arXiv:2601.17310v1 Announce Type: new Abstract: Simulation is a powerful tool for exploring uncertainty. Its potential in clinical medicine is transformative and includes personalized treatment planning and virtual clinical trials. However, simulating patient trajectories is challenging because of complex biological and sociocultural influences. Here, we show that real-world clinical records can be leveraged to empirically model patient timelines. We developed a generative simulator model that takes a patient's history as input and synthesizes fine-grained, realistic future trajectories. The model was pretrained on more than 200 million clinical records. It produced high-fidelity future timelines, closely matching event occurrence rates, laboratory test results, and temporal dynamics in real patient future data. It also accurately estimated future event probabilities, with observed-to-expected ratios consistently near 1.0 across diverse outcomes and time horizons. Our results reveal the untapped value of real-world data in electronic health records and introduce a scalable framework for in silico modeling of clinical care.

arXiv:2601.17767v1 Announce Type: new Abstract: Cardiovascular disease (CVD) remains the foremost cause of mortality worldwide, underscoring the urgent need for intelligent and data-driven diagnostic tools. Traditional predictive models often struggle to generalize across heterogeneous datasets and complex physiological patterns. To address this, we propose a hybrid ensemble framework that integrates deep learning architectures, Convolutional Neural Networks (CNN) and Long Short-Term Memory (LSTM), with classical machine learning algorithms, including K-Nearest Neighbor (KNN) and Extreme Gradient Boosting (XGB), using an ensemble voting mechanism. This approach combines the representational power of deep networks with the interpretability and efficiency of traditional models. Experiments on two publicly available Kaggle datasets demonstrate that the proposed model achieves superior performance, reaching 82.30 percent accuracy on Dataset I and 97.10 percent on Dataset II, with consistent gains in precision, recall, and F1-score. These findings underscore the robustness and clinical potential of hybrid AI frameworks for predicting cardiovascular disease and facilitating early intervention. Furthermore, this study directly supports the United Nations Sustainable Development Goal 3 (Good Health and Well-being) by promoting early diagnosis, prevention, and management of non-communicable diseases through innovative, data-driven healthcare solutions.

arXiv:2601.17826v1 Announce Type: new Abstract: The increasing frequency and complexity of regulatory updates present a significant burden for multinational pharmaceutical companies. Compliance teams must interpret evolving rules across jurisdictions, formats, and agencies, often manually, at high cost and risk of error. We introduce RegGuard, an industrial-scale AI assistant designed to automate the interpretation of heterogeneous regulatory texts and align them with internal corporate policies. The system ingests heterogeneous document sources through a secure pipeline and enhances retrieval and generation quality with two novel components: HiSACC (Hierarchical Semantic Aggregation for Contextual Chunking) semantically segments long documents into coherent units while maintaining consistency across non-contiguous sections. ReLACE (Regulatory Listwise Adaptive Cross-Encoder for Reranking), a domain-adapted cross-encoder built on an open-source model, jointly models user queries and retrieved candidates to improve ranking relevance. Evaluations in enterprise settings demonstrate that RegGuard improves answer quality specifically in terms of relevance, groundedness, and contextual focus, while significantly mitigating hallucination risk. The system architecture is built for auditability and traceability, featuring provenance tracking, access control, and incremental indexing, making it highly responsive to evolving document sources and relevant for any domain with stringent compliance demands.

arXiv:2601.17095v1 Announce Type: cross Abstract: For architectural design, representation across multiple Levels of Details (LoD) is essential for achieving a smooth transition from conceptual massing to detailed modeling. However, traditional LoD modeling processes rely on manual operations that are time-consuming, labor-intensive, and prone to geometric inconsistencies. While the rapid advancement of generative artificial intelligence (AI) has opened new possibilities for generating multi-level architectural models from sketch inputs, its application remains limited by the lack of high-quality paired LoD training data. To address this issue, we propose an automatic LoD sketch extraction framework using generative AI models, which progressively simplifies high-detail architectural models to automatically generate geometrically consistent and hierarchically coherent multi-LoD representations. The proposed framework integrates computer vision techniques with generative AI methods to establish a progressive extraction pipeline that transitions from detailed representations to volumetric abstractions. Experimental results demonstrate that the method maintains strong geometric consistency across LoD levels, achieving SSIM values of 0.7319 and 0.7532 for the transitions from LoD3 to LoD2 and from LoD2 to LoD1, respectively, with corresponding normalized Hausdorff distances of 25.1% and 61.0% of the image diagonal, reflecting controlled geometric deviation during abstraction. These results verify that the proposed framework effectively preserves global structure while achieving progressive semantic simplification across different LoD levels, providing reliable data and technical support for AI-driven multi-level architectural generation and hierarchical modeling.

arXiv:2601.17183v1 Announce Type: cross Abstract: Healthcare institutions have access to valuable patient data that could be of great help in the development of improved diagnostic models, but privacy regulations like HIPAA and GDPR prevent hospitals from directly sharing data with one another. Federated Learning offers a way out to this problem by facilitating collaborative model training without having the raw patient data centralized. However, clinical datasets intrinsically have non-IID (non-independent and identically distributed) features brought about by demographic disparity and diversity in disease prevalence and institutional practices. This paper presents a comprehensive simulation research of Federated Proximal Optimization (FedProx) for Heart Disease prediction based on UCI Heart Disease dataset. We generate realistic non-IID data partitions by simulating four heterogeneous hospital clients from the Cleveland Clinic dataset (303 patients), by inducing statistical heterogeneity by demographic-based stratification. Our experimental results show that FedProx with proximal parameter mu=0.05 achieves 85.00% accuracy, which is better than both centralized learning (83.33%) and isolated local models (78.45% average) without revealing patient privacy. Through generous sheer ablation studies with statistical validation on 50 independent runs we demonstrate that proximal regularization is effective in curbing client drift in heterogeneous environments. This proof-of-concept research offers algorithmic insights and practical deployment guidelines for real-world federated healthcare systems, and thus, our results are directly transferable to hospital IT-administrators, implementing privacy-preserving collaborative learning.

arXiv:2601.17303v1 Announce Type: cross Abstract: As Industrial Internet of Things (IIoT) environments expand to include tens of thousands of connected devices. The centralization of security monitoring architectures creates serious latency issues that savvy attackers can exploit to compromise an entire manufacturing ecosystem. This paper outlines a new, decentralized multi-agent swarm (DMAS) architecture that includes autonomous artificial intelligence (AI) agents at each edge gateway, functioning as a distributed digital "immune system" for IIoT networks. Instead of using a traditional static firewall approach, the DMAS agents communicate via a lightweight peer-to-peer protocol to cooperatively detect anomalous behavior across the IIoT network without sending data to a cloud infrastructure. The authors also outline a consensus-based threat validation (CVT) process in which agents vote on the threat level of an identified threat, enabling instant quarantine of a compromised node or nodes. The authors conducted experiments on a testbed that simulated an innovative factory environment with 2000 IIoT devices and found that the DMAS demonstrated sub-millisecond response times (average of 0.85ms), 97.3% accuracy in detecting malicious activity under high load, and 87% accuracy in detecting zero-day attacks. All significantly higher than baseline values for both centralized and edge computing. Additionally, the proposed architecture can prevent real-time cascading failures in industrial control systems and reduce network bandwidth use by 89% compared to cloud-based solutions.

arXiv:2601.17429v1 Announce Type: cross Abstract: X-ray coronary angiography (XCA) is the clinical reference standard for assessing coronary artery disease, yet quantitative analysis is limited by the difficulty of robust vessel segmentation in routine data. Low contrast, motion, foreshortening, overlap, and catheter confounding degrade segmentation and contribute to domain shift across centers. Reliable segmentation, together with vessel-type labeling, enables vessel-specific coronary analytics and downstream measurements that depend on anatomical localization. From 670 cine sequences (407 subjects), we select a best frame near peak opacification using a low-intensity histogram criterion and apply joint super-resolution and enhancement. We benchmark classical Meijering, Frangi, and Sato vesselness filters under per-image oracle tuning, a single global mean setting, and per-image parameter prediction via Support Vector Regression (SVR). Neural baselines include U-Net, FPN, and a Swin Transformer, trained with coronary-only and merged coronary+catheter supervision. A second stage assigns vessel identity (LAD, LCX, RCA). External evaluation uses the public DCA1 cohort. SVR per-image tuning improves Dice over global means for all classical filters (e.g., Frangi: 0.759 vs. 0.741). Among deep models, FPN attains 0.914+/-0.007 Dice (coronary-only), and merged coronary+catheter labels further improve to 0.931+/-0.006. On DCA1 as a strict external test, Dice drops to 0.798 (coronary-only) and 0.814 (merged), while light in-domain fine-tuning recovers to 0.881+/-0.014 and 0.882+/-0.015. Vessel-type labeling achieves 98.5% accuracy (Dice 0.844) for RCA, 95.4% (0.786) for LAD, and 96.2% (0.794) for LCX. Learned per-image tuning strengthens classical pipelines, while high-resolution FPN models and merged-label supervision improve stability and external transfer with modest adaptation.

arXiv:2601.17510v1 Announce Type: cross Abstract: This article presents the full, original record of the 2024 Joint Statistical Meetings (JSM) town hall, "Statistics in the Age of AI," which convened leading statisticians to discuss how the field is evolving in response to advances in artificial intelligence, foundation models, large-scale empirical modeling, and data-intensive infrastructures. The town hall was structured around open panel discussion and extensive audience Q&A, with the aim of eliciting candid, experience-driven perspectives rather than formal presentations or prepared statements. This document preserves the extended exchanges among panelists and audience members, with minimal editorial intervention, and organizes the conversation around five recurring questions concerning disciplinary culture and practices, data curation and "data work," engagement with modern empirical modeling, training for large-scale AI applications, and partnerships with key AI stakeholders. By providing an archival record of this discussion, the preprint aims to support transparency, community reflection, and ongoing dialogue about the evolving role of statistics in the data- and AI-centric future.

arXiv:2601.17582v1 Announce Type: cross Abstract: Biomolecular networks underpin emerging technologies in synthetic biology-from robust biomanufacturing and metabolic engineering to smart therapeutics and cell-based diagnostics-and also provide a mechanistic language for understanding complex dynamics in natural and ecological systems. Yet designing chemical reaction networks (CRNs) that implement a desired dynamical function remains largely manual: while a proposed network can be checked by simulation, the reverse problem of discovering a network from a behavioral specification is difficult, requiring substantial human insight to navigate a vast space of topologies and kinetic parameters with nonlinear and possibly stochastic dynamics. Here we introduce GenAI-Net, a generative AI framework that automates CRN design by coupling an agent that proposes reactions to simulation-based evaluation defined by a user-specified objective. GenAI-Net efficiently produces novel, topologically diverse solutions across multiple design tasks, including dose responses, complex logic gates, classifiers, oscillators, and robust perfect adaptation in deterministic and stochastic settings (including noise reduction). By turning specifications into families of circuit candidates and reusable motifs, GenAI-Net provides a general route to programmable biomolecular circuit design and accelerates the translation from desired function to implementable mechanisms.

arXiv:2601.17892v1 Announce Type: cross Abstract: Artificial intelligence's rapid integration with intellectual property rights necessitates assessment of its impact on trade secrets, copyrights and patents. This study addresses lacunae in existing laws where India lacks AI-specific provisions, creating doctrinal inconsistencies and enforcement inefficacies. Global discourse on AI-IPR protections remains nascent. The research identifies gaps in Indian IP laws' adaptability to AI-generated outputs: trade secret protection is inadequate against AI threats; standardized inventorship criteria are absent. Employing doctrinal and comparative methodology, it scrutinizes legislative texts, judicial precedents and policy instruments across India, US, UK and EU. Preliminary findings reveal shortcomings: India's contract law creates fragmented trade secret regime; Section 3(k) of Indian Patents Act blocks AI invention patenting; copyright varies in authorship attribution. The study proposes harmonized legal taxonomy accommodating AI's role while preserving innovation incentives. India's National AI Strategy (2024) shows progress but legislative clarity is imperative. This contributes to global discourse with AI-specific IP protections ensuring resilience and equitable innovation. Promising results underscore recalibrating India's IP jurisprudence for global alignment.

arXiv:2601.17934v1 Announce Type: cross Abstract: Foundation models like the Segment Anything Model (SAM) show strong generalization, yet adapting them to medical images remains difficult due to domain shift, scarce labels, and the inability of Parameter-Efficient Fine-Tuning (PEFT) to exploit unlabeled data. While conventional models like U-Net excel in semi-supervised medical learning, their potential to assist a PEFT SAM has been largely overlooked. We introduce SC-SAM, a specialist-generalist framework where U-Net provides point-based prompts and pseudo-labels to guide SAM's adaptation, while SAM serves as a powerful generalist supervisor to regularize U-Net. This reciprocal guidance forms a bidirectional co-training loop that allows both models to effectively exploit the unlabeled data. Across prostate MRI and polyp segmentation benchmarks, our method achieves state-of-the-art results, outperforming other existing semi-supervised SAM variants and even medical foundation models like MedSAM, highlighting the value of specialist-generalist cooperation for label-efficient medical image segmentation. Our code is available at https://github.com/vnlvi2k3/SC-SAM.

arXiv:2601.17944v1 Announce Type: cross Abstract: We consider a setting in which a group of agents share resources that must be allocated among them in each discrete time period. Agents have time-varying demands and derive constant marginal utility from each unit of resource received up to their demand, with zero utility for any additional resources. In this setting, it is known that independently maximizing the minimum utility in each round satisfies sharing incentives (agents weakly prefer participating in the mechanism to not participating), strategyproofness (agents have no incentive to misreport their demands), and Pareto efficiency (Freeman et al. 2018). However, recent work (Vuppalapati et al. 2023) has shown that this max-min mechanism can lead to large disparities in the total resources received by agents, even when they have the same average demand. In this paper, we introduce credit fairness, a strengthening of sharing incentives that ensures agents who lend resources in early rounds are able to recoup them in later rounds. Credit fairness can be achieved in conjunction with either Pareto efficiency or strategyproofness, but not both. We propose a mechanism that is credit fair and Pareto efficient, and we evaluate its performance in a computational resource-sharing setting.

arXiv:2601.18127v1 Announce Type: cross Abstract: Data transparency has emerged as a rallying cry for addressing concerns about AI: data quality, privacy, and copyright chief among them. Yet while these calls are crucial for accountability, current transparency policies often fall short of their intended aims. Similar to nutrition facts for food, policies aimed at nutrition facts for AI currently suffer from a limited consideration of research on effective disclosures. We offer an institutional perspective and identify three common fallacies in policy implementations of data disclosures for AI. First, many data transparency proposals exhibit a specification gap between the stated goals of data transparency and the actual disclosures necessary to achieve such goals. Second, reform attempts exhibit an enforcement gap between required disclosures on paper and enforcement to ensure compliance in fact. Third, policy proposals manifest an impact gap between disclosed information and meaningful changes in developer practices and public understanding. Informed by the social science on transparency, our analysis identifies affirmative paths for transparency that are effective rather than merely symbolic.

arXiv:2601.18641v1 Announce Type: cross Abstract: Speech remains one of the most visible yet overlooked vectors of inclusion and exclusion in contemporary society. While fluency is often equated with credibility and competence, individuals with atypical speech patterns are routinely marginalized. Given the current state of the debate, this article focuses on the structural biases that shape perceptions of atypical speech and are now being encoded into artificial intelligence. Automated speech recognition (ASR) systems and voice interfaces, trained predominantly on standardized speech, routinely fail to recognize or respond to diverse voices, compounding digital exclusion. As AI technologies increasingly mediate access to opportunity, the study calls for inclusive technological design, anti-bias training to minimize the impact of discriminatory algorithmic decisions, and enforceable policy reform that explicitly recognize speech diversity as a matter of equity, not merely accessibility. Drawing on interdisciplinary research, the article advocates for a cultural and institutional shift in how we value voice, urging co-created solutions that elevate the rights, representation, and realities of atypical speakers in the digital age. Ultimately, the article reframes speech inclusion as a matter of equity (not accommodation) and advocates for co-created AI systems that reflect the full spectrum of human voices.

arXiv:2601.18675v1 Announce Type: cross Abstract: We investigate whether temporal embedding models trained on longitudinal electronic health records can learn clinically meaningful representations without compromising predictive performance, and how architectural choices affect embedding quality. Model-guided medicine requires representations that capture disease dynamics while remaining transparent and task agnostic, whereas most clinical prediction models are optimised for a single task. Representation learning facilitates learning embeddings that generalise across downstream tasks, and recurrent architectures are well-suited for modelling temporal structure in observational clinical data. Using the MIMIC-IV dataset, we study patients with chronic kidney disease (CKD) and compare three recurrent architectures: a vanilla LSTM, an attention-augmented LSTM, and a time-aware LSTM (T-LSTM). All models are trained both as embedding models and as direct end-to-end predictors. Embedding quality is evaluated via CKD stage clustering and in-ICU mortality prediction. The T-LSTM produces more structured embeddings, achieving a lower Davies-Bouldin Index (DBI = 9.91) and higher CKD stage classification accuracy (0.74) than the vanilla LSTM (DBI = 15.85, accuracy = 0.63) and attention-augmented LSTM (DBI = 20.72, accuracy = 0.67). For in-ICU mortality prediction, embedding models consistently outperform end-to-end predictors, improving accuracy from 0.72-0.75 to 0.82-0.83, which indicates that learning embeddings as an intermediate step is more effective than direct end-to-end learning.

arXiv:2601.18751v1 Announce Type: cross Abstract: Preference-based reinforcement learning (PBRL) offers a promising alternative to explicit reward engineering by learning from pairwise trajectory comparisons. However, real-world preference data often comes from heterogeneous annotators with varying reliability; some accurate, some noisy, and some systematically adversarial. Existing PBRL methods either treat all feedback equally or attempt to filter out unreliable sources, but both approaches fail when faced with adversarial annotators who systematically provide incorrect preferences. We introduce TriTrust-PBRL (TTP), a unified framework that jointly learns a shared reward model and expert-specific trust parameters from multi-expert preference feedback. The key insight is that trust parameters naturally evolve during gradient-based optimization to be positive (trust), near zero (ignore), or negative (flip), enabling the model to automatically invert adversarial preferences and recover useful signal rather than merely discarding corrupted feedback. We provide theoretical analysis establishing identifiability guarantees and detailed gradient analysis that explains how expert separation emerges naturally during training without explicit supervision. Empirically, we evaluate TTP on four diverse domains spanning manipulation tasks (MetaWorld) and locomotion (DM Control) under various corruption scenarios. TTP achieves state-of-the-art robustness, maintaining near-oracle performance under adversarial corruption while standard PBRL methods fail catastrophically. Notably, TTP outperforms existing baselines by successfully learning from mixed expert pools containing both reliable and adversarial annotators, all while requiring no expert features beyond identification indices and integrating seamlessly with existing PBRL pipelines.

arXiv:2508.19008v2 Announce Type: replace Abstract: Building on a human-led thematic analysis of life-story interviews with inpatients with Borderline Personality Disorder, this study examines the capacity of large language models (OpenAI's GPT, Google's Gemini, and Anthropic's Claude) to support qualitative clinical analysis. The models were evaluated through a mixed procedure. Study A involved blinded and non-blinded expert judges in phenomenology and clinical psychology. Assessments included semantic congruence, Jaccard coefficients for overlap of outputs, multidimensional validity ratings of credibility, coherence, and the substantiveness of results, and their grounding in qualitative data. In Study B, neural methods were used to embed the theme descriptions created by humans and the models in a two-dimensional vector space to provide a computational measure of the difference between human and model semantics and linguistic style. In Study C, complementary non-expert evaluations were conducted to examine the influence of thematic verbosity on the perception of human authorship and content validity. Results of all three studies revealed variable overlap with the human analysis, with models being partly indistinguishable from, and also identifying themes originally omitted by, human researchers. The findings highlight both the variability and potential of AI-augmented thematic qualitative analysis to mitigate human interpretative bias and enhance sensitivity.

arXiv:2409.07314v2 Announce Type: replace-cross Abstract: While Large Language Models (LLMs) achieve superhuman performance on standardized medical licensing exams, these static benchmarks have become saturated and increasingly disconnected from the functional requirements of clinical workflows. To bridge the gap between theoretical capability and verified utility, we introduce MEDIC, a comprehensive evaluation framework establishing leading indicators across various clinical dimensions. Beyond standard question-answering, we assess operational capabilities using deterministic execution protocols and a novel Cross-Examination Framework (CEF), which quantifies information fidelity and hallucination rates without reliance on reference texts. Our evaluation across a heterogeneous task suite exposes critical performance trade-offs: we identify a significant knowledge-execution gap, where proficiency in static retrieval does not predict success in operational tasks such as clinical calculation or SQL generation. Furthermore, we observe a divergence between passive safety (refusal) and active safety (error detection), revealing that models fine-tuned for high refusal rates often fail to reliably audit clinical documentation for factual accuracy. These findings demonstrate that no single architecture dominates across all dimensions, highlighting the necessity of a portfolio approach to clinical model deployment. As part of this investigation, we released a public leaderboard on Hugging Face.\footnote{https://huggingface.co/spaces/m42-health/MEDIC-Benchmark}

arXiv:2502.16944v2 Announce Type: replace-cross Abstract: In this paper, we explore how directly pretraining a value model simplifies and stabilizes reinforcement learning from human feedback (RLHF). In reinforcement learning, value estimation is the key to policy optimization, distinct from reward supervision. The value function predicts the \emph{return-to-go} of a partial answer, that is, how promising the partial answer is if it were continued to completion. In RLHF, however, the standard pipeline first pretrains a reward model and then learns a value function online, even though no new reward signals are available once preference data is collected. This makes critic learning redundant, as the process of training a reward model and then deriving a value model is informationally equivalent to directly pretraining a value model. Importantly, this requires no additional supervision, and our value model is trained on exactly the same data used for reward modeling. Building on this insight, we introduce \emph{Decoupled Value Policy Optimization} (DVPO), a framework that pretrains a \emph{Global Value Model} (GVM) offline and freezes it as a universal critic for policy learning. The GVM provides stable, fine-grained credit assignment without critic drift or trajectory sampling. Experiments across MT-Bench, Alpaca-Eval, and Arena-Hard demonstrate that DVPO matches or surpasses state-of-the-art RLHF methods. These results highlight RLHF can be reframed as policy-only optimization guided by a single pretrained value model.

arXiv:2503.07137v4 Announce Type: replace-cross Abstract: Artificial intelligence (AI) has achieved astonishing successes in many domains, especially with the recent breakthroughs in the development of foundational large models. These large models, leveraging their extensive training data, provide versatile solutions for a wide range of downstream tasks. However, as modern datasets become increasingly diverse and complex, the development of large AI models faces two major challenges: (1) the enormous consumption of computational resources and deployment difficulties, and (2) the difficulty in fitting heterogeneous and complex data, which limits the usability of the models. Mixture of Experts (MoE) models has recently attracted much attention in addressing these challenges, by dynamically selecting and activating the most relevant sub-models to process input data. It has been shown that MoEs can significantly improve model performance and efficiency with fewer resources, particularly excelling in handling large-scale, multimodal data. Given the tremendous potential MoE has demonstrated across various domains, it is urgent to provide a comprehensive summary of recent advancements of MoEs in many important fields. Existing surveys on MoE have their limitations, e.g., being outdated or lacking discussion on certain key areas, and we aim to address these gaps. In this paper, we first introduce the basic design of MoE, including gating functions, expert networks, routing mechanisms, training strategies, and system design. We then explore the algorithm design of MoE in important machine learning paradigms such as continual learning, meta-learning, multi-task learning, and reinforcement learning. Additionally, we summarize theoretical studies aimed at understanding MoE and review its applications in computer vision and natural language processing. Finally, we discuss promising future research directions.