Nature Medicine, Published online: 27 October 2025; doi:10.1038/s41591-025-04006-w

The biological clock model LifeClock predicts biological age across all life stages from routine clinical data, revealing distinct pediatric and adult disease risk patterns.

arXiv:2510.21093v1 Announce Type: new Abstract: Recently, large models have shown significant potential for smart healthcare. However, the deployment of Large Vision-Language Models (LVLMs) for clinical services is currently hindered by three critical challenges: a tendency to hallucinate answers not grounded in visual evidence, the inefficiency of fixed-depth reasoning, and the difficulty of multi-institutional collaboration. To address these challenges, in this paper, we develop MedAlign, a novel framework to ensure visually accurate LVLM responses for Medical Visual Question Answering (Med-VQA). Specifically, we first propose a multimodal Direct Preference Optimization (mDPO) objective to explicitly align preference learning with visual context. We then design a Retrieval-Aware Mixture-of-Experts (RA-MoE) architecture that utilizes image and text similarity to route queries to a specialized and context-augmented LVLM (i.e., an expert), thereby mitigating hallucinations in LVLMs. To achieve adaptive reasoning and facilitate multi-institutional collaboration, we propose a federated governance mechanism, where the selected expert, fine-tuned on clinical datasets based on mDPO, locally performs iterative Chain-of-Thought (CoT) reasoning via the local meta-cognitive uncertainty estimator. Extensive experiments on three representative Med-VQA datasets demonstrate that MedAlign achieves state-of-the-art performance, outperforming strong retrieval-augmented baselines by up to $11.85\%$ in F1-score, and simultaneously reducing the average reasoning length by $51.60\%$ compared with fixed-depth CoT approaches.

arXiv:2510.21293v1 Announce Type: new Abstract: Background: Trustworthy AI serves as a foundational pillar for two major AI ethics conferences: AIES and FAccT. However, current research often adopts techno-centric approaches, focusing primarily on technical attributes such as reliability, robustness, and fairness, while overlooking the sociotechnical dimensions critical to understanding AI trustworthiness in real-world contexts. Objectives: This scoping review aims to examine how the AIES and FAccT communities conceptualize, measure, and validate AI trustworthiness, identifying major gaps and opportunities for advancing a holistic understanding of trustworthy AI systems. Methods: We conduct a scoping review of AIES and FAccT conference proceedings to date, systematically analyzing how trustworthiness is defined, operationalized, and applied across different research domains. Our analysis focuses on conceptualization approaches, measurement methods, verification and validation techniques, application areas, and underlying values. Results: While significant progress has been made in defining technical attributes such as transparency, accountability, and robustness, our findings reveal critical gaps. Current research often predominantly emphasizes technical precision at the expense of social and ethical considerations. The sociotechnical nature of AI systems remains less explored and trustworthiness emerges as a contested concept shaped by those with the power to define it. Conclusions: An interdisciplinary approach combining technical rigor with social, cultural, and institutional considerations is essential for advancing trustworthy AI. We propose actionable measures for the AI ethics community to adopt holistic frameworks that genuinely address the complex interplay between AI systems and society, ultimately promoting responsible technological development that benefits all stakeholders.