MedGemma 1.5 Technical Report

We introduce MedGemma 1.5 4B, the latest model in the MedGemma collection. MedGemma 1.5 expands on MedGemma 1 by integrating additional capabilities: high-dimensional medical imaging (CT/MRI volumes and histopathology whole slide images), anatomical localization via bounding boxes, multi-timepoint chest X-ray analysis, and improved medical document understanding (lab reports, electronic health records). We detail the innovations required to enable these modalities within a single architecture, including new training data, long-context 3D volume slicing, and whole-slide pathology sampling. Compared to MedGemma 1 4B, MedGemma 1.5 4B demonstrates significant gains in these new areas, improving 3D MRI condition classification accuracy by 11% and 3D CT condition classification by 3% (absolute improvements). In whole slide pathology imaging, MedGemma 1.5 4B achieves a 47% macro F1 gain. Additionally, it improves anatomical localization with a 35% increase in Intersection over Union on chest X-rays and achieves a 4% macro accuracy for longitudinal (multi-timepoint) chest x-ray analysis. Beyond its improved multimodal performance over MedGemma 1, MedGemma 1.5 improves on text-based clinical knowledge and reasoning, improving by 5% on MedQA accuracy and 22% on EHRQA accuracy. It also achieves an average of 18% macro F1 on 4 different lab report information extraction datasets (EHR Datasets 2, 3, 4, and Mendeley Clinical Laboratory Test Reports). Taken together, MedGemma 1.5 serves as a robust, open resource for the community, designed as an improved foundation on which developers can create the next generation of medical AI systems. Resources and tutorials for building upon MedGemma 1.5 can be found at https://goo.gle/MedGemma.

Adaptive Manipulation Potential and Haptic Estimation for Tool-Mediated Interaction

Achieving human-level dexterity in contact-rich, tool-mediated manipulation remains a significant challenge due to visual occlusion and the underdetermined nature of haptic sensing. This paper introduces a parameterized Equilibrium Manifold (EM) as a unified representation for tool-mediated interaction, and develops a closed-loop framework that integrates haptic estimation, online planning, and adaptive stiffness control. We establish a physical-geometric duality using an adaptive manipulation potential incorporating a differentiable contact model, which induces the manifold's geometric structure and ensures that complex physical interactions are encapsulated as continuous operations on the EM. Within this framework, we reformulate haptic estimation as a manifold parameter estimation problem. Specifically, a hybrid inference strategy (haptic SLAM) is employed in which discrete object shapes are classified via particle filtering, while the continuous object pose is estimated using analytical gradients for efficient optimization. By continuously updating the parameters of the manipulation potential, the framework dynamically reshapes the induced EM to guide online trajectory replanning and implement uncertainty-aware impedance control, thereby closing the perception-action loop. The system is validated through simulation and over 260 real-world screw-loosening trials. Experimental results demonstrate robust identification and manipulation success in standard scenarios while maintaining accurate tracking. Furthermore, ablation studies confirm that haptic SLAM and uncertainty-aware stiffness modulation outperform fixed impedance baselines, effectively preventing jamming during tight tolerance interactions.

MedXIAOHE: A Comprehensive Recipe for Building Medical MLLMs

We present MedXIAOHE, a medical vision-language foundation model designed to advance general-purpose medical understanding and reasoning in real-world clinical applications. MedXIAOHE achieves state-of-the-art performance across diverse medical benchmarks and surpasses leading closed-source multimodal systems on multiple capabilities. To achieve this, we propose an entity-aware continual pretraining framework that organizes heterogeneous medical corpora to broaden knowledge coverage and reduce long-tail gaps (e.g., rare diseases). For medical expert-level reasoning and interaction, MedXIAOHE incorporates diverse medical reasoning patterns via reinforcement learning and tool-augmented agentic training, enabling multi-step diagnostic reasoning with verifiable decision traces. To improve reliability in real-world use, MedXIAOHE integrates user-preference rubrics, evidence-grounded reasoning, and low-hallucination long-form report generation, with improved adherence to medical instructions. We release this report to document our practical design choices, scaling insights, and evaluation framework, hoping to inspire further research.

CompactRAG: Reducing LLM Calls and Token Overhead in Multi-Hop Question Answering

Retrieval-augmented generation (RAG) has become a key paradigm for knowledge-intensive question answering. However, existing multi-hop RAG systems remain inefficient, as they alternate between retrieval and reasoning at each step, resulting in repeated LLM calls, high token consumption, and unstable entity grounding across hops. We propose CompactRAG, a simple yet effective framework that decouples offline corpus restructuring from online reasoning. In the offline stage, an LLM reads the corpus once and converts it into an atomic QA knowledge base, which represents knowledge as minimal, fine-grained question-answer pairs. In the online stage, complex queries are decomposed and carefully rewritten to preserve entity consistency, and are resolved through dense retrieval followed by RoBERTa-based answer extraction. Notably, during inference, the LLM is invoked only twice in total - once for sub-question decomposition and once for final answer synthesis - regardless of the number of reasoning hops. Experiments on HotpotQA, 2WikiMultiHopQA, and MuSiQue demonstrate that CompactRAG achieves competitive accuracy while substantially reducing token consumption compared to iterative RAG baselines, highlighting a cost-efficient and practical approach to multi-hop reasoning over large knowledge corpora. The implementation is available at GitHub.

Factored Causal Representation Learning for Robust Reward Modeling in RLHF

A reliable reward model is essential for aligning large language models with human preferences through reinforcement learning from human feedback. However, standard reward models are susceptible to spurious features that are not causally related to human labels. This can lead to reward hacking, where high predicted reward does not translate into better behavior. In this work, we address this problem from a causal perspective by proposing a factored representation learning framework that decomposes the model's contextual embedding into (1) causal factors that are sufficient for reward prediction and (2) non-causal factors that capture reward-irrelevant attributes such as length or sycophantic bias. The reward head is then constrained to depend only on the causal component. In addition, we introduce an adversarial head trained to predict reward from the non-causal factors, while applying gradient reversal to discourage them from encoding reward-relevant information. Experiments on both mathematical and dialogue tasks demonstrate that our method learns more robust reward models and consistently improves downstream RLHF performance over state-of-the-art baselines. Analyses on length and sycophantic bias further validate the effectiveness of our method in mitigating reward hacking behaviors.

OpenAI GPT-5 System Card

This is the system card published alongside the OpenAI GPT-5 launch, August 2025. GPT-5 is a unified system with a smart and fast model that answers most questions, a deeper reasoning model for harder problems, and a real-time router that quickly decides which model to use based on conversation type, complexity, tool needs, and explicit intent (for example, if you say 'think hard about this' in the prompt). The router is continuously trained on real signals, including when users switch models, preference rates for responses, and measured correctness, improving over time. Once usage limits are reached, a mini version of each model handles remaining queries. This system card focuses primarily on gpt-5-thinking and gpt-5-main, while evaluations for other models are available in the appendix. The GPT-5 system not only outperforms previous models on benchmarks and answers questions more quickly, but -- more importantly -- is more useful for real-world queries. We've made significant advances in reducing hallucinations, improving instruction following, and minimizing sycophancy, and have leveled up GPT-5's performance in three of ChatGPT's most common uses: writing, coding, and health. All of the GPT-5 models additionally feature safe-completions, our latest approach to safety training to prevent disallowed content. Similarly to ChatGPT agent, we have decided to treat gpt-5-thinking as High capability in the Biological and Chemical domain under our Preparedness Framework, activating the associated safeguards. While we do not have definitive evidence that this model could meaningfully help a novice to create severe biological harm -- our defined threshold for High capability -- we have chosen to take a precautionary approach.

CodeDance: A Dynamic Tool-integrated MLLM for Executable Visual Reasoning

Recent releases such as o3 highlight human-like "thinking with images" reasoning that combines structured tool use with stepwise verification, yet most open-source approaches still rely on text-only chains, rigid visual schemas, or single-step pipelines, limiting flexibility, interpretability, and transferability on complex tasks. We introduce CodeDance, which explores executable code as a general solver for visual reasoning. Unlike fixed-schema calls (e.g., only predicting bounding-box coordinates), CodeDance defines, composes, and executes code to orchestrate multiple tools, compute intermediate results, and render visual artifacts (e.g., boxes, lines, plots) that support transparent, self-checkable reasoning. To guide this process, we introduce a reward for balanced and adaptive tool-call, which balances exploration with efficiency and mitigates tool overuse. Interestingly, beyond the expected capabilities taught by atomic supervision, we empirically observe novel emergent behaviors during RL training: CodeDance demonstrates novel tool invocations, unseen compositions, and cross-task transfer. These behaviors arise without task-specific fine-tuning, suggesting a general and scalable mechanism of executable visual reasoning. Extensive experiments across reasoning benchmarks (e.g., visual search, math, chart QA) show that CodeDance not only consistently outperforms schema-driven and text-only baselines, but also surpasses advanced closed models such as GPT-4o and larger open-source models.

RecGPT-V2 Technical Report

Large language models (LLMs) have demonstrated remarkable potential in transforming recommender systems from implicit behavioral pattern matching to explicit intent reasoning. While RecGPT-V1 successfully pioneered this paradigm by integrating LLM-based reasoning into user interest mining and item tag prediction, it suffers from four fundamental limitations: (1) computational inefficiency and cognitive redundancy across multiple reasoning routes; (2) insufficient explanation diversity in fixed-template generation; (3) limited generalization under supervised learning paradigms; and (4) simplistic outcome-focused evaluation that fails to match human standards. To address these challenges, we present RecGPT-V2 with four key innovations. First, a Hierarchical Multi-Agent System restructures intent reasoning through coordinated collaboration, eliminating cognitive duplication while enabling diverse intent coverage. Combined with Hybrid Representation Inference that compresses user-behavior contexts, our framework reduces GPU consumption by 60% and improves exclusive recall from 9.39% to 10.99%. Second, a Meta-Prompting framework dynamically generates contextually adaptive prompts, improving explanation diversity by +7.3%. Third, constrained reinforcement learning mitigates multi-reward conflicts, achieving +24.1% improvement in tag prediction and +13.0% in explanation acceptance. Fourth, an Agent-as-a-Judge framework decomposes assessment into multi-step reasoning, improving human preference alignment. Online A/B tests on Taobao demonstrate significant improvements: +2.98% CTR, +3.71% IPV, +2.19% TV, and +11.46% NER. RecGPT-V2 establishes both the technical feasibility and commercial viability of deploying LLM-powered intent reasoning at scale, bridging the gap between cognitive exploration and industrial utility.

A Specialized Large Language Model for Clinical Reasoning and Diagnosis in Rare Diseases

Rare diseases affect hundreds of millions worldwide, yet diagnosis often spans years. Convectional pipelines decouple noisy evidence extraction from downstream inferential diagnosis, and general/medical large language models (LLMs) face scarce real world electronic health records (EHRs), stale domain knowledge, and hallucinations. We assemble a large, domain specialized clinical corpus and a clinician validated reasoning set, and develop RareSeek R1 via staged instruction tuning, chain of thought learning, and graph grounded retrieval. Across multicenter EHR narratives and public benchmarks, RareSeek R1 attains state of the art accuracy, robust generalization, and stability under noisy or overlapping phenotypes. Augmented retrieval yields the largest gains when narratives pair with prioritized variants by resolving ambiguity and aligning candidates to mechanisms. Human studies show performance on par with experienced physicians and consistent gains in assistive use. Notably, transparent reasoning highlights decisive non phenotypic evidence (median 23.1%, such as imaging, interventions, functional tests) underpinning many correct diagnoses. This work advances a narrative first, knowledge integrated reasoning paradigm that shortens the diagnostic odyssey and enables auditable, clinically translatable decision support.

Distributed Multi-Agent Bandits Over Erdős-Rényi Random Networks

We study the distributed multi-agent multi-armed bandit problem with heterogeneous rewards over random communication graphs. Uniquely, at each time step $t$ agents communicate over a time-varying random graph $G_t$ generated by applying the Erd\H{o}s-R\'enyi model to a fixed connected base graph $G$ (for classical Erd\H{o}s-R\'enyi graphs, $G$ is a complete graph), where each potential edge in $G$ is randomly and independently present with the link probability $p$. Notably, the resulting random graph is not necessarily connected at each time step. Each agent's arm rewards follow time-invariant distributions, and the reward distribution for the same arm may differ across agents. The goal is to minimize the cumulative expected regret relative to the global mean reward of each arm, defined as the average of that arm's mean rewards across all agents. To this end, we propose a fully distributed algorithm that integrates the arm elimination strategy with the random gossip algorithm. We theoretically show that the regret upper bound is of order $\log T$ and is highly interpretable, where $T$ is the time horizon. It includes the optimal centralized regret $O\left(\sum_{k: \Delta_k>0} \frac{\log T}{\Delta_k}\right)$ and an additional term $O\left(\frac{N^2 \log T}{p \lambda_{N-1}(Lap(G))} + \frac{KN^2 \log T}{p}\right)$ where $N$ and $K$ denote the total number of agents and arms, respectively. This term reflects the impact of $G$'s algebraic connectivity $\lambda_{N-1}(Lap(G))$ and the link probability $p$, and thus highlights a fundamental trade-off between communication efficiency and regret. As a by-product, we show a nearly optimal regret lower bound. Finally, our numerical experiments not only show the superiority of our algorithm over existing benchmarks, but also validate the theoretical regret scaling with problem complexity.