Abstract:Diffusion Large Language Models (dLLMs) offer a compelling paradigm for natural language generation, leveraging parallel decoding and bidirectional attention to achieve superior global coherence compared to autoregressive models. While recent works have accelerated inference via KV cache reuse or heuristic decoding, they overlook the intrinsic inefficiencies within the block-wise diffusion process. Specifically, they suffer from spatial redundancy by modeling informative-sparse suffix regions uniformly and temporal inefficiency by applying fixed denoising schedules across all the decoding process. To address this, we propose Streaming-dLLM, a training-free framework that streamlines inference across both spatial and temporal dimensions. Spatially, we introduce attenuation guided suffix modeling to approximate the full context by pruning redundant mask tokens. Temporally, we employ a dynamic confidence aware strategy with an early exit mechanism, allowing the model to skip unnecessary iterations for converged tokens. Extensive experiments show that Streaming-dLLM achieves up to 68.2X speedup while maintaining generation quality, highlighting its effectiveness in diffusion decoding. The code is available at https://github.com/xiaoshideta/Streaming-dLLM.
Abstract:Large Language Models (LLMs) struggle to automate real-world vulnerability detection due to two key limitations: the heterogeneity of vulnerability patterns undermines the effectiveness of a single unified model, and manual prompt engineering for massive weakness categories is unscalable. To address these challenges, we propose \textbf{MulVul}, a retrieval-augmented multi-agent framework designed for precise and broad-coverage vulnerability detection. MulVul adopts a coarse-to-fine strategy: a \emph{Router} agent first predicts the top-$k$ coarse categories and then forwards the input to specialized \emph{Detector} agents, which identify the exact vulnerability types. Both agents are equipped with retrieval tools to actively source evidence from vulnerability knowledge bases to mitigate hallucinations. Crucially, to automate the generation of specialized prompts, we design \emph{Cross-Model Prompt Evolution}, a prompt optimization mechanism where a generator LLM iteratively refines candidate prompts while a distinct executor LLM validates their effectiveness. This decoupling mitigates the self-correction bias inherent in single-model optimization. Evaluated on 130 CWE types, MulVul achieves 34.79\% Macro-F1, outperforming the best baseline by 41.5\%. Ablation studies validate cross-model prompt evolution, which boosts performance by 51.6\% over manual prompts by effectively handling diverse vulnerability patterns.
Abstract:In medical image segmentation, particularly in UNet-like architectures, upsampling is primarily used to transform smaller feature maps into larger ones, enabling feature fusion between encoder and decoder features and supporting multi-scale prediction. Conventional upsampling methods, such as transposed convolution and linear interpolation, operate on fixed positions: transposed convolution applies kernel elements to predetermined pixel or voxel locations, while linear interpolation assigns values based on fixed coordinates in the original feature map. These fixed-position approaches may fail to capture structural information beyond predefined sampling positions and can lead to artifacts or loss of detail. Inspired by deformable convolutions, we propose a novel upsampling method, Deformable Transposed Convolution (DTC), which learns dynamic coordinates (i.e., sampling positions) to generate high-resolution feature maps for both 2D and 3D medical image segmentation tasks. Experiments on 3D (e.g., BTCV15) and 2D datasets (e.g., ISIC18, BUSI) demonstrate that DTC can be effectively integrated into existing medical image segmentation models, consistently improving the decoder's feature reconstruction and detail recovery capability.
Abstract:Graph-based methods have proven to be effective in capturing relationships among points for 3D point cloud analysis. However, these methods often suffer from suboptimal graph structures, particularly due to sparse connections at boundary points and noisy connections in junction areas. To address these challenges, we propose a novel method that integrates a graph smoothing module with an enhanced local geometry learning module. Specifically, we identify the limitations of conventional graph structures, particularly in handling boundary points and junction areas. In response, we introduce a graph smoothing module designed to optimize the graph structure and minimize the negative impact of unreliable sparse and noisy connections. Based on the optimized graph structure, we improve the feature extract function with local geometry information. These include shape features derived from adaptive geometric descriptors based on eigenvectors and distribution features obtained through cylindrical coordinate transformation. Experimental results on real-world datasets validate the effectiveness of our method in various point cloud learning tasks, i.e., classification, part segmentation, and semantic segmentation.
Abstract:Real-world multi-view data usually exhibits highly inconsistent missing patterns which challenges the effectiveness of incomplete multi-view clustering (IMVC). Although existing IMVC methods have made progress from both imputation-based and imputation-free routes, they have overlooked the pair under-utilization issue, i.e., inconsistent missing patterns make the incomplete but available multi-view pairs unable to be fully utilized, thereby limiting the model performance. To address this, we propose a novel missing-pattern tree based IMVC framework entitled TreeEIC. Specifically, to achieve full exploitation of available multi-view pairs, TreeEIC first defines the missing-pattern tree model to group data into multiple decision sets according to different missing patterns, and then performs multi-view clustering within each set. Furthermore, a multi-view decision ensemble module is proposed to aggregate clustering results from all decision sets, which infers uncertainty-based weights to suppress unreliable clustering decisions and produce robust decisions. Finally, an ensemble-to-individual knowledge distillation module transfers the ensemble knowledge to view-specific clustering models, which enables ensemble and individual modules to promote each other by optimizing cross-view consistency and inter-cluster discrimination losses. Extensive experiments on multiple benchmark datasets demonstrate that our TreeEIC achieves state-of-the-art IMVC performance and exhibits superior robustness under highly inconsistent missing patterns.
Abstract:Recently, contrastive learning (CL) plays an important role in exploring complementary information for multi-view clustering (MVC) and has attracted increasing attention. Nevertheless, real-world multi-view data suffer from data incompleteness or noise, resulting in rare-paired samples or mis-paired samples which significantly challenges the effectiveness of CL-based MVC. That is, rare-paired issue prevents MVC from extracting sufficient multi-view complementary information, and mis-paired issue causes contrastive learning to optimize the model in the wrong direction. To address these issues, we propose a unified CL-based MVC framework for enhancing clustering effectiveness on incomplete and noise multi-view data. First, to overcome the rare-paired issue, we design a global-graph guided contrastive learning, where all view samples construct a global-view affinity graph to form new sample pairs for fully exploring complementary information. Second, to mitigate the mis-paired issue, we propose a local-graph weighted contrastive learning, which leverages local neighbors to generate pair-wise weights to adaptively strength or weaken the pair-wise contrastive learning. Our method is imputation-free and can be integrated into a unified global-local graph-guided contrastive learning framework. Extensive experiments on both incomplete and noise settings of multi-view data demonstrate that our method achieves superior performance compared with state-of-the-art approaches.
Abstract:Multimodal clinical reasoning in the field of gastrointestinal (GI) oncology necessitates the integrated interpretation of endoscopic imagery, radiological data, and biochemical markers. Despite the evident potential exhibited by Multimodal Large Language Models (MLLMs), they frequently encounter challenges such as context dilution and hallucination when confronted with intricate, heterogeneous medical histories. In order to address these limitations, a hierarchical Multi-Agent Framework is proposed, which emulates the collaborative workflow of a human Multidisciplinary Team (MDT). The system attained a composite expert evaluation score of 4.60/5.00, thereby demonstrating a substantial improvement over the monolithic baseline. It is noteworthy that the agent-based architecture yielded the most substantial enhancements in reasoning logic and medical accuracy. The findings indicate that mimetic, agent-based collaboration provides a scalable, interpretable, and clinically robust paradigm for automated decision support in oncology.
Abstract:Current retinal foundation models remain constrained by curated research datasets that lack authentic clinical context, and require extensive task-specific optimization for each application, limiting their deployment efficiency in low-resource settings. Here, we show that these barriers can be overcome by building clinical native intelligence directly from real-world medical practice. Our key insight is that large-scale telemedicine programs, where expert centers provide remote consultations across distributed facilities, represent a natural reservoir for learning clinical image interpretation. We present ReVision, a retinal foundation model that learns from the natural alignment between 485,980 color fundus photographs and their corresponding diagnostic reports, accumulated through a decade-long telemedicine program spanning 162 medical institutions across China. Through extensive evaluation across 27 ophthalmic benchmarks, we demonstrate that ReVison enables deployment efficiency with minimal local resources. Without any task-specific training, ReVision achieves zero-shot disease detection with an average AUROC of 0.946 across 12 public benchmarks and 0.952 on 3 independent clinical cohorts. When minimal adaptation is feasible, ReVision matches extensively fine-tuned alternatives while requiring orders of magnitude fewer trainable parameters and labeled examples. The learned representations also transfer effectively to new clinical sites, imaging domains, imaging modalities, and systemic health prediction tasks. In a prospective reader study with 33 ophthalmologists, ReVision's zero-shot assistance improved diagnostic accuracy by 14.8% across all experience levels. These results demonstrate that clinical native intelligence can be directly extracted from clinical archives without any further annotation to build medical AI systems suited to various low-resource settings.




Abstract:Epidemic response planning is essential yet traditionally reliant on labor-intensive manual methods. This study aimed to design and evaluate EpiPlanAgent, an agent-based system using large language models (LLMs) to automate the generation and validation of digital emergency response plans. The multi-agent framework integrated task decomposition, knowledge grounding, and simulation modules. Public health professionals tested the system using real-world outbreak scenarios in a controlled evaluation. Results demonstrated that EpiPlanAgent significantly improved the completeness and guideline alignment of plans while drastically reducing development time compared to manual workflows. Expert evaluation confirmed high consistency between AI-generated and human-authored content. User feedback indicated strong perceived utility. In conclusion, EpiPlanAgent provides an effective, scalable solution for intelligent epidemic response planning, demonstrating the potential of agentic AI to transform public health preparedness.
Abstract:Recent advances in medical large language models (LLMs), multimodal models, and agents demand evaluation frameworks that reflect real clinical workflows and safety constraints. We present MedBench v4, a nationwide, cloud-based benchmarking infrastructure comprising over 700,000 expert-curated tasks spanning 24 primary and 91 secondary specialties, with dedicated tracks for LLMs, multimodal models, and agents. Items undergo multi-stage refinement and multi-round review by clinicians from more than 500 institutions, and open-ended responses are scored by an LLM-as-a-judge calibrated to human ratings. We evaluate 15 frontier models. Base LLMs reach a mean overall score of 54.1/100 (best: Claude Sonnet 4.5, 62.5/100), but safety and ethics remain low (18.4/100). Multimodal models perform worse overall (mean 47.5/100; best: GPT-5, 54.9/100), with solid perception yet weaker cross-modal reasoning. Agents built on the same backbones substantially improve end-to-end performance (mean 79.8/100), with Claude Sonnet 4.5-based agents achieving up to 85.3/100 overall and 88.9/100 on safety tasks. MedBench v4 thus reveals persisting gaps in multimodal reasoning and safety for base models, while showing that governance-aware agentic orchestration can markedly enhance benchmarked clinical readiness without sacrificing capability. By aligning tasks with Chinese clinical guidelines and regulatory priorities, the platform offers a practical reference for hospitals, developers, and policymakers auditing medical AI.