CYFeb 6
The Doctor Will (Still) See You Now: On the Structural Limits of Agentic AI in HealthcareGabriela Aránguiz Dias, Kiana Jafari, Allie Griffith et al.
Across healthcare, agentic artificial intelligence (AI) systems are increasingly promoted as capable of autonomous action, yet in practice they currently operate under near-total human oversight due to safety, regulatory, and liability constraints that make autonomous clinical reasoning infeasible in high-stakes environments. While market enthusiasm suggests a revolution in healthcare agents, the conceptual assumptions and accountability structures shaping these systems remain underexamined. We present a qualitative study based on interviews with 20 stakeholders, including developers, implementers, and end users. Our analysis identifies three mutually reinforcing tensions: conceptual fragmentation regarding the definition of `agentic'; an autonomy contradiction where commercial promises exceed operational reality; and an evaluation blind spot that prioritizes technical benchmarks over sociotechnical safety. We argue that agentic {AI} functions as a site of contested meaning-making where technical aspirations, commercial incentives, and clinical constraints intersect, carrying material consequences for patient safety and the distribution of blame.
LGNov 25, 2025
Communication-Efficient Learning for Satellite ConstellationsRuxandra-Stefania Tudose, Moritz H. W. Grüss, Grace Ra Kim et al.
Satellite constellations in low-Earth orbit are now widespread, enabling positioning, Earth imaging, and communications. In this paper we address the solution of learning problems using these satellite constellations. In particular, we focus on a federated approach, where satellites collect and locally process data, with the ground station aggregating local models. We focus on designing a novel, communication-efficient algorithm that still yields accurate trained models. To this end, we employ several mechanisms to reduce the number of communications with the ground station (local training) and their size (compression). We then propose an error feedback mechanism that enhances accuracy, which yields, as a byproduct, an algorithm-agnostic error feedback scheme that can be more broadly applied. We analyze the convergence of the resulting algorithm, and compare it with the state of the art through simulations in a realistic space scenario, showcasing superior performance.
ROOct 9, 2025
Adaptive Science Operations in Deep Space Missions Using Offline Belief State PlanningGrace Ra Kim, Hailey Warner, Duncan Eddy et al.
Deep space missions face extreme communication delays and environmental uncertainty that prevent real-time ground operations. To support autonomous science operations in communication-constrained environments, we present a partially observable Markov decision process (POMDP) framework that adaptively sequences spacecraft science instruments. We integrate a Bayesian network into the POMDP observation space to manage the high-dimensional and uncertain measurements typical of astrobiology missions. This network compactly encodes dependencies among measurements and improves the interpretability and computational tractability of science data. Instrument operation policies are computed offline, allowing resource-aware plans to be generated and thoroughly validated prior to launch. We use the Enceladus Orbilander's proposed Life Detection Suite (LDS) as a case study, demonstrating how Bayesian network structure and reward shaping influence system performance. We compare our method against the mission's baseline Concept of Operations (ConOps), evaluating both misclassification rates and performance in off-nominal sample accumulation scenarios. Our approach reduces sample identification errors by nearly 40%
NIOct 3, 2025
Scalable Ground Station Selection for Large LEO ConstellationsGrace Ra Kim, Duncan Eddy, Vedant Srinivas et al.
Effective ground station selection is critical for low Earth orbiting (LEO) satellite constellations to minimize operational costs, maximize data downlink volume, and reduce communication gaps between access windows. Traditional ground station selection typically begins by choosing from a fixed set of locations offered by Ground Station-as-a-Service (GSaaS) providers, which helps reduce the problem scope to optimizing locations over existing infrastructure. However, finding a globally optimal solution for stations using existing mixed-integer programming methods quickly becomes intractable at scale, especially when considering multiple providers and large satellite constellations. To address this issue, we introduce a scalable, hierarchical framework that decomposes the global selection problem into single-satellite, short time-window subproblems. Optimal station choices from each subproblem are clustered to identify consistently high-value locations across all decomposed cases. Cluster-level sets are then matched back to the closest GSaaS candidate sites to produce a globally feasible solution. This approach enables scalable coordination while maintaining near-optimal performance. We evaluate our method's performance on synthetic Walker-Star test cases (1-10 satellites, 1-10 stations), achieving solutions within 95% of the global IP optimum for all test cases. Real-world evaluations on Capella Space (5 satellites), ICEYE (40), and Planet's Flock (96) show that while exact IP solutions fail to scale, our framework continues to deliver high-quality site selections.