Abstract:Autonomous agents are increasingly expected to support end-to-end medical-AI research workflows, moving beyond isolated prediction tasks or short-form clinical question answering. However, existing medical agent benchmarks primarily evaluate final outputs, providing limited visibility into agent behavior within the research process. To address this gap, we present AutoMedBench, a workflow-aware benchmark for autonomous medical-AI research across diverse medical imaging and multimodal inference tasks, organizing agent execution into a unified five-stage workflow (S1-S5): Plan, Setup, Validate, Inference, and Submit. It comprises long-horizon tasks with each run averaging 33 agent turns, spanning five research tracks: segmentation, image enhancement, visual question answering (VQA), report generation, and lesion detection. Each task is evaluated under two difficulty tiers, Lite and Standard, which use the same data and metrics but differ in the amount of task-brief scaffolding, and each run is scored using both final task performance and S1-S5 stage scores, enabling stage-level analysis from the initial task brief to the final submitted artifact. Across thousands of recorded runs, stage-level scoring reveals that Validate is the weakest workflow stage on average, whereas Setup is the strongest, suggesting that current agents are better at making pipelines executable than at verifying their reliability. Post-run error analysis further shows that verification and submission failures dominate tagged errors, accounting for 37.7% and 38.1% of fired codes respectively, whereas task-understanding errors are rare at 0.9%, and runs with one fired error code have a 48% lower overall score than runs with no error code on average.
Abstract:We propose Decoupled Residual Denoising Diffusion models (DRDD) for unified and data-efficient image-to-image (I2I) translation. While diffusion models have advanced I2I translation in terms of quality and diversity, we uncover a previously under-explored property in diffusion models. Crucially, beyond its conventional role of manifold lifting (i.e., moving data off low-dimensional manifolds), injecting Gaussian noise facilitates domain harmonization by implicitly aligning feature distributions across domains, a property particularly advantageous for unified I2I translation. However, existing diffusion models prematurely erode this harmonization effect, as noise and residuals are simultaneously removed in a single coupled diffusion process. To address this, DRDD decouples the diffusion process into two sequential and independent diffusion stages: (1) a stochastic noise diffusion for domain harmonization and manifold lifting, and (2) a deterministic residual diffusion that learns the core semantic mapping entirely within the fixed-noise domain. This decoupling preserves harmonization and manifold lifting effects throughout the transformation, substantially simplifying the learning of unified mappings across diverse tasks and domains. Notably, the noise diffusion stage is trained exclusively on abundant, unpaired target-domain images, greatly improving data efficiency. Comprehensive theoretical and empirical analysis demonstrates that DRDD is broadly compatible with mainstream diffusion models and consistently delivers robust, unified I2I translation, even under limited paired data. Our code is available at https://github.com/HKU-HealthAI/DRDD.
Abstract:LLM agents are increasingly deployed as systems built around editable external harnesses, including prompts, skills, memories and tools, that shape task execution without changing model parameters. Harness self-evolution adapts such agents by updating these harnesses from execution evidence. Yet it remains unclear whether a model's base capability in task-solving predicts its capabilities in harness self-evolution: which models produce useful harness updates, and which actually benefit from them? We analyze two harness self-evolution capabilities: (i) harness-updating, the capability to produce useful persistent harness updates from execution evidence; (ii) harness-benefit, the capability to benefit from updated harnesses during task solving. Our analysis reveals two findings. First, harness-updating is flat in base capability: models from different capability tiers produce harness updates that lead to surprisingly similar gains; even Qwen3.5-9B's updates yield gains comparable to those of Claude Opus~4.6. Second, harness-benefit is non-monotonic in base capability: weak-tier models benefit little from updated harnesses, mid-tier models benefit most, and strong-tier models benefit less than mid-tier. We trace low gains at the weak tier to two failure modes: weak-tier models may fail to activate relevant harness artifacts, or activate them but fail to follow them faithfully. These findings suggest investing capability budget in the task-solving agent rather than the evolver, and targeting harness invocation and long-horizon instruction following in agent training. Our source code is publicly available at https://github.com/A-EVO-Lab/a-evolve/tree/release/harness-evolution.
Abstract:Large language models (LLMs) and agentic systems have shown promise for clinical decision support, but existing works largely assume that evidence has already been curated and handed to the model. Real-world clinical workflows instead require agents to actively seek, iteratively plan, and synthesize multimodal evidence from heterogeneous sources. In this paper, we introduce ClinSeekAgent, an automated agentic framework for dynamic multimodal evidence seeking that shifts the paradigm from passive evidence consumption to active evidence acquisition. Given only a clinical query and access to raw data sources, ClinSeekAgent gathers evidence by querying medical knowledge bases, navigating raw EHRs, and invoking medical imaging tools; refines its hypotheses as new information emerges; and integrates the collected evidence into grounded clinical decisions. ClinSeekAgent serves both as an inference-time agent for frontier LLMs and as a training-time pipeline for distilling high-quality agent trajectories into compact open-source models. To validate its inference-time effectiveness, we construct ClinSeek-Bench, which pairs Curated Input reasoning from fixed pre-selected evidence with Automated Evidence-Seeking over raw clinical data. On text-only EHR tasks, ClinSeekAgent improves Claude Opus 4.6 from 60.0 to 63.2 overall F1 and MiniMax M2.5 from 43.1 to 47.3, with positive risk-prediction gains in 7 out of 9 evaluated host models. On multimodal tasks, ClinSeekAgent improves Claude Opus 4.6 from 47.5 to 62.6 (+15.1); all evaluated models improve across the three CXR-related task groups. We further validate ClinSeekAgent as a training pipeline by distilling agentic evidence-seeking trajectories into ClinSeek-35B-A3B, which achieves 34.0 average F1 on existing AgentEHR-Bench, improving over its Qwen3.5-35B-A3B baseline by +11.9 points and approaching Claude Opus 4.6.
Abstract:Recent advances in vision-language models (VLMs) emphasize long chain-of-thought reasoning; yet, we find that their performance on visual tasks is primarily limited by a lack of visual perception as opposed to reasoning itself. In this work, we systematically study the interplay between perception and reasoning in VLM post-training by decomposing their capabilities into three separate training stages: visual perception, visual reasoning, and textual reasoning, incorporating specialized training data. We demonstrate that visual perception (a) requires targeted optimization with specialized data; (b) serves as a fundamental scaffold that should be solidified through staged training before refining visual reasoning; and (c) is more effectively learned via RL than caption-based SFT. Our experiments across multiple VLMs demonstrate that staged training consistently improves both visual perception and reasoning performance over merged training. Notably, models trained with our approach achieve 1.5% higher reasoning accuracy with 20.8% shorter reasoning traces, suggesting that superior perception reduces the need for excessive reasoning. Furthermore, we show that this capability-based staging represents a new curriculum dimension orthogonal to traditional difficulty-based curricula, and combining both yields further additive gains. Our staged-training models achieve superior performance among open-weight VLMs, establishing advanced results on several visual math and perception (e.g., +5.2% on WeMath and +3.7% on RealWorldQA) tasks compared with the base counterpart.
Abstract:Automating scientific discovery requires more than generating papers from ideas. Real research is iterative: hypotheses are challenged from multiple perspectives, experiments fail and inform the next attempt, and lessons accumulate across cycles. Existing autonomous research systems often model this process as a linear pipeline: they rely on single-agent reasoning, stop when execution fails, and do not carry experience across runs. We present AutoResearchClaw, a multi-agent autonomous research pipeline built on five mechanisms: structured multi-agent debate for hypothesis generation and result analysis, a self-healing executor with a \textsc{Pivot}/\textsc{Refine} decision loop that transforms failures into information, verifiable result reporting that prevents fabricated numbers and hallucinated citations, human-in-the-loop collaboration with seven intervention modes spanning full autonomy to step-by-step oversight, and cross-run evolution that converts past mistakes into future safeguards. On ARC-Bench, a 25-topic experiment-stage benchmark, AutoResearchClaw outperforms AI Scientist v2 by 54.7%. A human-in-the-loop ablation across seven intervention modes reveals that precise, targeted collaboration at high-leverage decision points consistently outperforms both full autonomy and exhaustive step-by-step oversight. We position AutoResearchClaw as a research amplifier that augments rather than replaces human scientific judgment. Code is available at https://github.com/aiming-lab/AutoResearchClaw.
Abstract:Voxel-wise dose prediction is a critical yet challenging task in practical radiotherapy (RT) planning, as bespoke models trained from scratch often struggle to generalize across diverse clinical settings. Meanwhile, generative models trained on billion-scale datasets from vision domains have achieved impressive performance. Herein, we propose DiffKT3D, a unified Any2Any 3D diffusion framework that leverages prior knowledge from pretrained video diffusion models for efficient and clinically meaningful dose prediction. To enable flexible conditioning across multiple clinical modalities (CT, anatomical structures, body, beam settings, etc.), we introduce an Any2Any conditional paradigm utilizing modality-specific embeddings without cross-attention overhead. Further, we design a novel reinforcement learning (RL) post-training mechanism guided by a clinically-informed Scorecard explicitly tailored to institutional treatment preferences. Compared with winner of GDP-HMM challenge, DiffKT3D sets a new state-of-the-art in dose prediction by reducing voxel-level MAE from 2.07 to 1.93. In addition, DiffKT3D achieves superior image quality and preference match. These results demonstrate that transferring diffusion priors via modality-aware conditioning and clinically aligned RL post-training can provide a robust and generalizable solution for RT planning across various clinical scenarios.
Abstract:Language-model agents are increasingly used as persistent coworkers that assist users across multiple working days. During such workflows, the surrounding environment may change independently of the agent: new emails arrive, calendar entries shift, knowledge-base records are updated, and evidence appears across images, scanned PDFs, audio, video, and spreadsheets. Existing benchmarks do not adequately evaluate this setting because they typically run within a single static episode and remain largely text-centric. We introduce \bench{}, a benchmark for coworker agents built around multi-turn multi-day tasks, a stateful sandboxed service environment whose state evolves between turns, and rule-based verification. The current release contains 100 tasks across 13 professional scenarios, executed against five stateful sandboxed services (filesystem, email, calendar, knowledge base, spreadsheet) and scored by 1537 deterministic Python checkers over post-execution service state; no LLM-as-judge is invoked during scoring. We benchmark seven frontier agent systems. The strongest model reaches 75.8 weighted score, but the best strict Task Success is only 20.0\%, indicating that partial progress is common while complete end-to-end workflow completion remains rare. Turn-level analysis shows that performance drops after the first exogenous environment update, highlighting adaptation to changing state as a key open challenge. We release the benchmark, evaluation harness, and construction pipeline to support reproducible coworker-agent evaluation.
Abstract:Autonomous GUI agents face two fundamental challenges: early stopping, where agents prematurely declare success without verifiable evidence, and repetitive loops, where agents cycle through the same failing actions without recovery. We present VLAA-GUI, a modular GUI agentic framework built around three integrated components that guide the system on when to Stop, Recover, and Search. First, a mandatory Completeness Verifier enforces UI-observable success criteria and verification at every finish step -- with an agent-level verifier that cross-examines completion claims with decision rules, rejecting those lacking direct visual evidence. Second, a mandatory Loop Breaker provides multi-tier filtering: switching interaction mode after repeated failures, forcing strategy changes after persistent screen-state recurrence, and binding reflection signals to strategy shifts. Third, an on-demand Search Agent searches online for unfamiliar workflows by directly querying a capable LLM with search ability, returning results as plain text. We additionally integrate a Coding Agent for code-intensive actions and a Grounding Agent for precise action grounding, both invoked on demand when required. We evaluate VLAA-GUI across five top-tier backbones, including Opus 4.5, 4.6 and Gemini 3.1 Pro, on two benchmarks with Linux and Windows tasks, achieving top performance on both (77.5% on OSWorld and 61.0% on WindowsAgentArena). Notably, three of the five backbones surpass human performance (72.4%) on OSWorld in a single pass. Ablation studies show that all three proposed components consistently improve a strong backbone, while a weaker backbone benefits more from these tools when the step budget is sufficient. Further analysis also shows that the Loop Breaker nearly halves wasted steps for loop-prone models.
Abstract:Frontier coding agents are increasingly used in workflows where users supervise progress primarily through repeated improvement of a public score, namely the reported score on a public evaluation file with labels in the workspace, rather than through direct inspection of the agent's intermediate outputs. We study whether multi-round user pressure to improve that score induces public score exploitation: behavior that raises the public score through shortcuts without improving hidden private evaluation. We begin with a preliminary single-script tabular classification task, where GPT-5.4 and Claude Opus 4.6 both exploit label information within 10 rounds of user-agent interaction. We then build AgentPressureBench, a 34-task machine-learning repository benchmark spanning three input modalities, and collect 1326 multi-round trajectories from 13 coding agents. On our benchmark, we observe 403 exploitative runs, spanning across all tasks. We also find that stronger models have higher exploitation rates, supported by a significant Spearman rank correlation of 0.77. Our ablation experiments show that higher user pressure leads to earlier exploitation, reducing the average first exploit round by 15.6 rounds (i.e., 19.67 to 4.08). As a mitigation, adding explicit anti-exploit wordings in prompt mostly eliminates exploitation (100% to 8.3%). We hope that our work can bring attention to more careful use of coding agents workflow, and developing more robust coding agents under user pressure. Our project page is at https://ucsc-vlaa.github.io/AgentPressureBench .