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.

Beyond Code Snippets: Benchmarking LLMs on Repository-Level Question Answering

Large Language Models (LLMs) have shown impressive capabilities across software engineering tasks, including question answering (QA). However, most studies and benchmarks focus on isolated functions or single-file snippets, overlooking the challenges of real-world program comprehension, which often spans multiple files and system-level dependencies. In this work, we introduce StackRepoQA, the first multi-project, repository-level question answering dataset constructed from 1,318 real developer questions and accepted answers across 134 open-source Java projects. Using this dataset, we systematically evaluate two widely used LLMs (Claude 3.5 Sonnet and GPT-4o) under both direct prompting and agentic configurations. We compare baseline performance with retrieval-augmented generation methods that leverage file-level retrieval and graph-based representations of structural dependencies. Our results show that LLMs achieve moderate accuracy at baseline, with performance improving when structural signals are incorporated. Nonetheless, overall accuracy remains limited for repository-scale comprehension. The analysis reveals that high scores often result from verbatim reproduction of Stack Overflow answers rather than genuine reasoning. To our knowledge, this is the first empirical study to provide such evidence in repository-level QA. We release StackRepoQA to encourage further research into benchmarks, evaluation protocols, and augmentation strategies that disentangle memorization from reasoning, advancing LLMs as reliable tool for repository-scale program comprehension.

HandVQA: Diagnosing and Improving Fine-Grained Spatial Reasoning about Hands in Vision-Language Models

Understanding the fine-grained articulation of human hands is critical in high-stakes settings such as robot-assisted surgery, chip manufacturing, and AR/VR-based human-AI interaction. Despite achieving near-human performance on general vision-language benchmarks, current vision-language models (VLMs) struggle with fine-grained spatial reasoning, especially in interpreting complex and articulated hand poses. We introduce HandVQA, a large-scale diagnostic benchmark designed to evaluate VLMs' understanding of detailed hand anatomy through visual question answering. Built upon high-quality 3D hand datasets (FreiHAND, InterHand2.6M, FPHA), our benchmark includes over 1.6M controlled multiple-choice questions that probe spatial relationships between hand joints, such as angles, distances, and relative positions. We evaluate several state-of-the-art VLMs (LLaVA, DeepSeek and Qwen-VL) in both base and fine-tuned settings, using lightweight fine-tuning via LoRA. Our findings reveal systematic limitations in current models, including hallucinated finger parts, incorrect geometric interpretations, and poor generalization. HandVQA not only exposes these critical reasoning gaps but provides a validated path to improvement. We demonstrate that the 3D-grounded spatial knowledge learned from our benchmark transfers in a zero-shot setting, significantly improving accuracy of model on novel downstream tasks like hand gesture recognition (+10.33%) and hand-object interaction (+2.63%).

Towards Effective Experiential Learning: Dual Guidance for Utilization and Internalization

Recently, reinforcement learning~(RL) has become an important approach for improving the capabilities of large language models~(LLMs). In particular, reinforcement learning from verifiable rewards~(RLVR) has emerged as a promising paradigm for reasoning tasks. However, existing RL-based training still remains only a rough approximation to human learning. Human learners leverage both external and internal experience to guide exploration and gradually internalize useful trajectories into stable knowledge. Motivated by this gap, we ask: how can LLMs better utilize and internalize experience during RLVR training? To answer this question, we propose \textbf{D}ual \textbf{G}uidance \textbf{O}ptimization~(\textbf{DGO}), a unified framework that leverages \emph{external} and \emph{internal experience} to improve training effectiveness. Specifically, DGO first constructs an experience bank from previously explored trajectories. The policy then performs exploration under the joint guidance of the experience bank and the model's internal knowledge. The resulting trajectories are further used to refine the experience bank and optimize model parameters, forming a closed loop of experience utilization and internalization. Experiments show that DGO consistently outperforms baseline methods, suggesting that better utilization and internalization of experience lead to more effective reasoning.

KG-Hopper: Empowering Compact Open LLMs with Knowledge Graph Reasoning via Reinforcement Learning

Large Language Models (LLMs) demonstrate impressive natural language capabilities but often struggle with knowledge-intensive reasoning tasks. Knowledge Base Question Answering (KBQA), which leverages structured Knowledge Graphs (KGs) exemplifies this challenge due to the need for accurate multi-hop reasoning. Existing approaches typically perform sequential reasoning steps guided by predefined pipelines, restricting flexibility and causing error cascades due to isolated reasoning at each step. To address these limitations, we propose KG-Hopper, a novel Reinforcement Learning (RL) framework that empowers compact open LLMs with the ability to perform integrated multi-hop KG reasoning within a single inference round. Rather than reasoning step-by-step, we train a Reasoning LLM that embeds the entire KG traversal and decision process into a unified ``thinking'' stage, enabling global reasoning over cross-step dependencies and dynamic path exploration with backtracking. Experimental results on eight KG reasoning benchmarks show that KG-Hopper, based on a 7B-parameter LLM, consistently outperforms larger multi-step systems (up to 70B) and achieves competitive performance with proprietary models such as GPT-3.5-Turbo and GPT-4o-mini, while remaining compact, open, and data-efficient. The code is publicly available at: https://github.com/Wangshuaiia/KG-Hopper.

Multi-Agent Reasoning with Consistency Verification Improves Uncertainty Calibration in Medical MCQA

Miscalibrated confidence scores are a practical obstacle to deploying AI in clinical settings. A model that is always overconfident offers no useful signal for deferral. We present a multi-agent framework that combines domain-specific specialist agents with Two-Phase Verification and S-Score Weighted Fusion to improve both calibration and discrimination in medical multiple-choice question answering. Four specialist agents (respiratory, cardiology, neurology, gastroenterology) generate independent diagnoses using Qwen2.5-7B-Instruct. Each diagnosis is then subjected to a two-phase self-verification process that measures internal consistency and produces a Specialist Confidence Score (S-score). The S-scores drive a weighted fusion strategy that selects the final answer and calibrates the reported confidence. We evaluate across four experimental settings, covering 100-question and 250-question high-disagreement subsets of both MedQA-USMLE and MedMCQA. Calibration improvement is the central finding, with ECE reduced by 49-74% across all four settings, including the harder MedMCQA benchmark where these gains persist even when absolute accuracy is constrained by knowledge-intensive recall demands. On MedQA-250, the full system achieves ECE = 0.091 (74.4% reduction over the single-specialist baseline) and AUROC = 0.630 (+0.056) at 59.2% accuracy. Ablation analysis identifies Two-Phase Verification as the primary calibration driver and multi-agent reasoning as the primary accuracy driver. These results establish that consistency-based verification produces more reliable uncertainty estimates across diverse medical question types, providing a practical confidence signal for deferral in safety-critical clinical AI applications.

Parametric Knowledge and Retrieval Behavior in RAG Fine-Tuning for Electronic Design Automation

Retrieval-Augmented Generation (RAG) fine-tuning has shown substantial improvements over vanilla RAG, yet most studies target document question answering and often rely on standard NLP metrics that can obscure factual differences. We evaluate RAG fine-tuning for long-form text generation in electronic design automation, adapting a 7B model under five context augmentation strategies with varying retrieval conditions. We introduce TriFEX, a human-validated, triple-based evaluation pipeline that attributes generated claims to their origin-user query, context and reference-and propose Parametric Knowledge Precision (PKP), which isolates internalized knowledge by filtering out claims leaked in the prompt. We show that ROUGE and BERTScore fail to detect factual differences that our triple-based evaluation reveals. Additionally, we demonstrate that an existing metric for knowledge internalization is retrieva-sensitive, with about 75% of its cross-condition variance driven by changes in the rate at which internal knowledge is expressed (PR), rather than by changes in its actual correctness (PKP). The fine-tuned 7B variants outperform a 72B baseline on most metrics, further showing generalization across conditions and on a related benchmark. These results underscore the limitations of available metrics in RAG evaluation and show that smaller models could be reasonably well adapted to specialized tasks for cost-efficient, on-premises deployment.

KLDrive: Fine-Grained 3D Scene Reasoning for Autonomous Driving based on Knowledge Graph

Autonomous driving requires reliable reasoning over fine-grained 3D scene facts. Fine-grained question answering over multi-modal driving observations provides a natural way to evaluate this capability, yet existing perception pipelines and driving-oriented large language model (LLM) methods still suffer from unreliable scene facts, hallucinations, opaque reasoning, and heavy reliance on task-specific training. We present KLDrive, the first knowledge-graph-augmented LLM reasoning framework for fine-grained question answering in autonomous driving. KLDrive addresses this problem through designing two tightly coupled components: an energy-based scene fact construction module that consolidates multi-source evidence into a reliable scene knowledge graph, and an LLM agent that performs fact-grounded reasoning over a constrained action space under explicit structural constraints. By combining structured prompting with few-shot in-context exemplars, the framework adapts to diverse reasoning tasks without heavy task-specific fine-tuning. Experiments on two large-scale autonomous-driving QA benchmarks show that KLDrive outperforms prior state-of-the-art methods, achieving the best overall accuracy of 65.04% on NuScenes-QA and the best SPICE score of 42.45 on GVQA. On counting, the most challenging factual reasoning task, it improves over the strongest baseline by 46.01 percentage points, demonstrating substantially reduced hallucinations and the benefit of coupling reliable scene fact construction with explicit reasoning.

ForeSea: AI Forensic Search with Multi-modal Queries for Video Surveillance

Despite decades of work, surveillance still struggles to find specific targets across long, multi-camera video. Prior methods -- tracking pipelines, CLIP based models, and VideoRAG -- require heavy manual filtering, capture only shallow attributes, and fail at temporal reasoning. Real-world searches are inherently multimodal (e.g., "When does this person join the fight?" with the person's image), yet this setting remains underexplored. Also, there are no proper benchmarks to evaluate those setting - asking video with multimodal queries. To address this gap, we introduce ForeSeaQA, a new benchmark specifically designed for video QA with image-and-text queries and timestamped annotations of key events. The dataset consists of long-horizon surveillance footage paired with diverse multimodal questions, enabling systematic evaluation of retrieval, temporal grounding, and multimodal reasoning in realistic forensic conditions. Not limited to this benchmark, we propose ForeSea, an AI forensic search system with a 3-stage, plug-and-play pipeline. (1) A tracking module filters irrelevant footage; (2) a multimodal embedding module indexes the remaining clips; and (3) during inference, the system retrieves top-K candidate clips for a Video Large Language Model (VideoLLM) to answer queries and localize events. On ForeSeaQA, ForeSea improves accuracy by 3.5% and temporal IoU by 11.0 over prior VideoRAG models. To our knowledge, ForeSeaQA is the first benchmark to support complex multimodal queries with precise temporal grounding, and ForeSea is the first VideoRAG system built to excel in this setting.

Causal Evidence that Language Models use Confidence to Drive Behavior

Metacognition -- the ability to assess one's own cognitive performance -- is documented across species, with internal confidence estimates serving as a key signal for adaptive behavior. While confidence can be extracted from Large Language Model (LLM) outputs, whether models actively use these signals to regulate behavior remains a fundamental question. We investigate this through a four-phase abstention paradigm.Phase 1 established internal confidence estimates in the absence of an abstention option. Phase 2 revealed that LLMs apply implicit thresholds to these estimates when deciding to answer or abstain. Confidence emerged as the dominant predictor of behavior, with effect sizes an order of magnitude larger than knowledge retrieval accessibility (RAG scores) or surface-level semantic features. Phase 3 provided causal evidence through activation steering: manipulating internal confidence signals correspondingly shifted abstention rates. Finally, Phase 4 demonstrated that models can systematically vary abstention policies based on instructed thresholds.Our findings indicate that abstention arises from the joint operation of internal confidence representations and threshold-based policies, mirroring the two-stage metacognitive control found in biological systems. This capacity is essential as LLMs transition into autonomous agents that must recognize their own uncertainty to decide when to act or seek help.