Large Language Model
Medical Reasoning in the Era of LLMs: A Systematic Review of Enhancement Techniques and Applications
Wang, Wenxuan, Ma, Zizhan, Ding, Meidan, Zheng, Shiyi, Liu, Shengyuan, Liu, Jie, Ji, Jiaming, Chen, Wenting, Li, Xiang, Shen, Linlin, Yuan, Yixuan
The proliferation of Large Language Models (LLMs) in medicine has enabled impressive capabilities, yet a critical gap remains in their ability to perform systematic, transparent, and verifiable reasoning, a cornerstone of clinical practice. This has catalyzed a shift from single-step answer generation to the development of LLMs explicitly designed for medical reasoning. This paper provides the first systematic review of this emerging field. We propose a taxonomy of reasoning enhancement techniques, categorized into training-time strategies (e.g., supervised fine-tuning, reinforcement learning) and test-time mechanisms (e.g., prompt engineering, multi-agent systems). We analyze how these techniques are applied across different data modalities (text, image, code) and in key clinical applications such as diagnosis, education, and treatment planning. Furthermore, we survey the evolution of evaluation benchmarks from simple accuracy metrics to sophisticated assessments of reasoning quality and visual interpretability. Based on an analysis of 60 seminal studies from 2022-2025, we conclude by identifying critical challenges, including the faithfulness-plausibility gap and the need for native multimodal reasoning, and outlining future directions toward building efficient, robust, and sociotechnically responsible medical AI.
Demo: TOSense -- What Did You Just Agree to?
Chen, Xinzhang, Ali, Hassan, Shaghaghi, Arash, Kanhere, Salil S., Jha, Sanjay
Online services often require users to agree to lengthy and obscure Terms of Service (ToS), leading to information asymmetry and legal risks. This paper proposes TOSense-a Chrome extension that allows users to ask questions about ToS in natural language and get concise answers in real time. The system combines (i) a crawler "tos-crawl" that automatically extracts ToS content, and (ii) a lightweight large language model pipeline: MiniLM for semantic retrieval and BART-encoder for answer relevance verification. To avoid expensive manual annotation, we present a novel Question Answering Evaluation Pipeline (QEP) that generates synthetic questions and verifies the correctness of answers using clustered topic matching. Experiments on five major platforms, Apple, Google, X (formerly Twitter), Microsoft, and Netflix, show the effectiveness of TOSense (with up to 44.5% accuracy) across varying number of topic clusters. During the demonstration, we will showcase TOSense in action. Attendees will be able to experience seamless extraction, interactive question answering, and instant indexing of new sites.
Prompting Science Report 3: I'll pay you or I'll kill you -- but will you care?
Meincke, Lennart, Mollick, Ethan, Mollick, Lilach, Shapiro, Dan
This is the third in a series of short reports that seek to help business, education, and policy leaders understand the technical details of working with AI through rigorous testing. In this report, we investigate two commonly held prompting beliefs: a) offering to tip the AI model and b) threatening the AI model. Tipping was a commonly shared tactic for improving AI performance and threats have been endorsed by Google Founder Sergey Brin (All In, May 2025, 8:20) who observed that'models tend to do better if you threaten them,' a claim we subject to empirical testing here. We evaluate model performance on GPQA (Rein et al. 2024) and MMLU-Pro (Wang et al. 2024). We demonstrate two things: Threatening or tipping a model generally has no significant effect on benchmark performance. Prompt variations can significantly affect performance on a per-question level. However, it is hard to know in advance whether a particular prompting approach will help or harm the LLM's ability to answer any particular question. Taken together, this suggests that simple prompting variations might not be as effective as previously assumed, especially for difficult problems. However, as reported previously (Meincke et al. 2025a), prompting approaches can yield significantly different results for individual questions.
LeakSealer: A Semisupervised Defense for LLMs Against Prompt Injection and Leakage Attacks
Panebianco, Francesco, Bonfanti, Stefano, Trovรฒ, Francesco, Carminati, Michele
The generalization capabilities of Large Language Models (LLMs) have led to their widespread deployment across various applications. However, this increased adoption has introduced several security threats, notably in the forms of jailbreaking and data leakage attacks. Additionally, Retrieval Augmented Generation (RAG), while enhancing context-awareness in LLM responses, has inadvertently introduced vulnerabilities that can result in the leakage of sensitive information. Our contributions are twofold. First, we introduce a methodology to analyze historical interaction data from an LLM system, enabling the generation of usage maps categorized by topics (including adversarial interactions). This approach further provides forensic insights for tracking the evolution of jailbreaking attack patterns. Second, we propose LeakSealer, a model-agnostic framework that combines static analysis for forensic insights with dynamic defenses in a Human-In-The-Loop (HITL) pipeline. This technique identifies topic groups and detects anomalous patterns, allowing for proactive defense mechanisms. We empirically evaluate LeakSealer under two scenarios: (1) jailbreak attempts, employing a public benchmark dataset, and (2) PII leakage, supported by a curated dataset of labeled LLM interactions. In the static setting, LeakSealer achieves the highest precision and recall on the ToxicChat dataset when identifying prompt injection. In the dynamic setting, PII leakage detection achieves an AUPRC of $0.97$, significantly outperforming baselines such as Llama Guard.
From EMR Data to Clinical Insight: An LLM-Driven Framework for Automated Pre-Consultation Questionnaire Generation
Ding, Ruiqing, Sun, Qianfang, Leng, Yongkang, Yin, Hui, Li, Xiaojian
Pre-consultation is a critical component of effective healthcare delivery. However, generating comprehensive pre-consultation questionnaires from complex, voluminous Electronic Medical Records (EMRs) is a challenging task. Direct Large Language Model (LLM) approaches face difficulties in this task, particularly regarding information completeness, logical order, and disease-level synthesis. To address this issue, we propose a novel multi-stage LLM-driven framework: Stage 1 extracts atomic assertions (key facts with timing) from EMRs; Stage 2 constructs personal causal networks and synthesizes disease knowledge by clustering representative networks from an EMR corpus; Stage 3 generates tailored personal and standardized disease-specific questionnaires based on these structured representations. This framework overcomes limitations of direct methods by building explicit clinical knowledge. Evaluated on a real-world EMR dataset and validated by clinical experts, our method demonstrates superior performance in information coverage, diagnostic relevance, understandability, and generation time, highlighting its practical potential to enhance patient information collection.
Activation-Guided Local Editing for Jailbreaking Attacks
Wang, Jiecong, Li, Haoran, Peng, Hao, Zeng, Ziqian, Wang, Zihao, Du, Haohua, Yu, Zhengtao
Jailbreaking is an essential adversarial technique for red-teaming these models to uncover and patch security flaws. However, existing jailbreak methods face significant drawbacks. Token-level jailbreak attacks often produce incoherent or unreadable inputs and exhibit poor transferability, while prompt-level attacks lack scalability and rely heavily on manual effort and human ingenuity. We propose a concise and effective two-stage framework that combines the advantages of these approaches. The first stage performs a scenario-based generation of context and rephrases the original malicious query to obscure its harmful intent. The second stage then utilizes information from the model's hidden states to guide fine-grained edits, effectively steering the model's internal representation of the input from a malicious toward a benign one. Extensive experiments demonstrate that this method achieves state-of-the-art Attack Success Rate, with gains of up to 37.74% over the strongest baseline, and exhibits excellent transferability to black-box models. Our analysis further demonstrates that AGILE maintains substantial effectiveness against prominent defense mechanisms, highlighting the limitations of current safeguards and providing valuable insights for future defense development. Our code is available at https://github.com/yunsaijc/AGILE.
SPENCER: Self-Adaptive Model Distillation for Efficient Code Retrieval
Gu, Wenchao, Lyu, Zongyi, Wang, Yanlin, Zhang, Hongyu, Gao, Cuiyun, Lyu, Michael R.
Code retrieval aims to provide users with desired code snippets based on users' natural language queries. With the development of deep learning technologies, adopting pre-trained models for this task has become mainstream. Considering the retrieval efficiency, most of the previous approaches adopt a dual-encoder for this task, which encodes the description and code snippet into representation vectors, respectively. However, the model structure of the dual-encoder tends to limit the model's performance, since it lacks the interaction between the code snippet and description at the bottom layer of the model during training. To improve the model's effectiveness while preserving its efficiency, we propose a framework, which adopts Self-AdaPtive Model Distillation for Efficient CodE Retrieval, named SPENCER. SPENCER first adopts the dual-encoder to narrow the search space and then adopts the cross-encoder to improve accuracy. To improve the efficiency of SPENCER, we propose a novel model distillation technique, which can greatly reduce the inference time of the dual-encoder while maintaining the overall performance. We also propose a teaching assistant selection strategy for our model distillation, which can adaptively select the suitable teaching assistant models for different pre-trained models during the model distillation to ensure the model performance. Extensive experiments demonstrate that the combination of dual-encoder and cross-encoder improves overall performance compared to solely dual-encoder-based models for code retrieval. Besides, our model distillation technique retains over 98% of the overall performance while reducing the inference time of the dual-encoder by 70%.
Court of LLMs: Evidence-Augmented Generation via Multi-LLM Collaboration for Text-Attributed Graph Anomaly Detection
Xu, Yiming, Chen, Jiarun, Peng, Zhen, Chen, Zihan, Lin, Qika, Ma, Lan, Shi, Bin, Dong, Bo
The natural combination of intricate topological structures and rich textual information in text-attributed graphs (TAGs) opens up a novel perspective for graph anomaly detection (GAD). However, existing GAD methods primarily focus on designing complex optimization objectives within the graph domain, overlooking the complementary value of the textual modality, whose features are often encoded by shallow embedding techniques, such as bag-of-words or skip-gram, so that semantic context related to anomalies may be missed. To unleash the enormous potential of textual modality, large language models (LLMs) have emerged as promising alternatives due to their strong semantic understanding and reasoning capabilities. Nevertheless, their application to TAG anomaly detection remains nascent, and they struggle to encode high-order structural information inherent in graphs due to input length constraints. For high-quality anomaly detection in TAGs, we propose CoLL, a novel framework that combines LLMs and graph neural networks (GNNs) to leverage their complementary strengths. CoLL employs multi-LLM collaboration for evidence-augmented generation to capture anomaly-relevant contexts while delivering human-readable rationales for detected anomalies. Moreover, CoLL integrates a GNN equipped with a gating mechanism to adaptively fuse textual features with evidence while preserving high-order topological information. Extensive experiments demonstrate the superiority of CoLL, achieving an average improvement of 13.37% in AP. This study opens a new avenue for incorporating LLMs in advancing GAD.
GETALP@AutoMin 2025: Leveraging RAG to Answer Questions based on Meeting Transcripts
Kang, Jeongwoo, Vartampetian, Markarit, Herron, Felix, Zhou, Yongxin, Fabre, Diandra, Gonzalez-Saez, Gabriela
This paper documents GETALP's submission to the Third Run of the Automatic Minuting Shared Task at SIGDial 2025. We participated in Task B: question-answering based on meeting transcripts. Our method is based on a retrieval augmented generation (RAG) system and Abstract Meaning Representations (AMR). We propose three systems combining these two approaches. Our results show that incorporating AMR leads to high-quality responses for approximately 35% of the questions and provides notable improvements in answering questions that involve distinguishing between different participants (e.g., who questions).
Thinking Machines: Mathematical Reasoning in the Age of LLMs
Asperti, Andrea, Naibo, Alberto, Coen, Claudio Sacerdoti
Large Language Models (LLMs) have shown remarkable abilities in structured reasoning and symbolic tasks, with coding emerging as a particular area of strength. This success has sparked growing interest in applying LLMs to mathematics, both in informal problem-solving and formal theorem proving. However, progress in formal mathematics has proven to be significantly more difficult, despite surface-level similarities between programming and proof construction. This discrepancy raises important questions about how LLMs ``reason'', how they are supervised, and whether they internally track a notion of computational or deductive state. In this article, we address the state-of-the-art of the discipline, focusing on recent models and benchmarks, and explore three central issues at the intersection of machine learning and mathematical cognition: (i) the trade-offs between formal and informal mathematics as training domains; (ii) the deeper reasons why proof generation remains more brittle than code synthesis; (iii) and the question of whether LLMs represent, or merely mimic, a notion of evolving logical state. Our goal is not to draw hard boundaries, but to identify where the current limits lie, and how they might be extended.