Jack Chen

Meet Shah, Jason Gusdorf, Anil Palepu et al.

The practice of medicine relies not only upon skillful dialogue but also on the nuanced exchange and interpretation of rich auditory and visual cues between doctors and patients. Building on the low-latency voice and video processing capabilities of Gemini, we introduce AI co-clinician, a first-of-its-kind conversational AI system utilizing continuous streams of audio-visual data from live patient conversations to inform real-time clinical decisions. Its dual-agent architecture balances deep clinical reasoning with the low latency required for natural dialogue. To assess this system, we implemented a video-based interface emulating telemedicine consultations. We crafted 20 standardized outpatient scenarios requiring proactive real-time auditory and visual reasoning and designed "TelePACES" evaluation criteria alongside case-specific rubrics. In a randomized, interface-blinded, crossover simulation study (n = 120 encounters) with 10 internal medicine residents as patient actors, we compared AI co-clinician with primary care physicians (PCPs), GPT-Realtime, and a baseline agent. AI co-clinician approached PCPs in key TelePACES dimensions, including management plans and differential diagnosis, while significantly outperforming GPT-Realtime across all general criteria. While our agent demonstrated parity with PCPs in case-specific triage measures, physicians maintained superior overall performance in case-specific assessments. Although AI co-clinician marks a significant advance in real-time telemedical AI, gaps remain in physical examination and disease-specific reasoning. Our work shows that text-only approaches fail to capture the true challenges of medical consultation and suggests that high-stakes real-time diagnostic AI is most safely advanced in collaborative, triadic models where AI can be a supportive co-clinician for doctors and patients.

Jiarong Xing, Leyuan Wang, Shang Zhang et al.

Today's auto-tuners (e.g., AutoTVM, Ansor) generate efficient tensor programs by navigating a large search space to identify effective implementations, but they do so with opaque hardware details. Thus, their performance could fall behind that of hardware-native libraries (e.g., cuBLAS, cuDNN), which are hand-optimized by device vendors to extract high performance. On the other hand, these vendor libraries have a fixed set of supported functions and lack the customization and automation support afforded by auto-tuners. Bolt is based on the recent trend that vendor libraries are increasingly modularized and reconfigurable via declarative control (e.g., CUTLASS). It enables a novel approach that bridges this gap and achieves the best of both worlds, via hardware-native templated search. Bolt provides new opportunities to rethink end-to-end tensor optimizations at the graph, operator, and model levels. Bolt demonstrates this concept by prototyping on a popular auto-tuner in TVM and a class of widely-used platforms (i.e., NVIDIA GPUs) -- both in large deployment in our production environment. Bolt improves the inference speed of common convolutional neural networks by 2.5x on average over the state of the art, and it auto-tunes these models within 20 minutes.

Eric Sillekens, Wenting Yi, Daniel Semrau et al.

We present the first experimental demonstration of learned time-domain digital back-propagation (DBP), in 64-GBd dual-polarization 64-QAM signal transmission over 1014 km. Performance gains were comparable to those obtained with conventional, higher complexity, frequency-domain DBP.