Abstract:Large Language Model (LLM) agents are increasingly expected to maintain coherent, long-term personalized memory, yet current benchmarks primarily measure static fact retrieval, overlooking the ability to revise stored beliefs when new evidence emerges. We identify a critical and underexplored failure mode, Implicit Conflict: a later observation invalidates an earlier memory without explicit negation, requiring contextual inference and commonsense reasoning to detect. To rigorously evaluate this capability, we introduce STALE, a benchmark of 400 expert-validated conflict scenarios (1,200 evaluation queries across three probing dimensions) spanning over 100 everyday topics with contexts up to 150K tokens. We propose a three-dimensional probing framework that tests State Resolution (detecting that a prior belief is outdated), Premise Resistance (rejecting queries that falsely presuppose a stale state), and Implicit Policy Adaptation (proactively applying updated states in downstream behavior). A systematic evaluation of frontier LLMs and specialized memory frameworks reveals a pervasive gap between retrieving updated evidence and acting on it, with even the best evaluated model achieving only 55.2% overall accuracy. Models often accept outdated assumptions embedded in a user's query, and they struggle to recognize when a change in one aspect of the user's state should invalidate related memories. To establish an initial baseline for state-aware memory, we further present CUPMem, a prototype that strengthens write-time revision through structured state consolidation and propagation-aware search, suggesting that explicit state adjudication is a promising direction for robust agentic memory.
Abstract:Large language models (LLMs) show promise in medical diagnosis, but real-world deployment remains challenging due to high-stakes clinical decisions and imperfect reasoning reliability. As a result, careful inspection of model behavior is essential for assessing whether diagnostic reasoning is reliable and clinically grounded. However, debugging medical LLMs remains difficult. First, developers often lack sufficient medical domain expertise to interpret model errors in clinically meaningful terms. Second, models can fail across a large and diverse set of instances involving different input types, tasks, and reasoning steps, making it challenging for developers to prioritize which errors deserve focused inspection. Third, developers struggle to identify recurring error patterns across cases, as existing debugging practices are largely instance-centric and rely on manual inspection of isolated failures. To address these challenges, we present VeriLLMed, a visual analytics system that integrates external biomedical knowledge to audit and debug medical LLM diagnostic reasoning. VeriLLMed transforms model outputs into comparable reasoning paths, constructs knowledge graph-grounded reference paths, and identifies three recurring classes of diagnosis errors: relation errors, branch errors, and missing errors. Case studies and expert evaluation demonstrate that VeriLLMed helps developers identify clinically implausible reasoning and generate actionable insights that can inform the improvement of medical LLMs.
Abstract:Despite the success of Vision-Language Models (VLMs), misleading charts remain a significant challenge due to their deceptive visual structures and distorted data representations. We present ChartCynics, an agentic dual-path framework designed to unmask visual deception via a "skeptical" reasoning paradigm. Unlike holistic models, ChartCynics decouples perception from verification: a Diagnostic Vision Path captures structural anomalies (e.g., inverted axes) through strategic ROI cropping, while an OCR-Driven Data Path ensures numerical grounding. To resolve cross-modal conflicts, we introduce an Agentic Summarizer optimized via a two-stage protocol: Oracle-Informed SFT for reasoning distillation and Deception-Aware GRPO for adversarial alignment. This pipeline effectively penalizes visual traps and enforces logical consistency. Evaluations on two benchmarks show that ChartCynics achieves 74.43% and 64.55% accuracy, providing an absolute performance boost of ~29% over the Qwen3-VL-8B backbone, outperforming state-of-the-art proprietary models. Our results demonstrate that specialized agentic workflows can grant smaller open-source models superior robustness, establishing a new foundation for trustworthy chart interpretation.
Abstract:Recent advancements in Large Language Models (LLMs) have demonstrated significant promise in clinical diagnosis. However, current models struggle to emulate the iterative, diagnostic hypothesis-driven reasoning of real clinical scenarios. Specifically, current LLMs suffer from three critical limitations: (1) generating hallucinated medical content due to weak grounding in verified knowledge, (2) asking redundant or inefficient questions rather than discriminative ones that hinder diagnostic progress, and (3) losing coherence over multi-turn dialogues, leading to contradictory or inconsistent conclusions. To address these challenges, we propose MedKGI, a diagnostic framework grounded in clinical practices. MedKGI integrates a medical knowledge graph (KG) to constrain reasoning to validated medical ontologies, selects questions based on information gain to maximize diagnostic efficiency, and adopts an OSCE-format structured state to maintain consistent evidence tracking across turns. Experiments on clinical benchmarks show that MedKGI outperforms strong LLM baselines in both diagnostic accuracy and inquiry efficiency, improving dialogue efficiency by 30% on average while maintaining state-of-the-art accuracy.