A Multi-modal Agentic Co-pilot for Evidence Grounded Computational Pathology

Pathology is the cornerstone of modern medicine, where accurate decision-making relies heavily on evidence-based practices. While artificial intelligence (AI) has the potential to transform clinical workflows, the intersection of AI and evidence-based medicine remains under-explored, with primitive attempts restricted to text-only general medicine. In this work, we present PathPocket, a multimodal AI agentic co-pilot designed specifically for evidence grounded pathology. We construct the most comprehensive pathology evidence corpus to date, encompassing approximately 110,472 public and authorized documents structured across a rigorous hierarchy of evidence from clinical guideline to expert opinion. From this meticulously graded foundation, we build a large-scale multimodal pathology hypergraph containing over 4.55 million entities and 7.10 million relations. Serving as a robust knowledge engine, this hypergraph provides traceable evidence for a collaborative multi-agent reasoning framework integrating input understanding, evidence retrieval, filtering, and diagnosis generation. This enables PathPocket to seamlessly resolve a wide spectrum of clinical tasks, ranging from text-only queries to complex multimodal diagnostics involving region-of-interest (ROI) and gigapixel whole-slide images (WSIs). We rigorously evaluate the system on a multidimensional benchmark of over 200,000 real-world cases, where it significantly outperforms existing state-of-the-arts. Crucially, extensive user studies demonstrate that PathPocket substantially improves the diagnostic accuracy and confidence of pathologists. By directly grounding pathology interpretations in verifiable literature, PathPocket offers a practical and scalable solution for the future of evidence grounded computational pathology.

From Local Geometry to Global Pseudo Labeling for Robust Positive Unlabeled Learning under Covariate Shift

Detecting covariate shift is critical for building reliable vision systems. While most prior work focuses on improving robustness to shift, explicitly detecting covariate shift remains underexplored. Existing approaches typically rely on fully supervised training, requiring labeled examples from both original and shifted distributions, which is often impractical. In this paper, we show that covariate shift detection can be effectively addressed with weaker supervision using Positive Unlabeled (PU) learning. However, under covariate shift, in distribution and shifted data overlap significantly, making classical PU methods unstable and sensitive to noise. To overcome this challenge, we introduce Spectral PU Neighborhood Annotation (SPUNA), a geometry aware framework that progressively discovers shifted data by leveraging the local manifold structure of visual features. Extensive experiments show that SPUNA achieves state of the art performance in PU settings and remarkably matches the performances of fully supervised methods. Moreover, our approach transfers robustly across different types of shifts, demonstrating strong generalization capabilities.

Spatial Transcriptomics-Guided Alignment Enhances Molecular Profiling in Pathology Foundation Model

Comprehensive molecular profiling is essential for modern precision oncology but remains hindered by prohibitive costs, specimen exhaustion, and protracted turnaround times. While pathology foundation models (PFMs) have demonstrated potential for inferring molecular phenotypes from routine hematoxylin and eosin (H&E) whole-slide images (WSIs), current architectures primarily rely on vision-centric self-supervised learning or vision-language alignment, lacking the spatially resolved molecular supervision required to connect subtle morphological features with underlying genomic alterations. Spatial transcriptomics (ST) emerges as a transformative technology that enables transcriptomic quantification within intact tissue sections, thereby preserving the precise spatial link between histology and molecular profiles. In this study, we present a Spatial Transcriptomics-guided Alignment framework for Molecular Profiling (STAMP), which endows PFMs with intrinsic molecular awareness. To support this paradigm, we curated HumanST-1k, a human ST dataset spanning diverse anatomical organs and sequencing platforms. This atlas yields 1.8 million pairs of H&E patches and corresponding transcriptomic profiles, providing a corpus that links histological structures with their molecular states. To mitigate the technical noise inherent to raw transcriptomics, STAMP applies a pathway-informed alignment strategy that aggregates transcriptomic data into biologically functional pathways, which are subsequently integrated into PFMs via parameter-efficient fine-tuning. This alignment enriches the representation space of PFMs and unlocks their capacity to resolve sub-visual molecular signatures. The clinical utility of these augmented representations was validated through a multi-tier evaluation framework.

EUDAIMONIA: Evaluating Undesirable Dynamics in AI

Large language models (LLMs) are increasingly used as conversational partners for companionship, emotional disclosure, and interpersonal advice, but the social dynamics of these interactions can create harms that are not captured by capability-oriented or traditional safety evaluations. We introduce the Social AI Design Code, a framework for evaluating whether LLMs align with user welfare in social interactions, including whether they encourage harmful intimacy, dependence, or prolonged engagement. To evaluate these risks in natural and diverse user-LLM interactions, we operationalize the code with EUDAIMONIA, a benchmark of 969 user inputs and 3,147 design-requirement violation checks built from WildChat through weak-to-strong filtration, multi-model relabeling, and controlled rewriting. Evaluating 22 recent LLMs, we find that even the strongest models, Claude-Opus-4.7 and GPT-5.5, violate 30.7% and 27.2% of checks, respectively. Extended thinking does not reduce violation rates, suggesting that these failures are persistent social-alignment problems rather than deficits solvable through test-time reasoning alone.

SSR3D-LLM: Structured Spatial Reasoning via Latent Steps for Fine-Grained Grounding in Unified 3D-LLMs

3D object grounding localizes referred objects in a 3D scene from natural language. Unified instance-centric 3D-LLMs aim to solve grounding together with dialog, QA, and captioning, yet many rely on a single pointer-style grounding decision that compresses a relational instruction into one selection. This is brittle for fine-grained queries where multiple same-class candidates must be ruled out by context objects and spatial relations. We propose Structured Spatial Reasoning 3D-LLM (SSR3D-LLM), a structured grounding interface for unified 3D-LLMs. Given fixed Mask3D object proposals, the LLM writes a sequence of latent spatial reasoning steps and memory tokens from the query, and a geometry-aware scorer reads these latent steps in order to refine candidate rankings step by step with step-length masking. The latent steps are learned from standard benchmark target supervision with auxiliary referential-cue supervision during training, while inference uses only the input query and Mask3D proposals. Across ReferIt3D, ScanRefer, and Multi3DRef, SSR3D-LLM achieves the strongest results among unified 3D-LLM baselines, with substantial gains over the single-pointer QPG baseline on fine-grained grounding and consistent improvements over prior unified 3D-LLMs, while preserving the default language-task route.

A Clinically Validated Foundation Model for Comprehensive Lung Pathology Interpretation

Pathological assessment guides lung cancer diagnosis, treatment selection, and prognostic evaluation, yet current CPath approaches rely on task-specific models for isolated objectives. Although pan-cancer foundation models offer versatility, they lack subspecialty-level depth and have not been evaluated across clinical workflows or prospectively validated in real-world settings. We introduce PulmoFoundation, a multi-center, prospectively validated, randomized controlled trial (RCT)-evaluated foundation model for comprehensive lung pathology assessment across pre-operative, intra-operative, and post-operative care. Built upon Virchow2 via subspecialty-specific pretraining using ~40,000 diagnostic H&E-stained whole-slide images (WSIs), PulmoFoundation was systematically evaluated on ~26,000 WSIs across 32 clinically relevant tasks. In addition to accurately predicting molecular markers and patient survival, our model achieves clinical-grade performance in core diagnostic tasks across biopsy, frozen section, and surgical resection slides. In a registered prospective study of 1,357 patients across 11 diagnostic tasks, our model achieved an average AUC of 92.3%. Using pre-specified triage thresholds, PulmoFoundation could reduce additional second-review burden for 68.8% of biopsies and 83.0% of frozen sections, and defer 44.5% of IHC stain orders, with PPVs of 1.0, 0.991, and 0.966. Beyond prospective validation, we conducted a crossover RCT with eight pathologists, in which AI assistance improved diagnostic accuracy across 4,928 case-reader pairs (91.7% w/ AI vs. 83.8% w/o AI). AI assistance also reduced median diagnostic time by 19.6%, increased diagnostic confidence by 8.7%, and improved inter-rater agreement from moderate (kappa = 0.56) to substantial (kappa = 0.76). Together, these evaluations support PulmoFoundation as a clinically validated decision-support system for lung pathology.

Head-wise Modality Specialization within MLLMs for Robust Fake News Detection under Missing Modality

Multimodal fake news detection (MFND) aims to verify news credibility by jointly exploiting textual and visual evidence. However, real-world news dissemination frequently suffers from missing modality due to deleted images, corrupted screenshots, and similar issues. Thus, robust detection in this scenario requires preserving strong verification ability for each modality, which is challenging in MFND due to insufficient learning of the low-contribution modality and scarce unimodal annotations. To address this issue, we propose Head-wise Modality Specialization within Multimodal Large Language Models (MLLMs) for robust MFND under missing modality. Specifically, we first systematically study attention heads in MLLMs and their relationship with performance under missing modality, showing that modality-critical heads serve as key carriers of unimodal verification ability through their modality specialization. Based on this observation, to better preserve verification ability for the low-contribution modality, we introduce a head-wise specialization mechanism that explicitly allocates these heads to different modalities and preserves their specialization through lower-bound attention constraints. Furthermore, to better exploit scarce unimodal annotations, we propose a Unimodal Knowledge Retention strategy that prevents these heads from drifting away from the unimodal knowledge learned from limited supervision. Experiments show that our method improves robustness under missing modality while preserving performance with full multimodal input.

Towards Natural Language Environment: Understanding Seamless Natural-Language-Based Human-Multi-Robot Interactions

As multiple robots are expected to coexist in future households, natural language is increasingly envisioned as a primary medium for human-robot and robot-robot communication. This paper introduces the concept of a Natural Language Environment (NLE), defined as an interaction space in which humans and multiple heterogeneous robots coordinate primarily through natural language. Rather than proposing a deployable system, this work aims to explore the design space of such environments. We first synthesize prior work on language-based human-robot interaction to derive a preliminary design space for NLEs. We then conduct a role-playing study in virtual reality to investigate how people conceptualize, negotiate, and coordinate human-multi-robot interactions within this imagined environment. Based on qualitative and quantitative analysis, we refine the preliminary design space and derive design implications that highlight key tensions and opportunities around task coordination dominance, robot autonomy, and robot personality in Natural Language Environments.

LongVideoAgent: Multi-Agent Reasoning with Long Videos

Recent advances in multimodal LLMs and systems that use tools for long-video QA point to the promise of reasoning over hour-long episodes. However, many methods still compress content into lossy summaries or rely on limited toolsets, weakening temporal grounding and missing fine-grained cues. We propose a multi-agent framework in which a master LLM coordinates a grounding agent to localize question-relevant segments and a vision agent to extract targeted textual observations. The master agent plans with a step limit, and is trained with reinforcement learning to encourage concise, correct, and efficient multi-agent cooperation. This design helps the master agent focus on relevant clips via grounding, complements subtitles with visual detail, and yields interpretable trajectories. On our proposed LongTVQA and LongTVQA+ which are episode-level datasets aggregated from TVQA/TVQA+, our multi-agent system significantly outperforms strong non-agent baselines. Experiments also show reinforcement learning further strengthens reasoning and planning for the trained agent. Code and data will be shared at https://longvideoagent.github.io/.

Generative AI for Misalignment-Resistant Virtual Staining to Accelerate Histopathology Workflows

Accurate histopathological diagnosis often requires multiple differently stained tissue sections, a process that is time-consuming, labor-intensive, and environmentally taxing due to the use of multiple chemical stains. Recently, virtual staining has emerged as a promising alternative that is faster, tissue-conserving, and environmentally friendly. However, existing virtual staining methods face significant challenges in clinical applications, primarily due to their reliance on well-aligned paired data. Obtaining such data is inherently difficult because chemical staining processes can distort tissue structures, and a single tissue section cannot undergo multiple staining procedures without damage or loss of information. As a result, most available virtual staining datasets are either unpaired or roughly paired, making it difficult for existing methods to achieve accurate pixel-level supervision. To address this challenge, we propose a robust virtual staining framework featuring cascaded registration mechanisms to resolve spatial mismatches between generated outputs and their corresponding ground truth. Experimental results demonstrate that our method significantly outperforms state-of-the-art models across five datasets, achieving an average improvement of 3.2% on internal datasets and 10.1% on external datasets. Moreover, in datasets with substantial misalignment, our approach achieves a remarkable 23.8% improvement in peak signal-to-noise ratio compared to baseline models. The exceptional robustness of the proposed method across diverse datasets simplifies the data acquisition process for virtual staining and offers new insights for advancing its development.