Pengyu Dai

Haolin Wang, Yafei Ou, Prasoon Ambalathankandy et al.

Conventional radiography is the widely used imaging technology in diagnosing, monitoring, and prognosticating musculoskeletal (MSK) diseases because of its easy availability, versatility, and cost-effectiveness. In conventional radiographs, bone overlaps are prevalent, and can impede the accurate assessment of bone characteristics by radiologists or algorithms, posing significant challenges to conventional and computer-aided diagnoses. This work initiated the study of a challenging scenario - bone layer separation in conventional radiographs, in which separate overlapped bone regions enable the independent assessment of the bone characteristics of each bone layer and lay the groundwork for MSK disease diagnosis and its automation. This work proposed a Bone Layer Separation GAN (BLS-GAN) framework that can produce high-quality bone layer images with reasonable bone characteristics and texture. This framework introduced a reconstructor based on conventional radiography imaging principles, which achieved efficient reconstruction and mitigates the recurrent calculations and training instability issues caused by soft tissue in the overlapped regions. Additionally, pre-training with synthetic images was implemented to enhance the stability of both the training process and the results. The generated images passed the visual Turing test, and improved performance in downstream tasks. This work affirms the feasibility of extracting bone layer images from conventional radiographs, which holds promise for leveraging bone layer separation technology to facilitate more comprehensive analytical research in MSK diagnosis, monitoring, and prognosis. Code and dataset: https://github.com/pokeblow/BLS-GAN.git.

Lin Fan, Yafei Ou, Zhipeng Deng et al.

Chain-of-thought (CoT) reasoning has advanced medical visual question answering (VQA), yet most existing CoT rationales are free-form and fail to capture the structured reasoning process clinicians actually follow. This work asks: Can traceable, multi-step reasoning supervision improve reasoning accuracy and the interpretability of Medical VQA? To this end, we introduce Step-CoT, a large-scale medical reasoning dataset with expert-curated, structured multi-step CoT aligned to clinical diagnostic workflows, implicitly grounding the model's reasoning in radiographic evidence. Step-CoT comprises more than 10K real clinical cases and 70K VQA pairs organized around diagnostic workflows, providing supervised intermediate steps that guide models to follow valid reasoning trajectories. To effectively learn from Step-CoT, we further introduce a teacher-student framework with a dynamic graph-structured focusing mechanism that prioritizes diagnostically informative steps while filtering out less relevant contexts. Our experiments show that using Step-CoT can improve reasoning accuracy and interpretability. Benchmark: github.com/hahaha111111/Step-CoT. Dataset Card: huggingface.co/datasets/fl-15o/Step-CoT

Pengyu Dai, Weihao Xuan, Junjue Wang et al.

Recent advances have enabled large language model (LLM) agents to solve complex tasks by orchestrating external tools. However, these agents often struggle in specialized, tool-intensive domains that demand long-horizon execution, tight coordination across modalities, and strict adherence to implicit tool constraints. Earth Observation (EO) tasks exemplify this challenge due to the multi-modal and multi-temporal data inputs, as well as the requirements of geo-knowledge constraints (spectrum library, spatial reasoning, etc): many high-level plans can be derailed by subtle execution errors that propagate through a pipeline and invalidate final results. A core difficulty is that existing agents lack a mechanism to learn fine-grained, tool-level expertise from interaction. Without such expertise, they cannot reliably configure tool parameters or recover from mid-execution failures, limiting their effectiveness in complex EO workflows. To address this, we introduce \textbf{GeoEvolver}, a self-evolving multi-agent system~(MAS) that enables LLM agents to acquire EO expertise through structured interaction without any parameter updates. GeoEvolver decomposes each query into independent sub-goals via a retrieval-augmented multi-agent orchestrator, then explores diverse tool-parameter configurations at the sub-goal level. Successful patterns and root-cause attribution from failures are then distilled in an evolving memory bank that provides in-context demonstrations for future queries. Experiments on three tool-integrated EO benchmarks show that GeoEvolver consistently improves end-to-end task success, with an average gain of 12\% across multiple LLM backbones, demonstrating that EO expertise can emerge progressively from efficient, fine-grained interactions with the environment.

Junjue Wang, Weihao Xuan, Heli Qi et al.

Operational disaster response goes beyond damage assessment, requiring responders to integrate multi-sensor signals, reason over road networks, populations and key facilities, plan evacuations, and produce actionable reports. However, prior work largely isolates remote-sensing perception or evaluates generic tool use, leaving the end-to-end workflows of emergency operations underexplored. In this paper, we introduce Disaster Operational Response Agent benchmark (DORA), the first agentic benchmark for end-to-end disaster response: 515 expert-authored tasks across 45 real-world disaster events spanning 10 types, paired with expert-verified, replayable gold trajectories totaling 3,500 tool-call steps. Tasks span five dimensions that cover the operational disaster-response pipeline: disaster perception, spatial relational analysis, rescue and evacuation planning, temporal evolution reasoning, and multi-modal report synthesis. Agents compose calls from a 108-tool MCP library over heterogeneous geospatial data: optical, SAR, and multi-spectral imagery across single-, bi-, and multi-temporal sequences (0.015-10m GSD), complemented by elevation and social vector layers. We comprehensively evaluate 13 frontier LLMs on our benchmark, revealing three persistent challenges: 1) disaster-domain grounding exposes unique failure modes (damage-semantic grounding, sensor-modality mismatch, and disaster-pipeline composition); 2) agents are doubly bottlenecked by tool selection and argument grounding, where gold tool-order hints improve accuracy by only 1.08-4.40%, and alternative scaffolds yield at most a 3.24% gain; 3) compositional fragility scales with trajectory length, the agent-to-gold gap widening from 7% to 56% on long pipelines. DORA establishes a rigorous testbed for operationally reliable disaster-response agents.

Lin Fan, Pengyu Dai, Zhipeng Deng et al.

Clinical image interpretation is inherently multi-step and tool-centric: clinicians iteratively combine visual evidence with patient context, quantify findings, and refine their decisions through a sequence of specialized procedures. While LLM-based agents promise to orchestrate such heterogeneous medical tools, existing systems treat tool sets and invocation strategies as static after deployment. This design is brittle under real-world domain shifts, across tasks, and evolving diagnostic requirements, where predefined tool chains frequently degrade and demand costly manual re-design. We propose MACRO, a self-evolving, experience-augmented medical agent that shifts from static tool composition to experience-driven tool discovery. From verified execution trajectories, the agent autonomously identifies recurring effective multi-step tool sequences, synthesizes them into reusable composite tools, and registers these as new high-level primitives that continuously expand its behavioral repertoire. A lightweight image-feature memory grounds tool selection in a visual-clinical context, while a GRPO-like training loop reinforces reliable invocation of discovered composites, enabling closed-loop self-improvement with minimal supervision. Extensive experiments across diverse medical imaging datasets and tasks demonstrate that autonomous composite tool discovery consistently improves multi-step orchestration accuracy and cross-domain generalization over strong baselines and recent state-of-the-art agentic methods, bridging the gap between brittle static tool use and adaptive, context-aware clinical AI assistance. Code will be available upon acceptance.

Haolin Wang, Yafei Ou, Prasoon Ambalathankandy et al.

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by joint inflammation and progressive structural damage. Joint space width (JSW) is a critical indicator in conventional radiography for evaluating disease progression, which has become a prominent research topic in computer-aided diagnostic (CAD) systems. However, deep learning-based radiological CAD systems for JSW analysis face significant challenges in data quality, including data imbalance, limited variety, and annotation difficulties. This work introduced a challenging image synthesis scenario and proposed Layer Separation Networks (LSN) to accurately separate the soft tissue layer, the upper bone layer, and the lower bone layer in conventional radiographs of finger joints. Using these layers, the adjustable JSW images can be synthesized to address data quality challenges and achieve ground truth (GT) generation. Experimental results demonstrated that LSN-based synthetic images closely resemble real radiographs, and significantly enhanced the performance in downstream tasks. The code and dataset will be available.

Pengyu Dai, Yafei Ou, Yuqiao Yang et al.

Accurate tooth identification and segmentation in Cone Beam Computed Tomography (CBCT) dental images can significantly enhance the efficiency and precision of manual diagnoses performed by dentists. However, existing segmentation methods are mainly developed based on large data volumes training, on which their annotations are extremely time-consuming. Meanwhile, the teeth of each class in CBCT dental images being closely positioned, coupled with subtle inter-class differences, gives rise to the challenge of indistinct boundaries when training model with limited data. To address these challenges, this study aims to propose a tasked-oriented Masked Auto-Encoder paradigm to effectively utilize large amounts of unlabeled data to achieve accurate tooth segmentation with limited labeled data. Specifically, we first construct a self-supervised pre-training framework of masked auto encoder to efficiently utilize unlabeled data to enhance the network performance. Subsequently, we introduce a sparse masked prompt mechanism based on graph attention to incorporate boundary information of the teeth, aiding the network in learning the anatomical structural features of teeth. To the best of our knowledge, we are pioneering the integration of the mask pre-training paradigm into the CBCT tooth segmentation task. Extensive experiments demonstrate both the feasibility of our proposed method and the potential of the boundary prompt mechanism.

Roman Koshkin, Pengyu Dai, Nozomi Fujikawa et al.

We present an autonomous framework that leverages Large Language Models (LLMs) to automate end-to-end business analysis and market report generation. At its core, the system employs specialized agents - Researcher, Reviewer, Writer, and Retriever - that collaborate to analyze data and produce comprehensive reports. These agents learn from real professional consultants' presentation materials at Amazon through in-context learning to replicate professional analytical methodologies. The framework executes a multi-step process: querying databases, analyzing data, generating insights, creating visualizations, and composing market reports. We also introduce a novel LLM-based evaluation system for assessing report quality, which shows alignment with expert human evaluations. Building on these evaluations, we implement an iterative improvement mechanism that optimizes report quality through automated review cycles. Experimental results show that report quality can be improved by both automated review cycles and consultants' unstructured knowledge. In experimental validation, our framework generates detailed 6-page reports in 7 minutes at a cost of approximately \$1. Our work could be an important step to automatically create affordable market insights.

Lin Fan, Yafei Ou, Cenyang Zheng et al.

Multi-modal learning has shown exceptional performance in various tasks, especially in medical applications, where it integrates diverse medical information for comprehensive diagnostic evidence. However, there still are several challenges in multi-modal learning, 1. Heterogeneity between modalities, 2. uncertainty in missing modalities, 3. influence of intrinsic noise, and 4. interpretability for fusion result. This paper introduces the Modal-Domain Attention (MDA) model to address the above challenges. MDA constructs linear relationships between modalities through continuous attention, due to its ability to adaptively allocate dynamic attention to different modalities, MDA can reduce attention to low-correlation data, missing modalities, or modalities with inherent noise, thereby maintaining SOTA performance across various tasks on multiple public datasets. Furthermore, our observations on the contribution of different modalities indicate that MDA aligns with established clinical diagnostic imaging gold standards and holds promise as a reference for pathologies where these standards are not yet clearly defined. The code and dataset will be available.