PPGL-Swarm: Integrated Multimodal Risk Stratification and Hereditary Syndrome Detection in Pheochromocytoma and Paraganglioma

Pheochromocytomas and paragangliomas (PPGLs) are rare neuroendocrine tumors, of which 15-25% develop metastatic disease with 5-year survival rates reported as low as 34%. PPGL may indicate hereditary syndromes requiring stricter, syndrome-specific treatment and surveillance, but clinicians often fail to recognize these associations in routine care. Clinical practice uses GAPP score for PPGL grading, but several limitations remain for PPGL diagnosis: (1) GAPP scoring demands a high workload for clinician because it requires the manual evaluation of six independent components; (2) key components such as cellularity and Ki-67 are often evaluated with subjective criteria; (3) several clinically relevant metastatic risk factors are not captured by GAPP, such as SDHB mutations, which have been associated with reported metastatic rates of 35-75%. Agent-driven diagnostic systems appear promising, but most lack traceable reasoning for decision-making and do not incorporate domain-specific knowledge such as PPGL genotype information. To address these limitations, we present PPGL-Swarm, an agentic PPGL diagnostic system that generates a comprehensive report, including automated GAPP scoring (with quantified cellularity and Ki-67), genotype risk alerts, and multimodal report with integrated evidence. The system provides an auditable reasoning trail by decomposing diagnosis into micro-tasks, each assigned to a specialized agent. The gene and table agents use knowledge enhancement to better interpret genotype and laboratory findings, and during training we use reinforcement learning to refine tool selection and task assignment.

Astrolabe: Steering Forward-Process Reinforcement Learning for Distilled Autoregressive Video Models

Distilled autoregressive (AR) video models enable efficient streaming generation but frequently misalign with human visual preferences. Existing reinforcement learning (RL) frameworks are not naturally suited to these architectures, typically requiring either expensive re-distillation or solver-coupled reverse-process optimization that introduces considerable memory and computational overhead. We present Astrolabe, an efficient online RL framework tailored for distilled AR models. To overcome existing bottlenecks, we introduce a forward-process RL formulation based on negative-aware fine-tuning. By contrasting positive and negative samples directly at inference endpoints, this approach establishes an implicit policy improvement direction without requiring reverse-process unrolling. To scale this alignment to long videos, we propose a streaming training scheme that generates sequences progressively via a rolling KV-cache, applying RL updates exclusively to local clip windows while conditioning on prior context to ensure long-range coherence. Finally, to mitigate reward hacking, we integrate a multi-reward objective stabilized by uncertainty-aware selective regularization and dynamic reference updates. Extensive experiments demonstrate that our method consistently enhances generation quality across multiple distilled AR video models, serving as a robust and scalable alignment solution.

OmniForcing: Unleashing Real-time Joint Audio-Visual Generation

Recent joint audio-visual diffusion models achieve remarkable generation quality but suffer from high latency due to their bidirectional attention dependencies, hindering real-time applications. We propose OmniForcing, the first framework to distill an offline, dual-stream bidirectional diffusion model into a high-fidelity streaming autoregressive generator. However, naively applying causal distillation to such dual-stream architectures triggers severe training instability, due to the extreme temporal asymmetry between modalities and the resulting token sparsity. We address the inherent information density gap by introducing an Asymmetric Block-Causal Alignment with a zero-truncation Global Prefix that prevents multi-modal synchronization drift. The gradient explosion caused by extreme audio token sparsity during the causal shift is further resolved through an Audio Sink Token mechanism equipped with an Identity RoPE constraint. Finally, a Joint Self-Forcing Distillation paradigm enables the model to dynamically self-correct cumulative cross-modal errors from exposure bias during long rollouts. Empowered by a modality-independent rolling KV-cache inference scheme, OmniForcing achieves state-of-the-art streaming generation at $\sim$25 FPS on a single GPU, maintaining multi-modal synchronization and visual quality on par with the bidirectional teacher.\textbf{Project Page:} \href{https://omniforcing.com}{https://omniforcing.com}

Retrieving Patient-Specific Radiomic Feature Sets for Transparent Knee MRI Assessment

Classical radiomic features are designed to quantify image appearance and intensity patterns. Compared with end-to-end deep learning (DL) models trained for disease classification, radiomics pipelines with low-dimensional parametric classifiers offer enhanced transparency and interpretability, yet often underperform because of the reliance on population-level predefined feature sets. Recent work on adaptive radiomics uses DL to predict feature weights over a radiomic pool, then thresholds these weights to retain the top-k features from large radiomic pool F (often ~10^3). However, such marginal ranking can over-admit redundant descriptors and overlook complementary feature interactions. We propose a patient-specific feature-set selection framework that predicts a single compact feature set per subject, targeting complementary and diverse evidence rather than marginal top-k features. To overcome the intractable combinatorial search space of F choose k features, our method utilizes a 2-stage retrieval strategy: randomly sample diverse candidate feature sets, then rank these sets with a learned scoring function to select a high-performing feature set for the specific patient. The system consists of a feature-set scorer, and a classifier that performs the final diagnosis. We empirically show that the proposed two-stage retrieval approximates the original exhaustive all k-feature selection. Validating on tasks including ACL tear detection and KL grading for osteoarthritis, the experimental results achieve diagnostic performance, outperforming the top-k approach with the same k values, and competitive with end-to-end DL models while maintaining high transparency. The model generates auditable feature sets that link clinical outcomes to specific anatomical regions and radiomic families, allowing clinicians to inspect which anatomical structures and quantitative descriptors drive the prediction.

Chain of Mindset: Reasoning with Adaptive Cognitive Modes

Human problem-solving is never the repetition of a single mindset, by which we mean a distinct mode of cognitive processing. When tackling a specific task, we do not rely on a single mindset; instead, we integrate multiple mindsets within the single solution process. However, existing LLM reasoning methods fall into a common trap: they apply the same fixed mindset across all steps, overlooking that different stages of solving the same problem require fundamentally different mindsets. This single-minded assumption prevents models from reaching the next level of intelligence. To address this limitation, we propose Chain of Mindset (CoM), a training-free agentic framework that enables step-level adaptive mindset orchestration. CoM decomposes reasoning into four functionally heterogeneous mindsets: Spatial, Convergent, Divergent, and Algorithmic. A Meta-Agent dynamically selects the optimal mindset based on the evolving reasoning state, while a bidirectional Context Gate filters cross-module information flow to maintain effectiveness and efficiency. Experiments across six challenging benchmarks spanning mathematics, code generation, scientific QA, and spatial reasoning demonstrate that CoM achieves state-of-the-art performance, outperforming the strongest baseline by 4.96\% and 4.72\% in overall accuracy on Qwen3-VL-32B-Instruct and Gemini-2.0-Flash, while balancing reasoning efficiency. Our code is publicly available at \href{https://github.com/QuantaAlpha/chain-of-mindset}{https://github.com/QuantaAlpha/chain-of-mindset}.

Bidirectional Reward-Guided Diffusion for Real-World Image Super-Resolution

Diffusion-based super-resolution can synthesize rich details, but models trained on synthetic paired data often fail on real-world LR images due to distribution shifts. We propose Bird-SR, a bidirectional reward-guided diffusion framework that formulates super-resolution as trajectory-level preference optimization via reward feedback learning (ReFL), jointly leveraging synthetic LR-HR pairs and real-world LR images. For structural fidelity easily affected in ReFL, the model is directly optimized on synthetic pairs at early diffusion steps, which also facilitates structure preservation for real-world inputs under smaller distribution gap in structure levels. For perceptual enhancement, quality-guided rewards are applied at later sampling steps to both synthetic and real LR images. To mitigate reward hacking, the rewards for synthetic results are formulated in a relative advantage space bounded by their clean counterparts, while real-world optimization is regularized via a semantic alignment constraint. Furthermore, to balance structural and perceptual learning, we adopt a dynamic fidelity-perception weighting strategy that emphasizes structure preservation at early stages and progressively shifts focus toward perceptual optimization at later diffusion steps. Extensive experiments on real-world SR benchmarks demonstrate that Bird-SR consistently outperforms state-of-the-art methods in perceptual quality while preserving structural consistency, validating its effectiveness for real-world super-resolution.

Spider-Sense: Intrinsic Risk Sensing for Efficient Agent Defense with Hierarchical Adaptive Screening

As large language models (LLMs) evolve into autonomous agents, their real-world applicability has expanded significantly, accompanied by new security challenges. Most existing agent defense mechanisms adopt a mandatory checking paradigm, in which security validation is forcibly triggered at predefined stages of the agent lifecycle. In this work, we argue that effective agent security should be intrinsic and selective rather than architecturally decoupled and mandatory. We propose Spider-Sense framework, an event-driven defense framework based on Intrinsic Risk Sensing (IRS), which allows agents to maintain latent vigilance and trigger defenses only upon risk perception. Once triggered, the Spider-Sense invokes a hierarchical defence mechanism that trades off efficiency and precision: it resolves known patterns via lightweight similarity matching while escalating ambiguous cases to deep internal reasoning, thereby eliminating reliance on external models. To facilitate rigorous evaluation, we introduce S$^2$Bench, a lifecycle-aware benchmark featuring realistic tool execution and multi-stage attacks. Extensive experiments demonstrate that Spider-Sense achieves competitive or superior defense performance, attaining the lowest Attack Success Rate (ASR) and False Positive Rate (FPR), with only a marginal latency overhead of 8.3\%.

MambaNet: Mamba-assisted Channel Estimation Neural Network With Attention Mechanism

This paper proposes a Mamba-assisted neural network framework incorporating self-attention mechanism to achieve improved channel estimation with low complexity for orthogonal frequency-division multiplexing (OFDM) waveforms, particularly for configurations with a large number of subcarriers. With the integration of customized Mamba architecture, the proposed framework handles large-scale subcarrier channel estimation efficiently while capturing long-distance dependencies among these subcarriers effectively. Unlike conventional Mamba structure, this paper implements a bidirectional selective scan to improve channel estimation performance, because channel gains at different subcarriers are non-causal. Moreover, the proposed framework exhibits relatively lower space complexity than transformer-based neural networks. Simulation results tested on the 3GPP TS 36.101 channel demonstrate that compared to other baseline neural network solutions, the proposed method achieves improved channel estimation performance with a reduced number of tunable parameters.

Radiomics-Integrated Deep Learning with Hierarchical Loss for Osteosarcoma Histology Classification

Osteosarcoma (OS) is an aggressive primary bone malignancy. Accurate histopathological assessment of viable versus non-viable tumor regions after neoadjuvant chemotherapy is critical for prognosis and treatment planning, yet manual evaluation remains labor-intensive, subjective, and prone to inter-observer variability. Recent advances in digital pathology have enabled automated necrosis quantification. Evaluating on test data, independently sampled on patient-level, revealed that the deep learning model performance dropped significantly from the tile-level generalization ability reported in previous studies. First, this work proposes the use of radiomic features as additional input in model training. We show that, despite that they are derived from the images, such a multimodal input effectively improved the classification performance, in addition to its added benefits in interpretability. Second, this work proposes to optimize two binary classification tasks with hierarchical classes (i.e. tumor-vs-non-tumor and viable-vs-non-viable), as opposed to the alternative ``flat'' three-class classification task (i.e. non-tumor, non-viable tumor, viable tumor), thereby enabling a hierarchical loss. We show that such a hierarchical loss, with trainable weightings between the two tasks, the per-class performance can be improved significantly. Using the TCIA OS Tumor Assessment dataset, we experimentally demonstrate the benefits from each of the proposed new approaches and their combination, setting a what we consider new state-of-the-art performance on this open dataset for this application. Code and trained models: https://github.com/YaxiiC/RadiomicsOS.git.

Interpretability and Individuality in Knee MRI: Patient-Specific Radiomic Fingerprint with Reconstructed Healthy Personas

For automated assessment of knee MRI scans, both accuracy and interpretability are essential for clinical use and adoption. Traditional radiomics rely on predefined features chosen at the population level; while more interpretable, they are often too restrictive to capture patient-specific variability and can underperform end-to-end deep learning (DL). To address this, we propose two complementary strategies that bring individuality and interpretability: radiomic fingerprints and healthy personas. First, a radiomic fingerprint is a dynamically constructed, patient-specific feature set derived from MRI. Instead of applying a uniform population-level signature, our model predicts feature relevance from a pool of candidate features and selects only those most predictive for each patient, while maintaining feature-level interpretability. This fingerprint can be viewed as a latent-variable model of feature usage, where an image-conditioned predictor estimates usage probabilities and a transparent logistic regression with global coefficients performs classification. Second, a healthy persona synthesises a pathology-free baseline for each patient using a diffusion model trained to reconstruct healthy knee MRIs. Comparing features extracted from pathological images against their personas highlights deviations from normal anatomy, enabling intuitive, case-specific explanations of disease manifestations. We systematically compare fingerprints, personas, and their combination across three clinical tasks. Experimental results show that both approaches yield performance comparable to or surpassing state-of-the-art DL models, while supporting interpretability at multiple levels. Case studies further illustrate how these perspectives facilitate human-explainable biomarker discovery and pathology localisation.