A Comprehensive Inference-Time Augmentation Framework in Physiological Signals: Application to PPG-Based AF Detection

Objective: Accurate classification of physiological signals in real-world deployments is challenged by sensor noise, motion artifacts, and distribution shifts between training and deployment data. Inference-time augmentation (ITA), which applies augmentations during inference rather than retraining, offers a simple, model-agnostic mechanism to improve robustness. However, ITA application to physiological signals has remained narrow in scope, relying on limited augmentation methods with fixed, unoptimized parameters. This work proposes a unified ITA framework to address that gap. Approach: The framework incorporates 13 augmentation methods spanning time-domain, amplitude-domain, frequency-domain, and artifact-injection transformations, with hyperparameters optimized via Bayesian optimization. We evaluate on atrial fibrillation (AF) detection from 30-second PPG signals using GPT-PPG and ResNet across five datasets comprising more than 400 patients and ${\sim}$9,800 hours of recording. Main results: Standard ITA consistently improved AUROC (up to 8.5% for GPT-PPG and 0.7% for ResNet) and AUPRC (up to 10.6% for GPT-PPG and 0.8% for ResNet). Selective ITA further reduced average FPR by up to 4.4% (GPT-PPG) and 1.3% (ResNet) on non-AF datasets. Significance: These findings establish ITA as a practical, model-agnostic approach for improving PPG-based AF classification reliability in deployment settings where retraining is not feasible, with broader applicability to physiological signal analysis.

NutriMLLM: Multimodal Large Language Models for Dietary Micronutrient Analysis

Comprehensive estimation of dietary micronutrients from food images could improve clinical nutrition care, but training such models requires large multimodal datasets linking diverse foods to complete nutrient profiles. We first show that existing multimodal large language models (MLLMs), including leading proprietary models, are unreliable for this task. Across five model families and four independent evaluation benchmarks (ASA24, SNAPMe, FNDDS, and NutriBench), models frequently abstained or returned statistically implausible values. To address this gap without costly expert annotation, we repurposed a decade of population-scale 24-hour dietary recalls as structured prompts for text-to-image generation. This pipeline produced a synthetic corpus of about 1.1 million image-description-nutrient triplets, each pairing a generated food image with a complete 65-nutrient label. To our knowledge, this is the largest synthetic food-image corpus with comprehensive micronutrient annotation planned for public release upon publication. Fine-tuning Qwen3-VL (2B/4B/8B/30B) and GLM-4.6V-Flash on this corpus yielded NutriMLLM, the first family of vision-language models specialized for comprehensive dietary micronutrient estimation. We evaluate these models with a four-component framework that separately measures abstention, hallucination, overall usability, and per-nutrient numerical accuracy. On real food images, every NutriMLLM variant achieved near-complete coverage across all 65 nutrients, and the largest variant matched or exceeded proprietary baselines (GPT-5, Gemini 3, and Claude Sonnet 4.5) in accuracy on most nutrients. These results show that recall-driven synthetic supervision can make image-based comprehensive micronutrient estimation a tractable engineering problem and support dietary assessment, personalized nutrition guidance, and population-scale micronutrient surveillance.

PRISM: PRior-guided Imagination Sampling in world Models

A learned world model provides a powerful physical intuition for evaluating future states. But its effectiveness in continuous control also depends critically on how candidate actions are generated for model-based planning. Rather than solely asking how accurately a model can simulate the future, we ask: which candidate actions are worth evaluating in the first place? Existing planners typically search arbitrarily or use expert demonstrations only to initialize a sampling mean, discarding the expert's state-conditioned confidence. Properly guiding this search requires a robust action prior, yet current approaches often rely on independent visual encoders or large-scale VLMs to obtain one. We argue that this architectural bloat is unnecessary: the exact same data - and the learned representations of the world model itself - inherently encode the agent's action intuition. We introduce PRISM, a task-agnostic framework that extracts both from a single dataset while maintaining strict architectural simplicity. Building on a standard JEPA-style latent world model, PRISM attaches a lightweight MLP directly to its frozen encoder to predict a state-conditioned Gaussian prior. At plan time, PRISM fuses this prior into the planner's sampling distribution via a precision-weighted Product-of-Gaussians update. This parameter-free, closed-form integration steers the sampling process, making the prior confident where it is and ceding control where it is not. PRISM improves success rates by 35 percentage points over vanilla world-model-based MPC on Cube and 32 percentage points on PushT, without introducing significant inference overhead.

MedGym:A Unified Continuous-Time Benchmark for Dynamic Medical Treatment Reinforcement Learning

Medical treatment recommendation poses several challenges to reinforcement learning (RL): patient physiology evolves in continuous time, measurements and interventions are performed at irregular intervals, and treatment effects vary substantially across individuals. Existing RL formulations and simulated environments, however, are based on discrete-time MDP or POMDP abstractions with fixed or pre-specified decision intervals. Thus, it remains difficult to evaluate whether RL methods can handle time-interval-dependent disease progression, personalized treatment response, and safety between consecutive measurement points. To address this gap, we introduce MedGym, a benchmark environment for dynamic treatment recommendation. MedGym models longitudinal patient evolution in a continuous-time framework and constructs a configurable medical RL benchmark from clinical data by using Physics-Informed Neural Networks. The resulting benchmark supports both offline and online RL, and enables direct comparison between discrete-time and continuous-time methods under irregular treatment timing and patient-specific dynamics. Besides, MedGym supports evaluation from clinically important perspectives, including personalization, trajectory-level safety, and the performance gap between model-based offline learning and online deployment. By providing a standardized and configurable benchmark for continuous-time dynamic treatment, MedGym aims to facilitate more realistic and informative evaluation of medical RL methods.

Interaction-Limited Safe Continuous-Time RL for Dynamical Medical Treatment

Dynamic medical treatment requires deciding treatment intensity and intervention timing, while patient states evolve continuously and adverse events may occur between clinical interactions. Most existing treatment learning methods assume fixed schedules or enforce safety only at discrete decision points. We propose Interaction-Limited Safe Continuous-Time Reinforcement Learning, a framework that jointly optimizes treatment administration and clinical interaction timing under trajectory-level safety constraints. Our key idea is to reformulate the continuous time treatment problem as an option-based semi-Markov decision process, where each option specifies a continuous-time treatment policy and its duration. We develop a safety-tightening mechanism showing that suitably constructed constraints at interaction times guarantee safety over the full continuous-time trajectory with high probability. We further establish finite-sample guarantees for policy learning from logged treatment trajectories and introduce a practical data-driven conservative surrogate. Experiments show that the proposed adaptive interaction-timing mechanism improves both safety and treatment effectiveness over equidistant interaction schemes across different safe policy optimization methods.

EHRBench: An Automated and Reliable EHR-based Benchmark for Clinical Decision Making with LLMs

Clinical decision-making (CDM) is central to real-world clinical workflows, where clinicians infer diagnoses, select treatments, or anticipate future health outcomes under incomplete evidence. LLMs are increasingly used to support these decisions due to strong language capabilities, broad biomedical knowledge, and efficiency, yet the reliability of LLMs on real-world clinical decision tasks remains insufficiently understood. To evaluate CDM models, especially LLM-based models, an ideal and practical medical decision benchmark should be constructed via an automated yet reliable pipeline to ensure both scale and quality. Moreover, the grounding of a CDM benchmark in real patient EHRs can better support evaluation on practical CDM tasks that require substantive biomedical knowledge and clinical inference. To fill the gaps, we introduce EHRBench, an automated and reliable EHR-grounded benchmark for evaluating LLM-based clinical decision-making at scale. To ensure scalability and reliability, EHRBench is constructed through an EHR-LLM-KB(knowledge-base) interaction pipeline. For efficiency, we use a specialized LLM to automatically convert encounter-level EHR trajectories into structured templates and deterministically instantiate the templates into QA items. In parallel, we apply systematic KB-based verification and enrichment to filter hallucinated or ambiguous relations and to improve reliability. Using this pipeline, we construct nearly 1M (960,067) QA items spanning three core inference-required clinical decision tasks: diagnosis, treatment, and prognosis. We benchmark more than 30 representative LLMs on EHRBench and provide detailed analyses of performance and robustness. The results show consistent capability trends across settings, further validating the reliability of EHRBench and highlighting actionable gaps toward clinically reliable LLM systems.

Evaluation of Winning Solutions of 2025 Low Power Computer Vision Challenge

The IEEE Low-Power Computer Vision Challenge (LPCVC) aims to promote the development of efficient vision models for edge devices, balancing accuracy with constraints such as latency, memory capacity, and energy use. The 2025 challenge featured three tracks: (1) Image classification under various lighting conditions and styles, (2) Open-Vocabulary Segmentation with Text Prompt, and (3) Monocular Depth Estimation. This paper presents the design of LPCVC 2025, including its competition structure and evaluation framework, which integrates the Qualcomm AI Hub for consistent and reproducible benchmarking. The paper also introduces the top-performing solutions from each track and outlines key trends and observations. The paper concludes with suggestions for future computer vision competitions.

Prompt Amplification and Zero-Shot Late Fusion in Audio-Language Models for Speech Emotion Recognition

Audio-Language Models (ALMs) are making strides in understanding speech and non-speech audio. However, domain-specialist Foundation Models (FMs) remain the best for closed-ended speech processing tasks such as Speech Emotion Recognition (SER). Using ALMs for Zero-shot SER is a popular choice, but their potential to work with specialists to achieve state-of-the-art (SOTA) performance remains unexplored. We propose ZS-Fuse, a late-fusion method that combines zero-shot emotion estimates from a dual-encoder ALM with specialist FMs. To handle ambiguity in emotions and sensitivity to prompt choice, 1) we use a simple prompt ensemble and 2) suggest a novel technique called prompt amplification, which repeats audio and text queries to discover stronger zero-shot capabilities. We demonstrate the efficacy of our technique by evaluating ZS-Fuse with three dual-encoder ALMs and two FMs, and report improvements over SOTA baselines, such as WavLM-Large, on three speech emotion recognition datasets.

ECG-MoE: Mixture-of-Expert Electrocardiogram Foundation Model

Electrocardiography (ECG) analysis is crucial for cardiac diagnosis, yet existing foundation models often fail to capture the periodicity and diverse features required for varied clinical tasks. We propose ECG-MoE, a hybrid architecture that integrates multi-model temporal features with a cardiac period-aware expert module. Our approach uses a dual-path Mixture-of-Experts to separately model beat-level morphology and rhythm, combined with a hierarchical fusion network using LoRA for efficient inference. Evaluated on five public clinical tasks, ECG-MoE achieves state-of-the-art performance with 40% faster inference than multi-task baselines.

Coarse-to-Fine Monocular Re-Localization in OpenStreetMap via Semantic Alignment

Monocular re-localization plays a crucial role in enabling intelligent agents to achieve human-like perception. However, traditional methods rely on dense maps, which face scalability limitations and privacy risks. OpenStreetMap (OSM), as a lightweight map that protects privacy, offers semantic and geometric information with global scalability. Nonetheless, there are still challenges in using OSM for localization: the inherent cross-modal discrepancies between natural images and OSM, as well as the high computational cost of global map-based localization. In this paper, we propose a hierarchical search framework with semantic alignment for localization in OSM. First, the semantic awareness capability of DINO-ViT is utilised to deconstruct visual elements to establish semantic relationships with OSM. Second, a coarse-to-fine search paradigm is designed to replace global dense matching, enabling efficient progressive refinement. Extensive experiments demonstrate that our method significantly improves both localization accuracy and speed. When trained on a single dataset, the 3° orientation recall of our method even outperforms the 5° recall of state-of-the-art methods.