Dexuan Xu

Jieyi Wang, Yazhe Niu, Dexuan Xu et al.

Recent Large Audio Language Models have demonstrated impressive capabilities in audio understanding. However, they often suffer from perceptual errors, while reliable audio reasoning is unattainable without first grounding the model's perception in structured auditory scenes. Inspired by Auditory Scene Analysis, we first introduce a Perception-Aware Question Answering (PAQA) dataset. PAQA implements a hierarchical decoupling strategy that separates speech from environmental sound and distinguishes multiple speakers, providing explicit perceptual reasoning for training. Building on this, we propose HyPeR, a two-stage Hybrid Perception-Reasoning framework. In Stage I, we finetune the model on PAQA to perceive acoustic attributes in complex audio. In Stage II, we leverage GRPO to refine the model's internal deliberation. We also introduce PAUSE tokens to facilitate latent computation during acoustically ambiguous phases and design perceptual consistency reward to align reasoning rationales with raw audio. Experiments across benchmarks demonstrate that HyPeR achieves absolute improvements over the base model, with performance comparable to large-scale models, stressing the effectiveness of hybrid perception-grounded reasoning for robust and multi-speaker audio understanding.

Yige Liu, Dexuan Xu, Zimai Guo et al.

Vertical federated learning (VFL) allows an active party with a top model, and multiple passive parties with bottom models to collaborate. In this scenario, passive parties possessing only features may attempt to infer active party's private labels, making label inference attacks (LIAs) a significant threat. Previous LIA studies have claimed that well-trained bottom models can effectively represent labels. However, we demonstrate that this view is misleading and exposes the vulnerability of existing LIAs. By leveraging mutual information, we present the first observation of the "model compensation" phenomenon in VFL. We theoretically prove that, in VFL, the mutual information between layer outputs and labels increases with layer depth, indicating that bottom models primarily extract feature information while the top model handles label mapping. Building on this insight, we introduce task reassignment to show that the success of existing LIAs actually stems from the distribution alignment between features and labels. When this alignment is disrupted, the performance of LIAs declines sharply or even fails entirely. Furthermore, the implications of this insight for defenses are also investigated. We propose a zero-overhead defense technique based on layer adjustment. Extensive experiments across five datasets and five representative model architectures indicate that shifting cut layers forward to increase the proportion of top model layers in the entire model not only improves resistance to LIAs but also enhances other defenses.

Yanyuan Chen, Dexuan Xu, Yu Huang et al.

Currently, medical vision language models are widely used in medical vision question answering tasks. However, existing models are confronted with two issues: for input, the model only relies on text instructions and lacks direct understanding of visual clues in the image; for output, the model only gives text answers and lacks connection with key areas in the image. To address these issues, we propose a unified medical vision language model MIMO, with visual referring Multimodal Input and pixel grounding Multimodal Output. MIMO can not only combine visual clues and textual instructions to understand complex medical images and semantics, but can also ground medical terminologies in textual output within the image. To overcome the scarcity of relevant data in the medical field, we propose MIMOSeg, a comprehensive medical multimodal dataset including 895K samples. MIMOSeg is constructed from four different perspectives, covering basic instruction following and complex question answering with multimodal input and multimodal output. We conduct experiments on several downstream medical multimodal tasks. Extensive experimental results verify that MIMO can uniquely combine visual referring and pixel grounding capabilities, which are not available in previous models.

Dexuan Xu, Jieyi Wang, Zhongyan Chai et al.

Recent advances in multimodal large language models (MLLMs) have significantly improved medical AI, enabling it to unify the understanding of visual and textual information. However, as medical knowledge continues to evolve, it is critical to allow these models to efficiently update outdated or incorrect information without retraining from scratch. Although textual knowledge editing has been widely studied, there is still a lack of systematic benchmarks for multimodal medical knowledge editing involving image and text modalities. To fill this gap, we present MedMKEB, the first comprehensive benchmark designed to evaluate the reliability, generality, locality, portability, and robustness of knowledge editing in medical multimodal large language models. MedMKEB is built on a high-quality medical visual question-answering dataset and enriched with carefully constructed editing tasks, including counterfactual correction, semantic generalization, knowledge transfer, and adversarial robustness. We incorporate human expert validation to ensure the accuracy and reliability of the benchmark. Extensive single editing and sequential editing experiments on state-of-the-art general and medical MLLMs demonstrate the limitations of existing knowledge-based editing approaches in medicine, highlighting the need to develop specialized editing strategies. MedMKEB will serve as a standard benchmark to promote the development of trustworthy and efficient medical knowledge editing algorithms.

Yue Huang, Yanyuan Chen, Dexuan Xu et al.

Medical problem solving demands expert knowledge and intricate reasoning. Recent studies of large language models (LLMs) attempt to ease this complexity by introducing external knowledge verification through retrieval-augmented generation or by training on reasoning datasets. However, these approaches suffer from drawbacks such as retrieval overhead and high annotation costs, and they heavily rely on substituted external assistants to reach limited performance in medical field. In this paper, we introduce MedReflect, a generalizable framework designed to inspire LLMs with a physician-like reflective thinking mode. MedReflect generates a single-pass reflection chain that includes initial hypothesis generation, self-questioning, self-answering and decision refinement. This self-verified and self-reflective nature releases large language model's latent capability in medical problem-solving without external retrieval or heavy annotation. We demonstrate that MedReflect enables cost-efficient medical dataset construction: with merely 2,000 randomly sampled training examples and a light fine-tuning, this approach achieves notable absolute accuracy improvements across a series of medical benchmarks while cutting annotation requirements. Our results provide evidence that LLMs can learn to solve specialized medical problems via self-reflection and self-improve, reducing reliance on external supervision and extensive task-specific fine-tuning data.

Yandong Yan, Chenxi Li, Yu Huang et al.

The scarcity of large-scale and high-quality electronic health records (EHRs) remains a major bottleneck in biomedical research, especially as large foundation models become increasingly data-hungry. Synthesizing substantial volumes of de-identified and high-fidelity data from existing datasets has emerged as a promising solution. However, existing methods suffer from a series of limitations: they struggle to model the intrinsic properties of heterogeneous multimodal EHR data (e.g., continuous, discrete, and textual modalities), capture the complex dependencies among them, and robustly handle pervasive data incompleteness. These challenges are particularly acute in Traditional Chinese Medicine (TCM). To this end, we propose TCDiff (Triplex Cascaded Diffusion Network), a novel EHR generation framework that cascades three diffusion networks to learn the features of real-world EHR data, formatting a multi-stage generative process: Reference Modalities Diffusion, Cross-Modal Bridging, and Target Modality Diffusion. Furthermore, to validate our proposed framework, besides two public datasets, we also construct and introduce TCM-SZ1, a novel multimodal EHR dataset for benchmarking. Experimental results show that TCDiff consistently outperforms state-of-the-art baselines by an average of 10% in data fidelity under various missing rate, while maintaining competitive privacy guarantees. This highlights the effectiveness, robustness, and generalizability of our approach in real-world healthcare scenarios.

Ziming You, Yumiao Zhang, Dexuan Xu et al.

Existing large language model (LLM) agents for automating data science show promise, but they remain constrained by narrow task scopes, limited generalization across tasks and models, and over-reliance on state-of-the-art (SOTA) LLMs. We introduce DatawiseAgent, a notebook-centric LLM agent framework for adaptive and robust data science automation. Inspired by how human data scientists work in computational notebooks, DatawiseAgent introduces a unified interaction representation and a multi-stage architecture based on finite-state transducers (FSTs). This design enables flexible long-horizon planning, progressive solution development, and robust recovery from execution failures. Extensive experiments across diverse data science scenarios and models show that DatawiseAgent consistently achieves SOTA performance by surpassing strong baselines such as AutoGen and TaskWeaver, demonstrating superior effectiveness and adaptability. Further evaluations reveal graceful performance degradation under weaker or smaller models, underscoring the robustness and scalability.

Jieyi Wang, Yue Huang, Zeming Liu et al.

Online psychological counseling dialogue systems are trending, offering a convenient and accessible alternative to traditional in-person therapy. However, existing psychological counseling dialogue systems mainly focus on basic empathetic dialogue or QA with minimal professional knowledge and without goal guidance. In many real-world counseling scenarios, clients often seek multi-type help, such as diagnosis, consultation, therapy, console, and common questions, but existing dialogue systems struggle to combine different dialogue types naturally. In this paper, we identify this challenge as how to construct mixed-type dialogue systems for psychological counseling that enable clients to clarify their goals before proceeding with counseling. To mitigate the challenge, we collect a mixed-type counseling dialogues corpus termed STAMPsy, covering five dialogue types, task-oriented dialogue for diagnosis, knowledge-grounded dialogue, conversational recommendation, empathetic dialogue, and question answering, over 5,000 conversations. Moreover, spatiotemporal-aware knowledge enables systems to have world awareness and has been proven to affect one's mental health. Therefore, we link dialogues in STAMPsy to spatiotemporal state and propose a spatiotemporal-aware mixed-type psychological counseling dataset. Additionally, we build baselines on STAMPsy and develop an iterative self-feedback psychological dialogue generation framework, named Self-STAMPsy. Results indicate that clarifying dialogue goals in advance and utilizing spatiotemporal states are effective.