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From Conflict to Consensus: Boosting Medical Reasoning via Multi-Round Agentic RAG

arXiv:2603.03292v1 Announce Type: cross Abstract: Large Language Models (LLMs) exhibit high reasoning capacity in medical question-answering, but their tendency to produce hallucinations and outdated knowledge poses critical risks in healthcare fields. While Retrieval-Augmented Generation (RAG) mitigates these issues, existing methods rely on noisy token-level signals and lack the multi-round refinement required for complex reasoning. In the paper, we propose **MA-RAG** (**M**ulti-Round **A**gentic RAG), a framework that facilitates test-time scaling for complex medical reasoning by iteratively evolving both external evidence and internal reasoning history within an agentic refinement loop. At each round, the agent transforms semantic **conflict** among candidate responses into actionable queries to retrieve external evidence, while optimizing history reasoning traces to mitigate long-context degradation. MA-RAG extends the *self-consistency* principle by leveraging the lack of consistency as a proactive signal for multi-round agentic reasoning and retrieval, and mirrors a *boosting* mechanism that iteratively minimizes the residual error toward a stable, high-fidelity medical **consensus**. Extensive evaluations across 7 medical Q&A benchmarks show that MA-RAG consistently surpasses competitive inference-time scaling and RAG baselines, delivering **substantial +6.8 points** on average accuracy over the backbone model. Our code is available at [this url](https://github.com/NJU-RL/MA-RAG).

Volumetric Directional Diffusion: Anchoring Uncertainty Quantification in Anatomical Consensus for Ambiguous Medical Image Segmentation

arXiv:2603.04024v1 Announce Type: cross Abstract: Equivocal 3D lesion segmentation exhibits high inter-observer variability. Conventional deterministic models ignore this aleatoric uncertainty, producing over-confident masks that obscure clinical risks. Conversely, while generative methods (e.g., standard diffusion) capture sample diversity, recovering complex topology from pure noise frequently leads to severe structural fractures and out-of-distribution anatomical hallucinations. To resolve this fidelity-diversity trade-off, we propose Volumetric Directional Diffusion (VDD). Unlike standard diffusion models that denoise isotropic Gaussian noise, VDD mathematically anchors the generative trajectory to a deterministic consensus prior. By restricting the generative search space to iteratively predict a 3D boundary residual field, VDD accurately explores the fine-grained geometric variations inherent in expert disagreements without risking topological collapse. Extensive validation on three multi-rater datasets (LIDC-IDRI, KiTS21, and ISBI 2015) demonstrates that VDD achieves state-of-the-art uncertainty quantification (significantly improving GED and CI) while remaining highly competitive in segmentation accuracy against deterministic upper bounds. Ultimately, VDD provides clinicians with anatomically coherent uncertainty maps, enabling safer decision-making and mitigating risks in downstream tasks (e.g., radiotherapy planning or surgical margin assessment).

Zero-Permission Manipulation: Can We Trust Large Multimodal Model Powered GUI Agents?

arXiv:2601.12349v2 Announce Type: replace-cross Abstract: Large multimodal model powered GUI agents are emerging as high-privilege operators on mobile platforms, entrusted with perceiving screen content and injecting inputs. However, their design operates under the implicit assumption of Visual Atomicity: that the UI state remains invariant between observation and action. We demonstrate that this assumption is fundamentally invalid in Android, creating a critical attack surface. We present Action Rebinding, a novel attack that allows a seemingly-benign app with zero dangerous permissions to rebind an agent's execution. By exploiting the inevitable observation-to-action gap inherent in the agent's reasoning pipeline, the attacker triggers foreground transitions to rebind the agent's planned action toward the target app. We weaponize the agent's task-recovery logic and Android's UI state preservation to orchestrate programmable, multi-step attack chains. Furthermore, we introduce an Intent Alignment Strategy (IAS) that manipulates the agent's reasoning process to rationalize UI states, enabling it to bypass verification gates (e.g., confirmation dialogs) that would otherwise be rejected. We evaluate Action Rebinding Attacks on six widely-used Android GUI agents across 15 tasks. Our results demonstrate a 100% success rate for atomic action rebinding and the ability to reliably orchestrate multi-step attack chains. With IAS, the success rate in bypassing verification gates increases (from 0% to up to 100%). Notably, the attacker application requires no sensitive permissions and contains no privileged API calls, achieving a 0% detection rate across malware scanners (e.g., VirusTotal). Our findings reveal a fundamental architectural flaw in current agent-OS integration and provide critical insights for the secure design of future agent systems. To access experimental logs and demonstration videos, please contact yi_qian@smail.nju.edu.cn.
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