Kun Qian

Tianshu Zhang, Kun Qian, Siddhartha Sahai et al.

Neural text-to-SQL models, which translate natural language questions (NLQs) into SQL queries given a database schema, have achieved remarkable performance. However, database schemas frequently evolve to meet new requirements. Such schema evolution often leads to performance degradation for models trained on static schemas. Existing work either mainly focuses on simply paraphrasing some syntactic or semantic mappings among NLQ, DB and SQL, or lacks a comprehensive and controllable way to investigate the model robustness issue under the schema evolution, which is insufficient when facing the increasingly complex and rich database schema changes in reality, especially in the LLM era. To address the challenges posed by schema evolution, we present EvoSchema, a comprehensive benchmark designed to assess and enhance the robustness of text-to-SQL systems under real-world schema changes. EvoSchema introduces a novel schema evolution taxonomy, encompassing ten perturbation types across columnlevel and table-level modifications, systematically simulating the dynamic nature of database schemas. Through EvoSchema, we conduct an in-depth evaluation spanning different open source and closed-source LLMs, revealing that table-level perturbations have a significantly greater impact on model performance compared to column-level changes. Furthermore, EvoSchema inspires the development of more resilient text-to-SQL systems, in terms of both model training and database design. The models trained on EvoSchema's diverse schema designs can force the model to distinguish the schema difference for the same questions to avoid learning spurious patterns, which demonstrate remarkable robustness compared to those trained on unperturbed data on average. This benchmark offers valuable insights into model behavior and a path forward for designing systems capable of thriving in dynamic, real-world environments.

Zhongzhen Huang, Yan Ling, Hong Chen et al.

We present PULSE, a medical reasoning agent that combines a domain-tuned large language model with scientific literature retrieval to support diagnostic decision-making in complex real-world cases. To evaluate its capabilities, we curated a benchmark of 82 authentic endocrinology case reports encompassing a broad spectrum of disease types and incidence levels. In controlled experiments, we compared PULSE's performance against physicians with varying levels of expertise-from residents to senior specialists-and examined how AI assistance influenced human diagnostic reasoning. PULSE attained expert-competitive accuracy, outperforming residents and junior specialists while matching senior specialist performance at both Top@1 and Top@4 thresholds. Unlike physicians, whose accuracy declined with disease rarity, PULSE maintained stable performance across incidence tiers. The agent also exhibited adaptive reasoning, increasing output length with case difficulty in a manner analogous to the longer deliberation observed among expert clinicians. When used collaboratively, PULSE enabled physicians to correct initial errors and broaden diagnostic hypotheses, but also introduced risks of automation bias. The study explores both serial and concurrent collaboration workflows, revealing that PULSE offers robust support across common and rare presentations. These findings underscore both the promise and the limitations of language model-based agents in clinical diagnosis, and offer a framework for evaluating their role in real-world decision-making.