SymptomAI: Towards a Conversational AI Agent for Everyday Symptom Assessment

Language models excel at diagnostic assessments on currated medical case-studies and vignettes, performing on par with, or better than, clinical professionals. However, existing studies focus on complex scenarios with rich context making it difficult to draw conclusions about how these systems perform for patients reporting symptoms in everyday life. We deployed SymptomAI, a set of conversational AI agents for end-to-end patient interviewing and differential diagnosis (DDx), via the Fitbit app in a study that randomized participants (N=13,917) to interact with five AI agents. This corpus captures diverse communication and a realistic distribution of illnesses from a real world population. A subset of 1,228 participants reported a clinician-provided diagnosis, and 517 of these were further evaluated by a panel of clinicians during over 250 hours of annotation. SymptomAI DDx were significantly more accurate (OR = 2.47, p < 0.001) than those from independent clinicians given the same dialogue in a blinded randomized comparison. Moreover, agentic strategies which conduct a dedicated symptom interview that elicit additional symptom information before providing a diagnosis, perform substantially better than baseline, user-guided conversations (p < 0.001). An auxiliary analysis on 1,509 conversations from a general US population panel validated that these results generalize beyond wearable device users. We used SymptomAI diagnoses as labels for all 13,917 participants to analyze over 500,000 days of wearable metrics across nearly 400 unique conditions. We identified strong associations between acute infections and physiological shifts (e.g., OR > 7 for influenza). While limited by self-reported ground truth, these results demonstrate the benefits of a dedicated and complete symptom interview compared to a user-guided symptom discussion, which is the default of most consumer LLMs.

Listening Deepfake Detection: A New Perspective Beyond Speaking-Centric Forgery Analysis

Existing deepfake detection research has primarily focused on scenarios where the manipulated subject is actively speaking, i.e., generating fabricated content by altering the speaker's appearance or voice. However, in realistic interaction settings, attackers often alternate between falsifying speaking and listening states to mislead their targets, thereby enhancing the realism and persuasiveness of the scenario. Although the detection of 'listening deepfakes' remains largely unexplored and is hindered by a scarcity of both datasets and methodologies, the relatively limited quality of synthesized listening reactions presents an excellent breakthrough opportunity for current deepfake detection efforts. In this paper, we present the task of Listening Deepfake Detection (LDD). We introduce ListenForge, the first dataset specifically designed for this task, constructed using five Listening Head Generation (LHG) methods. To address the distinctive characteristics of listening forgeries, we propose MANet, a Motion-aware and Audio-guided Network that captures subtle motion inconsistencies in listener videos while leveraging speaker's audio semantics to guide cross-modal fusion. Extensive experiments demonstrate that existing Speaking Deepfake Detection (SDD) models perform poorly in listening scenarios. In contrast, MANet achieves significantly superior performance on ListenForge. Our work highlights the necessity of rethinking deepfake detection beyond the traditional speaking-centric paradigm and opens new directions for multimodal forgery analysis in interactive communication settings. The dataset and code are available at https://anonymous.4open.science/r/LDD-B4CB.

MSCT: Differential Cross-Modal Attention for Deepfake Detection

Audio-visual deepfake detection typically employs a complementary multi-modal model to check the forgery traces in the video. These methods primarily extract forgery traces through audio-visual alignment, which results from the inconsistency between audio and video modalities. However, the traditional multi-modal forgery detection method has the problem of insufficient feature extraction and modal alignment deviation. To address this, we propose a multi-scale cross-modal transformer encoder (MSCT) for deepfake detection. Our approach includes a multi-scale self-attention to integrate the features of adjacent embeddings and a differential cross-modal attention to fuse multi-modal features. Our experiments demonstrate competitive performance on the FakeAVCeleb dataset, validating the effectiveness of the proposed structure.

Unleashing Spatial Reasoning in Multimodal Large Language Models via Textual Representation Guided Reasoning

Existing Multimodal Large Language Models (MLLMs) struggle with 3D spatial reasoning, as they fail to construct structured abstractions of the 3D environment depicted in video inputs. To bridge this gap, drawing inspiration from cognitive theories of allocentric spatial reasoning, we investigate how to enable MLLMs to model and reason over text-based spatial representations of video. Specifically, we introduce Textual Representation of Allocentric Context from Egocentric Video (TRACE), a prompting method that induces MLLMs to generate text-based representations of 3D environments as intermediate reasoning traces for more accurate spatial question answering. TRACE encodes meta-context, camera trajectories, and detailed object entities to support structured spatial reasoning over egocentric videos. Extensive experiments on VSI-Bench and OST-Bench demonstrate that TRACE yields notable and consistent improvements over prior prompting strategies across a diverse range of MLLM backbones, spanning different parameter scales and training schemas. We further present ablation studies to validate our design choices, along with detailed analyses that probe the bottlenecks of 3D spatial reasoning in MLLMs.

The Llama 4 Herd: Architecture, Training, Evaluation, and Deployment Notes

This document consolidates publicly reported technical details about Metas Llama 4 model family. It summarizes (i) released variants (Scout and Maverick) and the broader herd context including the previewed Behemoth teacher model, (ii) architectural characteristics beyond a high-level MoE description covering routed/shared-expert structure, early-fusion multimodality, and long-context design elements reported for Scout (iRoPE and length generalization strategies), (iii) training disclosures spanning pre-training, mid-training for long-context extension, and post-training methodology (lightweight SFT, online RL, and lightweight DPO) as described in release materials, (iv) developer-reported benchmark results for both base and instruction-tuned checkpoints, and (v) practical deployment constraints observed across major serving environments, including provider-specific context limits and quantization packaging. The manuscript also summarizes licensing obligations relevant to redistribution and derivative naming, and reviews publicly described safeguards and evaluation practices. The goal is to provide a compact technical reference for researchers and practitioners who need precise, source-backed facts about Llama 4.

The Effectiveness of Approximate Regularized Replay for Efficient Supervised Fine-Tuning of Large Language Models

Although parameter-efficient fine-tuning methods, such as LoRA, only modify a small subset of parameters, they can have a significant impact on the model. Our instruction-tuning experiments show that LoRA-based supervised fine-tuning can catastrophically degrade model capabilities, even when trained on very small datasets for relatively few steps. With that said, we demonstrate that while the most straightforward approach (that is likely the most used in practice) fails spectacularly, small tweaks to the training procedure with very little overhead can virtually eliminate the problem. Particularly, in this paper we consider a regularized approximate replay approach which penalizes KL divergence with respect to the initial model and interleaves in data for next token prediction from a different, yet similar, open access corpus to what was used in pre-training. When applied to Qwen instruction-tuned models, we find that this recipe preserves general knowledge in the model without hindering plasticity to new tasks by adding a modest amount of computational overhead.

In the Eye of MLLM: Benchmarking Egocentric Video Intent Understanding with Gaze-Guided Prompting

The emergence of advanced multimodal large language models (MLLMs) has significantly enhanced AI assistants' ability to process complex information across modalities. Recently, egocentric videos, by directly capturing user focus, actions, and context in an unified coordinate, offer an exciting opportunity to enable proactive and personalized AI user experiences with MLLMs. However, existing benchmarks overlook the crucial role of gaze as an indicator of user intent. To address this gap, we introduce EgoGazeVQA, an egocentric gaze-guided video question answering benchmark that leverages gaze information to improve the understanding of longer daily-life videos. EgoGazeVQA consists of gaze-based QA pairs generated by MLLMs and refined by human annotators. Our experiments reveal that existing MLLMs struggle to accurately interpret user intentions. In contrast, our gaze-guided intent prompting methods significantly enhance performance by integrating spatial, temporal, and intent-related cues. We further conduct experiments on gaze-related fine-tuning and analyze how gaze estimation accuracy impacts prompting effectiveness. These results underscore the value of gaze for more personalized and effective AI assistants in egocentric settings.

Q-function Decomposition with Intervention Semantics with Factored Action Spaces

Many practical reinforcement learning environments have a discrete factored action space that induces a large combinatorial set of actions, thereby posing significant challenges. Existing approaches leverage the regular structure of the action space and resort to a linear decomposition of Q-functions, which avoids enumerating all combinations of factored actions. In this paper, we consider Q-functions defined over a lower dimensional projected subspace of the original action space, and study the condition for the unbiasedness of decomposed Q-functions using causal effect estimation from the no unobserved confounder setting in causal statistics. This leads to a general scheme which we call action decomposed reinforcement learning that uses the projected Q-functions to approximate the Q-function in standard model-free reinforcement learning algorithms. The proposed approach is shown to improve sample complexity in a model-based reinforcement learning setting. We demonstrate improvements in sample efficiency compared to state-of-the-art baselines in online continuous control environments and a real-world offline sepsis treatment environment.

Learning Predictive Visuomotor Coordination

Understanding and predicting human visuomotor coordination is crucial for applications in robotics, human-computer interaction, and assistive technologies. This work introduces a forecasting-based task for visuomotor modeling, where the goal is to predict head pose, gaze, and upper-body motion from egocentric visual and kinematic observations. We propose a \textit{Visuomotor Coordination Representation} (VCR) that learns structured temporal dependencies across these multimodal signals. We extend a diffusion-based motion modeling framework that integrates egocentric vision and kinematic sequences, enabling temporally coherent and accurate visuomotor predictions. Our approach is evaluated on the large-scale EgoExo4D dataset, demonstrating strong generalization across diverse real-world activities. Our results highlight the importance of multimodal integration in understanding visuomotor coordination, contributing to research in visuomotor learning and human behavior modeling.

A Generalist Hanabi Agent

Traditional multi-agent reinforcement learning (MARL) systems can develop cooperative strategies through repeated interactions. However, these systems are unable to perform well on any other setting than the one they have been trained on, and struggle to successfully cooperate with unfamiliar collaborators. This is particularly visible in the Hanabi benchmark, a popular 2-to-5 player cooperative card-game which requires complex reasoning and precise assistance to other agents. Current MARL agents for Hanabi can only learn one specific game-setting (e.g., 2-player games), and play with the same algorithmic agents. This is in stark contrast to humans, who can quickly adjust their strategies to work with unfamiliar partners or situations. In this paper, we introduce Recurrent Replay Relevance Distributed DQN (R3D2), a generalist agent for Hanabi, designed to overcome these limitations. We reformulate the task using text, as language has been shown to improve transfer. We then propose a distributed MARL algorithm that copes with the resulting dynamic observation- and action-space. In doing so, our agent is the first that can play all game settings concurrently, and extend strategies learned from one setting to other ones. As a consequence, our agent also demonstrates the ability to collaborate with different algorithmic agents -- agents that are themselves unable to do so. The implementation code is available at: $\href{https://github.com/chandar-lab/R3D2-A-Generalist-Hanabi-Agent}{R3D2-A-Generalist-Hanabi-Agent}$