arXiv subjects

Quan Z. Sheng

Publications and source records attributed to Quan Z. Sheng.

At least 19 recordsLinked to original sources

arXiv2026

Medical Knowledge Simplification for Patients in the Era of LLMs: A Case Study on Diabetes

Complex medical information is often difficult for patients to understand, making effective medical knowledge simplification essential for improving patient comprehension, informed decision-making, and health outcomes. Recent advances in large language models (LLMs) provide a promising approach for simplifying complex medical information into patient-friendly language; however, their effectiveness in real-world patient education remains insufficiently explored through human evaluation. To investigate their practical effectiveness, this paper presents a case study on diabetes knowledge simplification through the implementation and evaluation of MediClear, an LLM-based medical knowledge simplification system enhanced with Retrieval-Augmented Generation (RAG). Public diabetes-related articles from Diabetes Australia, WHO, American Diabetes Association (ADA), NIDDK, and AIHW are indexed in the RAG knowledge base to retrieve clinically grounded information, which is then simplified by the LLM into accessible patient explanations. We evaluate the generated responses using standard readability metrics, including the Flesch-Kincaid Grade Level (FKGL), and conduct a human study involving 10 participants. Results show that MediClear consistently reduces the reading level of generated responses to the recommended patient literacy range while achieving high user satisfaction and willingness for future use. This case study demonstrates the potential of LLMs to improve the accessibility of medical knowledge for patient education.

cs.AI↗

arXiv2026

KREL: Automatic Medical Coding via Knowledge-Guided Reasoning over Clinical Evidence with LLMs

Automatic Medical Coding (AMC), which assigns standardized International Classification of Diseases (ICD) codes to clinical notes, is essential for medical reimbursement, quality reporting, and clinical research. Existing pre-trained language model (PLM)-based methods typically formulate AMC as an extreme multi-label classification problem over a predefined code set, while recent large language model (LLM)-based approaches instead frame it as generation or multi-step reasoning. However, key challenges remain, including the extreme length of clinical notes that hinders effective interpretation, the vast ICD label space, and complex coding rules that are not explicitly captured by LLMs. In this work, we propose Knowledge-Guided Reasoning over Clinical Evidence with LLMs (KREL), a framework that leverages LLMs for clinical text understanding and reasoning while integrating external ICD coding guidelines as structured knowledge. This design enables tight coupling between domain knowledge and LLM reasoning, reducing hallucinations and improving compliance with coding standards. Experiments on benchmark datasets show that KREL consistently outperforms strong PLM-based and state-of-the-art LLM-based baselines.

cs.CL↗

arXiv2026

DementiaCare-Bench: A Modality-Validated Video Benchmark

Dementia affects an estimated 57 million people worldwide, and for most families the hardest part of care is not memory loss but the behavioral and psychological symptoms of dementia (BPSD): agitation, wandering, resistance to care, sundowning. Understanding these symptoms requires more than recognizing the behavior itself; it also requires knowing what happened beforehand. The same behavior may call for a different response depending on its trigger. Video-language models (VLMs) could potentially support caregivers, yet no existing benchmark evaluates this capability. To fill this gap, we present DementiaCare-Bench: 56 professionally produced caregiver training videos segmented into 94 clips across nine BPSD categories, with 2023 questions generated by a multi-agent pipeline that grounds every clinical claim in a verbatim transcript span. Each question is then probed under four visual conditions and labelled by the least it requires, so its visual demand is measured rather than assumed. Measurement contradicts intent: we wrote 77.7% of the questions to require ordered frames, and 34.8% do. Across 12 current VLMs the pattern is uniform. The best reach 85% overall, but that average is carried by questions a language model can answer from clinical knowledge alone; accuracy falls by 17 points on average on questions that require the ordered clip, and a leading open model scores at chance on judging whether a caregiver's response was appropriate. A lightweight LoRA fine-tune, DemCare-VLM, moves video dependence from -3.3 to +4.5 points, so what the benchmark exposes can be repaired and not only measured.

cs.CV↗

arXiv2026

FraudBench: Protocol-Sensitive Benchmarking of Adversarial Robustness for Financial Risk Assessment

Machine learning models are widely used in financial fraud and credit-risk detection, yet their adversarial robustness remains difficult to evaluate because financial tabular data involve domain-specific constraints, severe class imbalance, and asymmetric attacker capability. We argue that, in this setting, robustness is not only an attribute of the model, but also an attribute of the evaluation protocol. Different ways of enforcing constraints and capability can lead to substantially different robustness conclusions. This paper presents FraudBench, a protocol-sensitive benchmark for adversarial robustness evaluation in financial fraud and credit-risk detection. Rather than treating domain constraints as post-hoc validity checks, FraudBench evaluates the same dataset--model--attack--defence setting under three matched protocols: unconstrained attacks, post-hoc feasibility filtering, and deployment-aware constraint-integrated attacks. FraudBench covers four public financial datasets, and evaluates neural, tree-based, and ensemble models using three attack settings. Our results show that robustness conclusions are highly protocol-sensitive. On Lending Club Loan Data under the white-box setting, post-hoc filtering leaves only 3.7 feasible-flipped examples on average, whereas in-attack projection with attacker mutability masking produces 2,832.3 feasible-flipped examples under the same perturbation budget. The results on IEEE-CIS further show that feasibility and attacker capability are separate axes, while black-box evaluation shows that protocol choice can alter model-family rankings. These findings suggest that fraud robustness evaluation should report predictive degradation and attack feasibility jointly, and should incorporate domain constraints into attack generation rather than treating them as post-processing checks.

cs.LG↗

arXiv2026

From Classification to Recommendation: Empirical Analysis of Audio Embedding Models Application for Content-Based Music Recommendation

Pretrained audio representation models learned from large-scale corpora have achieved strong performance in audio classification and understanding. However, most existing models are optimized for objectives such as masked prediction, contrastive learning, or audio-text alignment, which do not necessarily produce representation spaces well-suited to recommender systems. Unlike classification, music recommender systems must capture item relationships shaped by subjective and behavior-dependent listener preferences. Although pretrained audio embeddings have been explored in conventional recommender systems, their effectiveness in the rapidly emerging paradigm of generative recommender systems remains underexplored. To address this gap, we systematically evaluate six representative audio encoders across three types of music recommender systems: content-based, sequential, and Semantic-ID-based generative recommender systems. We further investigate how residual-quantization design, including codebook width, quantization depth, and retained Semantic-ID prefixes, affects the preservation of recommendation-relevant information. Experiments on two music recommendation datasets show that audio-text-aligned and music-domain representations are generally more effective when pretrained embedding geometry is used directly, whereas interaction-based sequential training substantially reduces performance differences among encoders. We also find that increasing Semantic-ID capacity does not consistently improve generative recommender systems and may introduce substantial instability. These findings provide practical guidance for selecting audio encoders and designing audio-derived Semantic IDs for modern music recommender systems.

cs.IR↗

arXiv2026

When Confidence Fails: Overconfidence in LLMs under Uncertainty and Missing Clinical Information

Large Language Models (LLMs) have achieved strong performance in medical question answering and clinical reasoning tasks. However, their reliability under uncertainty remains poorly understood which raises critical concerns for deployment in high-stakes clinical settings. In such environments, incorrect predictions are inherently risky, but confident incorrect predictions can be particularly harmful as they may mislead clinical decision-making. In this paper, we conduct a systematic behavioral analysis of LLMs under clinical information uncertainty. We propose an evaluation framework based on the MedMCQA dataset consisting of two complementary uncertainty settings. First, we introduce linguistic uncertainty cues through prompt modifications to simulate ambiguous clinical contexts. Second, we construct an answer removal setting, wherein the correct option is deliberately excluded mandating the model to recognize insufficient information and abstain. We analyze both model accuracy and confidence behavior using multiple calibration metrics including calibration gap, Expected Calibration Error (ECE), and Unsafe Confident Error Rate (UCER) across 500 medical questions. Our results reveal a consistent failure mode, i.e., although accuracy degrades under increasing uncertainty, model confidence remains misaligned with accuracy. This leads to a substantial increase in unsafe confident errors, indicating that model confidence remains largely insensitive to clinically meaningful information loss. Furthermore, we observe significant variation across models in their ability to abstain when the correct answer is unavailable, with some models persistently producing high confidence hallucinated answers. These findings expose critical limitations in the epistemic reliability of current LLMs and highlight the need for uncertainty aware evaluation methods prior to their deployment in clinical workflows.

cs.CL↗

arXiv2026

ProgFormer: Hierarchical Voxel Diffusion Transformer for Longitudinal Brain MRI Prediction

Predicting future structural MRI of a brain is challenging because longitudinal changes are often subtle and confined to specific anatomical regions, while most subject-specific brain structure remains stable over time. An effective model should therefore preserve global brain structural consistency while remaining sensitive to fine-grained disease progression. Existing latent-space-based methods improve computational efficiency, but suffer from information loss during their compression-reconstruction procedure. In contrast, direct voxel-space methods avoid latent reconstruction but commonly use a unified prediction pathway to model brain structure and progression-related changes. Subtle local changes may therefore be overshadowed by the dominant stable brain structure. To address these challenges, we propose ProgFormer, a hierarchical voxel-space Diffusion Transformer for longitudinal brain MRI prediction. ProgFormer uses a coarse pathway to perform the primary volumetric prediction from 3D patch tokens. This pathway models overall brain structure and longitudinal context. The fine pathway then uses the coarse representations as spatio-temporal grounding for voxel-level refinement within individual patches. The two pathways jointly estimate a velocity field directly in voxel space through conditional flow matching, enabling end-to-end prediction without a separately learned image autoencoder. The predicted future scan is then generated from Gaussian noise by integrating the estimated velocity field over a sequence of Euler steps. Extensive experimental results on three widely used benchmarks, ADNI, AIBL, and OASIS, under both pairwise and trajectory settings demonstrate favourable performance compared against several state-of-the-art methods.

cs.CV↗

arXiv2026

Agentic Metaverse Services: A New As-a-Service Paradigm

Generative Artificial Intelligence (GenAI) is reconstructing the digital virtual world, upgrading agents through enhancing their abilities in autonomous learning, multi-modal interaction, content generation, and collaborative decision-making. In particular, the shift from conversational chatbots to agentic AI, the most recent significant technical breakthrough of GenAI, has brought a new form of services, agentic services and Agent-as-a-Service (AaaS), in which the agent's abilities are encapsulated, such as perception, decision-making, execution, collaboration, and content generation, to provide the customized agent services to users. The metaverse is a virtual ecosystem for human life, work, creation, and entertainment, supported by the new generation of digital technologies. Through combining agentic services and the metaverse, an Agentic Metaverse Service, denoted as AMServ, is produced for metaverse business processing, as a new form of metaverse service. The AaaS in the metaverse environment, denoted as Meta-AaaS, as an approach to realize AMServ, has become a new paradigm of agentic services and service computing. This paper overviews the evolution and new features of agents and services empowered by GenAI, reveals the roles and principles of agentic services in the metaverse environment, presents the forms, characteristics, and principles of the AMServ and the Meta-AaaS, discusses the typical application examples of the AMServ and the Meta-AaaS, and finally points out the new tendencies and research directions of the AMServ and the Meta-AaaS. The AMServ and the Meta-AaaS will bring great opportunities to human society and services in the AI era, and promote the rapid development of emerging service industries in the future.

cs.SE↗

arXiv2026

Agentic Service-Oriented Computing: A Manifesto for the Next Frontier of Service-Oriented Computing

The rapid emergence of LLM-powered autonomous and semi-autonomous agents is reshaping software systems from static, request-response components into goal-directed, adaptive, and tool-using computational actors. As these agents move from isolated cognitive prototypes into complex distributed workflows, they confront challenges that the Service-Oriented Computing community has studied for more than two decades: composition, interoperability, quality of service, lifecycle management, governance, security, and trust. Yet much of today's agentic AI ecosystem is developing these foundations ad hoc, without the engineering rigour required for dependable enterprise and societal deployment. This paper introduces Agentic Service-Oriented Computing (ASOC) as a new research and practice area concerned with engineering agents as services, orchestrating services through autonomous and semi-autonomous agents, and governing ecosystems of agents and services under constraints of trust, cybersecurity, compliance, performance, and accountability. We articulate six foundational principles of ASOC (harness-ability, composability, lifecycle engineering, trustworthiness by design, goal-driven orchestration, and observability/accountability) and organise a five-dimensional research agenda spanning: (i) agentic services foundations and lifecycle engineering; (ii) composition, orchestration, and interoperability; (iii) governance, observability, and accountability; (iv) security, trust, and risk management; and (v) evaluation, certification, and Agentic QoS. We argue that the Services Computing community is especially well positioned to provide the conceptual and engineering spine for this emerging field, transforming agentic AI from fragmented demonstrations into dependable, service-based systems worthy of human and organisational trust.

cs.AI↗

arXiv2026

Seeing and Reflecting: Multimodal Memory-Enhanced Agent Collaboration for Recommendation

Large language model (LLM)-based agentic recommender systems show promise in modeling user preferences through natural-language reasoning, yet they remain limited by text-centric inputs and coarse-grained memory updates, making agents prone to missing visual evidence, semantic noise, and preference drift. To address these limitations, we propose MMEACR, a Multimodal Memory-Enhanced Agent Collaboration framework for recommendation. MMEACR introduces a dual-track memory architecture that separates interpretable agent reasoning from fine-grained multimodal matching. In the reasoning track, collaborative User and Item Memory Agents maintain persistent multimodal memories and update them through an attribute-guided reinforcement-and-reflection mechanism. In the matching track, a decoupled multi-modal embedding memory is built from raw interaction narratives and item images to preserve detailed cross-modal signals beyond structured memory updates. The two tracks are integrated through weighted Reciprocal Rank Fusion to produce robust and interpretable rankings. Experiments on three real-world domains show that MMEACR achieves strong overall performance against competitive LLM-based and agent-based baselines, with notable gains in visually grounded recommendation scenarios.

cs.IR↗

arXiv2026

Beam Hopping Low Earth Orbit Satellite Resource Allocation for Differentiated Services and Robustness Analysis under Model Attacks

Beam hopping (BH)-enabled Low Earth Orbit (LEO) satellites play a pivotal role in next-generation communication networks by providing global coverage, improving spectrum efficiency, and supporting flexible adaptation to heterogeneous service demands. To fully exploit these capabilities, artificial intelligence (AI) techniques are increasingly employed for dynamic resource allocation and power management. However, limited onboard resources and potential adversarial perturbations pose challenges to both efficiency and robustness. To address these issues, we leverage digital twin technology to accurately capture the spatio-temporal dynamics of user-satellite visibility, thereby providing precise state information for decision-making. Building on this, we formulate a joint optimization framework for BH scheduling and power allocation as a Markov Decision Process and propose BRIDGE, i.e., BH with Reinforcement learning incorporating Integrated Dirichlet and Gumbel-TopK Exploration, which integrates a quality of service (QoS)-driven subchannel scheduling mechanism to ensure efficient and differentiated resource allocation. The robustness of the model is systematically evaluated under three classical adversarial attacks. Simulation results demonstrate that the proposed approach achieves superior energy efficiency, service throughput, and fairness, while the robustness analysis shows stable performance under the considered bounded adversarial perturbations.

cs.NI↗

arXiv2026

Beyond Item Order: Temporal Gap Tokenization for Generative Recommendation with Semantic IDs

Semantic-ID-based generative recommendation has recently emerged as a scalable paradigm for sequential recommendation, where each item is represented by a compact sequence of discrete codes and next-item prediction is formulated as code generation. Existing methods, however, typically construct user histories as sequences of static item identifiers, leaving the elapsed time between consecutive interactions outside the generative input. This temporal blindness is problematic because inter-interaction gaps provide useful cues about interest continuity and preference drift. In this paper, we propose ChronoSID, a lightweight temporal augmentation framework for semantic-ID-based generative recommendation. ChronoSID injects temporal signals into the standard three-stage semantic-ID pipeline from two complementary perspectives. First, we introduce Time-Aware Field-Aware Masked Auto-Encoding (TA-FAMAE), which regularizes item representation learning with an auxiliary time-gap prediction objective. Second, we discretize historical interaction intervals into fixed log-scale gap tokens and interleave them with semantic ID tuples as the encoder input of the sequence-to sequence generator. This design preserves the compact SID generation paradigm while enabling the model to capture time-aware transition patterns. Experiments on Amazon review benchmarks show that ChronoSID consistently improves over ReSID and other competitive generative recommendation baselines. Ablation studies further verify the contribution of both temporal components, and diagnostic analyses show clearer gains under long-gap scenarios where user interests are more likely to drift.

cs.IR↗

arXiv2026

Teaching Prompts to Coordinate: Hierarchical Layer-Grouped Prompt Tuning for Continual Learning

Prompt-based continual learning methods fine-tune only a small set of additional learnable parameters while keeping the pre-trained model's parameters frozen. It enables efficient adaptation to new tasks while mitigating the risk of catastrophic forgetting. These methods typically attach one independent task-specific prompt to each layer of pre-trained models to locally modulate its features, ensuring that the layer's representation aligns with the requirements of the new task. However, although introducing learnable prompts independently at each layer provides high flexibility for adapting to new tasks, this overly flexible tuning could make certain layers susceptible to unnecessary updates. As all prompts till the current task are added together as a final prompt for all seen tasks, the model may easily overwrite feature representations essential to previous tasks, which increases the risk of catastrophic forgetting. To address this issue, we propose a novel hierarchical layer-grouped prompt tuning method for continual learning. It improves model stability in two ways: (i) Layers in the same group share roughly the same prompts, which are adjusted by position encoding. This helps preserve the intrinsic feature relationships and propagation pathways of the pre-trained model within each group. (ii) It utilizes a single task-specific root prompt to learn to generate sub-prompts for each layer group. In this way, all sub-prompts are conditioned on the same root prompt, enhancing their synergy and reducing independence. Extensive experiments across four benchmarks demonstrate that our method achieves favorable performance compared with several state-of-the-art methods.

cs.CV↗

arXiv2026

MEG-RAG: Quantifying Multi-modal Evidence Grounding for Evidence Selection in RAG

Multimodal Retrieval-Augmented Generation (MRAG) addresses key limitations of Multimodal Large Language Models (MLLMs), such as hallucination and outdated knowledge. However, current MRAG systems struggle to distinguish whether retrieved multimodal data truly supports the semantic core of an answer or merely provides superficial relevance. Existing metrics often rely on heuristic position-based confidence, which fails to capture the informational density of multimodal entities. To address this, we propose Multi-modal Evidence Grounding (MEG), a semantic-aware metric that quantifies the contribution of retrieved evidence. Unlike standard confidence measures, MEG utilizes Semantic Certainty Anchoring, focusing on high-IDF information-bearing tokens that better capture the semantic core of the answer. Building on MEG, we introduce MEG-RAG, a framework that trains a multimodal reranker to align retrieved evidence with the semantic anchors of the ground truth. By prioritizing high-value content based on semantic grounding rather than token probability distributions, MEG-RAG improves the accuracy and multimodal consistency of generated outputs. Extensive experiments on the M$^2$RAG benchmark show that MEG-RAG consistently outperforms strong baselines and demonstrates robust generalization across different teacher models.

cs.CL↗

arXiv2026

Purifying Multimodal Retrieval: Fragment-Level Evidence Selection for RAG

Multimodal Retrieval-Augmented Generation (MRAG) is widely adopted for Multimodal Large Language Models (MLLMs) with external evidence to reduce hallucinations. Despite its success, most existing MRAG frameworks treat retrieved evidence as indivisible documents, implicitly assuming that all content within a document is equally informative. In practice, however, sometimes only a small fraction of a document is relevant to a given query, while the remaining content introduces substantial noise that may lead to performance degradation. We address this fundamental limitation by reframing MRAG as a fine-grained evidence selection problem. We propose Fragment-level Evidence Selection for RAG (FES-RAG), a framework that selects atomic multimodal fragments rather than entire documents as grounding evidence. FES-RAG decomposes retrieved multimodal documents into sentence-level textual fragments and region-level visual fragments, enabling precise identification of evidence that directly supports generation. To guide fragment selection, we introduce Fragment Information Gain (FIG), a principled metric that measures the marginal contribution of each fragment to the MLLM's generation confidence. Based on FIG, we distill fragment-level utility judgments from a high-capacity MLLM into a lightweight selector, achieving accurate evidence selection with low inference overhead. Experiments on the M2RAG benchmark show that FES-RAG consistently outperforms state-of-the-art document-level MRAG methods, achieving up to 27 percent relative improvement in CIDEr. By selecting fewer yet more informative fragments, our approach substantially reduces context length while improving factual accuracy and generation coherence.

cs.IR↗

arXiv2026

Beyond Fine-Tuning: In-Context Learning and Chain-of-Thought for Reasoned Distractor Generation

Distractor generation (DG) remains a labor-intensive task that still significantly depends on domain experts. The task focuses on generating plausible yet incorrect options, known as distractors, for multiple-choice questions. A reliable distractor must be contextually relevant to the question and able to mislead examinees through implicit reasoning when identifying the correct answer. While a recent method integrates fine-tuning pre-trained encoder-decoder models with contrastive learning to generate semantically relevant distractors for a given question-answer, it often fails to capture the underlying reasoning process that experts utilize when selecting distractors in benchmarks. In this paper, we explore large language models (LLMs) reasoning for DG through in-context learning with unsupervised semantic retrieval for selecting few-shot examples. We design a rationale-augmented DG framework that jointly generates distractors and their rationales for a given question-answer. Extensive experiments on six benchmarks, with varying average distractor lengths and domains, demonstrate that prompting LLMs with few-shot examples substantially improves the performance compared to recent DG models. It outperforms recent approaches and achieves state-of-the-art results in generating reasoned distractors that align with human-labeled benchmarks.

cs.CL↗

arXiv2026

AgenticAI-DialogGen: Topic-Guided Conversation Generation for Fine-Tuning and Evaluating Short- and Long-Term Memories of LLMs

Recent advancements in Large Language Models (LLMs) have improved their ability to process extended conversational contexts, yet fine-tuning and evaluating short- and long-term memories remain difficult due to the absence of datasets that encode both short- and long-term conversational history. Existing conversational datasets lack memory grounding, overlook topic continuity, or rely on costly human annotation. To address these gaps, we introduce AgenticAI-DialogGen, a modular agent-based framework that generates persona-grounded and topic-guided conversations without human supervision. The framework uses LLM agents to extract knowledge graphs, identify topics, build speaker personas, and simulate topic-guided conversations from unstructured conversations. A QA module generates memory-grounded Question Answer (QA) pairs drawn from short- and long-term conversational histories. We also generated a new dataset entitled, TopicGuidedChat (TGC), where long-term memory is encoded as speaker-specific knowledge graphs and short-term memory as newly generated topic-guided conversations. Evaluations depict that AgenticAI-DialogGen yields higher conversational quality and LLMs fine-tuned on TGC dataset achieve improved performance on memory-grounded QA tasks.

cs.CL↗

arXiv2026

Unlocking Prototype Potential: An Efficient Tuning Framework for Few-Shot Class-Incremental Learning

Few-shot class-incremental learning (FSCIL) seeks to continuously learn new classes from very limited samples while preserving previously acquired knowledge. Traditional methods often utilize a frozen pre-trained feature extractor to generate static class prototypes, which suffer from the inherent representation bias of the backbone. While recent prompt-based tuning methods attempt to adapt the backbone via minimal parameter updates, given the constraint of extreme data scarcity, the model's capacity to assimilate novel information and substantively enhance its global discriminative power is inherently limited. In this paper, we propose a novel shift in perspective: freezing the feature extractor while fine-tuning the prototypes. We argue that the primary challenge in FSCIL is not feature acquisition, but rather the optimization of decision regions within a static, high-quality feature space. To this end, we introduce an efficient prototype fine-tuning framework that evolves static centroids into dynamic, learnable components. The framework employs a dual-calibration method consisting of class-specific and task-aware offsets. These components function synergistically to improve the discriminative capacity of prototypes for ongoing incremental classes. Extensive results demonstrate that our method attains superior performance across multiple benchmarks while requiring minimal learnable parameters.

cs.CV↗