Liang Zhao

Yifei Zhang, Jiashuo Zhang, Mojtaba Safari et al.

Low-dose chest computed tomography (LDCT) inherently captures both pulmonary and cardiac structures, offering a unique opportunity for joint assessment of lung and cardiovascular health. However, most existing approaches treat these domains as independent tasks, overlooking their physiological interplay and shared imaging biomarkers. We propose an Explainable Cross-Disease Reasoning Framework that enables interpretable cardiopulmonary risk assessment from a single LDCT scan. The framework introduces an agentic reasoning process that emulates clinical diagnostic thinking-first perceiving pulmonary findings, then reasoning through established medical knowledge, and finally deriving a cardiovascular judgment with explanatory rationale. It integrates three synergistic components: a pulmonary perception module that summarizes lung abnormalities, a knowledge-guided reasoning module that infers their cardiovascular implications, and a cardiac representation module that encodes structural biomarkers. Their outputs are fused to produce a holistic cardiovascular risk prediction that is both accurate and physiologically grounded. Experiments on the NLST cohort demonstrate that the proposed framework achieves state-of-the-art performance for CVD screening and mortality prediction, outperforming single-disease and purely image-based baselines. Beyond quantitative gains, the framework provides human-verifiable reasoning that aligns with cardiological understanding, revealing coherent links between pulmonary abnormalities and cardiac stress mechanisms. Overall, this work establishes a unified and explainable paradigm for cardiovascular analysis from LDCT, bridging the gap between image-based prediction and mechanism-based medical interpretation.

Bao Shu, Yan Cai, Jianjian Sun et al.

Developing robust world model reasoning is crucial for large language model (LLM) agents to plan and interact in complex environments. While multi-turn interaction offers a superior understanding of environmental dynamics via authentic feedback, current approaches often impose a rigid reasoning process, which constrains the model's active learning, ultimately hindering efficient world model reasoning. To address these issues, we explore world-model internalization through efficient interaction and active reasoning (WMAct), which liberates the model from structured reasoning, allowing the model to shape thinking directly through its doing, and achieves effective and efficient world model reasoning with two key mechanisms: (1) a reward rescaling mechanism adjusting outcome reward based on action efficacy to incentivize redundancy reduction and purposeful interaction; (2) an interaction frequency annealing strategy to progressively reduce the maximum allowed interaction turns, which compels the model to condense its learning and internalize environmental dynamics rather than over-relying on environmental cues. Our experiments on Sokoban, Maze, and Taxi show that WMAct yields effective world model reasoning capable of resolving tasks in a single turn that previously required multiple interactions and fosters strong transferability to complex environments, improving performance on a suite of reasoning benchmarks.