Self-Normalized Inference for Constant-Stepsize Temporal-Difference Learning under Markovian Sampling

Constant-stepsize temporal-difference (TD) learning is attractive for policy evaluation, but inference from a single Markov trajectory must account for serial dependence and a stepsize-dependent stationary target. For fixed-stepsize linear TD, we establish a functional central limit theorem whose covariance retains the multiplicative component induced by the random TD matrix and the stationary iterate error. We then derive a joint functional limit for parallel Richardson--Romberg (RR) recursions driven by the same trajectory. A Brownian-bridge self-normalizer yields asymptotically pivotal confidence regions for prespecified state-value contrasts without estimating the long-run covariance or selecting a bandwidth or batch length. For such a contrast, the procedure admits a one-pass implementation whose memory does not grow with the trajectory length. At a fixed stepsize, the inferential center is the RR stationary target. We also study horizon-indexed designs in which the stepsize remains constant within each run and decreases across longer horizons. Under an explicit RR-dependent rate window, the residual RR target shift, multiplicative remainder, and initialization effect are negligible at the root-$n$ scale, yielding inference for the projected Bellman solution. Experiments on FrozenLake and Garnet illustrate stationary-target coverage, RR target correction, and the finite-sample behavior of the horizon-indexed design.

EpiScreen: Early Epilepsy Detection from Electronic Health Records with Large Language Models

Epilepsy and psychogenic non-epileptic seizures often present with similar seizure-like manifestations but require fundamentally different management strategies. Misdiagnosis is common and can lead to prolonged diagnostic delays, unnecessary treatments, and substantial patient morbidity. Although prolonged video-electroencephalography is the diagnostic gold standard, its high cost and limited accessibility hinder timely diagnosis. Here, we developed a low-cost, effective approach, EpiScreen, for early epilepsy detection by utilizing routinely collected clinical notes from electronic health records. Through fine-tuning large language models on labeled notes, EpiScreen achieved an AUC of up to 0.875 on the MIMIC-IV dataset and 0.980 on a private cohort of the University of Minnesota. In a clinician-AI collaboration setting, EpiScreen-assisted neurologists outperformed unaided experts by up to 10.9%. Overall, this study demonstrates that EpiScreen supports early epilepsy detection, facilitating timely and cost-effective screening that may reduce diagnostic delays and avoid unnecessary interventions, particularly in resource-limited regions.

MedCL-Bench: Benchmarking stability-efficiency trade-offs and scaling in biomedical continual learning

Medical language models must be updated as evidence and terminology evolve, yet sequential updating can trigger catastrophic forgetting. Although biomedical NLP has many static benchmarks, no unified, task-diverse benchmark exists for evaluating continual learning under standardized protocols, robustness to task order and compute-aware reporting. We introduce MedCL-Bench, which streams ten biomedical NLP datasets spanning five task families and evaluates eleven continual learning strategies across eight task orders, reporting retention, transfer, and GPU-hour cost. Across backbones and task orders, direct sequential fine-tuning on incoming tasks induces catastrophic forgetting, causing update-induced performance regressions on prior tasks. Continual learning methods occupy distinct retention-compute frontiers: parameter-isolation provides the best retention per GPU-hour, replay offers strong protection at higher cost, and regularization yields limited benefit. Forgetting is task-dependent, with multi-label topic classification most vulnerable and constrained-output tasks more robust. MedCL-Bench provides a reproducible framework for auditing model updates before deployment.

HeartAgent: An Autonomous Agent System for Explainable Differential Diagnosis in Cardiology

Heart diseases remain a leading cause of morbidity and mortality worldwide, necessitating accurate and trustworthy differential diagnosis. However, existing artificial intelligence-based diagnostic methods are often limited by insufficient cardiology knowledge, inadequate support for complex reasoning, and poor interpretability. Here we present HeartAgent, a cardiology-specific agent system designed to support a reliable and explainable differential diagnosis. HeartAgent integrates customized tools and curated data resources and orchestrates multiple specialized sub-agents to perform complex reasoning while generating transparent reasoning trajectories and verifiable supporting references. Evaluated on the MIMIC dataset and a private electronic health records cohort, HeartAgent achieved over 36% and 20% improvements over established comparative methods, in top-3 diagnostic accuracy, respectively. Additionally, clinicians assisted by HeartAgent demonstrated gains of 26.9% in diagnostic accuracy and 22.7% in explanatory quality compared with unaided experts. These results demonstrate that HeartAgent provides reliable, explainable, and clinically actionable decision support for cardiovascular care.

To Reason or Not to: Selective Chain-of-Thought in Medical Question Answering

Objective: To improve the efficiency of medical question answering (MedQA) with large language models (LLMs) by avoiding unnecessary reasoning while maintaining accuracy. Methods: We propose Selective Chain-of-Thought (Selective CoT), an inference-time strategy that first predicts whether a question requires reasoning and generates a rationale only when needed. Two open-source LLMs (Llama-3.1-8B and Qwen-2.5-7B) were evaluated on four biomedical QA benchmarks-HeadQA, MedQA-USMLE, MedMCQA, and PubMedQA. Metrics included accuracy, total generated tokens, and inference time. Results: Selective CoT reduced inference time by 13-45% and token usage by 8-47% with minimal accuracy loss ($\leq$4\%). In some model-task pairs, it achieved both higher accuracy and greater efficiency than standard CoT. Compared with fixed-length CoT, Selective CoT reached similar or superior accuracy at substantially lower computational cost. Discussion: Selective CoT dynamically balances reasoning depth and efficiency by invoking explicit reasoning only when beneficial, reducing redundancy on recall-type questions while preserving interpretability. Conclusion: Selective CoT provides a simple, model-agnostic, and cost-effective approach for medical QA, aligning reasoning effort with question complexity to enhance real-world deployability of LLM-based clinical systems.

Dynamic Residual Encoding with Slide-Level Contrastive Learning for End-to-End Whole Slide Image Representation

Whole Slide Image (WSI) representation is critical for cancer subtyping, cancer recognition and mutation prediction.Training an end-to-end WSI representation model poses significant challenges, as a standard gigapixel slide can contain tens of thousands of image tiles, making it difficult to compute gradients of all tiles in a single mini-batch due to current GPU limitations. To address this challenge, we propose a method of dynamic residual encoding with slide-level contrastive learning (DRE-SLCL) for end-to-end WSI representation. Our approach utilizes a memory bank to store the features of tiles across all WSIs in the dataset. During training, a mini-batch usually contains multiple WSIs. For each WSI in the batch, a subset of tiles is randomly sampled and their features are computed using a tile encoder. Then, additional tile features from the same WSI are selected from the memory bank. The representation of each individual WSI is generated using a residual encoding technique that incorporates both the sampled features and those retrieved from the memory bank. Finally, the slide-level contrastive loss is computed based on the representations and histopathology reports ofthe WSIs within the mini-batch. Experiments conducted over cancer subtyping, cancer recognition, and mutation prediction tasks proved the effectiveness of the proposed DRE-SLCL method.

GateFuseNet: An Adaptive 3D Multimodal Neuroimaging Fusion Network for Parkinson's Disease Diagnosis

Accurate diagnosis of Parkinson's disease (PD) from MRI remains challenging due to symptom variability and pathological heterogeneity. Most existing methods rely on conventional magnitude-based MRI modalities, such as T1-weighted images (T1w), which are less sensitive to PD pathology than Quantitative Susceptibility Mapping (QSM), a phase-based MRI technique that quantifies iron deposition in deep gray matter nuclei. In this study, we propose GateFuseNet, an adaptive 3D multimodal fusion network that integrates QSM and T1w images for PD diagnosis. The core innovation lies in a gated fusion module that learns modality-specific attention weights and channel-wise gating vectors for selective feature modulation. This hierarchical gating mechanism enhances ROI-aware features while suppressing irrelevant signals. Experimental results show that our method outperforms three existing state-of-the-art approaches, achieving 85.00% accuracy and 92.06% AUC. Ablation studies further validate the contributions of ROI guidance, multimodal integration, and fusion positioning. Grad-CAM visualizations confirm the model's focus on clinically relevant pathological regions. The source codes and pretrained models can be found at https://github.com/YangGaoUQ/GateFuseNet

PychoBench: Evaluating the Psychology Intelligence of Large Language Models

Large Language Models (LLMs) have demonstrated remarkable success across a wide range of industries, primarily due to their impressive generative abilities. Yet, their potential in applications requiring cognitive abilities, such as psychological counseling, remains largely untapped. This paper investigates the key question: Can LLMs be effectively applied to psychological counseling? To determine whether an LLM can effectively take on the role of a psychological counselor, the first step is to assess whether it meets the qualifications required for such a role, namely the ability to pass the U.S. National Counselor Certification Exam (NCE). This is because, just as a human counselor must pass a certification exam to practice, an LLM must demonstrate sufficient psychological knowledge to meet the standards required for such a role. To address this, we introduce PsychoBench, a benchmark grounded in U.S.national counselor examinations, a licensure test for professional counselors that requires about 70% accuracy to pass. PsychoBench comprises approximately 2,252 carefully curated single-choice questions, crafted to require deep understanding and broad enough to cover various sub-disciplines of psychology. This benchmark provides a comprehensive assessment of an LLM's ability to function as a counselor. Our evaluation shows that advanced models such as GPT-4o, Llama3.3-70B, and Gemma3-27B achieve well above the passing threshold, while smaller open-source models (e.g., Qwen2.5-7B, Mistral-7B) remain far below it. These results suggest that only frontier LLMs are currently capable of meeting counseling exam standards, highlighting both the promise and the challenges of developing psychology-oriented LLMs.

Data Quality Enhancement on the Basis of Diversity with Large Language Models for Text Classification: Uncovered, Difficult, and Noisy

In recent years, the use of large language models (LLMs) for text classification has attracted widespread attention. Despite this, the classification accuracy of LLMs has not yet universally surpassed that of smaller models. LLMs can enhance their performance in text classification through fine-tuning. However, existing data quality research based on LLMs is challenging to apply directly to solve text classification problems. To further improve the performance of LLMs in classification tasks, this paper proposes a data quality enhancement (DQE) method for text classification based on LLMs. This method starts by using a greedy algorithm to select data, dividing the dataset into sampled and unsampled subsets, and then performing fine-tuning of the LLMs using the sampled data. Subsequently, this model is used to predict the outcomes for the unsampled data, categorizing incorrectly predicted data into uncovered, difficult, and noisy data. Experimental results demonstrate that our method effectively enhances the performance of LLMs in text classification tasks and significantly improves training efficiency, saving nearly half of the training time. Our method has achieved state-of-the-art performance in several open-source classification tasks.

MolMetaLM: a Physicochemical Knowledge-Guided Molecular Meta Language Model

Most current molecular language models transfer the masked language model or image-text generation model from natural language processing to molecular field. However, molecules are not solely characterized by atom/bond symbols; they encapsulate important physical/chemical properties. Moreover, normal language models bring grammar rules that are irrelevant for understanding molecules. In this study, we propose a novel physicochemical knowledge-guided molecular meta language framework MolMetaLM. We design a molecule-specialized meta language paradigm, formatted as multiple <S,P,O> (subject, predicate, object) knowledge triples sharing the same S (i.e., molecule) to enhance learning the semantic relationships between physicochemical knowledge and molecules. By introducing different molecular knowledge and noises, the meta language paradigm generates tens of thousands of pretraining tasks. By recovering the token/sequence/order-level noises, MolMetaLM exhibits proficiency in large-scale benchmark evaluations involving property prediction, molecule generation, conformation inference, and molecular optimization. Through MolMetaLM, we offer a new insight for designing language models.