WISTERIA: Learning Clinical Representations from Noisy Supervision via Multi-View Consistency in Electronic Health Records

Representation learning in electronic health records (EHR) has largely followed paradigms inherited from natural language processing, relying on sequence modeling and reconstruction based objectives that treat clinical labels as ground truth. However, real world clinical supervision is inherently weak, arising from heterogeneous, noisy, and institution specific labeling processes such as billing codes, heuristic phenotypes, and incomplete annotations. In this work, we propose WISTERIA, a weakly supervised representation learning framework that models labels as stochastic observations of an underlying latent clinical state. Instead of optimizing against a single supervision signal, WISTERIA constructs multiple weak supervision operators and learns representations by enforcing consistency across their induced label distributions. This multi view formulation induces an implicit denoising mechanism, allowing the model to recover clinically meaningful structure by reconciling disagreement between noisy labelers. We further incorporate ontology aware regularization in the label space to impose semantic structure over supervision signals. Empirically, WISTERIA improves predictive performance across standard EHR benchmarks, demonstrates strong robustness to label noise, and exhibits superior cross institutional generalization compared to sequence based pretraining objectives. These results suggest that explicitly modeling the supervision process rather than treating labels as fixed targets provides a more appropriate inductive bias for learning robust and clinically meaningful representations from EHR data.

From Knowledge to Action: Outcomes of the 2025 Large Language Model (LLM) Hackathon for Applications in Materials Science and Chemistry

Large language models (LLMs) are rapidly changing how researchers in materials science and chemistry discover, organize, and act on scientific knowledge. This paper analyzes a broad set of community-developed LLM applications in an effort to identify emerging patterns in how these systems can be used across the scientific research lifecycle. We organize the projects into two complementary categories: Knowledge Infrastructure, systems that structure, retrieve, synthesize, and validate scientific information; and Action Systems, systems that execute, coordinate, or automate scientific work across computational and experimental environments. The submissions reveal a shift from single-purpose LLM tools toward integrated, multi-agent workflows that combine retrieval, reasoning, tool use, and domain-specific validation. Prominent themes include retrieval-augmented generation as grounding infrastructure, persistent structured knowledge representations, multimodal and multilingual scientific inputs, and early progress toward laboratory-integrated closed-loop systems. Together, these results suggest that LLMs are evolving from general-purpose assistants into composable infrastructure for scientific reasoning and action. This work provides a community snapshot of that transition and a practical taxonomy for understanding emerging LLM-enabled workflows in materials science and chemistry.

Uncertainty-Aware Foundation Models for Clinical Data

Healthcare foundation models have largely followed paradigms from natural language processing and computer vision, emphasizing large scale pretraining and deterministic representations over heterogeneous clinical data. However, clinical observations are inherently incomplete, reflecting sparse, irregular, and modality dependent measurements of an underlying physiologic state. In this work, we propose a framework for uncertainty aware foundation modeling that represents each patient not as a point embedding, but as a distribution over plausible latent states. By learning set valued representations and enforcing consistency across partial views of the same patient, the model captures what is invariantly inferable while explicitly encoding epistemic uncertainty. We integrate this formulation with multimodal encoders and scalable self supervised objectives, combining reconstruction, contrastive alignment, and distributional regularization. Across diverse clinical tasks, our approach improves predictive performance, robustness under missing data, and uncertainty calibration relative to strong baselines. These results suggest that modeling what is not observed rather than only what is constitutes a critical inductive bias for healthcare foundation models.

SurgTEMP: Temporal-Aware Surgical Video Question Answering with Text-guided Visual Memory for Laparoscopic Cholecystectomy

Surgical procedures are inherently complex and risky, requiring extensive expertise and constant focus to well navigate evolving intraoperative scenes. Computer-assisted systems such as surgical visual question answering (VQA) offer promises for education and intraoperative support. Current surgical VQA research largely focuses on static frame analysis, overlooking rich temporal semantics. Surgical video question answering is further challenged by low visual contrast, its highly knowledge-driven nature, diverse analytical needs spanning scattered temporal windows, and the hierarchy from basic perception to high-level intraoperative assessment. To address these challenges, we propose SurgTEMP, a multimodal LLM framework featuring (i) a query-guided token selection module that builds hierarchical visual memory (spatial and temporal memory banks) and (ii) a Surgical Competency Progression (SCP) training scheme. Together, these components enable effective modeling of variable-length surgical videos while preserving procedure-relevant cues and temporal coherence, and better support diverse downstream assessment tasks. To support model development, we introduce CholeVidQA-32K, a surgical video question answering dataset comprising 32K open-ended QA pairs and 3,855 video segments (approximately 128 h total) from laparoscopic cholecystectomy. The dataset is organized into a three-level hierarchy -- Perception, Assessment, and Reasoning -- spanning 11 tasks from instrument/action/anatomy perception to Critical View of Safety (CVS), intraoperative difficulty, skill proficiency, and adverse event assessment. In comprehensive evaluations against state-of-the-art open-source multimodal and video LLMs (fine-tuned and zero-shot), SurgTEMP achieves substantial performance improvements, advancing the state of video-based surgical VQA.

Discriminative Representation Learning for Clinical Prediction

Foundation models in healthcare have largely adopted self supervised pretraining objectives inherited from natural language processing and computer vision, emphasizing reconstruction and large scale representation learning prior to downstream adaptation. We revisit this paradigm in outcome centric clinical prediction settings and argue that, when high quality supervision is available, direct outcome alignment may provide a stronger inductive bias than generative pretraining. We propose a supervised deep learning framework that explicitly shapes representation geometry by maximizing inter class separation relative to within class variance, thereby concentrating model capacity along clinically meaningful axes. Across multiple longitudinal electronic health record tasks, including mortality and readmission prediction, our approach consistently outperforms masked, autoregressive, and contrastive pretraining baselines under matched model capacity. The proposed method improves discrimination, calibration, and sample efficiency, while simplifying the training pipeline to a single stage optimization. These findings suggest that in low entropy, outcome driven healthcare domains, supervision can act as the statistically optimal driver of representation learning, challenging the assumption that large scale self supervised pretraining is a prerequisite for strong clinical performance.

Dense Feature Learning via Linear Structure Preservation in Medical Data

Deep learning models for medical data are typically trained using task specific objectives that encourage representations to collapse onto a small number of discriminative directions. While effective for individual prediction problems, this paradigm underutilizes the rich structure of clinical data and limits the transferability, stability, and interpretability of learned features. In this work, we propose dense feature learning, a representation centric framework that explicitly shapes the linear structure of medical embeddings. Our approach operates directly on embedding matrices, encouraging spectral balance, subspace consistency, and feature orthogonality through objectives defined entirely in terms of linear algebraic properties. Without relying on labels or generative reconstruction, dense feature learning produces representations with higher effective rank, improved conditioning, and greater stability across time. Empirical evaluations across longitudinal EHR data, clinical text, and multimodal patient representations demonstrate consistent improvements in downstream linear performance, robustness, and subspace alignment compared to supervised and self supervised baselines. These results suggest that learning to span clinical variation may be as important as learning to predict clinical outcomes, and position representation geometry as a first class objective in medical AI.

Where It Moves, It Matters: Referring Surgical Instrument Segmentation via Motion

Enabling intuitive, language-driven interaction with surgical scenes is a critical step toward intelligent operating rooms and autonomous surgical robotic assistance. However, the task of referring segmentation, localizing surgical instruments based on natural language descriptions, remains underexplored in surgical videos, with existing approaches struggling to generalize due to reliance on static visual cues and predefined instrument names. In this work, we introduce SurgRef, a novel motion-guided framework that grounds free-form language expressions in instrument motion, capturing how tools move and interact across time, rather than what they look like. This allows models to understand and segment instruments even under occlusion, ambiguity, or unfamiliar terminology. To train and evaluate SurgRef, we present Ref-IMotion, a diverse, multi-institutional video dataset with dense spatiotemporal masks and rich motion-centric expressions. SurgRef achieves state-of-the-art accuracy and generalization across surgical procedures, setting a new benchmark for robust, language-driven surgical video segmentation.

Learning Longitudinal Health Representations from EHR and Wearable Data

Foundation models trained on electronic health records show strong performance on many clinical prediction tasks but are limited by sparse and irregular documentation. Wearable devices provide dense continuous physiological signals but lack semantic grounding. Existing methods usually model these data sources separately or combine them through late fusion. We propose a multimodal foundation model that jointly represents electronic health records and wearable data as a continuous time latent process. The model uses modality specific encoders and a shared temporal backbone pretrained with self supervised and cross modal objectives. This design produces representations that are temporally coherent and clinically grounded. Across forecasting physiological and risk modeling tasks the model outperforms strong electronic health record only and wearable only baselines especially at long horizons and under missing data. These results show that joint electronic health record and wearable pretraining yields more faithful representations of longitudinal health.

A Unified Graph-based Framework for Scalable 3D Tree Reconstruction and Non-Destructive Biomass Estimation from Point Clouds

Estimating forest above-ground biomass (AGB) is crucial for assessing carbon storage and supporting sustainable forest management. Quantitative Structural Model (QSM) offers a non-destructive approach to AGB estimation through 3D tree structural reconstruction. However, current QSM methods face significant limitations, as they are primarily designed for individual trees,depend on high-quality point cloud data from terrestrial laser scanning (TLS), and also require multiple pre-processing steps that hinder scalability and practical deployment. This study presents a novel unified framework that enables end-to-end processing of large-scale point clouds using an innovative graph-based pipeline. The proposed approach seamlessly integrates tree segmentation,leaf-wood separation and 3D skeletal reconstruction through dedicated graph operations including pathing and abstracting for tree topology reasoning. Comprehensive validation was conducted on datasets with varying leaf conditions (leaf-on and leaf-off), spatial scales (tree- and plot-level), and data sources (TLS and UAV-based laser scanning, ULS). Experimental results demonstrate strong performance under challenging conditions, particularly in leaf-on scenarios (~20% relative error) and low-density ULS datasets with partial coverage (~30% relative error). These findings indicate that the proposed framework provides a robust and scalable solution for large-scale, non-destructive AGB estimation. It significantly reduces dependency on specialized pre-processing tools and establishes ULS as a viable alternative to TLS. To our knowledge, this is the first method capable of enabling seamless, end-to-end 3D tree reconstruction at operational scales. This advancement substantially improves the feasibility of QSM-based AGB estimation, paving the way for broader applications in forest inventory and climate change research.

Temporal Entailment Pretraining for Clinical Language Models over EHR Data

Clinical language models have achieved strong performance on downstream tasks by pretraining on domain specific corpora such as discharge summaries and medical notes. However, most approaches treat the electronic health record as a static document, neglecting the temporally-evolving and causally entwined nature of patient trajectories. In this paper, we introduce a novel temporal entailment pretraining objective for language models in the clinical domain. Our method formulates EHR segments as temporally ordered sentence pairs and trains the model to determine whether a later state is entailed by, contradictory to, or neutral with respect to an earlier state. Through this temporally structured pretraining task, models learn to perform latent clinical reasoning over time, improving their ability to generalize across forecasting and diagnosis tasks. We pretrain on a large corpus derived from MIMIC IV and demonstrate state of the art results on temporal clinical QA, early warning prediction, and disease progression modeling.