MedGuideX: Internalizing Decision Logic from Executable Guidelines into Large Language Models for Clinical Reasoning

Clinical practice guidelines (CPGs) encode evidence-based decision logic that clinicians apply by evaluating patient variables, conditional criteria, and recommendation rules. However, existing methods often use CPGs as free-text training data or retrieval sources, underutilizing their procedural decision structure. To better exploit this structure, we introduce a guideline-derived training pipeline that transforms CPG recommendations into executable clinical decision logic and uses it to generate factual and counterfactual question-answering data. Theses data teach models both guideline-supported decisions and how decisions change under different patient conditions. Post-training a medical LLM on the generated data yields MedGuideX. Across four clinical reasoning benchmarks, MedGuideX achieves a 10.28% relative improvement in average accuracy. Physician evaluation further shows that MedGuideX better recovers clinician authored reasoning steps and produces physician-preferred rationales in faithfulness, validity, completeness, and clarity. Overall, our results show that executable decision logic from CPGs can be transformed into scalable supervision for building reliable medical LLMs.

Maestro: Reinforcement Learning to Orchestrate Hierarchical Model-Skill Ensembles

The proliferation of large language models (LLMs) and modular skills has endowed autonomous agents with increasingly powerful capabilities. Existing frameworks typically rely on monolithic LLMs and fixed logic to interface with these skills. This gives rise to a critical bottleneck: different LLMs offer distinct advantages across diverse domains, yet current frameworks fail to exploit the complementary strengths of models and skills, thereby limiting their performance on downstream tasks. In this paper, we present Maestro (Multimodal Agent for Expert-Skill Targeted Reinforced Orchestration), a Reinforcement Learning (RL)-driven orchestration framework that reframes heterogeneous multimodal tasks as a sequential decision-making process over a hierarchical model-skill registry. Rather than consolidating all knowledge into a single model, Maestro trains a lightweight policy to dynamically compose ensembles of frozen expert models and a two-tier skill library, deciding at each step whether to invoke an external expert, which model-skill pair to select, and when to terminate. The policy is optimized via outcome-based RL, requiring no step-level supervision. We evaluate Maestro across ten representative multimodal benchmarks spanning mathematical reasoning, chart understanding, high-resolution perception, and domain-specific analysis. With only a 4B orchestrator, Maestro achieves an average accuracy of 70.1%, surpassing both GPT-5 (69.3%) and Gemini-2.5-Pro (68.7%). Crucially, the learned coordination policy generalizes to unseen models and skills without retraining: augmenting the registry with out-of-domain experts yields a 59.5% average on four challenging benchmarks, outperforming all closed-source baselines. Maestro further maintains high computational efficiency with low latency. The source code is available at https://github.com/jinyangwu/Maestro.

Draft Less, Retrieve More: Hybrid Tree Construction for Speculative Decoding

Speculative decoding (SD) accelerates large language model inference by leveraging a draft-then-verify paradigm. To maximize the acceptance rate, recent methods construct expansive draft trees, which unfortunately incur severe VRAM bandwidth and computational overheads that bottleneck end-to-end speedups. While dynamic-depth pruning can reduce this latency by removing marginal branches, it also discards potentially valid candidates, preventing the acceptance rate from reaching the upper bound of dense trees. In this paper, we identify a critical opportunity in resource allocation: the transition from dense to pruned drafting frees up significant computational budget. To break this Pareto tradeoff, we introduce Graft, a compensation framework that couples pruning and retrieval as mutually reinforcing operations. Pruning supplies sufficient budget for retrieval, while retrieval compensates for pruning-induced coverage loss and recovers accepted length. By employing a sequential `prune-then-graft' mechanism, Graft attaches highly predictive retrieved tokens into positions opened by pruning, filling the topological gaps with near-zero overhead. Graft is entirely training-free and lossless. Comprehensive evaluations show that Graft establishes a new Pareto frontier across practical deployment settings, including short-context generation, long-context generation, and large-scale models. On short-context benchmarks, it achieves up to 5.41$\times$ speedup and improves average speedup over EAGLE-3 by up to 21.8% on the large-scale Qwen3-235B. We also provide a preliminary exploration of applying Graft to the DFlash-style block drafting paradigm, offering initial evidence and insights for extending grafting beyond autoregressive draft trees.

SkinGPT-X: A Self-Evolving Collaborative Multi-Agent System for Transparent and Trustworthy Dermatological Diagnosis

While recent advancements in Large Language Models have significantly advanced dermatological diagnosis, monolithic LLMs frequently struggle with fine-grained, large-scale multi-class diagnostic tasks and rare skin disease diagnosis owing to training data sparsity, while also lacking the interpretability and traceability essential for clinical reasoning. Although multi-agent systems can offer more transparent and explainable diagnostics, existing frameworks are primarily concentrated on Visual Question Answering and conversational tasks, and their heavy reliance on static knowledge bases restricts adaptability in complex real-world clinical settings. Here, we present SkinGPT-X, a multimodal collaborative multi-agent system for dermatological diagnosis integrated with a self-evolving dermatological memory mechanism. By simulating the diagnostic workflow of dermatologists and enabling continuous memory evolution, SkinGPT-X delivers transparent and trustworthy diagnostics for the management of complex and rare dermatological cases. To validate the robustness of SkinGPT-X, we design a three-tier comparative experiment. First, we benchmark SkinGPT-X against four state-of-the-art LLMs across four public datasets, demonstrating its state-of-the-art performance with a +9.6% accuracy improvement on DDI31 and +13% weighted F1 gain on Dermnet over the state-of-the-art model. Second, we construct a large-scale multi-class dataset covering 498 distinct dermatological categories to evaluate its fine-grained classification capabilities. Finally, we curate the rare skin disease dataset, the first benchmark to address the scarcity of clinical rare skin diseases which contains 564 clinical samples with eight rare dermatological diseases. On this dataset, SkinGPT-X achieves a +9.8% accuracy improvement, a +7.1% weighted F1 improvement, a +10% Cohen's Kappa improvement.

ParallelVLM: Lossless Video-LLM Acceleration with Visual Alignment Aware Parallel Speculative Decoding

Although current Video-LLMs achieve impressive performance in video understanding tasks, their autoregressive decoding efficiency remains constrained by the massive number of video tokens. Visual token pruning can partially ease this bottleneck, yet existing approaches still suffer from information loss and yield only modest acceleration in decoding. In this paper, we propose ParallelVLM, a training-free draft-then-verify speculative decoding framework that overcomes both mutual waiting and limited speedup-ratio problems between draft and target models in long-video settings. ParallelVLM features two parallelized stages that maximize hardware utilization and incorporate an Unbiased Verifier-Guided Pruning strategy to better align the draft and target models by eliminating the positional bias in attention-guided pruning. Extensive experiments demonstrate that ParallelVLM effectively expands the draft window by $1.6\sim1.8\times$ with high accepted lengths, and accelerates various video understanding benchmarks by 3.36$\times$ on LLaVA-Onevision-72B and 2.42$\times$ on Qwen2.5-VL-32B compared with vanilla autoregressive decoding.

Vision-TTT: Efficient and Expressive Visual Representation Learning with Test-Time Training

Learning efficient and expressive visual representation has long been the pursuit of computer vision research. While Vision Transformers (ViTs) gradually replace traditional Convolutional Neural Networks (CNNs) as more scalable vision learners, their applications are plagued by the quadratic complexity of the self-attention mechanism. To address the challenge, we introduce a new linear-time sequence modeling method Test-Time Training (TTT) into vision and propose Vision-TTT, which compresses the visual token sequence in a novel self-supervised learning manner. By incorporating bidirectional scan strategy and the Conv2d module, Vision-TTT effectively extends vanilla TTT to model 2D visual correlations with global receptive fields. Extensive experiments show that \texttt{Vittt-T/S/B} achieve 77.3%,81.2%,82.5% Top-1 accuracy on ImageNet classification and also greatly outperform their counterparts on downstream tasks. At 1280x1280 resolution, \texttt{Vittt-T} reduces FLOPs by 79.4% and runs 4.38x faster with 88.9% less memory than DeiT-T. These results demonstrate the expressiveness and efficiency of Vision-TTT as a strong candidate for the next-generation generic visual backbone.

SSL: Sweet Spot Learning for Differentiated Guidance in Agentic Optimization

Reinforcement learning with verifiable rewards has emerged as a powerful paradigm for training intelligent agents. However, existing methods typically employ binary rewards that fail to capture quality differences among trajectories achieving identical outcomes, thereby overlooking potential diversity within the solution space. Inspired by the ``sweet spot'' concept in tennis-the racket's core region that produces optimal hitting effects, we introduce \textbf{S}weet \textbf{S}pot \textbf{L}earning (\textbf{SSL}), a novel framework that provides differentiated guidance for agent optimization. SSL follows a simple yet effective principle: progressively amplified, tiered rewards guide policies toward the sweet-spot region of the solution space. This principle naturally adapts across diverse tasks: visual perception tasks leverage distance-tiered modeling to reward proximity, while complex reasoning tasks reward incremental progress toward promising solutions. We theoretically demonstrate that SSL preserves optimal solution ordering and enhances the gradient signal-to-noise ratio, thereby fostering more directed optimization. Extensive experiments across GUI perception, short/long-term planning, and complex reasoning tasks show consistent improvements over strong baselines on 12 benchmarks, achieving up to 2.5X sample efficiency gains and effective cross-task transferability. Our work establishes SSL as a general principle for training capable and robust agents.

Spark: Strategic Policy-Aware Exploration via Dynamic Branching for Long-Horizon Agentic Learning

Reinforcement learning has empowered large language models to act as intelligent agents, yet training them for long-horizon tasks remains challenging due to the scarcity of high-quality trajectories, especially under limited resources. Existing methods typically scale up rollout sizes and indiscriminately allocate computational resources among intermediate steps. Such attempts inherently waste substantial computation budget on trivial steps while failing to guarantee sample quality. To address this, we propose \textbf{Spark} (\textbf{S}trategic \textbf{P}olicy-\textbf{A}ware explo\textbf{R}ation via \textbf{K}ey-state dynamic branching), a novel framework that selectively branches at critical decision states for resource-efficient exploration. Our key insight is to activate adaptive branching exploration at critical decision points to probe promising trajectories, thereby achieving precise resource allocation that prioritizes sampling quality over blind coverage. This design leverages the agent's intrinsic decision-making signals to reduce dependence on human priors, enabling the agent to autonomously expand exploration and achieve stronger generalization. Experiments across diverse tasks (e.g., embodied planning), demonstrate that \textsc{Spark} achieves superior success rates with significantly fewer training samples, exhibiting robust generalization even in unseen scenarios.

TALON: Confidence-Aware Speculative Decoding with Adaptive Token Trees

Speculative decoding (SD) has become a standard technique for accelerating LLM inference without sacrificing output quality. Recent advances in speculative decoding have shifted from sequential chain-based drafting to tree-structured generation, where the draft model constructs a tree of candidate tokens to explore multiple possible drafts in parallel. However, existing tree-based SD methods typically build a fixed-width, fixed-depth draft tree, which fails to adapt to the varying difficulty of tokens and contexts. As a result, the draft model cannot dynamically adjust the tree structure to early stop on difficult tokens and extend generation for simple ones. To address these challenges, we introduce TALON, a training-free, budget-driven adaptive tree expansion framework that can be plugged into existing tree-based methods. Unlike static methods, TALON constructs the draft tree iteratively until a fixed token budget is met, using a hybrid expansion strategy that adaptively allocates the node budget to each layer of the draft tree. This framework naturally shapes the draft tree into a "deep-and-narrow" form for deterministic contexts and a "shallow-and-wide" form for uncertain branches, effectively optimizing the trade-off between exploration width and generation depth under a given budget. Extensive experiments across 5 models and 6 datasets demonstrate that TALON consistently outperforms state-of-the-art EAGLE-3, achieving up to 5.16x end-to-end speedup over auto-regressive decoding.

Atlas: Orchestrating Heterogeneous Models and Tools for Multi-Domain Complex Reasoning

The integration of large language models (LLMs) with external tools has significantly expanded the capabilities of AI agents. However, as the diversity of both LLMs and tools increases, selecting the optimal model-tool combination becomes a high-dimensional optimization challenge. Existing approaches often rely on a single model or fixed tool-calling logic, failing to exploit the performance variations across heterogeneous model-tool pairs. In this paper, we present ATLAS (Adaptive Tool-LLM Alignment and Synergistic Invocation), a dual-path framework for dynamic tool usage in cross-domain complex reasoning. ATLAS operates via a dual-path approach: (1) \textbf{training-free cluster-based routing} that exploits empirical priors for domain-specific alignment, and (2) \textbf{RL-based multi-step routing} that explores autonomous trajectories for out-of-distribution generalization. Extensive experiments across 15 benchmarks demonstrate that our method outperforms closed-source models like GPT-4o, surpassing existing routing methods on both in-distribution (+10.1%) and out-of-distribution (+13.1%) tasks. Furthermore, our framework shows significant gains in visual reasoning by orchestrating specialized multi-modal tools.