Rethink Before You Execute: Adaptive Execution for World Action Models

World Action Models (WAMs) jointly predict future actions and the evolution of the environment. At each inference, a WAM generates a chunk of actions and the robot executes a fixed prefix before replanning. We argue that this fixed execution horizon is poorly matched to execution dynamics: the chunk reliability varies across task stages, so when to replan depends on the result of accumulated execution, not on the step counts. We propose TempoWAM (Timing Execution by Monitoring Progress Online), a lightweight plug-and-play execution scheme for WAMs. A Recurrent Progress Monitor first estimates task progress from the current observation, task instruction, remaining actions, and execution history; and an Adaptive Execution Protocol then evaluates whether the chunk is advancing the task to decide if replanning is needed. To bridge the training-deployment gap, the protocol is calibrated by a task-dependent calibration factor with online adaptation. Experiments on LIBERO, RoboTwin, and real-world tasks show that TempoWAM consistently improves the efficiency-success trade-off of WAM execution. On real robots, it reduces WAM inferences by 26.9% on easy tasks while maintaining success, and improves success by 13.3 points on difficult tasks.

CliniCARE-Bench: Clinical Calibrated Audit of Medical Reasoning in EHR

Large language models perform strongly on medical knowledge benchmarks, but reliable clinical deployment requires agents to conduct defensible investigations over heterogeneous, longitudinal records: determining what evidence is needed, retrieving and reconciling structured and free-text data, grounding conclusions in verifiable evidence, and deferring cases that cannot be resolved reliably. We introduce CliniCARE-Bench (Clinical Calibrated Audit of Medical Reasoning in EHR), a benchmark for retrospective clinical audit: 25 clinician-validated scenarios instantiated as 750 patient-specific cases over real-patient-derived MIMIC-IV data. Systems investigate each case through a governed, logged tool environment for record retrieval, computation, and policy access, and return one of four verdicts---Yes, No, Indeterminate: Lack of Data, or Indeterminate: Medically Ambiguous---the last two separating missing evidence from residual medical ambiguity. Beyond verdict accuracy, we score patient-evidence and policy grounding, process adherence, calibrated abstention, reliability, and efficiency against case-level reference verdicts produced by independent multi-model adjudication and calibrated against Clinical Board review. Every retrieval, computation, and report is replayable, so the investigation trace is inspectable and scorable. To our knowledge, CliniCARE-Bench is the first deployment-oriented clinical-agent benchmark to jointly evaluate real longitudinal EHR investigation, claim-level evidence grounding, governing-policy use, process adherence, and calibrated abstention within a common patient-level adjudication framework. Across 16 agentic systems, four-way accuracy spans 65.3-76.1%, but raw accuracy overstates investigation quality. Defect-free accuracy, which credits a verdict only when correct and free of prohibited shortcuts, is 4.8-14.8 points lower and reorders the leaderboard.

HarnessOpt-Bench: Evaluating LLMs at Harness Optimization

As LLMs are increasingly deployed within agentic systems, their capabilities depend not only on the model weights but also on the harness: the prompts, tools, control flow, memory, and orchestration code surrounding them. This makes automated harness optimization -- the iterative and evaluation-guided improvement of a harness by an AI system -- both an important route to improving AI systems and a demanding capability for AI systems themselves. Yet the community lacks a common protocol for measuring how well frontier LLMs perform at this task. We introduce HarnessOpt-Bench, a benchmark for end-to-end harness optimization under expensive and stochastic evaluation. An optimizer, an LLM paired with a coding harness, receives a target agent's seed harness, graded evaluation feedback, and a fixed target-evaluation budget. It edits the harness and nominates a final candidate, which is scored by its normalized gain over the seed on a held-out test partition that remains inaccessible throughout search. A trusted execution environment enforces the evaluation boundary, meters target-agent resource use, and preserves candidate versions for audit. We evaluate 5 frontier LLMs as optimizers both under a shared coding harness and under their native harnesses across 4 downstream tasks, over 111 scored runs. Experiment results show that optimizer models separate more than the coding harnesses they act through, native harnesses are not consistently superior, and gains vary substantially across tasks and seed regimes. These results establish harness optimization as a measurable and discriminative capability with large space for improvement.

Automatic LV Localization and Short-Axis Plane Estimation from Arbitrary CMR Slice

Accurate estimation of left ventricular (LV) orientation is essential for cardiac magnetic resonance (CMR) imaging and downstream analysis. Existing methods typically formulate orientation recognition as discrete view classification or rely on multi-slice geometric intersection, limiting their ability to model continuous 3D orientation and generalize across arbitrary slices. This work introduces a novel paradigm: Joint LV localization and 3D orientation estimation from a single CMR slice. To investigate this setting, representative orientation-aware detection frameworks are adapted to the CMR domain, and their limitations are analyzed. Upon that, we propose the Polar-Coupled Circular (PCC) embedding that provides a continuous and unambiguous orientation representation to address the limitations. Meanwhile, a scalable benchmark is constructed through automatic slice sampling from volumetric CMR segmentation datasets. Extensive experiments on four datasets demonstrate strong performance, achieving an average mIoU of 86.18% and an average angle deviation of 3.39°. This study establishes a new task setting for single-slice LV orientation modeling and provides a geometry-consistent framework for spatially informed CMR analysis. Code is available at https://github.com/yuyi1005/cmr-3d-ood.

The Path to Self-Evolving Clinical Systems: Scaling Medical Agents from Assistance to Autonomy

The growing ability of large language models and vision language models to jointly interpret and reason over images and text is reshaping medical agents, moving them from task specific predictors toward autonomous systems that perceive, reason, plan, remember, and act in clinical environments. This work departs from the capability first perspective of existing literature and instead begins from clinical deployment, asking what tasks, contamination resistant benchmarks, and interactive training environments are required before medical agents can be trusted in practice. Medical agents are formalized as sequential decision making systems under partial observability, together with a three level autonomy taxonomy spanning assisted, cooperative, and fully autonomous operation. The field is organized along a unified scaling spine consisting of framework scaling, capability scaling, and environment scaling. Within this framework, clinical environment scaling, the integration of tools, data, and clinical gyms, is identified as the most actionable yet underexplored direction for agents operating in PACS, EHR, and FHIR ecosystems. Clinical self evolution, where agents improve through interaction with their environments rather than parameter scaling alone, is further positioned as a key research frontier, drawing insights from self improving agents, agent gyms, and test time compute scaling. Applications across radiology, pathology, ophthalmology, and hospital workflows are examined together with deployment challenges including hallucination, cascading failures, and fairness. By consolidating more than 300 references, with particular emphasis on advances from 2025 to 2026, this work provides a roadmap toward trustworthy, self improving medical imaging systems for real clinical practice.

Precision Recall Controllable Radiology Report Generation via Hybrid Natural Language and Clinical Reward Learning

Automated radiology report generation (RRG) has gained increasing attention because it can reduce the heavy workload of clinical report writing. However, most existing methods mainly optimize for natural language generation (NLG) metrics that focus on language fluency, while providing little control over clinically important factors such as precision and recall. As consequence, generated reports may be fluent but not well aligned with different clinical needs. To address this challenge, we propose a reinforcement learning framework for precision recall controllable RRG, where a control parameter explicitly adjusts the trade-off between clinical precision and recall during inference. This design allows the model to flexibly generate reports according to different clinical requirements. To ensure clinical correctness, we introduce a clinical reward into the training objective, which helps improve clinical efficacy (CE) beyond standard language-based optimization. In addition, we apply a group-relative training strategy that normalizes rewards within each training group, reducing reward variance and improving training stability. Extensive experiments on the MIMIC-CXR dataset show that our method consistently outperforms state-of-the-art approaches in both NLG and CE evaluation metrics, while providing reliable control over the CE precision recall trade-off.

The ACUTE Protocol: Operationalizing Language Model Activations for Better Calibration, Utility, and Trust

As language models improve and become increasingly deployed to solve a variety of tasks, trustworthiness becomes essential. Calibration is a good proxy for trust: well-calibrated confidence estimates help inform the risk versus reward tradeoff when trusting a specific model output. Unfortunately, even as models improve, they remain poorly calibrated, often biasing towards overconfidence. Additionally, calibration can be gamed: a policy that always predicts the base rate is perfectly calibrated, but completely uninformative. To resolve this, we develop a new metric, expected utility renormalized by the oracle (EURO), that balances calibration and informativeness. We also propose a general-purpose activation-based confidence, utility, and trust estimation protocol (ACUTE) to appropriately adjudicate uncertainty. The ACUTE protocol provides flexible, sample-efficient, and compute-efficient confidence estimators for 3 tasks including multiple choice question answering, tool-calling, and scientific document summarization across 6 models from 4 model families. ACUTE outperforms strong baselines on EURO, while maintaining low calibration error. Taken together, our work shows that equipping LLMs with the ACUTE protocol can improve calibration, utility, and trustworthiness in numerous settings.

PSEBench: A Controllable and Verifiable Benchmark for Evaluating LLMs in Patient Safety Event Triage

Patient safety event triage, determining whether a clinical event is reportable under jurisdiction-specific policy, is a high-stakes task typically performed manually by patient safety experts. Although LLMs may support this workflow, reliable evaluation is limited by the lack of benchmarks to capture evidence-grounded policy reasoning, proactive information seeking for incomplete reports, and principled abstention in irreducibly ambiguous cases. We address this gap with a policy-grounded construction methodology centered on the clause card, a structured representation that factorizes regulatory text into auditable decision specifications. Combining clause cards with anchor-driven instantiation and closed-loop verification, our scalable pipeline produces narratives with by-construction ground truth and naturally supports generating missing information and uncertain variants. We instantiate this method on Minnesota's 29 Reportable Adverse Health Events, producing PSEBench, a 5,074-case benchmark with an agentic evaluation environment. Evaluation on 15 representative LLMs reveals consistent capability trends, demonstrates the benchmark's utility, and identifies actionable gaps toward reliable LLM-based patient safety event triage.

G-DRAGON: Geospatial Reasoning and Dynamic Planning for Retrieval-Augmented Outdoor Navigation

Autonomous ground robots operating in large-scale outdoor environments require both robust long-range navigation and fine-grained ''last-mile'' exploration. Current advances in visual-language navigation (VLN) work well at short-range tasks, lacking geospatial grounding for long-distance missions. Some OpenStreetMap (OSM)-based methods relying on cloud-based Large Language Models (LLMs) are prone to factual hallucination and cannot conduct ''last-mile'' exploration based on human instruction. To address these challenges, we present G-DRAGON, a retrieval-augmented framework for outdoor, open-world navigation. This framework maps natural-language commands to versioned, local OSM entities via generative retrieval based on lightweight LLM, yielding accurate coordinates for global route planning. A high-level planning module bridges global topological routes with the SLAM system, projecting geospatial waypoints into the robot's navigable frame. For the ''last mile," the framework transitions to frontier-based exploration and open-set semantic voxel mapping to localize open-vocabulary targets. Experimental results in simulation demonstrate our framework outperforms state-of-the-art baselines. Furthermore, we validate the system in unseen real-world urban environments on an Unmanned Ground Vehicle (UGV), successfully completing person-search missions with trajectories of up to 500m.

Coverage, Not Averages: Semantic Stratification for Trustworthy Retrieval Evaluation

Retrieval quality is the primary bottleneck for accuracy and robustness in retrieval-augmented generation (RAG). Current evaluation relies on heuristically constructed query sets, which introduce a hidden intrinsic bias. We formalize retrieval evaluation as a statistical estimation problem, showing that metric reliability is fundamentally limited by the evaluation-set construction. We further introduce \emph{semantic stratification}, which grounds evaluation in corpus structure by organizing documents into an interpretable global space of entity-based clusters and systematically generating queries for missing strata. This yields (1) formal semantic coverage guarantees across retrieval regimes and (2) interpretable visibility into retrieval failure modes. Experiments across multiple benchmarks and retrieval methods validate our framework. The results expose systematic coverage gaps, identify structural signals that explain variance in retrieval performance, and show that stratified evaluation yields more stable and transparent assessments while supporting more trustworthy decision-making than aggregate metrics.