SkinGPT-X: A Self-Evolving Collaborative Multi-Agent System for Transparent and Trustworthy Dermatological Diagnosis

While recent advancements in Large Language Models have significantly advanced dermatological diagnosis, monolithic LLMs frequently struggle with fine-grained, large-scale multi-class diagnostic tasks and rare skin disease diagnosis owing to training data sparsity, while also lacking the interpretability and traceability essential for clinical reasoning. Although multi-agent systems can offer more transparent and explainable diagnostics, existing frameworks are primarily concentrated on Visual Question Answering and conversational tasks, and their heavy reliance on static knowledge bases restricts adaptability in complex real-world clinical settings. Here, we present SkinGPT-X, a multimodal collaborative multi-agent system for dermatological diagnosis integrated with a self-evolving dermatological memory mechanism. By simulating the diagnostic workflow of dermatologists and enabling continuous memory evolution, SkinGPT-X delivers transparent and trustworthy diagnostics for the management of complex and rare dermatological cases. To validate the robustness of SkinGPT-X, we design a three-tier comparative experiment. First, we benchmark SkinGPT-X against four state-of-the-art LLMs across four public datasets, demonstrating its state-of-the-art performance with a +9.6% accuracy improvement on DDI31 and +13% weighted F1 gain on Dermnet over the state-of-the-art model. Second, we construct a large-scale multi-class dataset covering 498 distinct dermatological categories to evaluate its fine-grained classification capabilities. Finally, we curate the rare skin disease dataset, the first benchmark to address the scarcity of clinical rare skin diseases which contains 564 clinical samples with eight rare dermatological diseases. On this dataset, SkinGPT-X achieves a +9.8% accuracy improvement, a +7.1% weighted F1 improvement, a +10% Cohen's Kappa improvement.

Longitudinal Boundary Sharpness Coefficient Slopes Predict Time to Alzheimer's Disease Conversion in Mild Cognitive Impairment: A Survival Analysis Using the ADNI Cohort

Predicting whether someone with mild cognitive impairment (MCI) will progress to Alzheimer's disease (AD) is crucial in the early stages of neurodegeneration. This uncertainty limits enrollment in clinical trials and delays urgent treatment. The Boundary Sharpness Coefficient (BSC) measures how well-defined the gray-white matter boundary looks on structural MRI. This study measures how BSC changes over time, namely, how fast the boundary degrades each year works much better than looking at a single baseline scan for predicting MCI-to-AD conversion. This study analyzed 1,824 T1-weighted MRI scans from 450 ADNI subjects (95 converters, 355 stable; mean follow-up: 4.84 years). BSC voxel-wise maps were computed using tissue segmentation at the gray-white matter cortical ribbon. Previous studies have used CNN and RNN models that reached 96.0% accuracy for AD classification and 84.2% for MCI conversion, but those approaches disregard specific regions within the brain. This study focused specifically on the gray-white matter interface. The approach uses temporal slope features capturing boundary degradation rates, feeding them into Random Survival Forest, a non-parametric ensemble method for right-censored survival data. The Random Survival Forest trained on BSC slopes achieved a test C-index of 0.63, a 163% improvement over baseline parametric models (test C-index: 0.24). Structural MRI costs a fraction of PET imaging ($800--$1,500 vs. $5,000--$7,000) and does not require CSF collection. These temporal biomarkers could help with patient-centered safety screening as well as risk assessment.

AutoWeather4D: Autonomous Driving Video Weather Conversion via G-Buffer Dual-Pass Editing

Generative video models have significantly advanced the photorealistic synthesis of adverse weather for autonomous driving; however, they consistently demand massive datasets to learn rare weather scenarios. While 3D-aware editing methods alleviate these data constraints by augmenting existing video footage, they are fundamentally bottlenecked by costly per-scene optimization and suffer from inherent geometric and illumination entanglement. In this work, we introduce AutoWeather4D, a feed-forward 3D-aware weather editing framework designed to explicitly decouple geometry and illumination. At the core of our approach is a G-buffer Dual-pass Editing mechanism. The Geometry Pass leverages explicit structural foundations to enable surface-anchored physical interactions, while the Light Pass analytically resolves light transport, accumulating the contributions of local illuminants into the global illumination to enable dynamic 3D local relighting. Extensive experiments demonstrate that AutoWeather4D achieves comparable photorealism and structural consistency to generative baselines while enabling fine-grained parametric physical control, serving as a practical data engine for autonomous driving.

Distilling Conversations: Abstract Compression of Conversational Audio Context for LLM-based ASR

Standard LLM-based speech recognition systems typically process utterances in isolation, limiting their ability to leverage conversational context. In this work, we study whether multimodal context from prior turns improves LLM-based ASR and how to represent that context efficiently. We find that, after supervised multi-turn training, conversational context mainly helps with the recognition of contextual entities. However, conditioning on raw context is expensive because the prior-turn audio token sequence grows rapidly with conversation length. To address this, we propose Abstract Compression, which replaces the audio portion of prior turns with a fixed number of learned latent tokens while retaining corresponding transcripts explicitly. On both in-domain and out-of-domain test sets, the compressed model recovers part of the gains of raw-context conditioning with a smaller prior-turn audio footprint. We also provide targeted analyses of the compression setup and its trade-offs.

Neural Network Conversion of Machine Learning Pipelines

Transfer learning and knowledge distillation has recently gained a lot of attention in the deep learning community. One transfer approach, the student-teacher learning, has been shown to successfully create ``small'' student neural networks that mimic the performance of a much bigger and more complex ``teacher'' networks. In this paper, we investigate an extension to this approach and transfer from a non-neural-based machine learning pipeline as teacher to a neural network (NN) student, which would allow for joint optimization of the various pipeline components and a single unified inference engine for multiple ML tasks. In particular, we explore replacing the random forest classifier by transfer learning to a student NN. We experimented with various NN topologies on 100 OpenML tasks in which random forest has been one of the best solutions. Our results show that for the majority of the tasks, the student NN can indeed mimic the teacher if one can select the right NN hyper-parameters. We also investigated the use of random forest for selecting the right NN hyper-parameters.

A Decade-Scale Benchmark Evaluating LLMs' Clinical Practice Guidelines Detection and Adherence in Multi-turn Conversations

Clinical practice guidelines (CPGs) play a pivotal role in ensuring evidence-based decision-making and improving patient outcomes. While Large Language Models (LLMs) are increasingly deployed in healthcare scenarios, it is unclear to which extend LLMs could identify and adhere to CPGs during conversations. To address this gap, we introduce CPGBench, an automated framework benchmarking the clinical guideline detection and adherence capabilities of LLMs in multi-turn conversations. We collect 3,418 CPG documents from 9 countries/regions and 2 international organizations published in the last decade spanning across 24 specialties. From these documents, we extract 32,155 clinical recommendations with corresponding publication institute, date, country, specialty, recommendation strength, evidence level, etc. One multi-turn conversation is generated for each recommendation accordingly to evaluate the detection and adherence capabilities of 8 leading LLMs. We find that the 71.1%-89.6% recommendations can be correctly detected, while only 3.6%-29.7% corresponding titles can be correctly referenced, revealing the gap between knowing the guideline contents and where they come from. The adherence rates range from 21.8% to 63.2% in different models, indicating a large gap between knowing the guidelines and being able to apply them. To confirm the validity of our automatic analysis, we further conduct a comprehensive human evaluation involving 56 clinicians from different specialties. To our knowledge, CPGBench is the first benchmark systematically revealing which clinical recommendations LLMs fail to detect or adhere to during conversations. Given that each clinical recommendation may affect a large population and that clinical applications are inherently safety critical, addressing these gaps is crucial for the safe and responsible deployment of LLMs in real world clinical practice.

OMIND: Framework for Knowledge Grounded Finetuning and Multi-Turn Dialogue Benchmark for Mental Health LLMs

Large Language Models (LLMs) have shown remarkable capabilities for complex tasks, yet adaptation in medical domain, specifically mental health, poses specific challenges. Mental health is a rising concern globally with LLMs having large potential to help address the same. We highlight three primary challenges for LLMs in mental health - lack of high quality interpretable and knowledge grounded training data; training paradigms restricted to core capabilities, and evaluation of multi turn dialogue settings. Addressing it, we present oMind framework which includes training and aligning LLM agents for diverse capabilities including conversations; high quality ~164k multi-task SFT dataset, as a result of our generation pipeline based on Structured Knowledge retrieval, LLM based pruning, and review actions. We also introduce oMind-Chat - a novel multi turn benchmark dataset with expert annotated turn level and conversation level rubrics. Our diverse experiments on both core capabilities and conversations shows oMind LLMs consistently outperform baselines. oMind-LLM also shows significantly better reasoning with up to 80% win rate.

TopoPilot: Reliable Conversational Workflow Automation for Topological Data Analysis and Visualization

Recent agentic systems demonstrate that large language models can generate scientific visualizations from natural language. However, reliability remains a major limitation: systems may execute invalid operations, introduce subtle but consequential errors, or fail to request missing information when inputs are underspecified. These issues are amplified in real-world workflows, which often exceed the complexity of standard benchmarks. Ensuring reliability in autonomous visualization pipelines therefore remains an open challenge. We present TopoPilot, a reliable and extensible agentic framework for automating complex scientific visualization workflows. TopoPilot incorporates systematic guardrails and verification mechanisms to ensure reliable operation. While we focus on topological data analysis and visualization as a primary use case, the framework is designed to generalize across visualization domains. TopoPilot adopts a reliability-centered two-agent architecture. An orchestrator agent translates user prompts into workflows composed of atomic backend actions, while a verifier agent evaluates these workflows prior to execution, enforcing structural validity and semantic consistency. This separation of interpretation and verification reduces code-generation errors and enforces correctness guarantees. A modular architecture further improves robustness by isolating components and enabling seamless integration of new descriptors and domain-specific workflows without modifying the core system. To systematically address reliability, we introduce a taxonomy of failure modes and implement targeted safeguards for each class. In evaluations simulating 1,000 multi-turn conversations across 100 prompts, including adversarial and infeasible requests, TopoPilot achieves a success rate exceeding 99%, compared to under 50% for baselines without comprehensive guardrails and checks.

RealChart2Code: Advancing Chart-to-Code Generation with Real Data and Multi-Task Evaluation

Vision-Language Models (VLMs) have demonstrated impressive capabilities in code generation across various domains. However, their ability to replicate complex, multi-panel visualizations from real-world data remains largely unassessed. To address this gap, we introduce \textbf{\texttt{RealChart2Code}}, a new large-scale benchmark with over 2,800 instances grounded in authentic datasets and featuring tasks with clear analytical intent. Crucially, it is the first benchmark to systematically evaluate chart generation from large-scale raw data and assess iterative code refinement in a multi-turn conversational setting. Our comprehensive evaluation of 14 leading VLMs on \texttt{RealChart2Code} reveals significant performance degradation compared to simpler benchmarks, highlighting their struggles with complex plot structures and authentic data. Our analysis uncovers a substantial performance gap between proprietary and open-weight models and confirms that even state-of-the-art VLMs often fail to accurately replicate intricate, multi-panel charts. These findings provide valuable insights into the current limitations of VLMs and guide future research directions. We release the benchmark and code at \url{https://github.com/Speakn0w/RealChart2Code}.

Trace2Skill: Distill Trajectory-Local Lessons into Transferable Agent Skills

Equipping Large Language Model (LLM) agents with domain-specific skills is critical for tackling complex tasks. Yet, manual authoring creates a severe scalability bottleneck. Conversely, automated skill generation often yields fragile or fragmented results because it either relies on shallow parametric knowledge or sequentially overfits to non-generalizable trajectory-local lessons. To overcome this, we introduce Trace2Skill, a framework that mirrors how human experts author skills: by holistically analyzing broad execution experience before distilling it into a single, comprehensive guide. Instead of reacting sequentially to individual trajectories, Trace2Skill dispatches a parallel fleet of sub-agents to analyze a diverse pool of executions. It extracts trajectory-specific lessons and hierarchically consolidates them into a unified, conflict-free skill directory via inductive reasoning. Trace2Skill supports both deepening existing human-written skills and creating new ones from scratch. Experiments in challenging domains, such as spreadsheet, VisionQA and math reasoning, show that Trace2Skill significantly improves upon strong baselines, including Anthropic's official xlsx skills. Crucially, this trajectory-grounded evolution does not merely memorize task instances or model-specific quirks: evolved skills transfer across LLM scales and generalize to OOD settings. For example, skills evolved by Qwen3.5-35B on its own trajectories improved a Qwen3.5-122B agent by up to 57.65 absolute percentage points on WikiTableQuestions. Ultimately, our results demonstrate that complex agent experience can be packaged into highly transferable, declarative skills -- requiring no parameter updates, no external retrieval modules, and utilizing open-source models as small as 35B parameters.