Multi-function Robotized Surgical Dissector for Endoscopic Pulmonary Thromboendarterectomy: Preclinical Study and Evaluation

Patients suffering chronic severe pulmonary thromboembolism need Pulmonary Thromboendarterectomy (PTE) to remove the thromb and intima located inside pulmonary artery (PA). During the surgery, a surgeon holds tweezers and a dissector to delicately strip the blockage, but available tools for this surgery are rigid and straight, lacking distal dexterity to access into thin branches of PA. Therefore, this work presents a novel robotized dissector based on concentric push/pull robot (CPPR) structure, enabling entering deep thin branch of tortuous PA. Compared with conventional rigid dissectors, our design characterizes slenderness and dual-segment-bending dexterity. Owing to the hollow and thin-walled structure of the CPPR-based dissector as it has a slender body of 3.5mm in diameter, the central lumen accommodates two channels for irrigation and tip tool, and space for endoscopic camera's signal wire. To provide accurate surgical manipulation, optimization-based kinematics model was established, realizing a 2mm accuracy in positioning the tip tool (60mm length) under open-loop control strategy. As such, with the endoscopic camera, traditional PTE is possible to be upgraded as endoscopic PTE. Basic physic performance of the robotized dissector including stiffness, motion accuracy and maneuverability was evaluated through experiments. Surgery simulation on ex vivo porcine lung also demonstrates its dexterity and notable advantages in PTE.

TRACER: Texture-Robust Affordance Chain-of-Thought for Deformable-Object Refinement

The central challenge in robotic manipulation of deformable objects lies in aligning high-level semantic instructions with physical interaction points under complex appearance and texture variations. Due to near-infinite degrees of freedom, complex dynamics, and heterogeneous patterns, existing vision-based affordance prediction methods often suffer from boundary overflow and fragmented functional regions. To address these issues, we propose TRACER, a Texture-Robust Affordance Chain-of-thought with dEformable-object Refinement framework, which establishes a cross-hierarchical mapping from hierarchical semantic reasoning to appearance-robust and physically consistent functional region refinement. Specifically, a Tree-structured Affordance Chain-of-Thought (TA-CoT) is formulated to decompose high-level task intentions into hierarchical sub-task semantics, providing consistent guidance across various execution stages. To ensure spatial integrity, a Spatial-Constrained Boundary Refinement (SCBR) mechanism is introduced to suppress prediction spillover, guiding the perceptual response to converge toward authentic interaction manifolds. Furthermore, an Interactive Convergence Refinement Flow (ICRF) is developed to aggregate discrete pixels corrupted by appearance noise, significantly enhancing the spatial continuity and physical plausibility of the identified functional regions. Extensive experiments conducted on the Fine-AGDDO15 dataset and a real-world robotic platform demonstrate that TRACER significantly improves affordance grounding precision across diverse textures and patterns inherent to deformable objects. More importantly, it enhances the success rate of long-horizon tasks, effectively bridging the gap between high-level semantic reasoning and low-level physical execution. The source code and dataset will be made publicly available at https://github.com/Dikay1/TRACER.

RareAlert: Aligning heterogeneous large language model reasoning for early rare disease risk screening

Missed and delayed diagnosis remains a major challenge in rare disease care. At the initial clinical encounters, physicians assess rare disease risk using only limited information under high uncertainty. When high-risk patients are not recognised at this stage, targeted diagnostic testing is often not initiated, resulting in missed diagnosis. Existing primary care triage processes are structurally insufficient to reliably identify patients with rare diseases at initial clinical presentation and universal screening is needed to reduce diagnostic delay. Here we present RareAlert, an early screening system which predict patient-level rare disease risk from routinely available primary-visit information. RareAlert integrates reasoning generated by ten LLMs, calibrates and weights these signals using machine learning, and distils the aligned reasoning into a single locally deployable model. To develop and evaluate RareAlert, we curated RareBench, a real-world dataset of 158,666 cases covering 33 Orphanet disease categories and more than 7,000 rare conditions, including both rare and non-rare presentations. The results showed that rare disease identification can be reconceptualised as a universal uncertainty resolution process applied to the general patient population. On an independent test set, RareAlert, a Qwen3-4B based model trained with calibrated reasoning signals, achieved an AUC of 0.917, outperforming the best machine learning ensemble and all evaluated LLMs, including GPT-5, DeepSeek-R1, Claude-3.7-Sonnet, o3-mini, Gemini-2.5-Pro, and Qwen3-235B. These findings demonstrate the diversity in LLM medical reasoning and the effectiveness of aligning such reasoning in highly uncertain clinical tasks. By incorporating calibrated reasoning into a single model, RareAlert enables accurate, privacy-preserving, and scalable rare disease risk screening suitable for large-scale local deployment.

Orchestrating Specialized Agents for Trustworthy Enterprise RAG

Retrieval-Augmented Generation (RAG) shows promise for enterprise knowledge work, yet it often underperforms in high-stakes decision settings that require deep synthesis, strict traceability, and recovery from underspecified prompts. One-pass retrieval-and-write pipelines frequently yield shallow summaries, inconsistent grounding, and weak mechanisms for completeness verification. We introduce ADORE (Adaptive Deep Orchestration for Research in Enterprise), an agentic framework that replaces linear retrieval with iterative, user-steered investigation coordinated by a central orchestrator and a set of specialized agents. ADORE's key insight is that a structured Memory Bank (a curated evidence store with explicit claim-evidence linkage and section-level admissible evidence) enables traceable report generation and systematic checks for evidence completeness. Our contributions are threefold: (1) Memory-locked synthesis - report generation is constrained to a structured Memory Bank (Claim-Evidence Graph) with section-level admissible evidence, enabling traceable claims and grounded citations; (2) Evidence-coverage-guided execution - a retrieval-reflection loop audits section-level evidence coverage to trigger targeted follow-up retrieval and terminates via an evidence-driven stopping criterion; (3) Section-packed long-context grounding - section-level packing, pruning, and citation-preserving compression make long-form synthesis feasible under context limits. Across our evaluation suite, ADORE ranks first on DeepResearch Bench (52.65) and achieves the highest head-to-head preference win rate on DeepConsult (77.2%) against commercial systems.

Evaluating the Diagnostic Classification Ability of Multimodal Large Language Models: Insights from the Osteoarthritis Initiative

Multimodal large language models (MLLMs) show promising performance on medical visual question answering (VQA) and report generation, but these generation and explanation abilities do not reliably transfer to disease-specific classification. We evaluated MLLM architectures on knee osteoarthritis (OA) radiograph classification, which remains underrepresented in existing medical MLLM benchmarks, even though knee OA affects an estimated 300 to 400 million people worldwide. Through systematic ablation studies manipulating the vision encoder, the connector, and the large language model (LLM) across diverse training strategies, we measured each component's contribution to diagnostic accuracy. In our classification task, a trained vision encoder alone could outperform full MLLM pipelines in classification accuracy and fine-tuning the LLM provided no meaningful improvement over prompt-based guidance. And LoRA fine-tuning on a small, class-balanced dataset (500 images) gave better results than training on a much larger but class-imbalanced set (5,778 images), indicating that data balance and quality can matter more than raw scale for this task. These findings suggest that for domain-specific medical classification, LLMs are more effective as interpreters and report generators rather than as primary classifiers. Therefore, the MLLM architecture appears less suitable for medical image diagnostic classification tasks that demand high certainty. We recommend prioritizing vision encoder optimization and careful dataset curation when developing clinically applicable systems.

SaFeR-VLM: Toward Safety-aware Fine-grained Reasoning in Multimodal Models

Multimodal Large Reasoning Models (MLRMs) demonstrate impressive cross-modal reasoning but often amplify safety risks under adversarial or unsafe prompts, a phenomenon we call the \textit{Reasoning Tax}. Existing defenses mainly act at the output level and do not constrain the reasoning process, leaving models exposed to implicit risks. In this paper, we propose SaFeR-VLM, a safety-aligned reinforcement learning framework that embeds safety directly into multimodal reasoning. The framework integrates four components: (I) QI-Safe-10K, a curated dataset emphasizing safety-critical and reasoning-sensitive cases; (II) safety-aware rollout, where unsafe generations undergo reflection and correction instead of being discarded; (III) structured reward modeling with multi-dimensional weighted criteria and explicit penalties for hallucinations and contradictions; and (IV) GRPO optimization, which reinforces both safe and corrected trajectories. This unified design shifts safety from a passive safeguard to an active driver of reasoning, enabling scalable and generalizable safety-aware reasoning. SaFeR-VLM further demonstrates robustness against both explicit and implicit risks, supporting dynamic and interpretable safety decisions beyond surface-level filtering. SaFeR-VLM-3B achieves average performance $70.13$ and $78.97$ on safety and helpfulness across six benchmarks, surpassing both same-scale and $>10\times$ larger models such as Skywork-R1V3-38B, Qwen2.5VL-72B, and GLM4.5V-106B. Remarkably, SaFeR-VLM-7B benefits from its increased scale to surpass GPT-5-mini and Gemini-2.5-Flash by \num{6.47} and \num{16.76} points respectively on safety metrics, achieving this improvement without any degradation in helpfulness performance. Our codes are available at https://github.com/HarveyYi/SaFeR-VLM.

HyperVLA: Efficient Inference in Vision-Language-Action Models via Hypernetworks

Built upon language and vision foundation models with strong generalization ability and trained on large-scale robotic data, Vision-Language-Action (VLA) models have recently emerged as a promising approach to learning generalist robotic policies. However, a key drawback of existing VLAs is their extremely high inference costs. In this paper, we propose HyperVLA to address this problem. Unlike existing monolithic VLAs that activate the whole model during both training and inference, HyperVLA uses a novel hypernetwork (HN)-based architecture that activates only a small task-specific policy during inference, while still retaining the high model capacity needed to accommodate diverse multi-task behaviors during training. Successfully training an HN-based VLA is nontrivial so HyperVLA contains several key algorithm design features that improve its performance, including properly utilizing the prior knowledge from existing vision foundation models, HN normalization, and an action generation strategy. Compared to monolithic VLAs, HyperVLA achieves a similar or even higher success rate for both zero-shot generalization and few-shot adaptation, while significantly reducing inference costs. Compared to OpenVLA, a state-of-the-art VLA model, HyperVLA reduces the number of activated parameters at test time by $90\times$, and accelerates inference speed by $120\times$. Code is publicly available at https://github.com/MasterXiong/HyperVLA

A Scenario-Driven Cognitive Approach to Next-Generation AI Memory

As artificial intelligence advances toward artificial general intelligence (AGI), the need for robust and human-like memory systems has become increasingly evident. Current memory architectures often suffer from limited adaptability, insufficient multimodal integration, and an inability to support continuous learning. To address these limitations, we propose a scenario-driven methodology that extracts essential functional requirements from representative cognitive scenarios, leading to a unified set of design principles for next-generation AI memory systems. Based on this approach, we introduce the \textbf{COgnitive Layered Memory Architecture (COLMA)}, a novel framework that integrates cognitive scenarios, memory processes, and storage mechanisms into a cohesive design. COLMA provides a structured foundation for developing AI systems capable of lifelong learning and human-like reasoning, thereby contributing to the pragmatic development of AGI.

DiffOSeg: Omni Medical Image Segmentation via Multi-Expert Collaboration Diffusion Model

Annotation variability remains a substantial challenge in medical image segmentation, stemming from ambiguous imaging boundaries and diverse clinical expertise. Traditional deep learning methods producing single deterministic segmentation predictions often fail to capture these annotator biases. Although recent studies have explored multi-rater segmentation, existing methods typically focus on a single perspective -- either generating a probabilistic ``gold standard'' consensus or preserving expert-specific preferences -- thus struggling to provide a more omni view. In this study, we propose DiffOSeg, a two-stage diffusion-based framework, which aims to simultaneously achieve both consensus-driven (combining all experts' opinions) and preference-driven (reflecting experts' individual assessments) segmentation. Stage I establishes population consensus through a probabilistic consensus strategy, while Stage II captures expert-specific preference via adaptive prompts. Demonstrated on two public datasets (LIDC-IDRI and NPC-170), our model outperforms existing state-of-the-art methods across all evaluated metrics. Source code is available at https://github.com/string-ellipses/DiffOSeg .

ViMo: A Generative Visual GUI World Model for App Agent

App agents, which autonomously operate mobile Apps through Graphical User Interfaces (GUIs), have gained significant interest in real-world applications. Yet, they often struggle with long-horizon planning, failing to find the optimal actions for complex tasks with longer steps. To address this, world models are used to predict the next GUI observation based on user actions, enabling more effective agent planning. However, existing world models primarily focus on generating only textual descriptions, lacking essential visual details. To fill this gap, we propose ViMo, the first visual world model designed to generate future App observations as images. For the challenge of generating text in image patches, where even minor pixel errors can distort readability, we decompose GUI generation into graphic and text content generation. We propose a novel data representation, the Symbolic Text Representation~(STR) to overlay text content with symbolic placeholders while preserving graphics. With this design, ViMo employs a STR Predictor to predict future GUIs' graphics and a GUI-text Predictor for generating the corresponding text. Moreover, we deploy ViMo to enhance agent-focused tasks by predicting the outcome of different action options. Experiments show ViMo's ability to generate visually plausible and functionally effective GUIs that enable App agents to make more informed decisions.