Toward Better EHR Reasoning in LLMs: Reinforcement Learning with Expert Attention GuidanceYue Fang, Yuxin Guo, Jiaran Gao et al.
Improving large language models (LLMs) for electronic health record (EHR) reasoning is essential for enabling accurate and generalizable clinical predictions. While LLMs excel at medical text understanding, they underperform on EHR-based prediction tasks due to challenges in modeling temporally structured, high-dimensional data. Existing approaches often rely on hybrid paradigms, where LLMs serve merely as frozen prior retrievers while downstream deep learning (DL) models handle prediction, failing to improve the LLM's intrinsic reasoning capacity and inheriting the generalization limitations of DL models. To this end, we propose EAG-RL, a novel two-stage training framework designed to intrinsically enhance LLMs' EHR reasoning ability through expert attention guidance, where expert EHR models refer to task-specific DL models trained on EHR data. Concretely, EAG-RL first constructs high-quality, stepwise reasoning trajectories using expert-guided Monte Carlo Tree Search to effectively initialize the LLM's policy. Then, EAG-RL further optimizes the policy via reinforcement learning by aligning the LLM's attention with clinically salient features identified by expert EHR models. Extensive experiments on two real-world EHR datasets show that EAG-RL improves the intrinsic EHR reasoning ability of LLMs by an average of 14.62%, while also enhancing robustness to feature perturbations and generalization to unseen clinical domains. These results demonstrate the practical potential of EAG-RL for real-world deployment in clinical prediction tasks. Our code have been available at https://github.com/devilran6/EAG-RL.
14.4CVDec 1, 2025
TabletopGen: Instance-Level Interactive 3D Tabletop Scene Generation from Text or Single ImageZiqian Wang, Yonghao He, Licheng Yang et al.
Generating high-fidelity, physically interactive 3D simulated tabletop scenes is essential for embodied AI--especially for robotic manipulation policy learning and data synthesis. However, current text- or image-driven 3D scene generation methods mainly focus on large-scale scenes, struggling to capture the high-density layouts and complex spatial relations that characterize tabletop scenes. To address these challenges, we propose TabletopGen, a training-free, fully automatic framework that generates diverse, instance-level interactive 3D tabletop scenes. TabletopGen accepts a reference image as input, which can be synthesized by a text-to-image model to enhance scene diversity. We then perform instance segmentation and completion on the reference to obtain per-instance images. Each instance is reconstructed into a 3D model followed by canonical coordinate alignment. The aligned 3D models then undergo pose and scale estimation before being assembled into a collision-free, simulation-ready tabletop scene. A key component of our framework is a novel pose and scale alignment approach that decouples the complex spatial reasoning into two stages: a Differentiable Rotation Optimizer for precise rotation recovery and a Top-view Spatial Alignment mechanism for robust translation and scale estimation, enabling accurate 3D reconstruction from 2D reference. Extensive experiments and user studies show that TabletopGen achieves state-of-the-art performance, markedly surpassing existing methods in visual fidelity, layout accuracy, and physical plausibility, capable of generating realistic tabletop scenes with rich stylistic and spatial diversity. Our code will be publicly available.
MaskGWM: A Generalizable Driving World Model with Video Mask ReconstructionJingcheng Ni, Yuxin Guo, Yichen Liu et al.
World models that forecast environmental changes from actions are vital for autonomous driving models with strong generalization. The prevailing driving world model mainly build on video prediction model. Although these models can produce high-fidelity video sequences with advanced diffusion-based generator, they are constrained by their predictive duration and overall generalization capabilities. In this paper, we explore to solve this problem by combining generation loss with MAE-style feature-level context learning. In particular, we instantiate this target with three key design: (1) A more scalable Diffusion Transformer (DiT) structure trained with extra mask construction task. (2) we devise diffusion-related mask tokens to deal with the fuzzy relations between mask reconstruction and generative diffusion process. (3) we extend mask construction task to spatial-temporal domain by utilizing row-wise mask for shifted self-attention rather than masked self-attention in MAE. Then, we adopt a row-wise cross-view module to align with this mask design. Based on above improvement, we propose MaskGWM: a Generalizable driving World Model embodied with Video Mask reconstruction. Our model contains two variants: MaskGWM-long, focusing on long-horizon prediction, and MaskGWM-mview, dedicated to multi-view generation. Comprehensive experiments on standard benchmarks validate the effectiveness of the proposed method, which contain normal validation of Nuscene dataset, long-horizon rollout of OpenDV-2K dataset and zero-shot validation of Waymo dataset. Quantitative metrics on these datasets show our method notably improving state-of-the-art driving world model.
20.4CVMar 25, 2025
GenHancer: Imperfect Generative Models are Secretly Strong Vision-Centric EnhancersShijie Ma, Yuying Ge, Teng Wang et al.
The synergy between generative and discriminative models receives growing attention. While discriminative Contrastive Language-Image Pre-Training (CLIP) excels in high-level semantics, it struggles with perceiving fine-grained visual details. Generally, to enhance representations, generative models take CLIP's visual features as conditions for reconstruction. However, the underlying principle remains underexplored. In this work, we empirically found that visually perfect generations are not always optimal for representation enhancement. The essence lies in effectively extracting fine-grained knowledge from generative models while mitigating irrelevant information. To explore critical factors, we delve into three aspects: (1) Conditioning mechanisms: We found that even a small number of local tokens can drastically reduce the difficulty of reconstruction, leading to collapsed training. We thus conclude that utilizing only global visual tokens as conditions is the most effective strategy. (2) Denoising configurations: We observed that end-to-end training introduces extraneous information. To address this, we propose a two-stage training strategy to prioritize learning useful visual knowledge. Additionally, we demonstrate that lightweight denoisers can yield remarkable improvements. (3) Generation paradigms: We explore both continuous and discrete denoisers with desirable outcomes, validating the versatility of our method. Through our in-depth explorations, we have finally arrived at an effective method, namely GenHancer, which consistently outperforms prior arts on the MMVP-VLM benchmark, e.g., 6.0% on OpenAICLIP. The enhanced CLIP can be further plugged into multimodal large language models for better vision-centric performance. All the models and codes are made publicly available.