Loud or Silent? A Reusable Framework for Per-Modality Failure Analysis in Multimodal Clinical AI

Multimodal clinical models are usually judged on accuracy with every modality present, but deployment removes modalities; an echocardiogram is often unavailable where an ECG is routine. Two questions then matter beyond the size of the accuracy loss: which modality was responsible, and whether the model fails loudly or silently once that modality is dropped. The distinction is per-example and modality-level, and is separate from post-hoc feature attribution (e.g. SHAP). Models are replaced often; the evaluation that answers these questions is reused. We present a model-agnostic modality-failure framework: given N modality embeddings, any mask-aware probe, and labels, it returns a per-example failure taxonomy, a per-modality complementarity matrix that attributes error to modalities, and a loud-vs-silent dropout profile separating monitorable failures from those that pass unflagged far from the decision boundary, using only deployment-observable signals. We release it as a small, unit-tested harness and validate it against planted ground truth. Across seeds it recovers that planted modality dominance and complementary subset, reports per-modality loud-vs-silent rates, and scales to a three-modality complementarity matrix; because the planted structure is known by construction, this validates recovery of per-example attribution rather than clinical performance. We then instantiate the framework on frozen EchoJEPA and HuBERT-ECG embeddings for LVEF and the EF <= 40% HFrEF gate over a paired MIMIC-IV cohort, where on the held-out test split (n = 245) dropping echo nearly doubles error. The narrow echo-to-ECG overlap that bounds cohort size is itself a deployment finding for cardiac foundation models. All of our work can be found at https://github.com/criticaldata/PRIMED-AI.

PRISM-Net: Patient-specific reference-guided inter-breast symmetry matching for three-class breast DCE-MRI classification

Breast DCE-MRI AI is increasingly being explored for breast-level classification of no-lesion, benign, and malignant findings, beyond conventional lesion-centered diagnosis. Within this broader diagnostic scope, however, patient-specific background variability remains a major source of imaging confounding across classification tasks. Existing approaches predominantly focus on unilateral or lesion-centric analysis, whereas bilateral methods offer limited explicit modeling of spatially adaptive cross-breast correspondence. We propose PRISM-Net, a registration-free bilateral framework that leverages contralateral breast features as patient-specific references for background-aware representation learning. PRISM-Net integrates bilateral feature matching and asymmetry-aware attention to establish adaptive inter-breast correspondence and enhance representations of discriminative asymmetric patterns. On ODELIA, Macro AUC, Micro AUC, and quadratic weighted kappa were $84.11 \pm 2.33$, $90.64 \pm 1.61$, and $60.94 \pm 5.64$ on the in-distribution test set, and $68.51 \pm 4.54$, $80.74 \pm 2.68$, and $43.45 \pm 7.10$ on the held-out institution, respectively, outperforming the evaluated baseline methods across the primary evaluation metrics. PRISM-Net further demonstrated performance on independent institutional and background-complexity evaluations. Ablation experiments revealed that both bilateral relation modeling and asymmetry-aware reweighting contributed to improved classification performance. These findings highlight patient-specific bilateral reference modeling as a clinically grounded strategy for DCE-MRI interpretation, improving asymmetric pattern discrimination through explicit modeling of background complexity.

Belt-Finger: An Affordable Soft Belt-Driven Gripper for Dexterous In-Hand Manipulation

Parallel-jaw grippers are the default manipulator choice in robotics because they are simple, robust, and inexpensive. Their limited in-hand mobility, however, often forces large arm motions and restricts dexterous manipulation in confined workspaces. We present a parallel-gripper upgrade: a double-soft-belt-based finger module that preserves standard opening/closing while adding three in-hand degrees of freedom (DoF): translation, pitch, and roll. The mechanism is deliberately kept simple and engineered for inexpensive manufacturing and straightforward integration, preserving the reliability and precise control of traditional parallel grippers while greatly broadening the range of manipulation capabilities. To demonstrate the utility of the added DoFs, we integrate the gripper in two control pipelines. First, we adapt a model predictive controller for in-hand manipulation of known objects. Second, we introduce a lightweight teleoperation interface that enables simultaneous control of the robot arm and gripper (10 DoFs total) with minimal hardware. Across a suite of challenging manipulation tasks executed via teleoperation, MPC, and trained policies, the proposed gripper consistently improves dexterity and task feasibility compared to a conventional parallel gripper

GaussianPile: A Unified Sparse Gaussian Splatting Framework for Slice-based Volumetric Reconstruction

Slice-based volumetric imaging is widely applied and it demands representations that compress aggressively while preserving internal structure for analysis. We introduce GaussianPile, unifying 3D Gaussian splatting with an imaging system-aware focus model to address this challenge. Our proposed method introduces three key innovations: (i) a slice-aware piling strategy that positions anisotropic 3D Gaussians to model through-slice contributions, (ii) a differentiable projection operator that encodes the finite-thickness point spread function of the imaging acquisition system, and (iii) a compact encoding and joint optimization pipeline that simultaneously reconstructs and compresses the Gaussian sets. Our CUDA-based design retains the compression and real-time rendering efficiency of Gaussian primitives while preserving high-frequency internal volumetric detail. Experiments on microscopy and ultrasound datasets demonstrate that our method reduces storage and reconstruction cost, sustains diagnostic fidelity, and enables fast 2D visualization, along with 3D voxelization. In practice, it delivers high-quality results in as few as 3 minutes, up to 11x faster than NeRF-based approaches, and achieves consistent 16x compression over voxel grids, offering a practical path to deployable compression and exploration of slice-based volumetric datasets.

FreqCycle: A Multi-Scale Time-Frequency Analysis Method for Time Series Forecasting

Mining time-frequency features is critical for time series forecasting. Existing research has predominantly focused on modeling low-frequency patterns, where most time series energy is concentrated. The overlooking of mid to high frequency continues to limit further performance gains in deep learning models. We propose FreqCycle, a novel framework integrating: (i) a Filter-Enhanced Cycle Forecasting (FECF) module to extract low-frequency features by explicitly learning shared periodic patterns in the time domain, and (ii) a Segmented Frequency-domain Pattern Learning (SFPL) module to enhance mid to high frequency energy proportion via learnable filters and adaptive weighting. Furthermore, time series data often exhibit coupled multi-periodicity, such as intertwined weekly and daily cycles. To address coupled multi-periodicity as well as long lookback window challenges, we extend FreqCycle hierarchically into MFreqCycle, which decouples nested periodic features through cross-scale interactions. Extensive experiments on seven diverse domain benchmarks demonstrate that FreqCycle achieves state-of-the-art accuracy while maintaining faster inference speeds, striking an optimal balance between performance and efficiency.

From Scalar Rewards to Potential Trends: Shaping Potential Landscapes for Model-Based Reinforcement Learning

Model-based reinforcement learning (MBRL) achieves high sample efficiency by simulating future trajectories with learned dynamics and reward models. However, its effectiveness is severely compromised in sparse reward settings. The core limitation lies in the standard paradigm of regressing ground-truth scalar rewards: in sparse environments, this yields a flat, gradient-free landscape that fails to provide directional guidance for planning. To address this challenge, we propose Shaping Landscapes with Optimistic Potential Estimates (SLOPE), a novel framework that shifts reward modeling from predicting scalars to constructing informative potential landscapes. SLOPE employs optimistic distributional regression to estimate high-confidence upper bounds, which amplifies rare success signals and ensures sufficient exploration gradients. Evaluations on 30+ tasks across 5 benchmarks demonstrate that SLOPE consistently outperforms leading baselines in fully sparse, semi-sparse, and dense rewards.

The Role of Tactile Sensing for Learning Reach and Grasp

Stable and robust robotic grasping is essential for current and future robot applications. In recent works, the use of large datasets and supervised learning has enhanced speed and precision in antipodal grasping. However, these methods struggle with perception and calibration errors due to large planning horizons. To obtain more robust and reactive grasping motions, leveraging reinforcement learning combined with tactile sensing is a promising direction. Yet, there is no systematic evaluation of how the complexity of force-based tactile sensing affects the learning behavior for grasping tasks. This paper compares various tactile and environmental setups using two model-free reinforcement learning approaches for antipodal grasping. Our findings suggest that under imperfect visual perception, various tactile features improve learning outcomes, while complex tactile inputs complicate training.

Hierarchical Sparse Bayesian Multitask Model with Scalable Inference for Microbiome Analysis

This paper proposes a hierarchical Bayesian multitask learning model that is applicable to the general multi-task binary classification learning problem where the model assumes a shared sparsity structure across different tasks. We derive a computationally efficient inference algorithm based on variational inference to approximate the posterior distribution. We demonstrate the potential of the new approach on various synthetic datasets and for predicting human health status based on microbiome profile. Our analysis incorporates data pooled from multiple microbiome studies, along with a comprehensive comparison with other benchmark methods. Results in synthetic datasets show that the proposed approach has superior support recovery property when the underlying regression coefficients share a common sparsity structure across different tasks. Our experiments on microbiome classification demonstrate the utility of the method in extracting informative taxa while providing well-calibrated predictions with uncertainty quantification and achieving competitive performance in terms of prediction metrics. Notably, despite the heterogeneity of the pooled datasets (e.g., different experimental objectives, laboratory setups, sequencing equipment, patient demographics), our method delivers robust results.

CT-ADE: An Evaluation Benchmark for Adverse Drug Event Prediction from Clinical Trial Results

Adverse drug events (ADEs) significantly impact clinical research and public health, contributing to failures in clinical trials and leading to increased healthcare costs. The accurate prediction and management of ADEs are crucial for improving the development of safer, more effective medications, and enhancing patient outcomes. To support this effort, we introduce CT-ADE, a novel dataset compiled to enhance the predictive modeling of ADEs. Encompassing over 12,000 instances extracted from clinical trial results, the CT-ADE dataset integrates drug, patient population, and contextual information for multilabel ADE classification tasks in monopharmacy treatments, providing a comprehensive resource for developing advanced predictive models. To mirror the complex nature of ADEs, annotations are standardized at the system organ class level of the Medical Dictionary for Regulatory Activities (MedDRA) ontology. Preliminary analyses using baseline models have demonstrated promising results, achieving 73.33% F1 score and 81.54% balanced accuracy, highlighting CT-ADE's potential to advance ADE prediction. CT-ADE provides an essential tool for researchers aiming to leverage the power of artificial intelligence and machine learning to enhance patient safety and minimize the impact of ADEs on pharmaceutical research and development. Researchers interested in using the CT-ADE dataset can find all necessary resources at https://github.com/xxxx/xxxx.

Purify++: Improving Diffusion-Purification with Advanced Diffusion Models and Control of Randomness

Adversarial attacks can mislead neural network classifiers. The defense against adversarial attacks is important for AI safety. Adversarial purification is a family of approaches that defend adversarial attacks with suitable pre-processing. Diffusion models have been shown to be effective for adversarial purification. Despite their success, many aspects of diffusion purification still remain unexplored. In this paper, we investigate and improve upon three limiting designs of diffusion purification: the use of an improved diffusion model, advanced numerical simulation techniques, and optimal control of randomness. Based on our findings, we propose Purify++, a new diffusion purification algorithm that is now the state-of-the-art purification method against several adversarial attacks. Our work presents a systematic exploration of the limits of diffusion purification methods.