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SleepVLM: Explainable and Rule-Grounded Sleep Staging via a Vision-Language Model

arXiv:2603.26738v2 Announce Type: replace-cross Abstract: While automated sleep staging has achieved expert-level accuracy, its clinical adoption is hindered by a lack of auditable reasoning. We introduce SleepVLM, a rule-grounded vision-language model (VLM) designed to stage sleep from multi-channel polysomnography (PSG) waveform images while generating clinician-readable rationales based on American Academy of Sleep Medicine (AASM) scoring criteria. Utilizing waveform-perceptual pre-training and rule-grounded supervised fine-tuning, SleepVLM achieved Cohen's kappa scores of 0.767 on an held out test set (MASS-SS1) and 0.743 on an external cohort (ZUAMHCS), matching state-of-the-art performance. Expert evaluations further validated the quality of the model's reasoning, with mean scores exceeding 4.0/5.0 for factual accuracy, evidence comprehensiveness, and logical coherence. By coupling competitive performance with transparent, rule-based explanations, SleepVLM may improve the trustworthiness and auditability of automated sleep staging in clinical workflows. To facilitate further research in interpretable sleep medicine, we release MASS-EX, a novel expert-annotated dataset.

Ran Score: a LLM-based Evaluation Score for Radiology Report Generation

arXiv:2603.22935v1 Announce Type: new Abstract: Chest X-ray report generation and automated evaluation are limited by poor recognition of low-prevalence abnormalities and inadequate handling of clinically important language, including negation and ambiguity. We develop a clinician-guided framework combining human expertise and large language models for multi-label finding extraction from free-text chest X-ray reports and use it to define Ran Score, a finding-level metric for report evaluation. Using three non-overlapping MIMIC-CXR-EN cohorts from a public chest X-ray dataset and an independent ChestX-CN validation cohort, we optimize prompts, establish radiologist-derived reference labels and evaluate report generation models. The optimized framework improves the macro-averaged score from 0.753 to 0.956 on the MIMIC-CXR-EN development cohort, exceeds the CheXbert benchmark by 15.7 percentage points on directly comparable labels, and shows robust generalization on the ChestX-CN validation cohort. Here we show that clinician-guided prompt optimization improves agreement with a radiologist-derived reference standard and that Ran Score enables finding-level evaluation of report fidelity, particularly for low-prevalence abnormalities.

PaLMR: Towards Faithful Visual Reasoning via Multimodal Process Alignment

arXiv:2603.06652v1 Announce Type: cross Abstract: Reinforcement learning has recently improved the reasoning ability of Large Language Models and Multimodal LLMs, yet prevailing reward designs emphasise final-answer correctness and consequently tolerate process hallucinations--cases where models reach the right answer while misperceiving visual evidence. We address this process-level misalignment with PaLMR, a framework that aligns not only outcomes but also the reasoning process itself. PaLMR comprises two complementary components: a perception-aligned data layer that constructs process-aware reasoning data with structured pseudo-ground-truths and verifiable visual facts, and a process-aligned optimisation layer that constructs a hierarchical reward fusion scheme with a process-aware scoring function to encourage visually faithful chains-of-thought and improve training stability. Experiments on Qwen2.5-VL-7B show that our approach substantially reduces reasoning hallucinations and improves visual reasoning fidelity, achieving state-of-the-art results on HallusionBench while maintaining strong performance on MMMU, MathVista, and MathVerse. These findings indicate that PaLMR offers a principled and practical route to process-aligned multimodal reasoning, advancing the reliability and interpretability of MLLMs.

Not All Candidates are Created Equal: A Heterogeneity-Aware Approach to Pre-ranking in Recommender Systems

arXiv:2603.03770v1 Announce Type: cross Abstract: Most large-scale recommender systems follow a multi-stage cascade of retrieval, pre-ranking, ranking, and re-ranking. A key challenge at the pre-ranking stage arises from the heterogeneity of training instances sampled from coarse-grained retrieval results, fine-grained ranking signals, and exposure feedback. Our analysis reveals that prevailing pre-ranking methods, which indiscriminately mix heterogeneous samples, suffer from gradient conflicts: hard samples dominate training while easy ones remain underutilized, leading to suboptimal performance. We further show that the common practice of uniformly scaling model complexity across all samples is inefficient, as it overspends computation on easy cases and slows training without proportional gains. To address these limitations, this paper presents Heterogeneity-Aware Adaptive Pre-ranking (HAP), a unified framework that mitigates gradient conflicts through conflict-sensitive sampling coupled with tailored loss design, while adaptively allocating computational budgets across candidates. Specifically, HAP disentangles easy and hard samples, directing each subset along dedicated optimization paths. Building on this separation, it first applies lightweight models to all candidates for efficient coverage, and further engages stronger models on the hard ones, maintaining accuracy while reducing cost. This approach not only improves pre-ranking effectiveness but also provides a practical perspective on scaling strategies in industrial recommender systems. HAP has been deployed in the Toutiao production system for 9 months, yielding up to 0.4% improvement in user app usage duration and 0.05% in active days, without additional computational cost. We also release a large-scale industrial hybrid-sample dataset to enable the systematic study of source-driven candidate heterogeneity in pre-ranking.

DisenReason: Behavior Disentanglement and Latent Reasoning for Shared-Account Sequential Recommendation

arXiv:2603.03782v1 Announce Type: cross Abstract: Shared-account usage is common on streaming and e-commerce platforms, where multiple users share one account. Existing shared-account sequential recommendation (SSR) methods often assume a fixed number of latent users per account, limiting their ability to adapt to diverse sharing patterns and reducing recommendation accuracy. Recent latent reasoning technique applied in sequential recommendation (SR) generate intermediate embeddings from the user embedding (e.g, last item embedding) to uncover users' potential interests, which inspires us to treat the problem of inferring the number of latent users as generating a series of intermediate embeddings, shifting from inferring preferences behind user to inferring the users behind account. However, the last item cannot be directly used for reasoning in SSR, as it can only represent the behavior of the most recent latent user, rather than the collective behavior of the entire account. To address this, we propose DisenReason, a two-stage reasoning method tailored to SSR. DisenReason combines behavior disentanglement stage from frequency-domain perspective to create a collective and unified account behavior representation, which serves as a pivot for latent user reasoning stage to infer the number of users behind the account. Experiments on four benchmark datasets show that DisenReason consistently outperforms all state-of-the-art baselines across four benchmark datasets, achieving relative improvements of up to 12.56\% in MRR@5 and 6.06\% in Recall@20.

EDU-MATRIX: A Society-Centric Generative Cognitive Digital Twin Architecture for Secondary Education

arXiv:2602.18705v1 Announce Type: cross Abstract: Existing multi-agent simulations often suffer from the "Agent-Centric Paradox": rules are hard-coded into individual agents, making complex social dynamics rigid and difficult to align with educational values. This paper presents EDU-MATRIX, a society-centric generative cognitive digital twin architecture that shifts the paradigm from simulating "people" to simulating a "social space with a gravitational field." We introduce three architectural contributions: (1) An Environment Context Injection Engine (ECIE), which acts as a "social microkernel," dynamically injecting institutional rules (Gravity) into agents based on their spatial-temporal coordinates; (2) A Modular Logic Evolution Protocol (MLEP), where knowledge exists as "fluid" capsules that agents synthesize to generate new paradigms, ensuring high dialogue consistency (94.1%); and (3) Endogenous Alignment via Role-Topology, where safety constraints emerge from the agent's position in the social graph rather than external filters. Deployed as a digital twin of a secondary school with 2,400 agents, the system demonstrates how "social gravity" (rules) and "cognitive fluids" (knowledge) interact to produce emergent, value-aligned behaviors (Social Clustering Coefficient: 0.72).

MolReasoner: Toward Effective and Interpretable Reasoning for Molecular LLMs

arXiv:2508.02066v2 Announce Type: replace-cross Abstract: Large Language Models (LLMs) have shown impressive performance across various domains, but their ability to perform molecular reasoning remains underexplored. Existing methods mostly rely on general-purpose prompting, which lacks domain-specific molecular semantics, or fine-tuning, which faces challenges in interpretability and reasoning depth, often leading to structural and textual hallucinations. To address these issues, we introduce MolReasoner, a two-stage framework that transitions LLMs from memorization to high-fidelity chemical reasoning. In the Mol-SFT stage, knowledge-enhanced Chain-of-Thought (CoT) data provides a strong foundation, while the Mol-RL stage refines reasoning using a novel, task-adaptive reward system to mitigate hallucinations. Extensive evaluations demonstrate that MolReasoner significantly outperforms a wide range of strong baselines in both molecule generation and captioning tasks. Further analyses highlight the framework's synergistic design and its ability to produce more interpretable outputs. Our work presents a principled and effective new approach for advancing high-fidelity molecular reasoning.

Anonymization-Enhanced Privacy Protection for Mobile GUI Agents: Available but Invisible

arXiv:2602.10139v2 Announce Type: replace-cross Abstract: Mobile Graphical User Interface (GUI) agents have demonstrated strong capabilities in automating complex smartphone tasks by leveraging multimodal large language models (MLLMs) and system-level control interfaces. However, this paradigm introduces significant privacy risks, as agents typically capture and process entire screen contents, thereby exposing sensitive personal data such as phone numbers, addresses, messages, and financial information. Existing defenses either reduce UI exposure, obfuscate only task-irrelevant content, or rely on user authorization, but none can protect task-critical sensitive information while preserving seamless agent usability. We propose an anonymization-based privacy protection framework that enforces the principle of available-but-invisible access to sensitive data: sensitive information remains usable for task execution but is never directly visible to the cloud-based agent. Our system detects sensitive UI content using a PII-aware recognition model and replaces it with deterministic, type-preserving placeholders (e.g., PHONE_NUMBER#a1b2c) that retain semantic categories while removing identifying details. A layered architecture comprising a PII Detector, UI Transformer, Secure Interaction Proxy, and Privacy Gatekeeper ensures consistent anonymization across user instructions, XML hierarchies, and screenshots, mediates all agent actions over anonymized interfaces, and supports narrowly scoped local computations when reasoning over raw values is necessary. Extensive experiments on the AndroidLab and PrivScreen benchmarks show that our framework substantially reduces privacy leakage across multiple models while incurring only modest utility degradation, achieving the best observed privacy-utility trade-off among existing methods. Code available at: https://github.com/one-step-beh1nd/gui_privacy_protection
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