The Word and the Way: Strategies for Domain-Specific BERT Pre-Training in German Medical NLP

Digital healthcare generates vast amounts of clinical text that can support AI-assisted applications, yet German biomedical language models remain limited by older architectures or restricted training data. We present ChristBERT (Clinical- and Healthcare-Related Issues and Subjects Tuned BERT), a family of domain-specific German RoBERTa-based language models trained on a 13.5GB corpus of scientific publications, clinical texts, health-related web content, and translated clinical resources. To investigate the impact of domain adaptation strategies in German clinical NLP, we compare continued pre-training, training from scratch, and domain-specific vocabulary adaptation. The resulting models are evaluated on three medical named entity recognition tasks and two text classification tasks. ChristBERT consistently outperforms existing general-purpose and medical German language models on four of five benchmarks and establishes a new state of the art for German clinical language modeling. Our results show that the optimal adaptation strategy is task-dependent: in our evaluation, training from scratch is particularly effective for highly specialized clinical texts, whereas continued pre-training performs well on more commonly written medical texts. All models are publicly released to support future research and applications in German medical NLP.

Drift-Augmented Scoring: Text-Derived Noise Robustness for Zero-Shot Audio-Language Classification

Contrastive audio-language models such as CLAP enable zero-shot audio classification: a sound is labelled by matching its embedding to text prompt embeddings, with no labelled audio. This matching breaks down under acoustic noise, where accuracy and mAP fall by 12-30 percentage points at 0 dB SNR on standard benchmarks. We propose Drift Augmented Scoring (DAS), a small per-class bonus added to the cosine score. The bonus rewards a class when the noisy audio embedding drifts in the direction that the class's noise-conditioned text prompts predict. It is derived from text alone, computed once and cached, and adds a single inner product per class at inference, with no gradients and no test-time batch. On a LAION CLAP backbone, we compare DAS against the four variants of Acevedo et al.'s concurrent method on UrbanSound8K and the full FSD50K eval set, mixing each clip with urban acoustic scene noise across a range of SNRs. DAS improves the metric on every test condition: by +2.60 to +5.75 accuracy points on UrbanSound8K and +1.50 to +1.74 mAP points on FSD50K.

When Better Codebooks Are Not Enough: Predictive Performance and Behavioral Reliability in LLM Political Event Coding

High accuracy does not necessarily make an LLM a faithful coder. This issue matters because many social-science studies rely on expert-written codebooks to turn text into structured data. We study this problem in political event coding, a challenging source-target relation classification task beyond ordinary sentence-level classification, where models must determine what one actor did to another using detailed coding rules. We test whether expert codebooks become more effective when operationalized into LLM-friendly forms with clearer definitions, examples, retrieved context, and rules for difficult cases. We then evaluate behavioral reliability under controlled changes to label names, codebook order, and label-definition mappings. Clearer codebooks substantially improve classification performance, especially for fine-grained event classification. However, these predictive gains do not fully translate into behavioral reliability. Models may produce valid labels and recover definitions while still failing behavioral reliability tests under controlled codebook changes. These findings suggest that codebook-guided LLM systems should be evaluated not only by accuracy, but also by whether they preserve the coding logic that makes coded outputs meaningful for social-science research.

The Ghost Annotator: a Framework to Explore Human Label Variation in Content Moderation through Conformal Prediction

Current research primarily focuses on model performance, while comparatively less attention has been devoted to uncertainty estimation, particularly in settings where LLMs are increasingly used to generate annotated data. We introduce a framework combining conformal prediction with Collaborative Filtering-style annotators' representation to model LLM behavior in relation to human annotators and to analyze patterns of agreement and disagreement. Using Non-Conformity Scores, we introduce the Ghost Prediction metric and the Ghost Annotator representation to quantify cases in which model predictions diverge from all available human annotations. We compute cosine similarity measures to explore differences in model behavior across sociodemographic axes. We evaluated four LLMs of different size and families across four content moderation datasets. Our finding shows that while we find that all models uncertainty increases with annotator disagreement, larger models tend to be more confident in the classification of texts that are not aligned with any human annotation. Finally, the Ghost Annotator framework reveals a consistent and robust pattern of demographic misalignment, suggesting a structural bias likely rooted in pretraining corpora.

GP-Adapter: Gaussian Process CLIP-Adapter for Few-Shot Out-of-Distribution Detection

We propose GP-Adapter, a training-free framework that augments CLIP (Contrastive Language-Image Pre-training) with Gaussian Process (GP) uncertainty modeling for few-shot classification and out-of-distribution (OOD) detection. While CLIP achieves strong zero-shot recognition, it yields deterministic similarity scores and offers limited uncertainty information, which is critical under distribution shift and data scarcity. GP-Adapter constructs modality-specific, class-wise one-class GPs on top of frozen CLIP embeddings using an RBF kernel for image features and a linear kernel for text prompts and fuses their predictive statistics to produce a variance-aware confidence score for OOD detection. The method requires no fine-tuning of the CLIP backbone and relies only on a small $K$-shot cache and lightweight hyperparameter selection, with memory cost scaling as $O(CK^2)$ for $C$ classes and $K$ shots. Experiments on ImageNet and multiple OOD benchmarks show that GP-Adapter provides competitive few-shot performance and consistently improves OOD detection when combined with prompt-learning baselines, highlighting the complementarity between GP-based uncertainty modeling and prompt learning. Overall, our results suggest that integrating probabilistic inference with large pre-trained vision-language models can improve reliability in low-data and distribution-shifted settings. Code is available at https://github.com/tms-byte/GP-Adapter

BRepCLIP: Contrastive Multimodal Pretraining on BRep Primitives for CAD Understanding

Learning representations of CAD models is a largely open problem. While 3D representation learning has flourished around point clouds and meshes, the native format of CAD - boundary representations BReps, which encodes exact parametric surfaces, curves, and their topology, has received little attention as a representation learning substrate. We introduce BRepCLIP, the first framework to align BRep geometry with language and image embeddings through contrastive pretraining. We model each CAD object as a sequence of face and edge tokens with separate discrete vocabularies for surface and curve geometry, augmented with spatial and semantic descriptors that capture surface types (e.g., cylindrical, torus, NURBS) and curve primitives (e.g., line, arc, B-spline). A transformer encoder aggregates these tokens into a global BRep embedding, aligned with CLIP's text and image encoders via a joint contrastive objective. BRepCLIP generates more discriminative and semantically grounded embeddings than existing point-based alternatives, improving Top-1 retrieval over OpenShape by 40.4%, 22.0%, and 23.9% on ABC, CADParser, and Automate, respectively, and improving zero-shot classification on FabWave by 15% in Top-1 score. We further demonstrate its utility as a CAD-aware similarity metric for evaluating text and image-conditioned CAD generation, establishing the importance of structure-aware pretraining for multimodal CAD understanding. Project page is available at https://muhammadusama100.github.io/BrepClip2026/

Multimodal Approaches for Visually-Rich Document Type Classification: A Comparative Analysis

Document type classification in visually rich documents remains challenging, as relevant information is distributed across textual, visual, and layout modalities. To capture this complexity, current approaches rely on diverse multimodal modeling strategies, resulting in heterogeneous architectures that complicate systematic comparison. This variability is also reflected in existing comparative studies, which often rely on heterogeneous evaluation setups, further complicating systematic comparison and making it difficult to assess progress. To address these limitations, this work provides a structured analysis of multimodal design strategies across transformer- and LLM-based architectures, combined with a controlled empirical comparison within a unified experimental framework. Specifically, four representative models (LayoutLMv3, Donut, Qwen3-VL-32B-Instruct, and Qwen3-32B) are evaluated on the RVL-CDIP benchmark to systematically analyze the contributions of text, image, and layout information for document type classification, with a particular focus on contrasting OCR-dependent and OCR-free approaches. The results show that specialized multimodal Transformers outperform LLM-based approaches on visually rich and layout-intensive documents. Image information contributes most strongly to reliable classification, while OCR-derived text provides useful but secondary support. These findings highlight that multimodal processing remains essential for documents with pronounced layout structure. Overall, the study provides a systematic basis for comparing multimodal architectures and offers practical guidance for selecting effective feature combinations and model designs for document type classification.

GLINT: Sparsely Gated Vision-Language Alignment for Fine-Grained Radiology Representations

Vision-language models (VLMs) for radiology have emerged as a scalable paradigm by leveraging image-report pairs naturally produced in clinical workflows. However, this pairing reveals a mismatch in scale: each finding occupies only a small region of the image, yet supervision is provided only at the global image-report level. This poses a central challenge: prior approaches spread weight densely across all patches rather than concentrating on the sparse subset relevant to a given query. To address this, we present GLINT (Gated Language-Image alignmeNT), a framework that explicitly models this sparse correspondence. On the alignment side, we introduce Sparsely Gated Alignment, a novel architecture in which a sigmoid gate over a separate gate embedding space activates only the patches relevant to each textual query, enforcing explicit sparsity. On the representation side, we add Dense Feature Regularization, which anchors the trainable encoder's intermediate features to a frozen self-supervised learning (SSL) teacher, preserving the fine-grained patch features that the gate relies on. The same recipe applies to both 2D chest X-ray (CXR) and 3D chest computed tomography (CT), built with DINOv3 and V-JEPA 2.1, respectively. GLINT enables zero-shot classification, grounding, and segmentation from free-text queries, and to our knowledge is the first to demonstrate zero-shot segmentation on 3D CT volumes without mask supervision. Notably, the most pronounced gains arise on zero-shot grounding and segmentation, where sparse, query-specific localization is required, consistent with our design intent. In downstream evaluation, GLINT outperforms both SSL encoders and medical VLMs on classification, report generation, and segmentation.

Large AI Models in Dental Healthcare: From General-Purpose Systems to Domain-Specific Foundation Models

Background: Oral diseases affect nearly 3.5 billion people worldwide, yet the comparative clinical potential of large-scale AI models in dentistry remains poorly understood. Three distinct model categories have emerged: language-generative models, discriminative vision foundation models, and dental-specific foundation models, with no unified review examining their relationships and collective limitations. Methods: Following PRISMA-ScR guidelines, we systematically searched four databases (PubMed, Google Scholar, Scopus, arXiv), screened independently by two reviewers. After applying inclusion/exclusion criteria, 97 studies (2020-2026) were included. We propose a two-dimensional classification framework organizing models by architectural paradigm and dental specialization degree. Results: Language-generative models excel at text-based tasks (clinical reasoning, licensing exams, patient communication) but show inconsistent performance on image-dependent diagnostics. Adapted SAM and CLIP variants achieve strong tooth segmentation and lesion detection results. Dental-specific models (DentVFM, DentVLM, OralGPT) demonstrate strongest performance on complex multimodal tasks. Integrated pipelines consistently outperform single-model approaches. A data asymmetry is observed: dental-specific pretraining concentrates almost entirely in the vision domain, reflecting scarce large-scale dental text corpora. Conclusions: General-purpose and dental-specific models play complementary roles; the most effective systems combine both within structured pipelines. Safe autonomous deployment requires resolving three persistent barriers: hallucination in generative models, limited annotated dental datasets, and absent standardized clinical evaluation benchmarks.

RelGT-AC: A Relational Graph Transformer for Autocomplete Tasks in Relational Databases

Relational databases underpin modern enterprise, scientific, and healthcare systems, yet predictive machine learning on such data remains challenging due to their multi-table, heterogeneous, and temporal structure. Relational Deep Learning (RDL) addresses this by representing databases as heterogeneous graphs and applying graph neural networks (GNNs) directly. RelBench v2 recently introduced autocomplete tasks -- a practically motivated task type where the goal is to predict an existing column value from relational context, analogous to an intelligent form-filling assistant. We propose RelGT-AC (Relational Graph Transformer for Autocomplete), extending the RelGT architecture with three targeted contributions: (1) a column masking strategy that prevents trivial solutions by masking the target column during subgraph encoding; (2) a unified task head supporting binary classification, multiclass classification, and regression autocomplete tasks within a single model; and (3) a TF-IDF text encoder that automatically detects and encodes free-text columns, recovering strong lexical signal that categorical encoders discard. Across 7 tasks spanning 3 RelBench v2 datasets (rel-trial, rel-f1, rel-stack), RelGT-AC outperforms the GraphSAGE baseline on all 3 regression autocomplete tasks and achieves up to +10 AUROC points on text-heavy eligibility tasks via the TF-IDF encoder.