RadFusion: Towards Threshold-Controllable Radiology Report Generation

Automated radiology report generation is advancing rapidly in response to the shortage of radiologists, yet unlike a perception model, existing generation models offer no control over the sensitivity-specificity trade-off of their diagnostic content. Such control is essential because clinical scenarios diverge: emergency triage prioritizes sensitivity to reduce missed findings, whereas confirmatory interpretation emphasizes specificity to limit unnecessary interventions. A single fixed report can neither adapt to these scenarios nor support the ROC-based validation widely expected for regulatory clearance. We introduce RadFusion, a framework that equips report generation with threshold controllability. Our method fuses a multi-label classifier, which provides per-disease confidence scores, with a VQA-based report generator, which describes medical findings in detail; an LLM then rewrites the report so that its stated diagnoses follow the classifier's decisions at the selected threshold while staying grounded in the generator's descriptions. On MIMIC-CXR, the performance of RadFusion conforms to the classifier's ROC curve: sweeping the threshold and mapping the reports back to class labels reproduces the classifier's validated ROC performance. This conformance makes generated reports quantitatively evaluable through ROC analysis, strengthening the case for regulatory clearance, and enables operating-point selection that matches report behavior to clinical context. Moreover, combining the two model types improves diagnostic accuracy over uncontrolled generation: sensitivity increases by 6.9% at matched specificity, and specificity by 20.7% at matched sensitivity. These results show that RadFusion makes report generation clinically adaptable, quantitatively verifiable, and diagnostically more reliable.

Augmented Inverse Hybrid Weighting: Robust Inference under Deterministic and Random Distribution Shifts

Reweighting source samples to match a target covariate distribution is a standard response to distribution shift when generalizing evidence from one population to another. This strategy is well suited to deterministic, learnable covariate discrepancies, but can be insufficient when source--target population differences also contain changes beyond covariate shift or when estimation of the density-ratio weights is unstable. To address this challenge, we introduce a new model that allows non-systematic changes between two population laws after systematic shifts are accounted for. Such residual shift is modeled as random perturbations to the probability space that cannot be represented in a learnable way. In this way, we separate systematic shifts, treated as bias and corrected by reweighting, from residual random perturbations, treated as distributional uncertainty and handled through dataset pooling. Under pure random perturbations, this principle yields Augmented Inverse Distance Weighting (AIDW), which uses regression augmentation and variance-optimal dataset-level pooling. For mixed shifts, we develop Augmented Inverse Hybrid Weighting (AIHW), which interpolates between AIDW and standard augmented importance weighting. Both methods trade off sampling uncertainty and distributional uncertainty via a \emph{distributional distance} that describes the strength of random perturbations. We establish asymptotic properties of the methods, together with plug-in guidance for choosing tuning parameters and model diagnostic tools. Experiments on three real-world multi-site datasets demonstrate consistent reductions in mean-squared error compared with standard weighting baselines, along with substantially improved empirical coverage in settings where covariate-shift adjustment alone undercovers, showing the robustness of the proposed methods across diverse distribution shift scenarios.

Beyond travel mode: urban context shapes active mobility's mental health effects over time

Active mobility is widely promoted for sustainable and healthier living, but whether it translates into equitable mental health benefits across individuals and places over time remains unknown. Using causal machine learning and causal deep learning in 264168 UK adults, we find substantial inequalities in individualized effects of active mobility on anxiety, depression, and common mental disorders. These inequalities widen over time and are strongly structured by urban context. For example, anxiety risk at follow-up ranges from a 40.6% reduction to a 10.1% increase across individuals, versus a 10.4% reduction to a 0.1% increase at baseline. Benefits are greatest in greener, safer, less polluted, and less deprived neighborhood environments, with 81.8% of individuals experiencing above-average benefits and mean anxiety risk reduced by 26.4%, versus 10.4% of individuals and 7.4% reduction in the least supportive environments. Urban compact form further modifies these effects through nonlinear interactions with neighborhood environments, amplifying benefits only under supportive conditions. Despite these strong environmental gradients, genetic moderation is negligible. These findings suggest universal active mobility promotion could widen health inequalities if individual and contextual differences are not accounted for.

Prediction Sets for Counterfactual Decisions: Coverage, Optimality, and Conformal Prediction

Predictions are increasingly used to guide high-stakes decisions, from treatment selection to policy making. To ensure reliability with imperfect predictions, uncertainty quantification methods such as conformal prediction build prediction sets with coverage guarantees. However, statistical validity alone does not immediately determine the decisions to take, nor the optimality thereof. This gap is especially delicate in counterfactual settings where the outcome that materializes depends on the action taken, so uncertainty cannot be specified independently of the decision rule. We develop a decision-theoretic framework for uncertainty-informed counterfactual decisions. We identify a novel notion of \emph{policy-coupled coverage} -- namely, coverage of the realized outcome under the action induced by the prediction sets themselves -- as the optimal and lossless interface between uncertainty and action. It plays three roles. First, it justifies acting via a natural max-min rule as minimax-optimal under distributional ambiguity. Second, optimizing prediction sets under policy-coupled coverage is equivalent both to a stronger universal-coverage formulation and to the direct risk-averse optimization over policies and utility certificates; this equivalence yields the explicit form of the population-optimal prediction sets. Third, it admits a two-stage procedure, Policy-Coupled Risk-Averse Conformal Prediction (PC-RACP), that approximates these optimal sets with rigorous finite-sample coverage. Simulations and a real email-marketing experiment confirm that PC-RACP delivers higher utility than existing approaches while maintaining valid coverage, and that ignoring the counterfactual structure of the decision problem is suboptimal for both validity and utility.

Everywhere Valid Bounds on False Discovery Proportions in Conformal Inference

Modern applications of conformal inference to multiple testing problems, such as outlier detection and candidate selection, often involve selecting test samples whose conformal p-values fall below a threshold. The quality of such methods is often measured by the false discovery proportion (FDP), defined as the fraction of incorrect selections. Existing approaches typically control the expected value of the FDP, using methods such as the Benjamini-Hochberg procedure. This approach fails to provide high-probability bounds on the realized false discovery proportion and invalidates statistical guarantees if the rejection threshold is selected after inspecting the data. This paper establishes finite-sample, distribution-free upper bounds on the FDP that hold simultaneously over all possible rejection thresholds, enabling arbitrary post hoc selection of the threshold. Simultaneous validity is achieved by constructing a high-probability envelope for the empirical distribution function of null conformal p-values by sampling from their joint distribution. Furthermore, our framework allows practitioners to modulate the envelope's shape, thereby producing tight bounds in rejection regions of primary interest. We use this flexible approach to derive simultaneous FDP upper bounds for both outlier detection and conformal selection. We demonstrate through synthetic and real-data experiments that the resulting bounds are both valid and substantially less conservative than those derived from existing approaches.

Interpretable long-term traffic modelling on national road networks using theory-informed deep learning

Long-term traffic modelling is fundamental to transport planning, but existing approaches often trade off interpretability, transferability, and predictive accuracy. Classical travel demand models provide behavioural structure but rely on strong assumptions and extensive calibration, whereas generic deep learning models capture complex patterns but often lack theoretical grounding and spatial transferability, limiting their usefulness for long-term planning applications. We propose DeepDemand, a theory-informed deep learning framework that embeds key components of travel demand theory to predict long-term highway traffic volumes using external socioeconomic features and road-network structure. The framework integrates a competitive two-source Dijkstra procedure for local origin-destination (OD) region extraction and OD pair screening with a differentiable architecture modelling OD interactions and travel-time deterrence. The model is evaluated using eight years (2017-2024) of observations on the UK strategic road network, covering 5088 highway segments. Under random cross-validation, DeepDemand achieves an R2 of 0.718 and an MAE of 7406 vehicles, outperforming linear, ridge, random forest, and gravity-style baselines. Performance remains strong under spatial cross-validation (R2 = 0.665), indicating good geographic transferability. Interpretability analysis reveals a stable nonlinear travel-time deterrence pattern, key socioeconomic drivers of demand, and polycentric OD interaction structures aligned with major employment centres and transport hubs. These results highlight the value of integrating transport theory with deep learning for interpretable highway traffic modelling and practical planning applications.

Conformal Selective Prediction with General Risk Control

In deploying artificial intelligence (AI) models, selective prediction offers the option to abstain from making a prediction when uncertain about model quality. To fulfill its promise, it is crucial to enforce strict and precise error control over cases where the model is trusted. We propose Selective Conformal Risk control with E-values (SCoRE), a new framework for deriving such decisions for any trained model and any user-defined, bounded and continuously-valued risk. SCoRE offers two types of guarantees on the risk among ``positive'' cases in which the system opts to trust the model. Built upon conformal inference and hypothesis testing ideas, SCoRE first constructs a class of (generalized) e-values, which are non-negative random variables whose product with the unknown risk has expectation no greater than one. Such a property is ensured by data exchangeability without requiring any modeling assumptions. Passing these e-values on to hypothesis testing procedures, we yield the binary trust decisions with finite-sample error control. SCoRE avoids the need of uniform concentration, and can be readily extended to settings with distribution shifts. We evaluate the proposed methods with simulations and demonstrate their efficacy through applications to error management in drug discovery, health risk prediction, and large language models.

Online Selective Conformal Prediction with Asymmetric Rules: A Permutation Test Approach

Selective conformal prediction aims to construct prediction sets with valid coverage for a test unit conditional on it being selected by a data-driven mechanism. While existing methods in the offline setting handle any selection mechanism that is permutation invariant to the labeled data, their extension to the online setting -- where data arrives sequentially and later decisions depend on earlier ones -- is challenged by the fact that the selection mechanism is naturally asymmetric. As such, existing methods only address a limited collection of selection mechanisms. In this paper, we propose PErmutation-based Mondrian Conformal Inference (PEMI), a general permutation-based framework for selective conformal prediction with arbitrary asymmetric selection rules. Motivated by full and Mondrian conformal prediction, PEMI identifies all permutations of the observed data (or a Monte-Carlo subset thereof) that lead to the same selection event, and calibrates a prediction set using conformity scores over this selection-preserving reference set. Under standard exchangeability conditions, our prediction sets achieve finite-sample exact selection-conditional coverage for any asymmetric selection mechanism and any prediction model. PEMI naturally incorporates additional offline labeled data, extends to selection mechanisms with multiple test samples, and achieves FCR control with fine-grained selection taxonomies. We further work out several efficient instantiations for commonly-used online selection rules, including covariate-based rules, conformal p/e-values-based procedures, and selection based on earlier outcomes. Finally, we demonstrate the efficacy of our methods across various selection rules on a real drug discovery dataset and investigate their performance via simulations.

Scaling medical imaging report generation with multimodal reinforcement learning

Frontier models have demonstrated remarkable capabilities in understanding and reasoning with natural-language text, but they still exhibit major competency gaps in multimodal understanding and reasoning especially in high-value verticals such as biomedicine. Medical imaging report generation is a prominent example. Supervised fine-tuning can substantially improve performance, but they are prone to overfitting to superficial boilerplate patterns. In this paper, we introduce Universal Report Generation (UniRG) as a general framework for medical imaging report generation. By leveraging reinforcement learning as a unifying mechanism to directly optimize for evaluation metrics designed for end applications, UniRG can significantly improve upon supervised fine-tuning and attain durable generalization across diverse institutions and clinical practices. We trained UniRG-CXR on publicly available chest X-ray (CXR) data and conducted a thorough evaluation in CXR report generation with rigorous evaluation scenarios. On the authoritative ReXrank benchmark, UniRG-CXR sets new overall SOTA, outperforming prior state of the art by a wide margin.

Multi-Distribution Robust Conformal Prediction

In many fairness and distribution robustness problems, one has access to labeled data from multiple source distributions yet the test data may come from an arbitrary member or a mixture of them. We study the problem of constructing a conformal prediction set that is uniformly valid across multiple, heterogeneous distributions, in the sense that no matter which distribution the test point is from, the coverage of the prediction set is guaranteed to exceed a pre-specified level. We first propose a max-p aggregation scheme that delivers finite-sample, multi-distribution coverage given any conformity scores associated with each distribution. Upon studying several efficiency optimization programs subject to uniform coverage, we prove the optimality and tightness of our aggregation scheme, and propose a general algorithm to learn conformity scores that lead to efficient prediction sets after the aggregation under standard conditions. We discuss how our framework relates to group-wise distributionally robust optimization, sub-population shift, fairness, and multi-source learning. In synthetic and real-data experiments, our method delivers valid worst-case coverage across multiple distributions while greatly reducing the set size compared with naively applying max-p aggregation to single-source conformity scores, and can be comparable in size to single-source prediction sets with popular, standard conformity scores.