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Leveraging Imperfection with MEDLEY A Multi-Model Approach Harnessing Bias in Medical AI

arXiv:2508.21648v1 Announce Type: new Abstract: Bias in medical artificial intelligence is conventionally viewed as a defect requiring elimination. However, human reasoning inherently incorporates biases shaped by education, culture, and experience, suggesting their presence may be inevitable and potentially valuable. We propose MEDLEY (Medical Ensemble Diagnostic system with Leveraged diversitY), a conceptual framework that orchestrates multiple AI models while preserving their diverse outputs rather than collapsing them into a consensus. Unlike traditional approaches that suppress disagreement, MEDLEY documents model-specific biases as potential strengths and treats hallucinations as provisional hypotheses for clinician verification. A proof-of-concept demonstrator was developed using over 30 large language models, creating a minimum viable product that preserved both consensus and minority views in synthetic cases, making diagnostic uncertainty and latent biases transparent for clinical oversight. While not yet a validated clinical tool, the demonstration illustrates how structured diversity can enhance medical reasoning under clinician supervision. By reframing AI imperfection as a resource, MEDLEY offers a paradigm shift that opens new regulatory, ethical, and innovation pathways for developing trustworthy medical AI systems.

Roll the dice & look before you leap: Going beyond the creative limits of next-token prediction

arXiv:2504.15266v4 Announce Type: replace-cross Abstract: We design a suite of minimal algorithmic tasks that are a loose abstraction of open-ended real-world tasks. This allows us to cleanly and controllably quantify the creative limits of the present-day language model. Much like real-world tasks that require a creative, far-sighted leap of thought, our tasks require an implicit, open-ended stochastic planning step that either (a) discovers new connections in an abstract knowledge graph (like in wordplay, drawing analogies, or research) or (b) constructs new patterns (like in designing math problems or new proteins). In these tasks, we empirically and conceptually argue how next-token learning is myopic; multi-token approaches, namely teacherless training and diffusion models, comparatively excel in producing diverse and original output. Secondly, to elicit randomness without hurting coherence, we find that injecting noise at the input layer (dubbed seed-conditioning) works surprisingly as well as (and in some conditions, better than) temperature sampling from the output layer. Thus, our work offers a principled, minimal test-bed for analyzing open-ended creative skills, and offers new arguments for going beyond next-token learning and temperature sampling. We make part of the code available under https://github.com/chenwu98/algorithmic-creativity

A-MHA*: Anytime Multi-Heuristic A*

arXiv:2508.21637v1 Announce Type: new Abstract: Designing good heuristic functions for graph search requires adequate domain knowledge. It is often easy to design heuristics that perform well and correlate with the underlying true cost-to-go values in certain parts of the search space but these may not be admissible throughout the domain thereby affecting the optimality guarantees of the search. Bounded suboptimal search using several such partially good but inadmissible heuristics was developed in Multi-Heuristic A* (MHA*). Although MHA* leverages multiple inadmissible heuristics to potentially generate a faster suboptimal solution, the original version does not improve the solution over time. It is a one shot algorithm that requires careful setting of inflation factors to obtain a desired one time solution. In this work, we tackle this issue by extending MHA* to an anytime version that finds a feasible suboptimal solution quickly and continually improves it until time runs out. Our work is inspired from the Anytime Repairing A* (ARA*) algorithm. We prove that our precise adaptation of ARA* concepts in the MHA* framework preserves the original suboptimal and completeness guarantees and enhances MHA* to perform in an anytime fashion. Furthermore, we report the performance of A-MHA* in 3-D path planning domain and sliding tiles puzzle and compare against MHA* and other anytime algorithms.

Retrieval-Augmented Machine Translation with Unstructured Knowledge

arXiv:2412.04342v2 Announce Type: replace-cross Abstract: Retrieval-augmented generation (RAG) introduces additional information to enhance large language models (LLMs). In machine translation (MT), previous work typically retrieves in-context examples from paired MT corpora, or domain-specific knowledge from knowledge graphs, to enhance MT models. However, a large amount of world knowledge is organized in unstructured documents, and might not be fully paired across different languages. In this paper, we study retrieval-augmented MT using unstructured documents. Specifically, we build RAGtrans, the first benchmark to train and evaluate LLMs' retrieval-augmented MT ability. RAGtrans contains 169K MT samples collected via GPT-4o and human translators. Besides, documents from various languages are also provided to supply the knowledge to these samples. Based on RAGtrans, we further propose a multi-task training method to teach LLMs how to use information from multilingual documents during their translation. The method uses existing multilingual corpora to create auxiliary training objectives without additional labeling requirements. Extensive experiments show that the method improves LLMs by 1.6-3.1 BLEU and 1.0-2.0 COMET scores in En-Zh, and 1.7-2.9 BLEU and 2.1-2.7 COMET scores in En-De. We also conclude the critical difficulties that current LLMs face with this task.

Integrating Large Language Models with Network Optimization for Interactive and Explainable Supply Chain Planning: A Real-World Case Study

arXiv:2508.21622v1 Announce Type: new Abstract: This paper presents an integrated framework that combines traditional network optimization models with large language models (LLMs) to deliver interactive, explainable, and role-aware decision support for supply chain planning. The proposed system bridges the gap between complex operations research outputs and business stakeholder understanding by generating natural language summaries, contextual visualizations, and tailored key performance indicators (KPIs). The core optimization model addresses tactical inventory redistribution across a network of distribution centers for multi-period and multi-item, using a mixed-integer formulation. The technical architecture incorporates AI agents, RESTful APIs, and a dynamic user interface to support real-time interaction, configuration updates, and simulation-based insights. A case study demonstrates how the system improves planning outcomes by preventing stockouts, reducing costs, and maintaining service levels. Future extensions include integrating private LLMs, transfer learning, reinforcement learning, and Bayesian neural networks to enhance explainability, adaptability, and real-time decision-making.

Scalable Solution Methods for Dec-POMDPs with Deterministic Dynamics

arXiv:2508.21595v1 Announce Type: new Abstract: Many high-level multi-agent planning problems, including multi-robot navigation and path planning, can be effectively modeled using deterministic actions and observations. In this work, we focus on such domains and introduce the class of Deterministic Decentralized POMDPs (Det-Dec-POMDPs). This is a subclass of Dec-POMDPs characterized by deterministic transitions and observations conditioned on the state and joint actions. We then propose a practical solver called Iterative Deterministic POMDP Planning (IDPP). This method builds on the classic Joint Equilibrium Search for Policies framework and is specifically optimized to handle large-scale Det-Dec-POMDPs that current Dec-POMDP solvers are unable to address efficiently.

Transforming Wearable Data into Personal Health Insights using Large Language Model Agents

arXiv:2406.06464v3 Announce Type: replace Abstract: Deriving personalized insights from popular wearable trackers requires complex numerical reasoning that challenges standard LLMs, necessitating tool-based approaches like code generation. Large language model (LLM) agents present a promising yet largely untapped solution for this analysis at scale. We introduce the Personal Health Insights Agent (PHIA), a system leveraging multistep reasoning with code generation and information retrieval to analyze and interpret behavioral health data. To test its capabilities, we create and share two benchmark datasets with over 4000 health insights questions. A 650-hour human expert evaluation shows that PHIA significantly outperforms a strong code generation baseline, achieving 84% accuracy on objective, numerical questions and, for open-ended ones, earning 83% favorable ratings while being twice as likely to achieve the highest quality rating. This work can advance behavioral health by empowering individuals to understand their data, enabling a new era of accessible, personalized, and data-driven wellness for the wider population.

Revisiting Landmarks: Learning from Previous Plans to Generalize over Problem Instances

arXiv:2508.21564v1 Announce Type: new Abstract: We propose a new framework for discovering landmarks that automatically generalize across a domain. These generalized landmarks are learned from a set of solved instances and describe intermediate goals for planning problems where traditional landmark extraction algorithms fall short. Our generalized landmarks extend beyond the predicates of a domain by using state functions that are independent of the objects of a specific problem and apply to all similar objects, thus capturing repetition. Based on these functions, we construct a directed generalized landmark graph that defines the landmark progression, including loop possibilities for repetitive subplans. We show how to use this graph in a heuristic to solve new problem instances of the same domain. Our results show that the generalized landmark graphs learned from a few small instances are also effective for larger instances in the same domain. If a loop that indicates repetition is identified, we see a significant improvement in heuristic performance over the baseline. Generalized landmarks capture domain information that is interpretable and useful to an automated planner. This information can be discovered from a small set of plans for the same domain.

Benchmarking GPT-5 in Radiation Oncology: Measurable Gains, but Persistent Need for Expert Oversight

arXiv:2508.21777v1 Announce Type: cross Abstract: Introduction: Large language models (LLM) have shown great potential in clinical decision support. GPT-5 is a novel LLM system that has been specifically marketed towards oncology use. Methods: Performance was assessed using two complementary benchmarks: (i) the ACR Radiation Oncology In-Training Examination (TXIT, 2021), comprising 300 multiple-choice items, and (ii) a curated set of 60 authentic radiation oncologic vignettes representing diverse disease sites and treatment indications. For the vignette evaluation, GPT-5 was instructed to generate concise therapeutic plans. Four board-certified radiation oncologists rated correctness, comprehensiveness, and hallucinations. Inter-rater reliability was quantified using Fleiss' k{appa}. Results: On the TXIT benchmark, GPT-5 achieved a mean accuracy of 92.8%, outperforming GPT-4 (78.8%) and GPT-3.5 (62.1%). Domain-specific gains were most pronounced in Dose and Diagnosis. In the vignette evaluation, GPT-5's treatment recommendations were rated highly for correctness (mean 3.24/4, 95% CI: 3.11-3.38) and comprehensiveness (3.59/4, 95% CI: 3.49-3.69). Hallucinations were rare with no case reaching majority consensus for their presence. Inter-rater agreement was low (Fleiss' k{appa} 0.083 for correctness), reflecting inherent variability in clinical judgment. Errors clustered in complex scenarios requiring precise trial knowledge or detailed clinical adaptation. Discussion: GPT-5 clearly outperformed prior model variants on the radiation oncology multiple-choice benchmark. Although GPT-5 exhibited favorable performance in generating real-world radiation oncology treatment recommendations, correctness ratings indicate room for further improvement. While hallucinations were infrequent, the presence of substantive errors underscores that GPT-5-generated recommendations require rigorous expert oversight before clinical implementation.

HealthProcessAI: A Technical Framework and Proof-of-Concept for LLM-Enhanced Healthcare Process Mining

arXiv:2508.21540v1 Announce Type: new Abstract: Process mining has emerged as a powerful analytical technique for understanding complex healthcare workflows. However, its application faces significant barriers, including technical complexity, a lack of standardized approaches, and limited access to practical training resources. We introduce HealthProcessAI, a GenAI framework designed to simplify process mining applications in healthcare and epidemiology by providing a comprehensive wrapper around existing Python (PM4PY) and R (bupaR) libraries. To address unfamiliarity and improve accessibility, the framework integrates multiple Large Language Models (LLMs) for automated process map interpretation and report generation, helping translate technical analyses into outputs that diverse users can readily understand. We validated the framework using sepsis progression data as a proof-of-concept example and compared the outputs of five state-of-the-art LLM models through the OpenRouter platform. To test its functionality, the framework successfully processed sepsis data across four proof-of-concept scenarios, demonstrating robust technical performance and its capability to generate reports through automated LLM analysis. LLM evaluation using five independent LLMs as automated evaluators revealed distinct model strengths: Claude Sonnet-4 and Gemini 2.5-Pro achieved the highest consistency scores (3.79/4.0 and 3.65/4.0) when evaluated by automated LLM assessors. By integrating multiple Large Language Models (LLMs) for automated interpretation and report generation, the framework addresses widespread unfamiliarity with process mining outputs, making them more accessible to clinicians, data scientists, and researchers. This structured analytics and AI-driven interpretation combination represents a novel methodological advance in translating complex process mining results into potentially actionable insights for healthcare applications.