ECG-R1: Protocol-Guided and Modality-Agnostic MLLM for Reliable ECG Interpretation

Electrocardiography (ECG) serves as an indispensable diagnostic tool in clinical practice, yet existing multimodal large language models (MLLMs) remain unreliable for ECG interpretation, often producing plausible but clinically incorrect analyses. To address this, we propose ECG-R1, the first reasoning MLLM designed for reliable ECG interpretation via three innovations. First, we construct the interpretation corpus using \textit{Protocol-Guided Instruction Data Generation}, grounding interpretation in measurable ECG features and monograph-defined quantitative thresholds and diagnostic logic. Second, we present a modality-decoupled architecture with \textit{Interleaved Modality Dropout} to improve robustness and cross-modal consistency when either the ECG signal or ECG image is missing. Third, we present \textit{Reinforcement Learning with ECG Diagnostic Evidence Rewards} to strengthen evidence-grounded ECG interpretation. Additionally, we systematically evaluate the ECG interpretation capabilities of proprietary, open-source, and medical MLLMs, and provide the first quantitative evidence that severe hallucinations are widespread, suggesting that the public should not directly trust these outputs without independent verification. Code and data are publicly available at \href{https://github.com/PKUDigitalHealth/ECG-R1}{here}, and an online platform can be accessed at \href{http://ai.heartvoice.com.cn/ECG-R1/}{here}.

Enhancing Foundation VLM Robustness to Missing Modality: Scalable Diffusion for Bi-directional Feature Restoration

Vision Language Models (VLMs) typically assume complete modality input during inference. However, their effectiveness drops sharply when certain modalities are unavailable or incomplete. Current research primarily faces two dilemmas: Prompt-based methods struggle to restore missing yet indispensable features and impair generalization of VLMs. Imputation-based approaches, lacking effective guidance, are prone to generating semantically irrelevant noise. Restoring precise semantics while sustaining VLM generalization remains challenging. Therefore, we propose a general missing modality restoration strategy in this paper. We introduce an enhanced diffusion model as a pluggable mid-stage training module to effectively restore missing features. Our strategy introduces two key innovations: (I) Dynamic Modality Gating, which adaptively leverages conditional features to steer the generation of semantically consistent features; (II) Cross-Modal Mutual Learning mechanism, which bridges the semantic spaces of dual encoders to achieve bidirectional alignment. Zero-shot evaluations across benchmark datasets demonstrate that our approach outperforms existing baseline methods. Extensive experiments and ablation studies confirm our model as a robust and scalable extension for VLMs in missing modality scenarios, ensuring reliability across diverse missing rates and environments. Our code and models will be publicly available.

Boosting Maximum Entropy Reinforcement Learning via One-Step Flow Matching

Diffusion policies are expressive yet incur high inference latency. Flow Matching (FM) enables one-step generation, but integrating it into Maximum Entropy Reinforcement Learning (MaxEnt RL) is challenging: the optimal policy is an intractable energy-based distribution, and the efficient log-likelihood estimation required to balance exploration and exploitation suffers from severe discretization bias. We propose \textbf{F}low-based \textbf{L}og-likelihood-\textbf{A}ware \textbf{M}aximum \textbf{E}ntropy RL (\textbf{FLAME}), a principled framework that addresses these challenges. First, we derive a Q-Reweighted FM objective that bypasses partition function estimation via importance reweighting. Second, we design a decoupled entropy estimator that rigorously corrects bias, which enables efficient exploration and brings the policy closer to the optimal MaxEnt policy. Third, we integrate the MeanFlow formulation to achieve expressive and efficient one-step control. Empirical results on MuJoCo show that FLAME outperforms Gaussian baselines and matches multi-step diffusion policies with significantly lower inference cost. Code is available at https://github.com/lzqw/FLAME.

Alternating Reinforcement Learning for Rubric-Based Reward Modeling in Non-Verifiable LLM Post-Training

Standard reward models typically predict scalar scores that fail to capture the multifaceted nature of response quality in non-verifiable domains, such as creative writing or open-ended instruction following. To address this limitation, we propose Rubric-ARM, a framework that jointly optimizes a rubric generator and a judge using reinforcement learning from preference feedback. Unlike existing methods that rely on static rubrics or disjoint training pipelines, our approach treats rubric generation as a latent action learned to maximize judgment accuracy. We introduce an alternating optimization strategy to mitigate the non-stationarity of simultaneous updates, providing theoretical analysis that demonstrates how this schedule reduces gradient variance during training. Extensive experiments show that Rubric-ARM achieves state-of-the-art performance among baselines on multiple benchmarks and significantly improves downstream policy alignment in both offline and online reinforcement learning settings.

Robust Multimodal Representation Learning in Healthcare

Medical multimodal representation learning aims to integrate heterogeneous data into unified patient representations to support clinical outcome prediction. However, real-world medical datasets commonly contain systematic biases from multiple sources, which poses significant challenges for medical multimodal representation learning. Existing approaches typically focus on effective multimodal fusion, neglecting inherent biased features that affect the generalization ability. To address these challenges, we propose a Dual-Stream Feature Decorrelation Framework that identifies and handles the biases through structural causal analysis introduced by latent confounders. Our method employs a causal-biased decorrelation framework with dual-stream neural networks to disentangle causal features from spurious correlations, utilizing generalized cross-entropy loss and mutual information minimization for effective decorrelation. The framework is model-agnostic and can be integrated into existing medical multimodal learning methods. Comprehensive experiments on MIMIC-IV, eICU, and ADNI datasets demonstrate consistent performance improvements.

Language-based Trial and Error Falls Behind in the Era of Experience

While Large Language Models (LLMs) excel in language-based agentic tasks, their applicability to unseen, nonlinguistic environments (e.g., symbolic or spatial tasks) remains limited. Previous work attributes this performance gap to the mismatch between the pretraining distribution and the testing distribution. In this work, we demonstrate the primary bottleneck is the prohibitive cost of exploration: mastering these tasks requires extensive trial-and-error, which is computationally unsustainable for parameter-heavy LLMs operating in a high dimensional semantic space. To address this, we propose SCOUT (Sub-Scale Collaboration On Unseen Tasks), a novel framework that decouples exploration from exploitation. We employ lightweight "scouts" (e.g., small MLPs) to probe environmental dynamics at a speed and scale far exceeding LLMs. The collected trajectories are utilized to bootstrap the LLM via Supervised Fine-Tuning (SFT), followed by multi-turn Reinforcement Learning (RL) to activate its latent world knowledge. Empirically, SCOUT enables a Qwen2.5-3B-Instruct model to achieve an average score of 0.86, significantly outperforming proprietary models, including Gemini-2.5-Pro (0.60), while saving about 60% GPU hours consumption.

ECGFlowCMR: Pretraining with ECG-Generated Cine CMR Improves Cardiac Disease Classification and Phenotype Prediction

Cardiac Magnetic Resonance (CMR) imaging provides a comprehensive assessment of cardiac structure and function but remains constrained by high acquisition costs and reliance on expert annotations, limiting the availability of large-scale labeled datasets. In contrast, electrocardiograms (ECGs) are inexpensive, widely accessible, and offer a promising modality for conditioning the generative synthesis of cine CMR. To this end, we propose ECGFlowCMR, a novel ECG-to-CMR generative framework that integrates a Phase-Aware Masked Autoencoder (PA-MAE) and an Anatomy-Motion Disentangled Flow (AMDF) to address two fundamental challenges: (1) the cross-modal temporal mismatch between multi-beat ECG recordings and single-cycle CMR sequences, and (2) the anatomical observability gap due to the limited structural information inherent in ECGs. Extensive experiments on the UK Biobank and a proprietary clinical dataset demonstrate that ECGFlowCMR can generate realistic cine CMR sequences from ECG inputs, enabling scalable pretraining and improving performance on downstream cardiac disease classification and phenotype prediction tasks.

Towards Automated Kernel Generation in the Era of LLMs

The performance of modern AI systems is fundamentally constrained by the quality of their underlying kernels, which translate high-level algorithmic semantics into low-level hardware operations. Achieving near-optimal kernels requires expert-level understanding of hardware architectures and programming models, making kernel engineering a critical but notoriously time-consuming and non-scalable process. Recent advances in large language models (LLMs) and LLM-based agents have opened new possibilities for automating kernel generation and optimization. LLMs are well-suited to compress expert-level kernel knowledge that is difficult to formalize, while agentic systems further enable scalable optimization by casting kernel development as an iterative, feedback-driven loop. Rapid progress has been made in this area. However, the field remains fragmented, lacking a systematic perspective for LLM-driven kernel generation. This survey addresses this gap by providing a structured overview of existing approaches, spanning LLM-based approaches and agentic optimization workflows, and systematically compiling the datasets and benchmarks that underpin learning and evaluation in this domain. Moreover, key open challenges and future research directions are further outlined, aiming to establish a comprehensive reference for the next generation of automated kernel optimization. To keep track of this field, we maintain an open-source GitHub repository at https://github.com/flagos-ai/awesome-LLM-driven-kernel-generation.

GRASP: Guided Region-Aware Sparse Prompting for Adapting MLLMs to Remote Sensing

In recent years, Multimodal Large Language Models (MLLMs) have made significant progress in visual question answering tasks. However, directly applying existing fine-tuning methods to remote sensing (RS) images often leads to issues such as overfitting on background noise or neglecting target details. This is primarily due to the large-scale variations, sparse target distributions, and complex regional semantic features inherent in RS images. These challenges limit the effectiveness of MLLMs in RS tasks. To address these challenges, we propose a parameter-efficient fine-tuning (PEFT) strategy called Guided Region-Aware Sparse Prompting (GRASP). GRASP introduces spatially structured soft prompts associated with spatial blocks extracted from a frozen visual token grid. Through a question-guided sparse fusion mechanism, GRASP dynamically aggregates task-specific context into a compact global prompt, enabling the model to focus on relevant regions while filtering out background noise. Extensive experiments on multiple RSVQA benchmarks show that GRASP achieves competitive performance compared to existing fine-tuning and prompt-based methods while maintaining high parameter efficiency.

Can LLMs Clean Up Your Mess? A Survey of Application-Ready Data Preparation with LLMs

Data preparation aims to denoise raw datasets, uncover cross-dataset relationships, and extract valuable insights from them, which is essential for a wide range of data-centric applications. Driven by (i) rising demands for application-ready data (e.g., for analytics, visualization, decision-making), (ii) increasingly powerful LLM techniques, and (iii) the emergence of infrastructures that facilitate flexible agent construction (e.g., using Databricks Unity Catalog), LLM-enhanced methods are rapidly becoming a transformative and potentially dominant paradigm for data preparation. By investigating hundreds of recent literature works, this paper presents a systematic review of this evolving landscape, focusing on the use of LLM techniques to prepare data for diverse downstream tasks. First, we characterize the fundamental paradigm shift, from rule-based, model-specific pipelines to prompt-driven, context-aware, and agentic preparation workflows. Next, we introduce a task-centric taxonomy that organizes the field into three major tasks: data cleaning (e.g., standardization, error processing, imputation), data integration (e.g., entity matching, schema matching), and data enrichment (e.g., data annotation, profiling). For each task, we survey representative techniques, and highlight their respective strengths (e.g., improved generalization, semantic understanding) and limitations (e.g., the prohibitive cost of scaling LLMs, persistent hallucinations even in advanced agents, the mismatch between advanced methods and weak evaluation). Moreover, we analyze commonly used datasets and evaluation metrics (the empirical part). Finally, we discuss open research challenges and outline a forward-looking roadmap that emphasizes scalable LLM-data systems, principled designs for reliable agentic workflows, and robust evaluation protocols.