Cross-Linguistic Persona-Driven Data Synthesis for Robust Multimodal Cognitive Decline Detection

Speech-based digital biomarkers represent a scalable, non-invasive frontier for the early identification of Mild Cognitive Impairment (MCI). However, the development of robust diagnostic models remains impeded by acute clinical data scarcity and a lack of interpretable reasoning. Current solutions frequently struggle with cross-lingual generalization and fail to provide the transparent rationales essential for clinical trust. To address these barriers, we introduce SynCog, a novel framework integrating controllable zero-shot multimodal data synthesis with Chain-of-Thought (CoT) deduction fine-tuning. Specifically, SynCog simulates diverse virtual subjects with varying cognitive profiles to effectively alleviate clinical data scarcity. This generative paradigm enables the rapid, zero-shot expansion of clinical corpora across diverse languages, effectively bypassing data bottlenecks in low-resource settings and bolstering the diagnostic performance of Multimodal Large Language Models (MLLMs). Leveraging this synthesized dataset, we fine-tune a foundational multimodal backbone using a CoT deduction strategy, empowering the model to explicitly articulate diagnostic thought processes rather than relying on black-box predictions. Extensive experiments on the ADReSS and ADReSSo benchmarks demonstrate that augmenting limited clinical data with synthetic phenotypes yields competitive diagnostic performance, achieving Macro-F1 scores of 80.67% and 78.46%, respectively, outperforming current baseline models. Furthermore, evaluation on an independent real-world Mandarin cohort (CIR-E) demonstrates robust cross-linguistic generalization, attaining a Macro-F1 of 48.71%. These findings constitute a critical step toward providing clinically trustworthy and linguistically inclusive cognitive assessment tools for global healthcare.

Note2Chat: Improving LLMs for Multi-Turn Clinical History Taking Using Medical Notes

Effective clinical history taking is a foundational yet underexplored component of clinical reasoning. While large language models (LLMs) have shown promise on static benchmarks, they often fall short in dynamic, multi-turn diagnostic settings that require iterative questioning and hypothesis refinement. To address this gap, we propose \method{}, a note-driven framework that trains LLMs to conduct structured history taking and diagnosis by learning from widely available medical notes. Instead of relying on scarce and sensitive dialogue data, we convert real-world medical notes into high-quality doctor-patient dialogues using a decision tree-guided generation and refinement pipeline. We then propose a three-stage fine-tuning strategy combining supervised learning, simulated data augmentation, and preference learning. Furthermore, we propose a novel single-turn reasoning paradigm that reframes history taking as a sequence of single-turn reasoning problems. This design enhances interpretability and enables local supervision, dynamic adaptation, and greater sample efficiency. Experimental results show that our method substantially improves clinical reasoning, achieving gains of +16.9 F1 and +21.0 Top-1 diagnostic accuracy over GPT-4o. Our code and dataset can be found at https://github.com/zhentingsheng/Note2Chat.

R-Tuning: Wavelet-Decomposed Replay and Semantic Alignment for Continual Adaptation of Pretrained Time-Series Models

Pre-trained models have demonstrated exceptional generalization capabilities in time-series forecasting; however, adapting them to evolving data distributions remains a significant challenge. A key hurdle lies in accessing the original training data, as fine-tuning solely on new data often leads to catastrophic forgetting. To address this issue, we propose Replay Tuning (R-Tuning), a novel framework designed for the continual adaptation of pre-trained time-series models. R-Tuning constructs a unified latent space that captures both prior and current task knowledge through a frequency-aware replay strategy. Specifically, it augments model-generated samples via wavelet-based decomposition across multiple frequency bands, generating trend-preserving and fusion-enhanced variants to improve representation diversity and replay efficiency. To further reduce reliance on synthetic samples, R-Tuning introduces a latent consistency constraint that aligns new representations with the prior task space. This constraint guides joint optimization within a compact and semantically coherent latent space, ensuring robust knowledge retention and adaptation. Extensive experimental results demonstrate the superiority of R-Tuning, which reduces MAE and MSE by up to 46.9% and 46.8%, respectively, on new tasks, while preserving prior knowledge with gains of up to 5.7% and 6.0% on old tasks. Notably, under few-shot settings, R-Tuning outperforms all state-of-the-art baselines even when synthetic proxy samples account for only 5% of the new task dataset.

Harnessing the Power of Large Language Model for Uncertainty Aware Graph Processing

Handling graph data is one of the most difficult tasks. Traditional techniques, such as those based on geometry and matrix factorization, rely on assumptions about the data relations that become inadequate when handling large and complex graph data. On the other hand, deep learning approaches demonstrate promising results in handling large graph data, but they often fall short of providing interpretable explanations. To equip the graph processing with both high accuracy and explainability, we introduce a novel approach that harnesses the power of a large language model (LLM), enhanced by an uncertainty-aware module to provide a confidence score on the generated answer. We experiment with our approach on two graph processing tasks: few-shot knowledge graph completion and graph classification. Our results demonstrate that through parameter efficient fine-tuning, the LLM surpasses state-of-the-art algorithms by a substantial margin across ten diverse benchmark datasets. Moreover, to address the challenge of explainability, we propose an uncertainty estimation based on perturbation, along with a calibration scheme to quantify the confidence scores of the generated answers. Our confidence measure achieves an AUC of 0.8 or higher on seven out of the ten datasets in predicting the correctness of the answer generated by LLM.