Wangyang Chen | Searcharxiv

arXiv2026

A collective capability boundary in frontier large language models on guideline-conformant and case-specific oncology decision-making

Large language models (LLMs) achieve high scores on medical knowledge examinations, yet real-world oncology is not a knowledge test--it is a sequence of guideline-pathway choices, escalation judgments, and commitments under uncertainty. Existing benchmarks largely measure factual recall, leaving open whether frontier LLMs share decision-path blind spots that combining models cannot fix. We built the Oncology Decision Boundary Benchmark (ODBB)--2,005 oncology decision points across NCCN guidelines and colorectal cancer cases--and evaluated nine frontier LLMs (four closed-source, five open-weight families) released between June 2025 and April 2026. A fully deterministic scorer (zero LLM inference) classified outputs into 14 failure types, independently validated by two oncologists (Cohen's weighted $\kappa$ = 0.939 and 0.790) on a 225-item stratified sample. Treating the nine as a pooled super-model, 42.1% (Wilson 95% CI 40.0--44.3%) of all items--35.7% of the 1,586 NCCN items and 66.4% of the 419 colorectal-cancer cases--were answered correctly by none, with failures concentrated in choosing between guideline pathways before reasoning within any: a consistent blind spot in clinical meta-judgment that likely requires architectural intervention rather than more training data. Two models tuned for decisiveness (GPT-5.5, Gemini 3.1 Pro Preview) made unsafe commitments three to five times more often than the seven cautious models without scoring higher. In 3--9% of items, models stated the correct next clinical step yet did not commit to it--failures of decision, not knowledge. Model quality is no longer the primary bottleneck for clinical LLM deployment; the binding constraint is the assumption that any single model can be the sole basis for a clinical decision. Progress requires architectures that detect when a model reaches its competence boundary and route the decision to a clinician.

cs.AI↗

arXiv2021

Classification of Urban Morphology with Deep Learning: Application on Urban Vitality

There is a prevailing trend to study urban morphology quantitatively thanks to the growing accessibility to various forms of spatial big data, increasing computing power, and use cases benefiting from such information. The methods developed up to now measure urban morphology with numerical indices describing density, proportion, and mixture, but they do not directly represent morphological features from the human's visual and intuitive perspective. We take the first step to bridge the gap by proposing a deep learning-based technique to automatically classify road networks into four classes on a visual basis. The method is implemented by generating an image of the street network (Colored Road Hierarchy Diagram), which we introduce in this paper, and classifying it using a deep convolutional neural network (ResNet-34). The model achieves an overall classification accuracy of 0.875. Nine cities around the world are selected as the study areas with their road networks acquired from OpenStreetMap. Latent subgroups among the cities are uncovered through clustering on the percentage of each road network category. In the subsequent part of the paper, we focus on the usability of such classification: we apply our method in a case study of urban vitality prediction. An advanced tree-based regression model (LightGBM) is for the first time designated to establish the relationship between morphological indices and vitality indicators. The effect of road network classification is found to be small but positively associated with urban vitality. This work expands the toolkit of quantitative urban morphology study with new techniques, supporting further studies in the future.

cs.CV↗