Mirror: A Multi-Agent System for AI-Assisted Ethics Review

Ethics review is a foundational mechanism of modern research governance, yet contemporary systems face increasing strain as ethical risks arise as structural consequences of large-scale, interdisciplinary scientific practice. The demand for consistent and defensible decisions under heterogeneous risk profiles exposes limitations in institutional review capacity rather than in the legitimacy of ethics oversight. Recent advances in large language models (LLMs) offer new opportunities to support ethics review, but their direct application remains limited by insufficient ethical reasoning capability, weak integration with regulatory structures, and strict privacy constraints on authentic review materials. In this work, we introduce Mirror, an agentic framework for AI-assisted ethical review that integrates ethical reasoning, structured rule interpretation, and multi-agent deliberation within a unified architecture. At its core is EthicsLLM, a foundational model fine-tuned on EthicsQA, a specialized dataset of 41K question-chain-of-thought-answer triples distilled from authoritative ethics and regulatory corpora. EthicsLLM provides detailed normative and regulatory understanding, enabling Mirror to operate in two complementary modes. Mirror-ER (expedited Review) automates expedited review through an executable rule base that supports efficient and transparent compliance checks for minimal-risk studies. Mirror-CR (Committee Review) simulates full-board deliberation through coordinated interactions among expert agents, an ethics secretary agent, and a principal investigator agent, producing structured, committee-level assessments across ten ethical dimensions. Empirical evaluations demonstrate that Mirror significantly improves the quality, consistency, and professionalism of ethics assessments compared with strong generalist LLMs.

Tracing the Heart's Pathways: ECG Representation Learning from a Cardiac Conduction Perspective

The multi-lead electrocardiogram (ECG) stands as a cornerstone of cardiac diagnosis. Recent strides in electrocardiogram self-supervised learning (eSSL) have brightened prospects for enhancing representation learning without relying on high-quality annotations. Yet earlier eSSL methods suffer a key limitation: they focus on consistent patterns across leads and beats, overlooking the inherent differences in heartbeats rooted in cardiac conduction processes, while subtle but significant variations carry unique physiological signatures. Moreover, representation learning for ECG analysis should align with ECG diagnostic guidelines, which progress from individual heartbeats to single leads and ultimately to lead combinations. This sequential logic, however, is often neglected when applying pre-trained models to downstream tasks. To address these gaps, we propose CLEAR-HUG, a two-stage framework designed to capture subtle variations in cardiac conduction across leads while adhering to ECG diagnostic guidelines. In the first stage, we introduce an eSSL model termed Conduction-LEAd Reconstructor (CLEAR), which captures both specific variations and general commonalities across heartbeats. Treating each heartbeat as a distinct entity, CLEAR employs a simple yet effective sparse attention mechanism to reconstruct signals without interference from other heartbeats. In the second stage, we implement a Hierarchical lead-Unified Group head (HUG) for disease diagnosis, mirroring clinical workflow. Experimental results across six tasks show a 6.84% improvement, validating the effectiveness of CLEAR-HUG. This highlights its ability to enhance representations of cardiac conduction and align patterns with expert diagnostic guidelines.