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Fenglin Liu

Publications and source records attributed to Fenglin Liu.

At least 19 recordsLinked to original sources

SparseTokenGS: Gaussian-based Sparse-View CBCT Reconstruction via Reusable Token Pool

Sparse-view cone-beam computed tomography is widely used for fast, low-dose volumetric imaging and lesion localization in dentistry and image-guided interventions, but it introduces severe artifacts. Feed-forward Gaussian methods transfer the reconstruction cost to training and decode each coordinate from projection-aligned features and neighboring anchors. However, information from the whole scan is written only when the field is constructed and cannot be retrieved during coordinate decoding, leaving the volume inconsistent within the scan. This is a common limitation of such methods: once the field is fixed, decoding uses only local features and reconstruction quality drops substantially. We propose SparseTokenGS, a Gaussian-based method for sparse-view cone-beam computed tomography reconstruction via a reusable token pool. Anchor Token Fusion and Point-Token Attention query this shared pool at the anchors and at the query coordinates, respectively. The local Gaussian prior is retained, and the volume is reconstructed in one forward pass, without per-scan optimization or a projection-domain loss. On three public chest and dental datasets, SparseTokenGS achieves the highest reconstruction performance among the compared methods. On clinical dental scans, reconstruction from only six projections reaches 29.51 decibels in peak signal-to-noise ratio and a structural similarity of 0.842 against the full-view reference, and off-the-shelf tooth-and-pulp segmentation keeps these structures separable for root-canal localization. Experiments on volcanic rock and chicken show performance after same-object adaptation. A reusable token pool gives feed-forward reconstruction a mechanism that keeps scan-wide context available through decoding and can benefit future rapid clinical lesion localization and analysis. The code is available at: https://github.com/FrankDengAI/SparseTokenGS.

cs.CV↗

Rufus-Air: An Open LLM Post-Training Recipe

Rufus-Air is an open and reproducible post-training recipe on GLM-4.5-Air-Base (106B-A12B), organized as a serial pipeline of eight stages: SFT, Reasoning RL, Coding RL, Instruction-Following RL, General Agent, Coding Agent, Search Agent, and RLHF. We document the data, reward design, infrastructure, stage order, and stagewise results needed to reproduce the recipe. Stages progress from basic to advanced capabilities and from hard, verifiable rewards to softer judge-based signals. Training builds on open-source components and public data, much of it used as released, without new human annotation or an in-house distillation teacher. Our main findings are that (i) diverse, high-quality SFT establishes a strong capability floor; (ii) difficulty filtering keeps RL prompts within a productive learning range; (iii) reward reliability provides a practical principle for ordering stages; and (iv) infrastructure and engineering choices are part of the recipe, not just an implementation detail. Rufus-Air improves over the official GLM-4.5-Air post-trained release and is competitive with similarly sized open models.

cs.CL↗

MedRSI: Recursive Self-Improvement for Medical Agents via Clinically Aligned Self-Evolution

Medical agents increasingly combine general reasoning models with specialized clinical tools, yet their capabilities remain largely fixed by what clinicians and engineers design before deployment. Recursive self-improvement (RSI) offers a different paradigm in which agents learn from their own failures and autonomously expand their capabilities, but directly applying RSI to medicine introduces fundamental safety challenges. We introduce MedRSI, the first recursive self-improvement framework for medicine, which continuously transforms diagnostic failures into new clinical capabilities through tool composition and task-specific model training. Inspired by clinical practice, MedRSI introduces two mechanisms for clinically aligned self-evolution. Clinical-cost-aware failure prioritization directs improvement toward errors according to their potential clinical consequences rather than frequency alone. Fast discovery with slow registration separates rapid capability invention from conservative adoption, allowing new tools to enter the persistent agent only after demonstrating sustained benefit across subsequent patient cohorts. Across public glaucoma and heart disease benchmarks and two private clinical tasks, MedRSI progressively develops segmentation, measurement, prediction, multimodal reasoning, and generative capabilities, surpasses manually engineered medical agents, and autonomously discovers solutions to clinical problems not anticipated by its original designers. Our results show that medical agents need not remain constrained by capabilities specified before deployment: with clinically grounded mechanisms governing what to improve and what to retain, they can continuously construct, validate, and accumulate new capabilities from diagnostic experience. Code is available at https://github.com/ImprintLab/MedRSI.

cs.AI↗

RCL-Mamba: A Dual-domain State Space Model for Measurement-oriented Image Restoration in Rotational Sparse-View Scanning Computed Laminography

Rotational Scanning Computed Laminography (RCL) is widely utilized for the Non-Destructive Testing (NDT) of large planar components. However, to facilitate rapid inspection, continuous sparse-view scanning is often employed, where the angular integration effect during exposure induces rotational blur in the projection domain. Furthermore, the data incompleteness inherent in sparse sampling manifests as sparse artifacts in the reconstructed image domain. To address these cross-domain degradations, this paper proposes RCL-Mamba, a measurement-oriented dual-domain State Space Model (SSM)-based image restoration network. The framework adopts a cascaded joint processing strategy: it first corrects the rotational blur in the projection domain and subsequently suppresses the sparse artifacts in the image domain. Additionally, we design a Mamba-CNN dual-branch module to adaptively balance large-scale blur correction with local detail recovery. Evaluations on both simulated datasets and real-world Printed Circuit Board (PCB) scans demonstrate that RCL-Mamba outperforms existing baselines in blur removal, artifact suppression, and structural preservation. Line-profile-based structural measurement further verifies that the proposed method better preserves via/pad boundaries and slender trace profiles. Crucially, by reducing the required scanning views from 512 to 64, our method enhances inspection efficiency by approximately 8-fold without compromising reconstruction quality, offering a robust measurement-oriented restoration solution for high-throughput RCL inspection with improved structural measurement fidelity.

cs.CV↗

AI Can Be Easily Persuaded in Clinical Decision Making

As AI becomes increasingly integrated into clinical practice, it is playing a growing role in medical decision making. Medicine, however, is a high stakes and evidence based field, where decisions can directly affect patients' lives. It is therefore important to understand whether AI can maintain objective judgment when others try to persuade it. In this paper, we study how easily AI can be persuaded through controlled experiments. We find that professional authority, national background, institutional affiliation, claimed past performance, multiple physicians, supported clinician views, and repeated pressure can all affect AI decisions. Surprisingly, the same persuasive input changes about 10% more cases when it comes from a senior clinician than from a medical student. Simply claiming a better performance history consistently makes the physician more persuasive. More strikingly, a plausible clinician view can persuade AI away from a correct decision even when it is fabricated to support an incorrect answer. This indicates that AI can be strongly influenced by convincing support without reliably determining whether this view from the clinician is correct. Together, these findings suggest that AI can be easily persuaded by what people say, who says it, and how the opinion is presented. Therefore, it is essential for AI to maintain sound judgment under persuasion, enabling its safe and reliable use in high stakes medical decision making.

cs.CL↗

Addressing Benchmarking Gaps in Large Language Models for Health and Medicine with Dynamic Red-Teaming

Large language models (LLMs) are increasingly used to answer health-related questions and support healthcare workflows, yet evidence for their safety still relies heavily on static benchmarks that can rapidly become obsolete or be optimized against. Here we introduce a Dynamic, Automatic, and Systematic (DAS) red-teaming audit framework that continuously stress-tests LLMs for health across four safety-critical axes: robustness, privacy, bias/fairness, and hallucination/factual inaccuracies. Validated against board-certified clinicians with high concordance, a suite of adversarial agents autonomously mutates health-related test cases to uncover vulnerabilities in real time. Applying DAS to 15 proprietary and open-source LLMs revealed a profound gap between high static benchmark performance and low dynamic reliability--the "Benchmarking Gap". Despite median MedQA accuracy exceeding 80\%, 94\% of previously correct answers failed under dynamic robustness testing. This brittleness generalized to the realistic, open-ended HealthBench dataset, where top-tier models exhibited failure rates exceeding 70\% and sharp shifts in model rankings across evaluations, suggesting that high scores on established static benchmarks may reflect superficial memorization. We observed similarly high failure rates across other domains: privacy leaks were elicited in 86\% of scenarios, cognitive-bias priming altered recommendations in 81\% of fairness tests, and hallucination rates exceeded 74\% in widely used models. By converting LLM safety evaluation for health from a static checklist into a living adversarial audit, DAS provides a scalable framework for surfacing latent risks before such systems are deployed in consumer-facing health assistants, clinician-facing tools, and broader healthcare workflows. Code is available at https://github.com/JZPeterPan/DAS-Medical-Red-Teaming-Agents.

cs.LG↗

Wavelet-Optimized Pseudo-3D Accelerated Diffusion Model for Truncated Computed Laminography

Computed Laminography (CL) is a key technology for the nondestructive testing of large plate-shaped objects. However, field-of-view (FOV) limitations inevitably lead to truncation of projected data, an ill-posed inverse problem that causes severe reconstruction artifacts. Existing deep learning methods typically rely on 2D architectures that lack rigorous data consistency constraints. Furthermore, they conventionally confine artifact removal strictly to the FOV, discarding potentially recoverable information outside it. To overcome these limitations, we first introduce a comprehensive CL FOV analysis, categorizing the space into data-complete, data-incomplete, and data-free regions. By extending our reconstruction target to encompass the data-incomplete region, we significantly expand the effective imaging range and enhance scanning efficiency. To achieve this, we propose a novel wavelet-optimized pseudo-3D accelerated diffusion model for CL truncation reconstruction (CL-DM). Our method utilizes a standard 2D diffusion model for slice aggregation, combined with a 3D model-based iterative reconstruction (MBIR) method to ensure strict data consistency. To mitigate inter-slice discontinuities, we introduce wavelet regularization along the z-direction, paired with a translation-invariant (TI) mechanism and a low-frequency preservation strategy. Finally, we introduce a 3D fast sampling architecture, significantly accelerating inference speed. Extensive simulations and real-world experiments demonstrate that CL-DM is superior in effectively eliminating truncation artifacts and restoring high-fidelity, continuous 3D structures.

cs.CV↗

BioMedArena: An Open-source Toolkit for Building and Evaluating Biomedical Deep Research Agents

Reproducing and comparing deep research agents today is hard: the same backbone evaluated on the same benchmark can report different accuracies across papers because the harness and tool registry differ, and integrating a new model into a comparable evaluation surface costs weeks of model-specific engineering. These are symptoms of a broader reproducibility problem in deep research agent research. Here, we introduce BioMedArena, an open-source toolkit that addresses this reproducibility gap and provides an arena for comparing deep research agents under a shared evaluation environment. BioMedArena decouples six layers of biomedical agent evaluation -- benchmark loading, tool exposure, tool selection, harness mode, context management, and scoring -- and exposes 166 biomedical benchmarks and 75 biomedical tools across 9 functional families. Adding a new model, benchmark, or tool can be accomplished with a few-line provider adapter. Beyond evaluation infrastructure, BioMedArena ships a library of high-quality reference components: 6 agent harnesses (including our proposed Mutual-Evolve) and 6 context-management strategies, any of which can be equipped on any backbone. Equipping these components substantially improves all 12 backbones; on each of 8 representative biomedical benchmarks, the best equipped backbone surpasses prior state-of-the-art (SOTA), by 15.01 percentage points on average. The toolkit, configurations, and per-task traces are available at https://github.com/AI-in-Health/BioMedArena.

cs.AI↗

Quantum CT via Dynamic Interval Encoding and Prior-Balanced QUBO Reconstruction

Quadratic unconstrained binary optimization (QUBO)-based quantum computed tomography (CT) casts reconstruction as a binary quadratic problem for quantum annealing and hybrid quantum--classical solvers. For grayscale CT, however, image encoding is constrained by the binary-variable budget: fixed global bit-plane encodings increase QUBO size and coupling complexity as gray-level precision improves, whereas low-bit encodings introduce quantization error. We propose a QUBO-based grayscale CT reconstruction framework that combines dynamic interval encoding with prior-balanced optimization. Each refinement round encodes active pixels only within local gray-level intervals around the current estimate, and a boundary-hit-guided update rule adaptively switches between search expansion and local refinement. To improve optimization stability, the method balances projection-domain data consistency and an edge-preserving quadratic prior before forming the final QUBO. Sparse-view and limited-angle fan-beam CT experiments show that the proposed method recovers structures and gray-level distributions more faithfully than the evaluated analytic, iterative, variational, and representation-based baselines. Expressivity analysis and ablation studies further indicate that the improvement mainly arises from effective gray-level representation through dynamic local encoding and more stable data-fidelity--prior coupling. Experiments on the D-Wave hybrid binary quadratic model (BQM) solver further demonstrate that the formulation is executable on a hardware-backed hybrid quantum--classical backend.

cs.CV↗

Measuring Epistemic Resilience of LLMs Under Misleading Medical Context

Large language models (LLMs) now reach expert-level scores on medical licensing exams, encouraging the assumption that high scores imply safe medical judgment while patients increasingly use them for health advice. We show this assumption is fragile: when misleading context is injected into questions that LLMs originally answer correctly, they abandon the correct answer. We call the ability to maintain correct judgment under adversarial context epistemic resilience, and introduce MedMisBench to measure it. MedMisBench contains 10,932 medical question items and 48,889 misleading context-option pairs spanning medical reasoning, agentic capability, and patient-journey evaluation. Across 11 model configurations, mean accuracy falls from 71.1% on original questions to 38.0% under focused misleading context, with 51.5% attack success. The most damaging injections are formal, rule-like fabrications: authority-framed falsehoods reach 69.5% attack success and exception-poisoning claims reach 64.1%. A 14-member clinical panel from 7 countries identified serious potential harm in 38.2% of reviewed cases. MedMisBench exposes a structural blind spot in LLM evaluation in medical settings: existing benchmarks measure what models know, but not whether they preserve correct medical judgment under misleading context.

cs.CL↗

Texture-preserving implicit neural representation for Cone beam CT truncated reconstruction

Cone-beam computed tomography (CBCT) frequently suffers from data truncation, which introduces severe artifacts and limits the effective field of view (FOV). Existing deep learning methods for truncated cone-beam computed tomography (CBCT) reconstruction suffer from serious limitations, including a strict reliance on supervised ground truth and a failure to account for continuous 3D spatial truncation variations. To address these challenges, we introduce a self-supervised 3D reconstruction framework based on neural scene representations. By directly mapping spatial coordinates to radiodensity under projection supervision, our approach inherently bypasses traditional filtering and backprojection operations, thereby fundamentally eliminating truncation-induced ring artifacts while enabling robust continuous 3D data extrapolation. However, coordinate networks are susceptible to an inherent spectral bias, which leads to a severe loss of clinically vital high-frequency textures. To resolve this bottleneck, we further incorporate a physics-based iterative refinement module into the neural scene representation architecture. Leveraging the artifact-free, extrapolated volume from the coordinate network as an optimal initialization, this module progressively re-extracts and injects high-frequency structural information from the original projections back into the volume. Extensive experiments on both simulated and real-world datasets demonstrate that our method successfully unifies the exceptional artifact suppression and extrapolation capabilities of neural networks with the high-fidelity detail preservation of iterative algorithms.

cs.CV↗

Biosignal Fingerprinting: A Cross-Modal PPG-ECG Foundation Model

Cardiovascular disease remains the leading cause of global mortality, yet scalable cardiac monitoring is hindered by the gap between diagnostic-rich ECG and ubiquitous wearable PPG. Bridging this gap requires representations that are compact, transferable across modalities and devices, and deployable without task-specific retraining. Here we introduce biosignal fingerprints: compact latent representations of cardiovascular state derived from a cross-modal foundation model, the Multi-modal Masked Autoencoder (M2AE), trained on over 3.4 million paired ECG and PPG signals. M2AE integrates modality-specific encoders with a shared bottleneck and dual decoders, jointly optimized using reconstruction and cross-modal contrastive objectives, yielding generalizable fingerprints that retain intra- and inter-modality features. Like a biometric fingerprint, these representations uniquely encode an individual's cardiovascular state in a modality-agnostic, privacy-preserving form reusable across clinical tasks without exposing raw waveform data or requiring model retraining. Across 7 downstream tasks, spanning cross-modal reconstruction, cardiovascular disease classification, hypertension detection, mortality prediction, and demographic inference, biosignal fingerprints achieve competitive or superior performance compared to leading domain-specialist foundation models in frozen settings, including an AUROC of 0.974 for five-class CVD classification and 0.877 for hypertension detection, with a maximum improvement of 27.7% in AUROC across 5 classification tasks. Critically, strong performance is maintained with only a single modality, enabling deployment in resource-constrained, single-sensor environments typical of real-world wearable monitoring, with direct implications for continuous cardiovascular monitoring across clinical and consumer health settings.

cs.LG↗

Ask Patients with Patience: Enabling LLMs for Human-Centric Medical Dialogue with Grounded Reasoning

The severe shortage of medical doctors limits access to timely and reliable healthcare, leaving millions underserved. Large language models (LLMs) offer a potential solution but struggle in real-world clinical interactions. Many LLMs are not grounded in authoritative medical guidelines and fail to transparently manage diagnostic uncertainty. Their language is often rigid and mechanical, lacking the human-like qualities essential for patient trust. To address these challenges, we propose Ask Patients with Patience (APP), a multi-turn LLM-based medical assistant designed for grounded reasoning, transparent diagnoses, and human-centric interaction. APP enhances communication by eliciting user symptoms through empathetic dialogue, significantly improving accessibility and user engagement. It also incorporates Bayesian active learning to support transparent and adaptive diagnoses. The framework is built on verified medical guidelines, ensuring clinically grounded and evidence-based reasoning. To evaluate its performance, we develop a new benchmark that simulates realistic medical conversations using patient agents driven by profiles extracted from real-world consultation cases. We compare APP against SOTA one-shot and multi-turn LLM baselines. The results show that APP improves diagnostic accuracy, reduces uncertainty, and enhances user experience. By integrating medical expertise with transparent, human-like interaction, APP bridges the gap between AI-driven medical assistance and real-world clinical practice.

cs.CL↗

SWE Context Bench: A Benchmark for Context Learning in Coding

Large language models are increasingly used as coding agents for software engineering tasks. Current benchmarks mainly evaluate whether the agent can correctly solve the request or fix the bugs. They largely treat tasks as independent and do not assess whether agents can reuse previous experience across related problems. As a result, the efficiency gains from reusing the previous experience remains difficult to measure. We introduce SWE-ContextBench, a benchmark designed to explicitly evaluate context understanding and retrieval in coding agents. SWE-ContextBench consists of 1,100 base tasks with another 376 related tasks derived from real dependency and reference relationships among GitHub issues and pull requests. SWE-ContextBench groups base tasks and related tasks with shared context across 51 unique repositories and 9 programming languages. The benchmark evaluates how accurately and efficiently agents solve related issues when prior cases are available in context. Using SWE-ContextBench, we study the behavior of multiple coding agents across varying context reuse settings and retrieval strategies. Our results show that accurately summarized and retrieved previous experience can significantly improve resolution accuracy and reduce runtime and token cost, particularly on harder tasks. In contrast, unfiltered or incorrectly selected context provides limited or negative benefits. These findings highlight the importance of context management and retrieval accuracy, and position SWE-ContextBench as a principled benchmark for studying context learning in coding agents.

cs.SE↗

RiskAgent: Synergizing Language Models with Validated Tools for Evidence-Based Risk Prediction

Large Language Models (LLMs) achieve competitive results compared to human experts in medical examinations. However, it remains a challenge to apply LLMs to complex clinical decision-making, which requires a deep understanding of medical knowledge and differs from the standardized, exam-style scenarios commonly used in current efforts. A common approach is to fine-tune LLMs for target tasks, which, however, not only requires substantial data and computational resources but also remains prone to generating `hallucinations'. In this work, we present RiskAgent, which synergizes language models with hundreds of validated clinical decision tools supported by evidence-based medicine, to provide generalizable and faithful recommendations. Our experiments show that RiskAgent not only achieves superior performance on a broad range of clinical risk predictions across diverse scenarios and diseases, but also demonstrates robust generalization in tool learning on the external MedCalc-Bench dataset, as well as in medical reasoning and question answering on three representative benchmarks, MedQA, MedMCQA, and MMLU.

cs.LG↗

Structure-constrained Language-informed Diffusion Model for Unpaired Low-dose Computed Tomography Angiography Reconstruction

The application of iodinated contrast media (ICM) improves the sensitivity and specificity of computed tomography (CT) for a wide range of clinical indications. However, overdose of ICM can cause problems such as kidney damage and life-threatening allergic reactions. Deep learning methods can generate CT images of normal-dose ICM from low-dose ICM, reducing the required dose while maintaining diagnostic power. However, existing methods are difficult to realize accurate enhancement with incompletely paired images, mainly because of the limited ability of the model to recognize specific structures. To overcome this limitation, we propose a Structure-constrained Language-informed Diffusion Model (SLDM), a unified medical generation model that integrates structural synergy and spatial intelligence. First, the structural prior information of the image is effectively extracted to constrain the model inference process, thus ensuring structural consistency in the enhancement process. Subsequently, semantic supervision strategy with spatial intelligence is introduced, which integrates the functions of visual perception and spatial reasoning, thus prompting the model to achieve accurate enhancement. Finally, the subtraction angiography enhancement module is applied, which serves to improve the contrast of the ICM agent region to suitable interval for observation. Qualitative analysis of visual comparison and quantitative results of several metrics demonstrate the effectiveness of our method in angiographic reconstruction for low-dose contrast medium CT angiography.

cs.CV↗

Clinical-R1: Empowering Large Language Models for Faithful and Comprehensive Reasoning with Clinical Objective Relative Policy Optimization

Recent advances in large language models (LLMs) have shown strong reasoning capabilities through large-scale pretraining and post-training reinforcement learning, demonstrated by DeepSeek-R1. However, current post-training methods, such as Grouped Relative Policy Optimization (GRPO), mainly reward correctness, which is not aligned with the multi-dimensional objectives required in high-stakes fields such as medicine, where reasoning must also be faithful and comprehensive. We introduce Clinical-Objective Relative Policy Optimization (CRPO), a scalable, multi-objective, verifiable reinforcement learning method designed to align LLM post-training with clinical reasoning principles. CRPO integrates rule-based and verifiable reward signals that jointly optimize accuracy, faithfulness, and comprehensiveness without relying on human annotation. To demonstrate its effectiveness, we train Clinical-R1-3B, a 3B-parameter model for clinical reasoning. The experiments on three benchmarks demonstrate that our CRPO substantially improves reasoning on truthfulness and completeness over standard GRPO while maintaining comfortable accuracy enhancements. This framework provides a scalable pathway to align LLM reasoning with clinical objectives, enabling safer and more collaborative AI systems for healthcare while also highlighting the potential of multi-objective, verifiable RL methods in post-training scaling of LLMs for medical domains.

cs.AI↗

Wavelet-Optimized Motion Artifact Correction in 3D MRI Using Pre-trained 2D Score Priors

Motion artifacts in magnetic resonance imaging (MRI) remain a major challenge, as they degrade image quality and compromise diagnostic reliability. Score-based generative models (SGMs) have recently shown promise for artifact removal. However, existing 3D SGM-based approaches are limited in two key aspects: (1) their strong dependence on known forward operators makes them ineffective for correcting MRI motion artifacts, and (2) their slow inference speed hinders clinical translation. To overcome these challenges, we propose a wavelet-optimized end-to-end framework for 3D MRI motion correct using pre-trained 2D score priors (3D-WMoCo). Specifically, two orthogonal 2D score priors are leveraged to guide the 3D distribution prior, while a mean-reverting stochastic differential equation (SDE) is employed to model the restoration process of motion-corrupted 3D volumes to motion-free 3D distribution. Furthermore, wavelet diffusion is introduced to accelerate inference, and wavelet convolution is applied to enhance feature extraction. We validate the effectiveness of our approach through both simulated motion artifact experiments and real-world clinical motion artifact correction tests. The proposed method achieves robust performance improvements over existing techniques. Implementation details and source code are available at: https://github.com/ZG-yuan/3D-WMoCo.

cs.CE↗