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Pathology-Aware Prototype Evolution via LLM-Driven Semantic Disambiguation for Multicenter Diabetic Retinopathy Diagnosis

arXiv.org Artificial Intelligence

Diabetic retinopathy (DR) grading plays a critical role in early clinical intervention and vision preservation. Recent explorations predominantly focus on visual lesion feature extraction through data processing and domain decoupling strategies. However, they generally overlook domain-invariant pathological patterns and underutilize the rich contextual knowledge of foundation models, relying solely on visual information, which is insufficient for distinguishing subtle pathological variations. Therefore, we propose integrating fine-grained pathological descriptions to complement prototypes with additional context, thereby resolving ambiguities in borderline cases. Specifically, we propose a Hierarchical Anchor Prototype Modulation (HAPM) framework to facilitate DR grading. First, we introduce a variance spectrum-driven anchor prototype library that preserves domain-invariant pathological patterns. We further employ a hierarchical differential prompt gating mechanism, dynamically selecting discriminative semantic prompts from both LVLM and LLM sources to address semantic confusion between adjacent DR grades. Finally, we utilize a two-stage prototype modulation strategy that progressively integrates clinical knowledge into visual prototypes through a Pathological Semantic Injector (PSI) and a Discriminative Prototype Enhancer (DPE). Extensive experiments across eight public datasets demonstrate that our approach achieves pathology-guided prototype evolution while outperforming state-of-the-art methods. The code is available at https://github.com/zhcz328/HAPM.


Predicting Public Health Impacts of Electricity Usage

arXiv.org Artificial Intelligence

The electric power sector is a leading source of air pollutant emissions, impacting the public health of nearly every community. Although regulatory measures have reduced air pollutants, fossil fuels remain a significant component of the energy supply, highlighting the need for more advanced demand-side approaches to reduce the public health impacts. To enable health-informed demand-side management, we introduce HealthPredictor, a domain-specific AI model that provides an end-to-end pipeline linking electricity use to public health outcomes. The model comprises three components: a fuel mix predictor that estimates the contribution of different generation sources, an air quality converter that models pollutant emissions and atmospheric dispersion, and a health impact assessor that translates resulting pollutant changes into monetized health damages. Across multiple regions in the United States, our health-driven optimization framework yields substantially lower prediction errors in terms of public health impacts than fuel mix-driven baselines. A case study on electric vehicle charging schedules illustrates the public health gains enabled by our method and the actionable guidance it can offer for health-informed energy management. Overall, this work shows how AI models can be explicitly designed to enable health-informed energy management for advancing public health and broader societal well-being. Our datasets and code are released at: https://github.com/Ren-Research/Health-Impact-Predictor.


Calibration-Free EEG-based Driver Drowsiness Detection with Online Test-Time Adaptation

arXiv.org Artificial Intelligence

Drowsy driving is a growing cause of traffic accidents, prompting recent exploration of electroencephalography (EEG)-based drowsiness detection systems. However, the inherent variability of EEG signals due to psychological and physical factors necessitates a cumbersome calibration process. In particular, the inter-subject variability of EEG signals leads to a domain shift problem, which makes it challenging to generalize drowsiness detection models to unseen target subjects. To address these issues, we propose a novel driver drowsiness detection framework that leverages online test-time adaptation (TTA) methods to dynamically adjust to target subject distributions. Our proposed method updates the learnable parameters in batch normalization (BN) layers, while preserving pretrained normalization statistics, resulting in a modified configuration that ensures effective adaptation during test time. We incorporate a memory bank that dynamically manages streaming EEG segments, selecting samples based on their reliability determined by negative energy scores and persistence time. In addition, we introduce prototype learning to ensure robust predictions against distribution shifts over time. We validated our method on the sustained-attention driving dataset collected in a simulated environment, where drowsiness was estimated from delayed reaction times during monotonous lane-keeping tasks. Our experiments show that our method outperforms all baselines, achieving an average F1-score of 81.73\%, an improvement of 11.73\% over the best TTA baseline. This demonstrates that our proposed method significantly enhances the adaptability of EEG-based drowsiness detection systems in non-i.i.d. scenarios.


MedEyes: Learning Dynamic Visual Focus for Medical Progressive Diagnosis

arXiv.org Artificial Intelligence

Accurate medical diagnosis often involves progressive visual focusing and iterative reasoning, characteristics commonly observed in clinical workflows. While recent vision-language models demonstrate promising chain-of-thought (CoT) reasoning capabilities via reinforcement learning with verifiable rewards (RLVR), their purely on-policy learning paradigm tends to reinforce superficially coherent but clinically inaccurate reasoning paths. We propose MedEyes, a novel reinforcement learning framework that dynamically models clinician-style diagnostic reasoning by progressively attending to and interpreting relevant medical image regions. By incorporating off-policy expert guidance, MedEyes converts expert visual search trajectories into structured external behavioral signals, guiding the model toward clinically aligned visual reasoning. We design the Gaze-guided Reasoning Navigator (GRN) to emulate the diagnostic process through a dual-mode exploration strategy, scanning for systematic abnormality localization and drilling for detailed regional analysis. To balance expert imitation and autonomous discovery, we introduce the Confidence Value Sampler (CVS), which employs nucleus sampling and adaptive termination to create diverse yet credible exploration paths. Finally, the dual-stream GRPO optimization framework decouples on-policy and off-policy learning signals, mitigating reward assimilation and entropy collapse. Experiments demonstrate that MedEyes achieves an average performance improvement of +8.5\% across multiple medical VQA benchmarks, validating MedEyes's potential in building interpretable medical AI systems.


AfriStereo: A Culturally Grounded Dataset for Evaluating Stereotypical Bias in Large Language Models

arXiv.org Artificial Intelligence

Existing AI bias evaluation benchmarks largely reflect Western perspectives, leaving African contexts underrepresented and enabling harmful stereotypes in applications across various domains. To address this gap, we introduce AfriStereo, the first open-source African stereotype dataset and evaluation framework grounded in local socio-cultural contexts. Through community engaged efforts across Senegal, Kenya, and Nigeria, we collected 1,163 stereotypes spanning gender, ethnicity, religion, age, and profession. Using few-shot prompting with human-in-the-loop validation, we augmented the dataset to over 5,000 stereotype-antistereotype pairs. Entries were validated through semantic clustering and manual annotation by culturally informed reviewers. Preliminary evaluation of language models reveals that nine of eleven models exhibit statistically significant bias, with Bias Preference Ratios (BPR) ranging from 0.63 to 0.78 (p <= 0.05), indicating systematic preferences for stereotypes over antistereotypes, particularly across age, profession, and gender dimensions. Domain-specific models appeared to show weaker bias in our setup, suggesting task-specific training may mitigate some associations. Looking ahead, AfriStereo opens pathways for future research on culturally grounded bias evaluation and mitigation, offering key methodologies for the AI community on building more equitable, context-aware, and globally inclusive NLP technologies.


When Do Domain-Specific Foundation Models Justify Their Cost? A Systematic Evaluation Across Retinal Imaging Tasks

arXiv.org Artificial Intelligence

Large vision foundation models have been widely adopted for retinal disease classification without systematic evidence justifying their parameter requirements. In the present work we address two critical questions: First, are large domain-specific foundation models essential, or do compact general-purpose architectures suffice? Second, does specialized retinal pretraining justify its computational cost? To answer this, we benchmark initialization strategies across four retinal imaging classification tasks spanning Optical Coherence Tomography (OCT) and Color Fundus Photography (CFP) modalities: 8-class OCT classification, 3-class diabetic macular edema (DME), 5-class diabetic retinopathy (DR), and 3-class glaucoma (GL) detection. We evaluate 12-13 model configurations per task, including vision transformers (22.8M-86.6M parameters), Swin Transformers (27.6M-28.3M), ConvNeXt (28.6M), and the domain-specific RETFound models (303M), under identical training conditions. Our results challenge prevailing assumptions: First, we demonstrate that pretraining provides universal benefits (5.18-18.41% improvement), scaling with task difficulty. Second, compact architectures (27-29M) dominate Pareto frontiers; SwinV2-tiny achieves top-1 performance on three datasets. Third, RETFound (303M) justifies its computational cost only for challenging DR grading (accuracy of 71.15%), while ImageNet pretraining proves to be sufficient with all other tasks (DME accuracy: 99.24%, OCT accuracy: 97.96%). CFP tasks show larger pretraining accuracy gains (9.13-18.41%) than OCT (5.18%). Thus, the evidence suggests that compact general-purpose models deliver near-optimal performance for most retinal classification tasks; specialized foundation models warranted only for fine-grained discrimination under extreme class imbalance.


A Safety and Security Framework for Real-World Agentic Systems

arXiv.org Artificial Intelligence

This paper introduces a dynamic and actionable framework for securing agentic AI systems in enterprise deployment. We contend that safety and security are not merely fixed attributes of individual models but also emergent properties arising from the dynamic interactions among models, orchestrators, tools, and data within their operating environments. We propose a new way of identification of novel agentic risks through the lens of user safety. Although, for traditional LLMs and agentic models in isolation, safety and security has a clear separation, through the lens of safety in agentic systems, they appear to be connected. Building on this foundation, we define an operational agentic risk taxonomy that unifies traditional safety and security concerns with novel, uniquely agentic risks, including tool misuse, cascading action chains, and unintended control amplification among others. At the core of our approach is a dynamic agentic safety and security framework that operationalizes contextual agentic risk management by using auxiliary AI models and agents, with human oversight, to assist in contextual risk discovery, evaluation, and mitigation. We further address one of the most challenging aspects of safety and security of agentic systems: risk discovery through sandboxed, AI-driven red teaming. We demonstrate the framework effectiveness through a detailed case study of NVIDIA flagship agentic research assistant, AI-Q Research Assistant, showcasing practical, end-to-end safety and security evaluations in complex, enterprise-grade agentic workflows. This risk discovery phase finds novel agentic risks that are then contextually mitigated. We also release the dataset from our case study, containing traces of over 10,000 realistic attack and defense executions of the agentic workflow to help advance research in agentic safety.


Digital Elevation Model Estimation from RGB Satellite Imagery using Generative Deep Learning

arXiv.org Artificial Intelligence

Digital Elevation Models (DEMs) are vital datasets for geospatial applications such as hydrological modeling and environmental monitoring. However, conventional methods to generate DEM, such as using LiDAR and photogrammetry, require specific types of data that are often inaccessible in resource-constrained settings. To alleviate this problem, this study proposes an approach to generate DEM from freely available RGB satellite imagery using generative deep learning, particularly based on a conditional Generative Adversarial Network (GAN). We first developed a global dataset consisting of 12K RGB-DEM pairs using Landsat satellite imagery and NASA's SRTM digital elevation data, both from the year 2000. A unique preprocessing pipeline was implemented to select high-quality, cloud-free regions and aggregate normalized RGB composites from Landsat imagery. Additionally, the model was trained in a two-stage process, where it was first trained on the complete dataset and then fine-tuned on high-quality samples filtered by Structural Similarity Index Measure (SSIM) values to improve performance on challenging terrains. The results demonstrate promising performance in mountainous regions, achieving an overall mean root-mean-square error (RMSE) of 0.4671 and a mean SSIM score of 0.2065 (scale -1 to 1), while highlighting limitations in lowland and residential areas. This study underscores the importance of meticulous preprocessing and iterative refinement in generative modeling for DEM generation, offering a cost-effective and adaptive alternative to conventional methods while emphasizing the challenge of generalization across diverse terrains worldwide.


DialBench: Towards Accurate Reading Recognition of Pointer Meter using Large Foundation Models

arXiv.org Artificial Intelligence

The precise reading recognition of pointer meters plays a key role in smart power systems, but existing approaches remain fragile due to challenges like reflections, occlusions, dynamic viewing angles, and overly between thin pointers and scale markings. Up to now, this area still lacks large-scale datasets to support the development of robust algorithms. To address these challenges, this paper first presents a new large-scale benchmark dataset for dial reading, termed RPM-10K, which contains 10730 meter images that fully reflect the aforementioned key challenges. Built upon the dataset, we propose a novel vision-language model for pointer meter reading recognition, termed MRLM, based on physical relation injection. Instead of exhaustively learning image-level correlations, MRLM explicitly encodes the geometric and causal relationships between the pointer and the scale, aligning perception with physical reasoning in the spirit of world-model perspectives. Through cross-attentional fusion and adaptive expert selection, the model learns to interpret dial configurations and generate precise numeric readings. Extensive experiments fully validated the effectiveness of our proposed framework on the newly proposed benchmark dataset. Both the dataset and source code will be released on https://github.com/Event-AHU/DialBench


MOTIF-RF: Multi-template On-chip Transformer Synthesis Incorporating Frequency-domain Self-transfer Learning for RFIC Design Automation

arXiv.org Artificial Intelligence

This paper presents a systematic study on developing multi-template machine learning (ML) surrogate models and applying them to the inverse design of transformers (XFMRs) in radio-frequency integrated circuits (RFICs). Our study starts with benchmarking four widely used ML architectures, including MLP-, CNN-, UNet-, and GT-based models, using the same datasets across different XFMR topologies. To improve modeling accuracy beyond these baselines, we then propose a new frequency-domain self-transfer learning technique that exploits correlations between adjacent frequency bands, leading to around 30%-50% accuracy improvement in the S-parameters prediction. Building on these models, we further develop an inverse design framework based on the covariance matrix adaptation evolutionary strategy (CMA-ES) algorithm. This framework is validated using multiple impedance-matching tasks, all demonstrating fast convergence and trustworthy performance. These results advance the goal of AI-assisted specs-to-GDS automation for RFICs and provide RFIC designers with actionable tools for integrating AI into their workflows.