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Jun 2

EHR-R1: A Reasoning-Enhanced Foundational Language Model for Electronic Health Record Analysis

Electronic Health Records (EHRs) contain rich yet complex information, and their automated analysis is critical for clinical decision-making. Despite recent advances of large language models (LLMs) in clinical workflows, their ability to analyze EHRs remains limited due to narrow task coverage and lack of EHR-oriented reasoning capabilities. This paper aims to bridge the gap, specifically, we present EHR-Ins, a large-scale, comprehensive EHR reasoning instruction dataset, comprising 300k high-quality reasoning cases and 4M non-reasoning cases across 42 distinct EHR tasks. Its core innovation is a thinking-graph-driven framework that enables to generate high-quality reasoning data at scale. Based on it, we develop EHR-R1, a series of reasoning-enhanced LLMs with up to 72B parameters tailored for EHR analysis. Through a multi-stage training paradigm, including domain adaptation, reasoning enhancement, and reinforcement learning, EHR-R1 systematically acquires domain knowledge and diverse reasoning capabilities, enabling accurate and robust EHR analysis. Lastly, we introduce EHR-Bench, a new benchmark curated from MIMIC-IV, spanning 42 tasks, to comprehensively assess reasoning and prediction across EHR scenarios. In experiments, we show that the resulting EHR-R1 consistently outperforms state-of-the-art commercial and open-source LLMs (including DeepSeek-V3 and GPT-4o), surpassing GPT-4o by over 30 points on MIMIC-Bench and achieving a 10\% higher zero-shot AUROC on EHRSHOT. Collectively, EHR-Ins, EHR-R1, and EHR-Bench have significantly advanced the development for more reliable and clinically relevant EHR analysis.

MuSc: Zero-Shot Industrial Anomaly Classification and Segmentation with Mutual Scoring of the Unlabeled Images

This paper studies zero-shot anomaly classification (AC) and segmentation (AS) in industrial vision. We reveal that the abundant normal and abnormal cues implicit in unlabeled test images can be exploited for anomaly determination, which is ignored by prior methods. Our key observation is that for the industrial product images, the normal image patches could find a relatively large number of similar patches in other unlabeled images, while the abnormal ones only have a few similar patches. We leverage such a discriminative characteristic to design a novel zero-shot AC/AS method by Mutual Scoring (MuSc) of the unlabeled images, which does not need any training or prompts. Specifically, we perform Local Neighborhood Aggregation with Multiple Degrees (LNAMD) to obtain the patch features that are capable of representing anomalies in varying sizes. Then we propose the Mutual Scoring Mechanism (MSM) to leverage the unlabeled test images to assign the anomaly score to each other. Furthermore, we present an optimization approach named Re-scoring with Constrained Image-level Neighborhood (RsCIN) for image-level anomaly classification to suppress the false positives caused by noises in normal images. The superior performance on the challenging MVTec AD and VisA datasets demonstrates the effectiveness of our approach. Compared with the state-of-the-art zero-shot approaches, MuSc achieves a 21.1% PRO absolute gain (from 72.7% to 93.8%) on MVTec AD, a 19.4% pixel-AP gain and a 14.7% pixel-AUROC gain on VisA. In addition, our zero-shot approach outperforms most of the few-shot approaches and is comparable to some one-class methods. Code is available at https://github.com/xrli-U/MuSc.

  • 4 authors
·
Jan 30, 2024

CLIPN for Zero-Shot OOD Detection: Teaching CLIP to Say No

Out-of-distribution (OOD) detection refers to training the model on an in-distribution (ID) dataset to classify whether the input images come from unknown classes. Considerable effort has been invested in designing various OOD detection methods based on either convolutional neural networks or transformers. However, zero-shot OOD detection methods driven by CLIP, which only require class names for ID, have received less attention. This paper presents a novel method, namely CLIP saying no (CLIPN), which empowers the logic of saying no within CLIP. Our key motivation is to equip CLIP with the capability of distinguishing OOD and ID samples using positive-semantic prompts and negation-semantic prompts. Specifically, we design a novel learnable no prompt and a no text encoder to capture negation semantics within images. Subsequently, we introduce two loss functions: the image-text binary-opposite loss and the text semantic-opposite loss, which we use to teach CLIPN to associate images with no prompts, thereby enabling it to identify unknown samples. Furthermore, we propose two threshold-free inference algorithms to perform OOD detection by utilizing negation semantics from no prompts and the text encoder. Experimental results on 9 benchmark datasets (3 ID datasets and 6 OOD datasets) for the OOD detection task demonstrate that CLIPN, based on ViT-B-16, outperforms 7 well-used algorithms by at least 2.34% and 11.64% in terms of AUROC and FPR95 for zero-shot OOD detection on ImageNet-1K. Our CLIPN can serve as a solid foundation for effectively leveraging CLIP in downstream OOD tasks. The code is available on https://github.com/xmed-lab/CLIPN.

  • 4 authors
·
Aug 23, 2023

CoPS: Conditional Prompt Synthesis for Zero-Shot Anomaly Detection

Recently, large pre-trained vision-language models have shown remarkable performance in zero-shot anomaly detection (ZSAD). With fine-tuning on a single auxiliary dataset, the model enables cross-category anomaly detection on diverse datasets covering industrial defects and medical lesions. Compared to manually designed prompts, prompt learning eliminates the need for expert knowledge and trial-and-error. However, it still faces the following challenges: (i) static learnable tokens struggle to capture the continuous and diverse patterns of normal and anomalous states, limiting generalization to unseen categories; (ii) fixed textual labels provide overly sparse category information, making the model prone to overfitting to a specific semantic subspace. To address these issues, we propose Conditional Prompt Synthesis (CoPS), a novel framework that synthesizes dynamic prompts conditioned on visual features to enhance ZSAD performance. Specifically, we extract representative normal and anomaly prototypes from fine-grained patch features and explicitly inject them into prompts, enabling adaptive state modeling. Given the sparsity of class labels, we leverage a variational autoencoder to model semantic image features and implicitly fuse varied class tokens into prompts. Additionally, integrated with our spatially-aware alignment mechanism, extensive experiments demonstrate that CoPS surpasses state-of-the-art methods by 2.5% AUROC in both classification and segmentation across 13 industrial and medical datasets. Code will be available at https://github.com/cqylunlun/CoPS.

  • 10 authors
·
Aug 5, 2025

DetectLLM: Leveraging Log Rank Information for Zero-Shot Detection of Machine-Generated Text

With the rapid progress of large language models (LLMs) and the huge amount of text they generated, it becomes more and more impractical to manually distinguish whether a text is machine-generated. Given the growing use of LLMs in social media and education, it prompts us to develop methods to detect machine-generated text, preventing malicious usage such as plagiarism, misinformation, and propaganda. Previous work has studied several zero-shot methods, which require no training data. These methods achieve good performance, but there is still a lot of room for improvement. In this paper, we introduce two novel zero-shot methods for detecting machine-generated text by leveraging the log rank information. One is called DetectLLM-LRR, which is fast and efficient, and the other is called DetectLLM-NPR, which is more accurate, but slower due to the need for perturbations. Our experiments on three datasets and seven language models show that our proposed methods improve over the state of the art by 3.9 and 1.75 AUROC points absolute. Moreover, DetectLLM-NPR needs fewer perturbations than previous work to achieve the same level of performance, which makes it more practical for real-world use. We also investigate the efficiency--performance trade-off based on users preference on these two measures and we provide intuition for using them in practice effectively. We release the data and the code of both methods in https://github.com/mbzuai-nlp/DetectLLM

  • 4 authors
·
May 23, 2023

A Contrastive Learning-Guided Confident Meta-learning for Zero Shot Anomaly Detection

Industrial and medical anomaly detection faces critical challenges from data scarcity and prohibitive annotation costs, particularly in evolving manufacturing and healthcare settings. To address this, we propose CoZAD, a novel zero-shot anomaly detection framework that integrates soft confident learning with meta-learning and contrastive feature representation. Unlike traditional confident learning that discards uncertain samples, our method assigns confidence-based weights to all training data, preserving boundary information while emphasizing prototypical normal patterns. The framework quantifies data uncertainty through IQR-based thresholding and model uncertainty via covariance based regularization within a Model-Agnostic Meta-Learning. Contrastive learning creates discriminative feature spaces where normal patterns form compact clusters, enabling rapid domain adaptation. Comprehensive evaluation across 10 datasets spanning industrial and medical domains demonstrates state-of-the-art performance, outperforming existing methods on 6 out of 7 industrial benchmarks with notable improvements on texture-rich datasets (99.2% I-AUROC on DTD-Synthetic, 97.2% on BTAD) and pixellevel localization (96.3% P-AUROC on MVTec-AD). The framework eliminates dependence on vision-language alignments or model ensembles, making it valuable for resourceconstrained environments requiring rapid deployment.

  • 4 authors
·
Aug 25, 2025

Generalist Foundation Models Are Not Clinical Enough for Hospital Operations

Hospitals and healthcare systems rely on operational decisions that determine patient flow, cost, and quality of care. Despite strong performance on medical knowledge and conversational benchmarks, foundation models trained on general text may lack the specialized knowledge required for these operational decisions. We introduce Lang1, a family of models (100M-7B parameters) pretrained on a specialized corpus blending 80B clinical tokens from NYU Langone Health's EHRs and 627B tokens from the internet. To rigorously evaluate Lang1 in real-world settings, we developed the REalistic Medical Evaluation (ReMedE), a benchmark derived from 668,331 EHR notes that evaluates five critical tasks: 30-day readmission prediction, 30-day mortality prediction, length of stay, comorbidity coding, and predicting insurance claims denial. In zero-shot settings, both general-purpose and specialized models underperform on four of five tasks (36.6%-71.7% AUROC), with mortality prediction being an exception. After finetuning, Lang1-1B outperforms finetuned generalist models up to 70x larger and zero-shot models up to 671x larger, improving AUROC by 3.64%-6.75% and 1.66%-23.66% respectively. We also observed cross-task scaling with joint finetuning on multiple tasks leading to improvement on other tasks. Lang1-1B effectively transfers to out-of-distribution settings, including other clinical tasks and an external health system. Our findings suggest that predictive capabilities for hospital operations require explicit supervised finetuning, and that this finetuning process is made more efficient by in-domain pretraining on EHR. Our findings support the emerging view that specialized LLMs can compete with generalist models in specialized tasks, and show that effective healthcare systems AI requires the combination of in-domain pretraining, supervised finetuning, and real-world evaluation beyond proxy benchmarks.

newyorkuniversity New York University
·
Nov 17, 2025 3

Detecting Multi-Agent Collusion Through Multi-Agent Interpretability

As LLM agents are increasingly deployed in multi-agent systems, they introduce risks of covert coordination that may evade standard forms of human oversight. While linear probes on model activations have shown promise for detecting deception in single-agent settings, collusion is inherently a multi-agent phenomenon, and the use of internal representations for detecting collusion between agents remains unexplored. We introduce NARCBench, a benchmark for evaluating collusion detection under environment distribution shift, and propose five probing techniques that aggregate per-agent deception scores to classify scenarios at the group level. Our probes achieve 1.00 AUROC in-distribution and 0.60--0.86 AUROC when transferred zero-shot to structurally different multi-agent scenarios and a steganographic blackjack card-counting task. We find that no single probing technique dominates across all collusion types, suggesting that different forms of collusion manifest differently in activation space. We also find preliminary evidence that this signal is localised at the token level, with the colluding agent's activations spiking specifically when processing the encoded parts of their partner's message. This work takes a step toward multi-agent interpretability: extending white-box inspection from single models to multi-agent contexts, where detection requires aggregating signals across agents. These results suggest that model internals provide a complementary signal to text-level monitoring for detecting multi-agent collusion, particularly for organisations with access to model activations. Code and data are available at https://github.com/aaronrose227/narcbench.

  • 4 authors
·
Mar 31

Trust-SSL: Additive-Residual Selective Invariance for Robust Aerial Self-Supervised Learning

Self-supervised learning (SSL) is a standard approach for representation learning in aerial imagery. Existing methods enforce invariance between augmented views, which works well when augmentations preserve semantic content. However, aerial images are frequently degraded by haze, motion blur, rain, and occlusion that remove critical evidence. Enforcing alignment between a clean and a severely degraded view can introduce spurious structure into the latent space. This study proposes a training strategy and architectural modification to enhance SSL robustness to such corruptions. It introduces a per-sample, per-factor trust weight into the alignment objective, combined with the base contrastive loss as an additive residual. A stop-gradient is applied to the trust weight instead of a multiplicative gate. While a multiplicative gate is a natural choice, experiments show it impairs the backbone, whereas our additive-residual approach improves it. Using a 200-epoch protocol on a 210,000-image corpus, the method achieves the highest mean linear-probe accuracy among six backbones on EuroSAT, AID, and NWPU-RESISC45 (90.20% compared to 88.46% for SimCLR and 89.82% for VICReg). It yields the largest improvements under severe information-erasing corruptions on EuroSAT (+19.9 points on haze at s=5 over SimCLR). The method also demonstrates consistent gains of +1 to +3 points in Mahalanobis AUROC on a zero-shot cross-domain stress test using BDD100K weather splits. Two ablations (scalar uncertainty and cosine gate) indicate the additive-residual formulation is the primary source of these improvements. An evidential variant using Dempster-Shafer fusion introduces interpretable signals of conflict and ignorance. These findings offer a concrete design principle for uncertainty-aware SSL. Code is publicly available at https://github.com/WadiiBoulila/trust-ssl.

  • 4 authors
·
Apr 22

Seeing Like Radiologists: Context- and Gaze-Guided Vision-Language Pretraining for Chest X-rays

Despite recent advances in medical vision-language pretraining, existing models still struggle to capture the diagnostic workflow: radiographs are typically treated as context-agnostic images, while radiologists' gaze -- a crucial cue for visual reasoning -- remains largely underexplored by existing methods. These limitations hinder the modeling of disease-specific patterns and weaken cross-modal alignment. To bridge this gap, we introduce CoGaze, a Context- and Gaze-guided vision-language pretraining framework for chest X-rays. We first propose a context-infused vision encoder that models how radiologists integrate clinical context -- including patient history, symptoms, and diagnostic intent -- to guide diagnostic reasoning. We then present a multi-level supervision paradigm that (1) enforces intra- and inter-modal semantic alignment through hybrid-positive contrastive learning, (2) injects diagnostic priors via disease-aware cross-modal representation learning, and (3) leverages radiologists' gaze as probabilistic priors to guide attention toward diagnostically salient regions. Extensive experiments demonstrate that CoGaze consistently outperforms state-of-the-art methods across diverse tasks, achieving up to +2.0% CheXbertF1 and +1.2% BLEU2 for free-text and structured report generation, +23.2% AUROC for zero-shot classification, and +12.2% Precision@1 for image-text retrieval. Code is available at https://github.com/mk-runner/CoGaze.

  • 8 authors
·
Mar 26

AutoCast++: Enhancing World Event Prediction with Zero-shot Ranking-based Context Retrieval

Machine-based prediction of real-world events is garnering attention due to its potential for informed decision-making. Whereas traditional forecasting predominantly hinges on structured data like time-series, recent breakthroughs in language models enable predictions using unstructured text. In particular, (Zou et al., 2022) unveils AutoCast, a new benchmark that employs news articles for answering forecasting queries. Nevertheless, existing methods still trail behind human performance. The cornerstone of accurate forecasting, we argue, lies in identifying a concise, yet rich subset of news snippets from a vast corpus. With this motivation, we introduce AutoCast++, a zero-shot ranking-based context retrieval system, tailored to sift through expansive news document collections for event forecasting. Our approach first re-ranks articles based on zero-shot question-passage relevance, honing in on semantically pertinent news. Following this, the chosen articles are subjected to zero-shot summarization to attain succinct context. Leveraging a pre-trained language model, we conduct both the relevance evaluation and article summarization without needing domain-specific training. Notably, recent articles can sometimes be at odds with preceding ones due to new facts or unanticipated incidents, leading to fluctuating temporal dynamics. To tackle this, our re-ranking mechanism gives preference to more recent articles, and we further regularize the multi-passage representation learning to align with human forecaster responses made on different dates. Empirical results underscore marked improvements across multiple metrics, improving the performance for multiple-choice questions (MCQ) by 48% and true/false (TF) questions by up to 8%.

  • 5 authors
·
Oct 3, 2023

Aurora: Towards Universal Generative Multimodal Time Series Forecasting

Cross-domain generalization is very important in Time Series Forecasting because similar historical information may lead to distinct future trends due to the domain-specific characteristics. Recent works focus on building unimodal time series foundation models and end-to-end multimodal supervised models. Since domain-specific knowledge is often contained in modalities like texts, the former lacks the explicit utilization of them, thus hindering the performance. The latter is tailored for end-to-end scenarios and does not support zero-shot inference for cross-domain scenarios. In this work, we introduce Aurora, a Multimodal Time Series Foundation Model, which supports multimodal inputs and zero-shot inference. Pretrained on Corss-domain Multimodal Time Series Corpus, Aurora can adaptively extract and focus on key domain knowledge contained in corrsponding text or image modalities, thus possessing strong Cross-domain generalization capability. Through tokenization, encoding, and distillation, Aurora can extract multimodal domain knowledge as guidance and then utilizes a Modality-Guided Multi-head Self-Attention to inject them into the modeling of temporal representations. In the decoding phase, the multimodal representations are used to generate the conditions and prototypes of future tokens, contributing to a novel Prototype-Guided Flow Matching for generative probabilistic forecasting. Comprehensive experiments on well-recognized benchmarks, including TimeMMD, TSFM-Bench and ProbTS, demonstrate the consistent state-of-the-art performance of Aurora on both unimodal and multimodal scenarios.

  • 7 authors
·
Sep 26, 2025

StealthRL: Reinforcement Learning Paraphrase Attacks for Multi-Detector Evasion of AI-Text Detectors

AI-text detectors face a critical robustness challenge: adversarial paraphrasing attacks that preserve semantics while evading detection. We introduce StealthRL, a reinforcement learning framework that stress-tests detector robustness under realistic adversarial conditions. StealthRL trains a paraphrase policy against a multi-detector ensemble using Group Relative Policy Optimization (GRPO) with LoRA adapters on Qwen3-4B, optimizing a composite reward that balances detector evasion with semantic preservation. We evaluate six attack settings (M0-M5) against three detector families (RoBERTa, FastDetectGPT, and Binoculars) at the security-relevant 1% false positive rate operating point. StealthRL achieves near-zero detection (0.001 mean TPR@1%FPR), reduces mean AUROC from 0.74 to 0.27, and attains a 99.9% attack success rate. Critically, attacks transfer to a held-out detector family not seen during training, revealing shared architectural vulnerabilities rather than detector-specific brittleness. We additionally conduct LLM-based quality evaluation via Likert scoring, analyze detector score distributions to explain why evasion succeeds, and provide per-detector AUROC with bootstrap confidence intervals. Our results expose significant robustness gaps in current AI-text detection and establish StealthRL as a principled adversarial evaluation protocol. Code and evaluation pipeline are publicly available at https://github.com/suraj-ranganath/StealthRL.

AUPIMO: Redefining Visual Anomaly Detection Benchmarks with High Speed and Low Tolerance

Recent advances in visual anomaly detection research have seen AUROC and AUPRO scores on public benchmark datasets such as MVTec and VisA converge towards perfect recall, giving the impression that these benchmarks are near-solved. However, high AUROC and AUPRO scores do not always reflect qualitative performance, which limits the validity of these metrics in real-world applications. We argue that the artificial ceiling imposed by the lack of an adequate evaluation metric restrains progression of the field, and it is crucial that we revisit the evaluation metrics used to rate our algorithms. In response, we introduce Per-IMage Overlap (PIMO), a novel metric that addresses the shortcomings of AUROC and AUPRO. PIMO retains the recall-based nature of the existing metrics but introduces two distinctions: the assignment of curves (and respective area under the curve) is per-image, and its X-axis relies solely on normal images. Measuring recall per image simplifies instance score indexing and is more robust to noisy annotations. As we show, it also accelerates computation and enables the usage of statistical tests to compare models. By imposing low tolerance for false positives on normal images, PIMO provides an enhanced model validation procedure and highlights performance variations across datasets. Our experiments demonstrate that PIMO offers practical advantages and nuanced performance insights that redefine anomaly detection benchmarks -- notably challenging the perception that MVTec AD and VisA datasets have been solved by contemporary models. Available on GitHub: https://github.com/jpcbertoldo/aupimo.

  • 4 authors
·
Jan 3, 2024

Boosting Medical Vision-Language Pretraining via Momentum Self-Distillation under Limited Computing Resources

In medical healthcare, obtaining detailed annotations is challenging, highlighting the need for robust Vision-Language Models (VLMs). Pretrained VLMs enable fine-tuning on small datasets or zero-shot inference, achieving performance comparable to task-specific models. Contrastive learning (CL) is a key paradigm for training VLMs but inherently requires large batch sizes for effective learning, making it computationally demanding and often limited to well-resourced institutions. Moreover, with limited data in healthcare, it is important to prioritize knowledge extraction from both data and models during training to improve performance. Therefore, we focus on leveraging the momentum method combined with distillation to simultaneously address computational efficiency and knowledge exploitation. Our contributions can be summarized as follows: (1) leveraging momentum self-distillation to enhance multimodal learning, and (2) integrating momentum mechanisms with gradient accumulation to enlarge the effective batch size without increasing resource consumption. Our method attains competitive performance with state-of-the-art (SOTA) approaches in zero-shot classification, while providing a substantial boost in the few-shot adaption, achieving over 90% AUC-ROC and improving retrieval tasks by 2-3%. Importantly, our method achieves high training efficiency with a single GPU while maintaining reasonable training time. Our approach aims to advance efficient multimodal learning by reducing resource requirements while improving performance over SOTA methods. The implementation of our method is available at https://github.com/phphuc612/MSD .

  • 3 authors
·
Dec 2, 2025

COOkeD: Ensemble-based OOD detection in the era of zero-shot CLIP

Out-of-distribution (OOD) detection is an important building block in trustworthy image recognition systems as unknown classes may arise at test-time. OOD detection methods typically revolve around a single classifier, leading to a split in the research field between the classical supervised setting (e.g. ResNet18 classifier trained on CIFAR100) vs. the zero-shot setting (class names fed as prompts to CLIP). In both cases, an overarching challenge is that the OOD detection performance is implicitly constrained by the classifier's capabilities on in-distribution (ID) data. In this work, we show that given a little open-mindedness from both ends, remarkable OOD detection can be achieved by instead creating a heterogeneous ensemble - COOkeD combines the predictions of a closed-world classifier trained end-to-end on a specific dataset, a zero-shot CLIP classifier, and a linear probe classifier trained on CLIP image features. While bulky at first sight, this approach is modular, post-hoc and leverages the availability of pre-trained VLMs, thus introduces little overhead compared to training a single standard classifier. We evaluate COOkeD on popular CIFAR100 and ImageNet benchmarks, but also consider more challenging, realistic settings ranging from training-time label noise, to test-time covariate shift, to zero-shot shift which has been previously overlooked. Despite its simplicity, COOkeD achieves state-of-the-art performance and greater robustness compared to both classical and CLIP-based OOD detection methods. Code is available at https://github.com/glhr/COOkeD

  • 4 authors
·
Jul 30, 2025

A Closer Look at AUROC and AUPRC under Class Imbalance

In machine learning (ML), a widespread adage is that the area under the precision-recall curve (AUPRC) is a superior metric for model comparison to the area under the receiver operating characteristic (AUROC) for binary classification tasks with class imbalance. This paper challenges this notion through novel mathematical analysis, illustrating that AUROC and AUPRC can be concisely related in probabilistic terms. We demonstrate that AUPRC, contrary to popular belief, is not superior in cases of class imbalance and might even be a harmful metric, given its inclination to unduly favor model improvements in subpopulations with more frequent positive labels. This bias can inadvertently heighten algorithmic disparities. Prompted by these insights, a thorough review of existing ML literature was conducted, utilizing large language models to analyze over 1.5 million papers from arXiv. Our investigation focused on the prevalence and substantiation of the purported AUPRC superiority. The results expose a significant deficit in empirical backing and a trend of misattributions that have fuelled the widespread acceptance of AUPRC's supposed advantages. Our findings represent a dual contribution: a significant technical advancement in understanding metric behaviors and a stark warning about unchecked assumptions in the ML community. All experiments are accessible at https://github.com/mmcdermott/AUC_is_all_you_need.

  • 5 authors
·
Jan 11, 2024

Uncertainty quantification for improving radiomic-based models in radiation pneumonitis prediction

Background and Objective: Radiation pneumonitis (RP) is a side effect of thoracic radiation therapy. Recently, Machine learning (ML) models enhanced with radiomic and dosiomic features provide better predictions by incorporating spatial information beyond DVHs. However, to improve the clinical decision process, we propose to use uncertainty quantification (UQ) to improve the confidence in model prediction. This study evaluates the impact of post hoc UQ methods on the discriminative performance and calibration of ML models for RP prediction. Methods: This study evaluated four ML models: logistic regression (LR), support vector machines (SVM), extreme gradient boosting (XGB), and random forest (RF), using radiomic, dosiomic, and dosimetric features to predict RP. We applied UQ methods, including Patt scaling, isotonic regression, Venn-ABERS predictor, and Conformal Prediction, to quantify uncertainty. Model performance was assessed through Area Under the Receiver Operating Characteristic curve (AUROC), Area Under the Precision-Recall Curve (AUPRC), and Adaptive Calibration Error (ACE) using Leave-One-Out Cross-Validation (LOO-CV). Results: UQ methods enhanced predictive performance, particularly for high-certainty predictions, while also improving calibration. Radiomic and dosiomic features increased model accuracy but introduced calibration challenges, especially for non-linear models like XGB and RF. Performance gains from UQ methods were most noticeable at higher certainty thresholds. Conclusion: Integrating UQ into ML models with radiomic and dosiomic features improves both predictive accuracy and calibration, supporting more reliable clinical decision-making. The findings emphasize the value of UQ methods in enhancing applicability of predictive models for RP in healthcare settings.

  • 3 authors
·
Dec 27, 2024

When No Benchmark Exists: Validating Comparative LLM Safety Scoring Without Ground-Truth Labels

Many deployments must compare candidate language models for safety before a labeled benchmark exists for the relevant language, sector, or regulatory regime. We formalize this setting as benchmarkless comparative safety scoring and specify the contract under which a scenario-based audit can be interpreted as deployment evidence. Scores are valid only under a fixed scenario pack, rubric, auditor, judge, sampling configuration, and rerun budget. Because no labels are available, we replace ground-truth agreement with an instrumental-validity chain: responsiveness to a controlled safe-versus-abliterated contrast, dominance of target-driven variance over auditor and judge artifacts, and stability across reruns. We instantiate the chain in SimpleAudit, a local-first scoring instrument, and validate it on a Norwegian safety pack. Safe and abliterated targets separate with AUROC values between 0.89 and 1.00, target identity is the dominant variance component (η^2 approx 0.52), and severity profiles stabilize by ten reruns. Applying the same chain to Petri shows that it admits both tools. The substantial differences arise upstream of the chain, in claim-contract enforcement and deployment fit. A Norwegian public-sector procurement case comparing Borealis and Gemma 3 demonstrates the resulting evidence in practice: the safer model depends on scenario category and risk measure. Consequently, scores, matched deltas, critical rates, uncertainty, and the auditor and judge used must be reported together rather than collapsed into a single ranking.

SubspaceAD: Training-Free Few-Shot Anomaly Detection via Subspace Modeling

Detecting visual anomalies in industrial inspection often requires training with only a few normal images per category. Recent few-shot methods achieve strong results employing foundation-model features, but typically rely on memory banks, auxiliary datasets, or multi-modal tuning of vision-language models. We therefore question whether such complexity is necessary given the feature representations of vision foundation models. To answer this question, we introduce SubspaceAD, a training-free method, that operates in two simple stages. First, patch-level features are extracted from a small set of normal images by a frozen DINOv2 backbone. Second, a Principal Component Analysis (PCA) model is fit to these features to estimate the low-dimensional subspace of normal variations. At inference, anomalies are detected via the reconstruction residual with respect to this subspace, producing interpretable and statistically grounded anomaly scores. Despite its simplicity, SubspaceAD achieves state-of-the-art performance across one-shot and few-shot settings without training, prompt tuning, or memory banks. In the one-shot anomaly detection setting, SubspaceAD achieves image-level and pixel-level AUROC of 97.1% and 97.5% on the MVTec-AD dataset, and 93.4% and 98.2% on the VisA dataset, respectively, surpassing prior state-of-the-art results. Code and demo are available at https://github.com/CLendering/SubspaceAD.

  • 3 authors
·
Apr 4

Search is All You Need for Few-shot Anomaly Detection

Few-shot anomaly detection (FSAD) has emerged as a crucial yet challenging task in industrial inspection, where normal distribution modeling must be accomplished with only a few normal images. While existing approaches typically employ multi-modal foundation models combining language and vision modalities for prompt-guided anomaly detection, these methods often demand sophisticated prompt engineering and extensive manual tuning. In this paper, we demonstrate that a straightforward nearest-neighbor search framework can surpass state-of-the-art performance in both single-class and multi-class FSAD scenarios. Our proposed method, VisionAD, consists of four simple yet essential components: (1) scalable vision foundation models that extract universal and discriminative features; (2) dual augmentation strategies - support augmentation to enhance feature matching adaptability and query augmentation to address the oversights of single-view prediction; (3) multi-layer feature integration that captures both low-frequency global context and high-frequency local details with minimal computational overhead; and (4) a class-aware visual memory bank enabling efficient one-for-all multi-class detection. Extensive evaluations across MVTec-AD, VisA, and Real-IAD benchmarks demonstrate VisionAD's exceptional performance. Using only 1 normal images as support, our method achieves remarkable image-level AUROC scores of 97.4%, 94.8%, and 70.8% respectively, outperforming current state-of-the-art approaches by significant margins (+1.6%, +3.2%, and +1.4%). The training-free nature and superior few-shot capabilities of VisionAD make it particularly appealing for real-world applications where samples are scarce or expensive to obtain. Code is available at https://github.com/Qiqigeww/VisionAD.

  • 8 authors
·
Apr 16, 2025

Pillar-0: A New Frontier for Radiology Foundation Models

Radiology plays an integral role in modern medicine, yet rising imaging volumes have far outpaced workforce growth. Foundation models offer a path toward assisting with the full spectrum of radiology tasks, but existing medical models remain limited: they process volumetric CT and MRI as low-fidelity 2D slices, discard critical grayscale contrast information, and lack evaluation frameworks that reflect real clinical practice. We introduce Pillar-0, a radiology foundation model pretrained on 42,990 abdomen-pelvis CTs, 86,411 chest CTs, 14,348 head CTs, and 11,543 breast MRIs from a large academic center, together with RATE, a scalable framework that extracts structured labels for 366 radiologic findings with near-perfect accuracy using LLMs. Across internal test sets of 14,230 abdomen-pelvis CTs, 10,646 chest CTs, 4,906 head CTs, and 1,585 breast MRIs, Pillar-0 establishes a new performance frontier, achieving mean AUROCs of 86.4, 88.0, 90.1, and 82.9, outperforming MedGemma (Google), MedImageInsight (Microsoft), Lingshu (Alibaba), and Merlin (Stanford) by 7.8-15.8 AUROC points and ranking best in 87.2\% (319/366) tasks. Pillar-0 similarly outperforms all baselines in an external validation on the Stanford Abdominal CT dataset, including Merlin (82.2 vs 80.6 AUROC). Pillar-0 extends to tasks beyond its pretraining, such as long-horizon lung cancer risk prediction, where it improves upon the state-of-the-art Sybil by 3.0 C-index points on NLST, and generalizes with gains of 5.9 (MGH) and 1.9 (CGMH). In brain hemorrhage detection, Pillar-0 obtained a >95 AUROC when using only 1/20th of the data of the next most sample efficient baseline. Pillar-0 and RATE together provide an open, clinically rigorous foundation for building high-performance radiology systems, enabling applications that were previously infeasible due to computational, data, and evaluation constraints.

YalaLab Yala Lab
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Nov 21, 2025 2

Representation Before Training: A Fixed-Budget Benchmark for Generative Medical Event Models

Every prediction from a generative medical event model is bounded by how clinical events are tokenized, yet input representation is rarely isolated from other system and architectural choices. We evaluate how representation decisions affect downstream prediction after a shared one-epoch pretraining budget. We train 28 matched transformers on MIMIC-IV and evaluate them on 30 clinical outcomes in three experiments: (1) quantization granularity, reference-range anchoring, and code-value fusion; (2) value encoding (hard bins, soft discretization, code-normalized xVal) crossed with temporal encoding (event order, time tokens, admission-relative RoPE); and (3) native MIMIC laboratory/vital codes versus the Common Longitudinal ICU Format (CLIF)-remapped laboratory/vital codes with compression-preserving perturbation arms. In Experiment 1, fused code-value tokenization improves mortality AUROC from 0.891 to 0.915 (BH-adjusted p < 0.001), hospital length-of-stay AUROC from 0.763 to 0.788 (BH-adjusted p < 0.001), and, for the decile fused-vs-unfused comparison, mean regression Spearman rho across the 13 regression outcomes from 0.414 to 0.494. Across the three temporal encodings, event order only and admission-relative RoPE match or exceed inserting time tokens on average while shortening sequences by 11%. CLIF remapping preserves downstream performance in our single-site setting while yielding a smaller, clinically interpretable token set compatible with multi-site use. Finer-than-decile quantization, reference-range anchoring, and soft discretization help in selective outcomes, while code-normalized xVal remains well below the discrete and soft families, consistent with near-median suppression that persists after the affine variant.

  • 6 authors
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Apr 17

ZeroBP: Learning Position-Aware Correspondence for Zero-shot 6D Pose Estimation in Bin-Picking

Bin-picking is a practical and challenging robotic manipulation task, where accurate 6D pose estimation plays a pivotal role. The workpieces in bin-picking are typically textureless and randomly stacked in a bin, which poses a significant challenge to 6D pose estimation. Existing solutions are typically learning-based methods, which require object-specific training. Their efficiency of practical deployment for novel workpieces is highly limited by data collection and model retraining. Zero-shot 6D pose estimation is a potential approach to address the issue of deployment efficiency. Nevertheless, existing zero-shot 6D pose estimation methods are designed to leverage feature matching to establish point-to-point correspondences for pose estimation, which is less effective for workpieces with textureless appearances and ambiguous local regions. In this paper, we propose ZeroBP, a zero-shot pose estimation framework designed specifically for the bin-picking task. ZeroBP learns Position-Aware Correspondence (PAC) between the scene instance and its CAD model, leveraging both local features and global positions to resolve the mismatch issue caused by ambiguous regions with similar shapes and appearances. Extensive experiments on the ROBI dataset demonstrate that ZeroBP outperforms state-of-the-art zero-shot pose estimation methods, achieving an improvement of 9.1% in average recall of correct poses.

  • 6 authors
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Feb 2, 2025