FDA
Active Query Selection for Crowd-Based Reinforcement Learning
Erskine, Jonathan, Yamagata, Taku, Santos-Rodríguez, Raúl
Preference-based reinforcement learning has gained prominence as a strategy for training agents in environments where the reward signal is difficult to specify or misaligned with human intent. However, its effectiveness is often limited by the high cost and low availability of reliable human input, especially in domains where expert feedback is scarce or errors are costly. To address this, we propose a novel framework that combines two complementary strategies: probabilistic crowd modelling to handle noisy, multi-annotator feedback, and active learning to prioritize feedback on the most informative agent actions. We extend the Advise algorithm to support multiple trainers, estimate their reliability online, and incorporate entropy-based query selection to guide feedback requests. We evaluate our approach in a set of environments that span both synthetic and real-world-inspired settings, including 2D games (Taxi, Pacman, Frozen Lake) and a blood glucose control task for Type 1 Diabetes using the clinically approved UVA/Padova simulator. Our preliminary results demonstrate that agents trained with feedback on uncertain trajectories exhibit faster learning in most tasks, and we outperform the baselines for the blood glucose control task.
Multi-domain Distribution Learning for De Novo Drug Design
Schneuing, Arne, Igashov, Ilia, Dobbelstein, Adrian W., Castiglione, Thomas, Bronstein, Michael, Correia, Bruno
To further enhance the sampling process towards distribution regions with desirable metric values, we propose a joint preference alignment scheme applicable to both flow matching and Markov bridge frameworks. Furthermore, we extend our model to also explore the conformational landscape of the protein by jointly sampling side chain angles and molecules. Small molecules are the predominant class of FDA-approved drugs with a share of 85%, and more than 95% of known drugs target human or pathogen proteins (Santos et al., 2017). At the same time, the cost and duration of the development of new drugs are skyrocketing (Simoens & Huys, 2021). This sparks increasing interest in the computational design of small molecular compounds that bind specifically to disease-associated proteins and thus reduce the amount of costly experimental testing. In recent years, the machine learning community has contributed a plethora of generative tools addressing drug design from various angles (Du et al., 2024). However, these methods typically require careful tuning of the objective function to avoid exploiting imperfect computational oracles and overly maximizing one desired property (e.g. Additionally, one often aims to design a suitable 3D binding pose along with the chemical structure of the molecule, which substantially increases the degrees of freedom. Many optimization algorithms struggle to efficiently navigate such vast design spaces. Following a different approach, probabilistic generative models learn to generate drug-like molecules directly from data (Hoogeboom et al., 2022; Vignac et al., 2022). Here, the design objectives are implicitly encoded in the training data set. While these methods may not outperform direct optimization on isolated metrics, they are well suited for the multifaceted nature of drug design as they learn "what a drug looks like" in a more general way. Once trained on sufficient high-quality data, these models can capture a more holistic picture of the molecular space compared to models optimized for a limited set of target metrics. The strength of generative modeling lies in its ability to reproduce patterns seen in the training data.
AI tools could weaken doctors' skills in detecting colon cancer, study suggests
Fox News anchor Bret Baier has the latest on the Murdoch Children's Research Institute's partnership with the Gladstone Institutes for the'Decoding Broken Hearts' initiative on'Special Report.' The benefits of artificial intelligence (AI) in the medical space are ever-growing, but evidence suggests it can also come with risks. A new study by European researchers investigated how AI can change the behavior of endoscopists when conducting a colonoscopy, and how their performance dips when not using AI. The research followed clinicians at four endoscopy centers in Poland participating in the ACCEPT (Artificial Intelligence in Colonoscopy for Cancer Prevention) trial, where AI tools for polyp detection were introduced at the end of 2021. Colonoscopies at these centers were randomly selected to be administered with or without AI assistance.
Design and Validation of a Responsible Artificial Intelligence-based System for the Referral of Diabetic Retinopathy Patients
Moya-Sánchez, E. Ulises, Sánchez-Perez, Abraham, Da Veiga, Raúl Nanclares, Zarate-Macías, Alejandro, Villareal, Edgar, Sánchez-Montes, Alejandro, Jauregui-Ulloa, Edtna, Moreno, Héctor, Cortés, Ulises
Diabetic Retinopathy (DR) is a leading cause of vision loss in working-age individuals. Early detection of DR can reduce the risk of vision loss by up to 95%, but a shortage of retinologists and challenges in timely examination complicate detection. Artificial Intelligence (AI) models using retinal fundus photographs (RFPs) offer a promising solution. However, adoption in clinical settings is hindered by low-quality data and biases that may lead AI systems to learn unintended features. To address these challenges, we developed RAIS-DR, a Responsible AI System for DR screening that incorporates ethical principles across the AI lifecycle. RAIS-DR integrates efficient convolutional models for preprocessing, quality assessment, and three specialized DR classification models. We evaluated RAIS-DR against the FDA-approved EyeArt system on a local dataset of 1,046 patients, unseen by both systems. RAIS-DR demonstrated significant improvements, with F1 scores increasing by 5-12%, accuracy by 6-19%, and specificity by 10-20%. Additionally, fairness metrics such as Disparate Impact and Equal Opportunity Difference indicated equitable performance across demographic subgroups, underscoring RAIS-DR's potential to reduce healthcare disparities. These results highlight RAIS-DR as a robust and ethically aligned solution for DR screening in clinical settings. The code, weights of RAIS-DR are available at https://gitlab.com/inteligencia-gubernamental-jalisco/jalisco-retinopathy with RAIL.
This drug can turn your blood into mosquito poison
Breakthroughs, discoveries, and DIY tips sent every weekday. Mosquitoes may have just met their match: A prescription drug already used to treat a rare genetic disease in humans can make a person's blood poisonous to insecticide-resistant, malaria-carrying mosquitoes. New research published on July 31, 2025, in Parasites & Vectors found that the same drug, nitisinone, can even kill mosquitoes that simply land on a surface sprayed with the chemical. The findings could open up new avenues to stop the spread of diseases like malaria and dengue, especially as more mosquito populations evolve to become resistant to traditional prevention methods. Whether people will willingly offer their bodies as mosquito blood bait, though, remains less clear.
Health Insurance Coverage Rule Interpretation Corpus: Law, Policy, and Medical Guidance for Health Insurance Coverage Understanding
U.S. health insurance is complex, and inadequate understanding and limited access to justice have dire implications for the most vulnerable. Advances in natural language processing present an opportunity to support efficient, case-specific understanding, and to improve access to justice and healthcare. Yet existing corpora lack context necessary for assessing even simple cases. We collect and release a corpus of reputable legal and medical text related to U.S. health insurance. We also introduce an outcome prediction task for health insurance appeals designed to support regulatory and patient self-help applications, and release a labeled benchmark for our task, and models trained on it.
Strategic Hypothesis Testing
Hossain, Safwan, Chen, Yatong, Chen, Yiling
We examine hypothesis testing within a principal-agent framework, where a strategic agent, holding private beliefs about the effectiveness of a product, submits data to a principal who decides on approval. The principal employs a hypothesis testing rule, aiming to pick a p-value threshold that balances false positives and false negatives while anticipating the agent's incentive to maximize expected profitability. Building on prior work, we develop a game-theoretic model that captures how the agent's participation and reporting behavior respond to the principal's statistical decision rule. Despite the complexity of the interaction, we show that the principal's errors exhibit clear monotonic behavior when segmented by an efficiently computable critical p-value threshold, leading to an interpretable characterization of their optimal p-value threshold. We empirically validate our model and these insights using publicly available data on drug approvals. Overall, our work offers a comprehensive perspective on strategic interactions within the hypothesis testing framework, providing technical and regulatory insights.