Daily Papers

Self-correction is particularly useful when a failure constrains the next repair. Coding agents benefit from this property because compilers, tests, and execution traces turn many failures into typed recovery signals, but broad language-agent tasks often expose only a coarse task failure. This creates a tension for generic recovery playbooks: they broaden the agent's context precisely when the system needs a narrower repair interface, mixing incompatible signals for invalid actions, missing procedures, and strict-format errors. Our insight is that development-set failures can recover part of the missing diagnostic substrate by deciding which recovery interventions are admissible before test-time correction. We propose DARC, a diagnosis-guided recovery harness that profiles task-family failure modes, prunes mismatched interventions from a shared recovery library, and freezes a verifier-selected success-cost policy for deployment. This causal order makes correction selective: the harness first determines what kind of failure can be repaired, then decides how much recovery evidence to spend. In ALFWorld, AppWorld, and XBRL Finance, the same protocol yields an action-validity harness, a procedural-recovery fallback, and a format-precision retrieval policy; in each evaluated setting it improves average task performance over base agents and broad playbooks while reducing environment steps or retrieval budget. Our experiments show that failures need not trigger uniformly more context: DARC turns self-correction from prompt expansion into recovery-interface design. DARC provides a practical route toward more reliable agents in domains where compiler-like feedback is absent: making failures actionable before making contexts larger.

Sparse Autoencoders (SAEs) decompose residual-stream activations into interpretable features. Recent latent-space defenses increasingly rely on these decompositions, assuming that identified "unsafe" SAE features serve as actionable handles for monitoring and intervention. In this paradigm, clamping a specific harmful feature is expected to reliably prevent model misbehavior. However, we show that this success may hide a recoverable failure mode: the clamp may block one visible route to a behavior without eliminating the behavior itself. We formulate this vulnerability as post-intervention recovery, a constrained residual-space optimization problem. Starting from the post-intervention residual state, we optimize residual perturbations to recover the pre-intervention behavior while preserving the post-intervention values of the targeted SAE features. Even under a strong threat model where the intervention remains active throughout optimization and generation, recovery remains possible. To rule out that recovery simply undoes the intervention, we use encoder-orthogonal updates for single-layer interventions and the corresponding feature-map Jacobian in the cross-layer setting. Across TPP, unlearning, IOI, and refusal steering experiments, this stress test reveals recoverable behavior despite successful feature-level intervention. Especially in the safety-critical refusal-steering setting, we achieve a 95.8% recovery rate on valid samples while keeping defended-feature relative drift to 0.131, substantially below suffix-based baselines. A recovery-path attribution analysis further localizes this recovery to the SAE reconstruction residual, the component left unexplained by the SAE. These results expose a gap between feature-level control and behavioral completeness: SAE features can support causal intervention, but controlling them does not guarantee control over the underlying behavior.

LLM agents increasingly rely on agent harness: the runtime infrastructure around the base model that defines execution environments, tool interfaces, context, lifecycle orchestration, observability, verification, and governance. Existing self-improving agents and automatic harness evolution methods mainly improve agents through runtime supervision, prompt optimization, workflow search, or harness modification based on final outcomes. However, they often fail to diagnose where the responsible evidence lies in failed trajectories and which harness implementation mechanism causes the unreliable behavior, resulting in broad, indirect, or poorly scoped changes. This paper proposes HarnessFix, a trace-grounded and diagnosis-driven framework for repairing agent harnesses. HarnessFix compiles raw execution traces and harness artifacts into a Harness-aware Trace Intermediate Representation (HTIR), which normalizes fragmented trajectory evidence, captures step-level data-flow and control-flow relations, and aligns runtime steps with the harness artifacts that shape their behavior. It then attributes failures to responsible steps and harness artifacts, and consolidates recurring diagnoses into repair-oriented flaw records. Finally, HarnessFix maps these records to scoped repair operators, generates patches under flaw-specific repair specifications, and accepts them through regression-aware validation. We evaluate HarnessFix on four popular benchmarks, and results show that it improves the performance over the initial harnesses by 6.3% to 18.4%, significantly outperforming human-designed and self-evolution baselines. HarnessFix highlights the value of treating failed trajectories not only as feedback signals, but also as structured evidence for diagnosing and repairing the harness mechanisms behind agent failures.

The executable harness surrounding a GUI model determines how observations are assembled, actions are executed, and verification, recovery, and termination are controlled. Compared with harness optimization for non-GUI agents, automatically optimizing this harness poses three coupled challenges: reconciling model intent with observed visual effects, diagnosing failures under variable execution outcomes, and identifying recurrent failure patterns across tasks and translating them into reusable runtime changes. We introduce GUI-HARVEST, an automatic harness optimizer that enables self-improving GUI agents with frozen backbone models. First, to ground diagnosis in observed action effects, it aligns model outputs and executed actions with before-and-after screenshots, tying findings to specific interface transitions. Second, to account for execution variability, it treats repeated runs of the same task as a joint evidence unit, using within-task comparisons to locate outcome-relevant behavioral differences. Third, it consolidates verified findings across tasks into recurring failure patterns, maps them to bounded source-code edits with predictions recorded before evaluation, and checks the predicted behavioral effects alongside task performance through repeated execution. Experiments on OSWorld-Verified show consistent held-out gains across six general-purpose open, GUI-specialized open, and proprietary backbone models; Qwen3-VL-32B-Instruct gains 12.33 points on the full suite. Frozen-harness transfer improves GPT-5 by 13.87 percentage points on WindowsAgentArena at 50 steps without further optimization. With the same backbone and initial harness, GUI-HARVEST outperforms Self-Harness and Meta-Harness, suggesting that GUI-specific diagnosis and validation help harness improvements generalize to unseen tasks. The code is available at https://github.com/GaryYang12345/GUI-HARVEST.

LLM agents remain unreliable on long-horizon tasks, where small local failures can compound over extended interactions and lead to overall task failure. Although external harnesses can substantially improve robustness, harness design remains a manual and expensive process that requires searching over a large space of prompts, tool configurations, and control logic. We propose AutoSaddler, an automatic harness optimization framework that formulates harness improvement as an offline learning problem and iteratively updates the harness using failure signals from mini-batches. AutoSaddler combines failure-trace diagnosis, structured patch generation that treats the harness as code, and validation-based update selection. Experiments on GAIA2, SWE-Bench Pro, and Terminal-Bench 2.0 show that AutoSaddler substantially improves agent performance over the corresponding base harnesses, achieving gains of 9.0, 9.6, and 10.0 percentage points, respectively. Ablation studies further suggest that effective harness optimization benefits from three ingredients: deep debugging rather than shallow reflection, targeted modifications rather than unconstrained editing, and generalization-aware selection rather than trajectory-specific repair. Together, these results suggest that automatic harness optimization is a promising path toward more performant and reliable agent systems.

Clinical diagnosis is a highly specialized discipline requiring both domain expertise and strict adherence to rigorous guidelines. While current AI-driven medical research predominantly focuses on knowledge graphs or natural text pretraining paradigms to incorporate medical knowledge, these approaches primarily rely on implicitly encoded knowledge within model parameters, neglecting task-specific knowledge required by diverse downstream tasks. To address this limitation, we propose Retrieval-Augmented Diagnosis (RAD), a novel framework that explicitly injects external knowledge into multimodal models directly on downstream tasks. Specifically, RAD operates through three key mechanisms: retrieval and refinement of disease-centered knowledge from multiple medical sources, a guideline-enhanced contrastive loss that constrains the latent distance between multi-modal features and guideline knowledge, and the dual transformer decoder that employs guidelines as queries to steer cross-modal fusion, aligning the models with clinical diagnostic workflows from guideline acquisition to feature extraction and decision-making. Moreover, recognizing the lack of quantitative evaluation of interpretability for multimodal diagnostic models, we introduce a set of criteria to assess the interpretability from both image and text perspectives. Extensive evaluations across four datasets with different anatomies demonstrate RAD's generalizability, achieving state-of-the-art performance. Furthermore, RAD enables the model to concentrate more precisely on abnormal regions and critical indicators, ensuring evidence-based, trustworthy diagnosis. Our code is available at https://github.com/tdlhl/RAD.

An LLM agent's real-task performance is shaped as much by the harness around its model as by the frozen model itself: its prompts, injected knowledge, runtime control, and configuration. In deployment the harness is often the only lever available, so improving it automatically is the natural way to raise performance without touching the weights. The hard part is not generating changes but knowing which one truly helped. Self-generated feedback is noisy, and an apparent gain can be a measurement artifact or an edit that merely overfits the tasks it was tuned on. We present a self-evolving agent-harness framework that separates proposing changes from crediting them: a language model diagnoses failures and proposes patches, while all sampling, measurement, and significance testing are owned by deterministic code, so every credited improvement is trustworthy by construction. Patches populate a gated, categorical quality-diversity archive (GSME) keyed on the (WHERE x WHY) pathology an edit addresses rather than the tasks it fixes, an anti-overfitting inductive bias; generalization is measured on a sealed test scored only after evolution. Across seven domains with a frozen open-weight model, the harness is train-selected and scored once on a sealed test; its credited gains there are +9 to +15.5pp and retain 86-147% of the training gain, evidence they generalize rather than overfit. The winning patch tracks the model's dominant pathology, not its size or family: changing the model can change the pathology and the patch, while the same pathology-to-patch match recurs across two model families. What transfers is the diagnose-and-credit loop, not any specific harness.

We propose RegLLM, a diagnostic harness for bounded autonomy in regulated agentic workflows. It instruments six trustworthiness signals: citation validity, source grounding, schema compliance, escalation correctness, constitutional alignment, and unsafe-action rate. Signals are distinguished by their source of supervision: programmatic verifiers, task-level escalation labels, or AI-judge scores. A deterministic runtime supervisor blocks ungrounded answers and forces escalation, logging interventions. The same domain constitution informs evaluation, training rewards, and serving guardrails. Task-level should-escalate labels make the act-versus-defer decision a measurable training signal. We demonstrate the harness at smoke scale. An offline reference run (n=12) lifts escalation recall from 0 to 0.67 and reduces unsafe-action rate from 0.33 to 0.08 when governance is enabled. Two single-GPU Qwen2.5-3B LoRA/DPO pilots (n=8, same seed and evaluation split) expose substantial variation: nominally identical RL-base configurations yield task success of 0.25 versus 0.12 and escalation recall of 1.0 versus 0.5. An answer-quality adapter changes recall from 1.0 to 0.5 in Run A, but from 0.5 to 1.0 in Run B. An escalation-aware variant produces no measurable change in Run B. These small pilots do not establish reliable adapter effects or production readiness. Their contribution is diagnostic: configuration variance can overwhelm apparent tuning effects on bounded-autonomy metrics, motivating larger evaluation sets and repeated runs.

Large language model (LLM) agents may recover from a failure within an episode or after a retry, yet the same execution failure can recur in later tasks because post-episode feedback rarely revises the persistent harness that guides future interactions. Static harnesses improve reliability through fixed tools, context, memory, and workflow structures, but remain unchanged after deployment. We propose Living-Harness, a self-evolving agent harness that converts each completed trajectory and its evaluator signals into posterior evidence for bounded harness updates. Guided by a domain-level Evolution-SOP (Standard Operating Procedure), Living-Harness extracts an episode abstraction and structured update evidence, and writes two complementary forms of procedural knowledge: episodic memory that records trigger conditions, failure patterns, and recovery actions, and a state graph that records state nodes, repair edges, and transition rules. The updated harness state is retrieved to guide future interactions, while tools and base context remain frozen, allowing procedural repairs to accumulate across evolution cycles. On eight interactive environments derived from τ^2-Bench and MultiWOZ-2.4, Living-Harness improves average Pass@1 over the strongest interactive baseline by 10.07 and 9.91 percentage points, respectively, and supports retrieval-only reuse of the evolved harness state across model backbones.

Agent harnesses, the external systems that mediate model-environment interaction, can substantially improve agent performance, but their gains remain tied to the harness at deployment. Because the best harness varies across domains, instances, and models, a general-purpose agent must either settle for a suboptimal shared harness or route among an ever-growing set of specialized ones. We therefore study agent harness distillation: using a domain- or instance-optimized harness as training-time guidance and transferring the behaviors it induces into model weights, so that its gains survive under a single fixed target harness. The challenge is that the two harnesses differ in action space and available information, so guidance from the optimized harness cannot serve directly as supervision for the target one. We introduce Harness-Zero, which enables harness distillation through agent-as-harness. Guided by the optimized harness, a harnessing agent corrects student responses before execution in the target harness's action space, turning harness guidance into training demonstrations. Fine-tuning on the resulting trajectories internalizes harness-induced behavior into the model, so the specialized harness can be removed at deployment. Our experiments spanning knowledge work, tool use, and science domains show that: (1) For frontier LLMs using the same evolved harness, agent-as-harness outperforms code-as-harness. (2) With the specialized harness removed at deployment, Harness-Zero improves the base model's macro-average task success from 23.3% to 44.3%, even exceeding the 41.7% it reaches with that harness still attached. (3) Harness-Zero recovers harness-induced behaviors absent from the base model, with 82.3% average recovery across 28 patterns in the three domains.

Evaluation harnesses are software systems that orchestrate model evaluation by managing model invocation, data loading, metric computation, and result reporting. Despite their critical role in machine learning infrastructure, their operational challenges and engineering concerns have received limited attention so far. We present an empirical study of 57 evaluation harnesses, deriving a five-stage harness model and classifying 16,560 issues by workflow stage and root cause. Most harness operational challenges concentrate in the Specification stage (41.4% of issues), where harnesses integrate external models, datasets, and scoring judges. The three most frequent root causes of operational challenges are unimplemented features (24.3%), documentation gaps (20.3%), and missing input validation (17.2%), which together account for 61.7% of classified issues, spanning both defects in existing functionality and capability gaps that block intended workflows. Root causes also vary by workflow stage: environment incompatibility and external dependency breakage account for 36.2% of provisioning issues, whereas algorithmic error (25.9%) and validation gap (22.5%) dominate assessment issues. Together, these contributions establish an empirical foundation for treating evaluation engineering as a distinct software engineering concern.

Autonomous research systems increasingly make the scientific workflow executable: agents can propose ideas, run code, inspect results, and draft papers. But executable workflows do not by themselves produce research judgment. We analyze where current systems lose trial experience: weak evidence becomes prose, pilot signals become broad claims, memory remains textual, and recurring process failures do not change later behavior. We introduce Sibyl-AutoResearch, a self-evolving AutoResearch framework built around Scientific Trial-and-Error Harnesses. A harness lets agents run bounded trials, preserve positive and negative outcomes, and route lessons into later planning, validation, claim scope, scheduling, critique, writing, and harness repair. We formalize this through two auditable conversion units: trial-to-behavior conversion, which links trial signals to later research actions, and trial-to-harness-behavior conversion, which links recurring process failures to system updates. We implement the framework in SIBYL, a file-backed autonomous research system that exposes the state, roles, memory, gates, and artifact traces needed to inspect these conversion paths. A retrospective audit identifies eight high-confidence conversion events, with a median latency of one iteration and a maximum latency of three iterations. A recovered-failure registry further shows how five naturally occurring failure classes, including duplicate results, stale numbers, and unsupported statistics, were blocked, downgraded, or routed into later repair. These traces do not establish a comparative performance claim; they show that the proposed conversion units are recoverable from realistic autonomous-research workspaces. The SIBYL framework and system are available at https://github.com/Sibyl-Research-Team/AutoResearch-SibylSystem.

Reliable pelvic bone segmentation (PBS) from CT is essential for robot-assisted pelvic trauma surgery, yet deploying a source-trained model to a new hospital suffers from severe performance degradation due to cross-center domain shifts. While test-time adaptation (TTA) enables online model adaptation without accessing source data, existing methods show limited effectiveness for PBS, facing challenges including boundary degradation, anatomical inconsistency under domain shifts, and voxel-level class imbalance. To address these challenges, we propose a novel closed-loop dynamic Reliability-Guided TTA framework (ReGA) for PBS. Specifically, we introduce a pseudo-label reliability criterion termed Segmentation Inference Consistency Evaluation (SICE), which jointly measures region overlap and boundary deviation via dropout-based ensemble predictions. Based on SICE, a trust-weighted refinement module adaptively updates features to mitigate boundary errors in pseudo-labels. Furthermore, a confidence-weighted region-level contrastive learning strategy is proposed to enforce anatomical consistency. Finally, ReGA follows the teacher-student (TS) scheme to alleviate voxel-level class imbalance. Experiments on three heterogeneous 3D pelvic CT datasets demonstrate that ReGA consistently outperforms state-of-the-art TTA methods, enabling effective adaptation of the source-trained PBS model to unseen clinical domains. The code is available at https://github.com/Ren-ling/ReGA.

Mechanistic interpretability seeks to understand the internal mechanisms of machine learning models, where localization -- identifying the important model components -- is a key step. Activation patching, also known as causal tracing or interchange intervention, is a standard technique for this task (Vig et al., 2020), but the literature contains many variants with little consensus on the choice of hyperparameters or methodology. In this work, we systematically examine the impact of methodological details in activation patching, including evaluation metrics and corruption methods. In several settings of localization and circuit discovery in language models, we find that varying these hyperparameters could lead to disparate interpretability results. Backed by empirical observations, we give conceptual arguments for why certain metrics or methods may be preferred. Finally, we provide recommendations for the best practices of activation patching going forwards.

Successful trajectories on difficult tasks provide valuable supervision for model improvement, but specialized harnesses introduce interventions that may be unavailable during deployment. We propose Recursive Self-Rewrite (RSR), a framework that uses one base model, Qwen-3.8-27B, to discover successful solutions under diverse harnesses and reconstruct them as training trajectories under a general harness. A planner extracts procedures into runbooks, a critic screens for verifier and solution leakage and guides recursive revision, and an executor follows qualified runbooks in fresh sandboxes. Across approximately 3K self-curated terminal tasks, three harnesses jointly solve 759 tasks, 34.3% more than the strongest individual harness in the recorded pool. RSR expands 2,001 successful source trajectories into 11,094 rewritten trajectories for supervised finetuning. Training on these trajectories outperforms both the base model and direct trajectory SFT. Compared with the base model, pass@3 increases from 57.0% to 74.2% on Terminal-Bench 2, from 1.5% to 9.1% on Terminal-Bench 4, from 39.0% to 63.0% on our self-curated Terminal-Bench Hard, and from 3.0% to 6.0% on our Software Terminal-Bench. Process reward on Long-Horizon Terminal-Bench rises from 0.21 to 0.29. These results show how diverse harness-assisted experiences can be reconstructed into reusable capabilities for a model operating under a general harness.

Post-training agents for automated AI research requires optimizing not only model parameters, but also the runtime harness that shapes how research trajectories are generated, evaluated, and learned from. Existing pipelines typically train models under a fixed harness, including prompts, tools, skills, middleware, and memory, while leaving the data-generating process outside the optimization objective. This creates a mismatch between model updates and the static scaffolding that determines trajectory quality. We introduce Co-Harness, a framework that jointly optimizes the agent harness and model parameters during post-training. Co-Harness alternates between harness optimization and model optimization. An LLM-based HarnessCritic analyzes failed trajectories, identifies harness-level failure modes, and proposes validated local updates. The model is then fine-tuned on high-quality trajectories generated by the improved harness, distilling effective scaffolding into model parameters. A 200+ hour autonomous case study further shows that Co-Harness can recover from system crashes, improve inference efficiency, and discover ensemble strategies without human intervention. These results suggest that joint harness and model optimization is an effective way to improve agents beyond fixed-harness post-training.

Cervical disc herniation (CDH) is a prevalent musculoskeletal disorder that significantly impacts health and requires labor-intensive analysis from experts. Despite advancements in automated detection of medical imaging, two significant challenges hinder the real-world application of these methods. First, the computational complexity and resource demands present a significant gap for real-time application. Second, noise in MRI reduces the effectiveness of existing methods by distorting feature extraction. To address these challenges, we propose three key contributions: Firstly, we introduced MedDet, which leverages the multi-teacher single-student knowledge distillation for model compression and efficiency, meanwhile integrating generative adversarial training to enhance performance. Additionally, we customize the second-order nmODE to improve the model's resistance to noise in MRI. Lastly, we conducted comprehensive experiments on the CDH-1848 dataset, achieving up to a 5% improvement in mAP compared to previous methods. Our approach also delivers over 5 times faster inference speed, with approximately 67.8% reduction in parameters and 36.9% reduction in FLOPs compared to the teacher model. These advancements significantly enhance the performance and efficiency of automated CDH detection, demonstrating promising potential for future application in clinical practice. See project website https://steve-zeyu-zhang.github.io/MedDet

Current reasoning paradigms for LLMs include chain-of-thought, ReAct, and post-hoc self-critique. These paradigms rely on two assumptions that fail on long-horizon, multi-stage tasks. As a result, errors accumulate silently across reasoning steps, leaving an open question: can a reasoning system effectively detect and recover from its own failures? We present ReFlect, a harness system for LLM reasoning that creates standalone error detection and recovery logic as a deterministic wrapper around the model. Controlled experiments across 6 reasoning domains show that prompt-level self-critique produces formulaic templates that flag no issues in 90 of 100 audited reflection blocks, and the investigated LLMs wrongly accept a wrong answer in at least 76\% of cases. Our ReFlect harness achieves task success rates ranging from 41\% on gpt-4o-mini to 56\% on Claude Sonnet 4.5 across six models spanning small and frontier scale, with per-model gains over Direct CoT ranging from +7 pp on Qwen2.5-72B to +29 pp on Claude Sonnet 4.5, and additionally raises SWE-bench patch-structural quality from 0\% (Direct CoT) to between 82\% (Qwen2.5-72B) and 87\% (GPT-4o). Notably, the harness gain is inversely proportional to the model's Direct CoT task success rate (the fitted slope is -1.69 with r=-0.76): each pp lost in baseline success rate is mechanically recovered by 1.69 pp of harness gain. We spot that adding structured reasoning state and operators yields only 15.0--18.7\% pair-mean on Llama-3.3-70B and Qwen2.5-72B because models at this scale cannot reliably populate the state its operators require. ReFlect is model-agnostic, training-free, and operates entirely at inference time.

As LLMs are increasingly deployed within agentic systems, their capabilities depend not only on the model weights but also on the harness: the prompts, tools, control flow, memory, and orchestration code surrounding them. This makes automated harness optimization -- the iterative and evaluation-guided improvement of a harness by an AI system -- both an important route to improving AI systems and a demanding capability for AI systems themselves. Yet the community lacks a common protocol for measuring how well frontier LLMs perform at this task. We introduce HarnessOpt-Bench, a benchmark for end-to-end harness optimization under expensive and stochastic evaluation. An optimizer, an LLM paired with a coding harness, receives a target agent's seed harness, graded evaluation feedback, and a fixed target-evaluation budget. It edits the harness and nominates a final candidate, which is scored by its normalized gain over the seed on a held-out test partition that remains inaccessible throughout search. A trusted execution environment enforces the evaluation boundary, meters target-agent resource use, and preserves candidate versions for audit. We evaluate 5 frontier LLMs as optimizers both under a shared coding harness and under their native harnesses across 4 downstream tasks, over 111 scored runs. Experiment results show that optimizer models separate more than the coding harnesses they act through, native harnesses are not consistently superior, and gains vary substantially across tasks and seed regimes. These results establish harness optimization as a measurable and discriminative capability with large space for improvement.

Behavior-cloned diffusion policies are expressive but remain vulnerable to covariate shift: small deviations from demonstrated states can compound into task failure. Existing methods address this either by expanding the training distribution through expert corrections or synthetic augmentation, or by steering a frozen policy at test time with guidance from a learned model. The former can be expensive or assumption-dependent, while the latter discards the corrected trajectories after execution. We introduce ReGuide, a self-improving framework that treats guided rollouts as reusable on-policy recovery data. ReGuide first uses Phase-Conditioned Guidance (PCG) to generate corrective rollouts: it constructs phase-specific latent targets, applies guidance only in the drifted-but-recoverable regime, and guides through the estimated clean action to match the dynamics model's training distribution. Successful guided rollouts are then absorbed back into the policy through ReGuide-FT, which fine-tunes the current checkpoint, or ReGuide-FS, which retrains from scratch on the augmented dataset; the two can also be composed and iterated. On Robomimic Can, Square, Transport, and Tool Hang, ReGuide improves base-policy success by 1.3--7.7times, outperforms LPB in the test-time-only setting, and matched-data ablations show that the gains come from guided recovery data rather than additional rollouts alone.

Medical Vision-Language Models (Med-VLMs) require reliable reasoning from fine-grained visual evidence, yet existing models can produce plausible clinical answers by relying on language priors or medical templates rather than truly attending to diagnosis-critical regions. On-Policy Distillation (OPD) offers dense token-level supervision on student-generated trajectories and provides a privacy-compatible means of capability transfer without requiring the redistribution of raw patient data. However, standard OPD uniformly distills all tokens, causing sparse evidence-dependent tokens to be diluted by abundant clinical narrative tokens. Inspired by the success of OPD in the large language model community, we propose Med-OPD, to our knowledge the first unified post-training framework that integrates on-policy distillation with medical evidence-aware supervision for Med-VLMs. We introduce Medical Evidence Advantage (MEA), a teacher-grounded counterfactual signal that uses an answer-aware hint to focus teacher scoring on evidence supporting the target diagnosis, and measures each token's dependence on medical visual evidence by comparing teacher likelihoods under the original and evidence-degraded imaging modalities. Based on MEA, Med-OPD redistributes the distillation signal at both the token and trajectory levels, emphasizing diagnosis-critical tokens and evidence-reliant rollouts. Experiments on OmniMedVQA subsets show that Med-OPD consistently outperforms SFT and standard OPD across CT, MRI, Disease Diagnosis, and Lesion Grading. These results demonstrate that evidence-aware distillation can better strengthen medical VLMs' reliance on key visual evidence and improve reliable multimodal medical reasoning. The source code and data is publicly available at: https://github.com/yunhang8658/MedOPD.git

Robust embodied robots should be able to recover from failures and retry tasks in order to operate reliably in unstructured and noisy real-world environments. Achieving this capability requires training policies on data that captures recovery behaviors. However, collecting such data through robot teleoperation is difficult to scale, as it is time-consuming to induce diverse failure states, perform corrective actions, and reset the environment. This challenge is further exacerbated by the high diversity of failure modes, which demands substantially more recovery data than success demonstrations. In this work, we show that egocentric human data capturing failure recovery processes provides a scalable alternative. By efficiently arranging task-level failure configurations and recording short recovery segments, human operators can generate more than 10x as much valid recovery data per hour compared to robot teleoperation under our protocol. To address the embodiment gap between human and robot, we propose EgoRecovery, a co-training framework for learning recovery behavior, where human recovery demonstrations are aligned to a compact corrective-intent space shared with robot data, which captures the timing and magnitude of correction. Only a small number of robot recovery demonstrations are required to connect this intent to executable robot actions. At deployment, a learned recovery gate predicts when correction is needed from robot observations and activates the corrective intent only in recovery states. Experiments on real-world recovery tasks show that EgoRecovery improves success from failure starts over robot-only recovery, direct co-training with human recovery data, and direct intent-transfer baselines.

Rare diseases affect hundreds of millions worldwide, yet diagnosis often spans years. Convectional pipelines decouple noisy evidence extraction from downstream inferential diagnosis, and general/medical large language models (LLMs) face scarce real world electronic health records (EHRs), stale domain knowledge, and hallucinations. We assemble a large, domain specialized clinical corpus and a clinician validated reasoning set, and develop RareSeek R1 via staged instruction tuning, chain of thought learning, and graph grounded retrieval. Across multicenter EHR narratives and public benchmarks, RareSeek R1 attains state of the art accuracy, robust generalization, and stability under noisy or overlapping phenotypes. Augmented retrieval yields the largest gains when narratives pair with prioritized variants by resolving ambiguity and aligning candidates to mechanisms. Human studies show performance on par with experienced physicians and consistent gains in assistive use. Notably, transparent reasoning highlights decisive non phenotypic evidence (median 23.1%, such as imaging, interventions, functional tests) underpinning many correct diagnoses. This work advances a narrative first, knowledge integrated reasoning paradigm that shortens the diagnostic odyssey and enables auditable, clinically translatable decision support.

Autonomous discovery systems such as OpenEvolve and TTT-Discover are often used as general-purpose harnesses. However, in practice these are composite systems combining several design choices about archives, parent selection, exploration, and budget allocation into a single recipe. Because discovery runs are expensive and inherently stochastic, existing harnesses are often compared using too few independent trials to distinguish key methodological improvements from run-to-run variance. We systematically decompose OpenEvolve-style evolutionary search and the TTT-Discover search harness into its constituent components and systematically evaluate 30 budget-matched harnesses across 12 model-problem pairs using more than 3.1 million LLM rollouts and repeated-trial statistical analysis. Our results show that discovery harnesses have a generalization problem: No fixed harness is reliably superior across the evaluated model-problem pairs, and variants of OpenEvolve generally underperform simpler alternatives. Thus, harness choice is better viewed as a hyperparameter rather than as a universal recipe, and should be tailored to the specific problem and underlying model. We also find that early discovery progress predicts final performance, and use this property to present a budget-matched adaptive-allocation experiment that starts multiple harnesses, prunes weak partial runs, and reallocates compute to stronger survivors, outperforming both commitment to a randomly sampled fixed harness and a non-adaptive harness ensemble. Together, these results motivate shifting from fixed harness selection to online adaptation guided by early performance. We release all run pools including baseline null distributions for every model-problem pair as reusable statistical infrastructure against for future harness proposals.

AI agents are entering high-risk production settings, where they use tools, retain context, follow policies, handle private data, and interact with users over multiple turns. Yet many evaluation methods still judge isolated outputs or static tasks, missing failures that emerge through trajectory, pressure, and adversarial interaction. We introduce ProofAgent Harness, open infrastructure for scalable, auditable, and adversarial AI agent evaluation. The harness provides evaluation infrastructure around an agent: it curates evaluation intelligence, runs adversarial multi-turn trials, captures behavioral traces, applies post-hoc multi-juror scoring, resolves disagreement, and produces evidence-linked reports. Its open design allows developers and researchers to extend domains, traps, metrics, juror personas, scoring rules, and reporting formats. At its core is Adversarial Multi-Juror Scoring with Turn-Level Audit, which evaluates completed agent behavior under pressure using calibrated juror personas, consensus checks, and turn-level evidence. Experiments across customer support, medical triage, privacy and security, and code generation agents show that strong agents fail selectively through weak metrics, fragile turns, unsafe reframing, and manipulation paths. We also find that a small quantized local Harness LLM can challenge production agents powered by best-in-class large LLMs, suggesting that evaluation capability emerges from the full harness pipeline rather than model scale alone. ProofAgent Harness turns AI agent evaluation from a static score into scalable adversarial evaluation infrastructure: repeatable, evidence-backed, extensible, and actionable before deployment.

The field of medical diagnosis has undergone a significant transformation with the advent of large language models (LLMs), yet the challenges of interpretability within these models remain largely unaddressed. This study introduces Chain-of-Diagnosis (CoD) to enhance the interpretability of LLM-based medical diagnostics. CoD transforms the diagnostic process into a diagnostic chain that mirrors a physician's thought process, providing a transparent reasoning pathway. Additionally, CoD outputs the disease confidence distribution to ensure transparency in decision-making. This interpretability makes model diagnostics controllable and aids in identifying critical symptoms for inquiry through the entropy reduction of confidences. With CoD, we developed DiagnosisGPT, capable of diagnosing 9604 diseases. Experimental results demonstrate that DiagnosisGPT outperforms other LLMs on diagnostic benchmarks. Moreover, DiagnosisGPT provides interpretability while ensuring controllability in diagnostic rigor.

As the field of artificial intelligence progresses, assistive technologies are becoming more widely used across all industries. The healthcare industry is no different, with numerous studies being done to develop assistive tools for healthcare professionals. Automatic diagnostic systems are one such beneficial tool that can assist with a variety of tasks, including collecting patient information, analyzing test results, and diagnosing patients. However, the idea of developing systems that can provide a differential diagnosis has been largely overlooked in most of these research studies. In this study, we propose a transformer-based approach for providing differential diagnoses based on a patient's age, sex, medical history, and symptoms. We use the DDXPlus dataset, which provides differential diagnosis information for patients based on 49 disease types. Firstly, we propose a method to process the tabular patient data from the dataset and engineer them into patient reports to make them suitable for our research. In addition, we introduce two data modification modules to diversify the training data and consequently improve the robustness of the models. We approach the task as a multi-label classification problem and conduct extensive experiments using four transformer models. All the models displayed promising results by achieving over 97% F1 score on the held-out test set. Moreover, we design additional behavioral tests to get a broader understanding of the models. In particular, for one of our test cases, we prepared a custom test set of 100 samples with the assistance of a doctor. The results on the custom set showed that our proposed data modification modules improved the model's generalization capabilities. We hope our findings will provide future researchers with valuable insights and inspire them to develop reliable systems for automatic differential diagnosis.

Modern deep learning systems are typically deployed as open-loop function approximators: they map inputs to outputs in a single pass, without regulating how much computation or explanatory effort is spent on a given case. In safety-critical settings, this is brittle: easy and ambiguous inputs receive identical processing, and uncertainty is only read off retrospectively from raw probabilities. We introduce the Surgical Cognitive Interpreter (SCI), a lightweight closed-loop metacognitive control layer that wraps an existing stochastic model and turns prediction into an iterative process. SCI monitors a scalar interpretive state SP(t), here instantiated as a normalized entropy-based confidence signal, and adaptively decides whether to stop, continue sampling, or abstain. The goal is not to improve accuracy per se, but to regulate interpretive error ΔSP and expose a safety signal that tracks when the underlying model is likely to fail. We instantiate SCI around Monte Carlo dropout classifiers in three domains: vision (MNIST digits), medical time series (MIT-BIH arrhythmia), and industrial condition monitoring (rolling-element bearings). In all cases, the controller allocates more inference steps to misclassified inputs than to correct ones (up to about 3-4x on MNIST and bearings, and 1.4x on MIT-BIH). The resulting ΔSP acts as a usable safety signal for detecting misclassifications (AUROC 0.63 on MNIST, 0.70 on MIT-BIH, 0.86 on bearings). Code and reproducibility: https://github.com/vishal-1344/sci

Despite achieving high accuracy on medical benchmarks, LLMs exhibit the Einstellung Effect in clinical diagnosis--relying on statistical shortcuts rather than patient-specific evidence, causing misdiagnosis in atypical cases. Existing benchmarks fail to detect this critical failure mode. We introduce MedEinst, a counterfactual benchmark with 5,383 paired clinical cases across 49 diseases. Each pair contains a control case and a "trap" case with altered discriminative evidence that flips the diagnosis. We measure susceptibility via Bias Trap Rate--probability of misdiagnosing traps despite correctly diagnosing controls. Extensive Evaluation of 17 LLMs shows frontier models achieve high baseline accuracy but severe bias trap rates. Thus, we propose ECR-Agent, aligning LLM reasoning with Evidence-Based Medicine standard via two components: (1) Dynamic Causal Inference (DCI) performs structured reasoning through dual-pathway perception, dynamic causal graph reasoning across three levels (association, intervention, counterfactual), and evidence audit for final diagnosis; (2) Critic-Driven Graph and Memory Evolution (CGME) iteratively refines the system by storing validated reasoning paths in an exemplar base and consolidating disease-specific knowledge into evolving illness graphs. Source code is to be released.

Accurate diagnosis with medical large language models is hindered by knowledge gaps and hallucinations. Retrieval and tool-augmented methods help, but their impact is limited by weak use of external knowledge and poor feedback-reasoning traceability. To address these challenges, We introduce Deep-DxSearch, an agentic RAG system trained end-to-end with reinforcement learning (RL) that enables steer tracebale retrieval-augmented reasoning for medical diagnosis. In Deep-DxSearch, we first construct a large-scale medical retrieval corpus comprising patient records and reliable medical knowledge sources to support retrieval-aware reasoning across diagnostic scenarios. More crutially, we frame the LLM as the core agent and the retrieval corpus as its environment, using tailored rewards on format, retrieval, reasoning structure, and diagnostic accuracy, thereby evolving the agentic RAG policy from large-scale data through RL. Experiments demonstrate that our end-to-end agentic RL training framework consistently outperforms prompt-engineering and training-free RAG approaches across multiple data centers. After training, Deep-DxSearch achieves substantial gains in diagnostic accuracy, surpassing strong diagnostic baselines such as GPT-4o, DeepSeek-R1, and other medical-specific frameworks for both common and rare disease diagnosis under in-distribution and out-of-distribution settings. Moreover, ablation studies on reward design and retrieval corpus components confirm their critical roles, underscoring the uniqueness and effectiveness of our approach compared with traditional implementations. Finally, case studies and interpretability analyses highlight improvements in Deep-DxSearch's diagnostic policy, providing deeper insight into its performance gains and supporting clinicians in delivering more reliable and precise preliminary diagnoses. See https://github.com/MAGIC-AI4Med/Deep-DxSearch.

Knee osteoarthritis (KOA) is a widespread condition that can cause chronic pain and stiffness in the knee joint. Early detection and diagnosis are crucial for successful clinical intervention and management to prevent severe complications, such as loss of mobility. In this paper, we propose an automated approach that employs the Swin Transformer to predict the severity of KOA. Our model uses publicly available radiographic datasets with Kellgren and Lawrence scores to enable early detection and severity assessment. To improve the accuracy of our model, we employ a multi-prediction head architecture that utilizes multi-layer perceptron classifiers. Additionally, we introduce a novel training approach that reduces the data drift between multiple datasets to ensure the generalization ability of the model. The results of our experiments demonstrate the effectiveness and feasibility of our approach in predicting KOA severity accurately.

Spine disorders affect 619 million people globally and are a leading cause of disability, yet AI-assisted diagnosis remains limited by the lack of level-aware, multimodal datasets. Clinical decision-making for spine disorders requires sophisticated reasoning across X-ray, CT, and MRI at specific vertebral levels. However, progress has been constrained by the absence of traceable, clinically-grounded instruction data and standardized, spine-specific benchmarks. To address this, we introduce SpineMed, an ecosystem co-designed with practicing spine surgeons. It features SpineMed-450k, the first large-scale dataset explicitly designed for vertebral-level reasoning across imaging modalities with over 450,000 instruction instances, and SpineBench, a clinically-grounded evaluation framework. SpineMed-450k is curated from diverse sources, including textbooks, guidelines, open datasets, and ~1,000 de-identified hospital cases, using a clinician-in-the-loop pipeline with a two-stage LLM generation method (draft and revision) to ensure high-quality, traceable data for question-answering, multi-turn consultations, and report generation. SpineBench evaluates models on clinically salient axes, including level identification, pathology assessment, and surgical planning. Our comprehensive evaluation of several recently advanced large vision-language models (LVLMs) on SpineBench reveals systematic weaknesses in fine-grained, level-specific reasoning. In contrast, our model fine-tuned on SpineMed-450k demonstrates consistent and significant improvements across all tasks. Clinician assessments confirm the diagnostic clarity and practical utility of our model's outputs.

Manipulation failures can leave scenes in states from which a task policy cannot recover. Learning corrective behaviors requires scalable failure exploration and physical grounding. We present Recova, an agent-guided framework that jointly develops task execution and recovery in a reconstructed digital twin, then verifies and refines both through real-world experience. In the twin, the agent diagnoses failures, tests corrective programs, and collects successful task and recovery rollouts for separate policies. During deployment, it monitors progress, invokes a learned or programmatic recovery, verifies scene restoration, and resumes execution. When no suitable recovery is available, a human demonstration resolves the failure and enters the learning loop, allowing the system to expand its recovery capabilities. Physical rollouts and human demonstrations are routed to the corresponding policy for DAgger training. Across six LIBERO-Pro settings and four MolmoSpaces categories, Recova achieves 78.8% and 64.9% mean success, compared with 71.7% and 38.0% for the strongest baselines. With parallel collection across four real-robot workstations, DAgger fine-tuning raises mean success from 23.8% to 77.5%, and recovery skills further raise it to 87.5%. Over four collection rounds on one task, observed human intervention falls from 87.5% to 0%. Together, these results show how agent-guided recovery turns failures into reusable capabilities, improving robustness while progressively reducing human intervention. Project page: https://www.liuisabella.com/Recova

Accurate localization and segmentation of intervertebral disc (IVD) is crucial for the assessment of spine disease diagnosis. Despite the technological advances in medical imaging, IVD localization and segmentation are still manually performed, which is time-consuming and prone to errors. If, in addition, multi-modal imaging is considered, the burden imposed on disease assessments increases substantially. In this paper, we propose an architecture for IVD localization and segmentation in multi-modal MRI, which extends the well-known UNet. Compared to single images, multi-modal data brings complementary information, contributing to better data representation and discriminative power. Our contributions are three-fold. First, how to effectively integrate and fully leverage multi-modal data remains almost unexplored. In this work, each MRI modality is processed in a different path to better exploit their unique information. Second, inspired by HyperDenseNet, the network is densely-connected both within each path and across different paths, granting the model the freedom to learn where and how the different modalities should be processed and combined. Third, we improved standard U-Net modules by extending inception modules with two dilated convolutions blocks of different scale, which helps handling multi-scale context. We report experiments over the data set of the public MICCAI 2018 Challenge on Automatic Intervertebral Disc Localization and Segmentation, with 13 multi-modal MRI images used for training and 3 for validation. We trained IVD-Net on an NVidia TITAN XP GPU with 16 GBs RAM, using ADAM as optimizer and a learning rate of 10e-5 during 200 epochs. Training took about 5 hours, and segmentation of a whole volume about 2-3 seconds, on average. Several baselines, with different multi-modal fusion strategies, were used to demonstrate the effectiveness of the proposed architecture.

Most work on improving large language models treats accuracy as the sole objective. We argue that the harness, the Python code surrounding the model that constructs prompts, routes calls, and parses outputs, is a first-class design surface whose quality is inherently multi-objective: an accurate harness that refuses no unsafe request, or that consumes an order of magnitude more tokens, is not a good harness. We present Meta-Harness, a system that casts harness design as search over three per-domain objectives (accuracy, behavioural safety, and token cost) solved by an agentic proposer (Claude Code) with full filesystem access to prior harness source, execution traces, and scoring artifacts. Our central finding is that a singlephase joint-reward proposer (MoMHa) outperforms every alternative, including a two-phase "accuracy then tokens" ablation, scalar-only feedback, and an accuracy-only baseline. We evaluate on seventeen domains: seven synthetic capability suites, seven real-world public benchmarks (HumanEval, MBPP, Spider, FEVER, MMLU-Pro, LawBench, NuminaMath), and three U-SafeBench-derived user-specific safety domains, using a 12-model fleet spanning four families. On the synthetic track MoMHa achieves a joint mean of 0.482 versus 0.198-0.422 for ten baselines, winning 7 / 10 per-domain columns; on the real-world track it scores 0.461 versus 0.377 for the strongest baseline (DSPy), winning 5/7 columns, demonstrating that harness strategies transfer to unseen benchmarks without retraining on 8 of 12 target models. MoMHa attains the highest measured behavioral safety composite (U-SafeBench, 0.781) and uses 95 fewer tokens per example than the two-phase alternative. We will release all harness code, evaluation infrastructure, and crossmodel logs.

An agent harness is the external control layer that turns a base LLM into an executable agent by managing context, tools, orchestration, memory, decoding, and output handling. While harness design strongly affects agent behavior, most automatic improvement methods optimize narrower artifacts such as prompts, pipelines, or workflows, and deployed agents usually reuse a single global harness for all cases. We introduce MemoHarness, an adaptive harness optimization framework that learns from its own executions. MemoHarness decomposes the harness into six editable control dimensions, stores per-case diagnoses and distilled global patterns in a dual-layer experience bank, and adapts the learned harness to each test case using retrieved experience without test-time labels, feedback, or additional search. In our evaluation across shell-agent, code-generation, and analytical-reasoning benchmarks, MemoHarness improves over the fixed harnesses we compare against and shows selective transfer to unseen suites and base models. Its additional context can also remain cost-competitive when much of the retrieved experience is cacheable. These results provide evidence that execution experience is a practical substrate for building agent harnesses that are more adaptive than a single static configuration, while leaving broader claims about statistical robustness and component attribution to future work.

Regeneration of the nervous system after injury remains an important therapeutic objective, especially in the central nervous system (CNS), in which regeneration is restricted by both neuronal limitations as well as adverse extracellular environments. Conversely, the peripheral nervous system (PNS) displays enhanced regenerative capability in the presence of supportive Schwann cells (SC) and pro-growth stimuli. While the structure and molecular mechanisms are thoroughly understood, functional biomarkers that can non-invasively monitor regeneration in real time are limited. In this review, we discuss the promise of electroencephalography (EEG) as well as electromyography (EMG) as real-time, non-invasive biomarkers to monitor damage to nerves and regeneration in both CNS and PNS contexts. First, we contrast biological and electrophysiological indicators of CNS/PNS injury, showing how EEG signs, including oscillatory power, connectivity, and evoked potential changes, reflect dysfunction due to injury as well as neuroplastic reorganization. Also, EMG provides direct insight into muscle activation and peripheral output, providing useful EEG complementation in neuromuscular pathway integrity and reactivation. In CNS injuries (e.g., stroke, spinal cord injury (SCI)), EEG typically shows global slowing, disrupted interhemispheric coherence, and partial recovery of higher frequencies. For PNS injuries, EEG can capture cortical remapping and return of somatosensory evoked responses with re-establishment of the peripheries' connectivity. EMG, in turn, enables monitoring of reinnervation and restoration of functional motor output. This review presents a dual-system perspective, positioning EEG and EMG not only as diagnostic tools but also as functional biomarkers of neural regeneration, thereby bridging electrophysiology, plasticity, and clinical recovery.

Complete orthogonal predictive coordinates do not by themselves bind a latent direction to a named intervention. We present a mathematical and synthetic audit motivated by vascular device-vessel suitcordance. Capacity-matched least-squares predictors were exactly equivalent under complete fixed output transforms, whereas an anchor-only observer recovered interpretations only within the span of known perturbation signatures. Six three-dimensional configurations across 64 seeds gave a maximum paired prediction discrepancy of 6.7e-15 but a median untransported edit error of 1.513. Coordinate transport removed that error. Noisy and weak anchors constrained calibration stability, and changing the representation basis required recalibration or verified transport. Across 256 additional fits in dimensions 3-24, prediction equivalence persisted within 4.0e-15. We then evaluated nine deliberate runnable fault classes across 64 seeds. All 576 faulty executions completed, but each violated at least one reconstruction, prediction, delivered-edit or scope contract; all 320 valid control records passed. Repeating a faulty implementation gave exact self-agreement despite error against the separately computed simulator expectation. For one omitted-direction defect, probe coverage followed its analytic law, and rank-aware abstention protected unsupported interpretations. Scalar-noise experiments exposed both missed weak faults and excessive rejection under narrow relative tolerances. These controls provide an executable separation of prediction, semantic support and scientific acceptance. They are synthetic numerical audits, not clinical validation, neural JEPA-Anything replication, agent learning or patient treatment-effect estimation.

Musculoskeletal diseases are among the leading causes of disability worldwide and create the greatest global need for rehabilitation. Because recovery, remodelling and degeneration often unfold over months to years, musculoskeletal care requires longitudinal management that repeatedly integrates evolving patient evidence, external medical knowledge and stage-specific functional goals. In routine practice, this evidence is fragmented across visits, departments and hospital systems, limiting individualized, evidence-based care. Here we report OrthoPilot, a clinical artificial intelligence system powered by a large language model that integrates hospital data streams with authoritative external knowledge for continuous musculoskeletal management. OrthoPilot autonomously retrieves real-time imaging, laboratory, pathology and order data and converts evolving patient states into evidence-based decisions from admission diagnosis to rehabilitation planning. We established a specialist-validated benchmark from real-world electronic health records spanning 1,000 disease codes. In a reader study across the complete care pathway, OrthoPilot was compared with 81 orthopaedic physicians and surpassed experts with 25 years of experience in diagnostic reasoning, clinical decision-making and management planning. It also outperformed all evaluated intelligent systems across 60 external clinical centres. In a prospective study of 1,870 complex cases, OrthoPilot increased full-chain management success by 10.6%. During an 8-month randomised deployment involving 8,240 inpatients, it increased cumulative cases per bed by 9.7% and improved patient-reported access to health information. These results move clinical AI from predicting isolated events toward executing longitudinal management across complete musculoskeletal care pathways.

Self-evolving agents advance toward autonomy by optimizing their harness---prompts, skills, tools, and execution logic---based on environmental feedback. This paradigm, however, is hampered by three challenges: credit assignment failure, where terminal success/failure feedback makes it ambiguous which step caused the error; shortcut learning, where agents memorize task-specific patterns rather than acquire generalizable capabilities; and catastrophic forgetting, where unguarded updates degrade previously acquired competence. In this paper, we introduce HarnessEvolve, a self-evolving framework that learns from reference trajectories to achieve reliable agent self-evolution. HarnessEvolve decouples the execution agent from the evolutionary pipeline, assigning execution, evaluation, optimization, and gating to independent agent modules, enabling generalizable and stable harness improvements. Specifically, HarnessEvolve overcomes credit assignment failure by generating reference trajectories (execution paths produced when given the ground-truth answers) and aligning failed executions against them to extract error signals, which are clustered to reveal systematic failure patterns. To prevent shortcut learning and catastrophic forgetting, candidate harness updates must pass two gates: a quality gate that filters data leakage and prompt bloat, and a performance gate that accepts each update if it improves on the current batch without degrading recent batches, with epoch-end validation on a held-out set selecting the best-performing accepted agent snapshot. We conduct extensive experiments on several benchmarks spanning open-domain and enterprise scenarios, using different models and agent frameworks. Results demonstrate that HarnessEvolve consistently outperforms state-of-the-art baselines across all benchmarks and settings, confirming reliability across task domains.

Modern text-to-image (T2I) systems can be improved without modifying generator parameters by adapting the external system around frozen generators. However, existing approaches typically optimize a predefined dimension, such as prompts, routing, or workflows, restricting the space in which generation failures can be corrected. Allowing multiple generator-external responsibilities to evolve provides a broader adaptation space, but introduces a new challenge: visual feedback reveals what failed, but not where persistent evolution should occur or how this space should be explored efficiently. We introduce EvoGen-Harness, a generator-agnostic framework for multi-responsibility image-generation harness evolution, together with Trace (Trajectory-Relative Attribution and Coordinated Evolution). Trace aggregates evidence across stochastic executions, uses failure attribution as a search prior to focus candidate updates, and progressively re-attributes residual failures to coordinate evolution across responsibilities, while No-Patch and held-out validation prevent unnecessary or harmful updates. Across GenEval2, T2I-CompBench++, and WISE, EvoGen-Harness improves over the strongest evaluated baselines by +0.2633, +0.0720, and +0.0752, respectively, while achieving 87.9-91.4% attribution recall, 94.8% No-Patch accuracy, and only 1.9% regression. These results demonstrate that attribution-guided multi-responsibility evolution can substantially enhance frozen T2I systems beyond single-dimension adaptation.

AI agents rely on a harness of skills, tools, and workflows to solve complex problems. Continually improving this harness is essential for adapting to new tasks. However, existing optimization methods typically require ground-truth validation sets, yet such labeled data is difficult to acquire in practical deployment settings. To address this problem, we introduce Retrospective Harness Optimization (RHO), a self-supervised method that optimizes the agent harness using only past trajectories. Specifically, RHO selects a diverse coreset of challenging tasks from past trajectories and re-solves them in parallel. The agent analyzes these rollouts using self-validation and self-consistency, then generates candidate harness updates and selects the most effective one by its own pairwise self-preference. We evaluate RHO across three diverse domains, spanning software engineering, technical work, and knowledge work. Notably, a single optimization round improves the pass rate on SWE-Bench Pro from 59% to 78% without any external grading. Furthermore, our analysis demonstrates that RHO effectively targets prior failure modes. As a result, the optimized harness alters the agent's behavior patterns and sustains higher accuracy during long-horizon sessions.

Recent work extends recursive self-improvement (RSI) to agent harnesses for long-horizon coding and terminal tasks, enabling agents to improve execution mechanisms from experience. However, generalizable harness RSI remains challenging. First, evolving harnesses on evaluation benchmarks or their subsets makes it difficult to distinguish reusable improvements from benchmark-specific adaptation. Second, single-trajectory updates can conflate systematic harness deficiencies with instance-specific reasoning and solution details, producing modifications that transfer poorly to unseen tasks. Third, localizing recurring behavioral deficiencies within monolithic harnesses is difficult, while whole-harness optimization can entangle unrelated mechanisms and complicate attribution and validation. We propose ModularRSI, a benchmark-disjoint, contrastive, and modular framework for generalizable harness evolution. ModularRSI contrasts successful and failed trajectories for the same task and aggregates evidence across tasks to identify recurring behavioral deficiencies. It decomposes the evolvable harness into five functional modules: Agent Loop, Tool Use, Observation Management, Context Management, and Task Completion Detection. Each module evolves independently within a restricted modification scope, followed by an integration stage that combines the evolved modules into a unified harness and resolves potential conflicts. To support benchmark-disjoint evolution, we curate 2,000 executable evolution tasks from external sources that are disjoint from downstream evaluation benchmarks. Experiments on TB2.0 and SWE-Bench Verified show consistent improvements on unseen in-domain and cross-domain tasks, with the evolved harness also transferring across different foundation models.

Depression poses significant challenges to patients and healthcare organizations, necessitating efficient assessment methods. Existing paradigms typically focus on a patient-doctor way that overlooks multi-role interactions, such as family involvement in the evaluation and caregiving process. Moreover, current automatic depression detection (ADD) methods usually model depression detection as a classification or regression task, lacking interpretability for the decision-making process. To address these issues, we developed InterMind, a doctor-patient-family interactive depression assessment system empowered by large language models (LLMs). Our system enables patients and families to contribute descriptions, generates assistive diagnostic reports for doctors, and provides actionable insights, improving diagnostic precision and efficiency. To enhance LLMs' performance in psychological counseling and diagnostic interpretability, we integrate retrieval-augmented generation (RAG) and chain-of-thoughts (CoT) techniques for data augmentation, which mitigates the hallucination issue of LLMs in specific scenarios after instruction fine-tuning. Quantitative experiments and professional assessments by clinicians validate the effectiveness of our system.

Long-horizon language-model agents are dominated, in lines of code and in operational complexity, not by their underlying model but by the harness that wraps it: context compaction, tool caching, semantic memory, trajectory reuse, speculative tool prediction, and the glue that binds the model to a sandboxed execution environment. We argue that harness design is a first-class machine-learning problem and that automated configuration search dominates manual stacking once the flag space exceeds a handful of bits. We defend this claim in two steps. First, we formalize automated harness optimization as constrained noisy Bayesian optimization over a mixed-variable, cost-heterogeneous configuration space with cold-start-corrected rewards and a posterior chance-constrained safety check, and give a reference solver, HARBOR (Harness Axis-aligned Regularized Bayesian Optimization Routine), built from a block-additive SAAS surrogate, multi-fidelity cost-aware acquisition, and TuRBO trust regions. Second, we instantiate the problem in a flag-gated harness over a production coding agent and report a controlled four-round manual-tuning case study against a fixed task suite and an end-to-end HARBOR run. The formulation itself is task-class agnostic: the configuration space, reward correction, acquisition, and safety check apply to any agent harness with a bounded flag space and a reproducible task suite.

The differential diagnosis of neurodegenerative dementias is a challenging clinical task, mainly because of the overlap in symptom presentation and the similarity of patterns observed in structural neuroimaging. To improve diagnostic efficiency and accuracy, deep learning-based methods such as Convolutional Neural Networks and Vision Transformers have been proposed for the automatic classification of brain MRIs. However, despite their strong predictive performance, these models find limited clinical utility due to their opaque decision making. In this work, we propose a framework that integrates two core components to enhance diagnostic transparency. First, we introduce a modular pipeline for converting 3D T1-weighted brain MRIs into textual radiology reports. Second, we explore the potential of modern Large Language Models (LLMs) to assist clinicians in the differential diagnosis between Frontotemporal dementia subtypes, Alzheimer's disease, and normal aging based on the generated reports. To bridge the gap between predictive accuracy and explainability, we employ reinforcement learning to incentivize diagnostic reasoning in LLMs. Without requiring supervised reasoning traces or distillation from larger models, our approach enables the emergence of structured diagnostic rationales grounded in neuroimaging findings. Unlike post-hoc explainability methods that retrospectively justify model decisions, our framework generates diagnostic rationales as part of the inference process-producing causally grounded explanations that inform and guide the model's decision-making process. In doing so, our framework matches the diagnostic performance of existing deep learning methods while offering rationales that support its diagnostic conclusions.

Effective rehabilitation assessment is essential for monitoring patient progress, particularly in home-based settings. Existing systems often face challenges such as data imbalance and difficulty detecting subtle movement errors. This paper introduces Error-Guided Pose Augmentation (EGPA), a method that generates synthetic skeleton data by simulating clinically relevant movement mistakes. Unlike standard augmentation techniques, EGPA targets biomechanical errors observed in rehabilitation. Combined with an attention-based graph convolutional network, EGPA improves performance across multiple evaluation metrics. Experiments demonstrate reductions in mean absolute error of up to 27.6 percent and gains in error classification accuracy of 45.8 percent. Attention visualizations show that the model learns to focus on clinically significant joints and movement phases, enhancing both accuracy and interpretability. EGPA offers a promising approach for improving automated movement quality assessment in both clinical and home-based rehabilitation contexts.

Automated harness optimization can substantially improve LLM agents by iteratively updating their prompts, tool interfaces, and control logic from execution feedback. However, existing methods primarily optimize how the harness is updated while largely fixing which training scenarios generate the feedback that drives those updates. As the harness evolves, the scenarios most useful for further optimization can change, suggesting that the training curriculum itself should adapt alongside the harness. We formulate this missing dimension of harness optimization as an automated curriculum learning problem and introduce ActiveSaddler. ActiveSaddler models the evolving curriculum as a non-stationary bandit with dynamically instantiated optimization targets. It abstracts recurring failures into reusable failure-pattern arms, estimates the potential learning progress from further targeting each pattern, and adaptively balances revisiting known weaknesses with exploring unseen scenarios for new ones. Optimization outcomes continually update both the set of discovered failure patterns and their priorities, allowing the curriculum to co-evolve with the harness. Experiments on GAIA2 and Terminal-Bench 2.0 show that ActiveSaddler consistently discovers stronger harnesses, improving test Pass@1 by 4.4 and 7.5 percentage points over the same harness optimizer using a scenario order fixed before optimization, respectively. Ablations further show that these gains depend on dynamically constructing optimization targets, estimating their evolving utility, and balancing continued optimization with new failure discovery. Together, these results establish automated curriculum learning as a new crucial optimization dimension for harness optimization.

Randomized controlled trials (RCTs) are the benchmark for causal inference, yet field implementation can deviate. We here present a remote audit - a design-based, preregistrable diagnostic that uses only pre-treatment satellite imagery to test whether assignment is independent of local conditions. The conditional randomization test of the remote audit evaluates whether treatment assignment is more predictable from pre-treatment satellite features than expected under the experiment's registered mechanism, providing a finite-sample valid, design-based diagnostic that requires no parametric assumptions. The procedure is finite-sample valid, honors blocks and clusters, and controls multiplicity across image models and resolutions via a max-statistic. We illustrate with two RCTs: Uganda's Youth Opportunities Program, where the audit corroborates randomization and flags selection and missing-data risks; and a school-based trial in Bangladesh, where assignment is highly predictable from pre-treatment features relative to the stated design, consistent with independent concerns about irregularities. Remote audits complement balance tests, lower early-stage costs, and enable rapid design checks when baseline surveys are expensive or infeasible.

Injury to the cervical spinal cord can cause quadriplegia, impairing muscle function in all four limbs. People with impaired hand function and mobility encounter significant difficulties in carrying out essential self-care and household tasks. Despite the impairment of their neural drive, their volitional myoelectric activity is often partially preserved. High-density electromyography (HDEMG) can detect this myoelectric activity, which can serve as control inputs to assistive devices. Previous HDEMG-controlled robotic interfaces have primarily been limited to controlling table-mounted robot arms. These have constrained reach capabilities. Instead, the ability to control mobile manipulators, which have no such workspace constraints, could allow individuals with quadriplegia to perform a greater variety of assistive tasks, thus restoring independence and reducing caregiver workload. In this study, we introduce a non-invasive wearable HDEMG interface with real-time myoelectric hand gesture recognition, enabling both coarse and fine control over the intricate mobility and manipulation functionalities of an 8 degree-of-freedom mobile manipulator. Our evaluation, involving 13 participants engaging in challenging self-care and household activities, demonstrates the potential of our wearable HDEMG system to profoundly enhance user independence by enabling non-invasive control of a mobile manipulator.

Diagnostic consultation is an online sequential decision-making process in which clinicians gather evidence through patient interaction until a diagnosis is sufficiently supported. Automating this process requires adaptive inquiry and interpretable decisions. Bayesian networks offer a natural foundation by updating diagnostic posteriors as evidence accumulates, but their use in open-ended consultation raises two challenges: linking diagnostic hypotheses to potential inquiries and translating evolving posteriors into consultation decisions. We introduce AutoDisym, an automated pipeline that integrates diagnostic knowledge with heterogeneous diagnosis-labeled clinical narratives to construct a Disorder--Symptom Bayesian Network (DSBN). Building on the DSBN, we propose ConsultMind, an uncertainty-aware framework that updates disorder posteriors after each response and uses posterior uncertainty to guide inquiry and diagnosis. We evaluate both methods across psychiatry, respiratory medicine, fever clinics, and three public datasets. The results show that AutoDisym can automatically construct high-quality DSBNs and that ConsultMind consistently improves diagnostic performance and explanation soundness. For example, AutoDisym achieves macro-averaged F1 scores of 81.37 for canonical symptoms and 72.19 for manifestations using GPT-5.6-Sol. ConsultMind improves Top-1 and Top-3 diagnostic accuracy by up to 22.15 and 37.89 percentage points, respectively. Physician evaluation further shows that ConsultMind improves the quality of ranking explanations, differential diagnoses, and diagnosis rationales across LLMs of different scales. This work offers a promising approach to automatic diagnostic consultation.

Large language models are increasingly deployed as agents for long-horizon tasks, yet their performance is shaped not only by model capability and environment design, but also by the harness that mediates agent--environment interaction. Existing harnesses are largely manually engineered, making them difficult to scale as trajectories grow longer and interactions become more complex. In this work, we ask whether harness can be generated by a learnable plug-in module that can be trained in an end-to-end fashion. We introduce HarnessBridge, a lightweight learnable harness controller that parameterizes the agent--environment interface as a bidirectional projection. HarnessBridge learns two bidirectional projections: observation projection, which distills raw trajectories into compact, decision-relevant states, and action projection, which converts proposed actions into executable transitions or trajectory-grounded rejections. We train HarnessBridge on a harness supervision dataset via unified instruction tuning. On Terminal-Bench~2.0 and SWE-bench Verified, HarnessBridge matches or surpasses strong specialized harnesses while substantially reducing token usage and trajectory length, and generalizes from smaller generators to larger commercial models.

Multimodal large language models (MLLMs) have achieved significant success in the general field of image processing. Their emerging task generalization and freeform conversational capabilities can greatly facilitate medical diagnostic assistance, helping patients better understand their conditions and enhancing doctor-patient trust. Computed Tomography (CT) is a non-invasive imaging technique used to capture the internal mechanisms of a patient's condition and is widely utilized. However, in past research, the complex textural features of this imaging data have made accurate interpretation by algorithms challenging, impeding the performance of general LLMs in diagnostic assistance. To address this, we developed OrthoDoc, a MLLM designed for CT diagnostics. OrthoDoc is trained on 120,000 CT images and diagnostic reports and includes a Retrieval-Augmented Generation (RAG) module capable of effectively mitigating model hallucinations. This module is informed by extensive medical literature, textbooks, and explanatory data. Thus, OrthoDoc not only processes complex CT images but also stores, understands, and reasons over medical knowledge and language. In extensive experiments, OrthoDoc outperforms commercial models led by GPT-4, demonstrating superior diagnostic capabilities and accuracy. Specifically, OrthoDoc significantly surpasses existing models in the diagnosis of common orthopedic conditions such as fractures, arthritis, and tumors. Additionally, OrthoDoc exhibits robust generalization and stability when handling rare and complex cases.

As Large Multimodal Models (LMMs) scale up and reinforcement learning (RL) methods mature, LMMs have made notable progress in complex reasoning and decision making. Yet training still relies on static data and fixed recipes, making it difficult to diagnose capability blind spots or provide dynamic, targeted reinforcement. Motivated by findings that test driven error exposure and feedback based correction outperform repetitive practice, we propose Diagnostic-driven Progressive Evolution (DPE), a spiral loop where diagnosis steers data generation and reinforcement, and each iteration re-diagnoses the updated model to drive the next round of targeted improvement. DPE has two key components. First, multiple agents annotate and quality control massive unlabeled multimodal data, using tools such as web search and image editing to produce diverse, realistic samples. Second, DPE attributes failures to specific weaknesses, dynamically adjusts the data mixture, and guides agents to generate weakness focused data for targeted reinforcement. Experiments on Qwen3-VL-8B-Instruct and Qwen2.5-VL-7B-Instruct show stable, continual gains across eleven benchmarks, indicating DPE as a scalable paradigm for continual LMM training under open task distributions. Our code, models, and data are publicly available at https://github.com/hongruijia/DPE.

Rapid advances in AI video generation pose increasing security risks and call for reliable detectors with strong cross-domain generalization. Although existing methods perform well under in-domain evaluation, their performance degrades substantially on unseen generators. A key reason is shortcut learning, where detectors rely on domain-specific bias rather than intrinsic forensic cues. To address this issue, we propose G2VD, a generalizable AI-generated video detection framework based on counterfactual intervention and causal disentanglement. First, G2VD introduces a counterfactual intervention pipeline (CFIPipeline) that constructs counterfactual samples through VAE-based reconstruction and subsequent frequency-domain and pixel-domain alignment, thereby weakening spurious correlations between domain-specific bias and authenticity labels. Building on this intervention, we further design a causal disentanglement classifier that combines two domain-anchored branches with complementary objectives and a constraint based on the Hilbert-Schmidt Independence Criterion (HSIC), encouraging the causal and non-causal representations to capture intrinsic forensic cues and domain-specific bias, respectively. Experiments across four public datasets demonstrate strong cross-domain performance and consistent gains over baseline methods. In the challenging GenVidBench setting, G2VD achieves over 90\% overall ACC, with improvements of 0.194 in F1 and 0.104 in AUC over comparable state-of-the-art methods, while using only 10\% of the available training data. Code is available at https://github.com/DMOSCAR-98/G2VD.

Large language models (LLMs) inherently absorb harmful knowledge, misinformation, and personal data during pretraining on large-scale web corpora, with no native mechanism for selective removal. While machine unlearning offers a principled solution, existing approaches are provider-centric, requiring retraining pipelines, curated retain datasets, and direct intervention by model service providers (MSPs), thereby excluding end users from controlling their own data. We introduce Interactive Machine Unlearning (IMU), a new paradigm in which users can instruct LLMs to forget targeted knowledge through natural language at inference time. To realize IMU, we propose RePAIR, a prompt-aware model repair framework comprising (i) a watchdog model for unlearning intent detection, (ii) a surgeon model for generating repair procedures, and (iii) a patient model whose parameters are updated autonomously. At the core of RePAIR, we develop Steering Through Activation Manipulation with PseudoInverse (STAMP), a training-free, single-sample unlearning method that redirects MLP activations toward a refusal subspace via closed-form pseudoinverse updates. Its low-rank variant reduces computational complexity from O(d^3) to O(r^3 + r^2 * d), enabling efficient on-device unlearning with up to ~3x speedup over training-based baselines. Extensive experiments across harmful knowledge suppression, misinformation correction, and personal data erasure demonstrate that RePAIR achieves near-zero forget scores (Acc_f = 0.00, F-RL = 0.00) while preserving model utility (Acc_r up to 84.47, R-RL up to 0.88), outperforming six state-of-the-art baselines. These results establish RePAIR as an effective and practical framework for user-driven model editing, advancing transparent and on-device control over learned knowledge, with potential extensions to multimodal foundation models.

The rapid advancement of large-scale vision-language models has showcased remarkable capabilities across various tasks. However, the lack of extensive and high-quality image-text data in medicine has greatly hindered the development of large-scale medical vision-language models. In this work, we present a diagnosis-guided bootstrapping strategy that exploits both image and label information to construct vision-language datasets. Based on the constructed dataset, we developed MedDr, a generalist foundation model for healthcare capable of handling diverse medical data modalities, including radiology, pathology, dermatology, retinography, and endoscopy. Moreover, during inference, we propose a simple but effective retrieval-augmented medical diagnosis strategy, which enhances the model's generalization ability. Extensive experiments on visual question answering, medical report generation, and medical image diagnosis demonstrate the superiority of our method.

Modern LLM agents are often improved by modifying prompts, tools, or workflows manually, while the executable scaffold surrounding the model---the harness---is typically treated as a fixed artifact after deployment. This work studies an alternative where the harness is task-specific and continuously evolvable: each task family maintains its own harness, which is hot-swapped across iterations through a fixed task-injection seam and rewritten using environment feedback. We introduce Hierarchical Self-Improvement (HSI), a framework in which a single frozen LLM M operates across three hierarchical scopes: a task harness H that executes tasks, an evolver that rewrites H, and a meta-evolver that rewrites the evolver's strategy code under a frozen outer anchor. A thinking-on/off design isolates the contribution of harness evolution by disabling reasoning during task execution while enabling it during self-modification. HSI is bounded by two factors: a feedback-fidelity bound, since evolution requires informative reward signals to guide selection, and a backbone capability bound, since harness redesign cannot overcome limitations of the frozen model. On BALROG with DeepSeek-V4-Flash-Preview as the frozen backbone, HSI achieves consistent gains over the initial harness on moderate-difficulty tasks (+39.3 on BabyAI, +33.0 on Crafter, +25.0 on TextWorld, and +15.0 on MiniHack, all in raw \% Progress), while obtaining strong held-out generalization on BabaIsAI sub-suites (0.98 best-test on BreakStop and 1.00 on GoTo from a 20% unseen split). On tasks beyond the backbone's capability (NLE), harness evolution provides no improvement. These results demonstrate task-specific harness evolution as a viable axis for improving frozen LLM agents under clear empirical limits. Code is available at https://github.com/TailinZhou/hsi.

A prevalent assumption in LLM agent deployment holds that more structured harnesses universally improve reliability, and that higher-capability models need proportionally less structural guidance -- together implying a monotone inverse relationship between model capability tier and optimal harness complexity. We test this hypothesis through a controlled 432-run experiment crossing six models across four capability tiers with three harness conditions (light, balanced, strict) on HEAT-24, a 24-task synthetic benchmark with git-based workspace verification. Our results refute the monotone inverse relationship on two fronts. First, for the frontier chat model evaluated (Gemini 2.5 Flash), increased harness verbosity lowers VTSR by 29-38 percentage points -- a harness-complexity paradox. Second, for the frontier reasoning model evaluated (Qwen3.5-122B, extended thinking enabled), strict harness achieves the highest VTSR (91.7%) and the lowest latency, the opposite of the prediction. Within the constrained tier, a 2B model (Gemma4:e2B) matches strong-open-tier stability at 91.7% across all harnesses. Because each tier is represented by a single model in this study, these results should be interpreted as model-specific observations; harness sensitivity appears non-monotone across the models evaluated, and depends critically on model type (chat vs. reasoning). We introduce a six-label failure taxonomy showing that format_violation dominates capable-model failures while wrong_file dominates low-capability failures, and we derive practical tier-aware harness selection guidelines.

In this paper, we present a framework for training large language models (LLMs) as diagnostic agents with reinforcement learning, enabling them to manage multi-turn diagnostic processes, adaptively select examinations, and commit to final diagnoses. Unlike instruction-tuned models trained on static case summaries, our method acquires diagnostic strategies through interactive exploration and outcome-based feedback. Our contributions are fourfold: (i) We present DiagGym, a diagnostics world model trained with electronic health records that emits examination outcomes conditioned on patient history and recommended examination, serving as a virtual clinical environment for realistic diagnosis training and evaluation; (ii) We train DiagAgent via end-to-end, multi-turn reinforcement learning to learn diagnostic policies that optimize both information yield and diagnostic accuracy; (iii) We introduce DiagBench, a diagnostic benchmark comprising 750 cases with physician-validated examination recommendations and 99 cases annotated with 973 physician-written rubrics on diagnosis process; (iv) we demonstrate superior performance across diverse diagnostic settings. DiagAgent significantly outperforms 10 state-of-the-art LLMs, including DeepSeek-v3 and GPT-4o, as well as two prompt-engineered agents. In single-turn settings, DiagAgent achieves 9.34% higher diagnostic accuracy and 44.03% improvement in examination recommendation hit ratio. In end-to-end settings, it delivers 15.12% increase in diagnostic accuracy and 23.09% boost in examination recommendation F1 score. In rubric-based evaluation, it surpasses the next-best model, Claude-sonnet-4, by 7.1% in weighted rubric score. These findings indicate that learning policies in interactive clinical environments confers dynamic and clinically meaningful diagnostic management abilities unattainable through passive training alone.

The safety of large language model (LLM) agents depends not only on model weights but also on the agent harness that manages context, memory, tools, permissions, and runtime control. Existing safety mechanisms often treat the harness as a fixed deployment artifact, limiting their ability to evolve with emerging risks. Moreover, coupled functions across harness components obscure safety responsibility attribution, making localized evolution difficult. We propose Safety Harness Evolution (SHE), a framework that learns evolving safe boundaries from rollout trajectories. SHE decomposes the harness into four artifacts with explicit safety responsibilities, including the System Prompt, Rule Bank, Safety Memory, and Tool Policy, defining clear functional boundaries for localized evolution. Based on this decomposition, SHE introduces an attribution-guided evolution loop that converts trajectory failures into structured diagnoses, learns artifact-specific boundary refinements, and selects evolved harnesses through safety-utility validation. Experiments on Agent-SafetyBench demonstrate that SHE effectively enhances safety through harness evolution, achieving a 3.1x ASR reduction compared with static SafeHarness, while also improving benign utility. The evolved harness further generalizes to unseen risks on the held-out AgentHarm benchmark and transfers across agent models without additional evolution.

Autonomous computational pathology (ACP) converts high-level pathology analysis goals into executable, traceable and clinically bounded workflows. Realizing this capability requires adapting general agentic harness systems to pathology-specific tasks, tools, evidence standards and clinical claim boundaries. We contribute ACP-Bench, a framework that adapts existing harness systems from computational pathology support toward ACP workflow capability. ACP-Bench evaluates 41 pathology workflow tasks, including 24 biomarker, 7 morphology and 10 prognosis tasks spanning 6 body-system groups and 9 endpoint families. The benchmark evaluates 9 models and 3 harness groups (Claude Code, Codex and Open Code), yielding 369 complete trajectories. ACP-Bench evaluates each trajectory across workflow execution, diagnostic performance and clinical-boundary alignment, combining expert-adjudicated process audits, diagnostic assessment and pathologist-validated safety review. Across evaluated systems, workflow initiation, task interpretation and diagnostic reporting were more mature than tool-bound execution, result binding and reflective workflow revision, and formal end-to-end completion remained rare. ACP-Bench provides a reusable standard for auditing whether agentic systems can operationalize pathology workflows before claims of reliable clinical autonomy.

Radiologists routinely compare current and prior chest X-rays to track disease progression, producing follow-up reports that describe multiple findings, each localised to an anatomical region and annotated with a temporal change status. Existing automated methods either generate reports from a single image without modelling temporal context, or incorporate temporal information but do not ground their outputs spatially. The few approaches that combine temporal reasoning with spatial grounding are restricted to single-finding descriptions, leaving multi-finding reports with mixed change directions unaddressed. We present GRCD, a framework for grounded report generation from chest X-ray pairs in the multi-finding setting. We first construct a rigorously cleaned dataset of temporal chest X-ray pairs by identifying and correcting two systematic labelling errors in the source annotations. We then introduce a Region-Guided Change Token module that encodes per-region temporal change across anatomical structures and injects this signal into a language model through a dual-pathway strategy combining prepended spatial tokens with gated cross-attention. On a multi-finding test set, GRCD outperforms existing baselines on text generation and clinical accuracy metrics, with gains in change detection. Ablation studies confirm that the dual-pathway design outperforms either integration strategy in isolation on text and clinical metrics, and that region-level change encoding is necessary for multi-finding generation. Code is available at https://github.com/UTSA-VIRLab/GRCD

Neuromuscular electrical stimulation (NMES) has been effectively applied in many rehabilitation treatments of individuals with spinal cord injury (SCI). In this context, we introduce a novel, robust, and intelligent control-based methodology to closed-loop NMES systems. Our approach utilizes a robust control law to guarantee system stability and machine learning tools to optimize both the controller parameters and system identification. Regarding the latter, we introduce the use of past rehabilitation data to build more realistic data-driven identified models. Furthermore, we apply the proposed methodology for the rehabilitation of lower limbs using a control technique named the robust integral of the sign of the error (RISE), an offline improved genetic algorithm optimizer, and neural network models. Although in the literature, the RISE controller presented good results on healthy subjects, without any fine-tuning method, a trial and error approach would quickly lead to muscle fatigue for individuals with SCI. In this paper, for the first time, the RISE controller is evaluated with two paraplegic subjects in one stimulation session and with seven healthy individuals in at least two and at most five sessions. The results showed that the proposed approach provided a better control performance than empirical tuning, which can avoid premature fatigue on NMES-based clinical procedures.

Scientific discovery with language models requires finding the best valid solution within a finite computational budget. We study how feedback from this search can improve the procedure used to conduct it. We introduce HarnessTTT, a test-time learning framework that trains a harness proposer while keeping the executor frozen. The proposer generates executable harnesses comprising system prompts, reusable skills, tools, middleware, and execution controls. Each harness guides a budgeted discovery rollout, whose outcome provides feedback for updating the proposer. A discovery-oriented policy-gradient objective combines gap-normalized rewards, leave-one-out advantages (RLOO), and max-sharpening to favor high-performing proposals. Generated components are validated before execution, and the search retains the best valid solution and selected harnesses across rounds. Across fourteen discovery tasks in mathematics, systems, GPU kernels, heuristic programming, astrodynamics, and biology, HarnessTTT with a frozen 9B executor improves on OpenEvolve with the same executor on all eleven benchmark tasks (e.g., from 1.17 to 2.64 on circle packing), improves on the discovery-fine-tuned Finch-9B by up to 92%, holds the best open-weight sub-10B result on nine, and reaches 0.380919 on Erdős minimum overlap, better than the best human reference of 0.380927. Scaling the proposer and frozen executor to 27B improves on eleven of fourteen tasks, and transferring the learned harnesses to GPT-5.5 matches or exceeds the strongest reported system of any backbone on nine of fourteen tasks. Together, these results show that harness search can itself be learned at test time: a trained proposer lets a small frozen executor search effectively, and the harnesses it finds carry over to stronger executors.

In dynamic operational environments, particularly in collaborative robotics, the inevitability of failures necessitates robust and adaptable recovery strategies. Traditional automated recovery strategies, while effective for predefined scenarios, often lack the flexibility required for on-the-fly task management and adaptation to expected failures. Addressing this gap, we propose a novel approach that models recovery behaviors as adaptable robotic skills, leveraging the Behavior Trees and Motion Generators~(BTMG) framework for policy representation. This approach distinguishes itself by employing reinforcement learning~(RL) to dynamically refine recovery behavior parameters, enabling a tailored response to a wide array of failure scenarios with minimal human intervention. We assess our methodology through a series of progressively challenging scenarios within a peg-in-a-hole task, demonstrating the approach's effectiveness in enhancing operational efficiency and task success rates in collaborative robotics settings. We validate our approach using a dual-arm KUKA robot.

Chest X-ray plays a central role in thoracic diagnosis, and its interpretation inherently requires multi-step, evidence-grounded reasoning. However, large vision-language models (LVLMs) often generate plausible responses that are not faithfully grounded in diagnostic evidence and provide limited visual evidence for verification, while also requiring costly retraining to support new diagnostic tasks, limiting their reliability and adaptability in clinical settings. To address these limitations, we present CXReasonAgent, a diagnostic agent that integrates a large language model (LLM) with clinically grounded diagnostic tools to perform evidence-grounded diagnostic reasoning using image-derived diagnostic and visual evidence. To evaluate these capabilities, we introduce CXReasonDial, a multi-turn dialogue benchmark with 1,946 dialogues across 12 diagnostic tasks, and show that CXReasonAgent produces faithfully grounded responses, enabling more reliable and verifiable diagnostic reasoning than LVLMs. These findings highlight the importance of integrating clinically grounded diagnostic tools, particularly in safety-critical clinical settings.

The capability of a modern AI agent depends not only on its foundation model but also on its harness, which constructs prompts, manages state, invokes tools, and coordinates execution. As models, APIs, environments, and requirements evolve, the harness must be continually modified. Before such a change can be made, a developer or coding agent must identify all code locations that implement the target behavior. This is difficult because production harnesses are large, tightly coupled, and behaviorally distributed, while modification requests describe what the system should do and repositories are organized by files and modules. Code search, repository indexing, and long-context processing ease inspection, but still leave this behavior-to-code mapping to be recovered by hand. Behavior localization is therefore a central bottleneck in harness evolution. We introduce the Harness Handbook, a behavior-centric representation synthesized automatically from a harness codebase via static analysis and LLM-assisted structuring, linking each behavior to its corresponding source. We also introduce Behavior-Guided Progressive Disclosure (BGPD), which guides agents from high-level behaviors to relevant implementation details and verifies candidate locations against the current source. On diverse modification requests from two open-source harnesses, Handbook-Assisted planning improves behavior localization and edit-plan quality while using fewer planner tokens, with the largest gains on scattered sites, rarely executed paths, and cross-module interactions. Evolving complex agentic systems thus depends not only on generating edits, but also on determining where those edits should be made.

Depression and post traumatic stress disorder (PTSD) often co-occur with connected symptoms, complicating automated assessment, which is often binary and disorder specific. Clinically useful diagnosis needs severity aware cross disorder estimates and decision support explanations. Our unified tri modal affective severity framework synchronizes and fuses interview text with sentence level transformer embeddings, audio with log Mel statistics with deltas, and facial signals with action units, gaze, head and pose descriptors to output graded severities for diagnosing both depression (PHQ-8; 5 classes) and PTSD (3 classes). Standardized features are fused via a calibrated late fusion classifier, yielding per disorder probabilities and feature-level attributions. This severity aware tri-modal affective fusion approach is demoed on multi disorder concurrent depression and PTSD assessment. Stratified cross validation on DAIC derived corpora outperforms unimodal/ablation baselines. The fused model matches the strongest unimodal baseline on accuracy and weighted F1, while improving decision curve utility and robustness under noisy or missing modalities. For PTSD specifically, fusion reduces regression error and improves class concordance. Errors cluster between adjacent severities; extreme classes are identified reliably. Ablations show text contributes most to depression severity, audio and facial cues are critical for PTSD, whereas attributions align with linguistic and behavioral markers. Our approach offers reproducible evaluation and clinician in the loop support for affective clinical decision making.

Medical vision-language models can automate the generation of radiology reports but struggle with accurate visual grounding and factual consistency. Existing models often misalign textual findings with visual evidence, leading to unreliable or weakly grounded predictions. We present CURE, an error-aware curriculum learning framework that improves grounding and report quality without any additional data. CURE fine-tunes a multimodal instructional model on phrase grounding, grounded report generation, and anatomy-grounded report generation using public datasets. The method dynamically adjusts sampling based on model performance, emphasizing harder samples to improve spatial and textual alignment. CURE improves grounding accuracy by +0.37 IoU, boosts report quality by +0.188 CXRFEScore, and reduces hallucinations by 18.6%. CURE is a data-efficient framework that enhances both grounding accuracy and report reliability. Code is available at https://github.com/PabloMessina/CURE and model weights at https://huggingface.co/pamessina/medgemma-4b-it-cure

Rib fractures are common and time-consuming to localize on computed tomography (CT). We ask whether fractures detected independently in two orthogonal CT-derived projections (anteroposterior and lateral) can be paired across views and triangulated into reliable 3D points at a controlled rate of false outputs, and we answer it with a staged diagnostic study. The projection geometry is exact, and given correct correspondence, localization is accurate (median 4.0 mm, 88% within 10 mm, 93.6% rib-exact). On a sealed 55-case cohort, a large share of fractures is in principle recoverable (61.1% dual-view availability, and a correct pair present in the candidate graph for 58.4% of fractures), yet the binding limitation is neither geometry nor localization but confidence-limited cross-view correspondence. A controlled detector-by-correspondence factorial attributes the operational gain to lateral-detector quality rather than the tested matching methods; retraining the lateral detector produces the first nonzero controlled-budget reconstructions. Under a deliberately conservative commitment policy, a pre-specified sealed pass promotes 15 of 601 fractures to correct 3D localizations at 0.436 false points per case (2.50% end-to-end commitment yield), and committed points are accurate (median 1.49 mm, 93% rib-exact). The low yield is a consequence of confidence-gated abstention, not of geometry or detection: the study establishes a reproducible framework for selective 3D localization and identifies cross-view correspondence as the dominant operational bottleneck.

Self-evolving runtime harnesses can substantially improve the capabilities of large language model (LLM) agents and provide a promising paradigm for optimizing agent execution. Existing failure-driven approaches often treat observed agent failures as direct evidence for harness modification. A key challenge in failure-driven harness evolution is that observed failures can reflect either limitations of the underlying model or systematic deficiencies of the harness. Directly optimizing against individual failures can therefore induce model-specific accommodation and impair generalization across tasks and models. We study whether failure evidence accumulated across task instances can provide a more reliable signal for harness training. Our key insight is that failures recurring across distinct tasks provide stronger inductive evidence for systematic harness deficiencies than isolated failures. Based on this insight, we propose Ecdysis, which aggregates failure evidence across task instances before promoting recurring failure patterns into persistent harness evolution, biasing evolution toward repairs that are more likely to generalize beyond individual model behaviors. Ecdysis further employs collaborative failure analysis to refine modification specifications, trading additional evolution-time reasoning for improved modification quality. Across multiple LLMs and benchmarks, Ecdysis improves the reasoning accuracy of evolved harnesses by 18.56% over existing harness evolution while achieving up to 1.84x faster harness training. Ecdysis also enables more data-efficient training. Fine-grained analysis shows that Ecdysis reduces model-specific accommodation during evolution, while the resulting harnesses exhibit stronger cross-LLM generalization and lower inference-time token consumption.

The application of large language models (LLMs) in clinical decision support faces significant challenges of "tunnel vision" and diagnostic hallucinations present in their processing unstructured electronic health records (EHRs). To address these challenges, we propose a novel chain-based clinical reasoning framework, called DxChain, which transforms the diagnostic workflow into an iterative process by mirroring a clinician's cognitive trajectory that consists of "Memory Anchoring", "Navigation" and "Verification" phases. DxChain introduces three key methodological innovations to elicit the potential of LLM: (i) a Profile-Then-Plan paradigm to mitigate cold-start hallucinations by establishing a panoramic patient baseline, (ii) a Medical Tree-of-Thoughts (Med-ToT) algorithm for strategic look ahead planning and resource aware navigation, and (iii) a Dialectical Diagnostic Verification procedure utilizing "Angel-Devil" adversarial debates to resolve complex evidence conflicts. Evaluated on two real world benchmarks, MIMIC-IV-Ext Cardiac Disease and MIMIC-IV-Ext CDM, DxChain achieves state-of-the-art performances in both diagnostic accuracy and logical consistency, offering a modular and reliable architecture for next-generation clinical AI. The code is at https://anonymous.4open.science/r/Dx-Chain.

Pain is a complex and pervasive condition that affects a significant portion of the population. Accurate and consistent assessment is essential for individuals suffering from pain, as well as for developing effective management strategies in a healthcare system. Automatic pain assessment systems enable continuous monitoring, support clinical decision-making, and help minimize patient distress while mitigating the risk of functional deterioration. Leveraging physiological signals offers objective and precise insights into a person's state, and their integration in a multimodal framework can further enhance system performance. This study has been submitted to the Second Multimodal Sensing Grand Challenge for Next-Gen Pain Assessment (AI4PAIN). The proposed approach introduces Tiny-BioMoE, a lightweight pretrained embedding model for biosignal analysis. Trained on 4.4 million biosignal image representations and consisting of only 7.3 million parameters, it serves as an effective tool for extracting high-quality embeddings for downstream tasks. Extensive experiments involving electrodermal activity, blood volume pulse, respiratory signals, peripheral oxygen saturation, and their combinations highlight the model's effectiveness across diverse modalities in automatic pain recognition tasks. The model's architecture (code) and weights are available at https://github.com/GkikasStefanos/Tiny-BioMoE.

A central goal in robotics is to enable manipulation across changing tasks and environments. Vision-language-action (VLA) models provide broad manipulation capabilities but can struggle when execution requires diagnosing failures and adapting behavior. Strong agents can discover effective interventions through interaction with these policies. We propose Recursive Harness Distillation to accumulate this experience as reusable guidance across agents. A strong agent distills its experience into a playbook for a light agent, then recursively refines the playbook using the light agent's execution feedback. The resulting playbook enables agents to reuse accumulated intervention knowledge in new task instances without updating model parameters. In real-world manipulation, the harness improves success from 37.3% to 64.0%. On SimplerEnv Bridge, the light agent with the playbook achieves 66.7% success, compared with 41.7% for the GR00T-only baseline, and outperforms the strong agent without a playbook. The same playbook also benefits the strong agent, which reaches 79.2% success. These results demonstrate the feasibility of harness distillation for robotics: intervention experience can be accumulated, refined through execution, and reused across agents to improve manipulation.

Wrapping an image generation model in an agentic harness can effectively boost Text-to-Image task performance: the harness can leverage memory, skills, workflow orchestration, result verification, and iterative refinement to continually construct and revise prompts, thereby eliciting better images. These gains, however, remain external to the diffusion model and are realized only while the full harness runs. We propose Diffusion On-Policy Context Distillation (D-OPCD), which treats the agent-improved prompt as privileged context and distills the knowledge encoded in the agent harness into the weights of the diffusion model, so that the model retains part of the harness's benefit when conditioned on the original query alone. Using a Text-to-Image agent equipped with our proposed Auto Skill Evolver (ASE), we show that D-OPCD can internalize harness capabilities into the generator's weights, raising the average direct-generation score from 60.52 to 65.09 across four benchmarks. With this knowledge absorbed into the weights, the harness can shed its saturated skills and resume evolving: a second ASE round on the updated generator improves on a skill-free harness by additional 1.83 points, pointing toward text-to-image systems in which harness and model keep improving each other through continual co-evolution.

Interpreting the inner function of neural networks is crucial for the trustworthy development and deployment of these black-box models. Prior interpretability methods focus on correlation-based measures to attribute model decisions to individual examples. However, these measures are susceptible to noise and spurious correlations encoded in the model during the training phase (e.g., biased inputs, model overfitting, or misspecification). Moreover, this process has proven to result in noisy and unstable attributions that prevent any transparent understanding of the model's behavior. In this paper, we develop a robust interventional-based method grounded by causal analysis to capture cause-effect mechanisms in pre-trained neural networks and their relation to the prediction. Our novel approach relies on path interventions to infer the causal mechanisms within hidden layers and isolate relevant and necessary information (to model prediction), avoiding noisy ones. The result is task-specific causal explanatory graphs that can audit model behavior and express the actual causes underlying its performance. We apply our method to vision models trained on classification tasks. On image classification tasks, we provide extensive quantitative experiments to show that our approach can capture more stable and faithful explanations than standard attribution-based methods. Furthermore, the underlying causal graphs reveal the neural interactions in the model, making it a valuable tool in other applications (e.g., model repair).

Clinical diagnosis is critical in medical practice, typically requiring a continuous and evolving process that includes primary diagnosis, differential diagnosis, and final diagnosis. However, most existing clinical diagnostic tasks are single-step processes, which does not align with the complex multi-step diagnostic procedures found in real-world clinical settings. In this paper, we propose a multi-step diagnostic task and annotate a clinical diagnostic dataset (MSDiagnosis). This dataset includes primary diagnosis, differential diagnosis, and final diagnosis questions. Additionally, we propose a novel and effective framework. This framework combines forward inference, backward inference, reflection, and refinement, enabling the LLM to self-evaluate and adjust its diagnostic results. To assess the effectiveness of our proposed method, we design and conduct extensive experiments. The experimental results demonstrate the effectiveness of the proposed method. We also provide a comprehensive experimental analysis and suggest future research directions for this task.

Medical report generation has achieved remarkable advancements yet has still been faced with several challenges. First, the inherent imbalance in the distribution of normal and abnormal cases may lead models to exhibit a biased focus on normal samples, resulting in unreliable diagnoses. Second, the frequent occurrence of common template sentences in the reports may overwhelm the critical abnormal information. Moreover, existing works focus on 2D chest X-rays, leaving CT report generation underexplored due to the high-dimensional nature of CT images and the limited availability of CT-report pairs. Recently, LLM has shown a great ability to generate reliable answers with appropriate prompts, which shed light on addressing the aforementioned challenges. In this paper, we propose Dia-LLaMA, a framework to adapt the LLaMA2-7B for CT report generation by incorporating diagnostic information as guidance prompts. Considering the high dimension of CT, we leverage a pre-trained ViT3D with perceiver to extract the visual information. To tailor the LLM for report generation and emphasize abnormality, we extract additional diagnostic information by referring to a disease prototype memory bank, which is updated during training to capture common disease representations. Furthermore, we introduce disease-aware attention to enable the model to adjust attention for different diseases. Experiments on the chest CT dataset demonstrated that our proposed method outperformed previous methods and achieved state-of-the-art on both clinical efficacy performance and natural language generation metrics. The code will be made publically available.

The performance of LLM-based agents is jointly shaped by their base models and the harnesses that mediate their interaction with the environment. Because different models exhibit distinct behaviors, effective harness design is inherently model-specific. Yet agent harnesses are still largely engineered by human experts, a paradigm that scales poorly as modern LLMs become increasingly diverse and rapidly evolving. In this paper, we introduce Self-Harness, a new paradigm in which an LLM-based agent improves its own operating harness, without relying on human engineers or stronger external agents. We operationalize Self-Harness as an iterative loop with three stages: Weakness Mining, which identifies model-specific failure patterns from execution traces; Harness Proposal, which generates diverse yet minimal harness modifications tied to these failures; and Proposal Validation, which accepts candidate edits only after regression testing. We instantiate Self-Harness on Terminal-Bench-2.0 using a minimal initial harness and three base models from diverse families: MiniMax M2.5, Qwen3.5-35B-A3B, and GLM-5. Across all three models, Self-Harness consistently improves performance, with held-out pass rates increasing from 40.5% to 61.9%, 23.8% to 38.1%, and 42.9% to 57.1%, respectively. Qualitative analyses further show that Self-Harness does not simply add generic instructions, but effectively turns model-specific weaknesses into concrete, executable harness changes. These results suggest a path toward LLM-based agents that are not merely shaped by their harnesses, but can also participate in reshaping them.

Vision-Language Models (VLMs) often lose visual grounding during multi-step reasoning: as reasoning chains grow longer, later inference steps rely increasingly on language priors rather than image evidence. We identify a consistent benchmark-level signature associated with this degradation: across 2,510 re-examined samples from four benchmarks, attention entropy over image tokens typically decreases during Round 1 and rises again after image re-injection. However, we find that effective visual re-examination requires two complementary ingredients: image re-injection and targeted self-diagnosis. Without targeted diagnosis, re-examination can even hurt performance, whereas accurate self-diagnosis yields substantial gains -- a swing of several points on key benchmarks, indicating that diagnostic quality is a key factor in whether re-examination helps or hurts in our setting. We present ReGround, a two-stage framework that teaches VLMs to self-diagnose grounding failures and selectively re-examine visual evidence, without architectural modifications or external tools. Through capability bootstrapping, a stronger variant from the same model family provides diagnostic scaffolding only during data construction, while the policy model learns to diagnose autonomously at inference time and retains most of the assisted gains. Experiments on eight benchmarks across two VLM backbones demonstrate consistent gains, especially on visually intensive multi-step reasoning tasks, while incurring only modest inference overhead relative to tool-augmented baselines. Project page: https://sespoir.github.io/reground-page/ . Code: https://github.com/sespoir/ReGround .

Agent performance depends jointly on the model parameters and the executable harness code that manages context and control flow. Optimizing either component in isolation can leave the system bottlenecked by its frozen counterpart: weight updates can change which harness is effective, while harness updates can change which model capabilities are exposed. Existing joint-adaptation methods optimize weights and textual prompts but leave the broader harness fixed. We propose Weight-Harness Alternating LEarning (WHALE), a simple recipe that alternates two phases: updating the model under the current harness, then searching for a better harness under the updated model. We instantiate these two phases with online rejection-sampling fine-tuning and Meta-Harness, respectively. When to switch is a key design choice: to separate real improvements from noise without over-optimizing against a changing counterpart, WHALE uses either fixed phase durations or an adaptive patience rule over training signals. Using Qwen3.5-2B/4B agents across three domains (search question answering, mathematical reasoning, and chess puzzles), WHALE outperforms weight-only, harness-only, and Fast-Slow Training by 4.15-24.38 percentage points in best mean@8 accuracy. Either component can be the bottleneck: harness search matches peak weight-only accuracy with far fewer rollouts in SearchQA, but improves math accuracy only after a weight update. Small interleaved updates also outperform stagewise weight-then-harness optimization in accuracy and rollout cost. The code is available at https://github.com/krafton-ai/WHALE.

Automatic medical report generation (MRG) is of great research value as it has the potential to relieve radiologists from the heavy burden of report writing. Despite recent advancements, accurate MRG remains challenging due to the need for precise clinical understanding and the identification of clinical findings. Moreover, the imbalanced distribution of diseases makes the challenge even more pronounced, as rare diseases are underrepresented in training data, making their diagnostic performance unreliable. To address these challenges, we propose diagnosis-driven prompts for medical report generation (PromptMRG), a novel framework that aims to improve the diagnostic accuracy of MRG with the guidance of diagnosis-aware prompts. Specifically, PromptMRG is based on encoder-decoder architecture with an extra disease classification branch. When generating reports, the diagnostic results from the classification branch are converted into token prompts to explicitly guide the generation process. To further improve the diagnostic accuracy, we design cross-modal feature enhancement, which retrieves similar reports from the database to assist the diagnosis of a query image by leveraging the knowledge from a pre-trained CLIP. Moreover, the disease imbalanced issue is addressed by applying an adaptive logit-adjusted loss to the classification branch based on the individual learning status of each disease, which overcomes the barrier of text decoder's inability to manipulate disease distributions. Experiments on two MRG benchmarks show the effectiveness of the proposed method, where it obtains state-of-the-art clinical efficacy performance on both datasets.

This paper studies autonomous software development, in which LLM-based coding agents transform high-level requirements into complete, functional, and usable software systems without human intervention. We introduce Harness-of-Harness (HoH), a framework that enables coding agents to continually improve software during autonomous development. HoH operates on existing coding-agent harnesses, and organizes their executions into iterative planning-coding-testing loops. To sustain improvement across loops, HoH balances repair with capability growth, scopes development into small and verifiable increments, separates implementation-time testing from independent evaluation, and constrains verifiable outputs rather than prescribing agent workflows. It progressively exposes deliverables, role-specific tools, and skills, encourages reuse rather than recreation, and maintains versioned project histories. On GameCraft-Bench, FrontierSWE, and ProgramBench, three harness-model pairs (Codex with GPT-5.5, OpenCode with DeepSeek-V4-Pro, and Pi with MiniMax-M3), HoH consistently outperforms the corresponding standalone harnesses, achieving an average relative gain of 52.25 percent and a maximum gain of 82.86 percent after three iterations. In a multi-day deployment with more than 70 iterations, HoH autonomously develops a first-person-shooter game, featuring a coherent storyline, fully implemented core mechanics, human-playable experience, polished visuals and integrated audio. Github: https://github.com/Flesymeb/HarnessOfHarness Project Page: https://flesymeb.github.io/HarnessOfHarness/

Large language model (LLM) agents are increasingly used for multi-step, stateful tool-use tasks, yet production reliability remains limited. Unlike static software repair, agent repair must recover dynamic trajectories whose early decisions can propagate into later errors and external state changes. Existing automatic remedies address only part of this problem: blind retry adds no diagnosis, outcome feedback says whether a run failed but not where or why, and self-reflection often lacks grounded evidence to prevent the same failure from recurring. We present AgentTether, a run-time repair framework that automates post-run diagnosis and guided recovery without modifying the underlying agent or environment. AgentTether abstracts each run into Transition Units, links them through a dependency-aware Critical Transition Graph, and localizes failure-critical subtrajectories by combining an offline normal-behavior model with a run-local graph detector. It then converts the localized cause into behavior-scoped guidance backed by cross-iteration Repair Memory, and can optionally apply guarded run-time intervention to keep the correction active during re-execution. The same design can be deployed as an offline diagnostic-and-guidance tool or as an online repair layer. We evaluate AgentTether on 261 tau-bench tasks across three domains with Qwen3.7-max, and test cross-model transfer on Banking with GPT-5.4. On the hardest Banking domain, AgentTether repairs 59.04% (49/83) of initially failed Qwen3.7-max tasks and 65.12% (56/86) of initially failed GPT-5.4 tasks. Overall, AgentTether improves repair effectiveness while reducing agent turns and end-to-end approach tokens, suggesting a practical reliability layer that can wrap existing agent deployments, reduce wasted re-execution, and improve recovery without retraining the agent.

While Large Language Models (LLMs) achieve expert-level performance on standard medical benchmarks through single-hop factual recall, they severely struggle with the complex, multi-hop diagnostic reasoning required in real-world clinical settings. A primary obstacle is "shortcut learning", where models exploit highly connected, generic hub nodes (e.g., "inflammation") in knowledge graphs to bypass authentic micro-pathological cascades. To address this, we introduce ShatterMed-QA, a bilingual benchmark of 10,558 multi-hop clinical questions designed to rigorously evaluate deep diagnostic reasoning. Our framework constructs a topology-regularized medical Knowledge Graph using a novel k-Shattering algorithm, which physically prunes generic hubs to explicitly sever logical shortcuts. We synthesize the evaluation vignettes by applying implicit bridge entity masking and topology-driven hard negative sampling, forcing models to navigate biologically plausible distractors without relying on superficial elimination. Comprehensive evaluations of 21 LLMs reveal massive performance degradation on our multi-hop tasks, particularly among domain-specific models. Crucially, restoring the masked evidence via Retrieval-Augmented Generation (RAG) triggers near-universal performance recovery, validating ShatterMed-QA's structural fidelity and proving its efficacy in diagnosing the fundamental reasoning deficits of current medical AI. Explore the dataset, interactive examples, and full leaderboards at our project website: https://shattermed-qa-web.vercel.app/

Joint contact forces govern implant longevity, cartilage health, and rehabilitation outcomes, shaping who develops osteoarthritis, who recovers well from joint replacement, and who benefits from biomechanical interventions. Yet they remain measurable only invasively, in a few dozen patients with instrumented implants. I present a physics-free pipeline to predict instantaneous 3D hip and knee contact forces from an uncalibrated monocular video: no markers, force plates, electromyography, subject-specific imaging, or musculoskeletal model. Parametric body meshes are recovered per frame, encoded as kinematic features, and decoded into forces by a transformer whose pose stream is adaptively modulated at every layer by body shape, joint, side, activity text, and self-supervised video tokens (V-JEPA 2), unifying hip and knee in a single model. Under leave-one-subject-out cross-validation across 26 patients and 25 activity categories from the in vivo OrthoLoad database, the pipeline matches the accuracy of subject-specific musculoskeletal simulations (0.32 pm 0.08 BW RMSE for hip; 0.23 pm 0.03 BW for knee) and resolves peak force changes smaller than those reported for gait retraining and osteoarthritis progression. Applied zero-shot to an independent instrumented cohort, it rivals or outperforms prior published methods. Even without curated activity labels, video features alone preserve accuracy and enable end-to-end inference on raw footage. Driven by the predictor, a generative motion prior produces biomechanically plausible variants with reduced peak loading, rediscovering strategies from the predictive simulation literature. This pipeline establishes uncalibrated monocular video as a viable modality for estimating joint loading, opening a path toward retrospective analysis of archived clinical recordings, primary-care screening, and at-home rehabilitation tracking.

Object detection under image degradation can benefit from clean-image supervision, but aggregate gains do not imply that transferred representation changes are uniformly useful. We study how clean task knowledge affects degraded-image representations and whether local responses to structured representation directions can be characterized geometrically. Using paired clean and Gaussian-degraded BDD100K images, we show that clean-teacher distillation improves observed detection accuracy while producing heterogeneous object-level transfer. We isolate a representation component complementary to direct clean-teacher alignment and map it into the distilled student space through an orthogonal bridge. Controlled interventions rescue 13.22% of objects lost under the distilled representation, versus 4.30% under norm-matched random perturbations, with very low harm on preserved objects. We introduce task-sensitive geometry, a gradient-derived channel-space geometry constructed from normalized detection-loss gradients. On a reserved cohort, mapped-complement orientation within this frozen geometry is positively associated with local intervention-response magnitude after controlling for intervention magnitude (partial Spearman ρ = 0.242, 95% CI [0.108, 0.359]). The relationship eplicates on independent data (ρ = 0.180) and with RT-DETR-L (ρ = 0.227), but not for the direct clean-teacher residual family, and it weakens for large interventions. Routing rules and specialized distillation objectives based on these signals do not yield statistically reliable gains over CLEANKD. These results support a local, direction-family-dependent task-sensitive geometry while showing that converting such structure into improved global training remains an open problem.

Despite extensive standardization, diagnostic interviews for mental health disorders encompass substantial subjective judgment. Previous studies have demonstrated that EEG-based neural measures can function as reliable objective correlates of depression, or even predictors of depression and its course. However, their clinical utility has not been fully realized because of 1) the lack of automated ways to deal with the inherent noise associated with EEG data at scale, and 2) the lack of knowledge of which aspects of the EEG signal may be markers of a clinical disorder. Here we adapt an unsupervised pipeline from the recent deep representation learning literature to address these problems by 1) learning a disentangled representation using beta-VAE to denoise the signal, and 2) extracting interpretable features associated with a sparse set of clinical labels using a Symbol-Concept Association Network (SCAN). We demonstrate that our method is able to outperform the canonical hand-engineered baseline classification method on a number of factors, including participant age and depression diagnosis. Furthermore, our method recovers a representation that can be used to automatically extract denoised Event Related Potentials (ERPs) from novel, single EEG trajectories, and supports fast supervised re-mapping to various clinical labels, allowing clinicians to re-use a single EEG representation regardless of updates to the standardized diagnostic system. Finally, single factors of the learned disentangled representations often correspond to meaningful markers of clinical factors, as automatically detected by SCAN, allowing for human interpretability and post-hoc expert analysis of the recommendations made by the model.

Retrieval-augmented generation (RAG) is a well-suited technique for retrieving privacy-sensitive Electronic Health Records (EHR). It can serve as a key module of the healthcare copilot, helping reduce misdiagnosis for healthcare practitioners and patients. However, the diagnostic accuracy and specificity of existing heuristic-based RAG models used in the medical domain are inadequate, particularly for diseases with similar manifestations. This paper proposes MedRAG, a RAG model enhanced by knowledge graph (KG)-elicited reasoning for the medical domain that retrieves diagnosis and treatment recommendations based on manifestations. MedRAG systematically constructs a comprehensive four-tier hierarchical diagnostic KG encompassing critical diagnostic differences of various diseases. These differences are dynamically integrated with similar EHRs retrieved from an EHR database, and reasoned within a large language model. This process enables more accurate and specific decision support, while also proactively providing follow-up questions to enhance personalized medical decision-making. MedRAG is evaluated on both a public dataset DDXPlus and a private chronic pain diagnostic dataset (CPDD) collected from Tan Tock Seng Hospital, and its performance is compared against various existing RAG methods. Experimental results show that, leveraging the information integration and relational abilities of the KG, our MedRAG provides more specific diagnostic insights and outperforms state-of-the-art models in reducing misdiagnosis rates. Our code will be available at https://github.com/SNOWTEAM2023/MedRAG

Multimodal Large Language Models (MLLMs) show promise for medical applications, yet progress in dermatology lags due to limited training data, narrow task coverage, and lack of clinically-grounded supervision that mirrors expert diagnostic workflows. We present a comprehensive framework to address these gaps. First, we introduce DermoInstruct, a large-scale morphology-anchored instruction corpus comprising 211,243 images and 772,675 trajectories across five task formats, capturing the complete diagnostic pipeline from morphological observation and clinical reasoning to final diagnosis. Second, we establish DermoBench, a rigorous benchmark evaluating 11 tasks across four clinical axes: Morphology, Diagnosis, Reasoning, and Fairness, including a challenging subset of 3,600 expert-verified open-ended instances and human performance baselines. Third, we develop DermoGPT, a dermatology reasoning MLLM trained via supervised fine-tuning followed by our Morphologically-Anchored Visual-Inference-Consistent (MAVIC) reinforcement learning objective, which enforces consistency between visual observations and diagnostic conclusions. At inference, we deploy Confidence-Consistency Test-time adaptation (CCT) for robust predictions. Experiments show DermoGPT significantly outperforms 16 representative baselines across all axes, achieving state-of-the-art performance while substantially narrowing the human-AI gap. DermoInstruct, DermoBench and DermoGPT will be made publicly available at https://github.com/mendicant04/DermoGPT upon acceptance.

Reliable AI safeguards require both control mechanisms that reduce unsafe behavior and monitoring mechanisms that detect safety risks during model interactions. Established behavioral safeguards include alignment methods that optimize model outputs and text monitors that assess interaction text. Representation engineering instead reads or modifies internal model states, but the relative strengths of these approaches remain unclear because they are often evaluated under different settings. We present a matched evaluation across two tracks. For safety control, we compare DPO, a behavioral alignment method, with three representation steering methods across robustness, practicality, and granularity. DPO provides the strongest overall control and generally improves with increasing training data, although its safety can degrade after subsequent benign fine-tuning. Representation steering remains competitive primarily in low-data settings, particularly with high-quality contrastive data. For safety monitoring, we compare representation probes with fine-tuned and open-weight text monitors across full-response detection, early detection, and computational cost. Specialized text monitors achieve the strongest overall detection accuracy, while representation probes remain competitive at substantially lower marginal cost. Finally, monitor-guided interventions recover much of the safety lost by DPO after benign fine-tuning, with little additional over-refusal. Overall, representation engineering does not generally replace behavioral safeguards, but offers practical advantages under specific conditions and can provide complementary safety benefits.

The automated generation of imaging reports proves invaluable in alleviating the workload of radiologists. A clinically applicable reports generation algorithm should demonstrate its effectiveness in producing reports that accurately describe radiology findings and attend to patient-specific indications. In this paper, we introduce a novel method, Structural Entities extraction and patient indications Incorporation (SEI) for chest X-ray report generation. Specifically, we employ a structural entities extraction (SEE) approach to eliminate presentation-style vocabulary in reports and improve the quality of factual entity sequences. This reduces the noise in the following cross-modal alignment module by aligning X-ray images with factual entity sequences in reports, thereby enhancing the precision of cross-modal alignment and further aiding the model in gradient-free retrieval of similar historical cases. Subsequently, we propose a cross-modal fusion network to integrate information from X-ray images, similar historical cases, and patient-specific indications. This process allows the text decoder to attend to discriminative features of X-ray images, assimilate historical diagnostic information from similar cases, and understand the examination intention of patients. This, in turn, assists in triggering the text decoder to produce high-quality reports. Experiments conducted on MIMIC-CXR validate the superiority of SEI over state-of-the-art approaches on both natural language generation and clinical efficacy metrics.

Large Language Model (LLM) agents are turning language into real-world effects, making safety necessary against both indirect prompt injections and direct harmful requests. System-level safety harnesses add an enforcement layer beyond model-level defenses, but existing harnesses are usually designed once by experts and applied across heterogeneous models and domains. Effective protection is deployment-dependent: models differ in how much enforcement they need before utility declines, while domains differ in the effects, state, and action sequences that must be governed. A harness that is strict enough for one model may over-block another, and a policy that transfers across domains may miss application-specific safety relations. We present EvoSafeHarness, a safety-specific optimization framework that synthesizes a deployable harness for a frozen model in a target domain. It jointly searches a natural-language policy and executable code logic, guided by model behavior, domain specifications, and fresh-context adversarial review to reject benchmark-specific rules. Across four agent benchmark families, EvoSafeHarness achieves a stronger safety-utility frontier than fixed expert-designed defenses. On DecodingTrust-Agent, it reduces average attack success rate from 45.6% to 10.0% at a 3.3-point utility cost and achieves the best score in 14 of 15 cells. On AgentDojo, it reaches 82.8% utility at 0.0% ASR, twice CaMeL's utility at the same operating point, and transfers unchanged to unseen AgentDyn suites. It also achieves the best score on Agent-SafetyBench for every victim and keeps mean ASR below 20% under adaptive PAIR attacks with a refinement budget of 16. Analysis shows that domain semantics determine which safety relations and trajectory state are needed, while model and runtime behavior determine how and where those relations should be enforced.

Attention Deficit Hyperactivity Disorder (ADHD) is a common brain disorder in children that can persist into adulthood, affecting social, academic, and career life. Early diagnosis is crucial for managing these impacts on patients and the healthcare system but is often labor-intensive and time-consuming. This paper presents a novel method to improve ADHD diagnosis precision and timeliness by leveraging Deep Learning (DL) approaches and electroencephalogram (EEG) signals. We introduce ADHDeepNet, a DL model that utilizes comprehensive temporal-spatial characterization, attention modules, and explainability techniques optimized for EEG signals. ADHDeepNet integrates feature extraction and refinement processes to enhance ADHD diagnosis. The model was trained and validated on a dataset of 121 participants (61 ADHD, 60 Healthy Controls), employing nested cross-validation for robust performance. The proposed two-stage methodology uses a 10-fold cross-subject validation strategy. Initially, each iteration optimizes the model's hyper-parameters with inner 2-fold cross-validation. Then, Additive Gaussian Noise (AGN) with various standard deviations and magnification levels is applied for data augmentation. ADHDeepNet achieved 100% sensitivity and 99.17% accuracy in classifying ADHD/HC subjects. To clarify model explainability and identify key brain regions and frequency bands for ADHD diagnosis, we analyzed the learned weights and activation patterns of the model's primary layers. Additionally, t-distributed Stochastic Neighbor Embedding (t-SNE) visualized high-dimensional data, aiding in interpreting the model's decisions. This study highlights the potential of DL and EEG in enhancing ADHD diagnosis accuracy and efficiency.

Acute poly-substance intoxication requires rapid, life-saving decisions under substantial uncertainty, as clinicians must rely on incomplete ingestion details and nonspecific symptoms. Effective diagnostic reasoning in this chaotic environment requires fusing unstructured, non-medical narratives (e.g. paramedic scene descriptions and unreliable patient self-reports or known histories), with structured medical data like vital signs. While Large Language Models (LLMs) show potential for processing such heterogeneous inputs, they struggle in this setting, often underperforming simple baselines that rely solely on patient histories. To address this, we present DeToxR (Decision-support for Toxicology with Reasoning), the first adaptation of Reinforcement Learning (RL) to emergency toxicology. We design a robust data-fusion engine for multi-label prediction across 14 substance classes based on an LLM finetuned with Group Relative Policy Optimization (GRPO). We optimize the model's reasoning directly using a clinical performance reward. By formulating a multi-label agreement metric as the reward signal, the model is explicitly penalized for missing co-ingested substances and hallucinating absent poisons. Our model significantly outperforms its unadapted base LLM counterpart and supervised baselines. Furthermore, in a clinical validation study, the model indicates a clinical advantage by outperforming an expert toxicologist in identifying the correct poisons (Micro-F1: 0.644 vs. 0.473). These results demonstrate the potential of RL-aligned LLMs to synthesize unstructured pre-clinical narratives and structured medical data for decision support in high-stakes environments.

Automated chest X-ray report generation has recently benefited from reinforcement learning (RL) and large language models. However, RL training often suffers from instability or limited exploration due to fixed Kullback-Leibler (KL) regularization and a static reference policy that accumulates KL pressure over time. We propose Response-Weighted and Validation-Anchored Policy Optimization (REVA-PO), a RL framework that stabilizes long-term training via Response-Weighted Regularization (RER) and Validation-Anchored Policy Reset (VAPR). RER dynamically adjusts per-response KL weights based on advantage and reference-policy entropy, relaxing constraints for high-quality responses while tightening them for low-quality ones. Complementarily, VAPR periodically synchronizes the reference and current policies to the best validation checkpoint, resetting accumulated regularization pressure to expand the viable exploration space. To ensure a robust starting point, we employ a three-stage pipeline consisting of warm-up training, classifier-guided supervised fine-tuning, and RL. Extensive evaluations on MIMIC-CXR and IU-Xray demonstrate that REVA-PO sets new state-of-the-art benchmarks in both linguistic quality and clinical accuracy. Notably, BLEU-4 improves by 5.1% on MIMIC-CXR and 3.6% on IU-Xray, while CheXpert F1 and RadGraph F1 scores increase by 4.5% and 12.8%, respectively, over prior leading methods. The code is publicly available at https://github.com/LiGuo12/REVA_PO/.

Embodied navigation requires agents to interpret visual observations, accumulate spatial knowledge, and execute actions to follow instructions or locate objects. Training-based methods face generalization challenges, while training-free methods exploit multimodal large language models (MLLMs) but often lack mechanisms to reconcile proposed actions with spatial evidence, task progress, and execution failures. We present HarnessVLN, a zero-shot, training-free framework whose Agent Harness coordinates perception, retrieval, grounding, navigation, recovery, and termination through a unified tool interface. The Harness validates planner proposals against spatial evidence, geometric feasibility, and subgoal consistency, incorporating structured tool feedback into subsequent decisions. Hierarchical event memory tracks task progress and execution history, while a persistent Spatiotemporal Graph maintains reusable spatial evidence and failure annotations for verification and recovery. A replaceable Navigation Executor converts validated targets into executable motions, allowing the same Harness protocol to support instruction-following and object-goal navigation. HarnessVLN achieves success rates of 60.8%, 53.9%, 76.0%, and 59.3% on R2R, RxR, HM3D-v2, and HM3D-OVON, respectively, surpassing prior training-free SOTA results. Humanoid deployment further demonstrates its applicability to both tasks in real-world environments. The project page is: https://harnessvln.netlify.app/.

Radiographs are used as the most important imaging tool for identifying spine anomalies in clinical practice. The evaluation of spinal bone lesions, however, is a challenging task for radiologists. This work aims at developing and evaluating a deep learning-based framework, named VinDr-SpineXR, for the classification and localization of abnormalities from spine X-rays. First, we build a large dataset, comprising 10,468 spine X-ray images from 5,000 studies, each of which is manually annotated by an experienced radiologist with bounding boxes around abnormal findings in 13 categories. Using this dataset, we then train a deep learning classifier to determine whether a spine scan is abnormal and a detector to localize 7 crucial findings amongst the total 13. The VinDr-SpineXR is evaluated on a test set of 2,078 images from 1,000 studies, which is kept separate from the training set. It demonstrates an area under the receiver operating characteristic curve (AUROC) of 88.61% (95% CI 87.19%, 90.02%) for the image-level classification task and a mean average precision (mAP@0.5) of 33.56% for the lesion-level localization task. These results serve as a proof of concept and set a baseline for future research in this direction. To encourage advances, the dataset, codes, and trained deep learning models are made publicly available.

Chest X-ray (CXR) interpretation often requires integrating visual findings with task-specific evidence rather than relying on direct visual recognition alone. While tool-augmented medical agents can supply such evidence via external modules, they often lack explicit mechanisms for learning when auxiliary evidence is needed and for preventing inapplicable quantitative evidence from entering diagnostic reasoning. To address this, we propose X-Ragent, a post-training framework for tool-augmented reinforcement learning that decouples learned auxiliary-evidence seeking from validity-gated quantitative measurement acquisition for evidence-grounded CXR reasoning. We construct Rad-CoT, a 7.7K-sample corpus combining causally ordered tool-augmented trajectories with report-style diagnostic reasoning, and use it to initialize Qwen3-VL-8B via agentic supervised fine-tuning (SFT). We then optimize the policy with Group Relative Policy Optimization (GRPO) using an accuracy-gated reward that applies process-level terms for measurement consistency and auxiliary-tool cost only to correct trajectories, preventing plausible process behavior from compensating for an incorrect diagnosis. Across three CXR benchmarks, X-Ragent achieves the strongest results, including an 8.6-point improvement on the fully held-out ChestAgentBench. By seeking evidence selectively and admitting only valid measurements, X-Ragent supports more faithful and evidence-grounded CXR reasoning.

Developing a generalist radiology diagnosis system can greatly enhance clinical diagnostics. In this paper, we introduce RadDiag, a foundational model supporting 2D and 3D inputs across various modalities and anatomies, using a transformer-based fusion module for comprehensive disease diagnosis. Due to patient privacy concerns and the lack of large-scale radiology diagnosis datasets, we utilize high-quality, clinician-reviewed radiological images available online with diagnosis labels. Our dataset, RP3D-DiagDS, contains 40,936 cases with 195,010 scans covering 5,568 disorders (930 unique ICD-10-CM codes). Experimentally, our RadDiag achieves 95.14% AUC on internal evaluation with the knowledge-enhancement strategy. Additionally, RadDiag can be zero-shot applied or fine-tuned to external diagnosis datasets sourced from various hospitals, demonstrating state-of-the-art results. In conclusion, we show that publicly shared medical data on the Internet is a tremendous and valuable resource that can potentially support building a generalist AI for healthcare.

Clinical diagnosis at hospital admission must be made rapidly from limited, incomplete evidence. Existing diagnosis-prediction benchmarks are poorly suited to this setting: they restrict prediction to closed code sets, exclude free-text notes, and supervise with discharge diagnoses that incorporate the full inpatient course. We introduce EarlyDx, a large-scale benchmark for open-ended early diagnosis, built from 154,834 emergency department encounters in MIMIC-IV. Each encounter is restricted to records available at admission time t_0 and supervised by the diagnoses recorded during the ED encounter rather than at discharge. An LLM auditor further verifies every free-text label as supported, partially supported, or unsupported by that evidence; the primary evaluation scores only fully supported labels. Under a semantic LLM-as-judge protocol, no evaluated system --- frontier general, medical-specialized, or in-domain post-trained --- synthesizes admission-time evidence reliably. Zero-shot models score largely by extraction, recovering only 3-31% of diagnoses that must be inferred rather than read from the record; post-training raises inference-dependent recall to 56%, but a sizeable margin remains, and on time-critical conditions no system attains a clinician's balance of sensitivity and precision. We release the full construction and evaluation pipeline at here.

LLM-as-judge ("grader") components are now standard in evaluation harnesses, including safety evaluations where a pass/fail verdict may gate downstream deployment decisions. A widespread assumption is that setting the grader's sampling temperature to 0 makes grading deterministic. We test this assumption against a real safety-evaluation codebase (Japan AISI's open-source aisev) and show it fails on two levels. First, the harness invokes its grader without setting temperature or seed; the underlying provider silently applies its default of 1.0, so items near the decision boundary flip pass/fail across identical runs (per-item disagreement up to ~50% over 20 runs). Second, pinning temperature=0 reduces but does not eliminate flips: across 690 API calls spanning two providers, three model tiers, and five sampling configurations, 1-2 of 7 borderline items remain non-reproducible even under forced greedy decoding (top_k=1). Claude Opus 4.7/4.8 has since deprecated temperature entirely, rendering the primary mitigation inapplicable to newer model generations. These findings expose a structural gap: evaluation harnesses that report single-run verdicts without variance or grader-disagreement metrics can present noise as a safety property. We release a reproduction harness (690 calls, 7 conditions) and recommend that harnesses treat grader disagreement as a first-class health metric alongside the scores themselves.

Activation steering -- adding a vector to a model's residual stream to modify its behavior -- is widely used in safety evaluations as if the model cannot detect the intervention. We test this assumption, introducing steering awareness: a model's ability to infer, during its own forward pass, that a steering vector was injected and what concept it encodes. After fine-tuning, seven instruction-tuned models develop strong steering awareness on held-out concepts; the best reaches 95.5% detection, 71.2% concept identification, and zero false positives on clean inputs. This generalizes to unseen steering vector construction methods when their directions have high cosine similarity to the training distribution but not otherwise, indicating a geometric detector rather than a generic anomaly detector. Surprisingly, detection does not confer resistance; on both factual and safety benchmarks, detection-trained models are consistently more susceptible to steering than their base counterparts. Mechanistically, steering awareness arises not from a localized circuit, but from a distributed transformation that progressively rotates diverse injected vectors into a shared detection direction. Activation steering should therefore not be considered an invisible intervention in safety evaluations.

Differential Diagnosis (DDx) is a fundamental yet complex aspect of clinical decision-making, in which physicians iteratively refine a ranked list of possible diseases based on symptoms, antecedents, and medical knowledge. While recent advances in large language models (LLMs) have shown promise in supporting DDx, existing approaches face key limitations, including single-dataset evaluations, isolated optimization of components, unrealistic assumptions about complete patient profiles, and single-attempt diagnosis. We introduce a Modular Explainable DDx Agent (MEDDxAgent) framework designed for interactive DDx, where diagnostic reasoning evolves through iterative learning, rather than assuming a complete patient profile is accessible. MEDDxAgent integrates three modular components: (1) an orchestrator (DDxDriver), (2) a history taking simulator, and (3) two specialized agents for knowledge retrieval and diagnosis strategy. To ensure robust evaluation, we introduce a comprehensive DDx benchmark covering respiratory, skin, and rare diseases. We analyze single-turn diagnostic approaches and demonstrate the importance of iterative refinement when patient profiles are not available at the outset. Our broad evaluation demonstrates that MEDDxAgent achieves over 10% accuracy improvements in interactive DDx across both large and small LLMs, while offering critical explainability into its diagnostic reasoning process.

Personal sensing, leveraging data passively and near-continuously collected with wearables from patients in their ecological environment, is a promising paradigm to monitor mood disorders (MDs), a major determinant of worldwide disease burden. However, collecting and annotating wearable data is very resource-intensive. Studies of this kind can thus typically afford to recruit only a couple dozens of patients. This constitutes one of the major obstacles to applying modern supervised machine learning techniques to MDs detection. In this paper, we overcome this data bottleneck and advance the detection of MDs acute episode vs stable state from wearables data on the back of recent advances in self-supervised learning (SSL). This leverages unlabelled data to learn representations during pre-training, subsequently exploited for a supervised task. First, we collected open-access datasets recording with an Empatica E4 spanning different, unrelated to MD monitoring, personal sensing tasks -- from emotion recognition in Super Mario players to stress detection in undergraduates -- and devised a pre-processing pipeline performing on-/off-body detection, sleep-wake detection, segmentation, and (optionally) feature extraction. With 161 E4-recorded subjects, we introduce E4SelfLearning, the largest to date open access collection, and its pre-processing pipeline. Second, we show that SSL confidently outperforms fully-supervised pipelines using either our novel E4-tailored Transformer architecture (E4mer) or classical baseline XGBoost: 81.23% against 75.35% (E4mer) and 72.02% (XGBoost) correctly classified recording segments from 64 (half acute, half stable) patients. Lastly, we illustrate that SSL performance is strongly associated with the specific surrogate task employed for pre-training as well as with unlabelled data availability.

In few-shot industrial anomaly detection, the few normal target images provide no direct defect supervision, making anomaly prompts difficult to learn from these samples alone. Some vision-language methods therefore use manually specified descriptions to supply explicit anomaly semantics. However, constructing these descriptions requires product-specific effort, and their effectiveness depends on prompt selection. We propose Anchor and Adapt, a two-stage prompt learning framework that separates the acquisition of anomaly semantics from adaptation to target normal appearance. Stage I learns transferable normal and abnormal anchors from annotated auxiliary data. Stage II keeps these anchors fixed and adapts an additional normal branch using the few target normal samples. The inherited and adapted normal branches jointly characterize target normality, with text-anchor regularization encouraging consistency with the generic normal prior and separation from the abnormal anchors. This design retains learned anomaly knowledge while reducing dependence on category-specific anomaly templates, without requiring synthetic anomaly generation. Cross-dataset experiments between MVTec-AD and VisA under 1-, 2-, and 4-shot settings demonstrate competitive detection and localization performance. Controlled ablations assess the roles of transferred anchors, asymmetric adaptation, dual-normal representations, and anchor regularization.

Motor impairments, frequently caused by neurological incidents like strokes or traumatic brain injuries, present substantial obstacles in rehabilitation therapy. This research aims to elevate the field by optimizing motor imagery classification algorithms within Brain-Computer Interfaces (BCIs). By improving the efficiency of BCIs, we offer a novel approach that holds significant promise for enhancing motor rehabilitation outcomes. Utilizing unsupervised techniques for dimensionality reduction, namely Uniform Manifold Approximation and Projection (UMAP) coupled with K-Nearest Neighbors (KNN), we evaluate the necessity of employing supervised methods such as Long Short-Term Memory (LSTM) and Convolutional Neural Networks (CNNs) for classification tasks. Importantly, participants who exhibited high KNN scores following UMAP dimensionality reduction also achieved high accuracy in supervised deep learning (DL) models. Due to individualized model requirements and massive neural training data, dimensionality reduction becomes an effective preprocessing step that minimizes the need for extensive data labeling and supervised deep learning techniques. This approach has significant implications not only for targeted therapies in motor dysfunction but also for addressing regulatory, safety, and reliability concerns in the rapidly evolving BCI field.

Large language models are increasingly deployed through agent harnesses that manage tools, extensions, persistent state, permissions, and external actions. Existing safety benchmarks mainly target individual attack mechanisms or a limited subset of operational settings, making it difficult to compare how safety failures emerge across different harness responsibilities. We present HarnessRisk, a lifecycle oriented benchmark that organizes agent harness safety into six operational phases including Harness Configuration, Capability Extension, Runtime Operation, State Persistence, Action Control, and Incident Recovery. HarnessRisk contains 128 sandboxed cases, each pairing a benign user objective with an adversarial instruction embedded in an untrusted workflow artifact. We evaluate each trajectory using Utility, Attack Success Rate, Persistence, and Detection. Across three harnesses, six language models, and 14 model and harness configurations, attack success ranges from 12.6% to 80.9%, while Utility remains between 75.0% and 97.6%. Harness Configuration is the most vulnerable phase across all three harnesses, showing that attacks can succeed by altering security sensitive parameters within otherwise authorized workflows. We also find that explicit risk recognition does not reliably lead to safe action, as some configurations detect risks in more than 90% of runs while retaining substantial attack success. These results highlight the need to evaluate agent safety across multiple harness responsibilities and at the level of the deployed model and harness configuration.

Vision-Language Models (VLMs) are advancing computational pathology with superior visual understanding capabilities. However, current systems often reduce diagnosis to directly output conclusions without verifiable evidence-linked reasoning, which severely limits clinical trust and hinders expert error rectification. To address these barriers, we construct PathReasoner, the first large-scale dataset of whole-slide image (WSI) reasoning. Unlike previous work reliant on unverified distillation, we develop a rigorous knowledge-guided generation pipeline. By leveraging medical knowledge graphs, we explicitly align structured pathological findings and clinical reasoning with diagnoses, generating over 20K high-quality instructional samples. Based on the database, we propose PathReasoner-R1, which synergizes trajectory-masked supervised fine-tuning with reasoning-oriented reinforcement learning to instill structured chain-of-thought capabilities. To ensure medical rigor, we engineer a knowledge-aware multi-granular reward function incorporating an Entity Reward mechanism strictly aligned with knowledge graphs. This effectively guides the model to optimize for logical consistency rather than mere outcome matching, thereby enhancing robustness. Extensive experiments demonstrate that PathReasoner-R1 achieves state-of-the-art performance on both PathReasoner and public benchmarks across various image scales, equipping pathology models with transparent, clinically grounded reasoning capabilities. Dataset and code are available at https://github.com/cyclexfy/PathReasoner-R1.

Large language models are increasingly expected to handle complex, long-horizon real-world tasks whose context demands can grow without bound, yet model context windows remain inherently finite. Recent work explores a paradigm where a main agent decomposes tasks and dispatches subtasks to subagents, which execute and return only summarized results, conserving the main agent's context budget. However, performing this well requires delegation intelligence: the ability to decompose complex tasks, determine when and what to delegate, and integrate returned results into the ongoing workflow. Training data for this capability is scarce in naturally occurring text, and to our knowledge, how to synthesize such data and train models to acquire this capability remains largely unexplored in the open-source community. To bridge this gap, we present a preliminary exploration targeting deep research, a representative long-horizon agent task. Specifically, we design a harness that guides the model toward high-quality task decomposition and delegation, while constraining subagents to return results properly to support the main agent's workflow. The harness-guided trajectories naturally encode correct delegation decisions, which we use as supervised fine-tuning data to internalize delegation intelligence into model weights. Our resulting model, SearchSwarm-30B-A3B, achieves 68.1 on BrowseComp and 73.3 on BrowseComp-ZH, the best results among all models of comparable scale. We will release our harness, model weights, and training data to facilitate future research.

Traditionally, AI research in medical diagnosis has largely centered on image analysis. While this has led to notable advancements, the absence of patient-reported symptoms continues to hinder diagnostic accuracy. To address this, we propose a Pre-Consultation Dialogue Framework (PCDF) that mimics real-world diagnostic procedures, where doctors iteratively query patients before reaching a conclusion. Specifically, we simulate diagnostic dialogues between two vision-language models (VLMs): a DocVLM, which generates follow-up questions based on the image and dialogue history, and a PatientVLM, which responds using a symptom profile derived from the ground-truth diagnosis. We additionally conducted a small-scale clinical validation of the synthetic symptoms generated by our framework, with licensed clinicians confirming their clinical relevance, symptom coverage, and overall realism. These findings indicate that the resulting DocVLM-PatientVLM interactions form coherent, multi-turn consultations paired with images and diagnoses, which we then use to fine-tune the DocVLM. This dialogue-based supervision leads to substantial gains over image-only training, highlighting the value of realistic symptom elicitation for diagnosis.

Interpretability is often treated as a tax on capability: language models are trained as opaque systems, then explained after the fact, with methods whose reliability is difficult to establish. In this work, we challenge this premise. Rather than reverse-engineering a model, we make interpretability a constraint of the training pipeline, optimized alongside the language modeling objective. Across three orders of magnitude of compute, on both autoregressive and diffusion language models, interpretability scales with capability rather than against it. Surprisingly, model representations become more disentangled and aligned with human-understandable concepts with scale. We instantiate the training-time recipe with Steerling-8B, a diffusion language model with a causal attention mask. For any group of generated tokens, Steerling-8B attributes the output to relevant input tokens, human-understandable concepts, and training data. This enables closed-loop intervention: diagnose an output through its concept or feature attribution, retrieve similar training data, and correct the behavior through concept steering without retraining. Steerling-8B remains competitive with open peer models trained on substantially 2-16x more compute, suggesting a different scaling paradigm: interpretability can be designed into training, and it improves with scale.

While Multimodal Large Language Models (MLLMs) have demonstrated remarkable proficiency in tasks such as abnormality detection and report generation for anatomical modalities, their capability in functional imaging remains largely unexplored. In this work, we identify and quantify a fundamental functional perception gap: the inability of current vision encoders to decode functional tracer biodistribution independent of morphological priors. Identifying Positron Emission Tomography (PET) as the quintessential modality to investigate this disconnect, we introduce PET-Bench, the first large-scale functional imaging benchmark comprising 52,308 hierarchical QA pairs from 9,732 multi-site, multi-tracer PET studies. Extensive evaluation of 19 state-of-the-art MLLMs reveals a critical safety hazard termed the Chain-of-Thought (CoT) hallucination trap. We observe that standard CoT prompting, widely considered to enhance reasoning, paradoxically decouples linguistic generation from visual evidence in PET, producing clinically fluent but factually ungrounded diagnoses. To resolve this, we propose Atomic Visual Alignment (AVA), a simple fine-tuning strategy that enforces the mastery of low-level functional perception prior to high-level diagnostic reasoning. Our results demonstrate that AVA effectively bridges the perception gap, transforming CoT from a source of hallucination into a robust inference tool and improving diagnostic accuracy by up to 14.83%. Code and data are available at https://github.com/yezanting/PET-Bench.

We present a method for diagnosing interpretation in neural networks by identifying an input subspace where a proposed interpretation is highly faithful. Our method is particularly useful for causal-abstraction-style interpretability, where a high-level causal hypothesis is evaluated by interchange interventions. Rather than treating interchange intervention accuracy as a single global summary, we refine this framework by partitioning the input space into well-interpreted and under-interpreted regions according to pairwise interchange-intervention behavior. This turns causal abstraction from a purely global evaluation into a more diagnostic tool: it not only measures whether an interpretation works, but also reveals where it works, where it fails, and what distinguishes the two cases. This diagnostic view also provides practical heuristics for improving interpretations. By analyzing the structure of the well-interpreted and under-interpreted regions, we can identify missing distinctions in a high-level hypothesis, discover previously unmodeled intermediate variables, and combine complementary partial interpretations into a stronger one. We instantiate this idea as a simple four-step recipe and show that it yields informative error analyses across multiple causal abstraction settings. In a toy logic task, recursively applying the recipe recovers a high-level hypothesis from scratch. More broadly, our results suggest that partitioning the input space is a useful step toward more precise, constructive, and scalable mechanistic interpretability.

Harnesses are now central to coding-agent performance, mediating how models interact with tools and execution environments. Yet harness engineering remains a manual craft, because automating it faces a heterogeneous action space across editable components, voluminous trajectories that bury actionable signal, and edits whose effect is hard to attribute. We introduce Agentic Harness Engineering (AHE), a closed loop that addresses these challenges through three matched observability pillars: (1) component observability gives every editable harness component a file-level representation so the action space is explicit and revertible; (2) experience observability distills millions of raw trajectory tokens into a layered, drill-down evidence corpus that an evolving agent can actually consume; and (3) decision observability pairs every edit with a self-declared prediction, later verified against the next round's task-level outcomes. Together, these pillars turn every edit into a falsifiable contract, so harness evolution proceeds autonomously without collapsing into trial-and-error. Empirically, ten AHE iterations lift pass@1 on Terminal-Bench 2 from 69.7% to 77.0%, surpassing the human-designed harness Codex-CLI (71.9%) and the self-evolving baselines ACE and TF-GRPO. The frozen harness transfers without re-evolution: on SWE-bench-verified it tops aggregate success at 12% fewer tokens than the seed, and on Terminal-Bench 2 it yields +5.1 to +10.1pp cross-family gains across three alternate model families, indicating the evolved components encode general engineering experience rather than benchmark-specific tuning. Ablations localize the gain to tools, middleware, and long-term memory rather than the system prompt, suggesting factual harness structure transfers while prose-level strategy does not.

Clinical AI development has traditionally followed a collaborative paradigm that depends on close interaction between clinicians and specialized AI teams. This paradigm imposes a practical challenge: clinicians must repeatedly communicate and refine their requirements with AI developers before those requirements can be translated into executable model development. This iterative process is time-consuming, and even after repeated discussion, misalignment may still exist because the two sides do not fully share each other's expertise. However, autonomous coding agents may change this paradigm, raising the possibility that clinicians could develop clinical AI models independently through natural-language interaction alone. In this study, we present such an autonomous prototype for clinician-driven clinical AI development. We evaluated the system on five clinical tasks spanning dermoscopic lesion classification, melanoma-versus-nevus triage, wrist-fracture detection (including a weakly supervised variant with only 5% bounding-box annotations), and debiased pneumothorax classification on chest radiographs. Across these settings, the system consistently developed models from clinician requests and achieved promising performance. Notably, in a debiased pneumothorax classification task on chest radiographs, where chest drains can act as a major confounder, the system successfully mitigated shortcut learning and nearly halved the model's reliance on chest drains. These findings provide proof of concept that autonomous coding agents may help shift clinical AI development toward a more clinician-driven paradigm, reducing the communication overhead and dependence on specialized AI developers. Although further validation and robustness assessment are needed, this study suggests a promising path toward making clinical AI development more accessible.

Large language model (LLM) agents now fix software, operate computers and serve customers, but their harnesses, the programs that run them, call a large LLM at every step, which makes long tasks slow and costly. Most of these calls end in a multiple-choice decision, such as which tool to call next. Decision models such as Jev answer these questions directly, at a fraction of an LLM call's time and price. We ask how a harness can delegate these decisions to a decision model with little loss of success. To evaluate decision models in agentic tasks, we build AgentDecisionBench, which tests them from isolated questions up to control of a running agent, on public benchmarks and our DecisionGym environment. The decision model most accurate on isolated questions solved only 69.5% of agent tasks, and without a fitted confidence threshold, delegating tool choices lowered success by 19.0 points. Building on these findings, we then design JevAgentHarness, which fits this threshold for each choice on the agent's own trajectories and lets the LLM decide below it. Because existing decision models never see the states an agent reaches after its own mistakes, we train AgentDecision-4B, an open 4B model, on such states with Jev's answers as labels. On tasks unlike its training data, the agent solved 91.5% of them with AgentDecision-4B and 82.0% with Jev. On tasks like their training data, 4B models trained this way made agents 81.1-89.0% cheaper and up to 2.5 times faster, without losing 3 or more points of task success. The models, data, and harness will be released at https://github.com/JevAgentHarness/JevAgentHarness.

Electronic health records (EHRs) are multimodal by nature, consisting of structured tabular features like lab tests and unstructured clinical notes. In real-life clinical practice, doctors use complementary multimodal EHR data sources to get a clearer picture of patients' health and support clinical decision-making. However, most EHR predictive models do not reflect these procedures, as they either focus on a single modality or overlook the inter-modality interactions/redundancy. In this work, we propose MEDFuse, a Multimodal EHR Data Fusion framework that incorporates masked lab-test modeling and large language models (LLMs) to effectively integrate structured and unstructured medical data. MEDFuse leverages multimodal embeddings extracted from two sources: LLMs fine-tuned on free clinical text and masked tabular transformers trained on structured lab test results. We design a disentangled transformer module, optimized by a mutual information loss to 1) decouple modality-specific and modality-shared information and 2) extract useful joint representation from the noise and redundancy present in clinical notes. Through comprehensive validation on the public MIMIC-III dataset and the in-house FEMH dataset, MEDFuse demonstrates great potential in advancing clinical predictions, achieving over 90% F1 score in the 10-disease multi-label classification task.

Developing 3D vision-language models with robust clinical reasoning remains a challenge due to the inherent complexity of volumetric medical imaging, the tendency of models to overfit superficial report patterns, and the lack of interpretability-aware reward designs. In this paper, we propose Med3D-R1, a reinforcement learning framework with a two-stage training process: Supervised Fine-Tuning (SFT) and Reinforcement Learning (RL). During SFT stage, we introduce a residual alignment mechanism to bridge the gap between high-dimensional 3D features and textual embeddings, and an abnormality re-weighting strategy to emphasize clinically informative tokens and reduce structural bias in reports. In RL stage, we redesign the consistency reward to explicitly promote coherent, step-by-step diagnostic reasoning. We evaluate our method on medical multiple-choice visual question answering using two 3D diagnostic benchmarks, CT-RATE and RAD-ChestCT, where our model attains state-of-the-art accuracies of 41.92\% on CT-RATE and 44.99\% on RAD-ChestCT. These results indicate improved abnormality diagnosis and clinical reasoning and outperform prior methods on both benchmarks. Overall, our approach holds promise for enhancing real-world diagnostic workflows by enabling more reliable and transparent 3D medical vision-language systems.