15.7LGJul 29, 2025
Predictive Auditing of Hidden Tokens in LLM APIs via Reasoning Length EstimationZiyao Wang, Guoheng Sun, Yexiao He et al.
Commercial LLM services often conceal internal reasoning traces while still charging users for every generated token, including those from hidden intermediate steps, raising concerns of token inflation and potential overbilling. This gap underscores the urgent need for reliable token auditing, yet achieving it is far from straightforward: cryptographic verification (e.g., hash-based signature) offers little assurance when providers control the entire execution pipeline, while user-side prediction struggles with the inherent variance of reasoning LLMs, where token usage fluctuates across domains and prompt styles. To bridge this gap, we present PALACE (Predictive Auditing of LLM APIs via Reasoning Token Count Estimation), a user-side framework that estimates hidden reasoning token counts from prompt-answer pairs without access to internal traces. PALACE introduces a GRPO-augmented adaptation module with a lightweight domain router, enabling dynamic calibration across diverse reasoning tasks and mitigating variance in token usage patterns. Experiments on math, coding, medical, and general reasoning benchmarks show that PALACE achieves low relative error and strong prediction accuracy, supporting both fine-grained cost auditing and inflation detection. Taken together, PALACE represents an important first step toward standardized predictive auditing, offering a practical path to greater transparency, accountability, and user trust.
4.1HCOct 17, 2025
MedBuild AI: An Agent-Based Hybrid Intelligence Framework for Reshaping Agency in Healthcare Infrastructure Planning through Generative Design for Medical ArchitectureYiming Zhang, Yuejia Xu, Ziyao Wang et al.
Globally, disparities in healthcare infrastructure remain stark, leaving countless communities without access to even basic services. Traditional infrastructure planning is often slow and inaccessible, and although many architects are actively delivering humanitarian and aid-driven hospital projects worldwide, these vital efforts still fall far short of the sheer scale and urgency of demand. This paper introduces MedBuild AI, a hybrid-intelligence framework that integrates large language models (LLMs) with deterministic expert systems to rebalance the early design and conceptual planning stages. As a web-based platform, it enables any region with satellite internet access to obtain guidance on modular, low-tech, low-cost medical building designs. The system operates through three agents: the first gathers local health intelligence via conversational interaction; the second translates this input into an architectural functional program through rule-based computation; and the third generates layouts and 3D models. By embedding computational negotiation into the design process, MedBuild AI fosters a reciprocal, inclusive, and equitable approach to healthcare planning, empowering communities and redefining agency in global healthcare architecture.
5.1IVMar 1, 2025
NeuroSymAD: A Neuro-Symbolic Framework for Interpretable Alzheimer's Disease DiagnosisYexiao He, Ziyao Wang, Yuning Zhang et al.
Alzheimer's disease (AD) diagnosis is complex, requiring the integration of imaging and clinical data for accurate assessment. While deep learning has shown promise in brain MRI analysis, it often functions as a black box, limiting interpretability and lacking mechanisms to effectively integrate critical clinical data such as biomarkers, medical history, and demographic information. To bridge this gap, we propose NeuroSymAD, a neuro-symbolic framework that synergizes neural networks with symbolic reasoning. A neural network percepts brain MRI scans, while a large language model (LLM) distills medical rules to guide a symbolic system in reasoning over biomarkers and medical history. This structured integration enhances both diagnostic accuracy and explainability. Experiments on the ADNI dataset demonstrate that NeuroSymAD outperforms state-of-the-art methods by up to 2.91% in accuracy and 3.43% in F1-score while providing transparent and interpretable diagnosis.