Agentic clinical reasoning over longitudinal myeloma records: a retrospective evaluation against expert consensus

Multiple myeloma is managed through sequential lines of therapy over years to decades, with each decision depending on cumulative disease history distributed across dozens to hundreds of heterogeneous clinical documents. Whether LLM-based systems can synthesise this evidence at a level approaching expert agreement has not been established. A retrospective evaluation was conducted on longitudinal clinical records of 811 myeloma patients treated at a tertiary centre (2001-2026), covering 44,962 documents and 1,334,677 laboratory values, with external validation on MIMIC-IV. An agentic reasoning system was compared against single-pass retrieval-augmented generation (RAG), iterative RAG, and full-context input on 469 patient-question pairs from 48 templates at three complexity levels. Reference labels came from double annotation by four oncologists with senior haematologist adjudication. Iterative RAG and full-context input converged on a shared ceiling (75.4% vs 75.8%, p = 1.00). The agentic system reached 79.6% concordance (95% CI 76.4-82.8), exceeding both baselines (+3.8 and +4.2 pp; p = 0.006 and 0.007). Gains rose with question complexity, reaching +9.4 pp on criteria-based synthesis (p = 0.032), and with record length, reaching +13.5 pp in the top decile (n = 10). The system error rate (12.2%) was comparable to expert disagreement (13.6%), but severity was inverted: 57.8% of system errors were clinically significant versus 18.8% of expert disagreements. Agentic reasoning was the only approach to exceed the shared ceiling, with gains concentrated on the most complex questions and longest records. The greater clinical consequence of residual system errors indicates that prospective evaluation in routine care is required before these findings translate into patient benefit.

V3LMA: Visual 3D-enhanced Language Model for Autonomous Driving

Large Vision Language Models (LVLMs) have shown strong capabilities in understanding and analyzing visual scenes across various domains. However, in the context of autonomous driving, their limited comprehension of 3D environments restricts their effectiveness in achieving a complete and safe understanding of dynamic surroundings. To address this, we introduce V3LMA, a novel approach that enhances 3D scene understanding by integrating Large Language Models (LLMs) with LVLMs. V3LMA leverages textual descriptions generated from object detections and video inputs, significantly boosting performance without requiring fine-tuning. Through a dedicated preprocessing pipeline that extracts 3D object data, our method improves situational awareness and decision-making in complex traffic scenarios, achieving a score of 0.56 on the LingoQA benchmark. We further explore different fusion strategies and token combinations with the goal of advancing the interpretation of traffic scenes, ultimately enabling safer autonomous driving systems.

A Little Bit Attention Is All You Need for Person Re-Identification

Person re-identification plays a key role in applications where a mobile robot needs to track its users over a long period of time, even if they are partially unobserved for some time, in order to follow them or be available on demand. In this context, deep-learning based real-time feature extraction on a mobile robot is often performed on special-purpose devices whose computational resources are shared for multiple tasks. Therefore, the inference speed has to be taken into account. In contrast, person re-identification is often improved by architectural changes that come at the cost of significantly slowing down inference. Attention blocks are one such example. We will show that some well-performing attention blocks used in the state of the art are subject to inference costs that are far too high to justify their use for mobile robotic applications. As a consequence, we propose an attention block that only slightly affects the inference speed while keeping up with much deeper networks or more complex attention blocks in terms of re-identification accuracy. We perform extensive neural architecture search to derive rules at which locations this attention block should be integrated into the architecture in order to achieve the best trade-off between speed and accuracy. Finally, we confirm that the best performing configuration on a re-identification benchmark also performs well on an indoor robotic dataset.