5.5CVMar 11
Bridging the Skill Gap in Clinical CBCT Interpretation with CBCTRepDQinxin Wu, Fucheng Niu, Hengchuan Zhu et al.
Generative AI has advanced rapidly in medical report generation; however, its application to oral and maxillofacial CBCT reporting remains limited, largely because of the scarcity of high-quality paired CBCT-report data and the intrinsic complexity of volumetric CBCT interpretation. To address this, we introduce CBCTRepD, a bilingual oral and maxillofacial CBCT report-generation system designed for integration into routine radiologist-AI co-authoring workflows. We curated a large-scale, high-quality paired CBCT-report dataset comprising approximately 7,408 studies, covering 55 oral disease entities across diverse acquisition settings, and used it to develop the system. We further established a clinically grounded, multi-level evaluation framework that assesses both direct AI-generated drafts and radiologist-edited collaboration reports using automatic metrics together with radiologist- and clinician-centered evaluation. Using this framework, we show that CBCTRepD achieves superior report-generation performance and produces drafts with writing quality and standardization comparable to those of intermediate radiologists. More importantly, in radiologist-AI collaboration, CBCTRepD provides consistent and clinically meaningful benefits across experience levels: it helps novice radiologists improve toward intermediate-level reporting, enables intermediate radiologists to approach senior-level performance, and even assists senior radiologists by reducing omission-related errors, including clinically important missed lesions. By improving report structure, reducing omissions, and promoting attention to co-existing lesions across anatomical regions, CBCTRepD shows strong and reliable potential as a practical assistant for real-world CBCT reporting across multi-level care settings.
2.7LGJan 22
CARE-RFT: Confidence-Anchored Reinforcement Finetuning for Reliable Reasoning in Large Language ModelsShuozhe Li, Jincheng Cao, Bodun Hu et al.
Reinforcement finetuning (RFT) has emerged as a powerful paradigm for unlocking reasoning capabilities in large language models. However, we identify a critical trade-off: while unconstrained RFT achieves strong reasoning performance, it severely compromises model trustworthiness by amplifying hallucination and worsening calibration; conversely, RKL-constrained RFT preserves trustworthiness but limits reasoning gains due to its unbounded penalty on exploratory deviations. To resolve this tension, we introduce CARE-RFT (Confidence-Anchored Regularized Reinforcement Finetuning), a novel method that replaces standard reverse KL regularization with a skew reverse KL divergence. CARE-RFT provides a confidence-sensitive penalty: it is bounded for confident, consistently rewarded explorations to enable reasoning, while unbounded elsewhere to preserve calibration. Extensive experiments across multiple model scales and RFT algorithms show that CARE-RFT achieves a superior balance, matching the reasoning performance of unconstrained RFT while recovering the trustworthiness and calibration of the base model. Our work establishes that careful, confidence-aware regularization is key to building both capable and trustworthy reasoning models.
1.4LGJan 19
A Learnable Wavelet Transformer for Long-Short Equity Trading and Risk-Adjusted Return OptimizationShuozhe Li, Du Cheng, Leqi Liu
Learning profitable intraday trading policies from financial time series is challenging due to heavy noise, non-stationarity, and strong cross-sectional dependence among related assets. We propose \emph{WaveLSFormer}, a learnable wavelet-based long-short Transformer that jointly performs multi-scale decomposition and return-oriented decision learning. Specifically, a learnable wavelet front-end generates low-/high-frequency components via an end-to-end trained filter bank, guided by spectral regularizers that encourage stable and well-separated frequency bands. To fuse multi-scale information, we introduce a low-guided high-frequency injection (LGHI) module that refines low-frequency representations with high-frequency cues while controlling training stability. The model outputs a portfolio of long/short positions that is rescaled to satisfy a fixed risk budget, and is optimized directly with a trading objective and risk-aware regularization. Extensive experiments on five years of hourly data across six industry groups, evaluated over ten random seeds, demonstrate that WaveLSFormer consistently outperforms MLP, LSTM and Transformer backbones, with and without fixed discrete wavelet front-ends. On average in all industries, WaveLSFormer achieves a cumulative overall strategy return of $0.607 \pm 0.045$ and a Sharpe ratio of $2.157 \pm 0.166$, substantially improving both profitability and risk-adjusted returns over the strongest baselines.