Swap Regret Minimization Through Response-Based Approachability

We consider the problem of minimizing different notions of swap regret in online optimization. These forms of regret are tightly connected to correlated equilibrium concepts in games, and have been more recently shown to guarantee non-manipulability against strategic adversaries. The only computationally efficient algorithm for minimizing linear swap regret over a general convex set in $\mathbb{R}^d$ was developed recently by Daskalakis, Farina, Fishelson, Pipis, and Schneider (STOC '25). However, it incurs a highly suboptimal regret bound of $Ω(d^4 \sqrt{T})$ and also relies on computationally intensive calls to the ellipsoid algorithm at each iteration. In this paper, we develop a significantly simpler, computationally efficient algorithm that guarantees $O(d^{3/2} \sqrt{T})$ linear swap regret for a general convex set and $O(d \sqrt{T})$ when the set is centrally symmetric. Our approach leverages the powerful response-based approachability framework of Bernstein and Shimkin (JMLR '15) -- previously overlooked in the line of work on swap regret minimization -- combined with geometric preconditioning via the John ellipsoid. Our algorithm simultaneously minimizes profile swap regret, which was recently shown to guarantee non-manipulability. Moreover, we establish a matching information-theoretic lower bound: any learner must incur in expectation $Ω(d \sqrt{T})$ linear swap regret for large enough $T$, even when the set is centrally symmetric. This also shows that the classic algorithm of Gordon, Greenwald, and Marks (ICML '08) is existentially optimal for minimizing linear swap regret, although it is computationally inefficient. Finally, we extend our approach to minimize regret with respect to the set of swap deviations with polynomial dimension, unifying and strengthening recent results in equilibrium computation and online learning.

A multitask framework for automated interpretation of multi-frame right upper quadrant ultrasound in clinical decision support

Ultrasound is a cornerstone of emergency and hepatobiliary imaging, yet its interpretation remains highly operator-dependent and time-sensitive. Here, we present a multitask vision-language agent (VLM) developed to assist with comprehensive right upper quadrant (RUQ) ultrasound interpretation across the full diagnostic workflow. The system was trained on a large, multi-center dataset comprising a primary cohort from Johns Hopkins Medical Institutions (9,189 cases, 594,099 images) and externally validated on cohorts from Stanford University (108 cases, 3,240 images) and a major Chinese medical center (257 cases, 3,178 images). Built on the Qwen2.5-VL-7B architecture, the agent integrates frame-level visual understanding with report-grounded language reasoning to perform three tasks: (i) classification of 18 hepatobiliary and gallbladder conditions, (ii) generation of clinically coherent diagnostic reports, and (iii) surgical decision support based on ultrasound findings and clinical data. The model achieved high diagnostic accuracy across all tasks, generated reports that were indistinguishable from expert-written versions in blinded evaluations, and demonstrated superior factual accuracy and information density on content-based metrics. The agent further identified patients requiring cholecystectomy with high precision, supporting real-time decision-making. These results highlight the potential of generalist vision-language models to improve diagnostic consistency, reporting efficiency, and surgical triage in real-world ultrasound practice.

A Framework for Feature Discovery in Intracranial Pressure Monitoring Data Using Neural Network Attention

We present a novel framework for analyzing intracranial pressure monitoring data by applying interpretability principles. Intracranial pressure monitoring data was collected from 60 patients at Johns Hopkins. The data was segmented into individual cardiac cycles. A convolutional neural network was trained to classify each cardiac cycle into one of seven body positions. Neural network attention was extracted and was used to identify regions of interest in the waveform. Further directions for exploration are identified. This framework provides an extensible method to further understand the physiological and clinical underpinnings of the intracranial pressure waveform, which could lead to better diagnostic capabilities for intracranial pressure monitoring.

An interpretable data-driven approach to optimizing clinical fall risk assessment

In this study, we aim to better align fall risk prediction from the Johns Hopkins Fall Risk Assessment Tool (JHFRAT) with additional clinically meaningful measures via a data-driven modelling approach. We conducted a retrospective cohort analysis of 54,209 inpatient admissions from three Johns Hopkins Health System hospitals between March 2022 and October 2023. A total of 20,208 admissions were included as high fall risk encounters, and 13,941 were included as low fall risk encounters. To incorporate clinical knowledge and maintain interpretability, we employed constrained score optimization (CSO) models to reweight the JHFRAT scoring weights, while preserving its additive structure and clinical thresholds. Recalibration refers to adjusting item weights so that the resulting score can order encounters more consistently by the study's risk labels, and without changing the tool's form factor or deployment workflow. The model demonstrated significant improvements in predictive performance over the current JHFRAT (CSO AUC-ROC=0.91, JHFRAT AUC-ROC=0.86). This performance improvement translates to protecting an additional 35 high-risk patients per week across the Johns Hopkins Health System. The constrained score optimization models performed similarly with and without the EHR variables. Although the benchmark black-box model (XGBoost), improves upon the performance metrics of the knowledge-based constrained logistic regression (AUC-ROC=0.94), the CSO demonstrates more robustness to variations in risk labeling. This evidence-based approach provides a robust foundation for health systems to systematically enhance inpatient fall prevention protocols and patient safety using data-driven optimization techniques, contributing to improved risk assessment and resource allocation in healthcare settings.

From Visual Perception to Deep Empathy: An Automated Assessment Framework for House-Tree-Person Drawings Using Multimodal LLMs and Multi-Agent Collaboration

Background: The House-Tree-Person (HTP) drawing test, introduced by John Buck in 1948, remains a widely used projective technique in clinical psychology. However, it has long faced challenges such as heterogeneous scoring standards, reliance on examiners subjective experience, and a lack of a unified quantitative coding system. Results: Quantitative experiments showed that the mean semantic similarity between Multimodal Large Language Model (MLLM) interpretations and human expert interpretations was approximately 0.75 (standard deviation about 0.05). In structurally oriented expert data sets, this similarity rose to 0.85, indicating expert-level baseline comprehension. Qualitative analyses demonstrated that the multi-agent system, by integrating social-psychological perspectives and destigmatizing narratives, effectively corrected visual hallucinations and produced psychological reports with high ecological validity and internal coherence. Conclusions: The findings confirm the potential of multimodal large models as standardized tools for projective assessment. The proposed multi-agent framework, by dividing roles, decouples feature recognition from psychological inference and offers a new paradigm for digital mental-health services. Keywords: House-Tree-Person test; multimodal large language model; multi-agent collaboration; cosine similarity; computational psychology; artificial intelligence

Auditing Significance, Metric Choice, and Demographic Fairness in Medical AI Challenges

Open challenges have become the de facto standard for comparative ranking of medical AI methods. Despite their importance, medical AI leaderboards exhibit three persistent limitations: (1) score gaps are rarely tested for statistical significance, so rank stability is unknown; (2) single averaged metrics are applied to every organ, hiding clinically important boundary errors; (3) performance across intersecting demographics is seldom reported, masking fairness and equity gaps. We introduce RankInsight, an open-source toolkit that seeks to address these limitations. RankInsight (1) computes pair-wise significance maps that show the nnU-Net family outperforms Vision-Language and MONAI submissions with high statistical certainty; (2) recomputes leaderboards with organ-appropriate metrics, reversing the order of the top four models when Dice is replaced by NSD for tubular structures; and (3) audits intersectional fairness, revealing that more than half of the MONAI-based entries have the largest gender-race discrepancy on our proprietary Johns Hopkins Hospital dataset. The RankInsight toolkit is publicly released and can be directly applied to past, ongoing, and future challenges. It enables organizers and participants to publish rankings that are statistically sound, clinically meaningful, and demographically fair.

Jr. AI Scientist and Its Risk Report: Autonomous Scientific Exploration from a Baseline Paper

Understanding the current capabilities and risks of AI Scientist systems is essential for ensuring trustworthy and sustainable AI-driven scientific progress while preserving the integrity of the academic ecosystem. To this end, we develop Jr. AI Scientist, a state-of-the-art autonomous AI scientist system that mimics the core research workflow of a novice student researcher: Given the baseline paper from the human mentor, it analyzes its limitations, formulates novel hypotheses for improvement, validates them through rigorous experimentation, and writes a paper with the results. Unlike previous approaches that assume full automation or operate on small-scale code, Jr. AI Scientist follows a well-defined research workflow and leverages modern coding agents to handle complex, multi-file implementations, leading to scientifically valuable contributions. For evaluation, we conducted automated assessments using AI Reviewers, author-led evaluations, and submissions to Agents4Science, a venue dedicated to AI-driven scientific contributions. The findings demonstrate that Jr. AI Scientist generates papers receiving higher review scores than existing fully automated systems. Nevertheless, we identify important limitations from both the author evaluation and the Agents4Science reviews, indicating the potential risks of directly applying current AI Scientist systems and key challenges for future research. Finally, we comprehensively report various risks identified during development. We hope these insights will deepen understanding of current progress and risks in AI Scientist development.

Question the Questions: Auditing Representation in Online Deliberative Processes

A central feature of many deliberative processes, such as citizens' assemblies and deliberative polls, is the opportunity for participants to engage directly with experts. While participants are typically invited to propose questions for expert panels, only a limited number can be selected due to time constraints. This raises the challenge of how to choose a small set of questions that best represent the interests of all participants. We introduce an auditing framework for measuring the level of representation provided by a slate of questions, based on the social choice concept known as justified representation (JR). We present the first algorithms for auditing JR in the general utility setting, with our most efficient algorithm achieving a runtime of $O(mn\log n)$, where $n$ is the number of participants and $m$ is the number of proposed questions. We apply our auditing methods to historical deliberations, comparing the representativeness of (a) the actual questions posed to the expert panel (chosen by a moderator), (b) participants' questions chosen via integer linear programming, (c) summary questions generated by large language models (LLMs). Our results highlight both the promise and current limitations of LLMs in supporting deliberative processes. By integrating our methods into an online deliberation platform that has been used for over hundreds of deliberations across more than 50 countries, we make it easy for practitioners to audit and improve representation in future deliberations.

Optimizing Clinical Fall Risk Prediction: A Data-Driven Integration of EHR Variables with the Johns Hopkins Fall Risk Assessment Tool

In this study we aim to better align fall risk prediction from the Johns Hopkins Fall Risk Assessment Tool (JHFRAT) with additional clinically meaningful measures via a data-driven modelling approach. We conducted a retrospective analysis of 54,209 inpatient admissions from three Johns Hopkins Health System hospitals between March 2022 and October 2023. A total of 20,208 admissions were included as high fall risk encounters, and 13,941 were included as low fall risk encounters. To incorporate clinical knowledge and maintain interpretability, we employed constrained score optimization (CSO) models on JHFRAT assessment data and additional electronic health record (EHR) variables. The model demonstrated significant improvements in predictive performance over the current JHFRAT (CSO AUC-ROC=0.91, JHFRAT AUC-ROC=0.86). The constrained score optimization models performed similarly with and without the EHR variables. Although the benchmark black-box model (XGBoost), improves upon the performance metrics of the knowledge-based constrained logistic regression (AUC-ROC=0.94), the CSO demonstrates more robustness to variations in risk labelling. This evidence-based approach provides a robust foundation for health systems to systematically enhance inpatient fall prevention protocols and patient safety using data-driven optimization techniques, contributing to improved risk assessment and resource allocation in healthcare settings.

The Dragon Hatchling: The Missing Link between the Transformer and Models of the Brain

The relationship between computing systems and the brain has served as motivation for pioneering theoreticians since John von Neumann and Alan Turing. Uniform, scale-free biological networks, such as the brain, have powerful properties, including generalizing over time, which is the main barrier for Machine Learning on the path to Universal Reasoning Models. We introduce `Dragon Hatchling' (BDH), a new Large Language Model architecture based on a scale-free biologically inspired network of \$n\$ locally-interacting neuron particles. BDH couples strong theoretical foundations and inherent interpretability without sacrificing Transformer-like performance. BDH is a practical, performant state-of-the-art attention-based state space sequence learning architecture. In addition to being a graph model, BDH admits a GPU-friendly formulation. It exhibits Transformer-like scaling laws: empirically BDH rivals GPT2 performance on language and translation tasks, at the same number of parameters (10M to 1B), for the same training data. BDH can be represented as a brain model. The working memory of BDH during inference entirely relies on synaptic plasticity with Hebbian learning using spiking neurons. We confirm empirically that specific, individual synapses strengthen connection whenever BDH hears or reasons about a specific concept while processing language inputs. The neuron interaction network of BDH is a graph of high modularity with heavy-tailed degree distribution. The BDH model is biologically plausible, explaining one possible mechanism which human neurons could use to achieve speech. BDH is designed for interpretability. Activation vectors of BDH are sparse and positive. We demonstrate monosemanticity in BDH on language tasks. Interpretability of state, which goes beyond interpretability of neurons and model parameters, is an inherent feature of the BDH architecture.