BEAR: Towards Beam-Search-Aware Optimization for Recommendation with Large Language Models

Recent years have witnessed a rapid surge in research leveraging Large Language Models (LLMs) for recommendation. These methods typically employ supervised fine-tuning (SFT) to adapt LLMs to recommendation scenarios, and utilize beam search during inference to efficiently retrieve $B$ top-ranked recommended items. However, we identify a critical training-inference inconsistency: while SFT optimizes the overall probability of positive items, it does not guarantee that such items will be retrieved by beam search even if they possess high overall probabilities. Due to the greedy pruning mechanism, beam search can prematurely discard a positive item once its prefix probability is insufficient. To address this inconsistency, we propose BEAR (Beam-SEarch-Aware Regularization), a novel fine-tuning objective that explicitly accounts for beam search behavior during training. Rather than directly simulating beam search for each instance during training, which is computationally prohibitive, BEAR enforces a relaxed necessary condition: each token in a positive item must rank within the top-$B$ candidate tokens at each decoding step. This objective effectively mitigates the risk of incorrect pruning while incurring negligible computational overhead compared to standard SFT. Extensive experiments across four real-world datasets demonstrate that BEAR significantly outperforms strong baselines. Code will be released upon acceptance.

Talos: Optimizing Top-$K$ Accuracy in Recommender Systems

Recommender systems (RS) aim to retrieve a small set of items that best match individual user preferences. Naturally, RS place primary emphasis on the quality of the Top-$K$ results rather than performance across the entire item set. However, estimating Top-$K$ accuracy (e.g., Precision@$K$, Recall@$K$) requires determining the ranking positions of items, which imposes substantial computational overhead and poses significant challenges for optimization. In addition, RS often suffer from distribution shifts due to evolving user preferences or data biases, further complicating the task. To address these issues, we propose Talos, a loss function that is specifically designed to optimize the Talos recommendation accuracy. Talos leverages a quantile technique that replaces the complex ranking-dependent operations into simpler comparisons between predicted scores and learned score thresholds. We further develop a sampling-based regression algorithm for efficient and accurate threshold estimation, and introduce a constraint term to maintain optimization stability by preventing score inflation. Additionally, we incorporate a tailored surrogate function to address discontinuity and enhance robustness against distribution shifts. Comprehensive theoretical analyzes and empirical experiments are conducted to demonstrate the effectiveness, efficiency, convergence, and distributional robustness of Talos. The code is available at https://github.com/cynthia-shengjia/WWW-2026-Talos.

Making medical vision-language models think causally across modalities with retrieval-augmented cross-modal reasoning

Medical vision-language models (VLMs) achieve strong performance in diagnostic reporting and image-text alignment, yet their underlying reasoning mechanisms remain fundamentally correlational, exhibiting reliance on superficial statistical associations that fail to capture the causal pathophysiological mechanisms central to clinical decision-making. This limitation makes them fragile, prone to hallucinations, and sensitive to dataset biases. Retrieval-augmented generation (RAG) offers a partial remedy by grounding predictions in external knowledge. However, conventional RAG depends on semantic similarity, introducing new spurious correlations. We propose Multimodal Causal Retrieval-Augmented Generation, a framework that integrates causal inference principles with multimodal retrieval. It retrieves clinically relevant exemplars and causal graphs from external sources, conditioning model reasoning on counterfactual and interventional evidence rather than correlations alone. Applied to radiology report generation, diagnosis prediction, and visual question answering, it improves factual accuracy, robustness to distribution shifts, and interpretability. Our results highlight causal retrieval as a scalable path toward medical VLMs that think beyond pattern matching, enabling trustworthy multimodal reasoning in high-stakes clinical settings.

MambaControl: Anatomy Graph-Enhanced Mamba ControlNet with Fourier Refinement for Diffusion-Based Disease Trajectory Prediction

Modelling disease progression in precision medicine requires capturing complex spatio-temporal dynamics while preserving anatomical integrity. Existing methods often struggle with longitudinal dependencies and structural consistency in progressive disorders. To address these limitations, we introduce MambaControl, a novel framework that integrates selective state-space modelling with diffusion processes for high-fidelity prediction of medical image trajectories. To better capture subtle structural changes over time while maintaining anatomical consistency, MambaControl combines Mamba-based long-range modelling with graph-guided anatomical control to more effectively represent anatomical correlations. Furthermore, we introduce Fourier-enhanced spectral graph representations to capture spatial coherence and multiscale detail, enabling MambaControl to achieve state-of-the-art performance in Alzheimer's disease prediction. Quantitative and regional evaluations demonstrate improved progression prediction quality and anatomical fidelity, highlighting its potential for personalised prognosis and clinical decision support.

PSL: Rethinking and Improving Softmax Loss from Pairwise Perspective for Recommendation

Softmax Loss (SL) is widely applied in recommender systems (RS) and has demonstrated effectiveness. This work analyzes SL from a pairwise perspective, revealing two significant limitations: 1) the relationship between SL and conventional ranking metrics like DCG is not sufficiently tight; 2) SL is highly sensitive to false negative instances. Our analysis indicates that these limitations are primarily due to the use of the exponential function. To address these issues, this work extends SL to a new family of loss functions, termed Pairwise Softmax Loss (PSL), which replaces the exponential function in SL with other appropriate activation functions. While the revision is minimal, we highlight three merits of PSL: 1) it serves as a tighter surrogate for DCG with suitable activation functions; 2) it better balances data contributions; and 3) it acts as a specific BPR loss enhanced by Distributionally Robust Optimization (DRO). We further validate the effectiveness and robustness of PSL through empirical experiments. The code is available at https://github.com/Tiny-Snow/IR-Benchmark.