Yutong Xie

Jianghao Wu, Feilong Tang, Yulong Li et al.

Recent advances such as Chain-of-Thought prompting have significantly improved large language models (LLMs) in zero-shot medical reasoning. However, prompting-based methods often remain shallow and unstable, while fine-tuned medical LLMs suffer from poor generalization under distribution shifts and limited adaptability to unseen clinical scenarios. To address these limitations, we present TAGS, a test-time framework that combines a broadly capable generalist with a domain-specific specialist to offer complementary perspectives without any model fine-tuning or parameter updates. To support this generalist-specialist reasoning process, we introduce two auxiliary modules: a hierarchical retrieval mechanism that provides multi-scale exemplars by selecting examples based on both semantic and rationale-level similarity, and a reliability scorer that evaluates reasoning consistency to guide final answer aggregation. TAGS achieves strong performance across nine MedQA benchmarks, boosting GPT-4o accuracy by 13.8%, DeepSeek-R1 by 16.8%, and improving a vanilla 7B model from 14.1% to 23.9%. These results surpass several fine-tuned medical LLMs, without any parameter updates. The code will be available at https://github.com/JianghaoWu/TAGS.

Haochen Xue, Feilong Tang, Ming Hu et al.

Recent multimodal large language models (MLLMs) have demonstrated significant potential in open-ended conversation, generating more accurate and personalized responses. However, their abilities to memorize, recall, and reason in sustained interactions within real-world scenarios remain underexplored. This paper introduces MMRC, a Multi-Modal Real-world Conversation benchmark for evaluating six core open-ended abilities of MLLMs: information extraction, multi-turn reasoning, information update, image management, memory recall, and answer refusal. With data collected from real-world scenarios, MMRC comprises 5,120 conversations and 28,720 corresponding manually labeled questions, posing a significant challenge to existing MLLMs. Evaluations on 20 MLLMs in MMRC indicate an accuracy drop during open-ended interactions. We identify four common failure patterns: long-term memory degradation, inadequacies in updating factual knowledge, accumulated assumption of error propagation, and reluctance to say no. To mitigate these issues, we propose a simple yet effective NOTE-TAKING strategy, which can record key information from the conversation and remind the model during its responses, enhancing conversational capabilities. Experiments across six MLLMs demonstrate significant performance improvements.

Weiren Zhao, Feng Wang, Yanran Wang et al.

Recent advancements have highlighted the Mamba framework, a state-space model known for its efficiency in capturing long-range dependencies with linear computational complexity. While Mamba has shown competitive performance in medical image segmentation, it encounters difficulties in modeling local features due to the sporadic nature of traditional location-based scanning methods and the complex, ambiguous boundaries often present in medical images. To overcome these challenges, we propose Uncertainty-Driven Mamba (UD-Mamba), which redefines the pixel-order scanning process by incorporating channel uncertainty into the scanning mechanism. UD-Mamba introduces two key scanning techniques: 1) sequential scanning, which prioritizes regions with high uncertainty by scanning in a row-by-row fashion, and 2) skip scanning, which processes columns vertically, moving from high-to-low or low-to-high uncertainty at fixed intervals. Sequential scanning efficiently clusters high-uncertainty regions, such as boundaries and foreground objects, to improve segmentation precision, while skip scanning enhances the interaction between background and foreground regions, allowing for timely integration of background information to support more accurate foreground inference. Recognizing the advantages of scanning from certain to uncertain areas, we introduce four learnable parameters to balance the importance of features extracted from different scanning methods. Additionally, a cosine consistency loss is employed to mitigate the drawbacks of transitioning between uncertain and certain regions during the scanning process. Our method demonstrates robust segmentation performance, validated across three distinct medical imaging datasets involving pathology, dermatological lesions, and cardiac tasks.

Niranjana Arun Menon, Iqra Farooq, Yulong Li et al.

Cardiovascular disease (CVD) prediction remains a tremendous challenge due to its multifactorial etiology and global burden of morbidity and mortality. Despite the growing availability of genomic and electrophysiological data, extracting biologically meaningful insights from such high-dimensional, noisy, and sparsely annotated datasets remains a non-trivial task. Recently, LLMs has been applied effectively to predict structural variations in biological sequences. In this work, we explore the potential of fine-tuned LLMs to predict cardiac diseases and SNPs potentially leading to CVD risk using genetic markers derived from high-throughput genomic profiling. We investigate the effect of genetic patterns associated with cardiac conditions and evaluate how LLMs can learn latent biological relationships from structured and semi-structured genomic data obtained by mapping genetic aspects that are inherited from the family tree. By framing the problem as a Chain of Thought (CoT) reasoning task, the models are prompted to generate disease labels and articulate informed clinical deductions across diverse patient profiles and phenotypes. The findings highlight the promise of LLMs in contributing to early detection, risk assessment, and ultimately, the advancement of personalized medicine in cardiac care.