Nicole Bussola

Ariel Larey, Elay Dahan, Amit Bleiweiss et al.

Genomic Foundation Models (GFMs) have largely relied on Masked Language Modeling (MLM) or Next Token Prediction (NTP) to learn the language of life. While these paradigms excel at capturing local genomic syntax and fine-grained motif patterns, they often fail to capture the broader functional context, resulting in representations that lack a global biological perspective. We introduce JEPA-DNA, a novel pre-training framework that integrates the Joint-Embedding Predictive Architecture (JEPA) with traditional generative objectives. JEPA-DNA introduces latent grounding by coupling token-level recovery with a predictive objective in the latent space by supervising a CLS token. This forces the model to predict the high-level functional embeddings of masked genomic segments rather than focusing solely on individual nucleotides. JEPA-DNA extends both NTP and MLM paradigms and can be deployed either as a standalone from-scratch objective or as a continual pre-training enhancement for existing GFMs. Our evaluations across a diverse suite of genomic benchmarks demonstrate that JEPA-DNA consistently yields superior performance in supervised and zero-shot tasks compared to generative-only baselines. By providing a more robust and biologically grounded representation, JEPA-DNA offers a scalable path toward foundation models that understand not only the genomic alphabet, but also the underlying functional logic of the sequence.

Akhil Vaid, Joshua Lampert, Juhee Lee et al.

Generative Large Language Models (LLMs) hold significant promise in healthcare, demonstrating capabilities such as passing medical licensing exams and providing clinical knowledge. However, their current use as information retrieval tools is limited by challenges like data staleness, resource demands, and occasional generation of incorrect information. This study assessed the potential of LLMs to function as autonomous agents in a simulated tertiary care medical center, using real-world clinical cases across multiple specialties. Both proprietary and open-source LLMs were evaluated, with Retrieval Augmented Generation (RAG) enhancing contextual relevance. Proprietary models, particularly GPT-4, generally outperformed open-source models, showing improved guideline adherence and more accurate responses with RAG. The manual evaluation by expert clinicians was crucial in validating models' outputs, underscoring the importance of human oversight in LLM operation. Further, the study emphasizes Natural Language Programming (NLP) as the appropriate paradigm for modifying model behavior, allowing for precise adjustments through tailored prompts and real-world interactions. This approach highlights the potential of LLMs to significantly enhance and supplement clinical decision-making, while also emphasizing the value of continuous expert involvement and the flexibility of NLP to ensure their reliability and effectiveness in healthcare settings.