arXiv subjects

Sudarshan Regmi

Publications and source records attributed to Sudarshan Regmi.

11 recordsLinked to original sources

arXiv2026

Scaling Therapy Supervision: Assessing Psychotherapy Fidelity Using Large Language Models

Psychotherapy fidelity assessment measures how faithfully a therapist adheres to a treatment protocol, a critical determinant of positive patient outcomes. However, fidelity assessment is bottlenecked by manual expert review, rendering the process labor-intensive and unscalable. To scale therapy supervision and support clinician self-learning, we present an integrated application of large language models (LLMs) that automates psychotherapy fidelity workflows and generates actionable supervisory feedback from authentic, long-form clinical transcripts. We evaluate three open-weight models across multiple task decomposition configurations and reasoning strategies, demonstrating that evidence-first reasoning improves fidelity estimation. Furthermore, we establish the framework's external construct validity on an independent randomized controlled trial (RCT), where it reliably distinguishes Cognitive Behavioral Therapy (CBT) from non-CBT sessions across core therapeutic skills. Through a user study that evaluates the generated feedback, mental health experts indicate that the pipeline synthesizes actionable clinical feedback. Ultimately, our work offers a practical, scalable solution toward bridging the community mental health supervision gap.

cs.CL↗

arXiv2026

MontageFlow: Physically Valid High Fidelity EEG Generation

Generative modeling offers a promising solution to the scarcity of labeled clinical electroencephalography (EEG) data under strict privacy constraints. Although recent generative models report substantial improvements in generation fidelity, we show that these gains conceal a categorical failure. EEG is not an arbitrary multichannel signal: each channel records the voltage difference between two scalp electrodes. So, real recordings satisfy exact linear identities among their channels. Current generators invariably violate these identities, yet this has gone unnoticed. We therefore propose MontageFlow, a flow-matching model that enforces these identities by restricting its output to signals that satisfy them. We find that ensuring validity improves fidelity too. Furthermore, to retain the EEG characteristics that oversmoothing washes out, we also condition the model on a physiological state vector encoded from the whole EEG window. For generation, this vector is drawn from a prior fitted in latent space. Across 3 large-scale benchmarks, our model improves TS-FID by 1.6-3.6$\times$ over the closest rival while ensuring validity.

cs.AI↗

arXiv2026

Lapras: Latent Reasoning for Time Series Language Models

Time Series Language Models (TSLMs) offer a promising path toward time series understanding by reasoning over temporal signals and producing natural language answers and explanations. A common approach is Chain-of-Thought (CoT), which generates step-by-step rationales linking relevant signal patterns to final answers. Although these models learn from reference CoT traces during post-training, generating faithful descriptions of input time series at inference remains challenging. Expressing high-dimensional, continuous temporal representations in discrete language tokens may cause the model to neglect task-relevant patterns or describe them inaccurately. Because later reasoning steps build on these descriptions, early errors propagate, leading to incorrect answers with plausible explanations that are inconsistent with the input signal. We propose Lapras (Latent Post-trained Reasoning Across Series), a post-training framework that equips TSLMs with latent reasoning. A model trained with Lapras reasons through a sequence of continuous thoughts in the joint time series-language space, producing text only for the final answer. It learns this through teacher-student self-distillation, where a teacher trained on CoT reference traces reasons explicitly through text. The student aligns its hidden states with the teacher's at the answer stage, transferring the teacher's reasoning ability into its latent computation. We evaluate Lapras across four TSLM backbones on five time series question answering benchmarks. Lapras improves average F1 by up to 10.79% over explicit CoT while generating 23.9x fewer tokens. Lapras's continuous thoughts can also be decoded into readable reasoning traces via standard language decoding, preserving textual explanations. Together, these results highlight Lapras as a promising post-training paradigm for efficient, effective, and interpretable TSLM reasoning.

cs.CL↗

arXiv2026

Learning Transferable Sensor Models via Language-Informed Pretraining

Multimodal language models have demonstrated strong semantic understanding and reasoning over physiological and behavioral signals captured from diverse healthcare sensors. However, existing sensor-language models can only process a fixed number of sensor channels at a fixed sampling rate, making them difficult to adapt to new or different sensor configurations. This inflexibility prevents models from generalizing across heterogeneous health sensing ecosystems, where data spans high-frequency wearable streams to sparse, day-scale clinical signals. To bridge this gap, we introduce SLIP (Sensor Language-Informed Pretraining), an open-source framework for learning language-aligned representations that generalize across diverse sensor setups. SLIP integrates contrastive alignment with sensor-conditioned captioning, facilitating both discriminative understanding and generative reasoning. By repurposing a pretrained decoder-only language model via cross-attention and introducing a flexible patch embedder, SLIP transfers to new sensor configurations at inference without retraining, regardless of their native sampling rate or input length. Across 11 datasets, SLIP demonstrates superior performance in retrieval, signal captioning, and question answering. It achieves a 77.14% average linear-probing accuracy, a 3.56% improvement over the strongest baseline (SensorLM). Beyond classification, SLIP supports open-vocabulary sensor captioning and question answering without any architectural modifications. Our work offers broad implications for the development of sensor-language models, utilizing cross-modal supervision to ensure more robust generalizability in health sensing applications.

cs.AI↗

arXiv2026

TimeThink: Eliciting Compositional Reasoning in Timeseries Large Language Models

Timeseries multimodal large language models (TS-MLLMs) have recently begun leveraging the reasoning capabilities of large language models (LLMs) for question-answering tasks. However, these models often fail to capture dynamic temporal patterns, providing only implicit reasoning that lacks the underlying explanations critical for high-stakes applications like healthcare. While reinforcement learning (RL)-based timeseries language models aim to address this, they often fall short because they are trained on narrow, in-distribution data and struggle with out-of-distribution compositional questions. To address these challenges, we present TimeThink, a synthetic framework for eliciting compositional timeseries reasoning. Core timeseries primitives (e.g., trend, seasonality) are domain-independent and can be deterministically generated. Guided by this premise, TimeThink first designs a synthetic data generator that produces atomic and composite question-answer pairs, providing objective ground truth with reasoning traces. Building on this framework, TimeThink employs a reinforcement learning with verifiable rewards (RLVR) training strategy that encourages explicit reasoning. Unlike template-reliant methods, this approach enables the model to learn the underlying logic of composition rather than simply imitating traces. Extensive experiments show that TimeThink, trained only on synthetic data, significantly outperforms strong baselines on both synthetic and real-world benchmarks.

cs.AI↗

arXiv2026

BALMS: Benchmarking Agentic LLMs for Longitudinal Mental Health Sensing

Mental health assessment relies on episodic self-report scales, which convert subjective states such as stress into numerical scores but provide only sparse snapshots of wellbeing. Wearable devices offer longitudinal behavioral and physiological signals for continuous, low-burden monitoring. Recent LLM-driven personal-health agents enable natural language queries over wearable signals, but mainly handle short-term, retrieval-based lookups (e.g., highest step count over a week). They do not evaluate whether agents can reason over long-term signals to predict wellbeing scores paired with evidence-grounded rationales. To address this gap, we introduce BALMS, the first systematic benchmark of LLM-based agentic systems for longitudinal mental health sensing. BALMS spans 3 real-world longitudinal datasets, 2 task families (closed-form wellbeing-score prediction and rationale generation auto-graded by an LLM-as-Judge), 3 agentic paradigms evaluated across 5 open- and closed-source LLM backbones. We find that zero-shot agents rarely outperform a simple mean baseline, except with stronger backbones or compact, semantically meaningful features. Chain-of-thought prompting improves reasoning-oriented backbones, but does not guarantee temporal grounding or numerical correctness. Together with more analysis on efficiency and temporal scaling, BALMS highlights the need for longitudinal mental health agents that selectively retrieve history, ground temporal evidence, and reason over interpretable behavioral features.

cs.CL↗

arXiv2026

AdaSCALE: Adaptive Scaling for OOD Detection

The ability of the deep learning model to recognize when a sample falls outside its learned distribution is critical for safe and reliable deployment. Recent state-of-the-art out-of-distribution (OOD) detection methods leverage activation shaping to improve the separation between in-distribution (ID) and OOD inputs. These approaches resort to sample-specific scaling but apply a static percentile threshold across all samples regardless of their nature, resulting in suboptimal ID-OOD separability. In this work, we propose \textbf{AdaSCALE}, an adaptive scaling procedure that dynamically adjusts the percentile threshold based on a sample's estimated OOD likelihood. This estimation leverages our key observation: OOD samples exhibit significantly more pronounced activation shifts at high-magnitude activations under minor perturbation compared to ID samples. AdaSCALE enables stronger scaling for likely ID samples and weaker scaling for likely OOD samples, yielding highly separable energy scores. Our approach achieves state-of-the-art OOD detection performance, outperforming the latest rival OptFS by 14.94% in near-OOD and 21.67% in far-OOD datasets in average FPR@95 metric on the ImageNet-1k benchmark across eight diverse architectures. The code is available at: https://github.com/sudarshanregmi/AdaSCALE/

cs.CV↗

arXiv2025

Image-based Outlier Synthesis With Training Data

Out-of-distribution (OOD) detection is critical to ensure the safe deployment of deep learning models in critical applications. Deep learning models can often misidentify OOD samples as in-distribution (ID) samples. This vulnerability worsens in the presence of spurious correlation in the training set. Likewise, in fine-grained classification settings, detection of fine-grained OOD samples becomes inherently challenging due to their high similarity to ID samples. However, current research on OOD detection has focused instead largely on relatively easier (conventional) cases. Even the few recent works addressing these challenging cases rely on carefully curated or synthesized outliers, ultimately requiring external data. This motivates our central research question: ``Can we innovate OOD detection training framework for fine-grained and spurious settings \textbf{without requiring any external data at all?}" In this work, we present a unified \textbf{A}pproach to \textbf{S}purious, fine-grained, and \textbf{C}onventional \textbf{OOD D}etection (\textbf{\ASCOOD}) that eliminates the reliance on external data. First, we synthesize virtual outliers from ID data by approximating the destruction of invariant features. Specifically, we propose to add gradient attribution values to ID inputs to disrupt invariant features while amplifying true-class logit, thereby synthesizing challenging near-manifold virtual outliers. Then, we simultaneously incentivize ID classification and predictive uncertainty towards virtual outliers. For this, we further propose to leverage standardized features with z-score normalization. ASCOOD effectively mitigates impact of spurious correlations and encourages capturing fine-grained attributes. Extensive experiments across \textbf{7} datasets and and comparisons with \textbf{30+} methods demonstrate merit of ASCOOD in spurious, fine-grained and conventional settings.

cs.CV↗

arXiv2023

CholecTriplet2022: Show me a tool and tell me the triplet -- an endoscopic vision challenge for surgical action triplet detection

Formalizing surgical activities as triplets of the used instruments, actions performed, and target anatomies is becoming a gold standard approach for surgical activity modeling. The benefit is that this formalization helps to obtain a more detailed understanding of tool-tissue interaction which can be used to develop better Artificial Intelligence assistance for image-guided surgery. Earlier efforts and the CholecTriplet challenge introduced in 2021 have put together techniques aimed at recognizing these triplets from surgical footage. Estimating also the spatial locations of the triplets would offer a more precise intraoperative context-aware decision support for computer-assisted intervention. This paper presents the CholecTriplet2022 challenge, which extends surgical action triplet modeling from recognition to detection. It includes weakly-supervised bounding box localization of every visible surgical instrument (or tool), as the key actors, and the modeling of each tool-activity in the form of triplet. The paper describes a baseline method and 10 new deep learning algorithms presented at the challenge to solve the task. It also provides thorough methodological comparisons of the methods, an in-depth analysis of the obtained results across multiple metrics, visual and procedural challenges; their significance, and useful insights for future research directions and applications in surgery.

eess.IV↗

arXiv2023

Neural Network Pruning for Real-time Polyp Segmentation

Computer-assisted treatment has emerged as a viable application of medical imaging, owing to the efficacy of deep learning models. Real-time inference speed remains a key requirement for such applications to help medical personnel. Even though there generally exists a trade-off between performance and model size, impressive efforts have been made to retain near-original performance by compromising model size. Neural network pruning has emerged as an exciting area that aims to eliminate redundant parameters to make the inference faster. In this study, we show an application of neural network pruning in polyp segmentation. We compute the importance score of convolutional filters and remove the filters having the least scores, which to some value of pruning does not degrade the performance. For computing the importance score, we use the Taylor First Order (TaylorFO) approximation of the change in network output for the removal of certain filters. Specifically, we employ a gradient-normalized backpropagation for the computation of the importance score. Through experiments in the polyp datasets, we validate that our approach can significantly reduce the parameter count and FLOPs retaining similar performance.

cs.CV↗

arXiv2023

T2FNorm: Extremely Simple Scaled Train-time Feature Normalization for OOD Detection

Neural networks are notorious for being overconfident predictors, posing a significant challenge to their safe deployment in real-world applications. While feature normalization has garnered considerable attention within the deep learning literature, current train-time regularization methods for Out-of-Distribution(OOD) detection are yet to fully exploit this potential. Indeed, the naive incorporation of feature normalization within neural networks does not guarantee substantial improvement in OOD detection performance. In this work, we introduce T2FNorm, a novel approach to transforming features to hyperspherical space during training, while employing non-transformed space for OOD-scoring purposes. This method yields a surprising enhancement in OOD detection capabilities without compromising model accuracy in in-distribution(ID). Our investigation demonstrates that the proposed technique substantially diminishes the norm of the features of all samples, more so in the case of out-of-distribution samples, thereby addressing the prevalent concern of overconfidence in neural networks. The proposed method also significantly improves various post-hoc OOD detection methods.

cs.CV↗