Zixiang Wang

Tongliang Li, Zixiang Wang, Linzheng Chai et al. · tsinghua

Cross-lingual open information extraction aims to extract structured information from raw text across multiple languages. Previous work uses a shared cross-lingual pre-trained model to handle the different languages but underuses the potential of the language-specific representation. In this paper, we propose an effective multi-stage tuning framework called MT4CrossIE, designed for enhancing cross-lingual open information extraction by injecting language-specific knowledge into the shared model. Specifically, the cross-lingual pre-trained model is first tuned in a shared semantic space (e.g., embedding matrix) in the fixed encoder and then other components are optimized in the second stage. After enough training, we freeze the pre-trained model and tune the multiple extra low-rank language-specific modules using mixture-of-LoRAs for model-based cross-lingual transfer. In addition, we leverage two-stage prompting to encourage the large language model (LLM) to annotate the multi-lingual raw data for data-based cross-lingual transfer. The model is trained with multi-lingual objectives on our proposed dataset OpenIE4++ by combing the model-based and data-based transfer techniques. Experimental results on various benchmarks emphasize the importance of aggregating multiple plug-in-and-play language-specific modules and demonstrate the effectiveness of MT4CrossIE in cross-lingual OIE\footnote{\url{https://github.com/CSJianYang/Multilingual-Multimodal-NLP}}.

Yinghao Zhu, Zixiang Wang, Long He et al.

Electronic Health Records (EHRs) contain a wealth of patient data; however, the sparsity of EHRs data often presents significant challenges for predictive modeling. Conventional imputation methods inadequately distinguish between real and imputed data, leading to potential inaccuracies of patient representations. To address these issues, we introduce PRISM, a framework that indirectly imputes data by leveraging prototype representations of similar patients, thus ensuring compact representations that preserve patient information. PRISM also includes a feature confidence learner module, which evaluates the reliability of each feature considering missing statuses. Additionally, PRISM introduces a new patient similarity metric that accounts for feature confidence, avoiding over-reliance on imprecise imputed values. Our extensive experiments on the MIMIC-III, MIMIC-IV, PhysioNet Challenge 2012, eICU datasets demonstrate PRISM's superior performance in predicting in-hospital mortality and 30-day readmission tasks, showcasing its effectiveness in handling EHR data sparsity. For the sake of reproducibility and further research, we have publicly released the code at https://github.com/yhzhu99/PRISM.

Yinghao Zhu, Junyi Gao, Zixiang Wang et al.

Large Language Models (LLMs) are increasingly deployed in medicine. However, their utility in non-generative clinical prediction, often presumed inferior to specialized models, remains under-evaluated, leading to ongoing debate within the field and potential for misuse, misunderstanding, or over-reliance due to a lack of systematic benchmarking. Our ClinicRealm study addresses this by benchmarking 15 GPT-style LLMs, 5 BERT-style models, and 11 traditional methods on unstructured clinical notes and structured Electronic Health Records (EHR), while also assessing their reasoning, reliability, and fairness. Key findings reveal a significant shift: for clinical note predictions, leading LLMs (e.g., DeepSeek-V3.1-Think, GPT-5) in zero-shot settings now decisively outperform finetuned BERT models. On structured EHRs, while specialized models excel with ample data, advanced LLMs (e.g., GPT-5, DeepSeek-V3.1-Think) show potent zero-shot capabilities, often surpassing conventional models in data-scarce settings. Notably, leading open-source LLMs can match or exceed proprietary counterparts. These results provide compelling evidence that modern LLMs are competitive tools for non-generative clinical prediction, particularly with unstructured text and offering data-efficient structured data options, thus necessitating a re-evaluation of model selection strategies. This research should serve as an important insight for medical informaticists, AI developers, and clinical researchers, potentially prompting a reassessment of current assumptions and inspiring new approaches to LLM application in predictive healthcare.

Zixiang Wang, Jian Yang, Tongliang Li et al.

Entity and relation extraction is a key task in information extraction, where the output can be used for downstream NLP tasks. Existing approaches for entity and relation extraction tasks mainly focus on the English corpora and ignore other languages. Thus, it is critical to improving performance in a multilingual setting. Meanwhile, multilingual training is usually used to boost cross-lingual performance by transferring knowledge from languages (e.g., high-resource) to other (e.g., low-resource) languages. However, language interference usually exists in multilingual tasks as the model parameters are shared among all languages. In this paper, we propose a two-stage multilingual training method and a joint model called Multilingual Entity and Relation Extraction framework (mERE) to mitigate language interference across languages. Specifically, we randomly concatenate sentences in different languages to train a Language-universal Aggregator (LA), which narrows the distance of embedding representations by obtaining the unified language representation. Then, we separate parameters to mitigate interference via tuning a Language-specific Switcher (LS), which includes several independent sub-modules to refine the language-specific feature representation. After that, to enhance the relational triple extraction, the sentence representations concatenated with the relation feature are used to recognize the entities. Extensive experimental results show that our method outperforms both the monolingual and multilingual baseline methods. Besides, we also perform detailed analysis to show that mERE is lightweight but effective on relational triple extraction and mERE{} is easy to transfer to other backbone models of multi-field tasks, which further demonstrates the effectiveness of our method.

Zixiang Wang, Hao Yan, Changsong Wei et al.

The behavior decision-making subsystem is a key component of the autonomous driving system, which reflects the decision-making ability of the vehicle and the driver, and is an important symbol of the high-level intelligence of the vehicle. However, the existing rule-based decision-making schemes are limited by the prior knowledge of designers, and it is difficult to cope with complex and changeable traffic scenarios. In this work, an advanced deep reinforcement learning model is adopted, which can autonomously learn and optimize driving strategies in a complex and changeable traffic environment by modeling the driving decision-making process as a reinforcement learning problem. Specifically, we used Deep Q-Network (DQN) and Proximal Policy Optimization (PPO) for comparative experiments. DQN guides the agent to choose the best action by approximating the state-action value function, while PPO improves the decision-making quality by optimizing the policy function. We also introduce improvements in the design of the reward function to promote the robustness and adaptability of the model in real-world driving situations. Experimental results show that the decision-making strategy based on deep reinforcement learning has better performance than the traditional rule-based method in a variety of driving tasks.

Zixiang Wang, Mengjia Gong, Qiyu Sun et al.

With the rapid advancement of artificial intelligence, multi-agent systems (MASs) are evolving from classical paradigms toward architectures built upon large foundation models (LFMs). This survey provides a systematic review and comparative analysis of classical MASs (CMASs) and LFM-based MASs (LMASs). First, within a closed-loop coordination framework, CMASs are reviewed across four fundamental dimensions: perception, communication, decision-making, and control. Beyond this framework, LMASs integrate LFMs to lift collaboration from low-level state exchanges to semantic-level reasoning, enabling more flexible coordination and improved adaptability across diverse scenarios. Then, a comparative analysis is conducted to contrast CMASs and LMASs across architecture, operating mechanism, adaptability, and application. Finally, future perspectives on MASs are presented, summarizing open challenges and potential research opportunities.

Zixiang Wang, Hao Yan, Yining Wang et al.

Reinforcement learning continuously optimizes decision-making based on real-time feedback reward signals through continuous interaction with the environment, demonstrating strong adaptive and self-learning capabilities. In recent years, it has become one of the key methods to achieve autonomous navigation of robots. In this work, an autonomous robot navigation method based on reinforcement learning is introduced. We use the Deep Q Network (DQN) and Proximal Policy Optimization (PPO) models to optimize the path planning and decision-making process through the continuous interaction between the robot and the environment, and the reward signals with real-time feedback. By combining the Q-value function with the deep neural network, deep Q network can handle high-dimensional state space, so as to realize path planning in complex environments. Proximal policy optimization is a strategy gradient-based method, which enables robots to explore and utilize environmental information more efficiently by optimizing policy functions. These methods not only improve the robot's navigation ability in the unknown environment, but also enhance its adaptive and self-learning capabilities. Through multiple training and simulation experiments, we have verified the effectiveness and robustness of these models in various complex scenarios.

Hao Yan, Zixiang Wang, Zhengjia Xu et al.

Super-resolution reconstruction techniques entail the utilization of software algorithms to transform one or more sets of low-resolution images captured from the same scene into high-resolution images. In recent years, considerable advancement has been observed in the domain of single-image super-resolution algorithms, particularly those based on deep learning techniques. Nevertheless, the extraction of image features and nonlinear mapping methods in the reconstruction process remain challenging for existing algorithms. These issues result in the network architecture being unable to effectively utilize the diverse range of information at different levels. The loss of high-frequency details is significant, and the final reconstructed image features are overly smooth, with a lack of fine texture details. This negatively impacts the subjective visual quality of the image. The objective is to recover high-quality, high-resolution images from low-resolution images. In this work, an enhanced deep convolutional neural network model is employed, comprising multiple convolutional layers, each of which is configured with specific filters and activation functions to effectively capture the diverse features of the image. Furthermore, a residual learning strategy is employed to accelerate training and enhance the convergence of the network, while sub-pixel convolutional layers are utilized to refine the high-frequency details and textures of the image. The experimental analysis demonstrates the superior performance of the proposed model on multiple public datasets when compared with the traditional bicubic interpolation method and several other learning-based super-resolution methods. Furthermore, it proves the model's efficacy in maintaining image edges and textures.

Haoyuan Xu, Chang Li, Xinyan Ma et al.

Tool use enables large language models (LLMs) to access external information, invoke software systems, and act in digital environments beyond what can be solved from model parameters alone. Early research mainly studied whether a model could select and execute a correct single tool call. As agent systems evolve, however, the central problem has shifted from isolated invocation to multi-tool orchestration over long trajectories with intermediate state, execution feedback, changing environments, and practical constraints such as safety, cost, and verifiability. We comprehensively review recent progress in multi-tool LLM agents and analyzes the state of the art in this rapidly developing area. First, we unify task formulations and distinguish single-call tool use from long-horizon orchestration. Then, we organize the literature around six core dimensions: inference-time planning and execution, training and trajectory construction, safety and control, efficiency under resource constraints, capability completeness in open environments, and benchmark design and evaluation. We further summarize representative applications in software engineering, enterprise workflows, graphical user interfaces, and mobile systems. Finally, we discuss major challenges and outline future directions for building reliable, scalable, and verifiable multi-tool agents.

Yinghao Zhu, Ziyi He, Haoran Hu et al.

The rapid advancement of Large Language Models (LLMs) has stimulated interest in multi-agent collaboration for addressing complex medical tasks. However, the practical advantages of multi-agent collaboration approaches remain insufficiently understood. Existing evaluations often lack generalizability, failing to cover diverse tasks reflective of real-world clinical practice, and frequently omit rigorous comparisons against both single-LLM-based and established conventional methods. To address this critical gap, we introduce MedAgentBoard, a comprehensive benchmark for the systematic evaluation of multi-agent collaboration, single-LLM, and conventional approaches. MedAgentBoard encompasses four diverse medical task categories: (1) medical (visual) question answering, (2) lay summary generation, (3) structured Electronic Health Record (EHR) predictive modeling, and (4) clinical workflow automation, across text, medical images, and structured EHR data. Our extensive experiments reveal a nuanced landscape: while multi-agent collaboration demonstrates benefits in specific scenarios, such as enhancing task completeness in clinical workflow automation, it does not consistently outperform advanced single LLMs (e.g., in textual medical QA) or, critically, specialized conventional methods that generally maintain better performance in tasks like medical VQA and EHR-based prediction. MedAgentBoard offers a vital resource and actionable insights, emphasizing the necessity of a task-specific, evidence-based approach to selecting and developing AI solutions in medicine. It underscores that the inherent complexity and overhead of multi-agent collaboration must be carefully weighed against tangible performance gains. All code, datasets, detailed prompts, and experimental results are open-sourced at https://medagentboard.netlify.app/.

Yinghao Zhu, Zixiang Wang, Junyi Gao et al.

The inherent complexity of structured longitudinal Electronic Health Records (EHR) data poses a significant challenge when integrated with Large Language Models (LLMs), which are traditionally tailored for natural language processing. Motivated by the urgent need for swift decision-making during new disease outbreaks, where traditional predictive models often fail due to a lack of historical data, this research investigates the adaptability of LLMs, like GPT-4, to EHR data. We particularly focus on their zero-shot capabilities, which enable them to make predictions in scenarios in which they haven't been explicitly trained. In response to the longitudinal, sparse, and knowledge-infused nature of EHR data, our prompting approach involves taking into account specific EHR characteristics such as units and reference ranges, and employing an in-context learning strategy that aligns with clinical contexts. Our comprehensive experiments on the MIMIC-IV and TJH datasets demonstrate that with our elaborately designed prompting framework, LLMs can improve prediction performance in key tasks such as mortality, length-of-stay, and 30-day readmission by about 35\%, surpassing ML models in few-shot settings. Our research underscores the potential of LLMs in enhancing clinical decision-making, especially in urgent healthcare situations like the outbreak of emerging diseases with no labeled data. The code is publicly available at https://github.com/yhzhu99/llm4healthcare for reproducibility.

Yinghao Zhu, Changyu Ren, Shiyun Xie et al.

The integration of multimodal Electronic Health Records (EHR) data has significantly improved clinical predictive capabilities. Leveraging clinical notes and multivariate time-series EHR, existing models often lack the medical context relevent to clinical tasks, prompting the incorporation of external knowledge, particularly from the knowledge graph (KG). Previous approaches with KG knowledge have primarily focused on structured knowledge extraction, neglecting unstructured data modalities and semantic high dimensional medical knowledge. In response, we propose REALM, a Retrieval-Augmented Generation (RAG) driven framework to enhance multimodal EHR representations that address these limitations. Firstly, we apply Large Language Model (LLM) to encode long context clinical notes and GRU model to encode time-series EHR data. Secondly, we prompt LLM to extract task-relevant medical entities and match entities in professionally labeled external knowledge graph (PrimeKG) with corresponding medical knowledge. By matching and aligning with clinical standards, our framework eliminates hallucinations and ensures consistency. Lastly, we propose an adaptive multimodal fusion network to integrate extracted knowledge with multimodal EHR data. Our extensive experiments on MIMIC-III mortality and readmission tasks showcase the superior performance of our REALM framework over baselines, emphasizing the effectiveness of each module. REALM framework contributes to refining the use of multimodal EHR data in healthcare and bridging the gap with nuanced medical context essential for informed clinical predictions.

Yinghao Zhu, Yifan Qi, Zixiang Wang et al.

The rapid proliferation of scientific knowledge presents a grand challenge: transforming this vast repository of information into an active engine for discovery, especially in high-stakes domains like healthcare. Current AI agents, however, are constrained by static, predefined strategies, limiting their ability to navigate the complex, evolving ecosystem of scientific research. This paper introduces HealthFlow, a self-evolving AI agent that overcomes this limitation through a novel meta-level evolution mechanism. HealthFlow autonomously refines its high-level problem-solving policies by distilling procedural successes and failures into a durable, structured knowledge base, enabling it to learn not just how to use tools, but how to strategize. To anchor our research and provide a community resource, we introduce EHRFlowBench, a new benchmark featuring complex health data analysis tasks systematically derived from peer-reviewed scientific literature. Our experiments demonstrate that HealthFlow's self-evolving approach significantly outperforms state-of-the-art agent frameworks. This work offers a new paradigm for intelligent systems that can learn to operationalize the procedural knowledge embedded in scientific content, marking a critical step toward more autonomous and effective AI for healthcare scientific discovery.

Weibin Liao, Yinghao Zhu, Zhongji Zhang et al.

Analyzing the health status of patients based on Electronic Health Records (EHR) is a fundamental research problem in medical informatics. The presence of extensive missing values in EHR makes it challenging for deep neural networks (DNNs) to directly model the patient's health status. Existing DNNs training protocols, including Impute-then-Regress Procedure and Jointly Optimizing of Impute-n-Regress Procedure, require the additional imputation models to reconstruction missing values. However, Impute-then-Regress Procedure introduces the risk of injecting imputed, non-real data into downstream clinical prediction tasks, resulting in power loss, biased estimation, and poorly performing models, while Jointly Optimizing of Impute-n-Regress Procedure is also difficult to generalize due to the complex optimization space and demanding data requirements. Inspired by the recent advanced literature of learnable prompt in the fields of NLP and CV, in this work, we rethought the necessity of the imputation model in downstream clinical tasks, and proposed Learnable Prompt as Pseudo-Imputation (PAI) as a new training protocol to assist EHR analysis. PAI no longer introduces any imputed data but constructs a learnable prompt to model the implicit preferences of the downstream model for missing values, resulting in a significant performance improvement for all state-of-the-arts EHR analysis models on four real-world datasets across two clinical prediction tasks. Further experimental analysis indicates that PAI exhibits higher robustness in situations of data insufficiency and high missing rates. More importantly, as a plug-and-play protocol, PAI can be easily integrated into any existing or even imperceptible future EHR analysis models.

Lei Gu, Yinghao Zhu, Haoran Sang et al.

While large language model (LLM)-based multi-agent systems show promise in simulating medical consultations, their evaluation is often confined to final-answer accuracy. This practice treats their internal collaborative processes as opaque "black boxes" and overlooks a critical question: is a diagnostic conclusion reached through a sound and verifiable reasoning pathway? The inscrutable nature of these systems poses a significant risk in high-stakes medical applications, potentially leading to flawed or untrustworthy conclusions. To address this, we conduct a large-scale empirical study of 3,600 cases from six medical datasets and six representative multi-agent frameworks. Through a rigorous, mixed-methods approach combining qualitative analysis with quantitative auditing, we develop a comprehensive taxonomy of collaborative failure modes. Our quantitative audit reveals four dominant failure patterns: flawed consensus driven by shared model deficiencies, suppression of correct minority opinions, ineffective discussion dynamics, and critical information loss during synthesis. This study demonstrates that high accuracy alone is an insufficient measure of clinical or public trust. It highlights the urgent need for transparent and auditable reasoning processes, a cornerstone for the responsible development and deployment of medical AI.

Huiya Zhao, Yinghao Zhu, Zixiang Wang et al.

The efficacy of AI agents in healthcare research is hindered by their reliance on static, predefined strategies. This creates a critical limitation: agents can become better tool-users but cannot learn to become better strategic planners, a crucial skill for complex domains like healthcare. We introduce HealthFlow, a self-evolving AI agent that overcomes this limitation through a novel meta-level evolution mechanism. HealthFlow autonomously refines its own high-level problem-solving policies by distilling procedural successes and failures into a durable, strategic knowledge base. To anchor our research and facilitate reproducible evaluation, we introduce EHRFlowBench, a new benchmark featuring complex, realistic health data analysis tasks derived from peer-reviewed clinical research. Our comprehensive experiments demonstrate that HealthFlow's self-evolving approach significantly outperforms state-of-the-art agent frameworks. This work marks a necessary shift from building better tool-users to designing smarter, self-evolving task-managers, paving the way for more autonomous and effective AI for scientific discovery.