arXiv:2511.11597v1 Announce Type: new Abstract: Evaluating how Large Language Models (LLMs) handle complex, specialized knowledge remains a critical challenge. We address this through the lens of climate change by introducing CLINB, a benchmark that assesses models on open-ended, grounded, multimodal question answering tasks with clear requirements for knowledge quality and evidential support. CLINB relies on a dataset of real users' questions and evaluation rubrics curated by leading climate scientists. We implement and validate a model-based evaluation process and evaluate several frontier models. Our findings reveal a critical dichotomy. Frontier models demonstrate remarkable knowledge synthesis capabilities, often exhibiting PhD-level understanding and presentation quality. They outperform "hybrid" answers curated by domain experts assisted by weaker models. However, this performance is countered by failures in grounding. The quality of evidence varies, with substantial hallucination rates for references and images. We argue that bridging this gap between knowledge synthesis and verifiable attribution is essential for the deployment of AI in scientific workflows and that reliable, interpretable benchmarks like CLINB are needed to progress towards building trustworthy AI systems.

arXiv:2511.11899v1 Announce Type: new Abstract: Fine-grained analysis of intraoperative behavior and its impact on patient outcomes remain a longstanding challenge. We present Frame-to-Outcome (F2O), an end-to-end system that translates tissue dissection videos into gesture sequences and uncovers patterns associated with postoperative outcomes. Leveraging transformer-based spatial and temporal modeling and frame-wise classification, F2O robustly detects consecutive short (~2 seconds) gestures in the nerve-sparing step of robot-assisted radical prostatectomy (AUC: 0.80 frame-level; 0.81 video-level). F2O-derived features (gesture frequency, duration, and transitions) predicted postoperative outcomes with accuracy comparable to human annotations (0.79 vs. 0.75; overlapping 95% CI). Across 25 shared features, effect size directions were concordant with small differences (~ 0.07), and strong correlation (r = 0.96, p

arXiv:2511.12306v1 Announce Type: new Abstract: As large language model (LLM) agents increasingly undertake digital work, reliable frameworks are needed to evaluate their real-world competence, adaptability, and capacity for human collaboration. Existing benchmarks remain largely static, synthetic, or domain-limited, providing limited insight into how agents perform in dynamic, economically meaningful environments. We introduce UpBench, a dynamically evolving benchmark grounded in real jobs drawn from the global Upwork labor marketplace. Each task corresponds to a verified client transaction, anchoring evaluation in genuine work activity and financial outcomes. UpBench employs a rubric-based evaluation framework, in which expert freelancers decompose each job into detailed, verifiable acceptance criteria and assess AI submissions with per-criterion feedback. This structure enables fine-grained analysis of model strengths, weaknesses, and instruction-following fidelity beyond binary pass/fail metrics. Human expertise is integrated throughout the data pipeline (from job curation and rubric construction to evaluation) ensuring fidelity to real professional standards and supporting research on human-AI collaboration. By regularly refreshing tasks to reflect the evolving nature of online work, UpBench provides a scalable, human-centered foundation for evaluating agentic systems in authentic labor-market contexts, offering a path toward a collaborative framework, where AI amplifies human capability through partnership rather than replacement.

arXiv:2511.12378v1 Announce Type: new Abstract: Autonomous agents operating in sequential decision-making tasks under uncertainty can benefit from external action suggestions, which provide valuable guidance but inherently vary in reliability. Existing methods for incorporating such advice typically assume static and known suggester quality parameters, limiting practical deployment. We introduce a framework that dynamically learns and adapts to varying suggester reliability in partially observable environments. First, we integrate suggester quality directly into the agent's belief representation, enabling agents to infer and adjust their reliance on suggestions through Bayesian inference over suggester types. Second, we introduce an explicit ``ask'' action allowing agents to strategically request suggestions at critical moments, balancing informational gains against acquisition costs. Experimental evaluation demonstrates robust performance across varying suggester qualities, adaptation to changing reliability, and strategic management of suggestion requests. This work provides a foundation for adaptive human-agent collaboration by addressing suggestion uncertainty in uncertain environments.

arXiv:2511.12439v1 Announce Type: new Abstract: Online health resources and large language models (LLMs) are increasingly used as a first point of contact for medical decision-making, yet their reliability in healthcare remains limited by low accuracy, lack of transparency, and susceptibility to unverified information. We introduce a proof-of-concept conversational self-triage system that guides LLMs with 100 clinically validated flowcharts from the American Medical Association, providing a structured and auditable framework for patient decision support. The system leverages a multi-agent framework consisting of a retrieval agent, a decision agent, and a chat agent to identify the most relevant flowchart, interpret patient responses, and deliver personalized, patient-friendly recommendations, respectively. Performance was evaluated at scale using synthetic datasets of simulated conversations. The system achieved 95.29% top-3 accuracy in flowchart retrieval (N=2,000) and 99.10% accuracy in flowchart navigation across varied conversational styles and conditions (N=37,200). By combining the flexibility of free-text interaction with the rigor of standardized clinical protocols, this approach demonstrates the feasibility of transparent, accurate, and generalizable AI-assisted self-triage, with potential to support informed patient decision-making while improving healthcare resource utilization.

arXiv:2511.13137v1 Announce Type: new Abstract: Task decomposition has shown promise in complex cooperative multi-agent reinforcement learning (MARL) tasks, which enables efficient hierarchical learning for long-horizon tasks in dynamic and uncertain environments. However, learning dynamic task decomposition from scratch generally requires a large number of training samples, especially exploring the large joint action space under partial observability. In this paper, we present the Conditional Diffusion Model for Dynamic Task Decomposition (C$\text{D}^\text{3}$T), a novel two-level hierarchical MARL framework designed to automatically infer subtask and coordination patterns. The high-level policy learns subtask representation to generate a subtask selection strategy based on subtask effects. To capture the effects of subtasks on the environment, C$\text{D}^\text{3}$T predicts the next observation and reward using a conditional diffusion model. At the low level, agents collaboratively learn and share specialized skills within their assigned subtasks. Moreover, the learned subtask representation is also used as additional semantic information in a multi-head attention mixing network to enhance value decomposition and provide an efficient reasoning bridge between individual and joint value functions. Experimental results on various benchmarks demonstrate that C$\text{D}^\text{3}$T achieves better performance than existing baselines.

arXiv:2511.13290v1 Announce Type: new Abstract: Humans display significant uncertainty when confronted with moral dilemmas, yet the extent of such uncertainty in machines and AI agents remains underexplored. Recent studies have confirmed the overly confident tendencies of machine-generated responses, particularly in large language models (LLMs). As these systems are increasingly embedded in ethical decision-making scenarios, it is important to understand their moral reasoning and the inherent uncertainties in building reliable AI systems. This work examines how uncertainty influences moral decisions in the classical trolley problem, analyzing responses from 32 open-source models and 9 distinct moral dimensions. We first find that variance in model confidence is greater across models than within moral dimensions, suggesting that moral uncertainty is predominantly shaped by model architecture and training method. To quantify uncertainty, we measure binary entropy as a linear combination of total entropy, conditional entropy, and mutual information. To examine its effects, we introduce stochasticity into models via "dropout" at inference time. Our findings show that our mechanism increases total entropy, mainly through a rise in mutual information, while conditional entropy remains largely unchanged. Moreover, this mechanism significantly improves human-LLM moral alignment, with correlations in mutual information and alignment score shifts. Our results highlight the potential to better align model-generated decisions and human preferences by deliberately modulating uncertainty and reducing LLMs' confidence in morally complex scenarios.

arXiv:2511.13293v1 Announce Type: new Abstract: Accurate healthcare prediction is critical for improving patient outcomes and reducing operational costs. Bolstered by growing reasoning capabilities, large language models (LLMs) offer a promising path to enhance healthcare predictions by drawing on their rich parametric knowledge. However, LLMs are prone to factual inaccuracies due to limitations in the reliability and coverage of their embedded knowledge. While retrieval-augmented generation (RAG) frameworks, such as GraphRAG and its variants, have been proposed to mitigate these issues by incorporating external knowledge, they face two key challenges in the healthcare scenario: (1) identifying the clinical necessity to activate the retrieval mechanism, and (2) achieving synergy between the retriever and the generator to craft contextually appropriate retrievals. To address these challenges, we propose GHAR, a \underline{g}enerative \underline{h}ierarchical \underline{a}gentic \underline{R}AG framework that simultaneously resolves when to retrieve and how to optimize the collaboration between submodules in healthcare. Specifically, for the first challenge, we design a dual-agent architecture comprising Agent-Top and Agent-Low. Agent-Top acts as the primary physician, iteratively deciding whether to rely on parametric knowledge or to initiate retrieval, while Agent-Low acts as the consulting service, summarising all task-relevant knowledge once retrieval was triggered. To tackle the second challenge, we innovatively unify the optimization of both agents within a formal Markov Decision Process, designing diverse rewards to align their shared goal of accurate prediction while preserving their distinct roles. Extensive experiments on three benchmark datasets across three popular tasks demonstrate our superiority over state-of-the-art baselines, highlighting the potential of hierarchical agentic RAG in advancing healthcare systems.

arXiv:2511.13361v1 Announce Type: new Abstract: Medical coding converts free-text clinical notes into standardized diagnostic and procedural codes, which are essential for billing, hospital operations, and medical research. Unlike ordinary text classification, it requires multi-step reasoning: extracting diagnostic concepts, applying guideline constraints, mapping to hierarchical codebooks, and ensuring cross-document consistency. Recent advances leverage agentic LLMs, but most rely on rigid, manually crafted workflows that fail to capture the nuance and variability of real-world documentation, leaving open the question of how to systematically learn effective workflows. We present MedDCR, a closed-loop framework that treats workflow design as a learning problem. A Designer proposes workflows, a Coder executes them, and a Reflector evaluates predictions and provides constructive feedback, while a memory archive preserves prior designs for reuse and iterative refinement. On benchmark datasets, MedDCR outperforms state-of-the-art baselines and produces interpretable, adaptable workflows that better reflect real coding practice, improving both the reliability and trustworthiness of automated systems.

arXiv:2511.13526v1 Announce Type: new Abstract: Artificial intelligence (AI) is reshaping modern healthcare by advancing disease diagnosis, treatment decision-making, and biomedical research. Among AI technologies, large language models (LLMs) have become especially impactful, enabling deep knowledge extraction and semantic reasoning from complex medical texts. However, effective clinical decision support requires knowledge in structured, interoperable formats. Knowledge graphs serve this role by integrating heterogeneous medical information into semantically consistent networks. Yet, current clinical knowledge graphs still depend heavily on manual curation and rule-based extraction, which is limited by the complexity and contextual ambiguity of medical guidelines and literature. To overcome these challenges, we propose an automated framework that combines retrieval-augmented generation (RAG) with LLMs to construct medical indicator knowledge graphs. The framework incorporates guideline-driven data acquisition, ontology-based schema design, and expert-in-the-loop validation to ensure scalability, accuracy, and clinical reliability. The resulting knowledge graphs can be integrated into intelligent diagnosis and question-answering systems, accelerating the development of AI-driven healthcare solutions.

arXiv:2412.15925v1 Announce Type: cross Abstract: Problem: Pancreas radiological imaging is challenging due to the small size, blurred boundaries, and variability of shape and position of the organ among patients. Goal: In this work we present MiniGPT-Pancreas, a Multimodal Large Language Model (MLLM), as an interactive chatbot to support clinicians in pancreas cancer diagnosis by integrating visual and textual information. Methods: MiniGPT-v2, a general-purpose MLLM, was fine-tuned in a cascaded way for pancreas detection, tumor classification, and tumor detection with multimodal prompts combining questions and computed tomography scans from the National Institute of Health (NIH), and Medical Segmentation Decathlon (MSD) datasets. The AbdomenCT-1k dataset was used to detect the liver, spleen, kidney, and pancreas. Results: MiniGPT-Pancreas achieved an Intersection over Union (IoU) of 0.595 and 0.550 for the detection of pancreas on NIH and MSD datasets, respectively. For the pancreas cancer classification task on the MSD dataset, accuracy, precision, and recall were 0.876, 0.874, and 0.878, respectively. When evaluating MiniGPT-Pancreas on the AbdomenCT-1k dataset for multi-organ detection, the IoU was 0.8399 for the liver, 0.722 for the kidney, 0.705 for the spleen, and 0.497 for the pancreas. For the pancreas tumor detection task, the IoU score was 0.168 on the MSD dataset. Conclusions: MiniGPT-Pancreas represents a promising solution to support clinicians in the classification of pancreas images with pancreas tumors. Future research is needed to improve the score on the detection task, especially for pancreas tumors.

arXiv:2511.11625v1 Announce Type: cross Abstract: Artificial intelligence (AI) has shown great potential in medical imaging, particularly for brain tumor detection using Magnetic Resonance Imaging (MRI). However, the models remain vulnerable at inference time when they are trained collaboratively through Federated Learning (FL), an approach adopted to protect patient privacy. Adversarial attacks can subtly alter medical scans in ways invisible to the human eye yet powerful enough to mislead AI models, potentially causing serious misdiagnoses. Existing defenses often assume centralized data and struggle to cope with the decentralized and diverse nature of federated medical settings. In this work, we present MedFedPure, a personalized federated learning defense framework designed to protect diagnostic AI models at inference time without compromising privacy or accuracy. MedFedPure combines three key elements: (1) a personalized FL model that adapts to the unique data distribution of each institution; (2) a Masked Autoencoder (MAE) that detects suspicious inputs by exposing hidden perturbations; and (3) an adaptive diffusion-based purification module that selectively cleans only the flagged scans before classification. Together, these steps offer robust protection while preserving the integrity of normal, benign images. We evaluated MedFedPure on the Br35H brain MRI dataset. The results show a significant gain in adversarial robustness, improving performance from 49.50% to 87.33% under strong attacks, while maintaining a high clean accuracy of 97.67%. By operating locally and in real time during diagnosis, our framework provides a practical path to deploying secure, trustworthy, and privacy-preserving AI tools in clinical workflows. Index Terms: cancer, tumor detection, federated learning, masked autoencoder, diffusion, privacy

arXiv:2511.11635v1 Announce Type: cross Abstract: High-quality personalized question banks are crucial for supporting adaptive learning and individualized assessment. Manually designing questions is time-consuming and often fails to meet diverse learning needs, making automated question generation a crucial approach to reduce teachers' workload and improve the scalability of educational resources. However, most existing question generation methods rely on single-agent or rule-based pipelines, which still produce questions with unstable quality, limited diversity, and insufficient alignment with educational goals. To address these challenges, we propose EduAgentQG, a multi-agent collaborative framework for generating high-quality and diverse personalized questions. The framework consists of five specialized agents and operates through an iterative feedback loop: the Planner generates structured design plans and multiple question directions to enhance diversity; the Writer produces candidate questions based on the plan and optimizes their quality and diversity using feedback from the Solver and Educator; the Solver and Educator perform binary scoring across multiple evaluation dimensions and feed the evaluation results back to the Writer; the Checker conducts final verification, including answer correctness and clarity, ensuring alignment with educational goals. Through this multi-agent collaboration and iterative feedback loop, EduAgentQG generates questions that are both high-quality and diverse, while maintaining consistency with educational objectives. Experiments on two mathematics question datasets demonstrate that EduAgentQG outperforms existing single-agent and multi-agent methods in terms of question diversity, goal consistency, and overall quality.

arXiv:2511.11733v1 Announce Type: cross Abstract: Speculative decoding accelerates large language model (LLM) inference by using a lightweight draft model to propose tokens that are later verified by a stronger target model. While effective in centralized systems, its behavior in decentralized settings, where network latency often dominates compute, remains under-characterized. We present Decentralized Speculative Decoding (DSD), a plug-and-play framework for decentralized inference that turns communication delay into useful computation by verifying multiple candidate tokens in parallel across distributed nodes. We further introduce an adaptive speculative verification strategy that adjusts acceptance thresholds by token-level semantic importance, delivering an additional 15% to 20% end-to-end speedup without retraining. In theory, DSD reduces cross-node communication cost by approximately (N-1)t1(k-1)/k, where t1 is per-link latency and k is the average number of tokens accepted per round. In practice, DSD achieves up to 2.56x speedup on HumanEval and 2.59x on GSM8K, surpassing the Eagle3 baseline while preserving accuracy. These results show that adapting speculative decoding for decentralized execution provides a system-level optimization that converts network stalls into throughput, enabling faster distributed LLM inference with no model retraining or architectural changes.

arXiv:2511.11743v1 Announce Type: cross Abstract: Deploying deep neural networks on resource-constrained devices faces two critical challenges: maintaining accuracy under aggressive quantization while ensuring predictable inference latency. We present a curiosity-driven quantized Mixture-of-Experts framework that addresses both through Bayesian epistemic uncertainty-based routing across heterogeneous experts (BitNet ternary, 1-16 bit BitLinear, post-training quantization). Evaluated on audio classification benchmarks (ESC-50, Quinn, UrbanSound8K), our 4-bit quantization maintains 99.9 percent of 16-bit accuracy (0.858 vs 0.859 F1) with 4x compression and 41 percent energy savings versus 8-bit. Crucially, curiosity-driven routing reduces MoE latency variance by 82 percent (p = 0.008, Levene's test) from 230 ms to 29 ms standard deviation, enabling stable inference for battery-constrained devices. Statistical analysis confirms 4-bit/8-bit achieve practical equivalence with full precision (p > 0.05), while MoE architectures introduce 11 percent latency overhead (p

arXiv:2511.11825v1 Announce Type: cross Abstract: Speech quality and intelligibility are significantly degraded in noisy environments. This paper presents a novel transformer-based learning framework to address the single-channel noise suppression problem for real-time applications. Although existing deep learning networks have shown remarkable improvements in handling stationary noise, their performance often diminishes in real-world environments characterized by non-stationary noise (e.g., dog barking, baby crying). The proposed dual-input acoustic-image feature fusion using a hybrid ViT framework effectively models both temporal and spectral dependencies in noisy signals. Designed for real-world audio environments, the proposed framework is computationally lightweight and suitable for implementation on embedded devices. To evaluate its effectiveness, four standard and commonly used quality measurements, namely PESQ, STOI, Seg SNR, and LLR, are utilized. Experimental results obtained using the Librispeech dataset as the clean speech source and the UrbanSound8K and Google Audioset datasets as the noise sources, demonstrate that the proposed method significantly improves noise reduction, speech intelligibility, and perceptual quality compared to the noisy input signal, achieving performance close to the clean reference.

arXiv:2511.12175v1 Announce Type: cross Abstract: This study presents an AI enhanced IoT framework for predictive maintenance and affordability optimization in smart microgrids using a Digital Twin modeling approach. The proposed system integrates real time sensor data, machine learning based fault prediction, and cost aware operational analytics to improve reliability and energy efficiency in distributed microgrid environments. By synchronizing physical microgrid components with a virtual Digital Twin, the framework enables early detection of component degradation, dynamic load management, and optimized maintenance scheduling. Experimental evaluations demonstrate improved predictive accuracy, reduced operational downtime, and measurable cost savings compared to baseline microgrid management methods. The findings highlight the potential of Digital Twin driven IoT architectures as a scalable solution for next generation intelligent and affordable energy systems.

arXiv:2511.12301v1 Announce Type: cross Abstract: Developing Medical AI relies on large datasets and easily suffers from data scarcity. Generative data augmentation (GDA) using AI generative models offers a solution to synthesize realistic medical images. However, the bias in GDA is often underestimated in medical domains, with concerns about the risk of introducing detrimental features generated by AI and harming downstream tasks. This paper identifies the frequency misalignment between real and synthesized images as one of the key factors underlying unreliable GDA and proposes the Frequency Recalibration (FreRec) method to reduce the frequency distributional discrepancy and thus improve GDA. FreRec involves (1) Statistical High-frequency Replacement (SHR) to roughly align high-frequency components and (2) Reconstructive High-frequency Mapping (RHM) to enhance image quality and reconstruct high-frequency details. Extensive experiments were conducted in various medical datasets, including brain MRIs, chest X-rays, and fundus images. The results show that FreRec significantly improves downstream medical image classification performance compared to uncalibrated AI-synthesized samples. FreRec is a standalone post-processing step that is compatible with any generative model and can integrate seamlessly with common medical GDA pipelines.

arXiv:2511.13373v1 Announce Type: cross Abstract: Large Language Models (LLMs) face significant challenges in distributed healthcare, including consolidating specialized domain knowledge across institutions while maintaining privacy, reducing computational overhead, and preventing catastrophic forgetting during model updates.This paper presents a systematic evaluation of six parameter-space merging techniques applied to two architecturally compatible medical LLMs derived from the Mistral-7B base model. We introduce a novel hierarchical method that combines selective Optimal Transport (OT) alignment for attention layers with cosine similarity-weighted interpolation, designed to address permutation variance while minimizing computational overhead for edge deployment scenarios. Our study evaluates Task Arithmetic, Linear Averaging, DARE-TIES, DELLA, Breadcrumbs, and our Hierarchical approach across five medical benchmarks. Results demonstrate that architecturally compatible models benefit significantly from simple averaging methods, with Task Arithmetic achieving 45.80% accuracy on MedQA, outperforming complex pruning-based approaches. These findings offer critical insights for the deployment of distributed medical AI in resource-constrained IoT environments, where computational efficiency and model compatibility are paramount. Our work establishes that for architecturally compatible models, simple averaging provides a robust and computationally efficient baseline for knowledge consolidation, offering a pragmatic path forward for scalable medical AI systems.

arXiv:2511.13525v1 Announce Type: cross Abstract: Fairness in artificial intelligence (AI) has become a growing concern due to discriminatory outcomes in AI-based decision-making systems. While various methods have been proposed to mitigate bias, most rely on complete demographic information, an assumption often impractical due to legal constraints and the risk of reinforcing discrimination. This survey examines fairness in AI when demographics are incomplete, addressing the gap between traditional approaches and real-world challenges. We introduce a novel taxonomy of fairness notions in this setting, clarifying their relationships and distinctions. Additionally, we summarize existing techniques that promote fairness beyond complete demographics and highlight open research questions to encourage further progress in the field.