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Development and multi-center evaluation of domain-adapted speech recognition for human-AI teaming in real-world gastrointestinal endoscopy

arXiv:2604.01705v1 Announce Type: cross Abstract: Automatic speech recognition (ASR) is a critical interface for human-AI interaction in gastrointestinal endoscopy, yet its reliability in real-world clinical settings is limited by domain-specific terminology and complex acoustic conditions. Here, we present EndoASR, a domain-adapted ASR system designed for real-time deployment in endoscopic workflows. We develop a two-stage adaptation strategy based on synthetic endoscopy reports, targeting domain-specific language modeling and noise robustness. In retrospective evaluation across six endoscopists, EndoASR substantially improves both transcription accuracy and clinical usability, reducing character error rate (CER) from 20.52% to 14.14% and increasing medical term accuracy (Med ACC) from 54.30% to 87.59%. In a prospective multi-center study spanning five independent endoscopy centers, EndoASR demonstrates consistent generalization under heterogeneous real-world conditions. Compared with the baseline Paraformer model, CER is reduced from 16.20% to 14.97%, while Med ACC is improved from 61.63% to 84.16%, confirming its robustness in practical deployment scenarios. Notably, EndoASR achieves a real-time factor (RTF) of 0.005, significantly faster than Whisper-large-v3 (RTF 0.055), while maintaining a compact model size of 220M parameters, enabling efficient edge deployment. Furthermore, integration with large language models demonstrates that improved ASR quality directly enhances downstream structured information extraction and clinician-AI interaction. These results demonstrate that domain-adapted ASR can serve as a reliable interface for human-AI teaming in gastrointestinal endoscopy, with consistent performance validated across multi-center real-world clinical settings.

Efficient Reasoning with Balanced Thinking

arXiv:2603.12372v3 Announce Type: replace Abstract: Large Reasoning Models (LRMs) have shown remarkable reasoning capabilities, yet they often suffer from overthinking, expending redundant computational steps on simple problems, or underthinking, failing to explore sufficient reasoning paths despite inherent capabilities. These issues lead to inefficiencies and potential inaccuracies, limiting practical deployment in resource-constrained settings. Existing methods to mitigate overthinking, such as suppressing reflective keywords or adjusting reasoning length, may inadvertently induce underthinking, compromising accuracy. Therefore, we propose ReBalance, a training-free framework that achieves efficient reasoning with balanced thinking. ReBalance leverages confidence as a continuous indicator of reasoning dynamics, identifying overthinking through high confidence variance and underthinking via consistent overconfidence. By aggregating hidden states from a small-scale dataset into reasoning mode prototypes, we compute a steering vector to guide LRMs' reasoning trajectories. A dynamic control function modulates this vector's strength and direction based on real-time confidence, pruning redundancy during overthinking, and promoting exploration during underthinking. Extensive experiments conducted on four models ranging from 0.5B to 32B, and across nine benchmarks in math reasoning, general question answering, and coding tasks demonstrate that ReBalance effectively reduces output redundancy while improving accuracy, offering a general, training-free, and plug-and-play strategy for efficient and robust LRM deployment. Project page and code are available at https://rebalance-ai.github.io .

UniMark: Artificial Intelligence Generated Content Identification Toolkit

By: Meilin Li Β· Ji He Β· Yi Yu Β· Jia Xu Β· Shanzhe Lei Β· Yan Teng Β· Yingchun Wang Β· Xuhong Wang
3 April 2026 at 12:00
arXiv:2512.12324v3 Announce Type: replace-cross Abstract: The rapid proliferation of Artificial Intelligence Generated Content has precipitated a crisis of trust and urgent regulatory demands. However, existing identification tools suffer from fragmentation and a lack of support for visible compliance marking. To address these gaps, we introduce the \textbf{UniMark}, an open-source, unified framework for multimodal content governance. Our system features a modular unified engine that abstracts complexities across text, image, audio, and video modalities. Crucially, we propose a novel dual-operation strategy, natively supporting both \emph{Hidden Watermarking} for copyright protection and \emph{Visible Marking} for regulatory compliance. Furthermore, we establish a standardized evaluation framework with three specialized benchmarks (Image/Video/Audio-Bench) to ensure rigorous performance assessment. This toolkit bridges the gap between advanced algorithms and engineering implementation, fostering a more transparent and secure digital ecosystem.
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