arXiv:2505.21535v4 Announce Type: replace Abstract: While transformers dominate modern vision and language models, their attention mechanism remains poorly suited for in-memory computing (IMC) devices due to intensive activation-to-activation multiplications and non-local memory access, leading to substantial latency and bandwidth overhead on ReRAM-based accelerators. To address this mismatch, we propose FAR, a Function-preserving Attention Replacement framework that substitutes all attention in pretrained DeiTs with sequential modules inherently compatible with IMC dataflows. Specifically, FAR replaces self-attention with a multi-head bidirectional LSTM architecture via block-wise distillation to retain functional equivalence while enabling linear-time computation and localized weight reuse. We further incorporate structured pruning on FAR models, enabling flexible adaptation to resource-constrained IMC arrays while maintaining functional fidelity. Evaluations on the DeiT family demonstrate that FAR maintains comparable accuracy to the original attention-based models on ImageNet and multiple downstream tasks with reduced parameters and latency. Further analysis shows that FAR preserves the semantic token relationships learned by attention while improving computational efficiency, highlighting its potential for energy-efficient transformer inference on IMC-based edge accelerators.
Science Journals
arXiv:2605.15788v1 Announce Type: new Abstract: Proactive autoscaling for containerized workloads depends on knowing the provisioning delay, i.e., the time between a scaling decision and the moment new capacity is ready to serve traffic. In practice, this cold-start duration can vary substantially across environments and even across consecutive scale-out events. We present ADAPT (Adaptive Duration Approximation for Predictive Timing), an online EWMA estimator that tracks coldstart duration at runtime. ADAPT feeds a dynamic planning horizon, FH-OPT, into a Model Predictive Controller (MPC) that optimizes replica counts over a rolling window. Together, these components form a closed-loop proactive autoscaling design that adapts its lookahead based on measured provisioning delay. Evaluated across three policies (MPC+LSTM, MPC+Prophet, HPA) and six workload archetypes with five random seeds, MPC+LSTM achieves below 5% SLA violation on all workloads, compared with 7-19% for reactive HPA and up to 28.7% for MPC+Prophet on bimodal traffic.
arXiv:2605.15474v1 Announce Type: new Abstract: This position paper argues that job exposure to AI should be measured with grounded, evidence-based methods, not inferred from LLM priors alone. Current theoretical exposure measures use zero-shot prompting to classify task-level AI exposure, generating labels with no explicit evidence, no transparent chain of reasoning, and no external validation. The stakes of these measurements are too high to rely on such methods, as they influence policy making, where public and private funds are directed, and how workers understand their future prospects. We therefore argue that AI capability claims should meet three standards: reproducibility, external grounding, and inspectability. We propose a retrieval-augmented framework that assigns AI exposure labels to all 18,796 occupation--task pairs in O*NET 30.2, using open-weight reasoning and instruct models with retrieved news articles and academic paper abstracts as evidence of current AI capabilities. Relative to a zero-shot baseline, the grounded condition is preferred in over 72\% of disagreement cases under both automatic and human evaluation, and yields scores that align more closely with observed real-world AI usage. Taken together, these findings suggest that evidence-grounded measurement better captures what current AI systems can plausibly do in practice, rather than what a model asserts without external evidence. Because AI capabilities continue to change, the measurements used to inform policy must evolve with them: theoretical AI exposure scores should be periodically reassessed, not inherited as immutable ground truth.
arXiv:2602.20207v3 Announce Type: replace Abstract: Knowledge editing in Large Language Models (LLMs) aims to update the model's prediction for a specific query to a desired target while preserving its behavior on all other inputs. This process typically involves two stages: identifying the layer to edit and performing the parameter update. Intuitively, different queries may localize knowledge at different depths of the model, resulting in different sample-wise editing performance for a fixed editing layer. In this work, we hypothesize the existence of fixed golden layers that can achieve near-optimal editing performance similar to sample-wise optimal layers. To validate this hypothesis, we provide empirical evidence by comparing golden layers against ground-truth sample-wise optimal layers. Furthermore, we show that golden layers can be reliably identified using a proxy dataset and generalize effectively to unseen test set queries across datasets. Finally, we propose a novel method, namely Layer Gradient Analysis (LGA) that estimates golden layers efficiently via gradient-attribution, avoiding extensive trial-and-error across multiple editing runs. Extensive experiments on several benchmark datasets demonstrate the effectiveness and robustness of our LGA approach across different LLM types and various knowledge editing methods.
arXiv:2605.15736v1 Announce Type: new Abstract: Biomedical Vision--Language Models (VLMs) have shown remarkable promise in few-shot medical diagnosis but face a critical bottleneck: \textit{fragility to prompt variations}.Existing adaptation frameworks typically optimize visual and textual prompts as independent streams, relying on ideal ``Golden Prompts''. In clinical reality, where descriptions are often noisy and heterogeneous, this modality isolation leads to unstable cross-modal alignment. To address this, we propose BiomedAP, a vision-informed dual-anchor framework with gated cross-modal fusion.BiomedAP enforces synergistic alignment through two mechanisms: (1) Gated Cross-Modal Fusion, which enables layer-wise interaction between modalities, acting as a dynamic noise regulator to suppress irrelevant textual cues; and (2) a Dual-Anchor Constraint that regularizes learnable prompts toward stable semantic centroids derived from both expert templates (High Anchors) and few-shot visual prototypes (Low Anchors). Extensive experiments across 11 benchmarks demonstrate that BiomedAP consistently surpasses baselines, achieving competitive few-shot accuracy and markedly enhanced robustness under prompt perturbations. Our code is available at: https://github.com/tongdiedie/BiomedAP. Keywords: Vision-Language Models; Prompt Learning; Parameter-Efficient Fine-Tuning; Few-shot Learning
arXiv:2605.15473v1 Announce Type: new Abstract: We propose using validated behavioral hypotheses as a lens for evaluating human-likeness in LLM-based agents. Our key idea is simple: If an agent is human-like, a population of such agents should reach the same inferential conclusion as the human population when run through the same experiment. Decades of social science have produced many such validated findings, each anchored to concrete experimental protocols and robustly established through independent replication. This yields an evaluation that is objective, decomposable, and scalable. We operationalize this lens through HumanStudy-Bench, an open platform that turns published human-subject studies into reusable simulation environments and administers the evaluation to configurable agents. It scores agent-human alignment on two metrics: the Probability Alignment Score (PAS) for inferential agreement and the Effect Consistency Score (ECS) for effect-size agreement. We curated an initial suite of 12 studies whose hypotheses are robustly established through independent replication, and evaluated 10 models under 4 agent designs. Results show that agent responses polarize between full replication and complete failure; agent design influences alignment more than model scale, but its effect is non-monotonic.
arXiv:2605.01970v3 Announce Type: replace Abstract: Memory systems enable otherwise-stateless LLM agents to persist user information across sessions, but also introduce a new attack surface. We characterize the Trojan Hippo attack, a class of persistent memory attacks that operates in a more realistic threat model than prior memory poisoning work: the attacker plants a dormant payload into an agent's long-term memory via a single untrusted tool call (e.g., a crafted email), which activates only when the user later discusses sensitive topics such as finance, health, or identity, and exfiltrates high-value personal data to the attacker. While anecdotal demonstrations of such attacks have appeared against deployed systems, no prior work systematically evaluates them across heterogeneous memory architectures and defenses. We introduce a dynamic evaluation framework comprising two components: (1) an OpenEvolve-based adaptive red-teaming benchmark that stress-tests defenses and memory backends against continuously refined attacks, and (2) the first capability-aware security/utility analysis for persistent memory systems, enabling principled reasoning about defense deployment across different usage profiles. Instantiated on an email assistant across four memory backends (explicit tool memory, agentic memory, RAG, and sliding-window context), Trojan Hippo achieves up to 85-100% ASR against current frontier models from OpenAI and Google, with planted memories successfully activating even after 100 benign sessions. We evaluate four memory-system defenses inspired by basic security principles, finding they substantially reduce attack success rates (to as low as 0-5%), though at utility costs that vary widely with task requirements. Because of this substantial security-utility tradeoff, the effective real-world deployment of defenses remains an open challenge, which our evaluation framework is specifically designed to address.
arXiv:2605.15729v1 Announce Type: new Abstract: Despite recent progress in constructing generalizable parallel algorithm portfolios (PAPs), no general-purpose approach is yet available for multi-objective binary optimization problems (MOBOPs). To fill this gap, this paper proposes domain-agnostic co-evolution of parameterized search for multi-objective binary optimization~(DACMO), which features two technical innovations. First, we propose a neural instance representation architecture that decouples domain-invariant and instance-specific features, enabling class-consistent instance generation across varying dimensions without problem-specific instance generators. Second, we introduce LLM-based automatic search operator generation into PAP construction, extending the search space from parameter tuning of predefined templates to operator-level algorithm design. We evaluate DACMO on four representative MOBOP classes to demonstrate its effectiveness as a general-purpose PAP construction method: the multi-objective match max problem~(MMMP), the multi-objective knapsack problem~(MKP), the multi-objective contamination control problem (MCCP), and the multi-objective complementary influence maximization problem~(MCIMP). Experimental results show that DACMO can be directly applied to all four problem classes without modification, outperforms PAPs built from classic MOEA templates, and achieves performance comparable to a privileged state-of-the-art baseline that relies on manually designed problem-specific instance generators, while outperforming it on two of the four evaluated problem classes.
arXiv:2605.15468v1 Announce Type: new Abstract: Digital systems have become simultaneously more powerful and more wasteful. Features accumulate that nobody uses. Data is collected that nobody analyzes. AI is deployed at significant energy and water costs for gains that a simpler approach could have achieved. And through all of it, the people who depend on these systems quietly absorb the consequences in cognitive load, lost time, and eroded trust. This paper introduces GreenZ, a three-layer Sustainable UX Framework for complex digital systems. Its three layers are a Philosophy Layer built around ten published principles, an Operational Frameworks Layer comprising five applied systems, and a Tools and Canvases Layer of practical audit instruments and decision models. Two contributions sit at the framework's core: a Digital Waste Taxonomy classifying eight distinct waste types, and an AI Sufficiency Decision Model that asks whether AI should exist in a given flow before any question of how to implement it. GreenZ v1 is theoretically grounded but empirically unvalidated. A practitioner expert review study is underway at the time of submission. The paper presents the framework's architecture, its conceptual foundations, its position relative to existing literature, and an honest account of what remains to be established.
arXiv:2512.01089v2 Announce Type: replace Abstract: Automated Scientific Discovery (ASD) systems can help automatically generate and run code-based experiments, but their capabilities are limited by the code they can reliably generate from parametric knowledge alone. As a result, current systems either mutate a small number of manually-crafted experiment examples, or operate solely from parametric knowledge, limiting quality and reach. We introduce CodeDistiller, a system that automatically distills large collections of scientific Github repositories into a vetted library of working domain-specific code examples, allowing ASD agents to expand their capabilities without manual effort. Using a combination of automatic and domain-expert evaluation on 250 materials science repositories, we find the best model is capable of producing functional examples for 74% of repositories, while our downstream evaluation shows an ASD agent augmented with a CodeDistiller generated library produces more accurate, complete, and scientifically sound experiments than an agent with only general materials-science code examples. We also evaluate LLM-as-a-judge ratings against domain-expert ratings in an A/B testing paradigm, finding moderate agreement and suggesting that inexpensive proxy metrics may be feasible for evaluating scientific discovery systems at scale.
arXiv:2605.15418v1 Announce Type: new Abstract: Hybrid optical systems combining refractive and diffractive optical responses have the potential to support new types of optical behavior, but they are difficult to model and optimize due to the disparate spatial scales and physics exhibited by ray and wave phenomena. In this work, we present a differentiable ray-wave framework that serves as a general model for hybrid refractive-diffractive optical systems and that operates as a plug-and-play module within standard ray tracing pipelines. Our model uniquely applies to both planar and curvilinear diffractive surfaces and can accommodate arbitrary holographic diffractive profiles with high spatial frequency responses. We analyze ray-wave modeling regimes that optimally account for the spatial frequency properties and spatial curvature of the diffractive surfaces, and we demonstrate the gradient-based end-to-end optimization of hybrid refractive-diffractive systems featuring planar and conformal diffractive surfaces. We anticipate that these modeling capabilities will enable new classes of hybrid optical systems relevant to computational imaging and display applications.
arXiv:2605.15789v1 Announce Type: new Abstract: Uncertainty quantification is essential in safety-critical settings--from autonomous driving to aviation, finance, and health--where decisions must rely on conservative bounds rather than point estimates. Predictor-level intervals (e.g., from quantile regression, conformal prediction, variance networks, or Bayesian models) generally do not compose: adding two per-variable intervals need not yield a valid interval for their sum or preserve coverage. In aviation, Gaussian overbounding replaces complex error distributions with a conservative Gaussian whose tails dominate the truth, so conservatism propagates through linear operations. Yet classical overbounds are global, often overly conservative, and hard to adapt to feature-conditioned errors. We propose a unified learning framework that trains neural networks to produce context-aware Gaussian overbounds--mean and scale--with provable conservatism on a finite quantile grid and, under three explicit regularity assumptions, continuous-tail conservatism on a certified interval. Our overbounding loss enforces conservativeness at selected quantiles while penalizing distributional distance with a Wasserstein-style term. The learned bounds support conservative linear-combination and convolution analysis on the enforced grid, and on the certified interval when assumptions hold, while being less redundant than traditional methods. We provide a scoped analysis of discrete-to-continuous conservatism and compact-domain objective regularity, and validate on synthetic data and real-world datasets, including multipath, ionospheric, and tropospheric residual errors. Across these settings, the method yields tighter bounds while maintaining conservatism on the enforced grid and in experiments. The framework is modality-agnostic and applicable to learning systems that require conservative, feature-conditioned uncertainty estimates in dynamic environments.
arXiv:2605.15790v1 Announce Type: new Abstract: Retrieval-Augmented Generation (RAG) improves reliability of large language models by incorporating external knowledge, but the retrieval process can introduce bias that propagates to generated outputs. This issue is particularly challenging in top-k settings, where multiple documents jointly influence generation. We propose a fairness-aware retrieval framework that models and controls this bias. Our approach combines controlled bias injection via reranking, a position-aware model of bias propagation, and an optimization formulation that balances relevance and fairness. We further introduce a scalable solution based on Quadratic Fairness via Dual Hyperplane Approximation (FARO), which enables efficient optimization through problem decomposition. Experimental results show that our method effectively mitigates generation bias while preserving relevance. This work provides a principled approach for fairness-aware retrieval in RAG systems.
arXiv:2605.15733v1 Announce Type: new Abstract: Humans abstract experiences into structured representations to facilitate pattern inference and knowledge transfer. While the hippocampal-entorhinal (HPC-MEC) circuit is known to represent both spatial and conceptual spaces, the mechanisms for concurrently extracting abstract structures from continuous, high-dimensional dynamics remain poorly understood. We propose a brain-inspired hierarchical model that simultaneously infers latent transitions and constructs a predictive visual world model. Our architecture employs an inverse model for structural extraction alongside an HPC-MEC coupling model that dissociates relational structures (MEC) from integrated episodic scenes (HPC). Using primitive transformation dynamics as a benchmark, we demonstrate the model's capacity for structural abstraction. By leveraging velocity-driven path integration, the framework enables robust prediction and structural reuse across diverse contexts, thereby achieving structural generalization. This work provides a novel computational framework for understanding how brain-inspired, self-supervised learning of world models facilitates the acquisition of reusable abstract knowledge.
arXiv:2605.15885v1 Announce Type: new Abstract: The widespread of counterfeit integrated circuits (ICs) poses severe risks to the security, reliability, and trustworthiness of modern electronic systems. Federated learning (FL) offers a privacy-preserving paradigm for collaborative counterfeit detection across the semiconductor supply chain, but its vulnerability to byzantine data poisoning attacks limits practical deployment. This paper presents Federated Embedding Distribution Authentication (FedEDAuth), a lightweight, embedding level client authentication framework that detects and filters malicious participants before model aggregation. FedEDAuth leverages reference embedding distributions derived from a golden dataset and evaluates clients using outlier analysis, mean shift measurements, and micro-cluster behavior without requiring access to raw data or gradients. Integrated into standard FL pipelines, FedEDAuth consistently identifies all poisoned clients in experimental settings with 50 distributed participants under the byzantine data poisoning attack, achieving a 100% malicious client detection rate. After filtering, the federated model achieved a high counterfeit IC classification performance of 94.17% accuracy. These results not only validate FedEDAuth's effectiveness but also underscore the broader potential of secure, trustworthy FL frameworks as a critical advancement for next generation hardware security solutions, enabling robust, collaborative intelligence across the semiconductor supply chain.
arXiv:2605.13143v2 Announce Type: replace Abstract: Knowledge distillation is widely used to improve generalization in practice, yet its theoretical understanding remains elusive. In the standard distillation setting, a teacher model provides soft predictions to guide the training of a student model. We model teacher and student training as coupled stochastic processes and introduce a distillation divergence, defined as the Kullback-Leibler divergence between these two stochastic kernels. Within this framework, we derive two generalization bounds for the student model relative to the teacher's generalization gap: an upper bound under a sub-Gaussian assumption via algorithmic stability, and a lower bound under a central condition with sharper dependence on the distillation divergence. We further develop a loss-sharpness-aware bound with an explicit tightness regime, showing that the teacher's local flatness can strictly tighten the bound. Additionally, in a linear Gaussian case study, the distillation divergence admits an interpretable decomposition into bias, variance, and rank-bottleneck costs, yielding practical guidance for distillation design.
arXiv:2605.15732v1 Announce Type: new Abstract: In this paper, we present a hypersequent calculus for bimodal logic GR, where the two modalities represent the arithmetic provability predicates of Goedel and Rosser, respectively. We prove the cut-elimination theorem for the calculus.
arXiv:2605.14057v2 Announce Type: replace Abstract: Most existing dialogue systems are user-driven, primarily designed to fulfill user requests. However, in many critical real-world scenarios, a conversational agent must proactively extract information to achieve its own objectives rather than merely respond. To address this gap, we introduce Inquisitive Conversational Agents (ICAs) and develop an ICA specifically tailored to U.S. Supreme Court oral arguments. We propose a Dual Hierarchical Reinforcement Learning framework featuring two cooperating RL agents, each with its own policy, to coordinate strategic dialogue management and fine-grained utterance generation. By learning when and how to ask probing questions, the agent emulates judicial questioning patterns and systematically uncovers crucial information to fulfill its legal objectives. Evaluations on a U.S. Supreme Court dataset show that our method outperforms various baselines across multiple metrics. It represents an important first step toward broader high-stakes, domain-specific applications.
arXiv:2605.15728v1 Announce Type: new Abstract: Category-level 6D object pose estimation is typically formulated as a multi-category joint learning problem with fully shared model parameters. However, pronounced geometric heterogeneity across categories entangles incompatible optimization signals in shared modules, resulting in gradient conflicts and negative transfer during training. To address this challenge, we first introduce gradient-based diagnostics to quantify module-level cross-category contention. Building on results of diagnostics, we propose DecomPose, a difficulty-aware decomposition framework that mitigates optimization contention via: (1) difficulty-aware gradient decoupling, which groups categories using a data-driven difficulty proxy and routes each instance to a group-specific correspondence branch to isolate incompatible updates; and (2) stability-driven asymmetric branching, which assigns higher-capacity branches to structurally simple categories as stable optimization anchors while constraining complex categories with lightweight branches to suppress noisy updates and alleviate negative transfer. Extensive experiments on REAL275, CAMERA25, and HouseCat6D demonstrate that DecomPose effectively reduces cross-category optimization contention and delivers superior pose estimation performance across multiple benchmarks.
arXiv:2605.15726v1 Announce Type: new Abstract: Reinforcement learning with verifiable rewards (RLVR) has emerged as a scalable paradigm for improving the reasoning capabilities of large language models. However, its effectiveness is fundamentally limited by exploration: the policy can only improve on trajectories it has already sampled. While increasing the number of rollouts alleviates this issue, such brute-force scaling is computationally expensive, and existing approaches that modify the optimization objective provide limited control over what is explored. In this work, we propose NudgeRL, a framework for structured and diversity-driven exploration in RLVR. Our approach introduces Strategy Nudging, which conditions each rollout on lightweight, strategy-level contexts to induce diverse reasoning trajectories without relying on expensive oracle supervision. To effectively learn from such structured exploration, we further propose a unified objective, which decomposes the reward signal into inter- and intra-context components and incorporates a distillation objective to transfer discovered behaviors back to the base policy. Empirically, NudgeRL outperforms standard GRPO with up to 8 times larger rollout budgets, while outperforming oracle-guided RL baseline on average across five challenging math benchmarks. These results demonstrate that structured, context-driven exploration can serve as an efficient and scalable alternative to both brute-force rollout scaling and feasibility-oriented methods based on privileged information. Our code is available at https://github.com/tally0818/NudgeRL.
arXiv:2605.15725v1 Announce Type: new Abstract: Latent Action Models (LAMs) enable the learning of world models from unlabeled video by inferring abstract actions between consecutive frames. However, LAMs face a fundamental trade-off between action abstraction and generation fidelity. Existing methods typically circumvent this issue by using two-stage training with pre-trained world models or by limiting predictions to optical flow. In this paper, we introduce DiLA, a novel Disentangled Latent Action world model that aims to resolve this trade-off via content-structure disentanglement. Our key insight is that disentanglement and latent action learning are co-evolving: the predictive bottleneck inherent in latent action learning serves as a driving force for disentanglement, compelling the model to distill spatial layouts into the structure pathway while offloading visual details to a separate content pathway for generation. This synergy yields a continuous, semantically structured latent action space without compromising generative quality. DiLA achieves superior results in video generation quality, action transfer, visual planning, and manifold interpretability. These findings establish DiLA as a unified framework that simultaneously achieves high-level action abstraction and high-fidelity generation, advancing the frontier of self-supervised world model learning.
arXiv:2605.15723v1 Announce Type: new Abstract: Multimodal alignment is commonly learned from isolated image-text pairs via CLIP-style dual encoders, leaving the relational context among entities largely unused. Multimodal attributed graphs (MAGs), where nodes carry multimodal attributes and edges encode corpus structure, provide a natural setting for refining frozen vision-language embeddings. This refinement is challenging: visual, textual, and cross-modal relations often induce different neighborhood geometries, while unrestricted graph propagation can quickly over-smooth retrieval representations. Effectively leveraging graph context therefore requires simultaneously breaking modality-specific topological barriers, controlling the smoothing regime, and preserving informative smoothing before semantic boundaries collapse. We propose Graph-Optimized Multimodal Alignment (GOMA), a structure-driven post-alignment framework that views frozen multimodal embeddings as graph signals and addresses these requirements through a unified retrieval-oriented design. GOMA decouples three key design choices: where messages should flow, how multimodal evidence should propagate, and which smoothing depth should be retained. Concretely, it learns modality-aware propagation operators, performs finite-step coupled smoothing without diagonal cross-modal shortcuts, and adaptively reads out node-specific smoothing trajectories to preserve useful smoothing before collapse. All experiments follow a transductive MAG retrieval protocol where the graph serves only as unlabeled context and diagonal self-pair edges are removed. On seven MAG benchmarks, GOMA achieves state-of-the-art or tied state-of-the-art retrieval and remains substantially more stable than the strongest graph competitor, demonstrating that MAG structure can serve as an effective post-encoder for frozen multimodal embeddings.
arXiv:2605.15722v1 Announce Type: new Abstract: Accurate delineation of electrocardiogram (ECG), the segmentation of meaningful waveform features, is crucial for cardiovascular diagnostics. However, the scarcity of annotated data poses a significant challenge for training deep learning models. Conventional semi-supervised semantic segmentation (SemiSeg) methods primarily focus on consistency from unlabeled data, underutilizing the information exchange possible between labeled and unlabeled sets. To address this, we introduce CardioMix, a framework built on a bidirectional CutMix strategy guided by cardiac patterns for ECG segmentation. This approach enriches the labeled set with realistic variations from unlabeled data while simultaneously applying stronger supervisory signals to the unlabeled set, as the cardiac pattern-guided mixing ensures all augmented samples remain physiologically meaningful. Our framework is designed as a plug-and-play module, demonstrating high compatibility with various SemiSeg algorithms. Extensive experiments on SemiSegECG, a public multi-dataset benchmark for ECG delineation, demonstrate that CardioMix consistently outperforms existing CutMix-based fusion strategies across diverse datasets and labeled ratios as a plug-and-play module compatible with various SemiSeg algorithms.
arXiv:2605.15720v1 Announce Type: new Abstract: Medical referring image segmentation (MRIS) requires pixel-level masks aligned with textual descriptions of anatomical locations, making annotation costly in low-label regimes. Semi-supervised learning (SSL) can mitigate this burden by leveraging unlabeled data, but its success hinges on maintaining reliable image-text alignment under perturbations. Most existing SSL-based referred segmentation methods use either independent or simplistic multi-modal perturbations (e.g., left-right flips), without fully addressing cross-modal alignment under strong augmentation, while CutMix, highly effective in single-modal SSL, remains underexplored in multi-modal settings due to its tendency to disrupt image-text coherence. We propose Semi-MedRef, a teacher-student SSL framework designed to explicitly maintain consistency between medical images and positional language through three alignment-preserving components: T-PatchMix, a cross-modal CutMix-style augmentation that synchronizes patch mixing with referring expressions via position-constrained and probability-driven rules; PosAug, a position-aware text augmentation that masks or fuzzes anatomical phrases; and ITCL, a position-guided image-text contrastive learning module, which leverages positional pseudo-labels to construct soft anatomical positives and strengthen medically grounded cross-modal alignment. Experiments on QaTa-COV19 and MosMedData+ demonstrate that Semi-MedRef consistently outperforms both fully supervised and semi-supervised baselines across all label regimes.
arXiv:2605.15467v1 Announce Type: new Abstract: Conversational nurse-patient transcripts contain actionable observations, but converting these transcripts into structured representations at scale remains challenging. Documentation burden is substantial, with prior studies showing clinicians spend large portions of their workday on documentation and related desk work rather than direct patient care. MEDIQA-SYNUR focuses on observation extraction from conversational nurse-patient transcripts, requiring systems to normalize these narratives into a predefined schema with value-type constraints. We propose a modular retrieval-augmented generation (RAG) pipeline that uses the training set as an exemplar corpus, combines schema-constrained prompting (full schema vs. pruned candidate schema), deterministic schema-based postprocessing, and a second-pass audit, with two LLM backbones: Llama-4-Scout-17B-16E-Instruct and GPT-5.2 with corresponding embedding models for RAG. Our best configuration uses GPT-5.2 with full schema, RAG, and a second-pass auditing, achieving 80.36% F1 score. Overall, our results show that RAG consistently improves performance, while the optimal degree of schema constraint depends on the model, and second-pass auditing yields modest additional gains by correcting residual schema-adherence errors.