Despite the advantages of multi-agent reinforcement learning (MARL) for wireless use case such as medium access control (MAC), their real-world deployment in Internet of Things (IoT) is hindered by their sample inefficiency. To alleviate this challenge, one can leverage model-based reinforcement learning (MBRL) solutions, however, conventional MBRL approaches rely on black-box models that are not interpretable and cannot reason. In contrast, in this paper, a novel causal model-based MARL framework is developed by leveraging tools from causal learn- ing. In particular, the proposed model can explicitly represent causal dependencies between network variables using structural causal models (SCMs) and attention-based inference networks. Interpretable causal models are then developed to capture how MAC control messages influence observations, how transmission actions determine outcomes, and how channel observations affect rewards. Data augmentation techniques are then used to generate synthetic rollouts using the learned causal model for policy optimization via proximal policy optimization (PPO). Analytical results demonstrate exponential sample complexity gains of causal MBRL over black-box approaches. Extensive simulations demonstrate that, on average, the proposed approach can reduce environment interactions by 58%, and yield faster convergence compared to model-free baselines. The proposed approach inherently is also shown to provide interpretable scheduling decisions via attention-based causal attribution, revealing which network conditions drive the policy. The resulting combination of sample efficiency and interpretability establishes causal MBRL as a practical approach for resource-constrained wireless systems.

Radiologists compose diagnostic reports through a structured workflow: they describe visual findings, summarize them into impressions, and carefully refine statements in clinically critical cases. However, most existing medical report generation (MRG) systems treat reports as flat sequences, overlooking this hierarchical organization and leading to inconsistencies between descriptive and diagnostic content. To align model behavior with real-world reporting practices, we propose RadFlow, a hierarchical workflow-guided reinforcement optimization framework that explicitly models the structured nature of clinical reporting. RadFlow introduces a clinically grounded reward hierarchy that mirrors the organization of radiological reports. At the global level, the reward integrates linguistic fluency, medical-domain correctness, and cross-sectional consistency between Finding and Impression, promoting coherent and clinically faithful narratives. At the local level, a section-specific reward emphasizes Impression quality, reflecting its central role in diagnostic accuracy. Furthermore, a critical-aware policy optimization mechanism adaptively regularizes learning for high-risk or clinically sensitive cases, emulating the cautious refinement behavior of radiologists when documenting critical findings. Together, these components translate the structured reporting paradigm into the reinforcement fine-tuning process, enabling the model to generate reports that are both linguistically consistent and clinically aligned. Experiments on chest X-ray and carotid ultrasound datasets demonstrate that RadFlow consistently improves diagnostic coherence and overall report quality compared with state-of-the-art baselines.

Inferring causal relationships from observed data is an important task, yet it becomes challenging when the data is subject to various external interferences. Most of these interferences are the additional effects of external factors on observed variables. Since these external factors are often unknown, we introduce latent variables to represent these unobserved factors that affect the observed data. Specifically, to capture the causal strength and adjacency information, we propose a new temporal latent variable structural causal model, incorporating causal strength and adjacency coefficients that represent the causal relationships between variables. Considering that expert knowledge can provide information about unknown interferences in certain scenarios, we develop a method that facilitates the incorporation of prior knowledge into parameter learning based on Variational Inference, to guide the model estimation. Experimental results demonstrate the stability and accuracy of our proposed method.

SHapley Additive exPlanations (SHAP) is a key tool for interpreting decision tree ensembles by assigning contribution values to features. It is widely used in finance, advertising, medicine, and other domains. Two main approaches to SHAP calculation exist: Path-Dependent SHAP, which leverages the tree structure for efficiency, and Background SHAP, which uses a background dataset to estimate feature distributions. We introduce WOODELF, a SHAP algorithm that integrates decision trees, game theory, and Boolean logic into a unified framework. For each consumer, WOODELF constructs a pseudo-Boolean formula that captures their feature values, the structure of the decision tree ensemble, and the entire background dataset. It then leverages this representation to compute Background SHAP in linear time. WOODELF can also compute Path-Dependent SHAP, Shapley interaction values, Banzhaf values, and Banzhaf interaction values. WOODELF is designed to run efficiently on CPU and GPU hardware alike. Available via the WOODELF Python package, it is implemented using NumPy, SciPy, and CuPy without relying on custom C++ or CUDA code. This design enables fast performance and seamless integration into existing frameworks, supporting large-scale computation of SHAP and other game-theoretic values in practice. For example, on a dataset with 3,000,000 rows, 5,000,000 background samples, and 127 features, WOODELF computed all Background Shapley values in 162 seconds on CPU and 16 seconds on GPU - compared to 44 minutes required by the best method on any hardware platform, representing 16x and 165x speedups, respectively.

This work presents a global-to-local, task-aware fault detection and identification (FDI) framework for multi-spacecraft systems conducting collaborative inspection missions in low Earth orbit. The inspection task is represented by a global information-driven cost functional that integrates the sensor model, spacecraft poses, and mission-level information-gain objectives. This formulation links guidance, control, and FDI by using the same cost function to drive both global task allocation and local sensing or motion decisions. Fault detection is achieved through comparisons between expected and observed task metrics, while higher-order cost-gradient measures enable the identification of faults among sensors, actuators, and state estimators. An adaptive thresholding mechanism captures the time-varying inspection geometry and dynamic mission conditions. Simulation results for representative multi-spacecraft inspection scenarios demonstrate the reliability of fault localization and classification under uncertainty, providing a unified, information-driven foundation for resilient autonomous inspection architectures.

A reliable fault diagnosis system should not only accurately classify known health states but also effectively identify unknown faults. In multimode processes, samples belonging to the same health state often show multiple cluster distributions, making it difficult to construct compact and accurate decision boundaries for that state. To address this challenge, a novel open-set fault diagnosis model named fine-grained clustering and rejection network (FGCRN) is proposed. It combines multiscale depthwise convolution, bidirectional gated recurrent unit and temporal attention mechanism to capture discriminative features. A distance-based loss function is designed to enhance the intra-class compactness. Fine-grained feature representations are constructed through unsupervised learning to uncover the intrinsic structures of each health state. Extreme value theory is employed to model the distance between sample features and their corresponding fine-grained representations, enabling effective identification of unknown faults. Extensive experiments demonstrate the superior performance of the proposed method.

Though Large Vision-Language Models (LVLMs) are being actively explored in medicine, their ability to conduct complex real-world telemedicine consultations combining accurate diagnosis with professional dialogue remains underexplored. This paper presents 3MDBench (Medical Multimodal Multi-agent Dialogue Benchmark), an open-source framework for simulating and evaluating LVLM-driven telemedical consultations. 3MDBench simulates patient variability through temperament-based Patient Agent and evaluates diagnostic accuracy and dialogue quality via Assessor Agent. It includes 2996 cases across 34 diagnoses from real-world telemedicine interactions, combining textual and image-based data. The experimental study compares diagnostic strategies for widely used open and closed-source LVLMs. We demonstrate that multimodal dialogue with internal reasoning improves F1 score by 6.5% over non-dialogue settings, highlighting the importance of context-aware, information-seeking questioning. Moreover, injecting predictions from a diagnostic convolutional neural network into the LVLM's context boosts F1 by up to 20%. Source code is available at https://github.com/univanxx/3mdbench.

AI-assisted ultrasound video diagnosis presents new opportunities to enhance the efficiency and accuracy of medical imaging analysis. However, existing research remains limited in terms of dataset diversity, diagnostic performance, and clinical applicability. In this study, we propose \textbf{Auto-US}, an intelligent diagnosis agent that integrates ultrasound video data with clinical diagnostic text. To support this, we constructed \textbf{CUV Dataset} of 495 ultrasound videos spanning five categories and three organs, aggregated from multiple open-access sources. We developed \textbf{CTU-Net}, which achieves state-of-the-art performance in ultrasound video classification, reaching an accuracy of 86.73\% Furthermore, by incorporating large language models, Auto-US is capable of generating clinically meaningful diagnostic suggestions. The final diagnostic scores for each case exceeded 3 out of 5 and were validated by professional clinicians. These results demonstrate the effectiveness and clinical potential of Auto-US in real-world ultrasound applications. Code and data are available at: https://github.com/Bean-Young/Auto-US.

Realizing personalized medicine at scale calls for methods that distill insights from longitudinal patient journeys, which can be viewed as a sequence of medical events. Foundation models pretrained on large-scale medical event data represent a promising direction for scaling real-world evidence generation and generalizing to diverse downstream tasks. Using Epic Cosmos, a dataset with medical events from de-identified longitudinal health records for 16.3 billion encounters over 300 million unique patient records from 310 health systems, we introduce the Curiosity models, a family of decoder-only transformer models pretrained on 118 million patients representing 115 billion discrete medical events (151 billion tokens). We present the largest scaling-law study of medical event data, establishing a methodology for pretraining and revealing power-law scaling relationships for compute, tokens, and model size. Consequently, we pretrained a series of compute-optimal models with up to 1 billion parameters. Conditioned on a patient's real-world history, Curiosity autoregressively predicts the next medical event to simulate patient health timelines. We studied 78 real-world tasks, including diagnosis prediction, disease prognosis, and healthcare operations. Remarkably for a foundation model with generic pretraining and simulation-based inference, Curiosity generally outperformed or matched task-specific supervised models on these tasks, without requiring task-specific fine-tuning or few-shot examples. Curiosity's predictive power consistently improves as the model and pretraining scale. Our results show that Curiosity, a generative medical event foundation model, can effectively capture complex clinical dynamics, providing an extensible and generalizable framework to support clinical decision-making, streamline healthcare operations, and improve patient outcomes.

Echocardiography records ultrasound videos of the heart, enabling clinicians to assess cardiac function. Recent advances in large-scale vision-language models (VLMs) have spurred interest in automating echocardiographic interpretation. However, most existing medical VLMs rely on single-frame (image) inputs, which can reduce diagnostic accuracy for conditions identifiable only through cardiac motion. In addition, echocardiographic videos are captured from multiple views, each varying in suitability for detecting specific conditions. Leveraging multiple views may therefore improve diagnostic performance. We developed a video-language model that processes full video sequences from five standard views, trained on 60,747 echocardiographic video-report pairs. We evaluated the gains in retrieval performance from video input and multi-view support, including the contributions of various pretrained models. Code and model weights are available at https://github.com/UTcardiology/video-echo-clip