Digital and Robotic Twinning for Validation of Proximity Operations and Formation Flying

In spacecraft Rendezvous, Proximity Operations (RPO), and Formation Flying (FF), the Guidance Navigation and Control (GNC) system is safety-critical and must meet strict performance requirements. However, validating such systems is challenging due to the complexity of the space environment, necessitating a verification and validation (V&V) process that bridges simulation and real-world behavior. The key contribution of this paper is a unified, end-to-end digital and robotic twinning framework that enables software- and hardware-in-the-loop testing for multi-modal GNC systems. The robotic twin includes three testbeds at Stanford's Space Rendezvous Laboratory (SLAB): the GNSS and Radiofrequency Autonomous Navigation Testbed for Distributed Space Systems (GRAND) to validate RF-based navigation techniques, and the Testbed for Rendezvous and Optical Navigation (TRON) and Optical Stimulator (OS) to validate vision-based methods. The test article for this work is an integrated multi-modal GNC software stack for RPO and FF developed at SLAB. This paper introduces the hybrid framework and summarizes calibration and error characterization for the robotic twin. Then, the GNC stack's performance and robustness is characterized using the integrated digital and robotic twinning pipeline for a full-range RPO mission scenario in Low-Earth Orbit (LEO). The results shown in the paper demonstrate consistency between digital and robotic twins, validating the hybrid twinning pipeline as a reliable framework for realistic assessment and verification of GNC systems.

Consensus, dissensus and synergy between clinicians and specialist foundation models in radiology report generation

Radiology reports are an instrumental part of modern medicine, informing key clinical decisions such as diagnosis and treatment. The worldwide shortage of radiologists, however, restricts access to expert care and imposes heavy workloads, contributing to avoidable errors and delays in report delivery. While recent progress in automated report generation with vision-language models offer clear potential in ameliorating the situation, the path to real-world adoption has been stymied by the challenge of evaluating the clinical quality of AI-generated reports. In this study, we build a state-of-the-art report generation system for chest radiographs, \textit{Flamingo-CXR}, by fine-tuning a well-known vision-language foundation model on radiology data. To evaluate the quality of the AI-generated reports, a group of 16 certified radiologists provide detailed evaluations of AI-generated and human written reports for chest X-rays from an intensive care setting in the United States and an inpatient setting in India. At least one radiologist (out of two per case) preferred the AI report to the ground truth report in over 60$\%$ of cases for both datasets. Amongst the subset of AI-generated reports that contain errors, the most frequently cited reasons were related to the location and finding, whereas for human written reports, most mistakes were related to severity and finding. This disparity suggested potential complementarity between our AI system and human experts, prompting us to develop an assistive scenario in which \textit{Flamingo-CXR} generates a first-draft report, which is subsequently revised by a clinician. This is the first demonstration of clinician-AI collaboration for report writing, and the resultant reports are assessed to be equivalent or preferred by at least one radiologist to reports written by experts alone in 80$\%$ of in-patient cases and 60$\%$ of intensive care cases.