Advanced and underlying therapeutic strategies in transformed small cell lung cancer

By: Mingfeng Wei · Zheng Li · Kaiyuan Zhu · Shixiang Guo · Lefei Hu · Fuzhi Yang · Xiaoyu Chen · Xuelin Zhang · Shuai Jiang · Xunxia Zhu · Xiaoyong Shen

11 September 2026 at 18:00

Front Med (Lausanne). 2026 Aug 27;13:1865050. doi: 10.3389/fmed.2026.1865050. eCollection 2026.

ABSTRACT

Transformed small-cell lung cancer (T-SCLC) is a clinically important form of histologic transformation and a mechanism of acquired resistance in non-small-cell lung cancer (NSCLC). It is associated with poor prognosis, with a median overall survival of only about 9-13 months. This review summarizes recent advances in the mechanisms, diagnosis, monitoring, and treatment of T-SCLC. Repeat biopsy remains the gold standard for confirming histologic transformation, whereas molecular profiling and liquid biopsy may facilitate early detection and longitudinal disease monitoring. Platinum-etoposide remains the most commonly used clinical standard after transformation, but its benefit is typically transient and durable disease control remains uncommon. Continuation of EGFR tyrosine kinase inhibitors combined with chemotherapy may prolong progression-free survival in selected patients but has not consistently improved overall survival. Anti-angiogenic therapy, particularly anlotinib, and chemo-immunotherapy have shown encouraging activity in selected patients, while emerging strategies targeting DLL3, MYC, SOX2, and epigenetic regulators may broaden the therapeutic landscape. Prospective studies integrating repeat tissue sampling, comprehensive genomic profiling, biomarker-guided patient stratification, pharmacogenomics, functional drug-sensitivity testing where feasible, and integrated multi-omics approaches are needed to advance molecularly guided and individualized treatment for T-SCLC.

PMID:42724635 | PMC:PMC13560167 | DOI:10.3389/fmed.2026.1865050

Advanced and underlying therapeutic strategies in transformed small cell lung cancer

(Multiomics OR Omics) AND (Lung OR gastric OR Hepatocellular)

By: Mingfeng Wei · Zheng Li · Kaiyuan Zhu · Shixiang Guo · Lefei Hu · Fuzhi Yang · Xiaoyu Chen · Xuelin Zhang · Shuai Jiang · Xunxia Zhu · Xiaoyong Shen

11 September 2026 at 18:00

Front Med (Lausanne). 2026 Aug 27;13:1865050. doi: 10.3389/fmed.2026.1865050. eCollection 2026.

ABSTRACT

Transformed small-cell lung cancer (T-SCLC) is a clinically important form of histologic transformation and a mechanism of acquired resistance in non-small-cell lung cancer (NSCLC). It is associated with poor prognosis, with a median overall survival of only about 9-13 months. This review summarizes recent advances in the mechanisms, diagnosis, monitoring, and treatment of T-SCLC. Repeat biopsy remains the gold standard for confirming histologic transformation, whereas molecular profiling and liquid biopsy may facilitate early detection and longitudinal disease monitoring. Platinum-etoposide remains the most commonly used clinical standard after transformation, but its benefit is typically transient and durable disease control remains uncommon. Continuation of EGFR tyrosine kinase inhibitors combined with chemotherapy may prolong progression-free survival in selected patients but has not consistently improved overall survival. Anti-angiogenic therapy, particularly anlotinib, and chemo-immunotherapy have shown encouraging activity in selected patients, while emerging strategies targeting DLL3, MYC, SOX2, and epigenetic regulators may broaden the therapeutic landscape. Prospective studies integrating repeat tissue sampling, comprehensive genomic profiling, biomarker-guided patient stratification, pharmacogenomics, functional drug-sensitivity testing where feasible, and integrated multi-omics approaches are needed to advance molecularly guided and individualized treatment for T-SCLC.

PMID:42724635 | PMC:PMC13560167 | DOI:10.3389/fmed.2026.1865050

TableVision: A Large-Scale Benchmark for Spatially Grounded Reasoning over Complex Hierarchical Tables

cs.AI, q-bio.NC updates on arXiv.org

By: Xiaoyu Chen · Lu Dai · Hanqing Wang · Zhuoyu Li · Wenbin Dai · Yanzong Zheng · Zhenggang Xia · Junyong Lin · Hui Xiong

7 April 2026 at 12:00

arXiv:2604.03660v1 Announce Type: new Abstract: Structured tables are essential for conveying high-density information in professional domains such as finance, healthcare, and scientific research. Despite the progress in Multimodal Large Language Models (MLLMs), reasoning performance remains limited for complex tables with hierarchical layouts. In this paper, we identify a critical Perception Bottleneck through quantitative analysis. We find that as task complexity scales, the number of involved discrete visual regions increases disproportionately. This processing density leads to an internal "Perceptual Overload," where MLLMs struggle to maintain accurate spatial attention during implicit generation. To address this bottleneck, we introduce TableVision, a large-scale, trajectory-aware benchmark designed for spatially grounded reasoning. TableVision stratifies tabular tasks into three cognitive levels (Perception, Reasoning, and Analysis) across 13 sub-categories. By utilizing a rendering-based deterministic grounding pipeline, the dataset explicitly couples multi-step logical deductions with pixel-perfect spatial ground truths, comprising 6,799 high-fidelity reasoning trajectories. Our empirical results, supported by diagnostic probing, demonstrate that explicit spatial constraints significantly recover the reasoning potential of MLLMs. Furthermore, our two-stage decoupled framework achieves a robust 12.3% overall accuracy improvement on the test set. TableVision provides a rigorous testbed and a fresh perspective on the synergy between perception and logic in document understanding.

Learning Additively Compositional Latent Actions for Embodied AI

cs.AI, q-bio.NC updates on arXiv.org

By: Hangxing Wei · Xiaoyu Chen · Chuheng Zhang · Tim Pearce · Jianyu Chen · Alex Lamb · Li Zhao · Jiang Bian

7 April 2026 at 12:00

arXiv:2604.03340v1 Announce Type: cross Abstract: Latent action learning infers pseudo-action labels from visual transitions, providing an approach to leverage internet-scale video for embodied AI. However, most methods learn latent actions without structural priors that encode the additive, compositional structure of physical motion. As a result, latents often entangle irrelevant scene details or information about future observations with true state changes and miscalibrate motion magnitude. We introduce Additively Compositional Latent Action Model (AC-LAM), which enforces scene-wise additive composition structure over short horizons on the latent action space. These AC constraints encourage simple algebraic structure in the latent action space~(identity, inverse, cycle consistency) and suppress information that does not compose additively. Empirically, AC-LAM learns more structured, motion-specific, and displacement-calibrated latent actions and provides stronger supervision for downstream policy learning, outperforming state-of-the-art LAMs across simulated and real-world tabletop tasks.

UniG2U-Bench: Do Unified Models Advance Multimodal Understanding?

cs.AI, q-bio.NC updates on arXiv.org

By: Zimo Wen · Boxiu Li · Wanbo Zhang · Junxiang Lei · Xiaoyu Chen · Yijia Fan · Qi Zhang · Yujiang Wang · Lili Qiu · Bo Li · Ziwei Liu · Caihua Shan · Yifan Yang · Yifei Shen

4 March 2026 at 13:00

arXiv:2603.03241v1 Announce Type: cross Abstract: Unified multimodal models have recently demonstrated strong generative capabilities, yet whether and when generation improves understanding remains unclear. Existing benchmarks lack a systematic exploration of the specific tasks where generation facilitates understanding. To this end, we introduce UniG2U-Bench, a comprehensive benchmark categorizing generation-to-understanding (G2U) evaluation into 7 regimes and 30 subtasks, requiring varying degrees of implicit or explicit visual transformations. Extensive evaluation of over 30 models reveals three core findings: 1) Unified models generally underperform their base Vision-Language Models (VLMs), and Generate-then-Answer (GtA) inference typically degrades performance relative to direct inference. 2) Consistent enhancements emerge in spatial intelligence, visual illusions, or multi-round reasoning subtasks, where enhanced spatial and shape perception, as well as multi-step intermediate image states, prove beneficial. 3) Tasks with similar reasoning structures and models sharing architectures exhibit correlated behaviors, suggesting that generation-understanding coupling induces class-consistent inductive biases over tasks, pretraining data, and model architectures. These findings highlight the necessity for more diverse training data and novel paradigms to fully unlock the potential of unified multimodal modeling.

xLLM Technical Report

cs.AI, q-bio.NC updates on arXiv.org

By: Tongxuan Liu · Tao Peng · Peijun Yang · Xiaoyang Zhao · Xiusheng Lu · Weizhe Huang · Zirui Liu · Xiaoyu Chen · Zhiwei Liang · Jun Xiong · Donghe Jin · Minchao Zhang · Jinrong Guo · Yingxu Deng · Xu Zhang · Xianzhe Dong · Siqi Wang · Siyu Wu · Yu Wu · Zihan Tang · Yuting Zeng · Yanshu Wang · Jinguang Liu · Meng Kang · Menxin Li · Yunlong Wang · Yiming Liu · Xiaolong Ma · Yifan Wang · Yichen Zhang · Jinrun Yin · Keyang Zheng · Jiawei Yin · Jun Zhang · Ziyue Wang · Xiaobo Lin · Liangyu Liu · Liwei Lan · Yang Liu · Chunhua Peng · Han Liu · Songcheng Ren · Xuezhu Wang · Yunheng Shen · Yi Wang · Guyue Liu · Yitao Hu · Hui Chen · Tong Yang · Hailong Yang · Jing Li · Guiguang Ding · Ke Zhang

4 March 2026 at 13:00

arXiv:2510.14686v2 Announce Type: replace-cross Abstract: We introduce xLLM, an intelligent and efficient Large Language Model (LLM) inference framework designed for high-performance, large-scale enterprise-grade serving, with deep optimizations for diverse AI accelerators. To address these challenges, xLLM builds a novel decoupled service-engine architecture. At the service layer, xLLM-Service features an intelligent scheduling module that efficiently processes multimodal requests and co-locates online and offline tasks through unified elastic scheduling to maximize cluster utilization. This module also relies on a workload-adaptive dynamic Prefill-Decode (PD) disaggregation policy and a novel Encode-Prefill-Decode (EPD) disaggregation policy designed for multimodal inputs. Furthermore, it incorporates a distributed architecture to provide global KV Cache management and robust fault-tolerant capabilities for high availability. At the engine layer, xLLM-Engine co-optimizes system and algorithm designs to fully saturate computing resources. This is achieved through comprehensive multi-layer execution pipeline optimizations, an adaptive graph mode and an xTensor memory management. xLLM-Engine also further integrates algorithmic enhancements such as optimized speculative decoding and dynamic EPLB, collectively serving to substantially boost throughput and inference efficiency. Extensive evaluations demonstrate that xLLM delivers significantly superior performance and resource efficiency. Under identical TPOT constraints, xLLM achieves throughput up to 1.7x that of MindIE and 2.2x that of vLLM-Ascend with Qwen-series models, while maintaining an average throughput of 1.7x that of MindIE with Deepseek-series models. xLLM framework is publicly available at https://github.com/jd-opensource/xllm and https://github.com/jd-opensource/xllm-service.

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