Breaking User-Centric Agency: A Tri-Party Framework for Agent-Based Recommendation

Recent advances in large language models (LLMs) have stimulated growing interest in agent-based recommender systems, enabling language-driven interaction and reasoning for more expressive preference modeling. However, most existing agentic approaches remain predominantly user-centric, treating items as passive entities and neglecting the interests of other critical stakeholders. This limitation exacerbates exposure concentration and long-tail under-representation, threatening long-term system sustainability. In this work, we identify this fundamental limitation and propose the first Tri-party LLM-agent Recommendation framework (TriRec) that explicitly coordinates user utility, item exposure, and platform-level fairness. The framework employs a two-stage architecture: Stage~1 empowers item agents with personalized self-promotion to improve matching quality and alleviate cold-start barriers, while Stage~2 uses a platform agent for sequential multi-objective re-ranking, balancing user relevance, item utility, and exposure fairness. Experiments on multiple benchmarks show consistent gains in accuracy, fairness, and item-level utility. Moreover, we find that item self-promotion can simultaneously enhance fairness and effectiveness, challenging the conventional trade-off assumption between relevance and fairness. Our code is available at https://github.com/Marfekey/TriRec.

Uncertainty-aware Generative Recommendation

Generative Recommendation has emerged as a transformative paradigm, reformulating recommendation as an end-to-end autoregressive sequence generation task. Despite its promise, existing preference optimization methods typically rely on binary outcome correctness, suffering from a systemic limitation we term uncertainty blindness. This issue manifests in the neglect of the model's intrinsic generation confidence, the variation in sample learning difficulty, and the lack of explicit confidence expression, directly leading to unstable training dynamics and unquantifiable decision risks. In this paper, we propose Uncertainty-aware Generative Recommendation (UGR), a unified framework that leverages uncertainty as a critical signal for adaptive optimization. UGR synergizes three mechanisms: (1) an uncertainty-weighted reward to penalize confident errors; (2) difficulty-aware optimization dynamics to prevent premature convergence; and (3) explicit confidence alignment to empower the model with confidence expression capabilities. Extensive experiments demonstrate that UGR not only yields superior recommendation performance but also fundamentally stabilizes training, preventing the performance degradation often observed in standard methods. Furthermore, the learned confidence enables reliable downstream risk-aware applications.

Reasoning Text-to-Video Retrieval via Digital Twin Video Representations and Large Language Models

The goal of text-to-video retrieval is to search large databases for relevant videos based on text queries. Existing methods have progressed to handling explicit queries where the visual content of interest is described explicitly; however, they fail with implicit queries where identifying videos relevant to the query requires reasoning. We introduce reasoning text-to-video retrieval, a paradigm that extends traditional retrieval to process implicit queries through reasoning while providing object-level grounding masks that identify which entities satisfy the query conditions. Instead of relying on vision-language models directly, we propose representing video content as digital twins, i.e., structured scene representations that decompose salient objects through specialist vision models. This approach is beneficial because it enables large language models to reason directly over long-horizon video content without visual token compression. Specifically, our two-stage framework first performs compositional alignment between decomposed sub-queries and digital twin representations for candidate identification, then applies large language model-based reasoning with just-in-time refinement that invokes additional specialist models to address information gaps. We construct a benchmark of 447 manually created implicit queries with 135 videos (ReasonT2VBench-135) and another more challenging version of 1000 videos (ReasonT2VBench-1000). Our method achieves 81.2% R@1 on ReasonT2VBench-135, outperforming the strongest baseline by greater than 50 percentage points, and maintains 81.7% R@1 on the extended configuration while establishing state-of-the-art results in three conventional benchmarks (MSR-VTT, MSVD, and VATEX).

Temporally-Constrained Video Reasoning Segmentation and Automated Benchmark Construction

Conventional approaches to video segmentation are confined to predefined object categories and cannot identify out-of-vocabulary objects, let alone objects that are not identified explicitly but only referred to implicitly in complex text queries. This shortcoming limits the utility for video segmentation in complex and variable scenarios, where a closed set of object categories is difficult to define and where users may not know the exact object category that will appear in the video. Such scenarios can arise in operating room video analysis, where different health systems may use different workflows and instrumentation, requiring flexible solutions for video analysis. Reasoning segmentation (RS) now offers promise towards such a solution, enabling natural language text queries as interaction for identifying object to segment. However, existing video RS formulation assume that target objects remain contextually relevant throughout entire video sequences. This assumption is inadequate for real-world scenarios in which objects of interest appear, disappear or change relevance dynamically based on temporal context, such as surgical instruments that become relevant only during specific procedural phases or anatomical structures that gain importance at particular moments during surgery. Our first contribution is the introduction of temporally-constrained video reasoning segmentation, a novel task formulation that requires models to implicitly infer when target objects become contextually relevant based on text queries that incorporate temporal reasoning. Since manual annotation of temporally-constrained video RS datasets would be expensive and limit scalability, our second contribution is an innovative automated benchmark construction method. Finally, we present TCVideoRSBenchmark, a temporally-constrained video RS dataset containing 52 samples using the videos from the MVOR dataset.

Fine-grained List-wise Alignment for Generative Medication Recommendation

Accurate and safe medication recommendations are critical for effective clinical decision-making, especially in multimorbidity cases. However, existing systems rely on point-wise prediction paradigms that overlook synergistic drug effects and potential adverse drug-drug interactions (DDIs). We propose FLAME, a fine-grained list-wise alignment framework for large language models (LLMs), enabling drug-by-drug generation of drug lists. FLAME formulates recommendation as a sequential decision process, where each step adds or removes a single drug. To provide fine-grained learning signals, we devise step-wise Group Relative Policy Optimization (GRPO) with potential-based reward shaping, which explicitly models DDIs and optimizes the contribution of each drug to the overall prescription. Furthermore, FLAME enhances patient modeling by integrating structured clinical knowledge and collaborative information into the representation space of LLMs. Experiments on benchmark datasets demonstrate that FLAME achieves state-of-the-art performance, delivering superior accuracy, controllable safety-accuracy trade-offs, and strong generalization across diverse clinical scenarios. Our code is available at https://github.com/cxfann/Flame.

RVTBench: A Benchmark for Visual Reasoning Tasks

Visual reasoning, the capability to interpret visual input in response to implicit text query through multi-step reasoning, remains a challenge for deep learning models due to the lack of relevant benchmarks. Previous work in visual reasoning has primarily focused on reasoning segmentation, where models aim to segment objects based on implicit text queries. This paper introduces reasoning visual tasks (RVTs), a unified formulation that extends beyond traditional video reasoning segmentation to a diverse family of visual language reasoning problems, which can therefore accommodate multiple output formats including bounding boxes, natural language descriptions, and question-answer pairs. Correspondingly, we identify the limitations in current benchmark construction methods that rely solely on large language models (LLMs), which inadequately capture complex spatial-temporal relationships and multi-step reasoning chains in video due to their reliance on token representation, resulting in benchmarks with artificially limited reasoning complexity. To address this limitation, we propose a novel automated RVT benchmark construction pipeline that leverages digital twin (DT) representations as structured intermediaries between perception and the generation of implicit text queries. Based on this method, we construct RVTBench, a RVT benchmark containing 3,896 queries of over 1.2 million tokens across four types of RVT (segmentation, grounding, VQA and summary), three reasoning categories (semantic, spatial, and temporal), and four increasing difficulty levels, derived from 200 video sequences. Finally, we propose RVTagent, an agent framework for RVT that allows for zero-shot generalization across various types of RVT without task-specific fine-tuning.

Process-Supervised LLM Recommenders via Flow-guided Tuning

While large language models (LLMs) are increasingly adapted for recommendation systems via supervised fine-tuning (SFT), this approach amplifies popularity bias due to its likelihood maximization objective, compromising recommendation diversity and fairness. To address this, we present Flow-guided fine-tuning recommender (Flower), which replaces SFT with a Generative Flow Network (GFlowNet) framework that enacts process supervision through token-level reward propagation. Flower's key innovation lies in decomposing item-level rewards into constituent token rewards, enabling direct alignment between token generation probabilities and their reward signals. This mechanism achieves three critical advancements: (1) popularity bias mitigation and fairness enhancement through empirical distribution matching, (2) preservation of diversity through GFlowNet's proportional sampling, and (3) flexible integration of personalized preferences via adaptable token rewards. Experiments demonstrate Flower's superior distribution-fitting capability and its significant advantages over traditional SFT in terms of fairness, diversity, and accuracy, highlighting its potential to improve LLM-based recommendation systems. The implementation is available via https://github.com/Mr-Peach0301/Flower

Addressing Overprescribing Challenges: Fine-Tuning Large Language Models for Medication Recommendation Tasks

Medication recommendation systems have garnered attention within healthcare for their potential to deliver personalized and efficacious drug combinations based on patient's clinical data. However, existing methodologies encounter challenges in adapting to diverse Electronic Health Records (EHR) systems and effectively utilizing unstructured data, resulting in limited generalization capabilities and suboptimal performance. Recently, interest is growing in harnessing Large Language Models (LLMs) in the medical domain to support healthcare professionals and enhance patient care. Despite the emergence of medical LLMs and their promising results in tasks like medical question answering, their practical applicability in clinical settings, particularly in medication recommendation, often remains underexplored. In this study, we evaluate both general-purpose and medical-specific LLMs for medication recommendation tasks. Our findings reveal that LLMs frequently encounter the challenge of overprescribing, leading to heightened clinical risks and diminished medication recommendation accuracy. To address this issue, we propose Language-Assisted Medication Recommendation (LAMO), which employs a parameter-efficient fine-tuning approach to tailor open-source LLMs for optimal performance in medication recommendation scenarios. LAMO leverages the wealth of clinical information within clinical notes, a resource often underutilized in traditional methodologies. As a result of our approach, LAMO outperforms previous state-of-the-art methods by over 10% in internal validation accuracy. Furthermore, temporal and external validations demonstrate LAMO's robust generalization capabilities across various temporal and hospital contexts. Additionally, an out-of-distribution medication recommendation experiment demonstrates LAMO's remarkable accuracy even with medications outside the training data.