Zihan Xu

Betina Idnay, Zihan Xu, William G. Adams et al.

This study reports a comprehensive environmental scan of the generative AI (GenAI) infrastructure in the national network for clinical and translational science across 36 institutions supported by the Clinical and Translational Science Award (CTSA) Program led by the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) at the United States. With the rapid advancement of GenAI technologies, including large language models (LLMs), healthcare institutions face unprecedented opportunities and challenges. This research explores the current status of GenAI integration, focusing on stakeholder roles, governance structures, and ethical considerations by administering a survey among leaders of health institutions (i.e., representing academic medical centers and health systems) to assess the institutional readiness and approach towards GenAI adoption. Key findings indicate a diverse range of institutional strategies, with most organizations in the experimental phase of GenAI deployment. The study highlights significant variations in governance models, with a strong preference for centralized decision-making but notable gaps in workforce training and ethical oversight. Moreover, the results underscore the need for a more coordinated approach to GenAI governance, emphasizing collaboration among senior leaders, clinicians, information technology staff, and researchers. Our analysis also reveals concerns regarding GenAI bias, data security, and stakeholder trust, which must be addressed to ensure the ethical and effective implementation of GenAI technologies. This study offers valuable insights into the challenges and opportunities of GenAI integration in healthcare, providing a roadmap for institutions aiming to leverage GenAI for improved quality of care and operational efficiency.

Yuchen Shi, Siqi Cai, Zihan Xu et al.

The integration of workflows with large language models (LLMs) enables LLM-based agents to execute predefined procedures, enhancing automation in real-world applications. Traditional rule-based methods tend to limit the inherent flexibility of LLMs, as their predefined execution paths restrict the models' action space, particularly when the unexpected, out-of-workflow (OOW) queries are encountered. Conversely, prompt-based methods allow LLMs to fully control the flow, which can lead to diminished enforcement of procedural compliance. To address these challenges, we introduce FlowAgent, a novel agent framework designed to maintain both compliance and flexibility. We propose the Procedure Description Language (PDL), which combines the adaptability of natural language with the precision of code to formulate workflows. Building on PDL, we develop a comprehensive framework that empowers LLMs to manage OOW queries effectively, while keeping the execution path under the supervision of a set of controllers. Additionally, we present a new evaluation methodology to rigorously assess an LLM agent's ability to handle OOW scenarios, going beyond routine flow compliance tested in existing benchmarks. Experiments on three datasets demonstrate that FlowAgent not only adheres to workflows but also effectively manages OOW queries, highlighting its dual strengths in compliance and flexibility. The code is available at https://github.com/Lightblues/FlowAgent.

Heting Gao, Hang Shao, Xiong Wang et al.

The film Her features Samantha, a sophisticated AI audio agent who is capable of understanding both linguistic and paralinguistic information in human speech and delivering real-time responses that are natural, informative and sensitive to emotional subtleties. Moving one step toward more sophisticated audio agent from recent advancement in end-to-end (E2E) speech systems, we propose LUCY, a E2E speech model that (1) senses and responds to user's emotion, (2) deliver responses in a succinct and natural style, and (3) use external tool to answer real-time inquiries. Experiment results show that LUCY is better at emotion control than peer models, generating emotional responses based on linguistic emotional instructions and responding to paralinguistic emotional cues. Lucy is also able to generate responses in a more natural style, as judged by external language models, without sacrificing much performance on general question answering. Finally, LUCY can leverage function calls to answer questions that are out of its knowledge scope.

Yuzheng Cai, Siqi Cai, Yuchen Shi et al.

Recent advances in Large Language Model (LLM) agents have demonstrated their promising general capabilities. However, their performance in specialized real-world domains often degrades due to challenges in effectively integrating external tools and specific prompting strategies. While methods like agentic reinforcement learning have been proposed to address this, they typically rely on costly parameter updates, for example, through a process that uses Supervised Fine-Tuning (SFT) followed by a Reinforcement Learning (RL) phase with Group Relative Policy Optimization (GRPO) to alter the output distribution. However, we argue that LLMs can achieve a similar effect on the output distribution by learning experiential knowledge as a token prior, which is a far more lightweight approach that not only addresses practical data scarcity but also avoids the common issue of overfitting. To this end, we propose Training-Free Group Relative Policy Optimization (Training-Free GRPO), a cost-effective solution that enhances LLM agent performance without any parameter updates. Our method leverages the group relative semantic advantage instead of numerical ones within each group of rollouts, iteratively distilling high-quality experiential knowledge during multi-epoch learning on a minimal ground-truth data. Such knowledge serves as the learned token prior, which is seamlessly integrated during LLM API calls to guide model behavior. Experiments on mathematical reasoning and web searching tasks demonstrate that Training-Free GRPO, when applied to DeepSeek-V3.1-Terminus, significantly improves out-of-domain performance. With just a few dozen training samples, Training-Free GRPO outperforms fine-tuned small LLMs with marginal training data and cost.