Harness-R1: Learning to Edit Executable Runtime Harnesses from Agent Failure Trajectories

Agents built around large language models continually accumulate interaction trajectories during deployment, yet their behavior typically remains fixed. Beyond updating model weights, these trajectories can improve the agent harness that constructs context, mediates tools, validates actions, and recovers execution. We introduce Harness-R1, the first method, to our knowledge, that makes failure-conditioned, lifecycle-wide editing of an existing executable runtime a learned capability. It post-trains a dedicated harness engineer with online reinforcement learning so that its edits are optimized for the realized task success they produce, rather than proposed by a fixed editor. A separate 9B engineer converts batches of target-agent failures into validated executable patches; fresh same-batch reruns of the frozen target provide outcome rewards, so training updates only the engineer. Cold-start supervised fine-tuning initializes this editing policy, which is then trained online with group-relative policy optimization. Across WebShop, ALFWorld, and DBBench, Harness-R1 raises vanilla Qwen3.5-9B success from 44.3% to 53.6% (+9.3 percentage points). After direct target-agent fine-tuning, a target-specific engineer raises the average further from 59.2% to 64.2% (+5.0 points); because these gains hold both before and after fine-tuning the target, Harness-R1 points toward co-evolving the harness engineer and the target agent.

Exploring Post-Training Alignment of Small Language Models for Biomedical Data-to-Text Generation: A Case Study of Medication Leaflet

Translating complex biomedical data into patient-friendly narratives is central to modern biomedical informatics. This study presents a comparative analysis of training small language models (SLMs) in specialized biomedical datato-text generation tasks. We explore widely adopted post-training methods including supervised fine-tuning (SFT), direct preference optimization (DPO), odds ratio preference optimization (ORPO), and group relative policy optimization (GRPO) with Qwen-based SLMs on a medicine package leaflets dataset. To assess cross-dataset generalizability, we also curated drug label data from openFDA. We evaluate models using both standard lexical overlap metrics like ROUGE as well as semantic similarity measures. Across our experiments, the results show that (1) the aligned SLMs outperform proprietary models like GPT-5; (2) ORPO outperforms the SFTbaselines; (3) GRPO yields the most robust cross-dataset performance among the alignment methods tested as well as GPT-5.

GenVid2Robot: From Video Generation to Robot Manipulation via Rigid-Geometric Consistency

Generated videos provide useful visual motion priors for robot manipulation, but their visual plausibility does not imply physical executability. A generated video usually lacks metric geometry, grasp grounding, robot kinematic feasibility, and execution-time feedback, which makes direct trajectory replay unreliable in real-world manipulation. This paper presents GenVid2Robot, a rigid-geometric consistency framework that converts generated video motion into executable real-robot manipulation trajectories. Given an initial RGB-D observation and a task instruction, GenVid2Robot samples task-relevant semantic anchors from the real first frame, tracks these anchors through generated video candidates, and verifies whether the resulting 2D motion can be explained by first-frame RGB-D anchors under a sparse relative $SE(3)$ model. In this way, generated videos are treated as uncertain visual motion hypotheses rather than direct robot demonstrations. Only geometrically consistent motion is transferred to the robot. The accepted relative motion is then applied to the real grasp-time TCP pose selected by mask-constrained grasping, producing a grasp-conditioned execution trajectory that is consistent with both the visual motion prior and the physical grasp configuration. To reduce execution mismatch caused by RGB-D noise, calibration residuals, and small contact-induced displacement, a bounded depth-compensation module corrects local depth-direction errors without assuming full online replanning. Real-robot experiments demonstrate that GenVid2Robot improves the reliability of generated-video-guided manipulation by grounding visual motion priors with sparse metric geometry, grasp constraints, robot feasibility checking, and bounded execution feedback.

CIPHER: Causal Intervention Pathways for Healthcare Equity and Robustness

Deep learning models for medical diagnosis frequently exhibit substantial performance disparities across sensitive subgroups (e.g., race, sex), even when average accuracy is high. While generative data augmentation offers a route to mitigate this, existing strategies are suboptimal; they typically address only one or two dependency channels between sensitive attributes and image features. We formalize the medical image formation process via a structural causal model, revealing that sensitive attributes actually influence image content through four distinct pathways-a structural complexity neglected by prior works. Based on this insight, we introduce CIPHER (Causal Intervention Pathways for Healthcare Equity and Robustness), a framework designed to systematically intervene on all four causal paths. To achieve this, CIPHER utilizes a diffusion backbone equipped with classifier-free guidance and null-text inversion. This technical design enables the faithful reconstruction of patient-specific anatomy while allowing for the precise, editable synthesis of counterfactuals required to break sensitive dependency chains. We tested CIPHER using chest X-ray and dermoscopy benchmarks across both standard and shifted data distributions. By employing a multi-pathway intervention strategy, our model reduced worst-group disparities by an average of 35.8% compared to disease-conditioned synthesis baselines, while also improving total diagnostic accuracy

X-Mind: Efficient Visual Chain-of-Thought via Predictive World Model for End-to-End Driving

Predicting future states is essential for autonomous agents, yet current Vision-Language-Action (VLA) models fundamentally lack this capability, relying instead on reactive perception-action mapping. While integrating Predictive World Models (PWMs) addresses this gap, existing approaches either incur prohibitive cascaded latency or act as shallow terminal tasks that fail to deeply embed forward-looking reasoning. To endow VLA models with this reasoning capability, we propose X-Mind. Rather than treating PWMs as an external auxiliary module, this framework internalizes them as the Visual Chain-of-Thought (Visual CoT). By enforcing a world rollout prior to action, the model is constrained to imagine future evolution first, yielding a driving policy that is robustly grounded in environmental dynamics and aware of the future consequences its actions will unfold. The challenge here is efficiency, and we tackle it on two fronts. First, we introduce a compact representation of visual thinking: an abstract sketch that fuses a Bird's-Eye-View (BEV) layout with abstract driving priors (e.g., navigation intents and traffic rules). Rather than rolling out dense future frames, the model reasons over this sketch as a mental canvas; aided by a Deep Compression Autoencoder (DC-AE), a 12-frame future rollout is reduced to merely 96 tokens, alleviating the long-context computational bottleneck. Second, to accelerate generation further, we propose a recurrent block diffusion scheme that unrolls the denoising steps across the layers of the large drive model, folding iterative refinement into the backbone's one forward pass. Trained and validated on large-scale real-world data, X-Mind achieves competitive end-to-end driving performance, which makes it a highly practical, low-latency solution that successfully deploys large-scale cognitive reasoning directly onto resource-constrained vehicle platforms.

Enhancing Brain MRI Anomaly Detection and Reasoning with ROI Rethink and Synthetic Data

Medical vision-language models typically generate diagnoses through single-pass inference without indicating which image regions support their conclusions. This lack of spatial grounding limits clinical utility: outputs cannot be audited, and models may hallucinate findings on normal scans. We present BrReMark (Brain Rethink via ROI Marking), a framework that introduces explicit region marking into brain MRI diagnosis. The model first generates hypotheses about potential abnormalities and grounds them through explicit bounding box marking, then verifies conclusions by re-examining the marked evidence. Training combines supervised fine-tuning on structured reasoning trajectories with reinforcement learning using a composite reward over localization accuracy and diagnostic reasoning. Furthermore, we integrate a domain randomization-based pathology synthesis augmentation strategy to improve the model's generalizability to out-of-distribution (OOD) data. On internal benchmark, BrReMark improves mAP50 from 0.74% to 37.54% compared to the base model, while achieving 21.57% Clinical F1 and 45.26% diagnostic accuracy. On NOVA OOD benchmark, it also achieves competitive overall performance with a 45.7% reduction in false positives compared to the state-of-the-art, indicating reduced hallucination on rare pathologies. These findings suggest that explicit hypothesis-verification grounding is a practical path toward trustworthy open-ended brain MRI diagnosis across both in-distribution and OOD settings.

Prompt, Plan, Extract: Zero-Shot Agentic LLMs Workflows for Lung Pathology Extraction from Clinical Narratives

Information extraction from pathology reports is essential for cancer staging, tumor registry population. Yet key data remains embedded in narrative reports, making manual extraction labor-intensive and error-prone. Traditional supervised Natural Language Processing pipelines address this through fully supervised Named Entity Recognition and Relation Extraction, but require expensive manual annotation and suffer cascading failures when upstream entities are missed. In this study, we developed a zero-shot, agentic workflow, and evaluated five open-source generative Large Language Models (LLMs) to populate 13 College of American Pathologists synoptic fields from lung resection pathology reports. We compared them against a state-of-the-art supervised GatorTron NER-RE baseline using a novel, registry-aligned evaluation framework. The baseline achieved Micro-F1of 0.960, while the best zero-shot model (GPT-OSS-20B) achieved Micro-F1 of 0.893 (recall: 0.949), accurately extracting complex relations like Pathologic Stage without task-specific training. These results suggest that open-source, zero-shot agentic LLMs are a low-cost solution for extracting lung pathology information.

Defining Robust Ultrasound Quality Metrics via an Ultrasound Foundation Model

Clinicians lack a principled framework to quantify diagnostic utility in ultrasound reconstructions. Existing standards like PSNR and VGG-LPIPS are inadequate, failing to account for modality-specific physics or the structural nuances of acoustic imaging. We close this gap with a TinyUSFM-based evaluation framework featuring two distinct metrics: TinyUSFM-uLPIPS, a full-reference perceptual distance based on multi-layer token relations, and TinyUSFM-NRQ, a deployable no-reference quality score utilizing clean-manifold modeling and worst-region aggregation to detect localized harmful artifacts. We demonstrate that the presented metrics have four unique advantages: 1) Task-linked quality, where TinyUSFM-uLPIPS achieves superior calibration with semantic task damage, accurately reflecting Dice-score drops in segmentation where VGG-based metrics fail; 2) Cross-organ comparability, maintaining stable scoring scales and consistent severity rankings across diverse anatomical sites and domain-shifted data; 3) PSNR-consistent sensitivity, with TinyUSFM-NRQ providing a reliable quality score without ground-truth images that remains consistent with traditional fidelity benchmarks (i.e. PSNR); and 4) Clinical utility, improving the prediction of expert preference from 47.2$\%$ to 72.8$\%$ accuracy and producing super-resolution reconstructions preferred by sonographers. By integrating these advantages into a unified assessment and optimization loop, this work establishes a modality-aligned standard that finally bridges the gap between algorithmic performance and diagnostic utility. https://github.com/sextant-fable/US-Metrics

EchoAgent: Towards Reliable Echocardiography Interpretation with "Eyes","Hands" and "Minds"

Reliable interpretation of echocardiography (Echo) is crucial for assessing cardiac function, which demands clinicians to synchronously orchestrate multiple capabilities, including visual observation (eyes), manual measurement (hands), and expert knowledge learning and reasoning (minds). While current task-specific deep-learning approaches and multimodal large language models have demonstrated promise in assisting Echo analysis through automated segmentation or reasoning, they remain focused on restricted skills, i.e., eyes-hands or eyes-minds, thereby limiting clinical reliability and utility. To address these issues, we propose EchoAgent, an agentic system tailored for end-to-end Echo interpretation, which achieves a fully coordinated eyes-hands-minds workflow that learns, observes, operates, and reasons like a cardiac sonographer. First, we introduce an expertise-driven cognition engine where our agent can automatically assimilate credible Echo guidelines into a structured knowledge base, thus constructing an Echo-customized mind. Second, we devise a hierarchical collaboration toolkit to endow EchoAgent with eyes-hands, which can automatically parse Echo video streams, identify cardiac views, perform anatomical segmentation, and quantitative measurement. Third, we integrate the perceived multimodal evidence with the exclusive knowledge base into an orchestrated reasoning hub to conduct explainable inferences. We evaluate EchoAgent on CAMUS and MIMIC-EchoQA datasets, which cover 48 distinct echocardiographic views spanning 14 cardiac anatomical regions. Experimental results show that EchoAgent achieves optimal performance across diverse structure analyses, yielding overall accuracy of up to 80.00%. Importantly, EchoAgent empowers a single system with abilities to learn, observe, operate and reason like an echocardiologist, which holds great promise for reliable Echo interpretation.

PolyFormer: learning efficient reformulations for scalable optimization under complex physical constraints

Real-world optimization problems are often constrained by complex physical laws that limit computational scalability. These constraints are inherently tied to complex regions, and thus learning models that incorporate physical and geometric knowledge, i.e., physics-informed machine learning (PIML), offer a promising pathway for efficient solution. Here, we introduce PolyFormer, which opens a new direction for PIML in prescriptive optimization tasks, where physical and geometric knowledge is not merely used to regularize learning models, but to simplify the problems themselves. PolyFormer captures geometric structures behind constraints and transforms them into efficient polytopic reformulations, thereby decoupling problem complexity from solution difficulty and enabling off-the-shelf optimization solvers to efficiently produce feasible solutions with acceptable optimality loss. Through evaluations across three important problems (large-scale resource aggregation, network-constrained optimization, and optimization under uncertainty), PolyFormer achieves computational speedups up to 6,400-fold and memory reductions up to 99.87%, while maintaining solution quality competitive with or superior to state-of-the-art methods. These results demonstrate that PolyFormer provides an efficient and reliable solution for scalable constrained optimization, expanding the scope of PIML to prescriptive tasks in scientific discovery and engineering applications.