MonteRET: AI Agent Enhancing Multimodal LLMs with Multi-granularity Knowledge Retrieval for Chest CT Report Generation

Automated chest CT report generation remains challenging because clinically faithful reporting requires both whole-volume understanding and accurate description of localized anatomical findings. Here we developed and retrospectively evaluated MonteRET, a region-aware retrieval-enhanced framework for generating chest CT findings sections. MonteRET integrates global CT features with region-level anatomical representations, retrieves clinically relevant knowledge using predicted medical conditions and region-level vision-language alignment, and refines initial reports through a knowledge-guided report rewriting agent. We trained our model on a public cohort with 24,128 CT scans from RadGenome-ChestCT. We evaluated MonteRET on the public RadGenome-ChestCT test set of 1,564 CT scans and an external cohort of 82 CT scans from NewYork-Presbyterian/Weill Cornell Medical Center. MonteRET improved report quality, semantic similarity, and clinical efficacy compared with a matched baseline and several state-of-the-art methods. Gains were most pronounced for recall, suggesting fewer omitted findings. Human expert evaluation by radiology residents also favored MonteRET.

Inertia-1: An Open Exploration of Wearable Motion Foundation Models

Wearable motion sensing provides a continuous and scalable window into human behavior and health, making it a natural fit for foundation models, yet its pretraining and scaling principles remain poorly understood. Prior work studies isolated design choices, such as sensor placement or sampling frequency, often under fixed settings and narrow downstream tasks that fail to capture real-world sensing diversity. We introduce Inertia-1, a fully open exploration of wearable motion foundation models. Using massive corpora of accelerometer data from global sources spanning more than 18.2M hours, we build a controlled framework for studying the full lifecycle of wearable motion foundation models, covering data choices such as sensor modality, device placement, sampling rate, window length; model choices such as architectures and model size; and training choices such as pretraining objective and data scale. Extensive evaluations across 15 datasets spanning human activity recognition, freezing-of-gait detection, and disease prediction reveal intriguing findings for building motion foundation models that generalize across tasks and sensing conditions. Collectively, Inertia-1 not only presents state-of-the-art recipes for diverse downstream tasks, but also serves as a comprehensive, practical, and open cookbook for wearable motion representation learning.

Signal or Noise? Understanding Generative Models for Real-World Sensor Time Series

Generative models have changed how machine learning represents complex data distributions, especially in language and vision, yet many real-world systems are observed instead as continuous, high-dimensional, and noisy sensor time series. Existing generative modeling of sensor data, however, remains fragmented across modalities, datasets, and task formulations, limiting a systematic understanding of when, how, and why generative models succeed or fail in real-world settings. To address this gap, we introduce SensorGen, a large-scale study of sensor-signal generation spanning 14 settings across 4 domains, 7 datasets, and 12 signal modalities. Leveraging SensorGen, we systematically evaluate generative models from five major families and uncover three key findings: (1) flow-matching models provide strong overall performance across most settings; (2) signal properties matter, with demographic covariates improving longitudinal generation and time-frequency modeling improving high-frequency signal generation; and (3) generated signals have practical utility beyond visual realism, with scaling improving generation quality and synthetic data improving downstream performance. Together, SensorGen establishes a broader understanding of design choices, evaluation protocols, and failure modes in real-world sensor data generation.

Shortcut to Nowhere: Demystifying Deep Spurious Regression

Real-world regression often exhibits shortcuts: attributes that are spuriously correlated with continuous targets in training, yet unreliable under deployment shifts; regressing targets using such shortcuts may fail catastrophically at test time. Existing studies on spurious correlations focus primarily on classification, where labels are categorical and groups are naturally defined. However, many real-world tasks require continuous prediction, where hard label boundaries or discrete group-label pairs do not exist. We define Deep Spurious Regression (DSR) as learning from regression data with attribute-label confounding, addressing continuous spurious correlations, and generalizing to all attribute-label combinations at test time. Motivated by the intrinsic difference between classification and regression shortcuts, we propose to exploit the similarity among spurious attributes in both label and feature spaces, thereby accounting for nearby targets and related groups while calibrating both label and learned feature distributions across attributes. Extensive experiments on common real-world DSR datasets that span computer vision, environmental sensing, and large language model (LLM) regression verify the superior performance of our strategies. Our work fills the gap in benchmarks and techniques for studying spurious correlations in continuous prediction.

GlucoFM: A Dual-Stream Foundation Model for Continuous Glucose Monitoring

Continuous glucose monitoring (CGM) provides a dense view of daily metabolic physiology, yet existing generic time-series and CGM-specific foundation models often encode glucose traces as entangled single-stream sequences, leaving the distinct temporal structure of glycemic dynamics only implicitly modeled. We present GlucoFM, a lightweight CGM foundation model that aligns irregular recordings to a 24-hour chronological grid, preserves observation masks, and decomposes glucose dynamics into slow physiological state and transient event streams, capturing low-frequency glycemic baselines and short-term deviations that may reflect acute physiological responses or sensor artifacts. GlucoFM is pretrained on 109,066 hours of unlabeled CGM recordings from 477 subjects with two complementary objectives: masked contextual latent prediction over fused daily representations and temporal dynamics prediction over state and event streams. Across four diverse cohorts and seven clinical prediction tasks, GlucoFM achieves the strongest subject-disjoint linear-probing performance among evaluated baselines, improving average PR-AUC by 4.1 points over the best CGM-specific foundation model. Its gains are most pronounced on core metabolic outcomes, leading PR-AUC on all diabetes-risk and $β$-cell dysfunction tasks and on 3 of 4 insulin-resistance tasks. GlucoFM also achieves the best overall cross-dataset transfer performance and strong few-shot adaptation among evaluated methods, and consistent gains when aggregating multiple days for subject-level prediction, highlighting physiology-aware decomposition as an effective inductive bias for transferable CGM representation learning.

WorldMemArena: Evaluating Multimodal Agent Memory Through Action-World Interaction

Multimodal large language models are increasingly deployed as long-horizon agents, where memory must do more than recall: it must track an evolving world, revise what has gone stale, and surface the right evidence at decision time. Existing benchmarks measure recall over static dialogue, collapse memory into a single end-of-task accuracy, and reduce visual observations to captions, leaving us unable to localize failures to writing, maintenance, retrieval, or use. The rise of agent harnesses that author their own memory sharpens this gap, since we have no principled way to compare hand-designed pipelines with self-managing alternatives. To close these gaps, we formulate multimodal agent memory as an Action-World Interaction Loop with an observable four-stage lifecycle, and instantiate it in WorldMemArena: 400 multi-session multimodal tasks spanning Lifelong Evolution (evolving personal and task states) and Agentic Execution (memory from real observations, actions, and feedback), annotated with gold memory points, updates, distractors, and evidence chains for stage-level diagnosis. This enables the first head-to-head comparison of long-context, manually designed (RAG and external memory systems), and harness-based memory agents. Results show that: (1) better memory writing and storage do not guarantee better performance; (2) multimodal memory still struggles to fully use visual evidence; (3) systems are unstable across domains and degrade on realistic agentic trajectories; and (4) harness memory is more flexible but remains costly and less reliable.

Towards a General Intelligence and Interface for Wearable Health Data

While ubiquitous wearable sensors capture a wealth of behavioral and physiological information, effectively transforming these signals into personalized health insights is challenging. Specifically, converting low-level sensor data into representations capable of characterizing higher-level states is difficult due to high phenotypic diversity and variation in individual baseline health, physiology, and lifestyle factors. Moreover, collecting wearable data paired with health outcome annotations is laborious and expensive, and retrospective annotation remains practically unfeasible, contributing to a scarcity of data with high-quality labels. To overcome these limitations, we propose a foundation model for wearable health that is pretrained on more than one trillion minutes of unlabeled sensor signals drawn from a large cohort of five million participants. We demonstrate that the joint scaling of model capacity and pretraining data volume leads to systematic improvements in performance, as evaluated on a diverse set of 35 health prediction tasks, spanning cardiovascular, metabolic, sleep, and mental health, as well as lifestyle choices and demographic factors. We find that this population scale representation unlocks label-efficient few-shot learning and generative capabilities for robust daily metric estimation. To further leverage this learned representation, we deploy a classroom of LLM agents to autonomously search the space of downstream predictive heads built on the model embeddings, showing broad performance improvements that increase with LLM model capacity. Finally, we show how integrating these downstream predictors into a Personal Health Agent can support model responses that are more relevant, contextually aware, and safe, and we validate this via 1,860 ratings from a cohort of clinicians.

TimeSRL: Generalizable Time-Series Behavioral Modeling via Semantic RL-Tuned LLMs -- A Case Study in Mental Health

Longitudinal passive sensing enables continuous health prediction, yet models often fail under cross-dataset distribution shifts. Traditional ML overfits cohort-specific artifacts, while Large Language Models (LLMs) struggle to reason reliably over long, heterogeneous time-series. We introduce TimeSRL, a two-stage LLM framework that routes predictions through an explicit semantic bottleneck. The model first abstracts raw signals into high-level natural language, then predicts behavioral outcomes from these abstractions alone. This forces the model to reason over semantic concepts that we argue generalize better than raw numbers. We optimize this process end-to-end using Group Relative Policy Optimization (GRPO) with Reinforcement Learning from Verifiable Rewards (RLVR), learning outcome-aligned abstractions without gold intermediate annotations. Instantiated on mental-health prediction, TimeSRL achieves state-of-the-art performance on a benchmark designed to stress-test cross-cohort generalization under a rigorous leave-one-dataset-out (LOSO) protocol, reducing mean absolute error (MAE) over strong non-LLM ML and LLM baselines by 3.1--10.1% and 9.5--44.1% for anxiety, and 3.2--9.6% and 27.4--57.6% for depression (all $p$s<0.05). TimeSRL significantly outperforms prior methods in cross-benchmark transfer across different sensing pipelines, rivaling its own within-domain performance without target-domain fine-tuning. These results demonstrate that semantic abstractions are reusable and point to a new direction for generalizable behavior modeling via RL-tuned LLMs.

Auditing Agent Harness Safety

LLM agents increasingly run inside execution harnesses that dispatch tools, allocate resources, and route messages between specialized components. However, a harness can return a correct, benign answer over a trajectory that accesses unauthorized resources or leaks context to the wrong agent. Output-level evaluation cannot see these failures, yet most safety benchmarks score only final outputs or terminal states, even though many violations occur mid-trajectory rather than at termination. The central question is whether the harness respects user intent, permission boundaries, and information-flow constraints throughout execution. To address this gap, we propose HarnessAudit, a framework that audits full execution trajectories across boundary compliance, execution fidelity, and system stability, with a focus on multi-agent harnesses where these risks are most pronounced. We further introduce HarnessAudit-Bench, a benchmark of 210 tasks across eight real-world domains, instantiated in both single-agent and multi-agent configurations with embedded safety constraints. Evaluating ten harness configurations across frontier models and three multi-agent frameworks, we find that: (i) task completion is misaligned with safe execution, and violations accumulate with trajectory length; (ii) safety risks vary across domains, task types, and agent roles; (iii) most violations concentrate in resource access and inter-agent information transfer; and (iv) multi-agent collaboration expands the safety risk surface, while harness design sets the upper bound of safe deployment.

Diversity Collapse in Multi-Agent LLM Systems: Structural Coupling and Collective Failure in Open-Ended Idea Generation

Multi-agent systems (MAS) are increasingly used for open-ended idea generation, driven by the expectation that collective interaction will broaden the exploration diversity. However, when and why such collaboration truly expands the solution space remains unclear. We present a systematic empirical study of diversity in MAS-based ideation across three bottom-up levels: model intelligence, agent cognition, and system dynamics. At the model level, we identify a compute efficiency paradox, where stronger, highly aligned models yield diminishing marginal diversity despite higher per-sample quality. At the cognition level, authority-driven dynamics suppress semantic diversity compared to junior-dominated groups. At the system level, group-size scaling yields diminishing returns and dense communication topologies accelerate premature convergence. We characterize these outcomes as collective failures emerging from structural coupling, a process where interaction inadvertently contracts agent exploration and triggers diversity collapse. Our analysis shows that this collapse arises primarily from the interaction structure rather than inherent model insufficiency, highlighting the importance of preserving independence and disagreement when designing MAS for creative tasks. Our code is available at https://github.com/Xtra-Computing/MAS_Diversity.