CLDec 4, 2025Code
Nex-N1: Agentic Models Trained via a Unified Ecosystem for Large-Scale Environment ConstructionNex-AGI Team, Yuxuan Cai, Lu Chen et al.
The evolution of Large Language Models (LLMs) from passive responders to autonomous agents necessitates a fundamental shift in learning paradigms -- from static imitation to incentive-driven decision making. However, this transition is significantly impeded by the lack of scalable infrastructure capable of constructing high-quality interaction signals for effective policy learning. To address this, we introduce a comprehensive method designed to systematically scale the diversity and complexity of interactive environments. Our method realizes this scaling by addressing three orthogonal dimensions: (1) Complexity: NexAU, a flexible agent framework that supports building complex agent hierarchies via simple configurations; (2) Diversity: NexA4A automatically generates diverse agent hierarchies from natural language to cover infinite domains; and (3) Fidelity: NexGAP bridges the simulation-reality gap by integrating dynamic real-world environment for grounded trajectories synthesis. We train Nex-N1 upon the diverse and complex interactive environments established by our infrastructure. Empirical results on benchmarks such as SWE-bench and tau2 demonstrate that Nex-N1 consistently outperforms SOTA open-source models and achieves competitive performance against frontier proprietary models on complex agentic tasks. We open-source the Nex ecosystem and model weights to facilitate further research.
SEJan 16Code
ABC-Bench: Benchmarking Agentic Backend Coding in Real-World DevelopmentJie Yang, Honglin Guo, Li Ji et al.
The evolution of Large Language Models (LLMs) into autonomous agents has expanded the scope of AI coding from localized code generation to complex, repository-level, and execution-driven problem solving. However, current benchmarks predominantly evaluate code logic in static contexts, neglecting the dynamic, full-process requirements of real-world engineering, particularly in backend development which demands rigorous environment configuration and service deployment. To address this gap, we introduce ABC-Bench, a benchmark explicitly designed to evaluate agentic backend coding within a realistic, executable workflow. Using a scalable automated pipeline, we curated 224 practical tasks spanning 8 languages and 19 frameworks from open-source repositories. Distinct from previous evaluations, ABC-Bench require the agents to manage the entire development lifecycle from repository exploration to instantiating containerized services and pass the external end-to-end API tests. Our extensive evaluation reveals that even state-of-the-art models struggle to deliver reliable performance on these holistic tasks, highlighting a substantial disparity between current model capabilities and the demands of practical backend engineering. Our code is available at https://github.com/OpenMOSS/ABC-Bench.
CLJan 15
OctoBench: Benchmarking Scaffold-Aware Instruction Following in Repository-Grounded Agentic CodingDeming Ding, Shichun Liu, Enhui Yang et al.
Modern coding scaffolds turn LLMs into capable software agents, but their ability to follow scaffold-specified instructions remains under-examined, especially when constraints are heterogeneous and persist across interactions. To fill this gap, we introduce OctoBench, which benchmarks scaffold-aware instruction following in repository-grounded agentic coding. OctoBench includes 34 environments and 217 tasks instantiated under three scaffold types, and is paired with 7,098 objective checklist items. To disentangle solving the task from following the rules, we provide an automated observation-and-scoring toolkit that captures full trajectories and performs fine-grained checks. Experiments on eight representative models reveal a systematic gap between task-solving and scaffold-aware compliance, underscoring the need for training and evaluation that explicitly targets heterogeneous instruction following. We release the benchmark to support reproducible benchmarking and to accelerate the development of more scaffold-aware coding agents.
96.3CLApr 15
MM-Doc-R1: Training Agents for Long Document Visual Question Answering through Multi-turn Reinforcement LearningJiahang Lin, Kai Hu, Binghai Wang et al.
Conventional Retrieval-Augmented Generation (RAG) systems often struggle with complex multi-hop queries over long documents due to their single-pass retrieval. We introduce MM-Doc-R1, a novel framework that employs an agentic, vision-aware workflow to address long document visual question answering through iterative information discovery and synthesis. To incentivize the information seeking capabilities of our agents, we propose Similarity-based Policy Optimization (SPO), addressing baseline estimation bias in existing multi-turn reinforcement learning (RL) algorithms like GRPO. Our core insight is that in multi-turn RL, the more semantically similar two trajectories are, the more accurate their shared baseline estimation becomes. Leveraging this, SPO calculates a more precise baseline by similarity-weighted averaging of rewards across multiple trajectories, unlike GRPO which inappropriately applies the initial state's baseline to all intermediate states. This provides a more stable and accurate learning signal for our agents, leading to superior training performance that surpasses GRPO. Our experiments on the MMLongbench-Doc benchmark show that MM-Doc-R1 outperforms previous baselines by 10.4%. Furthermore, SPO demonstrates superior performance over GRPO, boosting results by 5.0% with Qwen3-8B and 6.1% with Qwen3-4B. These results highlight the effectiveness of our integrated framework and novel training algorithm in advancing the state-of-the-art for complex, long-document visual question answering.
LGDec 3, 2025
DVPO: Distributional Value Modeling-based Policy Optimization for LLM Post-TrainingDingwei Zhu, Zhiheng Xi, Shihan Dou et al.
Reinforcement learning (RL) has shown strong performance in LLM post-training, but real-world deployment often involves noisy or incomplete supervision. In such settings, complex and unreliable supervision signals can destabilize training and harm generalization. While existing approaches such as worst-case optimization (e.g., RFQI, CQL) and mean-based methods (e.g., PPO, GRPO) can improve stability, they often overlook generalization and may produce overly conservative policies, leading to uneven performance across diverse real scenarios. To this end, we introduce DVPO (Distributional Value Modeling with Risk-aware Policy Optimization), a new RL framework that combines conditional risk theory with distributional value modeling to better balance robustness and generalization. DVPO learns token-level value distributions to provide fine-grained supervision, and applies an asymmetric risk regularization to shape the distribution tails: it contracts the lower tail to dampen noisy negative deviations, while expanding the upper tail to preserve exploratory diversity. Across extensive experiments and analysis in multi-turn dialogue, math reasoning, and scientific QA, DVPO consistently outperforms PPO, GRPO, and robust Bellman-based PPO under noisy supervision, showing its potential for LLM post-training in the real-world.
LGSep 10, 2025Code
AgentGym-RL: Training LLM Agents for Long-Horizon Decision Making through Multi-Turn Reinforcement LearningZhiheng Xi, Jixuan Huang, Chenyang Liao et al.
Developing autonomous LLM agents capable of making a series of intelligent decisions to solve complex, real-world tasks is a fast-evolving frontier. Like human cognitive development, agents are expected to acquire knowledge and skills through exploration and interaction with the environment. Despite advances, the community still lacks a unified, interactive reinforcement learning (RL) framework that can effectively train such agents from scratch -- without relying on supervised fine-tuning (SFT) -- across diverse and realistic environments. To bridge this gap, we introduce AgentGym-RL, a new framework to train LLM agents for multi-turn interactive decision-making through RL. The framework features a modular and decoupled architecture, ensuring high flexibility and extensibility. It encompasses a wide variety of real-world scenarios, and supports mainstream RL algorithms. Furthermore, we propose ScalingInter-RL, a training approach designed for exploration-exploitation balance and stable RL optimization. In early stages, it emphasizes exploitation by restricting the number of interactions, and gradually shifts towards exploration with larger horizons to encourage diverse problem-solving strategies. In this way, the agent develops more diverse behaviors and is less prone to collapse under long horizons. We perform extensive experiments to validate the stability and effectiveness of both the AgentGym-RL framework and the ScalingInter-RL approach. Our agents match or surpass commercial models on 27 tasks across diverse environments. We offer key insights and will open-source the complete AgentGym-RL framework -- including code and datasets -- to empower the research community in developing the next generation of intelligent agents.
43.1LGApr 16
CSRA: Controlled Spectral Residual Augmentation for Robust Sepsis PredictionHonglin Guo, Rihao Chang, He Jiao et al.
Accurate prediction of future risk and disease progression in sepsis is clinically important for early warning and timely intervention in intensive care. However, short-window sepsis prediction remains challenging, because shorter observation windows provide limited historical evidence, whereas longer prediction horizons reduce the number of patient trajectories with valid future supervision. To address this problem, we propose CSRA, a Controlled Spectral Residual Augmentation framework for short-window multi-system ICU time series. CSRA first groups variables by clinical systems and extracts system-level and global representations. It then performs input-adaptive residual perturbation in the spectral domain to generate structured and clinically plausible trajectory variations. To improve augmentation stability and controllability, CSRA is trained end-to-end with the downstream predictor under a unified objective, together with anchor consistency loss and controller regularization. Experiments on a MIMIC-IV sepsis cohort across multiple downstream models show that CSRA is consistently competitive and often superior, reducing regression error by 10.2\% in MSE and 3.7\% in MAE over the non-augmentation baseline, while also yielding consistent gains on classification. CSRA further maintains more favorable performance under shorter observation windows, longer prediction horizons, and smaller training data scales, while also remaining effective on an external clinical dataset~(ZiGongICUinfection), indicating stronger robustness and generalizability in clinically constrained settings.
CVMar 10, 2025Code
TRCE: Towards Reliable Malicious Concept Erasure in Text-to-Image Diffusion ModelsRuidong Chen, Honglin Guo, Lanjun Wang et al.
Recent advances in text-to-image diffusion models enable photorealistic image generation, but they also risk producing malicious content, such as NSFW images. To mitigate risk, concept erasure methods are studied to facilitate the model to unlearn specific concepts. However, current studies struggle to fully erase malicious concepts implicitly embedded in prompts (e.g., metaphorical expressions or adversarial prompts) while preserving the model's normal generation capability. To address this challenge, our study proposes TRCE, using a two-stage concept erasure strategy to achieve an effective trade-off between reliable erasure and knowledge preservation. Firstly, TRCE starts by erasing the malicious semantics implicitly embedded in textual prompts. By identifying a critical mapping objective(i.e., the [EoT] embedding), we optimize the cross-attention layers to map malicious prompts to contextually similar prompts but with safe concepts. This step prevents the model from being overly influenced by malicious semantics during the denoising process. Following this, considering the deterministic properties of the sampling trajectory of the diffusion model, TRCE further steers the early denoising prediction toward the safe direction and away from the unsafe one through contrastive learning, thus further avoiding the generation of malicious content. Finally, we conduct comprehensive evaluations of TRCE on multiple malicious concept erasure benchmarks, and the results demonstrate its effectiveness in erasing malicious concepts while better preserving the model's original generation ability. The code is available at: http://github.com/ddgoodgood/TRCE. CAUTION: This paper includes model-generated content that may contain offensive material.
CLJul 4, 2025Code
BMMR: A Large-Scale Bilingual Multimodal Multi-Discipline Reasoning DatasetZhiheng Xi, Guanyu Li, Yutao Fan et al.
In this paper, we introduce BMMR, a large-scale bilingual, multimodal, multi-disciplinary reasoning dataset for the community to develop and evaluate large multimodal models (LMMs). BMMR comprises 110k college-level questions spanning 300 UNESCO-defined subjects, spanning diverse formats-multiple-choice, fill-in-the-blank, and open-ended QA-and sourced from both print and digital media such as books, exams, and quizzes. All data are curated and filtered via a human-in-the-loop and scalable framework, and each instance is paired with a high-quality reasoning path. The dataset is organized into two parts: BMMR-Eval that comprises 20,458 high-quality instances to comprehensively assess LMMs' knowledge and reasoning across multiple disciplines in both Chinese and English; and BMMR-Train that contains 88,991 instances to support further research and development, extending the current focus on mathematical reasoning to diverse disciplines and domains. In addition, we propose the process-based multi-discipline verifier (i.e., BMMR-Verifier) for accurate and fine-grained evaluation of reasoning paths. Extensive experiments on 24 models reveal that (i) even SOTA models (e.g., o3 and Gemini-2.5-Pro) leave substantial headroom on BMMR-Eval; (ii) reasoning models exhibit discipline bias and outperform LMMs only on specific subjects; (iii) open-source models still trail their proprietary counterparts; and (iv) fine-tuning on BMMR-Train narrows this gap. Additionally, we conduct reasoning-chain analyses using BMMR-Verifier and other in-depth studies, uncovering the challenges LMMs currently face in multidisciplinary reasoning. We will release the data, and we hope our work can offer insights and contributions to the community.
CLMar 2, 2025Code
DuoDecoding: Hardware-aware Heterogeneous Speculative Decoding with Dynamic Multi-Sequence DraftingKai Lv, Honglin Guo, Qipeng Guo et al.
Large language models (LLMs) exhibit exceptional performance across a wide range of tasks; however, their token-by-token autoregressive generation process significantly hinders inference speed. Speculative decoding presents a promising draft-then-verify framework that reduces generation latency while maintaining output distribution fidelity. Nevertheless, the draft model introduces additional computational overhead, becoming a performance bottleneck and increasing the time to first token (TTFT). Previous approaches to mitigate draft model overhead have primarily relied on heuristics and generally failed to match the quality of the draft language models. To address these challenges, we propose DuoDecoding, a novel approach that strategically deploys the draft and target models on the CPU and GPU respectively, enabling parallel decoding while preserving draft quality. Our method incorporates a hardware-aware optimal draft budget to minimize idle times and employs dynamic multi-sequence drafting to enhance draft quality. Extensive experiments across seven tasks show that DuoDecoding achieves up to 2.61x speedup in generation latency, while reducing TTFT to 83% of that in conventional speculative decoding. The Code is available at https://github.com/KaiLv69/DuoDecoding.
CLDec 15, 2025Code
Memory in the Age of AI AgentsYuyang Hu, Shichun Liu, Yanwei Yue et al.
Memory has emerged, and will continue to remain, a core capability of foundation model-based agents. As research on agent memory rapidly expands and attracts unprecedented attention, the field has also become increasingly fragmented. Existing works that fall under the umbrella of agent memory often differ substantially in their motivations, implementations, and evaluation protocols, while the proliferation of loosely defined memory terminologies has further obscured conceptual clarity. Traditional taxonomies such as long/short-term memory have proven insufficient to capture the diversity of contemporary agent memory systems. This work aims to provide an up-to-date landscape of current agent memory research. We begin by clearly delineating the scope of agent memory and distinguishing it from related concepts such as LLM memory, retrieval augmented generation (RAG), and context engineering. We then examine agent memory through the unified lenses of forms, functions, and dynamics. From the perspective of forms, we identify three dominant realizations of agent memory, namely token-level, parametric, and latent memory. From the perspective of functions, we propose a finer-grained taxonomy that distinguishes factual, experiential, and working memory. From the perspective of dynamics, we analyze how memory is formed, evolved, and retrieved over time. To support practical development, we compile a comprehensive summary of memory benchmarks and open-source frameworks. Beyond consolidation, we articulate a forward-looking perspective on emerging research frontiers, including memory automation, reinforcement learning integration, multimodal memory, multi-agent memory, and trustworthiness issues. We hope this survey serves not only as a reference for existing work, but also as a conceptual foundation for rethinking memory as a first-class primitive in the design of future agentic intelligence.
LGOct 21, 2025Code
BAPO: Stabilizing Off-Policy Reinforcement Learning for LLMs via Balanced Policy Optimization with Adaptive ClippingZhiheng Xi, Xin Guo, Yang Nan et al.
Reinforcement learning (RL) has recently become the core paradigm for aligning and strengthening large language models (LLMs). Yet, applying RL in off-policy settings--where stale data from past policies are used for training--improves sample efficiency, but remains challenging: policy entropy declines sharply, optimization often becomes unstable and may even collapse. Through theoretical and empirical analysis, we identify two key insights: (i) an imbalance in optimization, where negative-advantage samples dominate the policy gradient, suppressing useful behaviors and risking gradient explosions; and (ii) the derived Entropy-Clip Rule, which reveals that the fixed clipping mechanism in PPO-like objectives systematically blocks entropy-increasing updates, thereby driving the policy toward over-exploitation at the expense of exploration. Building on these insights, we propose BAlanced Policy Optimization with Adaptive Clipping (BAPO), a simple yet effective method that dynamically adjusts clipping bounds to adaptively re-balance positive and negative contributions, preserve entropy, and stabilize RL optimization. Across diverse off-policy scenarios--including sample replay and partial rollout--BAPO achieves fast, stable, and data-efficient training. On AIME 2024 and AIME 2025 benchmarks, our 7B BAPO model surpasses open-source counterparts such as SkyWork-OR1-7B, while our 32B BAPO model not only achieves state-of-the-art results among models of the same scale but also outperforms leading proprietary systems like o3-mini and Gemini-2.5-Flash-Thinking.
AIJun 6, 2024Code
AgentGym: Evolving Large Language Model-based Agents across Diverse EnvironmentsZhiheng Xi, Yiwen Ding, Wenxiang Chen et al.
Building generalist agents that can handle diverse tasks and evolve themselves across different environments is a long-term goal in the AI community. Large language models (LLMs) are considered a promising foundation to build such agents due to their generalized capabilities. Current approaches either have LLM-based agents imitate expert-provided trajectories step-by-step, requiring human supervision, which is hard to scale and limits environmental exploration; or they let agents explore and learn in isolated environments, resulting in specialist agents with limited generalization. In this paper, we take the first step towards building generally-capable LLM-based agents with self-evolution ability. We identify a trinity of ingredients: 1) diverse environments for agent exploration and learning, 2) a trajectory set to equip agents with basic capabilities and prior knowledge, and 3) an effective and scalable evolution method. We propose AgentGym, a new framework featuring a variety of environments and tasks for broad, real-time, uni-format, and concurrent agent exploration. AgentGym also includes a database with expanded instructions, a benchmark suite, and high-quality trajectories across environments. Next, we propose a novel method, AgentEvol, to investigate the potential of agent self-evolution beyond previously seen data across tasks and environments. Experimental results show that the evolved agents can achieve results comparable to SOTA models. We release the AgentGym suite, including the platform, dataset, benchmark, checkpoints, and algorithm implementations. The AgentGym suite is available on https://github.com/WooooDyy/AgentGym.
AIFeb 8, 2024
Training Large Language Models for Reasoning through Reverse Curriculum Reinforcement LearningZhiheng Xi, Wenxiang Chen, Boyang Hong et al.
In this paper, we propose R$^3$: Learning Reasoning through Reverse Curriculum Reinforcement Learning (RL), a novel method that employs only outcome supervision to achieve the benefits of process supervision for large language models. The core challenge in applying RL to complex reasoning is to identify a sequence of actions that result in positive rewards and provide appropriate supervision for optimization. Outcome supervision provides sparse rewards for final results without identifying error locations, whereas process supervision offers step-wise rewards but requires extensive manual annotation. R$^3$ overcomes these limitations by learning from correct demonstrations. Specifically, R$^3$ progressively slides the start state of reasoning from a demonstration's end to its beginning, facilitating easier model exploration at all stages. Thus, R$^3$ establishes a step-wise curriculum, allowing outcome supervision to offer step-level signals and precisely pinpoint errors. Using Llama2-7B, our method surpasses RL baseline on eight reasoning tasks by $4.1$ points on average. Notebaly, in program-based reasoning on GSM8K, it exceeds the baseline by $4.2$ points across three backbone models, and without any extra data, Codellama-7B + R$^3$ performs comparable to larger models or closed-source models.
CVMar 4
Mask-Guided Attention Regulation for Anatomically Consistent Counterfactual CXR SynthesisZichun Zhang, Weizhi Nie, Honglin Guo et al.
Counterfactual generation for chest X-rays (CXR) aims to simulate plausible pathological changes while preserving patient-specific anatomy. However, diffusion-based editing methods often suffer from structural drift, where stable anatomical semantics propagate globally through attention and distort non-target regions, and unstable pathology expression, since subtle and localized lesions induce weak and noisy conditioning signals. We present an inference-time attention regulation framework for reliable counterfactual CXR synthesis. An anatomy-aware attention regularization module gates self-attention and anatomy-token cross-attention with organ masks, confining structural interactions to anatomical ROIs and reducing unintended distortions. A pathology-guided module enhances pathology-token cross-attention within target lung regions during early denoising and performs lightweight latent corrections driven by an attention-concentration energy, enabling controllable lesion localization and extent. Extensive evaluations on CXR datasets show improved anatomical consistency and more precise, controllable pathological edits compared with standard diffusion editing, supporting localized counterfactual analysis and data augmentation for downstream tasks.
CLFeb 20, 2024
Code Needs Comments: Enhancing Code LLMs with Comment AugmentationDemin Song, Honglin Guo, Yunhua Zhou et al.
The programming skill is one crucial ability for Large Language Models (LLMs), necessitating a deep understanding of programming languages (PLs) and their correlation with natural languages (NLs). We examine the impact of pre-training data on code-focused LLMs' performance by assessing the comment density as a measure of PL-NL alignment. Given the scarcity of code-comment aligned data in pre-training corpora, we introduce a novel data augmentation method that generates comments for existing code, coupled with a data filtering strategy that filters out code data poorly correlated with natural language. We conducted experiments on three code-focused LLMs and observed consistent improvements in performance on two widely-used programming skill benchmarks. Notably, the model trained on the augmented data outperformed both the model used for generating comments and the model further trained on the data without augmentation.
CLMar 6, 2025
Better Process Supervision with Bi-directional Rewarding SignalsWenxiang Chen, Wei He, Zhiheng Xi et al.
Process supervision, i.e., evaluating each step, is critical for complex large language model (LLM) reasoning and test-time searching with increased inference compute. Existing approaches, represented by process reward models (PRMs), primarily focus on rewarding signals up to the current step, exhibiting a one-directional nature and lacking a mechanism to model the distance to the final target. To address this problem, we draw inspiration from the A* algorithm, which states that an effective supervisory signal should simultaneously consider the incurred cost and the estimated cost for reaching the target. Building on this key insight, we introduce BiRM, a novel process supervision model that not only evaluates the correctness of previous steps but also models the probability of future success. We conduct extensive experiments on mathematical reasoning tasks and demonstrate that BiRM provides more precise evaluations of LLM reasoning steps, achieving an improvement of 3.1% on Gaokao2023 over PRM under the Best-of-N sampling method. Besides, in search-based strategies, BiRM provides more comprehensive guidance and outperforms ORM by 5.0% and PRM by 3.8% respectively on MATH-500.
CLJul 7, 2025
Pre-Trained Policy Discriminators are General Reward ModelsShihan Dou, Shichun Liu, Yuming Yang et al.
We offer a novel perspective on reward modeling by formulating it as a policy discriminator, which quantifies the difference between two policies to generate a reward signal, guiding the training policy towards a target policy with desired behaviors. Based on this conceptual insight, we propose a scalable pre-training method named Policy Discriminative Learning (POLAR), which trains a reward model (RM) to discern identical policies and discriminate different ones. Unlike traditional reward modeling methods relying on absolute preferences, POLAR captures the relative difference between one policy and an arbitrary target policy, which is a scalable, high-level optimization objective suitable for modeling generic ranking relationships. Leveraging the POLAR pre-training paradigm, we present a series of RMs with parameter scales from 1.8B to 7B. Empirical results show that POLAR substantially outperforms traditional non-pre-trained methods, significantly enhancing RM performance. For instance, POLAR-7B could improve preference accuracy from 54.8% to 81.0% on STEM tasks and from 57.9% to 85.5% on creative writing tasks compared to SOTA baselines. POLAR also shows robust generalization capabilities in RLHF using Reinforcement Fine-tuning (RFT), providing reliable reward signals and markedly enhancing policy performance--improving LLaMa3.1-8B from an average of 47.36% to 56.33% and Qwen2.5-32B from 64.49% to 70.47% on 20 benchmarks. Moreover, scaling experiments reveal a clear power-law relationship between computation and performance, supported by linear correlation coefficients approaching 0.99. The impressive performance, strong generalization, and scaling properties suggest that POLAR is a promising direction for developing general and strong reward models.
CLFeb 26, 2025
CritiQ: Mining Data Quality Criteria from Human PreferencesHonglin Guo, Kai Lv, Qipeng Guo et al.
Language model heavily depends on high-quality data for optimal performance. Existing approaches rely on manually designed heuristics, the perplexity of existing models, training classifiers, or careful prompt engineering, which require significant expert experience and human annotation effort while introduce biases. We introduce CritiQ, a novel data selection method that automatically mines criteria from human preferences for data quality with only ~30 human-annotated pairs and performs efficient data selection. The main component, CritiQ Flow, employs a manager agent to evolve quality criteria and worker agents to make pairwise judgments. We build a knowledge base that extracts quality criteria from previous work to boost CritiQ Flow. Compared to perplexity- and classifier- based methods, verbal criteria are more interpretable and possess reusable value. After deriving the criteria, we train the CritiQ Scorer to give quality scores and perform efficient data selection. We demonstrate the effectiveness of our method in the code, math, and logic domains, achieving high accuracy on human-annotated test sets. To validate the quality of the selected data, we continually train Llama 3.1 models and observe improved performance on downstream tasks compared to uniform sampling. Ablation studies validate the benefits of the knowledge base and the reflection process. We analyze how criteria evolve and the effectiveness of majority voting.
LGAug 20, 2025
Organ-Agents: Virtual Human Physiology Simulator via LLMsRihao Chang, He Jiao, Weizhi Nie et al.
Recent advances in large language models (LLMs) have enabled new possibilities in simulating complex physiological systems. We introduce Organ-Agents, a multi-agent framework that simulates human physiology via LLM-driven agents. Each Simulator models a specific system (e.g., cardiovascular, renal, immune). Training consists of supervised fine-tuning on system-specific time-series data, followed by reinforcement-guided coordination using dynamic reference selection and error correction. We curated data from 7,134 sepsis patients and 7,895 controls, generating high-resolution trajectories across 9 systems and 125 variables. Organ-Agents achieved high simulation accuracy on 4,509 held-out patients, with per-system MSEs <0.16 and robustness across SOFA-based severity strata. External validation on 22,689 ICU patients from two hospitals showed moderate degradation under distribution shifts with stable simulation. Organ-Agents faithfully reproduces critical multi-system events (e.g., hypotension, hyperlactatemia, hypoxemia) with coherent timing and phase progression. Evaluation by 15 critical care physicians confirmed realism and physiological plausibility (mean Likert ratings 3.9 and 3.7). Organ-Agents also enables counterfactual simulations under alternative sepsis treatment strategies, generating trajectories and APACHE II scores aligned with matched real-world patients. In downstream early warning tasks, classifiers trained on synthetic data showed minimal AUROC drops (<0.04), indicating preserved decision-relevant patterns. These results position Organ-Agents as a credible, interpretable, and generalizable digital twin for precision diagnosis, treatment simulation, and hypothesis testing in critical care.