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.

MIRAGE: Knowledge Graph-Guided Cross-Cohort MRI Synthesis for Alzheimer's Disease Prediction

Reliable Alzheimer's disease (AD) diagnosis increasingly relies on multimodal assessments combining structural Magnetic Resonance Imaging (MRI) and Electronic Health Records (EHR). However, deploying these models is bottlenecked by modality missingness, as MRI scans are expensive and frequently unavailable in many patient cohorts. Furthermore, synthesizing de novo 3D anatomical scans from sparse, high-dimensional tabular records is technically challenging and poses severe clinical risks. To address this, we introduce MIRAGE, a novel framework that reframes the missing-MRI problem as an anatomy-guided cross-modal latent distillation task. First, MIRAGE leverages a Biomedical Knowledge Graph (KG) and Graph Attention Networks to map heterogeneous EHR variables into a unified embedding space that can be propagated from cohorts with real MRIs to cohorts without them. To bridge the semantic gap and enforce physical spatial awareness, we employ a frozen pre-trained 3D U-Net decoder strictly as an auxiliary regularization engine. Supported by a novel cohort-aggregated skip feature compensation strategy, this decoder acts as a rigorous structural penalty, forcing 1D latent representations to encode biologically plausible, macro-level pathological semantics. By exclusively utilizing this distilled "diagnostic-surrogate" representation during inference, MIRAGE completely bypasses computationally expensive 3D voxel reconstruction. Experiments demonstrate that our framework successfully bridges the missing-modality gap, improving the AD classification rate by 13% compared to unimodal baselines in cohorts without real MRIs.

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.

ContextRL: Enhancing MLLM's Knowledge Discovery Efficiency with Context-Augmented RL

We propose ContextRL, a novel framework that leverages context augmentation to overcome these bottlenecks. Specifically, to enhance Identifiability, we provide the reward model with full reference solutions as context, enabling fine-grained process verification to filter out false positives (samples with the right answer but low-quality reasoning process). To improve Reachability, we introduce a multi-turn sampling strategy where the reward model generates mistake reports for failed attempts, guiding the policy to "recover" correct responses from previously all-negative groups. Experimental results on 11 perception and reasoning benchmarks show that ContextRL significantly improves knowledge discovery efficiency. Notably, ContextRL enables the Qwen3-VL-8B model to achieve performance comparable to the 32B model, outperforming standard RLVR baselines by a large margin while effectively mitigating reward hacking. Our in-depth analysis reveals the significant potential of contextual information for improving reward model accuracy and document the widespread occurrence of reward hacking, offering valuable insights for future RLVR research.

H-WM: Robotic Task and Motion Planning Guided by Hierarchical World Model

World models are becoming central to robotic planning and control, as they enable prediction of future state transitions. Existing approaches often emphasize video generation or natural language prediction, which are difficult to directly ground in robot actions and suffer from compounding errors over long horizons. Traditional task and motion planning relies on symbolic logic world models, such as planning domains, that are robot-executable and robust for long-horizon reasoning. However, these methods typically operate independently of visual perception, preventing synchronized symbolic and perceptual state prediction. We propose a Hierarchical World Model (H-WM) that jointly predicts logical and visual state transitions within a unified bilevel framework. H-WM combines a high-level logical world model with a low-level visual world model, integrating the robot-executable, long-horizon robustness of symbolic reasoning with perceptual grounding from visual observations. The hierarchical outputs provide stable and consistent intermediate guidance for long-horizon tasks, mitigating error accumulation and enabling robust execution across extended task sequences. To train H-WM, we introduce a robotic dataset that aligns robot motion with symbolic states, actions, and visual observations. Experiments across vision-language-action (VLA) control policies demonstrate the effectiveness and generality of the approach.

CausalGDP: Causality-Guided Diffusion Policies for Reinforcement Learning

Reinforcement learning (RL) has achieved remarkable success in a wide range of sequential decision-making problems. Recent diffusion-based policies further improve RL by modeling complex, high-dimensional action distributions. However, existing diffusion policies primarily rely on statistical associations and fail to explicitly account for causal relationships among states, actions, and rewards, limiting their ability to identify which action components truly cause high returns. In this paper, we propose Causality-guided Diffusion Policy (CausalGDP), a unified framework that integrates causal reasoning into diffusion-based RL. CausalGDP first learns a base diffusion policy and an initial causal dynamical model from offline data, capturing causal dependencies among states, actions, and rewards. During real-time interaction, the causal information is continuously updated and incorporated as a guidance signal to steer the diffusion process toward actions that causally influence future states and rewards. By explicitly considering causality beyond association, CausalGDP focuses policy optimization on action components that genuinely drive performance improvements. Experimental results demonstrate that CausalGDP consistently achieves competitive or superior performance over state-of-the-art diffusion-based and offline RL methods, especially in complex, high-dimensional control tasks.

Semantically Aware UAV Landing Site Assessment from Remote Sensing Imagery via Multimodal Large Language Models

Safe UAV emergency landing requires more than just identifying flat terrain; it demands understanding complex semantic risks (e.g., crowds, temporary structures) invisible to traditional geometric sensors. In this paper, we propose a novel framework leveraging Remote Sensing (RS) imagery and Multimodal Large Language Models (MLLMs) for global context-aware landing site assessment. Unlike local geometric methods, our approach employs a coarse-to-fine pipeline: first, a lightweight semantic segmentation module efficiently pre-screens candidate areas; second, a vision-language reasoning agent fuses visual features with Point-of-Interest (POI) data to detect subtle hazards. To validate this approach, we construct and release the Emergency Landing Site Selection (ELSS) benchmark. Experiments demonstrate that our framework significantly outperforms geometric baselines in risk identification accuracy. Furthermore, qualitative results confirm its ability to generate human-like, interpretable justifications, enhancing trust in automated decision-making. The benchmark dataset is publicly accessible at https://anonymous.4open.science/r/ELSS-dataset-43D7.

Demystifying Design Choices of Reinforcement Fine-tuning: A Batched Contextual Bandit Learning Perspective

The reinforcement fine-tuning area is undergoing an explosion papers largely on optimizing design choices. Though performance gains are often claimed, inconsistent conclusions also arise from time to time, making the progress illusive. Reflecting on this illusion, we still lack principled answers to two fundamental questions: 1) what is the role of each design choice? 2) which ones are critical? This paper aims to shed light on them. The underlying challenge is that design choices are entangled together, making their contribution to learning and generalization difficult to attribute. To address this challenge, we first construct a minimalist baseline for disentangling factors: one rollout per query in each round, the outcome reward serving as the training signal without any advantage trick, and a batch size of thirty-two. This baseline connects to batched contextual bandit learning, which facilitates experimental analysis. Centering around this baseline, we design an experiment pipeline, examining the marginal gains of factors like advantage, number of rollouts, etc. Experiments on three base models and two datasets, not only reveal new understanding on the role of various design choices on learning and generalization dynamics, but also identify critical ones that deserve more effort.

SIGMA-PPG: Statistical-prior Informed Generative Masking Architecture for PPG Foundation Model

Current foundation model for photoplethysmography (PPG) signals is challenged by the intrinsic redundancy and noise of the signal. Standard masked modeling often yields trivial solutions while contrastive methods lack morphological precision. To address these limitations, we propose a Statistical-prior Informed Generative Masking Architecture (SIGMA-PPG), a generative foundation model featuring a Prior-Guided Adversarial Masking mechanism, where a reinforcement learning-driven teacher leverages statistical priors to create challenging learning paths that prevent overfitting to noise. We also incorporate a semantic consistency constraint via vector quantization to ensure that physiologically identical waveforms (even those altered by recording artifacts or minor perturbations) map to shared indices. This enhances codebook semantic density and eliminates redundant feature structures. Pre-trained on over 120,000 hours of data, SIGMA-PPG achieves superior average performance compared to five state-of-the-art baselines across 12 diverse downstream tasks. The code is available at https://github.com/ZonghengGuo/SigmaPPG.

Noninvasive Intracranial Pressure Estimation Using Subspace System Identification and Bespoke Machine Learning Algorithms: A Learning-to-Rank Approach

Objective: Accurate noninvasive estimation of intracranial pressure (ICP) remains a major challenge in critical care. We developed a bespoke machine learning algorithm that integrates system identification and ranking-constrained optimization to estimate mean ICP from noninvasive signals. Methods: A machine learning framework was proposed to obtain accurate mean ICP values using arbitrary noninvasive signals. The subspace system identification algorithm is employed to identify cerebral hemodynamics models for ICP simulation using arterial blood pressure (ABP), cerebral blood velocity (CBv), and R-wave to R-wave interval (R-R interval) signals in a comprehensive database. A mapping function to describe the relationship between the features of noninvasive signals and the estimation errors is learned using innovative ranking constraints through convex optimization. Patients across multiple clinical settings were randomly split into testing and training datasets for performance evaluation of the mapping function. Results: The results indicate that about 31.88% of testing entries achieved estimation errors within 2 mmHg and 34.07% of testing entries between 2 mmHg to 6 mmHg from the nonlinear mapping with constraints. Conclusion: Our results demonstrate the feasibility of the proposed noninvasive ICP estimation approach. Significance: Further validation and technical refinement are required before clinical deployment, but this work lays the foundation for safe and broadly accessible ICP monitoring in patients with acute brain injury and related conditions.