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Oct 16

"Someone Hid It": Query-Agnostic Black-Box Attacks on LLM-Based Retrieval

Large language models (LLMs) have been serving as effective backbones for retrieval systems, including Retrieval-Augmentation-Generation (RAG), Dense Information Retriever (IR), and Agent Memory Retrieval. Recent studies have demonstrated that such LLM-based Retrieval (LLMR) is vulnerable to adversarial attacks, which manipulates documents by token-level injections and enables adversaries to either boost or diminish these documents in retrieval tasks. However, existing attack studies mainly (1) presume a known query is given to the attacker, and (2) highly rely on access to the victim model's parameters or interactions, which are hardly accessible in real-world scenarios, leading to limited validity. To further explore the secure risks of LLMR, we propose a practical black-box attack method that generates transferable injection tokens based on zero-shot surrogate LLMs without need of victim queries or victim models knowledge. The effectiveness of our attack raises such a robustness issue that similar effects may arise from benign or unintended document edits in the real world. To achieve our attack, we first establish a theoretical framework of LLMR and empirically verify it. Under the framework, we simulate the transferable attack as a min-max problem, and propose an adversarial learning mechanism that finds optimal adversarial tokens with learnable query samples. Our attack is validated to be effective on benchmark datasets across popular LLM retrievers.

  • 11 authors
·
Feb 16

Causal Judge Evaluation: Calibrated Surrogate Metrics for LLM Systems

LLM-as-judge evaluation has become the de facto standard for scaling model assessment, but the practice is statistically unsound: uncalibrated scores can invert preferences, naive confidence intervals on uncalibrated scores achieve near-0% coverage, and importance-weighted estimators collapse under limited overlap despite high effective sample size (ESS). We introduce Causal Judge Evaluation (CJE), a framework that fixes all three failures. On n=4,961 Chatbot Arena prompts (after filtering from 5k), CJE achieves 99% pairwise ranking accuracy at full sample size (94% averaged across configurations), matching oracle quality, at 14x lower cost (for ranking 5 policies) by calibrating a 16x cheaper judge on just 5% oracle labels (~250 labels). CJE combines three components: (i) AutoCal-R, reward calibration via mean-preserving isotonic regression; (ii) SIMCal-W, weight stabilization via stacking of S-monotone candidates; and (iii) Oracle-Uncertainty Aware (OUA) inference that propagates calibration uncertainty into confidence intervals. We formalize the Coverage-Limited Efficiency (CLE) diagnostic, which explains why IPS-style estimators fail even when ESS exceeds 90%: the logger rarely visits regions where target policies concentrate. Key findings: SNIPS inverts rankings even with reward calibration (38% pairwise, negative Kendall's tau) due to weight instability; calibrated IPS remains near-random (47%) despite weight stabilization, consistent with CLE; OUA improves coverage from near-0% to ~86% (Direct) and ~96% (stacked-DR), where naive intervals severely under-cover.

  • 1 authors
·
Dec 11, 2025 2

Data-efficient Fine-tuning for LLM-based Recommendation

Leveraging Large Language Models (LLMs) for recommendation has recently garnered considerable attention, where fine-tuning plays a key role in LLMs' adaptation. However, the cost of fine-tuning LLMs on rapidly expanding recommendation data limits their practical application. To address this challenge, few-shot fine-tuning offers a promising approach to quickly adapt LLMs to new recommendation data. We propose the task of data pruning for efficient LLM-based recommendation, aimed at identifying representative samples tailored for LLMs' few-shot fine-tuning. While coreset selection is closely related to the proposed task, existing coreset selection methods often rely on suboptimal heuristic metrics or entail costly optimization on large-scale recommendation data. To tackle these issues, we introduce two objectives for the data pruning task in the context of LLM-based recommendation: 1) high accuracy aims to identify the influential samples that can lead to high overall performance; and 2) high efficiency underlines the low costs of the data pruning process. To pursue the two objectives, we propose a novel data pruning method based on two scores, i.e., influence score and effort score, to efficiently identify the influential samples. Particularly, the influence score is introduced to accurately estimate the influence of sample removal on the overall performance. To achieve low costs of the data pruning process, we use a small-sized surrogate model to replace LLMs to obtain the influence score. Considering the potential gap between the surrogate model and LLMs, we further propose an effort score to prioritize some hard samples specifically for LLMs. Empirical results on three real-world datasets validate the effectiveness of our proposed method. In particular, the proposed method uses only 2% samples to surpass the full data fine-tuning, reducing time costs by 97%.

  • 7 authors
·
Jan 30, 2024

The Unseen Frontier: Pushing the Limits of LLM Sparsity with Surrogate-Free ADMM

Neural network pruning is a promising technique to mitigate the excessive computational and memory requirements of large language models (LLMs). Despite its promise, however, progress in this area has diminished, as conventional methods are seemingly unable to surpass moderate sparsity levels (50-60%) without severely degrading model accuracy. This work breaks through the current impasse, presenting a principled and effective method called Elsa, which achieves extreme sparsity levels of up to 90% while retaining high model fidelity. This is done by identifying several limitations in current practice, all of which can be traced back to their reliance on a surrogate objective formulation. Elsa tackles this issue directly and effectively via standard and well-established constrained optimization techniques based on ADMM. Our extensive experiments across a wide range of models and scales show that Elsa achieves substantial improvements over existing methods; e.g., it achieves 7.8times less perplexity than the best existing method on LLaMA-2-7B at 90% sparsity. Moreover, we show that Elsa remains stable even at extreme sparsity (e.g., 95\%), yielding up to times3.98 inference speedup and times7.80 memory compression over its dense counterpart. We also present Elsa_{-L}, a quantized variant that scales to extremely large models (27B), and establish its theoretical convergence guarantees.These results highlight meaningful progress in advancing the frontier of LLM sparsity, while promising that significant opportunities for further advancement may remain in directions that have so far attracted limited exploration.

  • 5 authors
·
Feb 22

The Erasure Illusion: Stress-Testing the Generalization of LLM Forgetting Evaluation

Machine unlearning aims to remove specific data influences from trained models, a capability essential for adhering to copyright laws and ensuring AI safety. Current unlearning metrics typically measure success by monitoring the model's performance degradation on the specific unlearning dataset (D_u). We argue that for Large Language Models (LLMs), this evaluation paradigm is insufficient and potentially misleading. Many real-world uses of unlearning--motivated by copyright or safety--implicitly target not only verbatim content in D_u, but also behaviors influenced by the broader generalizations the model derived from it. We demonstrate that LLMs can pass standard unlearning evaluation and appear to have "forgotten" the target knowledge, while simultaneously retaining strong capabilities on content that is semantically adjacent to D_u. This phenomenon indicates that erasing exact sentences does not necessarily equate to removing the underlying knowledge. To address this gap, we propose Proximal Surrogate Generation (PSG), an automated stress-testing framework that generates a surrogate dataset, D_u. This surrogate set is constructed to be semantically derived from D_u yet sufficiently distinct in embedding space. By comparing unlearning metric scores between D_u and D_u, we can stress-test the reliability of the metric itself. Our extensive evaluation across three LLM families (Llama-3-8B, Qwen2.5-7B, and Zephyr-7B-β), three distinct datasets, and seven standard metrics reveals widespread inconsistencies. We find that current metrics frequently overestimate unlearning success, failing to detect retained knowledge exposed by our stress-test datasets.

  • 4 authors
·
Dec 22, 2025

HermesHFL: Incentive-Compatible Hierarchical Federated Unlearning for Dynamic LLM Fine-Tuning

Hierarchical federated unlearning (HFUL) for large language model (LLM) fine-tuning faces significant challenges due to hierarchical aggregation, dynamic client participation, and strong parameter coupling in LLM adaptation. Selectively removing client contributions is particularly difficult because model updates propagate across multiple aggregation stages while unlearning requests may coincide with client departures and rejoining. To address these issues, we propose HermesHFL, a hierarchical federated learning framework that supports selective unlearning, dynamic client participation, and client reintegration for scalable LLM fine-tuning via parameter-efficient fine-tuning (PEFT) with LoRA. We formulate a unified optimization problem that jointly models client participation, edge association, incentive allocation, and unlearning under heterogeneous client behaviors. To solve this problem efficiently, we develop Neogen, a neural-guided bilevel evolutionary optimization framework that combines CMA-ES for continuous incentive optimization with a CHC-based evolutionary mechanism for discrete participation and association decisions. A neural surrogate further accelerates optimization and improves search efficiency. Extensive experiments on LLM fine-tuning tasks demonstrate that HermesHFL consistently outperforms state-of-the-art baselines in model utility, unlearning effectiveness, convergence stability, and resource efficiency.

  • 8 authors
·
Aug 4

The Entity-Deduction Arena: A playground for probing the conversational reasoning and planning capabilities of LLMs

Large language models (LLMs) are effective at answering questions that are clearly asked. However, when faced with ambiguous queries they can act unpredictably and produce incorrect outputs. This underscores the need for the development of intelligent agents capable of asking clarification questions to resolve ambiguities effectively. This capability requires complex understanding, state tracking, reasoning and planning over multiple conversational turns. However, directly measuring this can be challenging. In this paper, we offer a surrogate problem which assesses an LLMs's capability to deduce an entity unknown to itself, but revealed to a judge, by asking the judge a series of queries. This entity-deducing game can serve as an evaluation framework to probe the conversational reasoning and planning capabilities of language models. We systematically evaluate various LLMs and discover significant differences in their performance on this task. We find that strong LLMs like GPT-4 outperform human players by a large margin. We further employ Behavior Cloning (BC) to examine whether a weaker model is capable of imitating a stronger model and generalizing to data or domains, using only the demonstrations from a stronger model. We finally propose to use Reinforcement Learning to enhance reasoning and planning capacity of Vicuna models through episodes of game playing, which lead to significant performance improvement. We hope that this problem offers insights into how autonomous agents could be trained to behave more intelligently in ambiguous circumstances.

  • 3 authors
·
Oct 2, 2023

SURGE: On the Potential of Large Language Models as General-Purpose Surrogate Code Executors

Large language models (LLMs) have demonstrated remarkable capabilities in code-related tasks, such as code understanding and code generation. However, an equally important yet underexplored question is whether LLMs can serve as general-purpose surrogate code executors, to predict the output and behavior of a program without actually running it. To systematically investigate this capability, we introduce SURGE, a comprehensive benchmark covering eight key aspects: multi-language programming tasks, competition-level programming problems, repository-level code analysis, high-cost scientific computing, time-complexity-intensive algorithms, buggy code analysis, programs dependent on specific compilers or execution environments, and formal mathematical proof verification. We evaluate multiple open-source and proprietary LLMs on SURGE and conduct a scaling study to analyze the impact of model size and training data scale on surrogate execution accuracy. Additionally, we categorize model prediction errors and explore potential areas for improvement. Our findings indicate that while LLMs can predict code execution results in certain cases, they exhibit limitations in general-purpose surrogate execution. This study provides empirical insights into the feasibility of using LLMs as surrogate code executors. Code and dataset are released at https://github.com/Imbernoulli/SURGE.

  • 3 authors
·
Feb 16, 2025 2

Surrogate Signals from Format and Length: Reinforcement Learning for Solving Mathematical Problems without Ground Truth Answers

Large Language Models have achieved remarkable success in natural language processing tasks, with Reinforcement Learning playing a key role in adapting them to specific applications. However, obtaining ground truth answers for training LLMs in mathematical problem-solving is often challenging, costly, and sometimes unfeasible. This research delves into the utilization of format and length as surrogate signals to train LLMs for mathematical problem-solving, bypassing the need for traditional ground truth answers.Our study shows that a reward function centered on format correctness alone can yield performance improvements comparable to the standard GRPO algorithm in early phases. Recognizing the limitations of format-only rewards in the later phases, we incorporate length-based rewards. The resulting GRPO approach, leveraging format-length surrogate signals, not only matches but surpasses the performance of the standard GRPO algorithm relying on ground truth answers in certain scenarios, achieving 40.0\% accuracy on AIME2024 with a 7B base model. Through systematic exploration and experimentation, this research not only offers a practical solution for training LLMs to solve mathematical problems and reducing the dependence on extensive ground truth data collection, but also reveals the essence of why our label-free approach succeeds: base model is like an excellent student who has already mastered mathematical and logical reasoning skills, but performs poorly on the test paper, it simply needs to develop good answering habits to achieve outstanding results in exams , in other words, to unlock the capabilities it already possesses.

  • 7 authors
·
May 25, 2025 2

Let Me Do It For You: Towards LLM Empowered Recommendation via Tool Learning

Conventional recommender systems (RSs) face challenges in precisely capturing users' fine-grained preferences. Large language models (LLMs) have shown capabilities in commonsense reasoning and leveraging external tools that may help address these challenges. However, existing LLM-based RSs suffer from hallucinations, misalignment between the semantic space of items and the behavior space of users, or overly simplistic control strategies (e.g., whether to rank or directly present existing results). To bridge these gap, we introduce ToolRec, a framework for LLM-empowered recommendations via tool learning that uses LLMs as surrogate users, thereby guiding the recommendation process and invoking external tools to generate a recommendation list that aligns closely with users' nuanced preferences. We formulate the recommendation process as a process aimed at exploring user interests in attribute granularity. The process factors in the nuances of the context and user preferences. The LLM then invokes external tools based on a user's attribute instructions and probes different segments of the item pool. We consider two types of attribute-oriented tools: rank tools and retrieval tools. Through the integration of LLMs, ToolRec enables conventional recommender systems to become external tools with a natural language interface. Extensive experiments verify the effectiveness of ToolRec, particularly in scenarios that are rich in semantic content.

  • 6 authors
·
May 23, 2024

Targeting Alignment: Extracting Safety Classifiers of Aligned LLMs

Alignment in large language models (LLMs) is used to enforce guidelines such as safety. Yet, alignment fails in the face of jailbreak attacks that modify inputs to induce unsafe outputs. In this paper, we present and evaluate a method to assess the robustness of LLM alignment. We observe that alignment embeds a safety classifier in the target model that is responsible for deciding between refusal and compliance. We seek to extract an approximation of this classifier, called a surrogate classifier, from the LLM. We develop an algorithm for identifying candidate classifiers from subsets of the LLM model. We evaluate the degree to which the candidate classifiers approximate the model's embedded classifier in benign (F1 score) and adversarial (using surrogates in a white-box attack) settings. Our evaluation shows that the best candidates achieve accurate agreement (an F1 score above 80%) using as little as 20% of the model architecture. Further, we find attacks mounted on the surrogate models can be transferred with high accuracy. For example, a surrogate using only 50% of the Llama 2 model achieved an attack success rate (ASR) of 70%, a substantial improvement over attacking the LLM directly, where we only observed a 22% ASR. These results show that extracting surrogate classifiers is a viable (and highly effective) means for modeling (and therein addressing) the vulnerability of aligned models to jailbreaking attacks.

  • 5 authors
·
Jan 27, 2025

Calibration-Aware Policy Optimization for Reasoning LLMs

Group Relative Policy Optimization (GRPO) enhances LLM reasoning but often induces overconfidence, where incorrect responses yield lower perplexity than correct ones, degrading relative calibration as described by the Area Under the Curve (AUC). Existing approaches either yield limited improvements in calibration or sacrifice gains in reasoning accuracy. We first prove that this degradation in GRPO-style algorithms stems from their uncertainty-agnostic advantage estimation, which inevitably misaligns optimization gradients with calibration. This leads to improved accuracy at the expense of degraded calibration. We then propose Calibration-Aware Policy Optimization (CAPO). It adopts a logistic AUC surrogate loss that is theoretically consistent and admits regret bound, enabling uncertainty-aware advantage estimation. By further incorporating a noise masking mechanism, CAPO achieves stable learning dynamics that jointly optimize calibration and accuracy. Experiments on multiple mathematical reasoning benchmarks show that CAPO-1.5B significantly improves calibration by up to 15% while achieving accuracy comparable to or better than GRPO, and further boosts accuracy on downstream inference-time scaling tasks by up to 5%. Moreover, when allowed to abstain under low-confidence conditions, CAPO achieves a Pareto-optimal precision-coverage trade-off, highlighting its practical value for hallucination mitigation.

  • 5 authors
·
Apr 13

Claudini: Autoresearch Discovers State-of-the-Art Adversarial Attack Algorithms for LLMs

LLM agents like Claude Code can not only write code but also be used for autonomous AI research and engineering rank2026posttrainbench, novikov2025alphaevolve. We show that an autoresearch-style pipeline karpathy2026autoresearch powered by Claude Code discovers novel white-box adversarial attack algorithms that significantly outperform all existing (30+) methods in jailbreaking and prompt injection evaluations. Starting from existing attack implementations, such as GCG~zou2023universal, the agent iterates to produce new algorithms achieving up to 40\% attack success rate on CBRN queries against GPT-OSS-Safeguard-20B, compared to leq10\% for existing algorithms (fig:teaser, left). The discovered algorithms generalize: attacks optimized on surrogate models transfer directly to held-out models, achieving 100\% ASR against Meta-SecAlign-70B chen2025secalign versus 56\% for the best baseline (fig:teaser, middle). Extending the findings of~carlini2025autoadvexbench, our results are an early demonstration that incremental safety and security research can be automated using LLM agents. White-box adversarial red-teaming is particularly well-suited for this: existing methods provide strong starting points, and the optimization objective yields dense, quantitative feedback. We release all discovered attacks alongside baseline implementations and evaluation code at https://github.com/romovpa/claudini.

  • 6 authors
·
Mar 24

From Relevance to Execution Utility: Reward-Aware Dynamic Execution Gating for Skill-Based LLM Agents

Agent skills are increasingly used to equip large language model (LLM) agents with reusable procedural knowledge. Although recent work has substantially improved skill retrieval due to the increasing skill libraries, retrieving a plausible skill bundle does not guarantee that executing it is worthwhile. Since every skill-conditioned rollout is computationally expensive, deciding whether a retrieved bundle should be executed has become an increasingly important challenge. To this end, we introduce the Reward-Aware Dynamic Execution Gate (RADEG), a lightweight, retriever-agnostic decision layer between skill retrieval and agent execution. RADEG learns a low-cost surrogate model that predicts the execution utility of a query--bundle pair before the expensive rollout is launched. To obtain informative supervision while controlling for task difficulty, we locally perturb each retrieved bundle by deleting, adding, or replacing one skill, producing matched same-query rollouts that isolate the effect of bundle composition on verifier reward. During deployment, RADEG updates only a warm-started logistic head as new verifier feedback becomes available, enabling inexpensive adaptation of the execute/skip boundary without retraining either the retriever or the agent. Under a query-level held-out evaluation on 288 collected rollouts, RADEG substantially reduces unnecessary agent executions while preserving a large fraction of the downstream verifier reward. It consistently outperforms relevance-based and random gating across different execution budgets, demonstrating that execution-aware surrogate modeling provides a practical and cost-effective complement to skill retrieval.

  • 8 authors
·
Aug 9

Use Your INSTINCT: INSTruction optimization for LLMs usIng Neural bandits Coupled with Transformers

Large language models (LLMs) have shown remarkable instruction-following capabilities and achieved impressive performances in various applications. However, the performances of LLMs depend heavily on the instructions given to them, which are typically manually tuned with substantial human efforts. Recent work has used the query-efficient Bayesian optimization (BO) algorithm to automatically optimize the instructions given to black-box LLMs. However, BO usually falls short when optimizing highly sophisticated (e.g., high-dimensional) objective functions, such as the functions mapping an instruction to the performance of an LLM. This is mainly due to the limited expressive power of the Gaussian process (GP) which is used by BO as a surrogate to model the objective function. Meanwhile, it has been repeatedly shown that neural networks (NNs), especially pre-trained transformers, possess strong expressive power and can model highly complex functions. So, we adopt a neural bandit algorithm which replaces the GP in BO by an NN surrogate to optimize instructions for black-box LLMs. More importantly, the neural bandit algorithm allows us to naturally couple the NN surrogate with the hidden representation learned by a pre-trained transformer (i.e., an open-source LLM), which significantly boosts its performance. These motivate us to propose our INSTruction optimization usIng Neural bandits Coupled with Transformers (INSTINCT) algorithm. We perform instruction optimization for ChatGPT and use extensive experiments to show that INSTINCT consistently outperforms baselines in different tasks, e.g., various instruction induction tasks and the task of improving zero-shot chain-of-thought instructions. Our code is available at https://github.com/xqlin98/INSTINCT.

  • 8 authors
·
Oct 1, 2023

AgentDrive: An Open Benchmark Dataset for Agentic AI Reasoning with LLM-Generated Scenarios in Autonomous Systems

The rapid advancement of large language models (LLMs) has sparked growing interest in their integration into autonomous systems for reasoning-driven perception, planning, and decision-making. However, evaluating and training such agentic AI models remains challenging due to the lack of large-scale, structured, and safety-critical benchmarks. This paper introduces AgentDrive, an open benchmark dataset containing 300,000 LLM-generated driving scenarios designed for training, fine-tuning, and evaluating autonomous agents under diverse conditions. AgentDrive formalizes a factorized scenario space across seven orthogonal axes: scenario type, driver behavior, environment, road layout, objective, difficulty, and traffic density. An LLM-driven prompt-to-JSON pipeline generates semantically rich, simulation-ready specifications that are validated against physical and schema constraints. Each scenario undergoes simulation rollouts, surrogate safety metric computation, and rule-based outcome labeling. To complement simulation-based evaluation, we introduce AgentDrive-MCQ, a 100,000-question multiple-choice benchmark spanning five reasoning dimensions: physics, policy, hybrid, scenario, and comparative reasoning. We conduct a large-scale evaluation of fifty leading LLMs on AgentDrive-MCQ. Results show that while proprietary frontier models perform best in contextual and policy reasoning, advanced open models are rapidly closing the gap in structured and physics-grounded reasoning. We release the AgentDrive dataset, AgentDrive-MCQ benchmark, evaluation code, and related materials at https://github.com/maferrag/AgentDrive

  • 3 authors
·
Jan 23

Hi-ZFO: Hierarchical Zeroth- and First-Order LLM Fine-Tuning via Importance-Guided Tensor Selection

Fine-tuning large language models (LLMs) using standard first-order (FO) optimization often drives training toward sharp, poorly generalizing minima. Conversely, zeroth-order (ZO) methods offer stronger exploratory behavior without relying on explicit gradients, yet suffer from slow convergence. More critically, our analysis reveals that in generative tasks, the vast output and search space significantly amplify estimation variance, rendering ZO methods both noisy and inefficient. To address these challenges, we propose Hi-ZFO (Hierarchical Zeroth- and First-Order optimization), a hybrid framework designed to synergize the precision of FO gradients with the exploratory capability of ZO estimation. Hi-ZFO adaptively partitions the model through layer-wise importance profiling, applying precise FO updates to critical layers while leveraging ZO optimization for less sensitive ones. Notably, ZO in Hi-ZFO is not merely a memory-saving surrogate; it is intentionally introduced as a source of "beneficial stochasticity" to help the model escape the local minima where pure FO optimization tends to stagnate. Validated across diverse generative, mathematical, and code reasoning tasks, Hi-ZFO consistently achieves superior performance while significantly reducing the training time. These results demonstrate the effectiveness of hierarchical hybrid optimization for LLM fine-tuning.

  • 2 authors
·
Jan 8

Stabilizing Reinforcement Learning with LLMs: Formulation and Practices

This paper proposes a novel formulation for reinforcement learning (RL) with large language models, explaining why and under what conditions the true sequence-level reward can be optimized via a surrogate token-level objective in policy gradient methods such as REINFORCE. Specifically, through a first-order approximation, we show that this surrogate becomes increasingly valid only when both the training-inference discrepancy and policy staleness are minimized. This insight provides a principled explanation for the crucial role of several widely adopted techniques in stabilizing RL training, including importance sampling correction, clipping, and particularly Routing Replay for Mixture-of-Experts (MoE) models. Through extensive experiments with a 30B MoE model totaling hundreds of thousands of GPU hours, we show that for on-policy training, the basic policy gradient algorithm with importance sampling correction achieves the highest training stability. When off-policy updates are introduced to accelerate convergence, combining clipping and Routing Replay becomes essential to mitigate the instability caused by policy staleness. Notably, once training is stabilized, prolonged optimization consistently yields comparable final performance regardless of cold-start initialization. We hope that the shared insights and the developed recipes for stable RL training will facilitate future research.

Qwen Qwen
·
Dec 1, 2025 4

Misrouter: Exploiting Routing Mechanisms for Input-Only Attacks on Mixture-of-Experts LLMs

Mixture-of-Experts (MoE) architectures have emerged as a leading paradigm for scaling large language models through sparse, routing-based computation. However, this design introduces a new attack surface: the routing mechanism that determines which experts process each input. Prior work shows that manipulating routing can bypass safety alignment, but existing attacks require model modification and thus apply only to locally deployed models. By contrast, real-world LLM services are remotely hosted and accessible only through input queries. This raises a fundamental question: can MoE routing be exploited through input-only attacks to induce stronger unsafe behaviors in real-world services? Our key insight is to optimize attacks in a white-box setting on open-source surrogate MoE models and transfer the resulting adversarial inputs to public API services within the same model family. This setting presents three main challenges: routing can be influenced only indirectly through input perturbations, routing control and output generation are tightly coupled, and even a successful safety bypass may still produce low-quality responses. To address these challenges, we propose Misrouter, an input-only attack framework that jointly targets routing behavior and expert functionality. Misrouter identifies weakly aligned experts that are willing to produce target harmful content by analyzing expert activations under harmful queries paired with unsafe continuations. It then optimizes adversarial inputs to steer routing toward these experts and away from strongly aligned ones. It further biases routing toward highly capable general-purpose experts identified from benign question-answering tasks. Finally, because routing and output objectives can conflict, Misrouter uses a two-phase optimization strategy that first steers routing and then optimizes harmful outputs while preserving routing stability.

  • 7 authors
·
May 5

NeuroStrike: Neuron-Level Attacks on Aligned LLMs

Safety alignment is critical for the ethical deployment of large language models (LLMs), guiding them to avoid generating harmful or unethical content. Current alignment techniques, such as supervised fine-tuning and reinforcement learning from human feedback, remain fragile and can be bypassed by carefully crafted adversarial prompts. Unfortunately, such attacks rely on trial and error, lack generalizability across models, and are constrained by scalability and reliability. This paper presents NeuroStrike, a novel and generalizable attack framework that exploits a fundamental vulnerability introduced by alignment techniques: the reliance on sparse, specialized safety neurons responsible for detecting and suppressing harmful inputs. We apply NeuroStrike to both white-box and black-box settings: In the white-box setting, NeuroStrike identifies safety neurons through feedforward activation analysis and prunes them during inference to disable safety mechanisms. In the black-box setting, we propose the first LLM profiling attack, which leverages safety neuron transferability by training adversarial prompt generators on open-weight surrogate models and then deploying them against black-box and proprietary targets. We evaluate NeuroStrike on over 20 open-weight LLMs from major LLM developers. By removing less than 0.6% of neurons in targeted layers, NeuroStrike achieves an average attack success rate (ASR) of 76.9% using only vanilla malicious prompts. Moreover, Neurostrike generalizes to four multimodal LLMs with 100% ASR on unsafe image inputs. Safety neurons transfer effectively across architectures, raising ASR to 78.5% on 11 fine-tuned models and 77.7% on five distilled models. The black-box LLM profiling attack achieves an average ASR of 63.7% across five black-box models, including the Google Gemini family.

Stop Early, Spend Less: Hidden-State Probes as a Practical Recipe for Streaming Moderation of LLM Outputs

Deploying large language models in user-facing systems requires efficient output safety filtering. Existing approaches typically rely on a separate moderation model applied after generation, which doubles inference cost and only detects violations after generation completes. We observe that the signal needed for moderation is already present in the model hidden states. Based on this, we train lightweight token-level probes that operate directly on internal activations, producing per-token safety scores that can be aggregated for both offline evaluation and online intervention. The probe reuses activations from the generator and requires no additional forward pass, enabling sub millisecond per-token safety checks inside the decoding loop. A probe applied to a single mid layer recovers most decisions of a strong guard model, acting as a low cost surrogate optimized for latency rather than accuracy. In streaming settings, it can halt or modify unsafe outputs before they are fully generated, replacing end of sequence moderation with continuous token level monitoring. Compared to post hoc and streaming guard models, our method achieves orders of magnitude lower compute overhead with minimal latency cost. We also provide a practical deployment recipe, including layer selection, aggregation strategy, probing frequency, and triggering thresholds. Finally, we show that the probe linear component corresponds to a direction in residual space, enabling both detection and activation steering at negligible cost.

  • 3 authors
·
Jun 8

Physics-Audited Agentic Discovery in Scientific Machine Learning

In agentic scientific machine learning (SciML), large language model (LLM) agents can discover surrogate models and select one by an automated score, typically an error metric. A low error, however, does not establish that the predicted fields satisfy the physics that matter for mechanics, such as boundary conditions, superposition, stiffness scaling, or causality. We introduce Physics-Audited Agentic SciML (PA-SciML), a verification-first workflow for agentic SciML discovery. The workflow fixes a scoring evaluator before search, derives reviewable machine-checkable physics requirements, checks each trained candidate on its outputs, and separately searches prescribed input ranges or measured load-history spans for high-violation cases without reference solution fields. A surrogate is reported as verified only under the stated checks. When enabled, the workflow also adds advisory numerical probes before training and tests one modeling change at a time to record which isolated edits are associated with score gains before reuse. In the reported computational-solid-mechanics numerical examples, the static elasticity run selects a surrogate with lower validation error than the error-only baseline while both selected models pass the common linear-elastic checks. In the transient elastodynamics run, an error-only baseline with similar mean error fails a stricter causality check by responding to future parts of the loading history, while the selected surrogate passes the stated checks. The main distinction is per-candidate physics evidence on predicted fields, not a richer aggregate score.

  • 4 authors
·
Jul 7

MIRAGE-Bench: Automatic Multilingual Benchmark Arena for Retrieval-Augmented Generation Systems

Traditional Retrieval-Augmented Generation (RAG) benchmarks rely on different heuristic-based metrics for evaluation, but these require human preferences as ground truth for reference. In contrast, arena-based benchmarks, where two models compete each other, require an expensive Large Language Model (LLM) as a judge for a reliable evaluation. We present an easy and efficient technique to get the best of both worlds. The idea is to train a learning to rank model as a "surrogate" judge using RAG-based evaluation heuristics as input, to produce a synthetic arena-based leaderboard. Using this idea, We develop MIRAGE-Bench, a standardized arena-based multilingual RAG benchmark for 18 diverse languages on Wikipedia. The benchmark is constructed using MIRACL, a retrieval dataset, and extended for multilingual generation evaluation. MIRAGE-Bench evaluates RAG extensively coupling both heuristic features and LLM as a judge evaluator. In our work, we benchmark 19 diverse multilingual-focused LLMs, and achieve a high correlation (Kendall Tau (tau) = 0.909) using our surrogate judge learned using heuristic features with pairwise evaluations and between GPT-4o as a teacher on the MIRAGE-Bench leaderboard using the Bradley-Terry framework. We observe proprietary and large open-source LLMs currently dominate in multilingual RAG. MIRAGE-Bench is available at: https://github.com/vectara/mirage-bench.

  • 5 authors
·
Oct 17, 2024

GPU Forecasters: Language Models as Selective Surrogates for Kernel Runtime Optimization

GPU kernels are the workhorse of modern deep learning, and optimizing them (via evolutionary search or coding agents) usually requires repeated measurement on target hardware. While these measurements provide the ground-truth signal necessary for kernel search, they are costly, because each evaluation of a kernel requires compilation and repeated execution on a GPU. As improvements in LLM inference reduce the cost of writing novel kernels and LLM-driven searches scale to large search budgets, on-device evaluation becomes a bottleneck. To address this, we study how LLMs can serve as selective GPU surrogates for kernel evaluation, by forecasting the performance of proposed kernels. A useful surrogate should be accurate, and it should be selective, by knowing when it could be wrong, and deferring to the GPU. To evaluate surrogates, we measure whether their forecasts are accurate, calibrated, and practically useful for recovering fast kernels under limited GPU-measurement budgets. Next, we study whether reinforcement learning can improve forecast accuracy and confidence calibration. Our experiments demonstrate that LLMs can accurately forecast relative kernel performance, that their utility can be improved through reinforcement learning. Used inside a kernel search, the surrogate lets the search consider several times as many candidates under the same GPU evaluation budget, and that leads to finding faster kernels than an equal-budget baseline. These results suggest that LLMs can play a broader role in kernel optimization, by acting as virtual models of a GPU rather than solely as kernel generators for search.

  • 5 authors
·
May 28

Large Discovery Models: Empirically-grounded Model-Based Open-Ended Search

Scientific discovery often involves optimising expensive-to-evaluate objectives over vast, structured, and open-ended hypothesis spaces, such as molecules, protein sequences, and computer programs. Generative models such as large language models (LLMs) provide expressive priors over such spaces, but their likelihoods and self-assessments are unreliable proxies for the objectives and calibrated epistemic uncertainty, especially for novel candidates outside the observed data distribution. We introduce the Large Discovery Model (LDM), an empirically grounded recurrent architecture that couples a generative model with a Bayesian non-parametric reward surrogate model. The generative model proposes and refines candidate designs, while the surrogate predicts their performance and quantifies uncertainty, yielding an uncertainty-aware value that guides candidate generation, refinement, and selection. The discovery memory and the surrogate model are continually updated as each new experimental observation arrives. We evaluate LDM on three scenarios spanning different design modalities and objectives, including neural-network training, antibody design, and molecular optimisation. Compared to LLM-only reflection or traditional statistical search across these domains, LDM achieves a 2.4times greater reduction in validation BPB, an 18.2% relative decrease in binding energy, and more than 60% relative gains in molecular multi-objective performance. These results suggests that LDM could serve as a general-purpose discovery engine for effective search over open-ended hypothesis spaces.

Can LLM-Generated Text Empower Surgical Vision-Language Pre-training?

Recent advancements in self-supervised learning have led to powerful surgical vision encoders capable of spatiotemporal understanding. However, extending these visual foundations to multi-modal reasoning tasks is severely bottlenecked by the prohibitive cost of expert textual annotations. To overcome this scalability limitation, we introduce LIME, a large-scale multi-modal dataset derived from open-access surgical videos using human-free, Large Language Model (LLM)-generated narratives. While LIME offers immense scalability, unverified generated texts may contain errors, including hallucinations, that could potentially lead to catastrophically degraded pre-trained medical priors in standard contrastive pipelines. To mitigate this, we propose SurgLIME, a parameter-efficient Vision-Language Pre-training (VLP) framework designed to learn reliable cross-modal alignments using noisy narratives. SurgLIME preserves foundational medical priors using a LoRA-adapted dual-encoder architecture and introduces an automated confidence estimation mechanism that dynamically down-weights uncertain text during contrastive alignment. Evaluations on the AutoLaparo and Cholec80 benchmarks show that SurgLIME achieves competitive zero-shot cross-modal alignment while preserving the robust linear probing performance of the visual foundation model. Dataset, code, and models are publicly available at https://github.com/visurg-ai/SurgLIME.

  • 5 authors
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May 2

Learning Neural PDE Solvers with Parameter-Guided Channel Attention

Scientific Machine Learning (SciML) is concerned with the development of learned emulators of physical systems governed by partial differential equations (PDE). In application domains such as weather forecasting, molecular dynamics, and inverse design, ML-based surrogate models are increasingly used to augment or replace inefficient and often non-differentiable numerical simulation algorithms. While a number of ML-based methods for approximating the solutions of PDEs have been proposed in recent years, they typically do not adapt to the parameters of the PDEs, making it difficult to generalize to PDE parameters not seen during training. We propose a Channel Attention mechanism guided by PDE Parameter Embeddings (CAPE) component for neural surrogate models and a simple yet effective curriculum learning strategy. The CAPE module can be combined with neural PDE solvers allowing them to adapt to unseen PDE parameters. The curriculum learning strategy provides a seamless transition between teacher-forcing and fully auto-regressive training. We compare CAPE in conjunction with the curriculum learning strategy using a popular PDE benchmark and obtain consistent and significant improvements over the baseline models. The experiments also show several advantages of CAPE, such as its increased ability to generalize to unseen PDE parameters without large increases inference time and parameter count.

  • 3 authors
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Apr 27, 2023

Hybrid Neural World Models

Neural surrogates promise large speedups over classical solvers for physical dynamics but fail silently at sharp dynamical events such as shocks, fronts, and contact. We present hybrid neural world models for physical dynamics: a recipe for training and deploying multi-horizon surrogates in physical state space, where a single network with continuous horizon conditioning is trained with direct supervision against textbook reference solvers to predict any future state at horizon T in one forward pass. Although no part of the training data, loss function, or architecture supervises discontinuity location, the trained surrogate encodes it implicitly, recoverable from its forward passes alone as a per-trajectory error map that concentrates on shocks, fronts, and contacts, and stays small elsewhere. The map is competitive with or better than standard label-free baselines including deep ensembles, learned error heads, gradient-magnitude indicators, and locally-adaptive conformal prediction, while using only a single trained network and requiring no calibration set or governing-equation knowledge. The recipe supports two operating points. Mode 1 runs the surrogate alone for maximum throughput, with same-hardware CPU speedups of 26x to 72x against textbook solvers on the PDE environments. Mode 2 uses the error map to gate a reference-solver fallback, deferring uncertain trajectories and roughly halving the surrogate's residual error at the default operating point. The recipe applies without modification across reaction-diffusion, compressible Euler, and rigid-body collision dynamics.

  • 2 authors
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May 26 1

Evaluation of GPT-3.5 and GPT-4 for supporting real-world information needs in healthcare delivery

Despite growing interest in using large language models (LLMs) in healthcare, current explorations do not assess the real-world utility and safety of LLMs in clinical settings. Our objective was to determine whether two LLMs can serve information needs submitted by physicians as questions to an informatics consultation service in a safe and concordant manner. Sixty six questions from an informatics consult service were submitted to GPT-3.5 and GPT-4 via simple prompts. 12 physicians assessed the LLM responses' possibility of patient harm and concordance with existing reports from an informatics consultation service. Physician assessments were summarized based on majority vote. For no questions did a majority of physicians deem either LLM response as harmful. For GPT-3.5, responses to 8 questions were concordant with the informatics consult report, 20 discordant, and 9 were unable to be assessed. There were 29 responses with no majority on "Agree", "Disagree", and "Unable to assess". For GPT-4, responses to 13 questions were concordant, 15 discordant, and 3 were unable to be assessed. There were 35 responses with no majority. Responses from both LLMs were largely devoid of overt harm, but less than 20% of the responses agreed with an answer from an informatics consultation service, responses contained hallucinated references, and physicians were divided on what constitutes harm. These results suggest that while general purpose LLMs are able to provide safe and credible responses, they often do not meet the specific information need of a given question. A definitive evaluation of the usefulness of LLMs in healthcare settings will likely require additional research on prompt engineering, calibration, and custom-tailoring of general purpose models.

  • 18 authors
·
Apr 26, 2023

LawLLM: Law Large Language Model for the US Legal System

In the rapidly evolving field of legal analytics, finding relevant cases and accurately predicting judicial outcomes are challenging because of the complexity of legal language, which often includes specialized terminology, complex syntax, and historical context. Moreover, the subtle distinctions between similar and precedent cases require a deep understanding of legal knowledge. Researchers often conflate these concepts, making it difficult to develop specialized techniques to effectively address these nuanced tasks. In this paper, we introduce the Law Large Language Model (LawLLM), a multi-task model specifically designed for the US legal domain to address these challenges. LawLLM excels at Similar Case Retrieval (SCR), Precedent Case Recommendation (PCR), and Legal Judgment Prediction (LJP). By clearly distinguishing between precedent and similar cases, we provide essential clarity, guiding future research in developing specialized strategies for these tasks. We propose customized data preprocessing techniques for each task that transform raw legal data into a trainable format. Furthermore, we also use techniques such as in-context learning (ICL) and advanced information retrieval methods in LawLLM. The evaluation results demonstrate that LawLLM consistently outperforms existing baselines in both zero-shot and few-shot scenarios, offering unparalleled multi-task capabilities and filling critical gaps in the legal domain.

  • 6 authors
·
Jul 27, 2024

Large Language Models Illuminate a Progressive Pathway to Artificial Healthcare Assistant: A Review

With the rapid development of artificial intelligence, large language models (LLMs) have shown promising capabilities in mimicking human-level language comprehension and reasoning. This has sparked significant interest in applying LLMs to enhance various aspects of healthcare, ranging from medical education to clinical decision support. However, medicine involves multifaceted data modalities and nuanced reasoning skills, presenting challenges for integrating LLMs. This paper provides a comprehensive review on the applications and implications of LLMs in medicine. It begins by examining the fundamental applications of general-purpose and specialized LLMs, demonstrating their utilities in knowledge retrieval, research support, clinical workflow automation, and diagnostic assistance. Recognizing the inherent multimodality of medicine, the review then focuses on multimodal LLMs, investigating their ability to process diverse data types like medical imaging and EHRs to augment diagnostic accuracy. To address LLMs' limitations regarding personalization and complex clinical reasoning, the paper explores the emerging development of LLM-powered autonomous agents for healthcare. Furthermore, it summarizes the evaluation methodologies for assessing LLMs' reliability and safety in medical contexts. Overall, this review offers an extensive analysis on the transformative potential of LLMs in modern medicine. It also highlights the pivotal need for continuous optimizations and ethical oversight before these models can be effectively integrated into clinical practice. Visit https://github.com/mingze-yuan/Awesome-LLM-Healthcare for an accompanying GitHub repository containing latest papers.

  • 11 authors
·
Nov 3, 2023

Language Models And A Second Opinion Use Case: The Pocket Professional

This research tests the role of Large Language Models (LLMs) as formal second opinion tools in professional decision-making, particularly focusing on complex medical cases where even experienced physicians seek peer consultation. The work analyzed 183 challenging medical cases from Medscape over a 20-month period, testing multiple LLMs' performance against crowd-sourced physician responses. A key finding was the high overall score possible in the latest foundational models (>80% accuracy compared to consensus opinion), which exceeds most human metrics reported on the same clinical cases (450 pages of patient profiles, test results). The study rates the LLMs' performance disparity between straightforward cases (>81% accuracy) and complex scenarios (43% accuracy), particularly in these cases generating substantial debate among human physicians. The research demonstrates that LLMs may be valuable as generators of comprehensive differential diagnoses rather than as primary diagnostic tools, potentially helping to counter cognitive biases in clinical decision-making, reduce cognitive loads, and thus remove some sources of medical error. The inclusion of a second comparative legal dataset (Supreme Court cases, N=21) provides added empirical context to the AI use to foster second opinions, though these legal challenges proved considerably easier for LLMs to analyze. In addition to the original contributions of empirical evidence for LLM accuracy, the research aggregated a novel benchmark for others to score highly contested question and answer reliability between both LLMs and disagreeing human practitioners. These results suggest that the optimal deployment of LLMs in professional settings may differ substantially from current approaches that emphasize automation of routine tasks.

  • 1 authors
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Oct 27, 2024 2

SurgTEMP: Temporal-Aware Surgical Video Question Answering with Text-guided Visual Memory for Laparoscopic Cholecystectomy

Surgical procedures are inherently complex and risky, requiring extensive expertise and constant focus to navigate evolving intraoperative scenes. Computer-assisted systems such as surgical visual question answering (VQA) offer promises for education and intraoperative support. Current surgical VQA research largely focuses on static frame analysis, overlooking rich temporal semantics. Surgical video question answering is further challenged by low visual contrast, its highly knowledge-driven nature, diverse analytical needs spanning scattered temporal windows, and the hierarchy from basic perception to high-level intraoperative assessment. To address these challenges, we propose SurgTEMP, a multimodal LLM framework featuring (i) a query-guided token selection module that builds hierarchical visual memory (spatial and temporal memory banks) and (ii) a Surgical Competency Progression (SCP) training scheme. Together, they enable effective modeling of variable-length surgical videos while preserving procedure-relevant cues and temporal coherence, and better support diverse downstream assessment tasks. To support model development, we introduce CholeVidQA-32K, a surgical video question answering dataset comprising 32K open-ended QA pairs and 3,855 video segments (approximately 128 h total) from laparoscopic cholecystectomy. The dataset is organized into a three-level hierarchy -- Perception, Assessment, and Reasoning -- spanning 11 tasks from instrument/action/anatomy perception to Critical View of Safety (CVS), intraoperative difficulty, skill proficiency, and adverse event assessment. In comprehensive evaluations against state-of-the-art open-source multimodal and video LLMs (fine-tuned and zero-shot), SurgTEMP achieves substantial performance improvements, advancing the state of video-based surgical VQA. The project page is available at: https://camma-public.github.io/SurgTEMP/

  • 9 authors
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May 3

Sycophants in the Courtroom: Are LLMs Fragile to Juridical Authority and Evolving Legal Standards?

In medicine, claims remain valid when supported by empirical evidence grounded in stable biological reality. In law, by contrast, truth is contingent, defined by jurisdiction, temporal validity, and the hierarchy of authoritative sources. The recent success of large language models (LLMs) on medical licensing examinations has encouraged an expectation of comparable legal competence. This analogy, however, obscures a critical distinction between domains. Unlike in medicine, legal performance often depends less on inference than on determining when external authority is applicable, valid, and non-contradictory. We introduce a comparative diagnostic framework evaluating legal reasoning against medical baselines along four axes (knowledge recall, grounding, confidence, and robustness), uncovering a sharp domain asymmetry when applied to a new benchmark that encodes temporal validity and normative relationships. While medical LLMs reliably benefit from verified sources, legal LLMs struggle to assess when retrieved citations are useful or misleading, exhibiting overconfidence in perturbed contexts and sensitivity to superficial formatting cues. Increased model scale amplifies this tendency, revealing that stronger instruction following can coincide with weaker resistance to authoritative perturbations. These findings show that LLMs treat law as unstructured text rather than binding precedent, while revealing a tendency to over-trust authoritative but false information when external references conflict with a model's internal knowledge.

  • 6 authors
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Aug 9

Model-free Approach to Evaluate a Censored Intermediate Outcome as a Surrogate for Overall Survival

Clinical trials or studies oftentimes require long-term and/or costly follow-up of participants to evaluate a novel treatment/drug/vaccine. There has been increasing interest in the past few decades in using short-term surrogate outcomes as a replacement of the primary outcome i.e., in using the surrogate outcome, which can potentially be observed sooner, to make inference about the treatment effect on the long-term primary outcome. Very few of the available statistical methods to evaluate a surrogate are applicable to settings where both the surrogate and the primary outcome are time-to-event outcomes subject to censoring. Methods that can handle this setting tend to require parametric assumptions or be limited to assessing only the restricted mean survival time. In this paper, we propose a non-parametric approach to evaluate a censored surrogate outcome, such as time to progression, when the primary outcome is also a censored time-to-event outcome, such as time to death, and the treatment effect of interest is the difference in overall survival. Specifically, we define the proportion of the treatment effect on the primary outcome that is explained (PTE) by the censored surrogate outcome in this context, and estimate this proportion by defining and deriving an optimal transformation of the surrogate information. Our approach provides the added advantage of relaxed assumptions to guarantee that the true PTE is within (0,1), along with being model-free. Finite sample performance of our estimators are illustrated via extensive simulation studies and a real data application examining progression-free survival as a surrogate for overall survival for patients with metastatic colorectal cancer.

  • 4 authors
·
Dec 18, 2024

A Study of Bayesian Neural Network Surrogates for Bayesian Optimization

Bayesian optimization is a highly efficient approach to optimizing objective functions which are expensive to query. These objectives are typically represented by Gaussian process (GP) surrogate models which are easy to optimize and support exact inference. While standard GP surrogates have been well-established in Bayesian optimization, Bayesian neural networks (BNNs) have recently become practical function approximators, with many benefits over standard GPs such as the ability to naturally handle non-stationarity and learn representations for high-dimensional data. In this paper, we study BNNs as alternatives to standard GP surrogates for optimization. We consider a variety of approximate inference procedures for finite-width BNNs, including high-quality Hamiltonian Monte Carlo, low-cost stochastic MCMC, and heuristics such as deep ensembles. We also consider infinite-width BNNs and partially stochastic models such as deep kernel learning. We evaluate this collection of surrogate models on diverse problems with varying dimensionality, number of objectives, non-stationarity, and discrete and continuous inputs. We find: (i) the ranking of methods is highly problem dependent, suggesting the need for tailored inductive biases; (ii) HMC is the most successful approximate inference procedure for fully stochastic BNNs; (iii) full stochasticity may be unnecessary as deep kernel learning is relatively competitive; (iv) infinite-width BNNs are particularly promising, especially in high dimensions.

  • 3 authors
·
May 31, 2023

A Tutorial on Bayesian Optimization

Bayesian optimization is an approach to optimizing objective functions that take a long time (minutes or hours) to evaluate. It is best-suited for optimization over continuous domains of less than 20 dimensions, and tolerates stochastic noise in function evaluations. It builds a surrogate for the objective and quantifies the uncertainty in that surrogate using a Bayesian machine learning technique, Gaussian process regression, and then uses an acquisition function defined from this surrogate to decide where to sample. In this tutorial, we describe how Bayesian optimization works, including Gaussian process regression and three common acquisition functions: expected improvement, entropy search, and knowledge gradient. We then discuss more advanced techniques, including running multiple function evaluations in parallel, multi-fidelity and multi-information source optimization, expensive-to-evaluate constraints, random environmental conditions, multi-task Bayesian optimization, and the inclusion of derivative information. We conclude with a discussion of Bayesian optimization software and future research directions in the field. Within our tutorial material we provide a generalization of expected improvement to noisy evaluations, beyond the noise-free setting where it is more commonly applied. This generalization is justified by a formal decision-theoretic argument, standing in contrast to previous ad hoc modifications.

  • 1 authors
·
Jul 8, 2018

PPAPlace: Differentiable Cross-Stage Objectives for Chip Placement Optimization

Macro placement significantly affects a chip's post-route performance, power, and area (PPA). Most placement methods optimize half-perimeter wirelength (HPWL) as the primary objective. However, recent benchmarking shows a near-zero correlation between HPWL and post-route timing metrics such as the worst negative slack (WNS) and total negative slack (TNS). As a result, all six evaluated artificial intelligence (AI) placers degraded PPA relative to the hierarchical baseline. Recent efforts have tried to train cross-stage predictors to close this gap. However, existing methods focus on macro-only representations and use pre-route metrics as training labels. A label fidelity study of ten circuits at four design flow stages reveals that HPWL and pre-route timing poorly reflect final post-route timing rankings. In contrast, post-global-routing achieves the best balance between final timing fidelity and label generation cost-effectiveness. Based on this finding, PPAPlace is a timing-driven differentiable surrogate predicting post-route PPA from macro and standard-cell placements. The surrogate is a dual-stream predictor that combines graph attention over the chip netlist with spatial convolution over the placement grid. It is trained on post-global-routing labels. The predicted WNS and TNS gradients flow end-to-end back to cell coordinates. PPAPlace exploits these gradients in two ways: as a co-objective injected into an analytical placer's optimization loop (PPAPlace-CoOpt), and as a post-placement refinement step that adjusts macro positions via projected gradient descent (PPAPlace-Refine). On five ChiPBench test circuits excluded from training, PPAPlace improves average WNS and TNS by 22\% and 51\% over the hierarchical baseline while preserving power and routability, using the same predictor without test-circuit retraining. Code is available at https://github.com/ValleyC/PPAPlace.

  • 2 authors
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Aug 12

LawBench: Benchmarking Legal Knowledge of Large Language Models

Large language models (LLMs) have demonstrated strong capabilities in various aspects. However, when applying them to the highly specialized, safe-critical legal domain, it is unclear how much legal knowledge they possess and whether they can reliably perform legal-related tasks. To address this gap, we propose a comprehensive evaluation benchmark LawBench. LawBench has been meticulously crafted to have precise assessment of the LLMs' legal capabilities from three cognitive levels: (1) Legal knowledge memorization: whether LLMs can memorize needed legal concepts, articles and facts; (2) Legal knowledge understanding: whether LLMs can comprehend entities, events and relationships within legal text; (3) Legal knowledge applying: whether LLMs can properly utilize their legal knowledge and make necessary reasoning steps to solve realistic legal tasks. LawBench contains 20 diverse tasks covering 5 task types: single-label classification (SLC), multi-label classification (MLC), regression, extraction and generation. We perform extensive evaluations of 51 LLMs on LawBench, including 20 multilingual LLMs, 22 Chinese-oriented LLMs and 9 legal specific LLMs. The results show that GPT-4 remains the best-performing LLM in the legal domain, surpassing the others by a significant margin. While fine-tuning LLMs on legal specific text brings certain improvements, we are still a long way from obtaining usable and reliable LLMs in legal tasks. All data, model predictions and evaluation code are released in https://github.com/open-compass/LawBench/. We hope this benchmark provides in-depth understanding of the LLMs' domain-specified capabilities and speed up the development of LLMs in the legal domain.

  • 9 authors
·
Sep 27, 2023

MedHELM: Holistic Evaluation of Large Language Models for Medical Tasks

While large language models (LLMs) achieve near-perfect scores on medical licensing exams, these evaluations inadequately reflect the complexity and diversity of real-world clinical practice. We introduce MedHELM, an extensible evaluation framework for assessing LLM performance for medical tasks with three key contributions. First, a clinician-validated taxonomy spanning 5 categories, 22 subcategories, and 121 tasks developed with 29 clinicians. Second, a comprehensive benchmark suite comprising 35 benchmarks (17 existing, 18 newly formulated) providing complete coverage of all categories and subcategories in the taxonomy. Third, a systematic comparison of LLMs with improved evaluation methods (using an LLM-jury) and a cost-performance analysis. Evaluation of 9 frontier LLMs, using the 35 benchmarks, revealed significant performance variation. Advanced reasoning models (DeepSeek R1: 66% win-rate; o3-mini: 64% win-rate) demonstrated superior performance, though Claude 3.5 Sonnet achieved comparable results at 40% lower estimated computational cost. On a normalized accuracy scale (0-1), most models performed strongly in Clinical Note Generation (0.73-0.85) and Patient Communication & Education (0.78-0.83), moderately in Medical Research Assistance (0.65-0.75), and generally lower in Clinical Decision Support (0.56-0.72) and Administration & Workflow (0.53-0.63). Our LLM-jury evaluation method achieved good agreement with clinician ratings (ICC = 0.47), surpassing both average clinician-clinician agreement (ICC = 0.43) and automated baselines including ROUGE-L (0.36) and BERTScore-F1 (0.44). Claude 3.5 Sonnet achieved comparable performance to top models at lower estimated cost. These findings highlight the importance of real-world, task-specific evaluation for medical use of LLMs and provides an open source framework to enable this.

  • 81 authors
·
Jun 1, 2025

Incorporating Surrogate Gradient Norm to Improve Offline Optimization Techniques

Offline optimization has recently emerged as an increasingly popular approach to mitigate the prohibitively expensive cost of online experimentation. The key idea is to learn a surrogate of the black-box function that underlines the target experiment using a static (offline) dataset of its previous input-output queries. Such an approach is, however, fraught with an out-of-distribution issue where the learned surrogate becomes inaccurate outside the offline data regimes. To mitigate this, existing offline optimizers have proposed numerous conditioning techniques to prevent the learned surrogate from being too erratic. Nonetheless, such conditioning strategies are often specific to particular surrogate or search models, which might not generalize to a different model choice. This motivates us to develop a model-agnostic approach instead, which incorporates a notion of model sharpness into the training loss of the surrogate as a regularizer. Our approach is supported by a new theoretical analysis demonstrating that reducing surrogate sharpness on the offline dataset provably reduces its generalized sharpness on unseen data. Our analysis extends existing theories from bounding generalized prediction loss (on unseen data) with loss sharpness to bounding the worst-case generalized surrogate sharpness with its empirical estimate on training data, providing a new perspective on sharpness regularization. Our extensive experimentation on a diverse range of optimization tasks also shows that reducing surrogate sharpness often leads to significant improvement, marking (up to) a noticeable 9.6% performance boost. Our code is publicly available at https://github.com/cuong-dm/IGNITE

  • 4 authors
·
Mar 6, 2025

A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directions

With the advent of Large Language Models (LLMs), medical artificial intelligence (AI) has experienced substantial technological progress and paradigm shifts, highlighting the potential of LLMs to streamline healthcare delivery and improve patient outcomes. Considering this rapid technical progress, in this survey, we trace the recent advances of Medical Large Language Models (Med-LLMs), including the background, key findings, and mainstream techniques, especially for the evolution from general-purpose models to medical-specialized applications. Firstly, we delve into the foundational technology of Med-LLMs, indicating how general models can be progressively adapted and refined for the complicated medical tasks. Secondly, the wide-ranging applications of Med-LLMs are investigated across various healthcare domains, as well as an up-to-date review of existing Med-LLMs. The transformative impact of these models on daily medical practice is evident through their ability to assist clinicians, educators, and patients. Recognizing the importance of responsible innovation, we discuss the challenges associated with ensuring fairness, accountability, privacy, and robustness. Ethical considerations, rigorous evaluation methodologies, and the establishment of regulatory frameworks are crucial for building trustworthiness in the real-world system. We emphasize the need for ongoing scrutiny and development to maintain high standards of safety and reliability. Finally, we anticipate possible future trajectories for Med-LLMs, identifying key avenues for prudent expansion. By consolidating these insights, our review aims to provide professionals and researchers with a thorough understanding of the strengths and limitations of Med-LLMs, fostering a balanced and ethical approach to their integration into the healthcare ecosystem.

  • 9 authors
·
Jun 5, 2024

A Comparative Study of Open-Source Large Language Models, GPT-4 and Claude 2: Multiple-Choice Test Taking in Nephrology

In recent years, there have been significant breakthroughs in the field of natural language processing, particularly with the development of large language models (LLMs). These LLMs have showcased remarkable capabilities on various benchmarks. In the healthcare field, the exact role LLMs and other future AI models will play remains unclear. There is a potential for these models in the future to be used as part of adaptive physician training, medical co-pilot applications, and digital patient interaction scenarios. The ability of AI models to participate in medical training and patient care will depend in part on their mastery of the knowledge content of specific medical fields. This study investigated the medical knowledge capability of LLMs, specifically in the context of internal medicine subspecialty multiple-choice test-taking ability. We compared the performance of several open-source LLMs (Koala 7B, Falcon 7B, Stable-Vicuna 13B, and Orca Mini 13B), to GPT-4 and Claude 2 on multiple-choice questions in the field of Nephrology. Nephrology was chosen as an example of a particularly conceptually complex subspecialty field within internal medicine. The study was conducted to evaluate the ability of LLM models to provide correct answers to nephSAP (Nephrology Self-Assessment Program) multiple-choice questions. The overall success of open-sourced LLMs in answering the 858 nephSAP multiple-choice questions correctly was 17.1% - 25.5%. In contrast, Claude 2 answered 54.4% of the questions correctly, whereas GPT-4 achieved a score of 73.3%. We show that current widely used open-sourced LLMs do poorly in their ability for zero-shot reasoning when compared to GPT-4 and Claude 2. The findings of this study potentially have significant implications for the future of subspecialty medical training and patient care.

  • 7 authors
·
Aug 9, 2023

OpenMedLM: Prompt engineering can out-perform fine-tuning in medical question-answering with open-source large language models

LLMs have become increasingly capable at accomplishing a range of specialized-tasks and can be utilized to expand equitable access to medical knowledge. Most medical LLMs have involved extensive fine-tuning, leveraging specialized medical data and significant, thus costly, amounts of computational power. Many of the top performing LLMs are proprietary and their access is limited to very few research groups. However, open-source (OS) models represent a key area of growth for medical LLMs due to significant improvements in performance and an inherent ability to provide the transparency and compliance required in healthcare. We present OpenMedLM, a prompting platform which delivers state-of-the-art (SOTA) performance for OS LLMs on medical benchmarks. We evaluated a range of OS foundation LLMs (7B-70B) on four medical benchmarks (MedQA, MedMCQA, PubMedQA, MMLU medical-subset). We employed a series of prompting strategies, including zero-shot, few-shot, chain-of-thought (random selection and kNN selection), and ensemble/self-consistency voting. We found that OpenMedLM delivers OS SOTA results on three common medical LLM benchmarks, surpassing the previous best performing OS models that leveraged computationally costly extensive fine-tuning. The model delivers a 72.6% accuracy on the MedQA benchmark, outperforming the previous SOTA by 2.4%, and achieves 81.7% accuracy on the MMLU medical-subset, establishing itself as the first OS LLM to surpass 80% accuracy on this benchmark. Our results highlight medical-specific emergent properties in OS LLMs which have not yet been documented to date elsewhere, and showcase the benefits of further leveraging prompt engineering to improve the performance of accessible LLMs for medical applications.

  • 10 authors
·
Feb 29, 2024

Worse than Random? An Embarrassingly Simple Probing Evaluation of Large Multimodal Models in Medical VQA

Large Multimodal Models (LMMs) have shown remarkable progress in the field of medical Visual Question Answering (Med-VQA), achieving high accuracy on existing benchmarks. However, their reliability under robust evaluation is questionable. This study reveals that state-of-the-art models, when subjected to simple probing evaluation, perform worse than random guessing on medical diagnosis questions. To address this critical evaluation problem, we introduce the Probing Evaluation for Medical Diagnosis (ProbMed) dataset to rigorously assess LMM performance in medical imaging through probing evaluation and procedural diagnosis. Particularly, probing evaluation features pairing original questions with negation questions with hallucinated attributes, while procedural diagnosis requires reasoning across various diagnostic dimensions for each image, including modality recognition, organ identification, clinical findings, abnormalities, and positional grounding. Our evaluation reveals that top-performing models like GPT-4V and Gemini Pro perform worse than random guessing on specialized diagnostic questions, indicating significant limitations in handling fine-grained medical inquiries. Besides, models like LLaVA-Med struggle even with more general questions, and results from CheXagent demonstrate the transferability of expertise across different modalities of the same organ, showing that specialized domain knowledge is still crucial for improving performance. This study underscores the urgent need for more robust evaluation to ensure the reliability of LMMs in critical fields like medical diagnosis, and current LMMs are still far from applicable to those fields.

  • 4 authors
·
May 30, 2024

Adaptive Testing Environment Generation for Connected and Automated Vehicles with Dense Reinforcement Learning

The assessment of safety performance plays a pivotal role in the development and deployment of connected and automated vehicles (CAVs). A common approach involves designing testing scenarios based on prior knowledge of CAVs (e.g., surrogate models), conducting tests in these scenarios, and subsequently evaluating CAVs' safety performances. However, substantial differences between CAVs and the prior knowledge can significantly diminish the evaluation efficiency. In response to this issue, existing studies predominantly concentrate on the adaptive design of testing scenarios during the CAV testing process. Yet, these methods have limitations in their applicability to high-dimensional scenarios. To overcome this challenge, we develop an adaptive testing environment that bolsters evaluation robustness by incorporating multiple surrogate models and optimizing the combination coefficients of these surrogate models to enhance evaluation efficiency. We formulate the optimization problem as a regression task utilizing quadratic programming. To efficiently obtain the regression target via reinforcement learning, we propose the dense reinforcement learning method and devise a new adaptive policy with high sample efficiency. Essentially, our approach centers on learning the values of critical scenes displaying substantial surrogate-to-real gaps. The effectiveness of our method is validated in high-dimensional overtaking scenarios, demonstrating that our approach achieves notable evaluation efficiency.

  • 6 authors
·
Feb 29, 2024

KoBLEX: Open Legal Question Answering with Multi-hop Reasoning

Large Language Models (LLM) have achieved remarkable performances in general domains and are now extending into the expert domain of law. Several benchmarks have been proposed to evaluate LLMs' legal capabilities. However, these benchmarks fail to evaluate open-ended and provision-grounded Question Answering (QA). To address this, we introduce a Korean Benchmark for Legal EXplainable QA (KoBLEX), designed to evaluate provision-grounded, multi-hop legal reasoning. KoBLEX includes 226 scenario-based QA instances and their supporting provisions, created using a hybrid LLM-human expert pipeline. We also propose a method called Parametric provision-guided Selection Retrieval (ParSeR), which uses LLM-generated parametric provisions to guide legally grounded and reliable answers. ParSeR facilitates multi-hop reasoning on complex legal questions by generating parametric provisions and employing a three-stage sequential retrieval process. Furthermore, to better evaluate the legal fidelity of the generated answers, we propose Legal Fidelity Evaluation (LF-Eval). LF-Eval is an automatic metric that jointly considers the question, answer, and supporting provisions and shows a high correlation with human judgments. Experimental results show that ParSeR consistently outperforms strong baselines, achieving the best results across multiple LLMs. Notably, compared to standard retrieval with GPT-4o, ParSeR achieves +37.91 higher F1 and +30.81 higher LF-Eval. Further analyses reveal that ParSeR efficiently delivers consistent performance across reasoning depths, with ablations confirming the effectiveness of ParSeR.

  • 5 authors
·
Sep 1, 2025

CARE: Privacy-Compliant Agentic Reasoning with Evidence Discordance

Large language model (LLM) systems are increasingly used to support high-stakes decision-making, but they typically perform worse when the available evidence is internally inconsistent. Such a scenario exists in real-world healthcare settings, with patient-reported symptoms contradicting medical signs. To study this problem, we introduce MIMIC-DOS, a dataset for short-horizon organ dysfunction worsening prediction in the intensive care unit (ICU) setting. We derive this dataset from the widely recognized MIMIC-IV, a publicly available electronic health record dataset, and construct it exclusively from cases in which discordance between signs and symptoms exists. This setting poses a substantial challenge for existing LLM-based approaches, with single-pass LLMs and agentic pipelines often struggling to reconcile such conflicting signals. To address this problem, we propose CARE: a multi-stage privacy-compliant agentic reasoning framework in which a remote LLM provides guidance by generating structured categories and transitions without accessing sensitive patient data, while a local LLM uses these categories and transitions to support evidence acquisition and final decision-making. Empirically, CARE achieves stronger performance across all key metrics compared to multiple baseline settings, showing that CARE can more robustly handle conflicting clinical evidence while preserving privacy.

5a-community New Ground AI
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Mar 31

PINN surrogate of Li-ion battery models for parameter inference. Part I: Implementation and multi-fidelity hierarchies for the single-particle model

To plan and optimize energy storage demands that account for Li-ion battery aging dynamics, techniques need to be developed to diagnose battery internal states accurately and rapidly. This study seeks to reduce the computational resources needed to determine a battery's internal states by replacing physics-based Li-ion battery models -- such as the single-particle model (SPM) and the pseudo-2D (P2D) model -- with a physics-informed neural network (PINN) surrogate. The surrogate model makes high-throughput techniques, such as Bayesian calibration, tractable to determine battery internal parameters from voltage responses. This manuscript is the first of a two-part series that introduces PINN surrogates of Li-ion battery models for parameter inference (i.e., state-of-health diagnostics). In this first part, a method is presented for constructing a PINN surrogate of the SPM. A multi-fidelity hierarchical training, where several neural nets are trained with multiple physics-loss fidelities is shown to significantly improve the surrogate accuracy when only training on the governing equation residuals. The implementation is made available in a companion repository (https://github.com/NREL/pinnstripes). The techniques used to develop a PINN surrogate of the SPM are extended in Part II for the PINN surrogate for the P2D battery model, and explore the Bayesian calibration capabilities of both surrogates.

  • 9 authors
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Dec 28, 2023

ORQA: An Occupation-Realistic Question and Answer Framework for LLM Professional Knowledge

We present ORQA, a method for testing occupation-level knowledge in large language models. Prior methods either map abstract LLM skills to occupations via task definitions or utilize expert knowledge which is difficult to obtain at scale and expensive. ORQA complements both of these methods by connecting O*NET occupations to trusted occupation-specific websites (such as regulatory agencies, licensing bodies, professional organizations, and government publications) and converting these into source-traceable question-answer pairs. A combination of an automated pipeline and human review produces a set of high quality questions about occupations. The question set created via our method covers 116 occupations from all 21 major groups in the SOC, with 480 questions sourced from 187 different websites. Each question is designed to probe a real-world skill question that is relevant to the occupation in question. We test 15 state-of-the-art frontier and open-weight models via this method. Claude Opus 4.6, GPT-5.4 and Claude Sonnet 4.6 all perform the best at approximately 58-62% while smaller open-weight models achieve approximately 33-41% performance. Performance varies significantly across occupations. Healthcare-related occupations achieve the highest performance (78%) while Office and Administrative Support achieve approximately 40%. Performance on individual occupations (e.g. Sheet Metal Workers and Fish and Game Wardens) is essentially zero. We also find that open-ended questions and weighting by wage bill do not significantly affect the ranking of models on this benchmark. We believe that leveraging existing trusted occupation-specific information to test LLM knowledge in professional domains may be a scalable and useful method for evaluating occupation-level AI performance in the future. Results and data are available at orqabench.org.

  • 3 authors
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Sep 10

A Benchmark Time Series Dataset for Semiconductor Fabrication Manufacturing Constructed using Component-based Discrete-Event Simulation Models

Advancements in high-computing devices increase the necessity for improved and new understanding and development of smart manufacturing factories. Discrete-event models with simulators have been shown to be critical to architect, designing, building, and operating the manufacturing of semiconductor chips. The diffusion, implantation, and lithography machines have intricate processes due to their feedforward and feedback connectivity. The dataset collected from simulations of the factory models holds the promise of generating valuable machine-learning models. As surrogate data-based models, their executions are highly efficient compared to the physics-based counterpart models. For the development of surrogate models, it is beneficial to have publicly available benchmark simulation models that are grounded in factory models that have concise structures and accurate behaviors. Hence, in this research, a dataset is devised and constructed based on a benchmark model of an Intel semiconductor fabrication factory. The model is formalized using the Parallel Discrete-Event System Specification and executed using the DEVS-Suite simulator. The time series dataset is constructed using discrete-event time trajectories. This dataset is further analyzed and used to develop baseline univariate and multivariate machine learning models. The dataset can also be utilized in the machine learning community for behavioral analysis based on formalized and scalable component-based discrete-event models and simulations.

  • 4 authors
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Aug 17, 2024

Expert-level validation of AI-generated medical text with scalable language models

With the growing use of language models (LMs) in clinical environments, there is an immediate need to evaluate the accuracy and safety of LM-generated medical text. Currently, such evaluation relies solely on manual physician review. However, detecting errors in LM-generated text is challenging because 1) manual review is costly and 2) expert-composed reference outputs are often unavailable in real-world settings. While the "LM-as-judge" paradigm (a LM evaluating another LM) offers scalable evaluation, even frontier LMs can miss subtle but clinically significant errors. To address these challenges, we propose MedVAL, a self-supervised framework that leverages synthetic data to train evaluator LMs to assess whether LM-generated medical outputs are factually consistent with inputs, without requiring physician labels or reference outputs. To evaluate LM performance, we introduce MedVAL-Bench, a dataset containing 840 outputs annotated by physicians, following a physician-defined taxonomy of risk levels and error categories. Across 6 diverse medical tasks and 10 state-of-the-art LMs spanning open-source, proprietary, and medically adapted models, MedVAL fine-tuning significantly improves (p < 0.001) alignment with physicians on both seen and unseen tasks, increasing average F1 scores from 66% to 83%, with per-sample safety classification scores up to 86%. MedVAL improves the performance of even the best-performing proprietary LM (GPT-4o) by 8%. To support a scalable, risk-aware pathway towards clinical integration, we open-source the 1) codebase ( https://github.com/StanfordMIMI/MedVAL ), 2) MedVAL-Bench ( https://huggingface.co/datasets/stanfordmimi/MedVAL-Bench ), and 3) MedVAL-4B ( https://huggingface.co/stanfordmimi/MedVAL-4B ), the best-performing open-source LM. Our research provides the first evidence of LMs approaching expert-level validation ability for medical text.

  • 27 authors
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Jul 3, 2025

MLB: A Scenario-Driven Benchmark for Evaluating Large Language Models in Clinical Applications

The proliferation of Large Language Models (LLMs) presents transformative potential for healthcare, yet practical deployment is hindered by the absence of frameworks that assess real-world clinical utility. Existing benchmarks test static knowledge, failing to capture the dynamic, application-oriented capabilities required in clinical practice. To bridge this gap, we introduce a Medical LLM Benchmark MLB, a comprehensive benchmark evaluating LLMs on both foundational knowledge and scenario-based reasoning. MLB is structured around five core dimensions: Medical Knowledge (MedKQA), Safety and Ethics (MedSE), Medical Record Understanding (MedRU), Smart Services (SmartServ), and Smart Healthcare (SmartCare). The benchmark integrates 22 datasets (17 newly curated) from diverse Chinese clinical sources, covering 64 clinical specialties. Its design features a rigorous curation pipeline involving 300 licensed physicians. Besides, we provide a scalable evaluation methodology, centered on a specialized judge model trained via Supervised Fine-Tuning (SFT) on expert annotations. Our comprehensive evaluation of 10 leading models reveals a critical translational gap: while the top-ranked model, Kimi-K2-Instruct (77.3% accuracy overall), excels in structured tasks like information extraction (87.8% accuracy in MedRU), performance plummets in patient-facing scenarios (61.3% in SmartServ). Moreover, the exceptional safety score (90.6% in MedSE) of the much smaller Baichuan-M2-32B highlights that targeted training is equally critical. Our specialized judge model, trained via SFT on a 19k expert-annotated medical dataset, achieves 92.1% accuracy, an F1-score of 94.37%, and a Cohen's Kappa of 81.3% for human-AI consistency, validating a reproducible and expert-aligned evaluation protocol. MLB thus provides a rigorous framework to guide the development of clinically viable LLMs.

  • 23 authors
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Jan 7

LLM-as-a-Judge in Healthcare: A Scoping Analysis of Applications, Methods, and Human Alignment

Large language models (LLMs) are increasingly deployed across healthcare applications, including clinical documentation, diagnostic reasoning, medicine recommendation, and medical education. Their outputs are largely unstructured clinical text, which is difficult to reliably evaluate at scale. LLM-as-a-Judge, in which an LLM evaluates another system's output against task-specific criteria, offers a scalable alternative and is increasingly used in clinical evaluation, yet its validity in healthcare remains underexamined. Existing reviews focus on general-purpose LLM evaluation or on risk framework, rather than systematically characterizing how LLM-as-a-Judge is applied in healthcare and how well their judgments align with human experts. We therefore conduct a PRISMA-guided comprehensive review of LLM-as-a-Judge applications in healthcare, searching five databases for studies published between January 2023 and February 2026. After screening 541 records, 134 studies meet the eligibility and are coded by health scenario, judge configuration, technical approach, and validation design. LLM-as-a-Judge is concentrated in clinical decision support, clinical natural language processing (NLP), medical knowledge and question answering (QA), and medical communication. OpenAI models are the most frequently used judges, and prompt engineering appears in nearly all studies, with ensemble, multi-agent, and retrieval-augmented designs as common extensions. Among studies reporting human validation, LLM judges often show moderate to strong alignment with expert judgments, although reliability varies substantially across tasks. Overall, this review positions LLM-as-a-Judge as a promising framework for scalable healthcare AI evaluation, while emphasizing that its clinical value depends on model design and rigorous validation.

  • 12 authors
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May 23

SurgRAW: Multi-Agent Workflow with Chain-of-Thought Reasoning for Surgical Intelligence

Integration of Vision-Language Models (VLMs) in surgical intelligence is hindered by hallucinations, domain knowledge gaps, and limited understanding of task interdependencies within surgical scenes, undermining clinical reliability. While recent VLMs demonstrate strong general reasoning and thinking capabilities, they still lack the domain expertise and task-awareness required for precise surgical scene interpretation. Although Chain-of-Thought (CoT) can structure reasoning more effectively, current approaches rely on self-generated CoT steps, which often exacerbate inherent domain gaps and hallucinations. To overcome this, we present SurgRAW, a CoT-driven multi-agent framework that delivers transparent, interpretable insights for most tasks in robotic-assisted surgery. By employing specialized CoT prompts across five tasks: instrument recognition, action recognition, action prediction, patient data extraction, and outcome assessment, SurgRAW mitigates hallucinations through structured, domain-aware reasoning. Retrieval-Augmented Generation (RAG) is also integrated to external medical knowledge to bridge domain gaps and improve response reliability. Most importantly, a hierarchical agentic system ensures that CoT-embedded VLM agents collaborate effectively while understanding task interdependencies, with a panel discussion mechanism promotes logical consistency. To evaluate our method, we introduce SurgCoTBench, the first reasoning-based dataset with structured frame-level annotations. With comprehensive experiments, we demonstrate the effectiveness of proposed SurgRAW with 29.32% accuracy improvement over baseline VLMs on 12 robotic procedures, achieving the state-of-the-art performance and advancing explainable, trustworthy, and autonomous surgical assistance.

  • 7 authors
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Mar 13, 2025

SurgAtlas: A Large-Scale Surgical Video-Language Dataset with 2,391 Hours of Open and Minimally Invasive Surgery

We introduce SurgAtlas, the largest surgical video-language dataset to date, comprising 15,291 videos (2,391 hours) spanning 18 surgical specialties and over 5,000 procedure types, sourced entirely from publicly available YouTube content. SurgAtlas is also the first surgical video-language dataset to include open surgery at scale, with 6,182 open procedure videos alongside over 9,000 minimally invasive recordings, and the first to establish standardized benchmarks for open-surgery video understanding. We additionally provide an expert-validated subset with verified visual question-answer pairs across diverse open and minimally invasive procedures, serving as a clinically grounded benchmark for surgical reasoning. Compared with existing surgical video-language datasets, SurgAtlas provides one of the most diverse annotation schemas, combining segment-level captions, step- and phase-level descriptions, video-level surgical descriptions, and reasoning-oriented question-answer pairs organized within a hierarchical taxonomy. These annotations are constructed through an automated multi-tier pipeline with LLM-based enrichment and a staged VQA generation framework with explicit groundedness verification. The scale and diversity of SurgAtlas enable training surgical foundation models with broad procedural coverage: we finetune Qwen3-VL-8B through a two-stage captioning-then-instruction pipeline and achieve competitive or state-of-the-art results on multiple established surgical benchmarks, including phase recognition, triplet detection, and reasoning question answering. More broadly, SurgAtlas provides a large native public video corpus that can support future large-scale pretraining of multimodal surgical AI systems and contribute to the development of next-generation foundation models for surgery.

  • 11 authors
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Jun 24

TransformLLM: Adapting Large Language Models via LLM-Transformed Reading Comprehension Text

Large Language Models (LLMs) have shown promise in highly-specialized domains, however challenges are still present in aspects of accuracy and costs. These limitations restrict the usage of existing models in domain-specific tasks. While fine-tuning pre-trained models have shown promising results, this process can be computationally expensive and require massive datasets of the specialized application in hand. In this work, we bridge that gap. We have developed Phi-2-Legal and Mistral-Legal-7B, which are language models specifically designed for legal applications. These models are based on Phi-2 and Mistral-7B-v0.1, and have gone through continued pre-training with over 500 million tokens of legal texts. Our innovative approach significantly improves capabilities in legal tasks by using Large Language Models (LLMs) to convert raw training data into reading comprehension text. Our legal LLMs have demonstrated superior performance in legal benchmarks, even outperforming models trained on much larger datasets with more resources. This work emphasizes the effectiveness of continued pre-training on domain-specific texts, while using affordable LLMs for data conversion, which gives these models domain expertise while retaining general language understanding capabilities. While this work uses the legal domain as a test case, our method can be scaled and applied to any pre-training dataset, resulting in significant improvements across different tasks. These findings underscore the potential of domain-adaptive pre-training and reading comprehension for the development of highly effective domain-specific language models.

  • 3 authors
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Oct 28, 2024

ContractEval: Benchmarking LLMs for Clause-Level Legal Risk Identification in Commercial Contracts

The potential of large language models (LLMs) in specialized domains such as legal risk analysis remains underexplored. In response to growing interest in locally deploying open-source LLMs for legal tasks while preserving data confidentiality, this paper introduces ContractEval, the first benchmark to thoroughly evaluate whether open-source LLMs could match proprietary LLMs in identifying clause-level legal risks in commercial contracts. Using the Contract Understanding Atticus Dataset (CUAD), we assess 4 proprietary and 15 open-source LLMs. Our results highlight five key findings: (1) Proprietary models outperform open-source models in both correctness and output effectiveness, though some open-source models are competitive in certain specific dimensions. (2) Larger open-source models generally perform better, though the improvement slows down as models get bigger. (3) Reasoning ("thinking") mode improves output effectiveness but reduces correctness, likely due to over-complicating simpler tasks. (4) Open-source models generate "no related clause" responses more frequently even when relevant clauses are present. This suggests "laziness" in thinking or low confidence in extracting relevant content. (5) Model quantization speeds up inference but at the cost of performance drop, showing the tradeoff between efficiency and accuracy. These findings suggest that while most LLMs perform at a level comparable to junior legal assistants, open-source models require targeted fine-tuning to ensure correctness and effectiveness in high-stakes legal settings. ContractEval offers a solid benchmark to guide future development of legal-domain LLMs.

  • 5 authors
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Aug 4, 2025

PLawBench: A Rubric-Based Benchmark for Evaluating LLMs in Real-World Legal Practice

As large language models (LLMs) are increasingly applied to legal domain-specific tasks, evaluating their ability to perform legal work in real-world settings has become essential. However, existing legal benchmarks rely on simplified and highly standardized tasks, failing to capture the ambiguity, complexity, and reasoning demands of real legal practice. Moreover, prior evaluations often adopt coarse, single-dimensional metrics and do not explicitly assess fine-grained legal reasoning. To address these limitations, we introduce PLawBench, a Practical Law Benchmark designed to evaluate LLMs in realistic legal practice scenarios. Grounded in real-world legal workflows, PLawBench models the core processes of legal practitioners through three task categories: public legal consultation, practical case analysis, and legal document generation. These tasks assess a model's ability to identify legal issues and key facts, perform structured legal reasoning, and generate legally coherent documents. PLawBench comprises 850 questions across 13 practical legal scenarios, with each question accompanied by expert-designed evaluation rubrics, resulting in approximately 12,500 rubric items for fine-grained assessment. Using an LLM-based evaluator aligned with human expert judgments, we evaluate 10 state-of-the-art LLMs. Experimental results show that none achieves strong performance on PLawBench, revealing substantial limitations in the fine-grained legal reasoning capabilities of current LLMs and highlighting important directions for future evaluation and development of legal LLMs. Data is available at: https://github.com/skylenage/PLawbench.

  • 30 authors
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Jan 27

Polaris: A Safety-focused LLM Constellation Architecture for Healthcare

We develop Polaris, the first safety-focused LLM constellation for real-time patient-AI healthcare conversations. Unlike prior LLM works in healthcare focusing on tasks like question answering, our work specifically focuses on long multi-turn voice conversations. Our one-trillion parameter constellation system is composed of several multibillion parameter LLMs as co-operative agents: a stateful primary agent that focuses on driving an engaging conversation and several specialist support agents focused on healthcare tasks performed by nurses to increase safety and reduce hallucinations. We develop a sophisticated training protocol for iterative co-training of the agents that optimize for diverse objectives. We train our models on proprietary data, clinical care plans, healthcare regulatory documents, medical manuals, and other medical reasoning documents. We align our models to speak like medical professionals, using organic healthcare conversations and simulated ones between patient actors and experienced nurses. This allows our system to express unique capabilities such as rapport building, trust building, empathy and bedside manner. Finally, we present the first comprehensive clinician evaluation of an LLM system for healthcare. We recruited over 1100 U.S. licensed nurses and over 130 U.S. licensed physicians to perform end-to-end conversational evaluations of our system by posing as patients and rating the system on several measures. We demonstrate Polaris performs on par with human nurses on aggregate across dimensions such as medical safety, clinical readiness, conversational quality, and bedside manner. Additionally, we conduct a challenging task-based evaluation of the individual specialist support agents, where we demonstrate our LLM agents significantly outperform a much larger general-purpose LLM (GPT-4) as well as from its own medium-size class (LLaMA-2 70B).

  • 26 authors
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Mar 20, 2024

ROOT: Rethinking Offline Optimization as Distributional Translation via Probabilistic Bridge

This paper studies the black-box optimization task which aims to find the maxima of a black-box function using a static set of its observed input-output pairs. This is often achieved via learning and optimizing a surrogate function with that offline data. Alternatively, it can also be framed as an inverse modeling task that maps a desired performance to potential input candidates that achieve it. Both approaches are constrained by the limited amount of offline data. To mitigate this limitation, we introduce a new perspective that casts offline optimization as a distributional translation task. This is formulated as learning a probabilistic bridge transforming an implicit distribution of low-value inputs (i.e., offline data) into another distribution of high-value inputs (i.e., solution candidates). Such probabilistic bridge can be learned using low- and high-value inputs sampled from synthetic functions that resemble the target function. These synthetic functions are constructed as the mean posterior of multiple Gaussian processes fitted with different parameterizations on the offline data, alleviating the data bottleneck. The proposed approach is evaluated on an extensive benchmark comprising most recent methods, demonstrating significant improvement and establishing a new state-of-the-art performance. Our code is publicly available at https://github.com/cuong-dm/ROOT.

  • 5 authors
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Sep 19, 2025

A Human-Centric Pipeline for Aligning Large Language Models with Chinese Medical Ethics

Recent advances in large language models have enabled their application to a range of healthcare tasks. However, aligning LLMs with the nuanced demands of medical ethics, especially under complex real world scenarios, remains underexplored. In this work, we present MedES, a dynamic, scenario-centric benchmark specifically constructed from 260 authoritative Chinese medical, ethical, and legal sources to reflect the challenges in clinical decision-making. To facilitate model alignment, we introduce a guardian-in-the-loop framework that leverages a dedicated automated evaluator (trained on expert-labeled data and achieving over 97% accuracy within our domain) to generate targeted prompts and provide structured ethical feedback. Using this pipeline, we align a 7B-parameter LLM through supervised fine-tuning and domain-specific preference optimization. Experimental results, conducted entirely within the Chinese medical ethics context, demonstrate that our aligned model outperforms notably larger baselines on core ethical tasks, with observed improvements in both quality and composite evaluation metrics. Our work offers a practical and adaptable framework for aligning LLMs with medical ethics in the Chinese healthcare domain, and suggests that similar alignment pipelines may be instantiated in other legal and cultural environments through modular replacement of the underlying normative corpus.

  • 5 authors
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Jan 12

Evaluating Large Language Models on the Spanish Medical Intern Resident (MIR) Examination 2024/2025:A Comparative Analysis of Clinical Reasoning and Knowledge Application

This study presents a comparative evaluation of 22 large language models LLMs on the Spanish Medical Intern Resident MIR examinations for 2024 and 2025 with a focus on clinical reasoning domain specific expertise and multimodal processing capabilities The MIR exam consisting of 210 multiple choice questions some requiring image interpretation serves as a stringent benchmark for assessing both factual recall and complex clinical problem solving skills Our investigation encompasses general purpose models such as GPT4 Claude LLaMA and Gemini as well as specialized fine tuned systems like Miri Pro which leverages proprietary Spanish healthcare data to excel in medical contexts Recent market entries Deepseek and Grok have further enriched the evaluation landscape particularly for tasks that demand advanced visual and semantic analysis The findings indicate that while general purpose LLMs perform robustly overall fine tuned models consistently achieve superior accuracy especially in addressing nuanced domain specific challenges A modest performance decline observed between the two exam cycles appears attributable to the implementation of modified questions designed to mitigate reliance on memorization The results underscore the transformative potential of domain specific fine tuning and multimodal integration in advancing medical AI applications They also highlight critical implications for the future integration of LLMs into medical education training and clinical decision making emphasizing the importance of balancing automated reasoning with ethical and context aware judgment

  • 7 authors
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Mar 15, 2025