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Apr 17

Bresa: Bio-inspired Reflexive Safe Reinforcement Learning for Contact-Rich Robotic Tasks

Ensuring safety in reinforcement learning (RL)-based robotic systems is a critical challenge, especially in contact-rich tasks within unstructured environments. While the state-of-the-art safe RL approaches mitigate risks through safe exploration or high-level recovery mechanisms, they often overlook low-level execution safety, where reflexive responses to potential hazards are crucial. Similarly, variable impedance control (VIC) enhances safety by adjusting the robot's mechanical response, yet lacks a systematic way to adapt parameters, such as stiffness and damping throughout the task. In this paper, we propose Bresa, a Bio-inspired Reflexive Hierarchical Safe RL method inspired by biological reflexes. Our method decouples task learning from safety learning, incorporating a safety critic network that evaluates action risks and operates at a higher frequency than the task solver. Unlike existing recovery-based methods, our safety critic functions at a low-level control layer, allowing real-time intervention when unsafe conditions arise. The task-solving RL policy, running at a lower frequency, focuses on high-level planning (decision-making), while the safety critic ensures instantaneous safety corrections. We validate Bresa on multiple tasks including a contact-rich robotic task, demonstrating its reflexive ability to enhance safety, and adaptability in unforeseen dynamic environments. Our results show that Bresa outperforms the baseline, providing a robust and reflexive safety mechanism that bridges the gap between high-level planning and low-level execution. Real-world experiments and supplementary material are available at project website https://jack-sherman01.github.io/Bresa.

  • 3 authors
·
Mar 27, 2025

ClawKeeper: Comprehensive Safety Protection for OpenClaw Agents Through Skills, Plugins, and Watchers

OpenClaw has rapidly established itself as a leading open-source autonomous agent runtime, offering powerful capabilities including tool integration, local file access, and shell command execution. However, these broad operational privileges introduce critical security vulnerabilities, transforming model errors into tangible system-level threats such as sensitive data leakage, privilege escalation, and malicious third-party skill execution. Existing security measures for the OpenClaw ecosystem remain highly fragmented, addressing only isolated stages of the agent lifecycle rather than providing holistic protection. To bridge this gap, we present ClawKeeper, a real-time security framework that integrates multi-dimensional protection mechanisms across three complementary architectural layers. (1) Skill-based protection operates at the instruction level, injecting structured security policies directly into the agent context to enforce environment-specific constraints and cross-platform boundaries. (2) Plugin-based protection serves as an internal runtime enforcer, providing configuration hardening, proactive threat detection, and continuous behavioral monitoring throughout the execution pipeline. (3) Watcher-based protection introduces a novel, decoupled system-level security middleware that continuously verifies agent state evolution. It enables real-time execution intervention without coupling to the agent's internal logic, supporting operations such as halting high-risk actions or enforcing human confirmation. We argue that this Watcher paradigm holds strong potential to serve as a foundational building block for securing next-generation autonomous agent systems. Extensive qualitative and quantitative evaluations demonstrate the effectiveness and robustness of ClawKeeper across diverse threat scenarios. We release our code.

  • 11 authors
·
Mar 25 4

Dynamics of Toxicity in Political Podcasts

Toxicity in digital media poses significant challenges, yet little attention has been given to its dynamics within the rapidly growing medium of podcasts. This paper addresses this gap by analyzing political podcast data to study the emergence and propagation of toxicity, focusing on conversation chains-structured reply patterns within podcast transcripts. Leveraging state-of-the-art transcription models and advanced conversational analysis techniques, we systematically examine toxic discourse in over 30 popular political podcasts in the United States. Our key contributions include: (1) creating a comprehensive dataset of transcribed and diarized political podcasts, identifying thousands of toxic instances using Google's Perspective API, (2) uncovering concerning trends where a majority of episodes contain at least one toxic instance, (3) introducing toxic conversation chains and analyzing their structural and linguistic properties, revealing characteristics such as longer durations, repetitive patterns, figurative language, and emotional cues tied to anger and annoyance, (4) identifying demand-related words like 'want', 'like', and 'know' as precursors to toxicity, and (5) developing predictive models to anticipate toxicity shifts based on annotated change points. Our findings provide critical insights into podcast toxicity and establish a foundation for future research on real-time monitoring and intervention mechanisms to foster healthier discourse in this influential medium.

  • 6 authors
·
Jan 21, 2025

Hallucination reduction with CASAL: Contrastive Activation Steering For Amortized Learning

Large Language Models (LLMs) exhibit impressive capabilities but often hallucinate, confidently providing incorrect answers instead of admitting ignorance. Prior work has shown that models encode linear representations of their own knowledge and that activation steering can reduce hallucinations. These approaches, however, require real-time monitoring and intervention during inference. We introduce Contrastive Activation Steering for Amortized Learning (CASAL), an efficient algorithm that connects interpretability with amortized optimization. CASAL directly bakes the benefits of activation steering into model's weights. Once trained, LLMs answer questions they know while abstaining from answering those they do not. CASAL's light-weight design requires training only a submodule of a single transformer layer and yet reduces hallucination by 30%-40% across multiple short-form QA benchmarks. CASAL is 30x more compute-efficient and 20x more data-efficient than strong LoRA-based baselines such as SFT and DPO, boosting its practical applicability in data scarce domains. Importantly, CASAL also generalizes effectively to out-of-distribution (OOD) domains. We showcase CASAL's flexibility in mitigating hallucinations in both text-only and vision-language models. To our knowledge, CASAL is the first steering-based training method that has been shown to be effective for both dense and Mixture-of-Experts (MoE) models. CASAL represents a promising step forward for applying interpretability-inspired method for practical deployment in production systems.

  • 8 authors
·
Sep 25, 2025

Beyond Benchmarks: Dynamic, Automatic And Systematic Red-Teaming Agents For Trustworthy Medical Language Models

Ensuring the safety and reliability of large language models (LLMs) in clinical practice is critical to prevent patient harm and promote trustworthy healthcare applications of AI. However, LLMs are advancing so rapidly that static safety benchmarks often become obsolete upon publication, yielding only an incomplete and sometimes misleading picture of model trustworthiness. We demonstrate that a Dynamic, Automatic, and Systematic (DAS) red-teaming framework that continuously stress-tests LLMs can reveal significant weaknesses of current LLMs across four safety-critical domains: robustness, privacy, bias/fairness, and hallucination. A suite of adversarial agents is applied to autonomously mutate test cases, identify/evolve unsafe-triggering strategies, and evaluate responses, uncovering vulnerabilities in real time without human intervention. Applying DAS to 15 proprietary and open-source LLMs revealed a stark contrast between static benchmark performance and vulnerability under adversarial pressure. Despite a median MedQA accuracy exceeding 80\%, 94\% of previously correct answers failed our dynamic robustness tests. We observed similarly high failure rates across other domains: privacy leaks were elicited in 86\% of scenarios, cognitive-bias priming altered clinical recommendations in 81\% of fairness tests, and we identified hallucination rates exceeding 66\% in widely used models. Such profound residual risks are incompatible with routine clinical practice. By converting red-teaming from a static checklist into a dynamic stress-test audit, DAS red-teaming offers the surveillance that hospitals/regulators/technology vendors require as LLMs become embedded in patient chatbots, decision-support dashboards, and broader healthcare workflows. Our framework delivers an evolvable, scalable, and reliable safeguard for the next generation of medical AI.

  • 21 authors
·
Jul 30, 2025

Deep learning powered real-time identification of insects using citizen science data

Insect-pests significantly impact global agricultural productivity and quality. Effective management involves identifying the full insect community, including beneficial insects and harmful pests, to develop and implement integrated pest management strategies. Automated identification of insects under real-world conditions presents several challenges, including differentiating similar-looking species, intra-species dissimilarity and inter-species similarity, several life cycle stages, camouflage, diverse imaging conditions, and variability in insect orientation. A deep-learning model, InsectNet, is proposed to address these challenges. InsectNet is endowed with five key features: (a) utilization of a large dataset of insect images collected through citizen science; (b) label-free self-supervised learning for large models; (c) improving prediction accuracy for species with a small sample size; (d) enhancing model trustworthiness; and (e) democratizing access through streamlined MLOps. This approach allows accurate identification (>96% accuracy) of over 2500 insect species, including pollinator (e.g., butterflies, bees), parasitoid (e.g., some wasps and flies), predator species (e.g., lady beetles, mantises, dragonflies) and harmful pest species (e.g., armyworms, cutworms, grasshoppers, stink bugs). InsectNet can identify invasive species, provide fine-grained insect species identification, and work effectively in challenging backgrounds. It also can abstain from making predictions when uncertain, facilitating seamless human intervention and making it a practical and trustworthy tool. InsectNet can guide citizen science data collection, especially for invasive species where early detection is crucial. Similar approaches may transform other agricultural challenges like disease detection and underscore the importance of data collection, particularly through citizen science efforts..

  • 13 authors
·
Jun 4, 2023

AI-Driven Real-Time Monitoring of Ground-Nesting Birds: A Case Study on Curlew Detection Using YOLOv10

Effective monitoring of wildlife is critical for assessing biodiversity and ecosystem health, as declines in key species often signal significant environmental changes. Birds, particularly ground-nesting species, serve as important ecological indicators due to their sensitivity to environmental pressures. Camera traps have become indispensable tools for monitoring nesting bird populations, enabling data collection across diverse habitats. However, the manual processing and analysis of such data are resource-intensive, often delaying the delivery of actionable conservation insights. This study presents an AI-driven approach for real-time species detection, focusing on the curlew (Numenius arquata), a ground-nesting bird experiencing significant population declines. A custom-trained YOLOv10 model was developed to detect and classify curlews and their chicks using 3/4G-enabled cameras linked to the Conservation AI platform. The system processes camera trap data in real-time, significantly enhancing monitoring efficiency. Across 11 nesting sites in Wales, the model achieved high performance, with a sensitivity of 90.56%, specificity of 100%, and F1-score of 95.05% for curlew detections, and a sensitivity of 92.35%, specificity of 100%, and F1-score of 96.03% for curlew chick detections. These results demonstrate the capability of AI-driven monitoring systems to deliver accurate, timely data for biodiversity assessments, facilitating early conservation interventions and advancing the use of technology in ecological research.

  • 9 authors
·
Nov 22, 2024

AI-Trader: Benchmarking Autonomous Agents in Real-Time Financial Markets

Large Language Models (LLMs) have demonstrated remarkable potential as autonomous agents, approaching human-expert performance through advanced reasoning and tool orchestration. However, decision-making in fully dynamic and live environments remains highly challenging, requiring real-time information integration and adaptive responses. While existing efforts have explored live evaluation mechanisms in structured tasks, a critical gap remains in systematic benchmarking for real-world applications, particularly in finance where stringent requirements exist for live strategic responsiveness. To address this gap, we introduce AI-Trader, the first fully-automated, live, and data-uncontaminated evaluation benchmark for LLM agents in financial decision-making. AI-Trader spans three major financial markets: U.S. stocks, A-shares, and cryptocurrencies, with multiple trading granularities to simulate live financial environments. Our benchmark implements a revolutionary fully autonomous minimal information paradigm where agents receive only essential context and must independently search, verify, and synthesize live market information without human intervention. We evaluate six mainstream LLMs across three markets and multiple trading frequencies. Our analysis reveals striking findings: general intelligence does not automatically translate to effective trading capability, with most agents exhibiting poor returns and weak risk management. We demonstrate that risk control capability determines cross-market robustness, and that AI trading strategies achieve excess returns more readily in highly liquid markets than policy-driven environments. These findings expose critical limitations in current autonomous agents and provide clear directions for future improvements. The code and evaluation data are open-sourced to foster community research: https://github.com/HKUDS/AI-Trader.

  • 6 authors
·
Nov 30, 2025

Experimental Evaluation of ROS-Causal in Real-World Human-Robot Spatial Interaction Scenarios

Deploying robots in human-shared environments requires a deep understanding of how nearby agents and objects interact. Employing causal inference to model cause-and-effect relationships facilitates the prediction of human behaviours and enables the anticipation of robot interventions. However, a significant challenge arises due to the absence of implementation of existing causal discovery methods within the ROS ecosystem, the standard de-facto framework in robotics, hindering effective utilisation on real robots. To bridge this gap, in our previous work we proposed ROS-Causal, a ROS-based framework designed for onboard data collection and causal discovery in human-robot spatial interactions. In this work, we present an experimental evaluation of ROS-Causal both in simulation and on a new dataset of human-robot spatial interactions in a lab scenario, to assess its performance and effectiveness. Our analysis demonstrates the efficacy of this approach, showcasing how causal models can be extracted directly onboard by robots during data collection. The online causal models generated from the simulation are consistent with those from lab experiments. These findings can help researchers to enhance the performance of robotic systems in shared environments, firstly by studying the causal relations between variables in simulation without real people, and then facilitating the actual robot deployment in real human environments. ROS-Causal: https://lcastri.github.io/roscausal

  • 5 authors
·
Jun 7, 2024

Digital Twins for Patient Care via Knowledge Graphs and Closed-Form Continuous-Time Liquid Neural Networks

Digital twin technology has is anticipated to transform healthcare, enabling personalized medicines and support, earlier diagnoses, simulated treatment outcomes, and optimized surgical plans. Digital twins are readily gaining traction in industries like manufacturing, supply chain logistics, and civil infrastructure. Not in patient care, however. The challenge of modeling complex diseases with multimodal patient data and the computational complexities of analyzing it have stifled digital twin adoption in the biomedical vertical. Yet, these major obstacles can potentially be handled by approaching these models in a different way. This paper proposes a novel framework for addressing the barriers to clinical twin modeling created by computational costs and modeling complexities. We propose structuring patient health data as a knowledge graph and using closed-form continuous-time liquid neural networks, for real-time analytics. By synthesizing multimodal patient data and leveraging the flexibility and efficiency of closed form continuous time networks and knowledge graph ontologies, our approach enables real time insights, personalized medicine, early diagnosis and intervention, and optimal surgical planning. This novel approach provides a comprehensive and adaptable view of patient health along with real-time analytics, paving the way for digital twin simulations and other anticipated benefits in healthcare.

  • 1 authors
·
Jul 8, 2023

Improving Geo-diversity of Generated Images with Contextualized Vendi Score Guidance

With the growing popularity of text-to-image generative models, there has been increasing focus on understanding their risks and biases. Recent work has found that state-of-the-art models struggle to depict everyday objects with the true diversity of the real world and have notable gaps between geographic regions. In this work, we aim to increase the diversity of generated images of common objects such that per-region variations are representative of the real world. We introduce an inference time intervention, contextualized Vendi Score Guidance (c-VSG), that guides the backwards steps of latent diffusion models to increase the diversity of a sample as compared to a "memory bank" of previously generated images while constraining the amount of variation within that of an exemplar set of real-world contextualizing images. We evaluate c-VSG with two geographically representative datasets and find that it substantially increases the diversity of generated images, both for the worst performing regions and on average, while simultaneously maintaining or improving image quality and consistency. Additionally, qualitative analyses reveal that diversity of generated images is significantly improved, including along the lines of reductive region portrayals present in the original model. We hope that this work is a step towards text-to-image generative models that reflect the true geographic diversity of the world.

  • 6 authors
·
Jun 6, 2024

FASIONAD++ : Integrating High-Level Instruction and Information Bottleneck in FAt-Slow fusION Systems for Enhanced Safety in Autonomous Driving with Adaptive Feedback

Ensuring safe, comfortable, and efficient planning is crucial for autonomous driving systems. While end-to-end models trained on large datasets perform well in standard driving scenarios, they struggle with complex low-frequency events. Recent Large Language Models (LLMs) and Vision Language Models (VLMs) advancements offer enhanced reasoning but suffer from computational inefficiency. Inspired by the dual-process cognitive model "Thinking, Fast and Slow", we propose FASIONAD -- a novel dual-system framework that synergizes a fast end-to-end planner with a VLM-based reasoning module. The fast system leverages end-to-end learning to achieve real-time trajectory generation in common scenarios, while the slow system activates through uncertainty estimation to perform contextual analysis and complex scenario resolution. Our architecture introduces three key innovations: (1) A dynamic switching mechanism enabling slow system intervention based on real-time uncertainty assessment; (2) An information bottleneck with high-level plan feedback that optimizes the slow system's guidance capability; (3) A bidirectional knowledge exchange where visual prompts enhance the slow system's reasoning while its feedback refines the fast planner's decision-making. To strengthen VLM reasoning, we develop a question-answering mechanism coupled with reward-instruct training strategy. In open-loop experiments, FASIONAD achieves a 6.7% reduction in average L2 trajectory error and 28.1% lower collision rate.

  • 19 authors
·
Mar 11, 2025

WebCryptoAgent: Agentic Crypto Trading with Web Informatics

Cryptocurrency trading increasingly depends on timely integration of heterogeneous web information and market microstructure signals to support short-horizon decision making under extreme volatility. However, existing trading systems struggle to jointly reason over noisy multi-source web evidence while maintaining robustness to rapid price shocks at sub-second timescales. The first challenge lies in synthesizing unstructured web content, social sentiment, and structured OHLCV signals into coherent and interpretable trading decisions without amplifying spurious correlations, while the second challenge concerns risk control, as slow deliberative reasoning pipelines are ill-suited for handling abrupt market shocks that require immediate defensive responses. To address these challenges, we propose WebCryptoAgent, an agentic trading framework that decomposes web-informed decision making into modality-specific agents and consolidates their outputs into a unified evidence document for confidence-calibrated reasoning. We further introduce a decoupled control architecture that separates strategic hourly reasoning from a real-time second-level risk model, enabling fast shock detection and protective intervention independent of the trading loop. Extensive experiments on real-world cryptocurrency markets demonstrate that WebCryptoAgent improves trading stability, reduces spurious activity, and enhances tail-risk handling compared to existing baselines. Code will be available at https://github.com/AIGeeksGroup/WebCryptoAgent.

  • 7 authors
·
Jan 8

BleedOrigin: Dynamic Bleeding Source Localization in Endoscopic Submucosal Dissection via Dual-Stage Detection and Tracking

Intraoperative bleeding during Endoscopic Submucosal Dissection (ESD) poses significant risks, demanding precise, real-time localization and continuous monitoring of the bleeding source for effective hemostatic intervention. In particular, endoscopists have to repeatedly flush to clear blood, allowing only milliseconds to identify bleeding sources, an inefficient process that prolongs operations and elevates patient risks. However, current Artificial Intelligence (AI) methods primarily focus on bleeding region segmentation, overlooking the critical need for accurate bleeding source detection and temporal tracking in the challenging ESD environment, which is marked by frequent visual obstructions and dynamic scene changes. This gap is widened by the lack of specialized datasets, hindering the development of robust AI-assisted guidance systems. To address these challenges, we introduce BleedOrigin-Bench, the first comprehensive ESD bleeding source dataset, featuring 1,771 expert-annotated bleeding sources across 106,222 frames from 44 procedures, supplemented with 39,755 pseudo-labeled frames. This benchmark covers 8 anatomical sites and 6 challenging clinical scenarios. We also present BleedOrigin-Net, a novel dual-stage detection-tracking framework for the bleeding source localization in ESD procedures, addressing the complete workflow from bleeding onset detection to continuous spatial tracking. We compare with widely-used object detection models (YOLOv11/v12), multimodal large language models, and point tracking methods. Extensive evaluation demonstrates state-of-the-art performance, achieving 96.85% frame-level accuracy (pmleq8 frames) for bleeding onset detection, 70.24% pixel-level accuracy (leq100 px) for initial source detection, and 96.11% pixel-level accuracy (leq100 px) for point tracking.

  • 7 authors
·
Jul 20, 2025

DeepPsy-Agent: A Stage-Aware and Deep-Thinking Emotional Support Agent System

This paper introduces DeepPsy-Agent, an innovative psychological support system that combines the three-stage helping theory in psychology with deep learning techniques. The system consists of two core components: (1) a multi-stage response-capable dialogue model (deeppsy-chat), which enhances reasoning capabilities through stage-awareness and deep-thinking analysis to generate high-quality responses; and (2) a real-time stage transition detection model that identifies contextual shifts to guide the dialogue towards more effective intervention stages. Based on 30,000 real psychological hotline conversations, we employ AI-simulated dialogues and expert re-annotation strategies to construct a high-quality multi-turn dialogue dataset. Experimental results demonstrate that DeepPsy-Agent outperforms general-purpose large language models (LLMs) in key metrics such as problem exposure completeness, cognitive restructuring success rate, and action adoption rate. Ablation studies further validate the effectiveness of stage-awareness and deep-thinking modules, showing that stage information contributes 42.3\% to performance, while the deep-thinking module increases root-cause identification by 58.3\% and reduces ineffective suggestions by 72.1\%. This system addresses critical challenges in AI-based psychological support through dynamic dialogue management and deep reasoning, advancing intelligent mental health services.

  • 2 authors
·
Mar 20, 2025

Bidirectional LMs are Better Knowledge Memorizers? A Benchmark for Real-world Knowledge Injection

Despite significant advances in large language models (LLMs), their knowledge memorization capabilities remain underexplored, due to the lack of standardized and high-quality test ground. In this paper, we introduce a novel, real-world and large-scale knowledge injection benchmark that evolves continuously over time without requiring human intervention. Specifically, we propose WikiDYK, which leverages recently-added and human-written facts from Wikipedia's "Did You Know..." entries. These entries are carefully selected by expert Wikipedia editors based on criteria such as verifiability and clarity. Each entry is converted into multiple question-answer pairs spanning diverse task formats from easy cloze prompts to complex multi-hop questions. WikiDYK contains 12,290 facts and 77,180 questions, which is also seamlessly extensible with future updates from Wikipedia editors. Extensive experiments using continued pre-training reveal a surprising insight: despite their prevalence in modern LLMs, Causal Language Models (CLMs) demonstrate significantly weaker knowledge memorization capabilities compared to Bidirectional Language Models (BiLMs), exhibiting a 23% lower accuracy in terms of reliability. To compensate for the smaller scales of current BiLMs, we introduce a modular collaborative framework utilizing ensembles of BiLMs as external knowledge repositories to integrate with LLMs. Experiment shows that our framework further improves the reliability accuracy by up to 29.1%.

  • 8 authors
·
May 18, 2025 2

Moshi: a speech-text foundation model for real-time dialogue

We introduce Moshi, a speech-text foundation model and full-duplex spoken dialogue framework. Current systems for spoken dialogue rely on pipelines of independent components, namely voice activity detection, speech recognition, textual dialogue and text-to-speech. Such frameworks cannot emulate the experience of real conversations. First, their complexity induces a latency of several seconds between interactions. Second, text being the intermediate modality for dialogue, non-linguistic information that modifies meaning -- such as emotion or non-speech sounds -- is lost in the interaction. Finally, they rely on a segmentation into speaker turns, which does not take into account overlapping speech, interruptions and interjections. Moshi solves these independent issues altogether by casting spoken dialogue as speech-to-speech generation. Starting from a text language model backbone, Moshi generates speech as tokens from the residual quantizer of a neural audio codec, while modeling separately its own speech and that of the user into parallel streams. This allows for the removal of explicit speaker turns, and the modeling of arbitrary conversational dynamics. We moreover extend the hierarchical semantic-to-acoustic token generation of previous work to first predict time-aligned text tokens as a prefix to audio tokens. Not only this "Inner Monologue" method significantly improves the linguistic quality of generated speech, but we also illustrate how it can provide streaming speech recognition and text-to-speech. Our resulting model is the first real-time full-duplex spoken large language model, with a theoretical latency of 160ms, 200ms in practice, and is available at https://github.com/kyutai-labs/moshi.

kyutai Kyutai
·
Sep 17, 2024 3

Knowledge-Informed Multi-Agent Trajectory Prediction at Signalized Intersections for Infrastructure-to-Everything

Multi-agent trajectory prediction at signalized intersections is crucial for developing efficient intelligent transportation systems and safe autonomous driving systems. Due to the complexity of intersection scenarios and the limitations of single-vehicle perception, the performance of vehicle-centric prediction methods has reached a plateau. In this paper, we introduce an Infrastructure-to-Everything (I2X) collaborative prediction scheme. In this scheme, roadside units (RSUs) independently forecast the future trajectories of all vehicles and transmit these predictions unidirectionally to subscribing vehicles. Building on this scheme, we propose I2XTraj, a dedicated infrastructure-based trajectory prediction model. I2XTraj leverages real-time traffic signal states, prior maneuver strategy knowledge, and multi-agent interactions to generate accurate, joint multi-modal trajectory prediction. First, a continuous signal-informed mechanism is proposed to adaptively process real-time traffic signals to guide trajectory proposal generation under varied intersection configurations. Second, a driving strategy awareness mechanism estimates the joint distribution of maneuver strategies by integrating spatial priors of intersection areas with dynamic vehicle states, enabling coverage of the full set of feasible maneuvers. Third, a spatial-temporal-mode attention network models multi-agent interactions to refine and adjust joint trajectory outputs.Finally, I2XTraj is evaluated on two real-world datasets of signalized intersections, the V2X-Seq and the SinD drone dataset. In both single-infrastructure and online collaborative scenarios, our model outperforms state-of-the-art methods by over 30\% on V2X-Seq and 15\% on SinD, demonstrating strong generalizability and robustness.

  • 5 authors
·
Jan 23, 2025

AEGIS: No Tool Call Left Unchecked -- A Pre-Execution Firewall and Audit Layer for AI Agents

AI agents increasingly act through external tools: they query databases, execute shell commands, read and write files, and send network requests. Yet in most current agent stacks, model-generated tool calls are handed to the execution layer with no framework-agnostic control point in between. Post-execution observability can record these actions, but it cannot stop them before side effects occur. We present AEGIS, a pre-execution firewall and audit layer for AI agents. AEGIS interposes on the tool-execution path and applies a three-stage pipeline: (i) deep string extraction from tool arguments, (ii) content-first risk scanning, and (iii) composable policy validation. High-risk calls can be held for human approval, and all decisions are recorded in a tamper-evident audit trail based on Ed25519 signatures and SHA-256 hash chaining. In the current implementation, AEGIS supports 14 agent frameworks across Python, JavaScript, and Go with lightweight integration. On a curated suite of 48 attackinstances, AEGIS blocks all attacks in the suite before execution; on 500 benign tool calls, it yields a 1.2% false positive rate; and across 1,000 consecutive interceptions, it adds 8.3 ms median latency. The live demo will show end-to-end interception of benign, malicious, and human-escalated tool calls, allowing attendees to observe real-time blocking, approval workflows, and audit-trail generation. These results suggest that pre-execution mediation for AI agents can be practical, low-overhead, and directly deployable.

  • 3 authors
·
Mar 12

Digital Twin AI: Opportunities and Challenges from Large Language Models to World Models

Digital twins, as precise digital representations of physical systems, have evolved from passive simulation tools into intelligent and autonomous entities through the integration of artificial intelligence technologies. This paper presents a unified four-stage framework that systematically characterizes AI integration across the digital twin lifecycle, spanning modeling, mirroring, intervention, and autonomous management. By synthesizing existing technologies and practices, we distill a unified four-stage framework that systematically characterizes how AI methodologies are embedded across the digital twin lifecycle: (1) modeling the physical twin through physics-based and physics-informed AI approaches, (2) mirroring the physical system into a digital twin with real-time synchronization, (3) intervening in the physical twin through predictive modeling, anomaly detection, and optimization strategies, and (4) achieving autonomous management through large language models, foundation models, and intelligent agents. We analyze the synergy between physics-based modeling and data-driven learning, highlighting the shift from traditional numerical solvers to physics-informed and foundation models for physical systems. Furthermore, we examine how generative AI technologies, including large language models and generative world models, transform digital twins into proactive and self-improving cognitive systems capable of reasoning, communication, and creative scenario generation. Through a cross-domain review spanning eleven application domains, including healthcare, aerospace, smart manufacturing, robotics, and smart cities, we identify common challenges related to scalability, explainability, and trustworthiness, and outline directions for responsible AI-driven digital twin systems.

  • 27 authors
·
Jan 3 2

Dispider: Enabling Video LLMs with Active Real-Time Interaction via Disentangled Perception, Decision, and Reaction

Active Real-time interaction with video LLMs introduces a new paradigm for human-computer interaction, where the model not only understands user intent but also responds while continuously processing streaming video on the fly. Unlike offline video LLMs, which analyze the entire video before answering questions, active real-time interaction requires three capabilities: 1) Perception: real-time video monitoring and interaction capturing. 2) Decision: raising proactive interaction in proper situations, 3) Reaction: continuous interaction with users. However, inherent conflicts exist among the desired capabilities. The Decision and Reaction require a contrary Perception scale and grain, and the autoregressive decoding blocks the real-time Perception and Decision during the Reaction. To unify the conflicted capabilities within a harmonious system, we present Dispider, a system that disentangles Perception, Decision, and Reaction. Dispider features a lightweight proactive streaming video processing module that tracks the video stream and identifies optimal moments for interaction. Once the interaction is triggered, an asynchronous interaction module provides detailed responses, while the processing module continues to monitor the video in the meantime. Our disentangled and asynchronous design ensures timely, contextually accurate, and computationally efficient responses, making Dispider ideal for active real-time interaction for long-duration video streams. Experiments show that Dispider not only maintains strong performance in conventional video QA tasks, but also significantly surpasses previous online models in streaming scenario responses, thereby validating the effectiveness of our architecture. The code and model are released at https://github.com/Mark12Ding/Dispider.

  • 8 authors
·
Jan 6, 2025 6

TimeChat-Online: 80% Visual Tokens are Naturally Redundant in Streaming Videos

The rapid growth of online video platforms, particularly live streaming services, has created an urgent need for real-time video understanding systems. These systems must process continuous video streams and respond to user queries instantaneously, presenting unique challenges for current Video Large Language Models (VideoLLMs). While existing VideoLLMs excel at processing complete videos, they face significant limitations in streaming scenarios due to their inability to handle dense, redundant frames efficiently. We introduce TimeChat-Online, a novel online VideoLLM that revolutionizes real-time video interaction. At its core lies our innovative Differential Token Drop (DTD) module, which addresses the fundamental challenge of visual redundancy in streaming videos. Drawing inspiration from human visual perception's Change Blindness phenomenon, DTD preserves meaningful temporal changes while filtering out static, redundant content between frames. Remarkably, our experiments demonstrate that DTD achieves an 82.8% reduction in video tokens while maintaining 98% performance on StreamingBench, revealing that over 80% of visual content in streaming videos is naturally redundant without requiring language guidance. To enable seamless real-time interaction, we present TimeChat-Online-139K, a comprehensive streaming video dataset featuring diverse interaction patterns including backward-tracing, current-perception, and future-responding scenarios. TimeChat-Online's unique Proactive Response capability, naturally achieved through continuous monitoring of video scene transitions via DTD, sets it apart from conventional approaches. Our extensive evaluation demonstrates TimeChat-Online's superior performance on streaming benchmarks (StreamingBench and OvOBench) and maintaining competitive results on long-form video tasks such as Video-MME and MLVU.

  • 14 authors
·
Apr 24, 2025 2

Real-time respiratory motion forecasting with online learning of recurrent neural networks for accurate targeting in externally guided radiotherapy

In lung radiotherapy, infrared cameras can track reflective objects on the chest to estimate tumor motion due to breathing, but treatment system latencies hinder radiation beam precision. Real-time recurrent learning (RTRL) is a potential solution that can learn patterns within non-stationary respiratory data but has high complexity. This study assesses the capabilities of resource-efficient online RNN algorithms, namely unbiased online recurrent optimization (UORO), sparse-1 step approximation (SnAp-1), and decoupled neural interfaces (DNI) to forecast respiratory motion during radiotherapy treatment accurately. We use time series containing the 3D positions of external markers on the chest of healthy subjects. We propose efficient implementations for SnAp-1 and DNI that compress the influence and immediate Jacobian matrices and accurately update the linear coefficients used in credit assignment estimation, respectively. Data was originally sampled at 10Hz; we resampled it at 3.33Hz and 30Hz to analyze the effect of the sampling rate on performance. We use UORO, SnAp-1, and DNI to forecast each marker's 3D position with horizons h<=2.1s (the time interval in advance for which the prediction is made) and compare them with RTRL, least mean squares, kernel support vector regression, and linear regression. RNNs trained online achieved similar or better accuracy than most previous works using larger training databases and deep learning, even though we used only the first minute of each sequence to predict motion within that exact sequence. SnAp-1 had the lowest normalized root mean square errors (nRMSEs) averaged over the horizon values considered, equal to 0.335 and 0.157, at 3.33Hz and 10.0Hz, respectively. Similarly, UORO had the lowest nRMSE at 30Hz, equal to 0.086. DNI's inference time (6.8ms per time step at 30Hz, Intel Core i7-13700 CPU) was the lowest among the RNN methods.

  • 5 authors
·
Mar 3, 2024

Multimodal Language Models for Domain-Specific Procedural Video Summarization

Videos serve as a powerful medium to convey ideas, tell stories, and provide detailed instructions, especially through long-format tutorials. Such tutorials are valuable for learning new skills at one's own pace, yet they can be overwhelming due to their length and dense content. Viewers often seek specific information, like precise measurements or step-by-step execution details, making it essential to extract and summarize key segments efficiently. An intelligent, time-sensitive video assistant capable of summarizing and detecting highlights in long videos is highly sought after. Recent advancements in Multimodal Large Language Models offer promising solutions to develop such an assistant. Our research explores the use of multimodal models to enhance video summarization and step-by-step instruction generation within specific domains. These models need to understand temporal events and relationships among actions across video frames. Our approach focuses on fine-tuning TimeChat to improve its performance in specific domains: cooking and medical procedures. By training the model on domain-specific datasets like Tasty for cooking and MedVidQA for medical procedures, we aim to enhance its ability to generate concise, accurate summaries of instructional videos. We curate and restructure these datasets to create high-quality video-centric instruction data. Our findings indicate that when finetuned on domain-specific procedural data, TimeChat can significantly improve the extraction and summarization of key instructional steps in long-format videos. This research demonstrates the potential of specialized multimodal models to assist with practical tasks by providing personalized, step-by-step guidance tailored to the unique aspects of each domain.

  • 1 authors
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Jul 7, 2024

AIMI: Leveraging Future Knowledge and Personalization in Sparse Event Forecasting for Treatment Adherence

Adherence to prescribed treatments is crucial for individuals with chronic conditions to avoid costly or adverse health outcomes. For certain patient groups, intensive lifestyle interventions are vital for enhancing medication adherence. Accurate forecasting of treatment adherence can open pathways to developing an on-demand intervention tool, enabling timely and personalized support. With the increasing popularity of smartphones and wearables, it is now easier than ever to develop and deploy smart activity monitoring systems. However, effective forecasting systems for treatment adherence based on wearable sensors are still not widely available. We close this gap by proposing Adherence Forecasting and Intervention with Machine Intelligence (AIMI). AIMI is a knowledge-guided adherence forecasting system that leverages smartphone sensors and previous medication history to estimate the likelihood of forgetting to take a prescribed medication. A user study was conducted with 27 participants who took daily medications to manage their cardiovascular diseases. We designed and developed CNN and LSTM-based forecasting models with various combinations of input features and found that LSTM models can forecast medication adherence with an accuracy of 0.932 and an F-1 score of 0.936. Moreover, through a series of ablation studies involving convolutional and recurrent neural network architectures, we demonstrate that leveraging known knowledge about future and personalized training enhances the accuracy of medication adherence forecasting. Code available: https://github.com/ab9mamun/AIMI.

  • 3 authors
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Mar 20, 2025 2

Chat with AI: The Surprising Turn of Real-time Video Communication from Human to AI

AI Video Chat emerges as a new paradigm for Real-time Communication (RTC), where one peer is not a human, but a Multimodal Large Language Model (MLLM). This makes interaction between humans and AI more intuitive, as if chatting face-to-face with a real person. However, this poses significant challenges to latency, because the MLLM inference takes up most of the response time, leaving very little time for video streaming. Due to network uncertainty and instability, transmission latency becomes a critical bottleneck preventing AI from being like a real person. To address this, we propose Artic, an AI-oriented Real-time Communication framework, exploring the network requirement shift from "humans watching video" to "AI understanding video". To reduce bitrate dramatically while maintaining MLLM accuracy, we propose Context-Aware Video Streaming that recognizes the importance of each video region for chat and allocates bitrate almost exclusively to chat-important regions. To avoid packet retransmission, we propose Loss-Resilient Adaptive Frame Rate that leverages previous frames to substitute for lost/delayed frames while avoiding bitrate waste. To evaluate the impact of video streaming quality on MLLM accuracy, we build the first benchmark, named Degraded Video Understanding Benchmark (DeViBench). Finally, we discuss some open questions and ongoing solutions for AI Video Chat.

  • 4 authors
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Jul 14, 2025 2

AI for Service: Proactive Assistance with AI Glasses

In an era where AI is evolving from a passive tool into an active and adaptive companion, we introduce AI for Service (AI4Service), a new paradigm that enables proactive and real-time assistance in daily life. Existing AI services remain largely reactive, responding only to explicit user commands. We argue that a truly intelligent and helpful assistant should be capable of anticipating user needs and taking actions proactively when appropriate. To realize this vision, we propose Alpha-Service, a unified framework that addresses two fundamental challenges: Know When to intervene by detecting service opportunities from egocentric video streams, and Know How to provide both generalized and personalized services. Inspired by the von Neumann computer architecture and based on AI glasses, Alpha-Service consists of five key components: an Input Unit for perception, a Central Processing Unit for task scheduling, an Arithmetic Logic Unit for tool utilization, a Memory Unit for long-term personalization, and an Output Unit for natural human interaction. As an initial exploration, we implement Alpha-Service through a multi-agent system deployed on AI glasses. Case studies, including a real-time Blackjack advisor, a museum tour guide, and a shopping fit assistant, demonstrate its ability to seamlessly perceive the environment, infer user intent, and provide timely and useful assistance without explicit prompts.

FASTER: Rethinking Real-Time Flow VLAs

Real-time execution is crucial for deploying Vision-Language-Action (VLA) models in the physical world. Existing asynchronous inference methods primarily optimize trajectory smoothness, but neglect the critical latency in reacting to environmental changes. By rethinking the notion of reaction in action chunking policies, this paper presents a systematic analysis of the factors governing reaction time. We show that reaction time follows a uniform distribution determined jointly by the Time to First Action (TTFA) and the execution horizon. Moreover, we reveal that the standard practice of applying a constant schedule in flow-based VLAs can be inefficient and forces the system to complete all sampling steps before any movement can start, forming the bottleneck in reaction latency. To overcome this issue, we propose Fast Action Sampling for ImmediaTE Reaction (FASTER). By introducing a Horizon-Aware Schedule, FASTER adaptively prioritizes near-term actions during flow sampling, compressing the denoising of the immediate reaction by tenfold (e.g., in π_{0.5} and X-VLA) into a single step, while preserving the quality of long-horizon trajectory. Coupled with a streaming client-server pipeline, FASTER substantially reduces the effective reaction latency on real robots, especially when deployed on consumer-grade GPUs. Real-world experiments, including a highly dynamic table tennis task, prove that FASTER unlocks unprecedented real-time responsiveness for generalist policies, enabling rapid generation of accurate and smooth trajectories.

Instruction-based Time Series Editing

In time series editing, we aim to modify some properties of a given time series without altering others. For example, when analyzing a hospital patient's blood pressure, we may add a sudden early drop and observe how it impacts their future while preserving other conditions. Existing diffusion-based editors rely on rigid, predefined attribute vectors as conditions and produce all-or-nothing edits through sampling. This attribute- and sampling-based approach limits flexibility in condition format and lacks customizable control over editing strength. To overcome these limitations, we introduce Instruction-based Time Series Editing, where users specify intended edits using natural language. This allows users to express a wider range of edits in a more accessible format. We then introduce InstructTime, the first instruction-based time series editor. InstructTime takes in time series and instructions, embeds them into a shared multi-modal representation space, then decodes their embeddings to generate edited time series. By learning a structured multi-modal representation space, we can easily interpolate between embeddings to achieve varying degrees of edit. To handle local and global edits together, we propose multi-resolution encoders. In our experiments, we use synthetic and real datasets and find that InstructTime is a state-of-the-art time series editor: InstructTime achieves high-quality edits with controllable strength, can generalize to unseen instructions, and can be easily adapted to unseen conditions through few-shot learning.

  • 5 authors
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Aug 2, 2025

SocialPulse: On-Device Detection of Social Interactions in Naturalistic Settings Using Smartwatch Multimodal Sensing

Social interactions are fundamental to well-being, yet automatically detecting them in daily life-particularly using wearables-remains underexplored. Most existing systems are evaluated in controlled settings, focus primarily on in-person interactions, or rely on restrictive assumptions (e.g., requiring multiple speakers within fixed temporal windows), limiting generalizability to real-world use. We present an on-watch interaction detection system designed to capture diverse interactions in naturalistic settings. A core component is a foreground speech detector trained on a public dataset. Evaluated on over 100,000 labeled foreground speech and background sound instances, the detector achieves a balanced accuracy of 85.51%, outperforming prior work by 5.11%. We evaluated the system in a real-world deployment (N=38), with over 900 hours of total smartwatch wear time. The system detected 1,691 interactions, 77.28% were confirmed via participant self-report, with durations ranging from under one minute to over one hour. Among correct detections, 81.45% were in-person, 15.7% virtual, and 1.85% hybrid. Leveraging participant-labeled data, we further developed a multimodal model achieving a balanced accuracy of 90.36% and a sensitivity of 91.17% on 33,698 labeled 15-second windows. These results demonstrate the feasibility of real-world interaction sensing and open the door to adaptive, context-aware systems responding to users' dynamic social environments.

  • 9 authors
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Feb 25

OVO-Bench: How Far is Your Video-LLMs from Real-World Online Video Understanding?

Temporal Awareness, the ability to reason dynamically based on the timestamp when a question is raised, is the key distinction between offline and online video LLMs. Unlike offline models, which rely on complete videos for static, post hoc analysis, online models process video streams incrementally and dynamically adapt their responses based on the timestamp at which the question is posed. Despite its significance, temporal awareness has not been adequately evaluated in existing benchmarks. To fill this gap, we present OVO-Bench (Online-VideO-Benchmark), a novel video benchmark that emphasizes the importance of timestamps for advanced online video understanding capability benchmarking. OVO-Bench evaluates the ability of video LLMs to reason and respond to events occurring at specific timestamps under three distinct scenarios: (1) Backward tracing: trace back to past events to answer the question. (2) Real-time understanding: understand and respond to events as they unfold at the current timestamp. (3) Forward active responding: delay the response until sufficient future information becomes available to answer the question accurately. OVO-Bench comprises 12 tasks, featuring 644 unique videos and approximately human-curated 2,800 fine-grained meta-annotations with precise timestamps. We combine automated generation pipelines with human curation. With these high-quality samples, we further developed an evaluation pipeline to systematically query video LLMs along the video timeline. Evaluations of nine Video-LLMs reveal that, despite advancements on traditional benchmarks, current models struggle with online video understanding, showing a significant gap compared to human agents. We hope OVO-Bench will drive progress in video LLMs and inspire future research in online video reasoning. Our benchmark and code can be accessed at https://github.com/JoeLeelyf/OVO-Bench.

  • 15 authors
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Jan 9, 2025 2

State-Change Learning for Prediction of Future Events in Endoscopic Videos

Surgical future prediction, driven by real-time AI analysis of surgical video, is critical for operating room safety and efficiency. It provides actionable insights into upcoming events, their timing, and risks-enabling better resource allocation, timely instrument readiness, and early warnings for complications (e.g., bleeding, bile duct injury). Despite this need, current surgical AI research focuses on understanding what is happening rather than predicting future events. Existing methods target specific tasks in isolation, lacking unified approaches that span both short-term (action triplets, events) and long-term horizons (remaining surgery duration, phase transitions). These methods rely on coarse-grained supervision while fine-grained surgical action triplets and steps remain underexplored. Furthermore, methods based only on future feature prediction struggle to generalize across different surgical contexts and procedures. We address these limits by reframing surgical future prediction as state-change learning. Rather than forecasting raw observations, our approach classifies state transitions between current and future timesteps. We introduce SurgFUTR, implementing this through a teacher-student architecture. Video clips are compressed into state representations via Sinkhorn-Knopp clustering; the teacher network learns from both current and future clips, while the student network predicts future states from current videos alone, guided by our Action Dynamics (ActDyn) module. We establish SFPBench with five prediction tasks spanning short-term (triplets, events) and long-term (remaining surgery duration, phase and step transitions) horizons. Experiments across four datasets and three procedures show consistent improvements. Cross-procedure transfer validates generalizability.

  • 4 authors
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Oct 14, 2025

Real-Time Reasoning Agents in Evolving Environments

Agents in the real world must make not only logical but also timely judgments. This requires continuous awareness of the dynamic environment: hazards emerge, opportunities arise, and other agents act, while the agent's reasoning is still unfolding. Despite advances in language model reasoning, existing approaches fail to account for this dynamic nature. We introduce real-time reasoning as a new problem formulation for agents in evolving environments and build Real-Time Reasoning Gym to demonstrate it. We study two paradigms for deploying language models in agents: (1) reactive agents, which employ language models with bounded reasoning computation for rapid responses, and (2) planning agents, which allow extended reasoning computation for complex problems. Our experiments show that even state-of-the-art models struggle with making logical and timely judgments in either paradigm. To address this limitation, we propose AgileThinker, which simultaneously engages both reasoning paradigms. AgileThinker consistently outperforms agents engaging only one reasoning paradigm as the task difficulty and time pressure rise, effectively balancing reasoning depth and response latency. Our work establishes real-time reasoning as a critical testbed for developing practical agents and provides a foundation for research in temporally constrained AI systems, highlighting a path toward real-time capable agents.

LINA: Learning INterventions Adaptively for Physical Alignment and Generalization in Diffusion Models

Diffusion models (DMs) have achieved remarkable success in image and video generation. However, they still struggle with (1) physical alignment and (2) out-of-distribution (OOD) instruction following. We argue that these issues stem from the models' failure to learn causal directions and to disentangle causal factors for novel recombination. We introduce the Causal Scene Graph (CSG) and the Physical Alignment Probe (PAP) dataset to enable diagnostic interventions. This analysis yields three key insights. First, DMs struggle with multi-hop reasoning for elements not explicitly determined in the prompt. Second, the prompt embedding contains disentangled representations for texture and physics. Third, visual causal structure is disproportionately established during the initial, computationally limited denoising steps. Based on these findings, we introduce LINA (Learning INterventions Adaptively), a novel framework that learns to predict prompt-specific interventions, which employs (1) targeted guidance in the prompt and visual latent spaces, and (2) a reallocated, causality-aware denoising schedule. Our approach enforces both physical alignment and OOD instruction following in image and video DMs, achieving state-of-the-art performance on challenging causal generation tasks and the Winoground dataset. Our project page is at https://opencausalab.github.io/LINA.

  • 2 authors
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Dec 15, 2025

RealWebAssist: A Benchmark for Long-Horizon Web Assistance with Real-World Users

To achieve successful assistance with long-horizon web-based tasks, AI agents must be able to sequentially follow real-world user instructions over a long period. Unlike existing web-based agent benchmarks, sequential instruction following in the real world poses significant challenges beyond performing a single, clearly defined task. For instance, real-world human instructions can be ambiguous, require different levels of AI assistance, and may evolve over time, reflecting changes in the user's mental state. To address this gap, we introduce RealWebAssist, a novel benchmark designed to evaluate sequential instruction-following in realistic scenarios involving long-horizon interactions with the web, visual GUI grounding, and understanding ambiguous real-world user instructions. RealWebAssist includes a dataset of sequential instructions collected from real-world human users. Each user instructs a web-based assistant to perform a series of tasks on multiple websites. A successful agent must reason about the true intent behind each instruction, keep track of the mental state of the user, understand user-specific routines, and ground the intended tasks to actions on the correct GUI elements. Our experimental results show that state-of-the-art models struggle to understand and ground user instructions, posing critical challenges in following real-world user instructions for long-horizon web assistance.

  • 6 authors
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Apr 14, 2025

Artic: AI-oriented Real-time Communication for MLLM Video Assistant

AI Video Assistant emerges as a new paradigm for Real-time Communication (RTC), where one peer is a Multimodal Large Language Model (MLLM) deployed in the cloud. This makes interaction between humans and AI more intuitive, akin to chatting with a real person. However, a fundamental mismatch exists between current RTC frameworks and AI Video Assistants, stemming from the drastic shift in Quality of Experience (QoE) and more challenging networks. Measurements on our production prototype also confirm that current RTC fails, causing latency spikes and accuracy drops. To address these challenges, we propose Artic, an AI-oriented RTC framework for MLLM Video Assistants, exploring the shift from "humans watching video" to "AI understanding video." Specifically, Artic proposes: (1) Response Capability-aware Adaptive Bitrate, which utilizes MLLM accuracy saturation to proactively cap bitrate, reserving bandwidth headroom to absorb future fluctuations for latency reduction; (2) Zero-overhead Context-aware Streaming, which allocates limited bitrate to regions most important for the response, maintaining accuracy even under ultra-low bitrates; and (3) Degraded Video Understanding Benchmark, the first benchmark evaluating how RTC-induced video degradation affects MLLM accuracy. Prototype experiments using real-world uplink traces show that compared with existing methods, Artic significantly improves accuracy by 15.12% and reduces latency by 135.31 ms. We will release the benchmark and codes at https://github.com/pku-netvideo/DeViBench.

  • 5 authors
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Feb 13

LION-FS: Fast & Slow Video-Language Thinker as Online Video Assistant

First-person video assistants are highly anticipated to enhance our daily lives through online video dialogue. However, existing online video assistants often sacrifice assistant efficacy for real-time efficiency by processing low-frame-rate videos with coarse-grained visual features.To overcome the trade-off between efficacy and efficiency, we propose "Fast & Slow Video-Language Thinker" as an onLIne videO assistaNt, LION-FS, achieving real-time, proactive, temporally accurate, and contextually precise responses. LION-FS adopts a two-stage optimization strategy: 1)Fast Path: Routing-Based Response Determination evaluates frame-by-frame whether an immediate response is necessary. To enhance response determination accuracy and handle higher frame-rate inputs efficiently, we employ Token Aggregation Routing to dynamically fuse spatiotemporal features without increasing token numbers, while utilizing Token Dropping Routing to eliminate redundant features. 2)Slow Path: Multi-granularity Keyframe Augmentation optimizes keyframes during response generation. To provide comprehensive and detailed responses beyond atomic actions constrained by training data, fine-grained spatial features and human-environment interaction features are extracted through multi-granular pooling. These features are further integrated into a meticulously designed multimodal Thinking Template to guide more precise response generation. Comprehensive evaluations on online video tasks demonstrate that LION-FS achieves state-of-the-art efficacy and efficiency.

  • 5 authors
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Mar 5, 2025

Synthetic Patients: Simulating Difficult Conversations with Multimodal Generative AI for Medical Education

Problem: Effective patient-centered communication is a core competency for physicians. However, both seasoned providers and medical trainees report decreased confidence in leading conversations on sensitive topics such as goals of care or end-of-life discussions. The significant administrative burden and the resources required to provide dedicated training in leading difficult conversations has been a long-standing problem in medical education. Approach: In this work, we present a novel educational tool designed to facilitate interactive, real-time simulations of difficult conversations in a video-based format through the use of multimodal generative artificial intelligence (AI). Leveraging recent advances in language modeling, computer vision, and generative audio, this tool creates realistic, interactive scenarios with avatars, or "synthetic patients." These synthetic patients interact with users throughout various stages of medical care using a custom-built video chat application, offering learners the chance to practice conversations with patients from diverse belief systems, personalities, and ethnic backgrounds. Outcomes: While the development of this platform demanded substantial upfront investment in labor, it offers a highly-realistic simulation experience with minimal financial investment. For medical trainees, this educational tool can be implemented within programs to simulate patient-provider conversations and can be incorporated into existing palliative care curriculum to provide a scalable, high-fidelity simulation environment for mastering difficult conversations. Next Steps: Future developments will explore enhancing the authenticity of these encounters by working with patients to incorporate their histories and personalities, as well as employing the use of AI-generated evaluations to offer immediate, constructive feedback to learners post-simulation.

  • 2 authors
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May 30, 2024

TimelyGPT: Extrapolatable Transformer Pre-training for Long-term Time-Series Forecasting in Healthcare

Large-scale pre-trained models (PTMs) such as BERT and GPT have recently achieved great success in Natural Language Processing and Computer Vision domains. However, the development of PTMs on healthcare time-series data is lagging behind.This underscores the limitations of the existing transformer-based architectures, particularly their scalability to handle large-scale time series and ability to capture long-term temporal dependencies. In this study, we present Timely Generative Pre-trained Transformer (TimelyGPT). TimelyGPT employs an extrapolatable position (xPos) embedding to encode trend and periodic patterns into time-series representations. It also integrates recurrent attention and temporal convolution modules to effectively capture global-local temporal dependencies. We evaluated TimelyGPT on two large-scale healthcare time series datasets corresponding to continuous biosignals and irregularly-sampled time series, respectively. Our experiments show that during pre-training, TimelyGPT excels in learning time-series representations from continuously monitored biosignals and irregularly-sampled time series data commonly observed in longitudinal electronic health records (EHRs). In forecasting continuous biosignals, TimelyGPT achieves accurate extrapolation up to 6,000 timesteps of body temperature during the sleep stage transition, given a short look-up window (i.e., prompt) containing only 2,000 timesteps. For irregularly-sampled time series, TimelyGPT with a proposed time-specific inference demonstrates high top recall scores in predicting future diagnoses using early diagnostic records, effectively handling irregular intervals between clinical records. Together, we envision TimelyGPT to be useful in a broad spectrum of health domains, including long-term patient health state forecasting and patient risk trajectory prediction.

  • 6 authors
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Nov 29, 2023