Yasmeen George

Jianghao Wu, Jianfei Cai, Weiqiang Wang et al.

Reinforcement learning with verifiable rewards (RLVR) can yield large reasoning gains from very few training instances, yet its strong sensitivity to which instances are used makes data selection a central bottleneck. Most existing selection pipelines rely on training-time optimization signals and/or require access to verifiable rewards or ground-truth answers over large candidate pools, which is costly and often infeasible in specialized domains. We study RLVR data selection in a setting where selection must be performed before any RL training and without labels or reward evaluation on the full pool. We propose SHIFT, a one-shot, training-free selector based solely on inference-time hidden-state dynamics. For each candidate instance, SHIFT runs a single deterministic reasoning rollout and computes a reasoning-induced representation shift (RIRS) as the start-to-end hidden-state delta. SHIFT uses the RIRS magnitude as a lightweight proxy for instance utility and enforces coverage via a quality-weighted farthest-first CoreSet procedure in an RIRS-augmented feature space, producing compact subsets that scale to large unlabeled pools. Across mathematical reasoning and medical QA benchmarks under ultra-low budgets, SHIFT consistently outperforms training-free diversity and difficulty/uncertainty baselines, improving both in-domain accuracy and transfer to harder evaluation settings. Ablations show that RIRS-based coverage and quality-weighting contribute complementary gains, and analyses indicate that RIRS is not explained by simple input/output length statistics. Code is available at github.com/JianghaoWu/SHIFT.

Jiayi Chen, Benteng Ma, Zehui Liao et al.

While medical Multimodal Large Language Models (MLLMs) have shown promise in assisting diagnosis, they still frequently generate hallucinated responses that appear linguistically plausible but lack visual evidence. Such hallucinations pose risks to clinical decision-making and necessitate effective detection. Existing introspective detection methods primarily perform uncertainty estimation or logical verification by analyzing model responses conditioned on original or perturbed inputs. However, such external perturbations are often heuristic and context-agnostic, which overlooks the internal cross-modal dependency between generated tokens and related visual tokens during decoding. To address this issue, we propose VIHD, a Visual Intervention-based Hallucination Detection method that leverages targeted visual token masking to calibrate semantic entropy for more effective hallucination detection. VIHD locates visually dominant decoder layers via Visual Dependency Probing (VDP), executes Visual Intervention Decoding (VID) via token masking to calibrate the semantic distribution, and quantifies the resulting Calibrated Semantic Entropy (CSE) as a reliable hallucination signal. Extensive experiments on three medical VQA benchmarks with two medical MLLMs demonstrate that VIHD consistently outperforms state-of-the-art methods, underscoring the importance of fine-grained visual dependency for hallucination detection. The code will be available at https://github.com/Jiayi-Chen-AU/VIHD

Hongxi Yang, Yiwen Jiang, Siyuan Yan et al.

Interpretability is essential for trustworthy medical image diagnosis. However, existing concept-driven interpretable methods have key limitations: Concept Bottleneck Models (CBMs) require scoring all predefined concepts at inference time and for manual intervention, imposing a substantial burden on clinicians, while rationale-based generative approaches often select concepts by class discriminability, which can drift from diagnostic ontologies. To address these issues, we propose Neuro-Symbolic Rule Distillation (NeRD), a framework that produces efficient, ontology-grounded reasoning chains that are sufficient yet non-redundant, without manually crafting diagnostic rules. Experiments on two skin datasets demonstrate strong diagnostic performance and interpretability, and blinded expert evaluation confirms the clinical plausibility of NeRD rationales. Our method further enables a first expert-in-the-loop study for Multimodal Chain-of-Thought-based diagnosis, achieving efficient and effective concept-level intervention.