high-fidelity one-step generation. Our framework combines: (i) a dynamic discriminator pool with specialized discriminator groups to improve generation quality, (ii) strategic refresh mechanisms to prevent discriminator overfitting, and (iii) global-local discriminator heads for multi-scale quality assessment, and unconditional/conditional training for balanced generation. Additionally, our framework uniquely supports flexible deployment through bottom-up refinement, allowing users to dynamically choose between 1-4 denoising steps with the same model for direct quality-speed trade-offs. Through comprehensive experiments, we demonstrate that NitroFusion significantly outperforms existing single-step methods across multiple evaluation metrics, particularly excelling in preserving fine details and global consistency.

  • 4 authors
·
Dec 2, 2024 2

MIPHEI-ViT: Multiplex Immunofluorescence Prediction from H&E Images using ViT Foundation Models

Histopathological analysis is a cornerstone of cancer diagnosis, with Hematoxylin and Eosin (H&E) staining routinely acquired for every patient to visualize cell morphology and tissue architecture. On the other hand, multiplex immunofluorescence (mIF) enables more precise cell type identification via proteomic markers, but has yet to achieve widespread clinical adoption due to cost and logistical constraints. To bridge this gap, we introduce MIPHEI (Multiplex Immunofluorescence Prediction from H&E), a U-Net-inspired architecture that integrates state-of-the-art ViT foundation models as encoders to predict mIF signals from H&E images. MIPHEI targets a comprehensive panel of markers spanning nuclear content, immune lineages (T cells, B cells, myeloid), epithelium, stroma, vasculature, and proliferation. We train our model using the publicly available ORION dataset of restained H&E and mIF images from colorectal cancer tissue, and validate it on two independent datasets. MIPHEI achieves accurate cell-type classification from H&E alone, with F1 scores of 0.88 for Pan-CK, 0.57 for CD3e, 0.56 for SMA, 0.36 for CD68, and 0.30 for CD20, substantially outperforming both a state-of-the-art baseline and a random classifier for most markers. Our results indicate that our model effectively captures the complex relationships between nuclear morphologies in their tissue context, as visible in H&E images and molecular markers defining specific cell types. MIPHEI offers a promising step toward enabling cell-type-aware analysis of large-scale H&E datasets, in view of uncovering relationships between spatial cellular organization and patient outcomes.

  • 5 authors
·
May 15, 2025

DiveUp: Learning Feature Upsampling from Diverse Vision Foundation Models

Recently, feature upsampling has gained increasing attention owing to its effectiveness in enhancing vision foundation models (VFMs) for pixel-level understanding tasks. Existing methods typically rely on high-resolution features from the same foundation model to achieve upsampling via self-reconstruction. However, relying solely on intra-model features forces the upsampler to overfit to the source model's inherent location misalignment and high-norm artifacts. To address this fundamental limitation, we propose DiveUp, a novel framework that breaks away from single-model dependency by introducing multi-VFM relational guidance. Instead of naive feature fusion, DiveUp leverages diverse VFMs as a panel of experts, utilizing their structural consensus to regularize the upsampler's learning process, effectively preventing the propagation of inaccurate spatial structures from the source model. To reconcile the unaligned feature spaces across different VFMs, we propose a universal relational feature representation, formulated as a local center-of-mass (COM) field, that extracts intrinsic geometric structures, enabling seamless cross-model interaction. Furthermore, we introduce a spikiness-aware selection strategy that evaluates the spatial reliability of each VFM, effectively filtering out high-norm artifacts to aggregate guidance from only the most reliable expert at each local region. DiveUp is a unified, encoder-agnostic framework; a jointly-trained model can universally upsample features from diverse VFMs without requiring per-model retraining. Extensive experiments demonstrate that DiveUp achieves state-of-the-art performance across various downstream dense prediction tasks, validating the efficacy of multi-expert relational guidance. Our code and models are available at: https://github.com/Xiaoqiong-Liu/DiveUp

  • 2 authors
·
Mar 13

ATLAS: A High-Difficulty, Multidisciplinary Benchmark for Frontier Scientific Reasoning

The rapid advancement of Large Language Models (LLMs) has led to performance saturation on many established benchmarks, questioning their ability to distinguish frontier models. Concurrently, existing high-difficulty benchmarks often suffer from narrow disciplinary focus, oversimplified answer formats, and vulnerability to data contamination, creating a fidelity gap with real-world scientific inquiry. To address these challenges, we introduce ATLAS (AGI-Oriented Testbed for Logical Application in Science), a large-scale, high-difficulty, and cross-disciplinary evaluation suite composed of approximately 800 original problems. Developed by domain experts (PhD-level and above), ATLAS spans seven core scientific fields: mathematics, physics, chemistry, biology, computer science, earth science, and materials science. Its key features include: (1) High Originality and Contamination Resistance, with all questions newly created or substantially adapted to prevent test data leakage; (2) Cross-Disciplinary Focus, designed to assess models' ability to integrate knowledge and reason across scientific domains; (3) High-Fidelity Answers, prioritizing complex, open-ended answers involving multi-step reasoning and LaTeX-formatted expressions over simple multiple-choice questions; and (4) Rigorous Quality Control, employing a multi-stage process of expert peer review and adversarial testing to ensure question difficulty, scientific value, and correctness. We also propose a robust evaluation paradigm using a panel of LLM judges for automated, nuanced assessment of complex answers. Preliminary results on leading models demonstrate ATLAS's effectiveness in differentiating their advanced scientific reasoning capabilities. We plan to develop ATLAS into a long-term, open, community-driven platform to provide a reliable "ruler" for progress toward Artificial General Intelligence.

  • 36 authors
·
Nov 18, 2025 2

CMT-Benchmark: A Benchmark for Condensed Matter Theory Built by Expert Researchers

Large language models (LLMs) have shown remarkable progress in coding and math problem-solving, but evaluation on advanced research-level problems in hard sciences remains scarce. To fill this gap, we present CMT-Benchmark, a dataset of 50 problems covering condensed matter theory (CMT) at the level of an expert researcher. Topics span analytical and computational approaches in quantum many-body, and classical statistical mechanics. The dataset was designed and verified by a panel of expert researchers from around the world. We built the dataset through a collaborative environment that challenges the panel to write and refine problems they would want a research assistant to solve, including Hartree-Fock, exact diagonalization, quantum/variational Monte Carlo, density matrix renormalization group (DMRG), quantum/classical statistical mechanics, and model building. We evaluate LLMs by programmatically checking solutions against expert-supplied ground truth. We developed machine-grading, including symbolic handling of non-commuting operators via normal ordering. They generalize across tasks too. Our evaluations show that frontier models struggle with all of the problems in the dataset, highlighting a gap in the physical reasoning skills of current LLMs. Notably, experts identified strategies for creating increasingly difficult problems by interacting with the LLMs and exploiting common failure modes. The best model, GPT5, solves 30\% of the problems; average across 17 models (GPT, Gemini, Claude, DeepSeek, Llama) is 11.4pm2.1\%. Moreover, 18 problems are solved by none of the 17 models, and 26 by at most one. These unsolved problems span Quantum Monte Carlo, Variational Monte Carlo, and DMRG. Answers sometimes violate fundamental symmetries or have unphysical scaling dimensions. We believe this benchmark will guide development toward capable AI research assistants and tutors.

  • 19 authors
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Oct 6, 2025

AgentCourt: Simulating Court with Adversarial Evolvable Lawyer Agents

In this paper, we present a simulation system called AgentCourt that simulates the entire courtroom process. The judge, plaintiff's lawyer, defense lawyer, and other participants are autonomous agents driven by large language models (LLMs). Our core goal is to enable lawyer agents to learn how to argue a case, as well as improving their overall legal skills, through courtroom process simulation. To achieve this goal, we propose an adversarial evolutionary approach for the lawyer-agent. Since AgentCourt can simulate the occurrence and development of court hearings based on a knowledge base and LLM, the lawyer agents can continuously learn and accumulate experience from real court cases. The simulation experiments show that after two lawyer-agents have engaged in a thousand adversarial legal cases in AgentCourt (which can take a decade for real-world lawyers), compared to their pre-evolutionary state, the evolved lawyer agents exhibit consistent improvement in their ability to handle legal tasks. To enhance the credibility of our experimental results, we enlisted a panel of professional lawyers to evaluate our simulations. The evaluation indicates that the evolved lawyer agents exhibit notable advancements in responsiveness, as well as expertise and logical rigor. This work paves the way for advancing LLM-driven agent technology in legal scenarios. Code is available at https://github.com/relic-yuexi/AgentCourt.

  • 10 authors
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Aug 15, 2024

HyDRA: A Hybrid-Driven Reasoning Architecture for Verifiable Knowledge Graphs

The synergy between symbolic knowledge, often represented by Knowledge Graphs (KGs), and the generative capabilities of neural networks is central to advancing neurosymbolic AI. A primary bottleneck in realizing this potential is the difficulty of automating KG construction, which faces challenges related to output reliability, consistency, and verifiability. These issues can manifest as structural inconsistencies within the generated graphs, such as the formation of disconnected isolated islands of data or the inaccurate conflation of abstract classes with specific instances. To address these challenges, we propose HyDRA, a Hybrid-Driven Reasoning Architecture designed for verifiable KG automation. Given a domain or an initial set of documents, HyDRA first constructs an ontology via a panel of collaborative neurosymbolic agents. These agents collaboratively agree on a set of competency questions (CQs) that define the scope and requirements the ontology must be able to answer. Given these CQs, we build an ontology graph that subsequently guides the automated extraction of triplets for KG generation from arbitrary documents. Inspired by design-by-contracts (DbC) principles, our method leverages verifiable contracts as the primary control mechanism to steer the generative process of Large Language Models (LLMs). To verify the output of our approach, we extend beyond standard benchmarks and propose an evaluation framework that assesses the functional correctness of the resulting KG by leveraging symbolic verifications as described by the neurosymbolic AI framework, SymbolicAI. This work contributes a hybrid-driven architecture for improving the reliability of automated KG construction and the exploration of evaluation methods for measuring the functional integrity of its output. The code is publicly available.

  • 5 authors
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Jul 21, 2025

Statutory Construction and Interpretation for Artificial Intelligence

AI systems are increasingly governed by natural language principles, yet a key challenge arising from reliance on language remains underexplored: interpretive ambiguity. As in legal systems, ambiguity arises both from how these principles are written and how they are applied. But while legal systems use institutional safeguards to manage such ambiguity, such as transparent appellate review policing interpretive constraints, AI alignment pipelines offer no comparable protections. Different interpretations of the same rule can lead to inconsistent or unstable model behavior. Drawing on legal theory, we identify key gaps in current alignment pipelines by examining how legal systems constrain ambiguity at both the rule creation and rule application steps. We then propose a computational framework that mirrors two legal mechanisms: (1) a rule refinement pipeline that minimizes interpretive disagreement by revising ambiguous rules (analogous to agency rulemaking or iterative legislative action), and (2) prompt-based interpretive constraints that reduce inconsistency in rule application (analogous to legal canons that guide judicial discretion). We evaluate our framework on a 5,000-scenario subset of the WildChat dataset and show that both interventions significantly improve judgment consistency across a panel of reasonable interpreters. Our approach offers a first step toward systematically managing interpretive ambiguity, an essential step for building more robust, law-following AI systems.

  • 7 authors
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Sep 1, 2025

Meta-Prompting: Enhancing Language Models with Task-Agnostic Scaffolding

We introduce meta-prompting, an effective scaffolding technique designed to enhance the functionality of language models (LMs). This approach transforms a single LM into a multi-faceted conductor, adept at managing and integrating multiple independent LM queries. By employing high-level instructions, meta-prompting guides the LM to break down complex tasks into smaller, more manageable subtasks. These subtasks are then handled by distinct "expert" instances of the same LM, each operating under specific, tailored instructions. Central to this process is the LM itself, in its role as the conductor, which ensures seamless communication and effective integration of the outputs from these expert models. It additionally employs its inherent critical thinking and robust verification processes to refine and authenticate the end result. This collaborative prompting approach empowers a single LM to simultaneously act as a comprehensive orchestrator and a panel of diverse experts, significantly enhancing its performance across a wide array of tasks. The zero-shot, task-agnostic nature of meta-prompting greatly simplifies user interaction by obviating the need for detailed, task-specific instructions. Furthermore, our research demonstrates the seamless integration of external tools, such as a Python interpreter, into the meta-prompting framework, thereby broadening its applicability and utility. Through rigorous experimentation with GPT-4, we establish the superiority of meta-prompting over conventional scaffolding methods: When averaged across all tasks, including the Game of 24, Checkmate-in-One, and Python Programming Puzzles, meta-prompting, augmented with a Python interpreter functionality, surpasses standard prompting by 17.1%, expert (dynamic) prompting by 17.3%, and multipersona prompting by 15.2%.

  • 2 authors
·
Jan 23, 2024 5

VibeCheck: Discover and Quantify Qualitative Differences in Large Language Models

Large language models (LLMs) often exhibit subtle yet distinctive characteristics in their outputs that users intuitively recognize, but struggle to quantify. These "vibes" - such as tone, formatting, or writing style - influence user preferences, yet traditional evaluations focus primarily on the single axis of correctness. We introduce VibeCheck, a system for automatically comparing a pair of LLMs by discovering identifying traits of a model ("vibes") that are well-defined, differentiating, and user-aligned. VibeCheck iteratively discover vibes from model outputs, then utilizes a panel of LLM judges to quantitatively measure the utility of each vibe. We validate that the vibes generated by VibeCheck align with those found in human discovery and run VibeCheck on pairwise preference data from real-world user conversations with llama-3-70b VS GPT-4. VibeCheck reveals that Llama has a friendly, funny, and somewhat controversial vibe. These vibes predict model identity with 80% accuracy and human preference with 61% accuracy. Lastly, we run VibeCheck on a variety of models and tasks including summarization, math, and captioning to provide insight into differences in model behavior. Some of the vibes we find are that Command X prefers to add concrete intros and conclusions when summarizing in comparison to TNGL, Llama-405b often over-explains its thought process on math problems compared to GPT-4o, and GPT-4 prefers to focus on the mood and emotions of the scene when captioning compared to Gemini-1.5-Flash.

  • 5 authors
·
Oct 10, 2024

Sequential Diagnosis with Language Models

Artificial intelligence holds great promise for expanding access to expert medical knowledge and reasoning. However, most evaluations of language models rely on static vignettes and multiple-choice questions that fail to reflect the complexity and nuance of evidence-based medicine in real-world settings. In clinical practice, physicians iteratively formulate and revise diagnostic hypotheses, adapting each subsequent question and test to what they've just learned, and weigh the evolving evidence before committing to a final diagnosis. To emulate this iterative process, we introduce the Sequential Diagnosis Benchmark, which transforms 304 diagnostically challenging New England Journal of Medicine clinicopathological conference (NEJM-CPC) cases into stepwise diagnostic encounters. A physician or AI begins with a short case abstract and must iteratively request additional details from a gatekeeper model that reveals findings only when explicitly queried. Performance is assessed not just by diagnostic accuracy but also by the cost of physician visits and tests performed. We also present the MAI Diagnostic Orchestrator (MAI-DxO), a model-agnostic orchestrator that simulates a panel of physicians, proposes likely differential diagnoses and strategically selects high-value, cost-effective tests. When paired with OpenAI's o3 model, MAI-DxO achieves 80% diagnostic accuracy--four times higher than the 20% average of generalist physicians. MAI-DxO also reduces diagnostic costs by 20% compared to physicians, and 70% compared to off-the-shelf o3. When configured for maximum accuracy, MAI-DxO achieves 85.5% accuracy. These performance gains with MAI-DxO generalize across models from the OpenAI, Gemini, Claude, Grok, DeepSeek, and Llama families. We highlight how AI systems, when guided to think iteratively and act judiciously, can advance diagnostic precision and cost-effectiveness in clinical care.

  • 15 authors
·
Jun 27, 2025

Towards Robust Mathematical Reasoning

Finding the right north-star metrics is highly critical for advancing the mathematical reasoning capabilities of foundation models, especially given that existing evaluations are either too easy or only focus on getting correct short answers. To address these issues, we present IMO-Bench, a suite of advanced reasoning benchmarks, vetted by a panel of top specialists and that specifically targets the level of the International Mathematical Olympiad (IMO), the most prestigious venue for young mathematicians. IMO-AnswerBench first tests models on 400 diverse Olympiad problems with verifiable short answers. IMO-Proof Bench is the next-level evaluation for proof-writing capabilities, which includes both basic and advanced IMO level problems as well as detailed grading guidelines to facilitate automatic grading. These benchmarks played a crucial role in our historic achievement of the gold-level performance at IMO 2025 with Gemini Deep Think (Luong and Lockhart, 2025). Our model achieved 80.0% on IMO-AnswerBench and 65.7% on the advanced IMO-Proof Bench, surpassing the best non-Gemini models by large margins of 6.9% and 42.4% respectively. We also showed that autograders built with Gemini reasoning correlate well with human evaluations and construct IMO-GradingBench, with 1000 human gradings on proofs, to enable further progress in automatic evaluation of long-form answers. We hope that IMO-Bench will help the community towards advancing robust mathematical reasoning and release it at https://imobench.github.io/.

  • 20 authors
·
Nov 3, 2025 1

Chinese vs. World Bank Development Projects: Insights from Earth Observation and Computer Vision on Wealth Gains in Africa, 2002-2013

Debates about whether development projects improve living conditions persist, partly because observational estimates can be biased by incomplete adjustment and because reliable outcome data are scarce at the neighborhood level. We address both issues in a continent-scale, sector-specific evaluation of Chinese and World Bank projects across 9,899 neighborhoods in 36 African countries (2002 to 2013), representative of 88% of the population. First, we use a recent dataset that measures living conditions with a machine-learned wealth index derived from contemporaneous satellite imagery, yielding a consistent panel of 6.7 km square mosaics. Second, to strengthen identification, we proxy officials' map-based placement criteria using pre-treatment daytime satellite images and fuse these with rich tabular covariates to estimate funder- and sector-specific ATEs via inverse-probability weighting. Incorporating imagery systematically shrinks effects relative to tabular-only models, indicating prior work likely overstated benefits. On average, both donors raise wealth, with larger gains for China; sector extremes in our sample include Trade and Tourism for the World Bank (+6.27 IWI points), and Emergency Response for China (+14.32). Assignment-mechanism analyses show World Bank placement is generally more predictable from imagery alone, as well as from tabular covariates. This suggests that Chinese project placements are more driven by non-visible, political, or event-driven factors than World Bank placements. To probe residual concerns about selection on observables, we also estimate within-neighborhood (unit) fixed-effects models at a spatial resolution about 450 times finer than prior fixed effects analyses, leveraging the computer-vision-imputed IWI panels; these deliver smaller but directionally consistent effects.

ESPORT: Electronic Sports Professionals Observations and Reflections on Training

Esports and high performance human-computer interaction are on the forefront of applying new hardware and software technologies in practice. Despite that, there is a paucity of research on how semi-professional and professional championship level players approach aspects of their preparation. To address that, we have performed, transcribed, and analyzed interviews with top-tournament players, coaches, and managers across multiple game titles. The interviews range from competitive events occuring between 2015-2020. Initial processing included transcription and manual verification. The pre-processed interview data were then organized and structured into relevant categories, touching on psychological, physical, and nutritional aspects of esports preparation. Further, where applicable, interview responses where rated and quantified via consensus judgement by a panel of experts. The results indicate that physical training was most often mentioned as a relevant or consistent activity, while nutrition was indicated as relatively unimportant. Qualitative analysis also indicated that consistency and resiliency were noted as the most key factors recommended for upcoming esports competitors. It is also clear that many players put emphasis on balancing their gameplay time and with activities. Lastly, we identified important areas of inquiry towards a deeper understanding of the mental and physical demands of professional esports players.

  • 5 authors
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Nov 9, 2023