arXiv subjects

Jianing Qiu

Publications and source records attributed to Jianing Qiu.

At least 19 recordsLinked to original sources

arXiv2026

GPAgentBench-2K: Benchmarking Large Language Model Agents in Complex Clinical Action Space

Large Language Models (LLMs) show great potential as clinical agents, yet existing benchmarks reduce clinical workflows to static predictions or unconstrained Markov Decision Processes (MDPs) with coarse action sets. To address this, we introduce GPAgentBench-2K, the first Constrained MDP (CMDP) LLM-agent benchmark for primary-care clinical decision-making, constructed from expert-validated records of real-world GP encounters. Our environment models a full spectrum of six foundational clinical actions, imposes a topological workflow prior over the action space, and operationalizes safety-informed abstention as a first-class outcome. Evaluating 16 state-of-the-art LLMs reveals a significant performance degradation as the action space scales. Crucially, we uncover a clinical quality-safety gap: even frontier models with the highest diagnosis accuracy violate safety constraints in over half of high-risk cases. Finally, we establish a reference point using Constrained Group Relative Policy Optimization (C-GRPO), and show that while explicitly modeling constraints improves performance over unconstrained RL methods, it remains far from clinically acceptable safety.

cs.CL↗

arXiv2026

Revisiting Greedy Decoding for Visual Question Answering: A Calibration Perspective

Stochastic sampling strategies are widely adopted in large language models (LLMs) to balance output coherence and diversity. These heuristics are often inherited in Multimodal LLMs (MLLMs) without task-specific justification. However, we contend that stochastic decoding can be suboptimal for Visual Question Answering (VQA). VQA is a closed-ended task with head-heavy answer distributions where uncertainty is usually epistemic, arising from missing or ambiguous visual evidence rather than plausible continuations. In this work, we provide a theoretical formalization of the relationship between model calibration and predictive accuracy, and derive the sufficient conditions for greedy decoding optimality. Extensive experiments provide empirical evidence for the superiority of greedy decoding over stochastic sampling across multiple benchmarks. Furthermore, we propose Greedy Decoding for Reasoning Models, which outperforms both stochastic sampling and standard greedy decoding in multimodal reasoning scenarios. Overall, our results caution against naively inheriting LLMs decoding heuristics in MLLMs and demonstrate that greedy decoding can be an efficient yet strong default for VQA.

cs.CL↗

arXiv2026

CaseWeaver: A Multi-Agent Framework for Multimodal Virtual Clinical Case Generation

Clinical diagnosis relies on consistent multimodal data collected from the same patient throughout the disease course, yet such data are difficult to acquire at scale because of collection costs, missing modalities, fragmented systems, and longitudinal follow-ups. Existing synthetic-data approaches largely focus on individual modalities or vision-language dual modalities at report-level generation. Little work has been done to construct synthetic data with consistent patient backgrounds, coherent disease trajectories, and interrelated modality-specific evidence at a complete clinical case level. We introduce CaseWeaver, a multi-agent framework built around a timeline-anchored Latent Clinical Case Graph (LCCG). The LCCG organizes patient context, latent disease states, clinical events, and expected observations in a shared patient-level representation. Modality-agents use scoped observation subgraphs and clinical protocols to generate evidence including clinical records, laboratory results, physiological signals, and medical images. We evaluate clinical inferability using a calibrated AgentClinic protocol and case diversity using Virtual Case Diversity (VCD) score. CaseWeaver outperformed general-model and agentic-workflow baselines on both metrics, producing more diverse and coherent multimodal virtual clinical cases.

cs.MA↗

arXiv2026

Gaming AI-Assisted Peer Reviews Poses New Risks to the Scientific Community

AI is increasingly used to support scientific peer review, from manuscript screening, reviewer assistance to editorial triage. Although such systems promise to reduce reviewer burden and accelerate publication, their robustness to strategic manipulation remains poorly understood. Here we show that AI-mediated peer review is vulnerable to a simple, low-cost manipulation: superficial rephrasing of the manuscript abstract. Without changing the underlying scientific content and communication, and even without knowledge of the reviewing model, adversarially rewritten abstracts substantially improve AI review outcomes. We see this across disciplines and publication venues, for both human-written and AI-generated papers. Our strongest attack achieves an attack-success-rate of about 38%, increasing acceptance ratings by +1.31 for Gemini 3 Flash reviewers and by +0.88 for GPT 5.4 Mini reviewers on a 10-point scale. When the original AI review suggests 'reject', the success rate rises to more than 50%. This effect extends beyond overall score inflation, increasing review confidence and scores on core scientific criteria such as soundness, significance and perceived contribution. The attack is practical, requiring only about 5 minutes and $1 for a 10-page AI conference submission, and is hard to distinguish from ordinary scientific editing. Inflated AI reviews could bias downstream human decision-making, shifting editorial recommendations from rejection towards acceptance. These findings reveal a general vulnerability in AI-assisted scientific evaluation: when AI-generated review influence editorial decisions, authors may be incentivized to optimize manuscripts for AI judgment rather than scientific merit. Our results suggest that AI tools should not be treated as neutral evaluators in high-stakes peer review without systematic robustness testing, transparent safeguards and careful human oversight.

cs.CL↗

arXiv2026

MEDSYN: Benchmarking Multi-EviDence SYNthesis in Complex Clinical Cases for Multimodal Large Language Models

Multimodal large language models (MLLMs) have shown great potential in medical applications, yet existing benchmarks inadequately capture real-world clinical complexity. We introduce MEDSYN, a multilingual, multimodal benchmark of highly complex clinical cases with up to 7 distinct visual clinical evidence (CE) types per case. Mirroring clinical workflow, we evaluate 18 MLLMs on differential diagnosis (DDx) generation and final diagnosis (FDx) selection. While top models often match or even outperform human experts on DDx generation, all MLLMs exhibit a much larger DDx--FDx performance gap compared to expert clinicians, indicating a failure mode in synthesis of heterogeneous CE types. Ablations attribute this failure to (i) overreliance on less discriminative textual CE ($\it{e.g.}$, medical history) and (ii) a cross-modal CE utilization gap. We introduce Evidence Sensitivity to quantify the latter and show that a smaller gap correlates with higher diagnostic accuracy. Finally, we demonstrate how it can be used to guide interventions to improve model performance. We will open-source our benchmark and code.

cs.CL↗

arXiv2026

Mask What Matters: Mitigating Object Hallucinations in Multimodal Large Language Models with Object-Aligned Visual Contrastive Decoding

We study object hallucination in Multimodal Large Language Models (MLLMs) and improve visual contrastive decoding (VCD) by constructing an object-aligned auxiliary view. We leverage object-centric attention in self-supervised Vision Transformers. In particular, we remove the most salient visual evidence to construct an auxiliary view that disrupts unsupported tokens and produces a stronger contrast signal. Our method is prompt-agnostic, model-agnostic, and can be seamlessly plugged into the existing VCD pipeline with little computation overhead, i.e., a single cacheable forward pass. Empirically, our method demonstrates consistent gains on two popular object hallucination benchmarks across two MLLMs.

cs.CV↗

arXiv2025

Towards Robust Protective Perturbation against DeepFake Face Swapping

DeepFake face swapping enables highly realistic identity forgeries, posing serious privacy and security risks. A common defence embeds invisible perturbations into images, but these are fragile and often destroyed by basic transformations such as compression or resizing. In this paper, we first conduct a systematic analysis of 30 transformations across six categories and show that protection robustness is highly sensitive to the choice of training transformations, making the standard Expectation over Transformation (EOT) with uniform sampling fundamentally suboptimal. Motivated by this, we propose Expectation Over Learned distribution of Transformation (EOLT), the framework to treat transformation distribution as a learnable component rather than a fixed design choice. Specifically, EOLT employs a policy network that learns to automatically prioritize critical transformations and adaptively generate instance-specific perturbations via reinforcement learning, enabling explicit modeling of defensive bottlenecks while maintaining broad transferability. Extensive experiments demonstrate that our method achieves substantial improvements over state-of-the-art approaches, with 26% higher average robustness and up to 30% gains on challenging transformation categories.

cs.CV↗

arXiv2025

Recognizing Pneumonia in Real-World Chest X-rays with a Classifier Trained with Images Synthetically Generated by Nano Banana

We trained a classifier with synthetic chest X-ray (CXR) images generated by Nano Banana, the latest AI model for image generation and editing, released by Google. When directly applied to real-world CXRs having only been trained with synthetic data, the classifier achieved an AUROC of 0.923 (95% CI: 0.919 - 0.927), and an AUPR of 0.900 (95% CI: 0.894 - 0.907) in recognizing pneumonia in the 2018 RSNA Pneumonia Detection dataset (14,863 CXRs), and an AUROC of 0.824 (95% CI: 0.810 - 0.836), and an AUPR of 0.913 (95% CI: 0.904 - 0.922) in the Chest X-Ray dataset (5,856 CXRs). These external validation results on real-world data demonstrate the feasibility of this approach and suggest potential for synthetic data in medical AI development. Nonetheless, several limitations remain at present, including challenges in prompt design for controlling the diversity of synthetic CXR data and the requirement for post-processing to ensure alignment with real-world data. However, the growing sophistication and accessibility of medical intelligence will necessitate substantial validation, regulatory approval, and ethical oversight prior to clinical translation.

cs.CV↗

arXiv2025

Benchmarking the Thinking Mode of Multimodal Large Language Models in Clinical Tasks

A recent advancement in Multimodal Large Language Models (MLLMs) research is the emergence of "reasoning MLLMs" that offer explicit control over their internal thinking processes (normally referred as the "thinking mode") alongside the standard "non-thinking mode". This capability allows these models to engage in a step-by-step process of internal deliberation before generating a final response. With the rapid transition to and adoption of these "dual-state" MLLMs, this work rigorously evaluated how the enhanced reasoning processes of these MLLMs impact model performance and reliability in clinical tasks. This paper evaluates the active "thinking mode" capabilities of two leading MLLMs, Seed1.5-VL and Gemini-2.5-Flash, for medical applications. We assessed their performance on four visual medical tasks using VQA-RAD and ROCOv2 datasets. Our findings reveal that the improvement from activating the thinking mode remains marginal compared to the standard non-thinking mode for the majority of the tasks. Their performance on complex medical tasks such as open-ended VQA and medical image interpretation remains suboptimal, highlighting the need for domain-specific medical data and more advanced methods for medical knowledge integration.

cs.CL↗

arXiv2025

Diagnosing Shoulder Disorders Using Multimodal Large Language Models and Consumer-Grade Cameras

Shoulder disorders, such as frozen shoulder (a.k.a., adhesive capsulitis), are common conditions affecting the health of people worldwide, and have a high incidence rate among the elderly and workers engaged in repetitive shoulder tasks. In regions with scarce medical resources, achieving early and accurate diagnosis poses significant challenges, and there is an urgent need for low-cost and easily scalable auxiliary diagnostic solutions. This research introduces videos captured by consumer-grade devices as the basis for diagnosis, reducing the cost for users. We focus on the innovative application of Multimodal Large Language Models (MLLMs) in the preliminary diagnosis of shoulder disorders and propose a Hybrid Motion Video Diagnosis framework (HMVDx). This framework divides the two tasks of action understanding and disease diagnosis, which are respectively completed by two MLLMs. In addition to traditional evaluation indicators, this work proposes a novel metric called Usability Index by the logical process of medical decision-making (action recognition, movement diagnosis, and final diagnosis). This index evaluates the effectiveness of MLLMs in the medical field from the perspective of the entire medical diagnostic pathway, revealing the potential value of low-cost MLLMs in medical applications for medical practitioners. In experimental comparisons, the accuracy of HMVDx in diagnosing shoulder joint injuries has increased by 79.6\% compared with direct video diagnosis, a significant technical contribution to future research on the application of MLLMs for video understanding in the medical field.

cs.CV↗

arXiv2025

Research Challenges and Progress in the End-to-End V2X Cooperative Autonomous Driving Competition

With the rapid advancement of autonomous driving technology, vehicle-to-everything (V2X) communication has emerged as a key enabler for extending perception range and enhancing driving safety by providing visibility beyond the line of sight. However, integrating multi-source sensor data from both ego-vehicles and infrastructure under real-world constraints, such as limited communication bandwidth and dynamic environments, presents significant technical challenges. To facilitate research in this area, we organized the End-to-End Autonomous Driving through V2X Cooperation Challenge, which features two tracks: cooperative temporal perception and cooperative end-to-end planning. Built on the UniV2X framework and the V2X-Seq-SPD dataset, the challenge attracted participation from over 30 teams worldwide and established a unified benchmark for evaluating cooperative driving systems. This paper describes the design and outcomes of the challenge, highlights key research problems including bandwidth-aware fusion, robust multi-agent planning, and heterogeneous sensor integration, and analyzes emerging technical trends among top-performing solutions. By addressing practical constraints in communication and data fusion, the challenge contributes to the development of scalable and reliable V2X-cooperative autonomous driving systems.

cs.RO↗

arXiv2025

SynapseRoute: An Auto-Route Switching Framework on Dual-State Large Language Model

With the widespread adoption of large language models (LLMs) in practical applications, selecting an appropriate model requires balancing not only performance but also operational cost. The emergence of reasoning-capable models has further widened the cost gap between "thinking" (high reasoning) and "non-thinking" (fast, low-cost) modes. In this work, we reveal that approximately 58% of medical questions can be accurately answered by the non-thinking mode alone, without requiring the high-cost reasoning process. This highlights a clear dichotomy in problem complexity and suggests that dynamically routing queries to the appropriate mode based on complexity could optimize accuracy, cost-efficiency, and overall user experience. Based on this, we further propose SynapseRoute, a machine learning-based dynamic routing framework that intelligently assigns input queries to either thinking or non-thinking modes. Experimental results on several medical datasets demonstrate that SynapseRoute not only improves overall accuracy (0.8390 vs. 0.8272) compared to the thinking mode alone but also reduces inference time by 36.8% and token consumption by 39.66%. Importantly, qualitative analysis indicates that over-reasoning on simpler queries can lead to unnecessary delays and even decreased accuracy, a pitfall avoided by our adaptive routing. Finally, this work further introduces the Accuracy-Inference-Token (AIT) index to comprehensively evaluate the trade-offs among accuracy, latency, and token cost.

cs.CL↗

arXiv2025

AI Hiring with LLMs: A Context-Aware and Explainable Multi-Agent Framework for Resume Screening

Resume screening is a critical yet time-intensive process in talent acquisition, requiring recruiters to analyze vast volume of job applications while remaining objective, accurate, and fair. With the advancements in Large Language Models (LLMs), their reasoning capabilities and extensive knowledge bases demonstrate new opportunities to streamline and automate recruitment workflows. In this work, we propose a multi-agent framework for resume screening using LLMs to systematically process and evaluate resumes. The framework consists of four core agents, including a resume extractor, an evaluator, a summarizer, and a score formatter. To enhance the contextual relevance of candidate assessments, we integrate Retrieval-Augmented Generation (RAG) within the resume evaluator, allowing incorporation of external knowledge sources, such as industry-specific expertise, professional certifications, university rankings, and company-specific hiring criteria. This dynamic adaptation enables personalized recruitment, bridging the gap between AI automation and talent acquisition. We assess the effectiveness of our approach by comparing AI-generated scores with ratings provided by HR professionals on a dataset of anonymized online resumes. The findings highlight the potential of multi-agent RAG-LLM systems in automating resume screening, enabling more efficient and scalable hiring workflows.

cs.CL↗

arXiv2025

Emerging Cyber Attack Risks of Medical AI Agents

Large language models (LLMs)-powered AI agents exhibit a high level of autonomy in addressing medical and healthcare challenges. With the ability to access various tools, they can operate within an open-ended action space. However, with the increase in autonomy and ability, unforeseen risks also arise. In this work, we investigated one particular risk, i.e., cyber attack vulnerability of medical AI agents, as agents have access to the Internet through web browsing tools. We revealed that through adversarial prompts embedded on webpages, cyberattackers can: i) inject false information into the agent's response; ii) they can force the agent to manipulate recommendation (e.g., healthcare products and services); iii) the attacker can also steal historical conversations between the user and agent, resulting in the leak of sensitive/private medical information; iv) furthermore, the targeted agent can also cause a computer system hijack by returning a malicious URL in its response. Different backbone LLMs were examined, and we found such cyber attacks can succeed in agents powered by most mainstream LLMs, with the reasoning models such as DeepSeek-R1 being the most vulnerable.

cs.CR↗

arXiv2024

Artificial Intelligence for Biomedical Video Generation

As a prominent subfield of Artificial Intelligence Generated Content (AIGC), video generation has achieved notable advancements in recent years. The introduction of Sora-alike models represents a pivotal breakthrough in video generation technologies, significantly enhancing the quality of synthesized videos. Particularly in the realm of biomedicine, video generation technology has shown immense potential such as medical concept explanation, disease simulation, and biomedical data augmentation. In this article, we thoroughly examine the latest developments in video generation models and explore their applications, challenges, and future opportunities in the biomedical sector. We have conducted an extensive review and compiled a comprehensive list of datasets from various sources to facilitate the development and evaluation of video generative models in biomedicine. Given the rapid progress in this field, we have also created a github repository to regularly update the advances of biomedical video generation at: https://github.com/Lee728243228/Biomedical-Video-Generation

cs.CV↗

arXiv2024

MEDCO: Medical Education Copilots Based on A Multi-Agent Framework

Large language models (LLMs) have had a significant impact on diverse research domains, including medicine and healthcare. However, the potential of LLMs as copilots in medical education remains underexplored. Current AI-assisted educational tools are limited by their solitary learning approach and inability to simulate the multi-disciplinary and interactive nature of actual medical training. To address these limitations, we propose MEDCO (Medical EDucation COpilots), a novel multi-agent-based copilot system specially developed to emulate real-world medical training environments. MEDCO incorporates three primary agents: an agentic patient, an expert doctor, and a radiologist, facilitating a multi-modal and interactive learning environment. Our framework emphasizes the learning of proficient question-asking skills, multi-disciplinary collaboration, and peer discussions between students. Our experiments show that simulated virtual students who underwent training with MEDCO not only achieved substantial performance enhancements comparable to those of advanced models, but also demonstrated human-like learning behaviors and improvements, coupled with an increase in the number of learning samples. This work contributes to medical education by introducing a copilot that implements an interactive and collaborative learning approach. It also provides valuable insights into the effectiveness of AI-integrated training paradigms.

cs.AI↗

arXiv2024

AROID: Improving Adversarial Robustness Through Online Instance-Wise Data Augmentation

Deep neural networks are vulnerable to adversarial examples. Adversarial training (AT) is an effective defense against adversarial examples. However, AT is prone to overfitting which degrades robustness substantially. Recently, data augmentation (DA) was shown to be effective in mitigating robust overfitting if appropriately designed and optimized for AT. This work proposes a new method to automatically learn online, instance-wise, DA policies to improve robust generalization for AT. This is the first automated DA method specific for robustness. A novel policy learning objective, consisting of Vulnerability, Affinity and Diversity, is proposed and shown to be sufficiently effective and efficient to be practical for automatic DA generation during AT. Importantly, our method dramatically reduces the cost of policy search from the 5000 hours of AutoAugment and the 412 hours of IDBH to 9 hours, making automated DA more practical to use for adversarial robustness. This allows our method to efficiently explore a large search space for a more effective DA policy and evolve the policy as training progresses. Empirically, our method is shown to outperform all competitive DA methods across various model architectures and datasets. Our DA policy reinforced vanilla AT to surpass several state-of-the-art AT methods regarding both accuracy and robustness. It can also be combined with those advanced AT methods to further boost robustness. Code and pre-trained models are available at https://github.com/TreeLLi/AROID.

cs.CV↗

arXiv2024

Aria-NeRF: Multimodal Egocentric View Synthesis

We seek to accelerate research in developing rich, multimodal scene models trained from egocentric data, based on differentiable volumetric ray-tracing inspired by Neural Radiance Fields (NeRFs). The construction of a NeRF-like model from an egocentric image sequence plays a pivotal role in understanding human behavior and holds diverse applications within the realms of VR/AR. Such egocentric NeRF-like models may be used as realistic simulations, contributing significantly to the advancement of intelligent agents capable of executing tasks in the real-world. The future of egocentric view synthesis may lead to novel environment representations going beyond today's NeRFs by augmenting visual data with multimodal sensors such as IMU for egomotion tracking, audio sensors to capture surface texture and human language context, and eye-gaze trackers to infer human attention patterns in the scene. To support and facilitate the development and evaluation of egocentric multimodal scene modeling, we present a comprehensive multimodal egocentric video dataset. This dataset offers a comprehensive collection of sensory data, featuring RGB images, eye-tracking camera footage, audio recordings from a microphone, atmospheric pressure readings from a barometer, positional coordinates from GPS, connectivity details from Wi-Fi and Bluetooth, and information from dual-frequency IMU datasets (1kHz and 800Hz) paired with a magnetometer. The dataset was collected with the Meta Aria Glasses wearable device platform. The diverse data modalities and the real-world context captured within this dataset serve as a robust foundation for furthering our understanding of human behavior and enabling more immersive and intelligent experiences in the realms of VR, AR, and robotics.

cs.CV↗