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Efficient endometrial carcinoma screening via cross-modal synthesis and gradient distillation

arXiv:2602.19822v1 Announce Type: cross Abstract: Early detection of myometrial invasion is critical for the staging and life-saving management of endometrial carcinoma (EC), a prevalent global malignancy. Transvaginal ultrasound serves as the primary, accessible screening modality in resource-constrained primary care settings; however, its diagnostic reliability is severely hindered by low tissue contrast, high operator dependence, and a pronounced scarcity of positive pathological samples. Existing artificial intelligence solutions struggle to overcome this severe class imbalance and the subtle imaging features of invasion, particularly under the strict computational limits of primary care clinics. Here we present an automated, highly efficient two-stage deep learning framework that resolves both data and computational bottlenecks in EC screening. To mitigate pathological data scarcity, we develop a structure-guided cross-modal generation network that synthesizes diverse, high-fidelity ultrasound images from unpaired magnetic resonance imaging (MRI) data, strictly preserving clinically essential anatomical junctions. Furthermore, we introduce a lightweight screening network utilizing gradient distillation, which transfers discriminative knowledge from a high-capacity teacher model to dynamically guide sparse attention towards task-critical regions. Evaluated on a large, multicenter cohort of 7,951 participants, our model achieves a sensitivity of 99.5\%, a specificity of 97.2\%, and an area under the curve of 0.987 at a minimal computational cost (0.289 GFLOPs), substantially outperforming the average diagnostic accuracy of expert sonographers. Our approach demonstrates that combining cross-modal synthetic augmentation with knowledge-driven efficient modeling can democratize expert-level, real-time cancer screening for resource-constrained primary care settings.

Diversity-Incentivized Exploration for Versatile Reasoning

arXiv:2509.26209v2 Announce Type: replace Abstract: Reinforcement Learning with Verifiable Rewards (RLVR) has emerged as a crucial paradigm for incentivizing reasoning capabilities in Large Language Models (LLMs). Due to vast state-action spaces and reward sparsity in reasoning tasks, existing methods often struggle with deficient exploration and poor sample efficiency. In the paper, we propose \textbf{DIVER} (\textbf{D}iversity-\textbf{I}ncentivized Exploration for \textbf{V}ersatil\textbf{E} \textbf{R}easoning), an innovative framework that highlights the pivotal role of global sequence-level diversity to incentivize deep exploration for versatile reasoning. We first conduct a primary empirical study to reveal a strong positive correlation between global diversity and reasoning capacity. Building on this insight, we introduce global diversity incentives as an intrinsic reward to promote deep exploration in a semantically structured space. Incorporating the intrinsic reward, we develop a potential-based reward shaping mechanism to preserve optimal policy invariance and design simple heuristics to mitigate possible reward hacking. Experimental results show that DIVER outperforms competitive RLVR baselines with various exploration strategies on both in-domain and out-of-domain tasks, excelling in both Pass@1 and Pass@k evaluations. Our code is available at https://github.com/NJU-RL/DIVER.

Dialogue is Better Than Monologue: Instructing Medical LLMs via Strategical Conversations

arXiv:2501.17860v2 Announce Type: replace-cross Abstract: Current medical AI systems often fail to replicate real-world clinical reasoning, as they are predominantly trained and evaluated on static text and question-answer tasks. These tuning methods and benchmarks overlook critical aspects like evidence-based reasoning and handling distracting information. To bridge this gap, we introduce a novel benchmark that simulates real-world diagnostic scenarios, integrating noise and difficulty levels aligned with USMLE standards. Moreover, we explore dialogue-based fine-tuning, which transforms static datasets into conversational formats to better capture iterative reasoning processes. Experiments show that dialogue-tuned models outperform traditional methods, with improvements of $9.64\%$ in multi-round reasoning scenarios and $6.18\%$ in accuracy in a noisy environment. Our findings highlight dialogue tuning as a promising approach for advancing clinically aligned and robust medical AI systems.

STaRR: Spatial-Temporal Token-Dynamics-Aware Responsive Remasking for Diffusion Language Models

arXiv:2601.04205v2 Announce Type: replace-cross Abstract: Diffusion Language Models (DLMs) enable parallel decoding via iterative denoising, where remasking strategies play a critical role in balancing inference speed and output quality. Existing methods predominantly rely on static confidence thresholds, overlooking the spatial-temporal dynamics of token confidence, causing unnecessary remasking. We propose Spatial-Temporal Token-Dynamics-Aware Responsive Remasking (STaRR), a training-free framework that dynamically adapts remasking decisions based on token confidence evolution. STaRR introduces two metrics, temporal variance and spatial deviance, to guide fine-grained, step-wise dynamic thresholding. We further introduce a step-wise dynamic thresholding strategy, further enhanced with responsiveness optimizations for scalability and robustness. Experiments show that STaRR achieves an average speedup of 4.1 and up to 8.9 while maintaining comparable accuracy.

Step 3.5 Flash: Open Frontier-Level Intelligence with 11B Active Parameters

arXiv:2602.10604v2 Announce Type: replace-cross Abstract: We introduce Step 3.5 Flash, a sparse Mixture-of-Experts (MoE) model that bridges frontier-level agentic intelligence and computational efficiency. We focus on what matters most when building agents: sharp reasoning and fast, reliable execution. Step 3.5 Flash pairs a 196B-parameter foundation with 11B active parameters for efficient inference. It is optimized with interleaved 3:1 sliding-window/full attention and Multi-Token Prediction (MTP-3) to reduce the latency and cost of multi-round agentic interactions. To reach frontier-level intelligence, we design a scalable reinforcement learning framework that combines verifiable signals with preference feedback, while remaining stable under large-scale off-policy training, enabling consistent self-improvement across mathematics, code, and tool use. Step 3.5 Flash demonstrates strong performance across agent, coding, and math tasks, achieving 85.4% on IMO-AnswerBench, 86.4% on LiveCodeBench-v6 (2024.08-2025.05), 88.2% on tau2-Bench, 69.0% on BrowseComp (with context management), and 51.0% on Terminal-Bench 2.0, comparable to frontier models such as GPT-5.2 xHigh and Gemini 3.0 Pro. By redefining the efficiency frontier, Step 3.5 Flash provides a high-density foundation for deploying sophisticated agents in real-world industrial environments.
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