arXiv:2603.29897v1 Announce Type: cross Abstract: Reranking is a critical component in many information retrieval pipelines. Despite remarkable progress in text-only settings, multimodal reranking remains challenging, particularly when the candidate set contains hybrid text and image items. A key difficulty is the modality gap: a text reranker is intrinsically closer to text candidates than to image candidates, leading to biased and suboptimal cross-modal ranking. Vision-language models (VLMs) mitigate this gap through strong cross-modal alignment and have recently been adopted to build multimodal rerankers. However, most VLM-based rerankers encode all candidates as images, and treating text as images introduces substantial computational overhead. Meanwhile, existing open-source multimodal rerankers are typically trained on general-domain data and often underperform in domain-specific scenarios. To address these limitations, we propose UniRank, a VLM-based reranking framework that natively scores and orders hybrid text-image candidates without any modality conversion. Building on this hybrid scoring interface, UniRank provides an end-to-end domain adaptation pipeline that includes: (1) an instruction-tuning stage that learns calibrated cross-modal relevance scoring by mapping label-token likelihoods to a unified scalar score; and (2) a hard-negative-driven preference alignment stage that constructs in-domain pairwise preferences and performs query-level policy optimization through reinforcement learning from human feedback (RLHF). Extensive experiments on scientific literature retrieval and design patent search demonstrate that UniRank consistently outperforms state-of-the-art baselines, improving Recall@1 by 8.9% and 7.3%, respectively.

Nature Cancer, Published online: 10 March 2026; doi:10.1038/s43018-026-01127-0

Kelly et al. assessed an artificial intelligence system for breast cancer screening in retrospective datasets, followed by prospective feasibility evaluation, and report its accuracy, fairness and clinical implementation in multiple workflow settings.

Nature Cancer, Published online: 10 March 2026; doi:10.1038/s43018-026-01128-z

Warren et al. used data from a retrospective cohort of 50,000 women attending breast screening. Arbitration between human and AI decisions was performed in a reader study following normal arbitration workflow. After arbitration, replacing the second human reader with AI in a double-read breast screening workflow was noninferior to two human readers.

Cell Death Discovery, Published online: 07 March 2026; doi:10.1038/s41420-026-02953-y

TRIM27-controlled endothelium-derived exosomes play a central role in podocyte injury in diabetic kidney disease

arXiv:2603.04135v1 Announce Type: cross Abstract: Group Relative Policy Optimization (GRPO) effectively scales LLM reasoning but incurs prohibitive computational costs due to its extensive group-based sampling requirement. While recent selective data utilization methods can mitigate this overhead, they could induce estimation bias by altering the underlying sampling distribution, compromising theoretical rigor and convergence behavior. To address this limitation, we propose Dynamic Pruning Policy Optimization (DPPO), a framework that enables dynamic pruning while preserving unbiased gradient estimation through importance sampling-based correction. By incorporating mathematically derived rescaling factors, DPPO significantly accelerates GRPO training without altering the optimization objective of the full-batch baseline. Furthermore, to mitigate the data sparsity induced by pruning, we introduce Dense Prompt Packing, a window-based greedy strategy that maximizes valid token density and hardware utilization. Extensive experiments demonstrate that DPPO consistently accelerates training across diverse models and benchmarks. For instance, on Qwen3-4B trained on MATH, DPPO achieves 2.37$\times$ training speedup and outperforms GRPO by 3.36% in average accuracy across six mathematical reasoning benchmarks.

arXiv:2602.12705v3 Announce Type: replace-cross Abstract: We present MedXIAOHE, a medical vision-language foundation model designed to advance general-purpose medical understanding and reasoning in real-world clinical applications. MedXIAOHE achieves state-of-the-art performance across diverse medical benchmarks and surpasses leading closed-source multimodal systems on multiple capabilities. To achieve this, we propose an entity-aware continual pretraining framework that organizes heterogeneous medical corpora to broaden knowledge coverage and reduce long-tail gaps (e.g., rare diseases). For medical expert-level reasoning and interaction, MedXIAOHE incorporates diverse medical reasoning patterns via reinforcement learning and tool-augmented agentic training, enabling multi-step diagnostic reasoning with verifiable decision traces. To improve reliability in real-world use, MedXIAOHE integrates user-preference rubrics, evidence-grounded reasoning, and low-hallucination long-form report generation, with improved adherence to medical instructions. We release this report to document our practical design choices, scaling insights, and evaluation framework, hoping to inspire further research.

arXiv:2602.19844v1 Announce Type: cross Abstract: LLM-enabled applications are rapidly reshaping the software ecosystem by using large language models as core reasoning components for complex task execution. This paradigm shift, however, introduces fundamentally new reliability challenges and significantly expands the security attack surface, due to the non-deterministic, learning-driven, and difficult-to-verify nature of LLM behavior. In light of these emerging and unavoidable safety challenges, we argue that such risks should be treated as expected operational conditions rather than exceptional events, necessitating a dedicated incident-response perspective. Consequently, the primary barrier to trustworthy deployment is not further improving model capability but establishing system-level threat monitoring mechanisms that can detect and contextualize security-relevant anomalies after deployment -- an aspect largely underexplored beyond testing or guardrail-based defenses. Accordingly, this position paper advocates systematic and comprehensive monitoring of security threats in LLM-enabled applications as a prerequisite for reliable operation and a foundation for dedicated incident-response frameworks.

arXiv:2602.14490v1 Announce Type: cross Abstract: Large Language Models (LLMs) have achieved remarkable progress, with Parameter-Efficient Fine-Tuning (PEFT) emerging as a key technique for downstream task adaptation. However, existing PEFT methods mainly operate in Euclidean space, fundamentally limiting their capacity to capture complex geometric structures inherent in language data. While alternative geometric spaces, like hyperbolic geometries for hierarchical data and spherical manifolds for circular patterns, offer theoretical advantages, forcing representations into a single manifold type ultimately limits expressiveness, even when curvature parameters are learnable. To address this, we propose Mixture of Space (MoS), a unified framework that leverages multiple geometric spaces simultaneously to learn richer, curvature-aware representations. Building on this scheme, we develop MoSLoRA, which extends Low-Rank Adaptation (LoRA) with heterogeneous geometric experts, enabling models to dynamically select or combine appropriate geometric spaces based on input context. Furthermore, to address the computational overhead of frequent manifold switching, we develop a lightweight routing mechanism. Moreover, we provide empirical insights into how curvature optimization impacts training stability and model performance. Our experiments across diverse benchmarks demonstrate that MoSLoRA consistently outperforms strong baselines, achieving up to 5.6% improvement on MATH500 and 15.9% on MAWPS.

arXiv:2602.12705v2 Announce Type: replace-cross Abstract: We present MedXIAOHE, a medical vision-language foundation model designed to advance general-purpose medical understanding and reasoning in real-world clinical applications. MedXIAOHE achieves state-of-the-art performance across diverse medical benchmarks and surpasses leading closed-source multimodal systems on multiple capabilities. To achieve this, we propose an entity-aware continual pretraining framework that organizes heterogeneous medical corpora to broaden knowledge coverage and reduce long-tail gaps (e.g., rare diseases). For medical expert-level reasoning and interaction, MedXIAOHE incorporates diverse medical reasoning patterns via reinforcement learning and tool-augmented agentic training, enabling multi-step diagnostic reasoning with verifiable decision traces. To improve reliability in real-world use, MedXIAOHE integrates user-preference rubrics, evidence-grounded reasoning, and low-hallucination long-form report generation, with improved adherence to medical instructions. We release this report to document our practical design choices, scaling insights, and evaluation framework, hoping to inspire further research.