Wenya Xie

Junying Chen, Xidong Wang, Ke Ji et al.

Adapting a language model into a specific domain, a.k.a `domain adaption', is a common practice when specialized knowledge, e.g. medicine, is not encapsulated in a general language model like Llama2. The challenge lies in the heterogeneity of data across the two training stages, as it varies in languages, genres, or formats. To tackle this and simplify the learning protocol, we propose to transform heterogeneous data, from the both pre-training and supervised stages, into a unified, simple input-output pair format. We validate the new protocol in the domains where proprietary LLMs like ChatGPT perform relatively poorly, such as Traditional Chinese Medicine. The developed model, HuatuoGPT-II, has shown state-of-the-art performance in Chinese medicine domain on a number of benchmarks, e.g. medical licensing exams. It even outperforms proprietary models like ChatGPT and GPT-4 in some aspects, especially in Traditional Chinese Medicine. Expert manual evaluations further validate HuatuoGPT-II's advantages over existing LLMs. Notably, HuatuoGPT-II was benchmarked in a fresh Chinese National Medical Licensing Examination where it achieved the best performance, showcasing not only its effectiveness but also its generalization capabilities.

Wenya Xie, Shaochen, Zhong et al.

Large Reasoning Models (LRMs) are often bottlenecked by the high cost of output tokens. We show that a significant portion of these tokens are useless self-repetitions - what we call "word salad" - that exhaust the decoding budget without adding value. Interestingly, we observe that LRMs are self-aware when trapped in these loops: the hidden states of <\n\n> tokens trailing each reasoning chunk exhibit patterns that allow us to detect word salad behavior on-the-fly via a single-layer linear classifier. Once detected, a simple chop appended by a straightforward regeneration prompt yields substantial length savings with minimal quality loss. Our work offers WordSaladChopper (WSC) - a lightweight, turnkey component for LRM that is minimally invasive to its reasoning trajectory by only removing semantically redundant tokens. Given its low overhead, strong savings, and the lack of semantic value of word salad tokens, we believe it is not too far-fetched to argue that WSC - or a similar component - is a must-have for all LRM applications with user experience in mind. Our code is publicly available at https://github.com/wenyaxie023/WordSaladChopper.

Wentao Ge, Shunian Chen, Guiming Hardy Chen et al.

Multimodal large language models (MLLMs) have broadened the scope of AI applications. Existing automatic evaluation methodologies for MLLMs are mainly limited in evaluating queries without considering user experiences, inadequately addressing the nuances of creative and associative multimodal tasks. However, the open-ended and subjective nature of such tasks poses a significant challenge to the evaluation methodology, where it is difficult to define the ground-truth answers for them. To this end, in our paper, we propose a new evaluation paradigm for MLLMs, which is evaluating MLLMs with per-sample criteria using potent MLLM as the judge. To validate the feasibility and effectiveness of this paradigm, we design a benchmark, dubbed MLLM-Bench, by curating the evaluation samples across six comprehensive cognitive levels. We benchmark 21 popular MLLMs in a pairwise-comparison fashion, showing diverse performance across models. Moreover, the validity of our benchmark manifests itself in reaching 88.02% agreement with human evaluation. We contend that the proposed paradigm explores the potential of MLLMs as effective evaluation tools with the help of per-sample criteria. See online leaderboard at \url{https://mllm-bench.llmzoo.com}.

Shuang Zhou, Kai Yu, Song Wang et al.

Heart diseases remain a leading cause of morbidity and mortality worldwide, necessitating accurate and trustworthy differential diagnosis. However, existing artificial intelligence-based diagnostic methods are often limited by insufficient cardiology knowledge, inadequate support for complex reasoning, and poor interpretability. Here we present HeartAgent, a cardiology-specific agent system designed to support a reliable and explainable differential diagnosis. HeartAgent integrates customized tools and curated data resources and orchestrates multiple specialized sub-agents to perform complex reasoning while generating transparent reasoning trajectories and verifiable supporting references. Evaluated on the MIMIC dataset and a private electronic health records cohort, HeartAgent achieved over 36% and 20% improvements over established comparative methods, in top-3 diagnostic accuracy, respectively. Additionally, clinicians assisted by HeartAgent demonstrated gains of 26.9% in diagnostic accuracy and 22.7% in explanatory quality compared with unaided experts. These results demonstrate that HeartAgent provides reliable, explainable, and clinically actionable decision support for cardiovascular care.

Xin Chen, Feng Jiang, Yiqian Zhang et al.

Reasoning-oriented Large Language Models (LLMs) have achieved remarkable progress with Chain-of-Thought (CoT) prompting, yet they remain fundamentally limited by a \emph{blind self-thinking} paradigm: performing extensive internal reasoning even when critical information is missing or ambiguous. We propose Proactive Interactive Reasoning (PIR), a new reasoning paradigm that transforms LLMs from passive solvers into proactive inquirers that interleave reasoning with clarification. Unlike existing search- or tool-based frameworks that primarily address knowledge uncertainty by querying external environments, PIR targets premise- and intent-level uncertainty through direct interaction with the user. PIR is implemented via two core components: (1) an uncertainty-aware supervised fine-tuning procedure that equips models with interactive reasoning capability, and (2) a user-simulator-based policy optimization framework driven by a composite reward that aligns model behavior with user intent. Extensive experiments on mathematical reasoning, code generation, and document editing demonstrate that PIR consistently outperforms strong baselines, achieving up to 32.70\% higher accuracy, 22.90\% higher pass rate, and 41.36 BLEU improvement, while reducing nearly half of the reasoning computation and unnecessary interaction turns. Further reliability evaluations on factual knowledge, question answering, and missing-premise scenarios confirm the strong generalization and robustness of PIR. Model and code are publicly available at: \href{https://github.com/SUAT-AIRI/Proactive-Interactive-R1}

Jiayi Yuan, Hao Li, Xinheng Ding et al.

Large Language Models (LLMs) are now integral across various domains and have demonstrated impressive performance. Progress, however, rests on the premise that benchmark scores are both accurate and reproducible. We demonstrate that the reproducibility of LLM performance is fragile: changing system configuration, such as evaluation batch size, GPU count, and GPU version, can introduce significant differences in the generated responses. This issue is especially pronounced in reasoning models, where minor rounding differences in early tokens can cascade into divergent chains of thought, ultimately affecting accuracy. For instance, under bfloat16 precision with greedy decoding, a reasoning model like DeepSeek-R1-Distill-Qwen-7B can exhibit up to 9% variation in accuracy and 9,000 tokens difference in response length due to differences in GPU count, type, and evaluation batch size. We trace the root cause of this variability to the non-associative nature of floating-point arithmetic under limited numerical precision. This work presents the first systematic investigation into how numerical precision affects reproducibility in LLM inference. Through carefully controlled experiments across various hardware, software, and precision settings, we quantify when and how model outputs diverge. Our analysis reveals that floating-point precision - while critical for reproducibility - is often neglected in evaluation practices. Inspired by this, we develop a lightweight inference pipeline, dubbed LayerCast, that stores weights in 16-bit precision but performs all computations in FP32, balancing memory efficiency with numerical stability. Code is available at https://github.com/nanomaoli/llm_reproducibility.

Wenya Xie, Qingying Xiao, Yu Zheng et al.

The rise of large language models (LLMs) has transformed healthcare by offering clinical guidance, yet their direct deployment to patients poses safety risks due to limited domain expertise. To mitigate this, we propose repositioning LLMs as clinical assistants that collaborate with experienced physicians rather than interacting with patients directly. We conduct a two-stage inspiration-feedback survey to identify real-world needs in clinical workflows. Guided by this, we construct DoctorFLAN, a large-scale Chinese medical dataset comprising 92,000 Q&A instances across 22 clinical tasks and 27 specialties. To evaluate model performance in doctor-facing applications, we introduce DoctorFLAN-test (550 single-turn Q&A items) and DotaBench (74 multi-turn conversations). Experimental results with over ten popular LLMs demonstrate that DoctorFLAN notably improves the performance of open-source LLMs in medical contexts, facilitating their alignment with physician workflows and complementing existing patient-oriented models. This work contributes a valuable resource and framework for advancing doctor-centered medical LLM development

Wenya Xie, Qingying Xiao, Yu Zheng et al.

The recent success of Large Language Models (LLMs) has had a significant impact on the healthcare field, providing patients with medical advice, diagnostic information, and more. However, due to a lack of professional medical knowledge, patients are easily misled by generated erroneous information from LLMs, which may result in serious medical problems. To address this issue, we focus on tuning the LLMs to be medical assistants who collaborate with more experienced doctors. We first conduct a two-stage survey by inspiration-feedback to gain a broad understanding of the real needs of doctors for medical assistants. Based on this, we construct a Chinese medical dataset called DoctorFLAN to support the entire workflow of doctors, which includes 92K Q\&A samples from 22 tasks and 27 specialists. Moreover, we evaluate LLMs in doctor-oriented scenarios by constructing the DoctorFLAN-\textit{test} containing 550 single-turn Q\&A and DotaBench containing 74 multi-turn conversations. The evaluation results indicate that being a medical assistant still poses challenges for existing open-source models, but DoctorFLAN can help them significantly. It demonstrates that the doctor-oriented dataset and benchmarks we construct can complement existing patient-oriented work and better promote medical LLMs research.

Moxin Li, Yong Zhao, Wenxuan Zhang et al.

Although large language models (LLMs) store vast amount of knowledge in their parameters, they still have limitations in the memorization and utilization of certain knowledge, leading to undesired behaviors such as generating untruthful and inaccurate responses. This highlights the critical need to understand the knowledge boundary of LLMs, a concept that remains inadequately defined in existing research. In this survey, we propose a comprehensive definition of the LLM knowledge boundary and introduce a formalized taxonomy categorizing knowledge into four distinct types. Using this foundation, we systematically review the field through three key lenses: the motivation for studying LLM knowledge boundaries, methods for identifying these boundaries, and strategies for mitigating the challenges they present. Finally, we discuss open challenges and potential research directions in this area. We aim for this survey to offer the community a comprehensive overview, facilitate access to key issues, and inspire further advancements in LLM knowledge research.

Rongyang Wang, Shuang Zhou, Jiashuo Wang et al.

Multimodal large language models (MLLMs) have emerged as a promising paradigm for dental image analysis. However, their ability to capture the multi-level cognitive processes required for radiographic analysis remains unclear. Here, we present a comprehensive benchmark to evaluate the cognitive capabilities of MLLMs in dental radiographic analysis. It spans three critical imaging modalities, i.e., periapical, panoramic, and lateral cephalometric radiographs, and defines four cognitive categories: perception, comprehension, prediction, and decision-making. The benchmark comprises 27 clinically grounded tasks derived from public datasets, with manually curated annotations and 3,820 clinician assessments for evaluation. Six frontier MLLMs, including GPT-5.2 and GLM-4.6, are evaluated. We demonstrate the performance gap between MLLMs and clinicians in dental practice, delineate model strengths and limitations, characterize failure patterns, and provide recommendations for improvement. This data resource will facilitate the development of next-generation artificial intelligence systems aligned with clinical cognition, safety requirements, and workflow complexity in dental practice.

Zidi Xiong, Yuping Lin, Wenya Xie et al.

Memory is a critical component in large language model (LLM)-based agents, enabling them to store and retrieve past executions to improve task performance over time. In this paper, we conduct an empirical study on how memory management choices impact the LLM agents' behavior, especially their long-term performance. Specifically, we focus on two fundamental memory management operations that are widely used by many agent frameworks-memory addition and deletion-to systematically study their impact on the agent behavior. Through our quantitative analysis, we find that LLM agents display an experience-following property: high similarity between a task input and the input in a retrieved memory record often results in highly similar agent outputs. Our analysis further reveals two significant challenges associated with this property: error propagation, where inaccuracies in past experiences compound and degrade future performance, and misaligned experience replay, where some seemingly correct executions can provide limited or even misleading value as experiences. Through controlled experiments, we demonstrate the importance of regulating experience quality within the memory bank and show that future task evaluations can serve as free quality labels for stored memory. Our findings offer insights into the behavioral dynamics of LLM agent memory systems and provide practical guidance for designing memory components that support robust, long-term agent performance.

Shuang Zhou, Wenya Xie, Jiaxi Li et al.

As large language models (LLMs) become increasingly integrated into clinical decision-making, ensuring transparent and trustworthy reasoning is essential. However, existing evaluation strategies of LLMs' medical reasoning capability either suffer from unsatisfactory assessment or poor scalability, and a rigorous benchmark remains lacking. To address this, we introduce MedThink-Bench, a benchmark designed for rigorous, explainable, and scalable assessment of LLMs' medical reasoning. MedThink-Bench comprises 500 challenging questions across ten medical domains, each annotated with expert-crafted step-by-step rationales. Building on this, we propose LLM-w-Ref, a novel evaluation framework that leverages fine-grained rationales and LLM-as-a-Judge mechanisms to assess intermediate reasoning with expert-level fidelity while maintaining scalability. Experiments show that LLM-w-Ref exhibits a strong positive correlation with expert judgments. Benchmarking twelve state-of-the-art LLMs, we find that smaller models (e.g., MedGemma-27B) can surpass larger proprietary counterparts (e.g., OpenAI-o3). Overall, MedThink-Bench offers a foundational tool for evaluating LLMs' medical reasoning, advancing their safe and responsible deployment in clinical practice.

Ke Ji, Junying Chen, Anningzhe Gao et al.

In the quest for super-human performance, Large Language Models (LLMs) have traditionally been tethered to human-annotated datasets and predefined training objectives-a process that is both labor-intensive and inherently limited. This paper presents a transformative approach: Autonomous Learning for LLMs, a self-sufficient learning paradigm that frees models from the constraints of human supervision. This method endows LLMs with the ability to self-educate through direct interaction with text, akin to a human reading and comprehending literature. Our approach eliminates the reliance on annotated data, fostering an Autonomous Learning environment where the model independently identifies and reinforces its knowledge gaps. Empirical results from our comprehensive experiments, which utilized a diverse array of learning materials and were evaluated against standard public quizzes, reveal that Autonomous Learning outstrips the performance of both Pre-training and Supervised Fine-Tuning (SFT), as well as retrieval-augmented methods. These findings underscore the potential of Autonomous Learning to not only enhance the efficiency and effectiveness of LLM training but also to pave the way for the development of more advanced, self-reliant AI systems.