Background: Incomplete clinical details on magnetic resonance imaging (MRI) examination requests (MERs) can lead to suboptimal protocol selection. An institutional secure large language model (sLLM) with access to manually retrieved salient data from the electronic medical record (EMR) may improve request completeness and protocol accuracy across multiple MRI subspecialties. Objective: The objective of this study was to compare clinician MERs with sLLM-augmented MERs for information quality and to evaluate the protocoling accuracy of the sLLM versus board-certified radiologists across body, musculoskeletal, and neuroradiology MRI. Methods: This retrospective study included 608 random outpatient MRI examinations performed between September 2023 and July 2024 (body 206, musculoskeletal 203, neuroradiology 199). The cohort comprised 528 patients (mean 51.2 years, SD 19.2; range 4‐93; n=279, 52.8% women, n=249, 47.2% men). MERs without EMR access were excluded. A privately hosted Anthropic Claude 3.5 model (temperature 0) augmented each MER with manually retrieved salient EMR data and, via rule-based parsing, mapped the extracted elements onto predefined institutional criteria to recommend region or coverage and contrast use. Two experienced radiologists established a consensus reference standard. Two board-certified general radiologists (Rad 3 and Rad 4) and the sLLM were compared with this standard. Clinical information quality was graded using the Reason-for-Exam Imaging Reporting and Data System (RI-RADS). Interrater reliability was quantified with Gwet AC1. Paired accuracies were compared with the McNemar test to determine whether there was a statistically significant difference. Results: Interreader agreement for RI-RADS was almost perfect for sLLM-augmented MERs (AC1 0.97, 95% CI 0.94‐0.99) and moderate for clinician MERs (AC1 0.43, 95% CI 0.34‐0.52). Limited or deficient clinical information (RI-RADS C/D) fell to 0% to 0.7% (0/608 to 4/608) with sLLM augmentation vs 4.1% to 20.4% (25/608 to 124/608) for clinician MERs. Overall protocol accuracy was 93.1% (566/608; 95% CI 89.6‐96.6) for the sLLM, 91.4% (556/608; 95% CI 87.6‐95.3) for Rad 3, and 92.1% (560/608; 95% CI 88.4‐95.8) for Rad 4 (sLLM vs Rad 3 =.23 vs Rad 4 =.40). Region or coverage accuracy was similar (sLLM: 579/608, 95.2%; Rad 3: 585/608, 96.2%; Rad 4: 573/608, 94.2%; =.46 and =.36). Contrast decisions were more accurate using the sLLM at 94.4% (574/608; 95% CI 91.3‐97.5) vs Rad 3 at 92.1% (560/608; 95% CI 88.4‐95.8; =.027) and were not significantly different to Rad 4 at 92.9% (565/608; 95% CI 89.4‐96.4; =.16). Subspecialty analyses showed similar patterns, with the sLLM outperforming Rad 4 for musculoskeletal MRI contrast decisions (96.6% vs 91.1%; =.006) and matching readers elsewhere. Manual review indicated that sLLM improvements arose from EMR details not listed on the MER (infection/inflammation, tumor history, prior surgery). No clinically significant hallucinations were identified in a manual review of discordant cases. Conclusions: Across body, musculoskeletal, and neuroradiology MRI, sLLM-augmented examination requests improved clinical context and enhanced contrast selection while demonstrating accuracy comparable to general radiologists for region or coverage. Integrating sLLMs into routine vetting workflows may reduce manual workload in protocol selection for more efficient, standardized protocoling.

arXiv:2604.04297v1 Announce Type: new Abstract: Physiological foundation models (FMs) have shown promise for biosignal representation learning, yet most remain confined to a single modality such as EEG, ECG, or PPG, largely because paired multimodal datasets are scarce. In this paper, we present PanLUNA, a compact 5.4M-parameter pan-modal FM that jointly processes EEG, ECG, and PPG within a single shared encoder. Extending LUNA's channel-unification module, PanLUNA treats multimodal channels as entries in a unified query set augmented with sensor-type embeddings, enabling efficient cross-modal early fusion while remaining inherently robust to missing modalities at inference time. Despite its small footprint, PanLUNA matches or exceeds models up to 57$\times$ larger: 81.21% balanced accuracy on TUAB abnormal EEG detection and state-of-the-art 0.7416 balanced accuracy on HMC multimodal sleep staging. Quantization-aware training with INT8 weights recovers $\geq$96% of full-precision performance, and deployment on the GAP9 ultra-low-power RISC-V microcontroller for wearables achieves 325.6 ms latency and 18.8 mJ per 10-second, 12-lead ECG inference, and 1.206 s latency at 68.65 mJ for multimodal 5-channel sleep staging over 30-second epochs.

arXiv:2604.04493v1 Announce Type: cross Abstract: The rapid growth of large language models (LLMs) presents significant deployment challenges due to their massive computational and memory demands. While model compression, such as network pruning, offers potential solutions, most existing methods often fail to maintain good performance at high compression ratios. To address this, we propose SLaB, a novel framework that decomposes each linear layer weight into three complementary components: a sparse matrix, a low-rank matrix, and a binary matrix. SLaB eliminates the need for retraining and leverages activation-aware pruning scores to guide the decomposition process. Experiments on Llama-family models demonstrate that SLaB achieves state-of-the-art performance, reducing perplexity by up to 36% compared to existing methods at 50% compression and improving accuracy by up to 8.98% over the baseline on zero-shot tasks.

arXiv:2604.04901v1 Announce Type: cross Abstract: Coworking AI agents operating within local file systems are rapidly emerging as a paradigm in human-AI interaction; however, effective personalization remains limited by severe data constraints, as strict privacy barriers and the difficulty of jointly collecting multimodal real-world traces prevent scalable training and evaluation, and existing methods remain interaction-centric while overlooking dense behavioral traces in file-system operations; to address this gap, we propose FileGram, a comprehensive framework that grounds agent memory and personalization in file-system behavioral traces, comprising three core components: (1) FileGramEngine, a scalable persona-driven data engine that simulates realistic workflows and generates fine-grained multimodal action sequences at scale; (2) FileGramBench, a diagnostic benchmark grounded in file-system behavioral traces for evaluating memory systems on profile reconstruction, trace disentanglement, persona drift detection, and multimodal grounding; and (3) FileGramOS, a bottom-up memory architecture that builds user profiles directly from atomic actions and content deltas rather than dialogue summaries, encoding these traces into procedural, semantic, and episodic channels with query-time abstraction; extensive experiments show that FileGramBench remains challenging for state-of-the-art memory systems and that FileGramEngine and FileGramOS are effective, and by open-sourcing the framework, we hope to support future research on personalized memory-centric file-system agents.

arXiv:2601.21343v3 Announce Type: replace-cross Abstract: Large language models are classically trained in stages: pretraining on raw text followed by post-training for instruction following and reasoning. However, this separation creates a fundamental limitation: many desirable behaviors such as safety, factuality, overall generation quality, and reasoning ability are only added at a late stage, even though the patterns learned earlier strongly shape a model's capabilities. To tackle this issue, we introduce a new way to pretrain and mid-train models that incorporates these behaviors earlier. We utilize an existing strong, post-trained model to both rewrite pretraining data and to judge policy model rollouts, thus using reinforcement earlier in training. In our experiments, we show this can give strong gains in quality, safety, factuality and reasoning.

npj Digital Medicine, Published online: 07 April 2026; doi:10.1038/s41746-026-02470-3

Interpretable machine learning models for stroke risk prediction in patients with newly diagnosed atrial fibrillation

Oncogene, Published online: 04 April 2026; doi:10.1038/s41388-026-03764-2

Spliceosomal component SNRPE drives cell proliferation by regulating CTP synthase 1 mRNA splicing in ovarian cancer

SPYTAC is a synthetic peptide-programmed targeted protein degradation platform harnessing LRP1 to drive lysosomal degradation of extracellular amyloid-β in the brain and periphery. In 5×FAD mice, SPYTAC treatment efficiently degrades amyloid-β, preserves neurons, and improves cognition with reduced neuroinflammation and microhemorrhage when compared with antibody therapy.

arXiv:2506.06858v3 Announce Type: replace-cross Abstract: Surrogate models are essential for efficient exploration of large-scale ensemble simulations. Implicit neural representations (INRs) provide a compact and continuous framework for modeling spatially structured data, but they often struggle with learning complex localized structures within the scientific fields. Recent INR-based surrogates address this by augmenting INRs with explicit feature structures, but at the cost of flexibility and substantial memory overhead. In this paper, we present Feature-Adaptive INR (FA-INR), an adaptive INR-based surrogate model for high-fidelity and interpretable exploration of ensemble simulations. Instead of relying on structured feature representations, FA-INR leverages cross-attention over a learnable key-value memory bank to allocate model capacity adaptively based on the data characteristics. To further improve scalability, we introduce a coordinate-guided mixture of experts (MoE) framework that enhances both efficiency and specialization of feature representations. More importantly, the learned experts produce an interpretable partition over the simulation domain, enabling scientists to identify complex structures and perform localized parameter-space exploration. Beyond quantitative and qualitative evaluations, we also demonstrate that our learned expert specialization can reveal meaningful scientific insights and support localized sensitivity analysis.

arXiv:2603.17729v2 Announce Type: replace-cross Abstract: Recent advances in Large Vision-Language Models (LVLMs) have enabled training-free Fine-Grained Visual Recognition (FGVR). However, effectively exploiting LVLMs for FGVR remains challenging due to the inherent visual ambiguity of subordinate-level categories. Existing methods predominantly adopt either retrieval-oriented or reasoning-oriented paradigms to tackle this challenge, but both are constrained by two fundamental limitations:(1) They apply the same inference pipeline to all samples without accounting for uneven recognition difficulty, thereby leading to suboptimal accuracy and efficiency; (2) The lack of mechanisms to consolidate and reuse error-specific experience causes repeated failures on similar challenging cases. To address these limitations, we propose SARE, a Sample-wise Adaptive textbfREasoning framework for training-free FGVR. Specifically, SARE adopts a cascaded design that combines fast candidate retrieval with fine-grained reasoning, invoking the latter only when necessary. In the reasoning process, SARE incorporates a self-reflective experience mechanism that leverages past failures to provide transferable discriminative guidance during inference, without any parameter updates. Extensive experiments across 14 datasets substantiate that SARE achieves state-of-the-art performance while substantially reducing computational overhead.

arXiv:2603.12912v1 Announce Type: cross Abstract: Federated Domain Generalization for Person Re-Identification (FedDG-ReID) learns domain-invariant representations from decentralized data. While Vision Transformer (ViT) is widely adopted, its global attention often fails to distinguish pedestrians from high similarity backgrounds or diverse viewpoints -- a challenge amplified by cross-client distribution shifts in FedDG-ReID. To address this, we propose Federated Body Distribution Aware Visual Prompt (FedBPrompt), introducing learnable visual prompts to guide Transformer attention toward pedestrian-centric regions. FedBPrompt employs a Body Distribution Aware Visual Prompts Mechanism (BAPM) comprising: Holistic Full Body Prompts to suppress cross-client background noise, and Body Part Alignment Prompts to capture fine-grained details robust to pose and viewpoint variations. To mitigate high communication costs, we design a Prompt-based Fine-Tuning Strategy (PFTS) that freezes the ViT backbone and updates only lightweight prompts, significantly reducing communication overhead while maintaining adaptability. Extensive experiments demonstrate that BAPM effectively enhances feature discrimination and cross-domain generalization, while PFTS achieves notable performance gains within only a few aggregation rounds. Moreover, both BAPM and PFTS can be easily integrated into existing ViT-based FedDG-ReID frameworks, making FedBPrompt a flexible and effective solution for federated person re-identification. The code is available at https://github.com/leavlong/FedBPrompt.

arXiv:2603.13068v1 Announce Type: cross Abstract: Geochemical anomaly detection plays a critical role in mineral exploration as deviations from regional geochemical baselines may indicate mineralization. Existing studies suffer from two key limitations: (1) single region scenarios which limit model generalizability; (2) proprietary datasets, which makes result reproduction unattainable. In this work, we introduce \textbf{GeoChemAD}, an open-source benchmark dataset compiled from government-led geological surveys, covering multiple regions, sampling sources, and target elements. The dataset comprises eight subsets representing diverse spatial scales and sampling conditions. To establish strong baselines, we reproduce and benchmark a range of unsupervised anomaly detection methods, including statistical models, generative and transformer-based approaches. Furthermore, we propose \textbf{GeoChemFormer}, a transformer-based framework that leverages self-supervised pretraining to learn target-element-aware geochemical representations for spatial samples. Extensive experiments demonstrate that GeoChemFormer consistently achieves superior and robust performance across all eight subsets, outperforming existing unsupervised methods in both anomaly detection accuracy and generalization capability. The proposed dataset and framework provide a foundation for reproducible research and future development in this direction.

arXiv:2602.16891v2 Announce Type: replace Abstract: Agent development kits (ADKs) provide effective platforms and tooling for constructing agents, and their designs are critical to the constructed agents' performance, especially the functionality for agent topology, tools, and memory. However, current ADKs either lack sufficient functional support or rely on humans to manually design these components, limiting agents' generalizability and overall performance. We propose OpenSage, the first ADK that enables LLMs to automatically create agents with self-generated topology and toolsets while providing comprehensive and structured memory support. OpenSage offers effective functionality for agents to create and manage their own sub-agents and toolkits. It also features a hierarchical, graph-based memory system for efficient management and a specialized toolkit tailored to software engineering tasks. Extensive experiments across three state-of-the-art benchmarks with various backbone models demonstrate the advantages of OpenSage over existing ADKs. We also conduct rigorous ablation studies to demonstrate the effectiveness of our design for each component. We believe OpenSage can pave the way for the next generation of agent development, shifting the focus from human-centered to AI-centered paradigms.

arXiv:2410.10862v3 Announce Type: replace-cross Abstract: As large language models (LLMs) are overwhelmingly more and more integrated into various applications, ensuring they generate safe responses is a pressing need. Previous studies on alignment have largely focused on general instruction-following but have often overlooked the distinct properties of safety alignment, such as the brittleness of safety mechanisms. To bridge the gap, we propose the Superficial Safety Alignment Hypothesis (SSAH), which posits that safety alignment teaches an otherwise unsafe model to choose the correct reasoning direction-fulfill or refuse users' requests-interpreted as an implicit binary classification task. Through SSAH, we hypothesize that only a few essential components can establish safety guardrails in LLMs. We successfully identify four types of attribute-critical components: Safety Critical Unit (SCU), Utility Critical Unit (UCU), Complex Unit (CU), and Redundant Unit (RU). Our findings show that freezing certain safety-critical components during fine-tuning allows the model to retain its safety attributes while adapting to new tasks. Similarly, we show that leveraging redundant units in the pre-trained model as an "alignment budget" can effectively minimize the alignment tax while achieving the alignment goal. All considered, this paper concludes that the atomic functional unit for safety in LLMs is at the neuron level and underscores that safety alignment should not be complicated. We have code implementation and other information on the project website: https://ssa-h.github.io/.

arXiv:2602.07075v4 Announce Type: replace-cross Abstract: Chemical large language models (LLMs) predominantly rely on explicit Chain-of-Thought (CoT) in natural language to perform complex reasoning. However, chemical reasoning is inherently continuous and structural, and forcing it into discrete linguistic tokens introduces a fundamental representation mismatch that constrains both efficiency and performance. We introduce LatentChem, a latent reasoning interface that decouples chemical computation from textual generation, enabling models to perform multi-step reasoning directly in continuous latent space while emitting language only for final outputs. Remarkably, we observe a consistent emergent behavior: when optimized solely for task success, models spontaneously internalize reasoning, progressively abandoning verbose textual derivations in favor of implicit latent computation. This shift is not merely stylistic but computationally advantageous. Across diverse chemical reasoning benchmarks, LatentChem achieves a 59.88\% non-tie win rate over strong CoT-based baselines on ChemCoTBench, while delivering a 10.84$\times$ average reduction in reasoning overhead. Our results provide empirical evidence that chemical reasoning is more naturally and effectively realized as continuous latent dynamics rather than discretized linguistic trajectories.

Nature, Published online: 11 March 2026; doi:10.1038/s41586-026-10302-3

Author Correction: Gut stem cell necroptosis by genome instability triggers bowel inflammation

Nature Biotechnology, Published online: 11 March 2026; doi:10.1038/s41587-026-03047-x

A lysosomal barcoding strategy to quantify endosomal escape of nucleic acids in vivo assesses the performance of branched ionizable lipids for potent liver delivery.

arXiv:2603.08035v1 Announce Type: new Abstract: Reward modeling is essential for aligning Large Language Models(LLMs) with human preferences, yet conventional reward models suffer from poor interpretability and heavy reliance on costly expert annotations. While recent rubric-based approaches enhance evaluation transparency, they lack systematic quality control, yielding noisy and redundant criteria, failing to mitigate persistent biases (e.g., verbosity, position) in LLM evaluators, and creating a scalability-reliability trade-off. To address these limitations, we propose CDRRM (Contrast-Driven Rubric Reward Model), a framework built on a novel Contrast-then-Synthesis paradigm for high-quality rubric generation and guided preference judgment. CDRRM first conducts multi-dimensional contrastive profiling on preference pairs to identify causal discriminative factors, then synthesizes these insights into compact, context-aware rubrics to guide preference judg- ments. Extensive experiments on three authoritative benchmarks (RewardBench, RMBench, RMB) demonstrate that CDRRM achieves state-of-the-art performance across diverse domains and effectively mitigates aforementioned evaluation biases. Notably, our approach delivers exceptional data efficiency: training the rubric generator on only 3k high-quality samples empowers a frozen pre-trained judge model to outperform fully fine-tuned baselines. This work offers a scalable, interpretable, and data-efficient path for reward modeling.

arXiv:2603.06697v1 Announce Type: cross Abstract: Vision--language models (VLMs) process images as visual tokens, yet their intermediate reasoning is often carried out in text, which can be suboptimal for visually grounded radiology tasks. Radiologists instead diagnose via sequential visual search; eye-tracking captures this process as time-ordered gaze trajectories that reveal how evidence is acquired over time. We use eye-gaze as supervision to guide VLM reasoning by introducing a small set of dedicated gaze tokens. These tokens are trained to predict gaze-selected image patch indices in temporal order, encouraging the model to follow human-like evidence acquisition and integration. Experiments on MIMIC-EYE and multiple external zero-shot benchmarks show consistent gains over baselines, achieving state-of-the-art in-domain performance and improved out-of-domain robustness. These results highlight temporally ordered gaze as an effective supervision signal for learning visually grounded medical reasoning.