Vision-Language Models (VLMs) excel across diverse tasks but suffer from high inference costs in time and memory. Token sparsity mitigates inefficiencies in token usage, while neuron sparsity reduces high-dimensional computations, both offering promising solutions to enhance efficiency. Recently, these two sparsity paradigms have evolved largely in parallel, fostering the prevailing assumption that they function independently. However, a fundamental yet underexplored question remains: Do they truly operate in isolation, or is there a deeper underlying interplay that has yet to be uncovered? In this paper, we conduct the first comprehensive investigation into this question. By introducing and analyzing the matching mechanism between Core Neurons and Core Tokens, we found that key neurons and tokens for inference mutually influence and reinforce each other. Building on this insight, we propose CoreMatching, a co-adaptive sparse inference framework, which leverages the synergy between token and neuron sparsity to enhance inference efficiency. Through theoretical analysis and efficiency evaluations, we demonstrate that the proposed method surpasses state-of-the-art baselines on ten image understanding tasks and three hardware devices. Notably, on the NVIDIA Titan Xp, it achieved 5x FLOPs reduction and a 10x overall speedup. Code is released at https://github.com/wangqinsi1/2025-ICML-CoreMatching/tree/main.

Recent large language models (LLMs) exhibit impressive reasoning but often over-think, generating excessively long responses that hinder efficiency. We introduce DIET ( DIfficulty-AwarE Training), a framework that systematically cuts these "token calories" by integrating on-the-fly problem difficulty into the reinforcement learning (RL) process. DIET dynamically adapts token compression strategies by modulating token penalty strength and conditioning target lengths on estimated task difficulty, to optimize the performance-efficiency trade-off. We also theoretically analyze the pitfalls of naive reward weighting in group-normalized RL algorithms like GRPO, and propose Advantage Weighting technique, which enables stable and effective implementation of these difficulty-aware objectives. Experimental results demonstrate that DIET significantly reduces token counts while simultaneously improving reasoning performance. Beyond raw token reduction, we show two crucial benefits largely overlooked by prior work: (1) DIET leads to superior inference scaling. By maintaining high per-sample quality with fewer tokens, it enables better scaling performance via majority voting with more samples under fixed computational budgets, an area where other methods falter. (2) DIET enhances the natural positive correlation between response length and problem difficulty, ensuring verbosity is appropriately allocated, unlike many existing compression methods that disrupt this relationship. Our analyses provide a principled and effective framework for developing more efficient, practical, and high-performing LLMs.

Recent advances in reinforcement learning with verifiable, rule-based rewards have greatly enhanced the reasoning capabilities and out-of-distribution generalization of VLMs/LLMs, obviating the need for manually crafted reasoning chains. Despite these promising developments in the general domain, their translation to medical imaging remains limited. Current medical reinforcement fine-tuning (RFT) methods predominantly focus on close-ended VQA, thereby restricting the model's ability to engage in world knowledge retrieval and flexible task adaptation. More critically, these methods fall short of addressing the critical clinical demand for open-ended, reasoning-intensive decision-making. To bridge this gap, we introduce \textbf{MedCCO}, the first multimodal reinforcement learning framework tailored for medical VQA that unifies close-ended and open-ended data within a curriculum-driven RFT paradigm. Specifically, MedCCO is initially fine-tuned on a diverse set of close-ended medical VQA tasks to establish domain-grounded reasoning capabilities, and is then progressively adapted to open-ended tasks to foster deeper knowledge enhancement and clinical interpretability. We validate MedCCO across eight challenging medical VQA benchmarks, spanning both close-ended and open-ended settings. Experimental results show that MedCCO consistently enhances performance and generalization, achieving a 11.4\% accuracy gain across three in-domain tasks, and a 5.7\% improvement on five out-of-domain benchmarks. These findings highlight the promise of curriculum-guided RL in advancing robust, clinically-relevant reasoning in medical multimodal language models.

Recent advances in large language models (LLMs) have enabled their use in complex agentic roles, involving decision-making with humans or other agents, making ethical alignment a key AI safety concern. While prior work has examined both LLMs' moral judgment and strategic behavior in social dilemmas, there is limited understanding of how they act when moral imperatives directly conflict with rewards or incentives. To investigate this, we introduce Moral Behavior in Social Dilemma Simulation (MoralSim) and evaluate how LLMs behave in the prisoner's dilemma and public goods game with morally charged contexts. In MoralSim, we test a range of frontier models across both game structures and three distinct moral framings, enabling a systematic examination of how LLMs navigate social dilemmas in which ethical norms conflict with payoff-maximizing strategies. Our results show substantial variation across models in both their general tendency to act morally and the consistency of their behavior across game types, the specific moral framing, and situational factors such as opponent behavior and survival risks. Crucially, no model exhibits consistently moral behavior in MoralSim, highlighting the need for caution when deploying LLMs in agentic roles where the agent's "self-interest" may conflict with ethical expectations. Our code is available at https://github.com/sbackmann/moralsim.

--The latency bottleneck of traditional text-to-speech (TTS) systems fundamentally hinders the potential of streaming large language models (LLMs) in conversational AI. These TTS systems, typically trained and inferenced on complete utterances, introduce unacceptable delays - even with optimized inference speeds - when coupled with streaming LLM outputs. This is particularly problematic for creating responsive conversational agents where low first-token latency is critical. In this paper, we present SpeakStream, a streaming TTS system that generates audio incrementally from streaming text using a decoder-only architecture. SpeakStream is trained using a next-step prediction loss on interleaved text-speech data. During inference, it generates speech incrementally while absorbing streaming input text, making it particularly suitable for cascaded conversational AI agents where an LLM streams text to a TTS system. Our experiments demonstrate that SpeakStream achieves state-of-the-art latency results in terms of first-token latency while maintaining the quality of non-streaming TTS systems. Our demo website is available at https://apple.github.io/speakstream-demo. Index T erms --text-to-speech, speech synthesis, streaming Recent years have witnessed a surge of interest in speech interfaces for large language models (LLMs).

Accurate prediction of major adverse cardiovascular events recurrence risk in acute myocardial infarction patients based on postoperative cardiac MRI and associated clinical notes is crucial for precision treatment and personalized intervention. Existing methods primarily focus on risk stratification capability while overlooking the need for intermediate robust reasoning and model interpretability in clinical practice. Moreover, end-to-end risk prediction using LLM/VLM faces significant challenges due to data limitations and modeling complexity. To bridge this gap, we propose CardioCoT, a novel two-stage hierarchical reasoning-enhanced survival analysis framework designed to enhance both model interpretability and predictive performance. In the first stage, we employ an evidence-augmented self-refinement mechanism to guide LLM/VLMs in generating robust hierarchical reasoning trajectories based on associated radiological findings. In the second stage, we integrate the reasoning trajectories with imaging data for risk model training and prediction. CardioCoT demonstrates superior performance in MACE recurrence risk prediction while providing interpretable reasoning processes, offering valuable insights for clinical decision-making.

Inconsistent political statements represent a form of misinformation. They erode public trust and pose challenges to accountability, when left unnoticed. Detecting inconsistencies automatically could support journalists in asking clarification questions, thereby helping to keep politicians accountable. We propose the Inconsistency detection task and develop a scale of inconsistency types to prompt NLP-research in this direction. To provide a resource for detecting inconsistencies in a political domain, we present a dataset of 698 human-annotated pairs of political statements with explanations of the annotators' reasoning for 237 samples. The statements mainly come from voting assistant platforms such as Wahl-O-Mat in Germany and Smartvote in Switzerland, reflecting real-world political issues. We benchmark Large Language Models (LLMs) on our dataset and show that in general, they are as good as humans at detecting inconsistencies, and might be even better than individual humans at predicting the crowd-annotated ground-truth. However, when it comes to identifying fine-grained inconsistency types, none of the model have reached the upper bound of performance (due to natural labeling variation), thus leaving room for improvement. We make our dataset and code publicly available.

Effective teaching requires adapting instructional strategies to accommodate the diverse cognitive and behavioral profiles of students, a persistent challenge in education and teacher training. While Large Language Models (LLMs) offer promise as tools to simulate such complex pedagogical environments, current simulation frameworks are limited in two key respects: (1) they often reduce students to static knowledge profiles, and (2) they lack adaptive mechanisms for modeling teachers who evolve their strategies in response to student feedback. To address these gaps, \textbf{we introduce a novel simulation framework that integrates LLM-based heterogeneous student agents with a self-optimizing teacher agent}. The teacher agent's pedagogical policy is dynamically evolved using a genetic algorithm, allowing it to discover and refine effective teaching strategies based on the aggregate performance of diverse learners. In addition, \textbf{we propose Persona-RAG}, a Retrieval Augmented Generation module that enables student agents to retrieve knowledge tailored to their individual learning styles. Persona-RAG preserves the retrieval accuracy of standard RAG baselines while enhancing personalization, an essential factor in modeling realistic educational scenarios. Through extensive experiments, we demonstrate how our framework supports the emergence of distinct and interpretable teaching patterns when interacting with varied student populations. Our results highlight the potential of LLM-driven simulations to inform adaptive teaching practices and provide a testbed for training human educators in controlled, data-driven environments.

Large Language Models (LLMs) have demonstrated remarkable performance across various disciplines and tasks. However, benchmarking their capabilities with multilingual spoken queries remains largely unexplored. In this study, we introduce SpokenNativQA, the first multilingual and culturally aligned spoken question-answering (SQA) dataset designed to evaluate LLMs in real-world conversational settings. The dataset comprises approximately 33,000 naturally spoken questions and answers in multiple languages, including low-resource and dialect-rich languages, providing a robust benchmark for assessing LLM performance in speech-based interactions. SpokenNativQA addresses the limitations of text-based QA datasets by incorporating speech variability, accents, and linguistic diversity. We benchmark different ASR systems and LLMs for SQA and present our findings. We released the data at (https://huggingface.co/datasets/QCRI/SpokenNativQA) and the experimental scripts at (https://llmebench.qcri.org/) for the research community.

Due to the auto-regressive nature of current video large language models (Video-LLMs), the inference latency increases as the input sequence length grows, posing challenges for the efficient processing of video sequences that are usually very long. We observe that during decoding, the attention scores of most tokens in Video-LLMs tend to be sparse and concentrated, with only certain tokens requiring comprehensive full attention. Based on this insight, we introduce Sparse-to-Dense (StD), a novel decoding strategy that integrates two distinct modules: one leveraging sparse top-K attention and the other employing dense full attention. These modules collaborate to accelerate Video-LLMs without loss. The fast (sparse) model speculatively decodes multiple tokens, while the slow (dense) model verifies them in parallel. StD is a tuning-free, plug-and-play solution that achieves up to a 1.94$\times$ walltime speedup in video processing. It maintains model performance while enabling a seamless transition from a standard Video-LLM to a sparse Video-LLM with minimal code modifications.