Wei Dai

Hengzhi Li, Justin Zhang, Brendon Jiang et al.

Puzzlehunts are a genre of complex, multi-step puzzles lacking well-defined problem definitions. In contrast to conventional reasoning benchmarks consisting of tasks with clear instructions and constrained environments, puzzlehunts requires discovering the underlying problem structure from multimodal evidence and iterative reasoning, mirroring real-world domains such as scientific discovery, exploratory data analysis, or investigative problem-solving. Despite progress in foundation models, their performance on open-ended settings remains largely untested. We introduce PuzzleWorld, a comprehensive benchmark of 667 puzzlehunt-style problems designed to assess step-by-step, open-ended, and creative multimodal reasoning. Each puzzle is annotated with the final solution, detailed reasoning traces, and cognitive skill labels, enabling holistic benchmarking and fine-grained diagnostic analysis. Most state-of-the-art models achieve only 1-4% final answer accuracy. On PuzzleWorld, the best model solves only 18% of puzzles and reaches 40% stepwise accuracy, matching human puzzle novices but falling significantly behind puzzle enthusiasts. To demonstrate the value of our reasoning annotations, we show that fine-tuning a small model on reasoning traces boosts stepwise accuracy from 4% to 11%, which translates to improvements in downstream visual reasoning tasks. Our detailed error analysis reveals that current models exhibit myopic reasoning, are bottlenecked by the limitations of language-based inference, and lack sketching capabilities crucial for visual and spatial reasoning. We release PuzzleWorld at https://github.com/MIT-MI/PuzzleWorld to support future work on building more general, open-ended, and creative reasoning systems.

Wei Dai, Peilin Chen, Chanakya Ekbote et al.

Clinical decision-making routinely demands reasoning over heterogeneous data, yet existing multimodal language models (MLLMs) remain largely vision-centric and fail to generalize across clinical specialties. To bridge this gap, we introduce QoQ-Med-7B/32B, the first open generalist clinical foundation model that jointly reasons across medical images, time-series signals, and text reports. QoQ-Med is trained with Domain-aware Relative Policy Optimization (DRPO), a novel reinforcement-learning objective that hierarchically scales normalized rewards according to domain rarity and modality difficulty, mitigating performance imbalance caused by skewed clinical data distributions. Trained on 2.61 million instruction tuning pairs spanning 9 clinical domains, we show that DRPO training boosts diagnostic performance by 43% in macro-F1 on average across all visual domains as compared to other critic-free training methods like GRPO. Furthermore, with QoQ-Med trained on intensive segmentation data, it is able to highlight salient regions related to the diagnosis, with an IoU 10x higher than open models while reaching the performance of OpenAI o4-mini. To foster reproducibility and downstream research, we release (i) the full model weights, (ii) the modular training pipeline, and (iii) all intermediate reasoning traces at https://github.com/DDVD233/QoQ_Med.

Jiayi Wang, Wei Dai, Haoyu Wang et al.

In medical image segmentation, heterogeneous privacy policies across institutions often make joint training on pooled datasets infeasible, motivating continual image segmentation-learning from data streams without catastrophic forgetting. While the Segment Anything Model (SAM) offers strong zero-shot priors and has been widely fine-tuned across downstream tasks, its large parameter count and computational overhead challenge practical deployment. This paper demonstrates that the SAM paradigm is highly promising once its computational efficiency and performance can be balanced. To this end, we introduce the Alignment Layer, a lightweight, plug-and-play module which aligns encoder-decoder feature distributions to efficiently adapt SAM to specific medical images, improving accuracy while reducing computation. Building on SAM and the Alignment Layer, we then propose Continual Alignment for SAM (CA-SAM), a continual learning strategy that automatically adapts the appropriate Alignment Layer to mitigate catastrophic forgetting, while leveraging SAM's zero-shot priors to preserve strong performance on unseen medical datasets. Experimented across nine medical segmentation datasets under continual-learning scenario, CA-SAM achieves state-of-the-art performance. Our code, models and datasets will be released on \mbox{https://github.com/azzzzyo/Continual-Alignment-for-SAM.}

Hao Zhang, Zeyu Zheng, Shizhen Xu et al.

Deep learning models can take weeks to train on a single GPU-equipped machine, necessitating scaling out DL training to a GPU-cluster. However, current distributed DL implementations can scale poorly due to substantial parameter synchronization over the network, because the high throughput of GPUs allows more data batches to be processed per unit time than CPUs, leading to more frequent network synchronization. We present Poseidon, an efficient communication architecture for distributed DL on GPUs. Poseidon exploits the layered model structures in DL programs to overlap communication and computation, reducing bursty network communication. Moreover, Poseidon uses a hybrid communication scheme that optimizes the number of bytes required to synchronize each layer, according to layer properties and the number of machines. We show that Poseidon is applicable to different DL frameworks by plugging Poseidon into Caffe and TensorFlow. We show that Poseidon enables Caffe and TensorFlow to achieve 15.5x speed-up on 16 single-GPU machines, even with limited bandwidth (10GbE) and the challenging VGG19-22K network for image classification. Moreover, Poseidon-enabled TensorFlow achieves 31.5x speed-up with 32 single-GPU machines on Inception-V3, a 50% improvement over the open-source TensorFlow (20x speed-up).

Shiqi Dai, Wei Dai, Jiaee Cheong et al.

Medical artificial intelligence systems have achieved remarkable diagnostic capabilities, yet they consistently exhibit performance disparities across demographic groups, causing real-world harm to underrepresented populations. While recent multimodal reasoning foundation models have advanced clinical diagnosis through integrated analysis of diverse medical data, reasoning trainings via reinforcement learning inherit and often amplify biases present in training datasets dominated by majority populations. We introduce Fairness-aware Group Relative Policy Optimization (FairGRPO), a hierarchical reinforcement learning approach that promotes equitable learning across heterogeneous clinical populations. FairGRPO employs adaptive importance weighting of advantages based on representation, task difficulty, and data source. To address the common issue of missing demographic labels in the clinical domain, we further employ unsupervised clustering, which automatically discovers latent demographic groups when labels are unavailable. Through comprehensive experiments across 7 clinical diagnostic datasets spanning 5 clinical modalities across X-ray, CT scan, dermoscropy, mammography and ultrasound, we demonstrate that FairGRPO reduces predictive parity by 27.2% against all vanilla and bias mitigated RL baselines, while improving F1 score by 12.49%. Furthermore, training dynamics analysis reveals that FairGRPO progressively improves fairness throughout optimization, while baseline RL methods exhibit deteriorating fairness as training progresses. Based on FairGRPO, we release FairMedGemma-4B, a fairness-aware clinical VLLM that achieves state-of-the-art performance while demonstrating significantly reduced disparities across demographic groups.

Wei Dai, Joseph Doyle, Xiaodan Liang et al.

Chest X-ray (CXR) is one of the most commonly prescribed medical imaging procedures, often with over 2-10x more scans than other imaging modalities such as MRI, CT scan, and PET scans. These voluminous CXR scans place significant workloads on radiologists and medical practitioners. Organ segmentation is a crucial step to obtain effective computer-aided detection on CXR. In this work, we propose Structure Correcting Adversarial Network (SCAN) to segment lung fields and the heart in CXR images. SCAN incorporates a critic network to impose on the convolutional segmentation network the structural regularities emerging from human physiology. During training, the critic network learns to discriminate between the ground truth organ annotations from the masks synthesized by the segmentation network. Through this adversarial process the critic network learns the higher order structures and guides the segmentation model to achieve realistic segmentation outcomes. Extensive experiments show that our method produces highly accurate and natural segmentation. Using only very limited training data available, our model reaches human-level performance without relying on any existing trained model or dataset. Our method also generalizes well to CXR images from a different patient population and disease profiles, surpassing the current state-of-the-art.

Wei Dai, Abhimanu Kumar, Jinliang Wei et al.

As Machine Learning (ML) applications increase in data size and model complexity, practitioners turn to distributed clusters to satisfy the increased computational and memory demands. Unfortunately, effective use of clusters for ML requires considerable expertise in writing distributed code, while highly-abstracted frameworks like Hadoop have not, in practice, approached the performance seen in specialized ML implementations. The recent Parameter Server (PS) paradigm is a middle ground between these extremes, allowing easy conversion of single-machine parallel ML applications into distributed ones, while maintaining high throughput through relaxed "consistency models" that allow inconsistent parameter reads. However, due to insufficient theoretical study, it is not clear which of these consistency models can really ensure correct ML algorithm output; at the same time, there remain many theoretically-motivated but undiscovered opportunities to maximize computational throughput. Motivated by this challenge, we study both the theoretical guarantees and empirical behavior of iterative-convergent ML algorithms in existing PS consistency models. We then use the gleaned insights to improve a consistency model using an "eager" PS communication mechanism, and implement it as a new PS system that enables ML algorithms to reach their solution more quickly.

Eric P. Xing, Qirong Ho, Wei Dai et al.

What is a systematic way to efficiently apply a wide spectrum of advanced ML programs to industrial scale problems, using Big Models (up to 100s of billions of parameters) on Big Data (up to terabytes or petabytes)? Modern parallelization strategies employ fine-grained operations and scheduling beyond the classic bulk-synchronous processing paradigm popularized by MapReduce, or even specialized graph-based execution that relies on graph representations of ML programs. The variety of approaches tends to pull systems and algorithms design in different directions, and it remains difficult to find a universal platform applicable to a wide range of ML programs at scale. We propose a general-purpose framework that systematically addresses data- and model-parallel challenges in large-scale ML, by observing that many ML programs are fundamentally optimization-centric and admit error-tolerant, iterative-convergent algorithmic solutions. This presents unique opportunities for an integrative system design, such as bounded-error network synchronization and dynamic scheduling based on ML program structure. We demonstrate the efficacy of these system designs versus well-known implementations of modern ML algorithms, allowing ML programs to run in much less time and at considerably larger model sizes, even on modestly-sized compute clusters.