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MedLA: A Logic-Driven Multi-Agent Framework for Complex Medical Reasoning with Large Language Models

arXiv.org Artificial Intelligence

Answering complex medical questions requires not only domain expertise and patient-specific information, but also structured and multi-perspective reasoning. Existing multi-agent approaches often rely on fixed roles or shallow interaction prompts, limiting their ability to detect and resolve fine-grained logical inconsistencies. To address this, we propose \textsc{MedLA}, a logic-driven multi-agent framework built on large language models. Each agent organizes its reasoning process into an explicit logical tree based on syllogistic triads (major premise, minor premise, and conclusion), enabling transparent inference and premise-level alignment. Agents engage in a multi-round, graph-guided discussion to compare and iteratively refine their logic trees, achieving consensus through error correction and contradiction resolution. We demonstrate that \textsc{MedLA} consistently outperforms both static role-based systems and single-agent baselines on challenging benchmarks such as MedDDx and standard medical QA tasks. Furthermore, \textsc{MedLA} scales effectively across both open-source and commercial LLM backbones, achieving state-of-the-art performance and offering a generalizable paradigm for trustworthy medical reasoning.


Think Smart, Not Hard: Difficulty Adaptive Reasoning for Large Audio Language Models

arXiv.org Artificial Intelligence

Large Audio Language Models (LALMs), powered by the chain-of-thought (CoT) paradigm, have shown remarkable reasoning capabilities. Intuitively, different problems often require varying depths of reasoning. While some methods can determine whether to reason for a given problem, they typically lack a fine-grained mechanism to modulate how much to reason. This often results in a ``one-size-fits-all'' reasoning depth, which generates redundant overthinking for simple questions while failing to allocate sufficient thought to complex ones. In this paper, we conduct an in-depth analysis of LALMs and find that an effective and efficient LALM should reason smartly by adapting its reasoning depth to the problem's complexity. To achieve this, we propose a difficulty-adaptive reasoning method for LALMs. Specifically, we propose a reward function that dynamically links reasoning length to the model's perceived problem difficulty. This reward encourages shorter, concise reasoning for easy tasks and more elaborate, in-depth reasoning for complex ones. Extensive experiments demonstrate that our method is both effective and efficient, simultaneously improving task performance and significantly reducing the average reasoning length. Further analysis on reasoning structure paradigm offers valuable insights for future work.


Retrieval Augmented Generation based context discovery for ASR

arXiv.org Artificial Intelligence

This work investigates retrieval augmented generation as an efficient strategy for automatic context discovery in context-aware Automatic Speech Recognition (ASR) system, in order to improve transcription accuracy in the presence of rare or out-of-vocabulary terms. However, identifying the right context automatically remains an open challenge. This work proposes an efficient embedding-based retrieval approach for automatic context discovery in ASR. To contextualize its effectiveness, two alternatives based on large language models (LLMs) are also evaluated: (1) large language model (LLM)-based context generation via prompting, and (2) post-recognition transcript correction using LLMs. Experiments on the TED-LIUMv3, Earnings21 and SPGISpeech demonstrate that the proposed approach reduces WER by up to 17% (percentage difference) relative to using no-context, while the oracle context results in a reduction of up to 24.1%.


Beyond Diagnosis: Evaluating Multimodal LLMs for Pathology Localization in Chest Radiographs

arXiv.org Artificial Intelligence

Recent work has shown promising performance of frontier large language models (LLMs) and their multimodal counterparts in medical quizzes and diagnostic tasks, highlighting their potential for broad clinical utility given their accessible, general-purpose nature. However, beyond diagnosis, a fundamental aspect of medical image interpretation is the ability to localize pathological findings. Evaluating localization not only has clinical and educational relevance but also provides insight into a model's spatial understanding of anatomy and disease. Here, we systematically assess two general-purpose MLLMs (GPT-4 and GPT-5) and a domain-specific model (MedGemma) in their ability to localize pathologies on chest radiographs, using a prompting pipeline that overlays a spatial grid and elicits coordinate-based predictions. Averaged across nine pathologies in the CheXlocalize dataset, GPT-5 exhibited a localization accuracy of 49.7%, followed by GPT-4 (39.1%) and MedGemma (17.7%), all lower than a task-specific CNN baseline (59.9%) and a radiologist benchmark (80.1%). Despite modest performance, error analysis revealed that GPT-5's predictions were largely in anatomically plausible regions, just not always precisely localized. GPT-4 performed well on pathologies with fixed anatomical locations, but struggled with spatially variable findings and exhibited anatomically implausible predictions more frequently. MedGemma demonstrated the lowest performance on all pathologies, but showed improvements when provided examples through few shot prompting. Our findings highlight both the promise and limitations of current MLLMs in medical imaging and underscore the importance of integrating them with task-specific tools for reliable use.


Privacy Preserving In-Context-Learning Framework for Large Language Models

arXiv.org Artificial Intelligence

Large language models (LLMs) have significantly transformed natural language understanding and generation, but they raise privacy concerns due to potential exposure of sensitive information. Studies have highlighted the risk of information leakage, where adversaries can extract sensitive information embedded in the prompts. In this work, we introduce a novel private prediction framework for generating high-quality synthetic text with strong privacy guarantees. Our approach leverages the Differential Privacy (DP) framework to ensure worst-case theoretical bounds on information leakage without requiring any fine-tuning of the underlying models. The proposed method performs inference on private records and aggregates the resulting per-token output distributions. This enables the generation of longer and coherent synthetic text while maintaining privacy guarantees. Additionally, we propose a simple blending operation that combines private and public inference to further enhance utility. Empirical evaluations demonstrate that our approach outperforms previous state-of-the-art methods on in-context-learning (ICL) tasks, making it a promising direction for privacy-preserving text generation while maintaining high utility. Our code is available at https://github.com/bhusalb/


Accelerating Local AI on Consumer GPUs: A Hardware-Aware Dynamic Strategy for YOLOv10s

arXiv.org Artificial Intelligence

Abstract--As local AI grows in popularity, there is a critical gap between the benchmark performance of object detectors and their practical viability on consumer-grade hardware. While models like YOLOv10s promise real-time speeds, these metrics are typically achieved on high-power, desktop-class GPUs. This paper reveals that on resource-constrained systems, such as laptops with RTX 4060 GPUs, performance is not compute-bound but is instead dominated by system-level bottlenecks, as illustrated by a simple bottleneck test. T o overcome this hardware-level constraint, we introduce a Two-Pass Adaptive Inference algorithm, a model-independent approach that requires no architectural changes. This study mainly focuses on'adaptive' inference strategies and undertakes a comparative analysis of architectural early-exit and resolution-adaptive routing, highlighting their respective trade-offs within a unified evaluation framework. The system uses a fast, low-resolution pass and only escalates to a high-resolution model pass when detection confidence is low. On a 5000-image COCO dataset, our method achieves a 1.85x speedup over a PyT orch Early-Exit baseline, with a modest mAP loss of 5.51%. This work provides a practical and reproducible blueprint for deploying high-performance, real-time AI on consumer-grade devices by shifting the focus from pure model optimization to hardware-aware inference strategies that maximize throughput.


Differentiable Entropy Regularization: A Complexity-Aware Approach for Neural Optimization

arXiv.org Artificial Intelligence

We introduce the first differentiable approximation of range-partition entropy, a complexity measure from computational geometry that directly bounds algorithmic runtime. Unlike architectural modifications, our method is a complementary regularizer that provides orthogonal efficiency gains when combined with existing optimizations. We establish theoretical guarantees in computational geometry, achieving 4-5 provable speedups on convex hull and triangulation with <0.2% error. On ImageNet-1K with ViT -Base, entropy regularization achieves 80.1% top-1 accuracy at 80% sparsity (1.60 standalone speedup), and when combined with FlashAttention yields 2.07 speedup versus 1.63 for FlashAttention alone. On large language models (LLaMA-2 7B, Mistral-7B, Phi-2), we achieve 1.48-1.60 Unlike prior regularization methods that target output distributions, we directly minimize representation complexity, yielding both efficiency gains and improved robustness through semantically structured sparsity patterns (IoU 0.73 vs 0.41 for magnitude pruning, CIFAR-100-C mCE 48.7 vs 55.4). Benefits are strongest for geometry and vision transformers, with more modest but measurable gains on LLMs, demonstrating that complexity regularization offers a principled pathway to joint efficiency-robustness optimization. Modern deep networks achieve impressive performance but face two critical challenges. They are fragile under distribution shift (Hendrycks & Dietterich, 2019) and require prohibitive computational costs (Strubell et al., 2019). The standard approach treats these problems independently, addressing robustness through data augmentation and efficiency through architectural changes. We ask: can a single principle address both? Our strongest results are in computational geometry and vision transformers; for large language models the overhead-benefit tradeoff is more nuanced, with improvements primarily in high-throughput deployment settings rather than research-scale fine-tuning. The key insight comes from computational geometry. Algorithmically simple representations, those with low complexity under geometric partitions, both enable faster algorithms via instance-optimal procedures (Chan, 1996) and generalize better by avoiding spurious features (Geirhos et al., 2020). However, no existing method provides a differentiable measure of algorithmic complexity that can be optimized end-to-end during neural network training. Robustness Label smoothing Y es No No No Adversarial training Y es No No No Info-theoretic Information bottleneck Y es No No No Fixed sparse Longformer, BigBird No No No No Kernel opt. Our goal is to connect representation learning to algorithmic complexity.


Solving Imaging Inverse Problems Using Plug-and-Play Denoisers: Regularization and Optimization Perspectives

arXiv.org Artificial Intelligence

Inverse problems lie at the heart of modern imaging science, with broad applications in areas such as medical imaging, remote sensing, and microscopy. Recent years have witnessed a paradigm shift in solving imaging inverse problems, where data-driven regularizers are used increasingly, leading to remarkably high-fidelity reconstruction. A particularly notable approach for data-driven regularization is to use learned image denoisers as implicit priors in iterative image reconstruction algorithms. This chapter presents a comprehensive overview of this powerful and emerging class of algorithms, commonly referred to as plug-and-play (PnP) methods. We begin by providing a brief background on image denoising and inverse problems, followed by a short review of traditional regularization strategies. We then explore how proximal splitting algorithms, such as the alternating direction method of multipliers (ADMM) and proximal gradient descent (PGD), can naturally accommodate learned denoisers in place of proximal operators, and under what conditions such replacements preserve convergence. The role of Tweedie's formula in connecting optimal Gaussian denoisers and score estimation is discussed, which lays the foundation for regularization-by-denoising (RED) and more recent diffusion-based posterior sampling methods. We discuss theoretical advances regarding the convergence of PnP algorithms, both within the RED and proximal settings, emphasizing the structural assumptions that the denoiser must satisfy for convergence, such as non-expansiveness, Lipschitz continuity, and local homogeneity. We also address practical considerations in algorithm design, including choices of denoiser architecture and acceleration strategies.


Optimizing In-Context Learning for Efficient Full Conformal Prediction

arXiv.org Artificial Intelligence

Reliable uncertainty quantification is critical for trustworthy AI. Conformal Prediction (CP) provides prediction sets with distribution-free coverage guarantees, but its two main variants face complementary limitations. Split CP (SCP) suffers from data inefficiency due to dataset partitioning, while full CP (FCP) improves data efficiency at the cost of prohibitive retraining complexity. Recent approaches based on meta-learning or in-context learning (ICL) partially mitigate these drawbacks. However, they rely on training procedures not specifically tailored to CP, which may yield large prediction sets. We introduce an efficient FCP framework, termed enhanced ICL-based FCP (E-ICL+FCP), which employs a permutation-invariant Transformer-based ICL model trained with a CP-aware loss. By simulating the multiple retrained models required by FCP without actual retraining, E-ICL+FCP preserves coverage while markedly reducing both inefficiency and computational overhead. Experiments on synthetic and real tasks demonstrate that E-ICL+FCP attains superior efficiency-coverage trade-offs compared to existing SCP and FCP baselines.


On the Alignment of Large Language Models with Global Human Opinion

arXiv.org Artificial Intelligence

Today's large language models (LLMs) are capable of supporting multilingual scenarios, allowing users to interact with LLMs in their native languages. When LLMs respond to subjective questions posed by users, they are expected to align with the views of specific demographic groups or historical periods, shaped by the language in which the user interacts with the model. Existing studies mainly focus on researching the opinions represented by LLMs among demographic groups in the United States or a few countries, lacking worldwide country samples and studies on human opinions in different historical periods, as well as lacking discussion on using language to steer LLMs. Moreover, they also overlook the potential influence of prompt language on the alignment of LLMs' opinions. In this study, our goal is to fill these gaps. To this end, we create an evaluation framework based on the World Values Survey (WVS) to systematically assess the alignment of LLMs with human opinions across different countries, languages, and historical periods around the world. We find that LLMs appropriately or over-align the opinions with only a few countries while under-aligning the opinions with most countries. Furthermore, changing the language of the prompt to match the language used in the questionnaire can effectively steer LLMs to align with the opinions of the corresponding country more effectively than existing steering methods. At the same time, LLMs are more aligned with the opinions of the contemporary population. To our knowledge, our study is the first comprehensive investigation of the topic of opinion alignment in LLMs across global, language, and temporal dimensions. Our code and data are publicly available at https://github.com/ku-nlp/global-opinion-alignment and https://github.com/nlply/global-opinion-alignment.