Recent advancements in artificial intelligence (AI), particularly foundation models (FMs), have revolutionized medical image analysis, demonstrating strong zero- and few-shot performance across diverse medical imaging tasks, from segmentation to report generation. Unlike traditional task-specific AI models, FMs leverage large corpora of labeled and unlabeled multimodal datasets to learn generalized representations that can be adapted to various downstream clinical applications with minimal fine-tuning. However, despite the rapid proliferation of FM research in medical imaging, the field remains fragmented, lacking a unified synthesis that systematically maps the evolution of architectures, training paradigms, and clinical applications across modalities. To address this gap, this review article provides a comprehensive and structured analysis of FMs in medical image analysis. We systematically categorize studies into vision-only and vision-language FMs based on their architectural foundations, training strategies, and downstream clinical tasks. Additionally, a quantitative meta-analysis of the studies was conducted to characterize temporal trends in dataset utilization and application domains. We also critically discuss persistent challenges, including domain adaptation, efficient fine-tuning, computational constraints, and interpretability along with emerging solutions such as federated learning, knowledge distillation, and advanced prompting. Finally, we identify key future research directions aimed at enhancing the robustness, explainability, and clinical integration of FMs, thereby accelerating their translation into real-world medical practice.

Knowledge Distillation (KD) accelerates training of large language models (LLMs) but poses intellectual property protection and LLM diversity risks. Existing KD detection methods based on self-identity or output similarity can be easily evaded through prompt engineering. We present a KD detection framework effective in both white-box and black-box settings by exploiting an overlooked signal: the transfer of MoE "structural habits", especially internal routing patterns. Our approach analyzes how different experts specialize and collaborate across various inputs, creating distinctive fingerprints that persist through the distillation process. To extend beyond the white-box setup and MoE architectures, we further propose Shadow-MoE, a black-box method that constructs proxy MoE representations via auxiliary distillation to compare these patterns between arbitrary model pairs. We establish a comprehensive, reproducible benchmark that offers diverse distilled checkpoints and an extensible framework to facilitate future research. Extensive experiments demonstrate >94% detection accuracy across various scenarios and strong robustness to prompt-based evasion, outperforming existing baselines while highlighting the structural habits transfer in LLMs.

We present a novel architecture for safely integrating Large Language Models (LLMs) into interactive game engines, allowing players to "program" new behaviors using natural language. Our framework mitigates risks by using an LLM to translate commands into a constrained Domain-Specific Language (DSL), which configures a custom Entity-Component-System (ECS) at runtime. We evaluated this system in a 2D spell-crafting game prototype by experimentally assessing models from the Gemini, GPT, and Claude families with various prompting strategies. A validated LLM judge qualitatively rated the outputs, showing that while larger models better captured creative intent, the optimal prompting strategy is task-dependent: Chain-of-Thought improved creative alignment, while few-shot examples were necessary to generate more complex DSL scripts. This work offers a validated LLM-ECS pattern for emergent gameplay and a quantitative performance comparison for developers.

Large language models (LLMs) are increasingly used to convert natural language descriptions into mathematical optimization formulations. Current evaluations often treat formulations as a whole, relying on coarse metrics like solution accuracy or runtime, which obscure structural or numerical errors. In this study, we present a comprehensive, component-level evaluation framework for LLM-generated formulations. Beyond the conventional optimality gap, our framework introduces metrics such as precision and recall for decision variables and constraints, constraint and objective root mean squared error (RMSE), and efficiency indicators based on token usage and latency. We evaluate GPT-5, LLaMA 3.1 Instruct, and DeepSeek Math across optimization problems of varying complexity under six prompting strategies. Results show that GPT-5 consistently outperforms other models, with chain-of-thought, self-consistency, and modular prompting proving most effective. Analysis indicates that solver performance depends primarily on high constraint recall and low constraint RMSE, which together ensure structural correctness and solution reliability. Constraint precision and decision variable metrics play secondary roles, while concise outputs enhance computational efficiency. These findings highlight three principles for NLP-to-optimization modeling: (i) Complete constraint coverage prevents violations, (ii) minimizing constraint RMSE ensures solver-level accuracy, and (iii) concise outputs improve computational efficiency. The proposed framework establishes a foundation for fine-grained, diagnostic evaluation of LLMs in optimization modeling.

Recent leaps in large language models (LLMs) caused a revolution in programming tools (like GitHub Copilot) that can help with code generation, debugging, and even performance optimization. In this paper, we focus on the capabilities of the most recent reasoning models to generate optimized CUDA code for predefined, well-known tasks. Our objective is to determine which types of code optimizations and parallel patterns the LLMs can perform by themselves and whether they can be improved by tutoring (providing more detailed hints and guidelines in the prompt). The generated solutions were evaluated both automatically (for correctness and speedup) and manually (code reviews) to provide a more detailed perspective. We also tried an interactive approach where the LLM can fix its previous mistakes within a session. The results indicate that LLMs are quite skilled coders; however, they require tutoring to reach optimized solutions provided by parallel computing experts.

A key challenge in training Vision-Language Model (VLM) agents, compared to Language Model (LLM) agents, lies in the shift from textual states to complex visual observations. This transition introduces partial observability and demands robust world modeling. We ask: Can VLM agents construct internal world models through explicit visual state reasoning? To address this question, we architecturally enforce and reward the agent's reasoning process via reinforcement learning (RL), formulating it as a Partially Observable Markov Decision Process (POMDP). We find that decomposing the agent's reasoning into State Estimation ("what is the current state?") and Transition Modeling ("what comes next?") is critical for success, as demonstrated through five reasoning strategies. Our investigation into how agents represent internal beliefs reveals that the optimal representation is task-dependent: Natural Language excels at capturing semantic relationships in general tasks, while Structured formats are indispensable for precise manipulation and control. Building on these insights, we design a World Modeling Reward that provides dense, turn-level supervision for accurate state prediction, and introduce Bi-Level General Advantage Estimation (Bi-Level GAE) for turn-aware credit assignment. Through this form of visual state reasoning, a 3B-parameter model achieves a score of 0.82 across five diverse agent benchmarks, representing a 3$\times$ improvement over its untrained counterpart (0.21) and outperforming proprietary reasoning models such as GPT-5 (0.75), Gemini 2.5 Pro (0.67) and Claude 4.5 (0.62). All experiments are conducted within our VAGEN framework, a scalable system for training and analyzing multi-turn VLM agents in diverse visual environments. Code and data are publicly available at https://vagen-ai.github.io.

The effectiveness of artificial intelligence (AI) in healthcare is significantly hindered by unstructured clinical documentation, which results in noisy, inconsistent, and logically fragmented training data. To address this challenge, we present a knowledge-driven framework that integrates the standardized clinical terminology SNOMED CT with the Neo4j graph database to construct a structured medical knowledge graph. In this graph, clinical entities such as diseases, symptoms, and medications are represented as nodes, and semantic relationships such as ``caused by,'' ``treats,'' and ``belongs to'' are modeled as edges in Neo4j, with types mapped from formal SNOMED CT relationship concepts (e.g., \texttt{Causative agent}, \texttt{Indicated for}). This design enables multi-hop reasoning and ensures terminological consistency. By extracting and standardizing entity-relationship pairs from clinical texts, we generate structured, JSON-formatted datasets that embed explicit diagnostic pathways. These datasets are used to fine-tune large language models (LLMs), significantly improving the clinical logic consistency of their outputs. Experimental results demonstrate that our knowledge-guided approach enhances the validity and interpretability of AI-generated diagnostic reasoning, providing a scalable solution for building reliable AI-assisted clinical systems.

ABSTRACT Large audio-language models (LALMs) extend text-based LLMs with auditory understanding, offering new opportunities for multimodal applications. While their perception, reasoning, and task performance have been widely studied, their safety alignment under paralinguistic variation remains underexplored. This work systematically investigates the role of speaker emotion. We construct a dataset of malicious speech instructions expressed across multiple emotions and intensities, and evaluate several state-of-the-art LALMs. Our results reveal substantial safety inconsistencies: different emotions elicit varying levels of unsafe responses, and the effect of intensity is non-monotonic, with medium expressions often posing the greatest risk. These findings highlight an overlooked vulnerability in LALMs and call for alignment strategies explicitly designed to ensure robustness under emotional variation, a prerequisite for trustworthy deployment in real-world settings.

Generalizing to unseen graph tasks without task-specific supervision is challenging: conventional graph neural networks are typically tied to a fixed label space, while large language models (LLMs) struggle to capture graph structure. We introduce UniGTE, an instruction-tuned encoder-decoder framework that unifies structural and semantic reasoning. The encoder augments a pretrained autoregressive LLM with learnable alignment tokens and a structure-aware graph-text attention mechanism, enabling it to attend jointly to a tokenized graph and a natural-language task prompt while remaining permutation-invariant to node order. This yields compact, task-aware graph representations. Conditioned solely on these representations, a frozen LLM decoder predicts and reconstructs: it outputs the task answer and simultaneously paraphrases the input graph in natural language. The reconstruction objective regularizes the encoder to preserve structural cues. UniGTE is instruction-tuned on five datasets spanning node-level, edge-level, and graph-level tasks across diverse domains, yet requires no fine-tuning at inference. It achieves new state-of-the-art zero-shot results on node classification, link prediction, graph classification, and graph regression under cross-task and cross-domain settings, demonstrating that tight integration of graph structure with LLM semantics enables robust, transferable graph reasoning.

Autonomous data science, from raw data sources to analyst-grade deep research reports, has been a long-standing challenge, and is now becoming feasible with the emergence of powerful large language models (LLMs). Recent workflow-based data agents have shown promising results on specific data tasks but remain fundamentally limited in achieving fully autonomous data science due to their reliance on predefined workflows. In this paper, we introduce DeepAnalyze-8B, the first agentic LLM designed for autonomous data science, capable of automatically completing the end-toend pipeline from data sources to analyst-grade deep research reports. To tackle high-complexity data science tasks, we propose a curriculum-based agentic training paradigm that emulates the learning trajectory of human data scientists, enabling LLMs to progressively acquire and integrate multiple capabilities in real-world environments. We also introduce a data-grounded trajectory synthesis framework that constructs high-quality training data. Through agentic training, DeepAnalyze learns to perform a broad spectrum of data tasks, ranging from data question answering and specialized analytical tasks to open-ended data research. Experiments demonstrate that, with only 8B parameters, DeepAnalyze outperforms previous workflow-based agents built on most advanced proprietary LLMs. The model, code, and training data of DeepAnalyze are open-sourced, paving the way toward autonomous data science.