Recently, there has been rise in multimodal vision-language models for computer-aided diagnosis (CAD), yet their application in breast diagnosis, particularly for predicting biopsy outcomes remains limited. This study presents a multimodal vision-language approach, incorporating Grad-CAM as an Explainable AI (XAI) technique, to predict benign tumors in patients recommended for biopsy, especially those classified as BI-RADS 4 and 5. A novel multimodal framework was devel- oped using Vision Transformer (ViT) for imaging feature extraction and DeBERTa-V3-Large for textual embeddings. The model was trained and evaluated on a comprehensive in-house dataset comprising 1,632 patients, each with four mammography views and a corresponding radiology report. The features of both modalities were extracted independently and fused by late fusion before classification. Grad-CAM was used to generate visual explanations highlighting key regions influencing model predictions. The proposed model demonstrated high sensitivity 90%, 95%, 99%, and 100% with corresponding specificities of 40%, 36%, 18%, and 11%, respectively. The best AUC achieved was 0.72 by multimodal approach on the test set, outperforming the image only (0.66) and text-only (0.68) baselines. The proposed multimodal architecture, enhanced with Grad-CAM, demonstrates a strong potential to identify benign tumors among high-risk patients, offering interpretable insights and thereby helping reduce unnecessary biopsies, patient anxiety, and healthcare costs.
https://arxiv.org/abs/2610.35704
A transcriber listening through one microphone also hears everyone near it. We train causal voice isolators: masking transformers of 140M, 243M and 374M parameters, 20 ms of latency, enrolling the caller from the call itself. Short evaluation windows hide two failures that real calls expose: forgetting the caller when another voice talks alone for a while, and damaging a caller who is alone. Long calls with turns, memory beyond the attention window, real headset crosstalk and drifting caller levels address both, but each trades one against the other. WavLM-Large's own weights, made causal and trained with the model, move the trade: M with them (555M parameters) lowers the error on our development sets from 11.44% to 10.55%; a student trained from scratch to imitate WavLM does not, and w2v-BERT 2.0 and Whisper's encoder, pre-trained on far more audio, help less or not at all. A lone caller loses most at the start of a recording: no training call opened with someone already talking. Training on windows cut from longer calls lowers the error on clean development calls from 3.92% to 2.96%; this is our release. Live, the release makes 16.13% word errors on 60 s AMI windows, against 23.66% for VoxLock, the strongest open isolator, and 10.19% on its own AMI windows, against 11.71%; it is level on Krisp's benchmark (5.74% against 5.63%), and a caller who is alone still loses more words than with VoxLock (5.58% against 2.92% on clean test calls). Distilled into 22.1M parameters without WavLM, it runs live on one CPU thread inside a LiveKit agent, at 33% of a core per call in 20 ms frames, with 10.66% error on our development sets (the release 10.49%). We open-source the release and this CPU model, with a LiveKit plugin, at this https URL.
https://arxiv.org/abs/2610.35272
Objective: The rapid advancement of large language models (LLMs) in healthcare has opened new possibilities for AI-assisted clinical decision-making; however, safe and effective deployment remains challenging because of hallucination and domain misalignment. This study introduces DocTalk, a doctor-assistive question-answering (QA) system designed to generate concise, chart-grounded responses from de-identified discharge summaries. Methods: We developed a high-fidelity data generation pipeline that produces 500 clinically relevant QA pairs through sentence-level decomposition, chain-of-thought-guided question formulation, and expert review. Six open-source LLMs, including three general-purpose and three biomedical models, were evaluated before and after parameter-efficient instruction tuning using Low-Rank Adaptation (LoRA). The framework integrates prompt engineering, in-context learning, and medically aligned evaluation to support factual and interpretable responses. Results: On DocTalk-QA, instruction tuning produced consistent improvements across lexical, semantic, and clinical fidelity metrics. The best-performing tuned model, Llama-3-Med42-8B, achieved ROUGE-L = 0.40, BERTScore-F1 = 0.76, and UMLS-F1 = 0.49. To examine external generalization beyond the DocTalk-QA dataset, the two best-performing models, Llama-3.1-8B-Instruct and Llama-3-Med42-8B, were evaluated on PubMedQA before and after instruction tuning. Accuracy improved from 0.931 to 0.977 for Llama-3.1-8B-Instruct and from 0.935 to 0.943 for Llama-3-Med42-8B. Conclusion: DocTalk was deployed as a secure web-based platform for interactive EHR querying. These findings suggest that clinically grounded instruction tuning can improve medical QA performance and support practical clinical decision support.
https://arxiv.org/abs/2610.34871
This paper presents S2SND-v2, a unified online and offline speaker diarization framework built on S2SND that improves acoustic feature extraction and the use of the resulting representations. For acoustic feature extraction, we introduce a speaker-adapted w2v-BERT 2.0 front end and compare full and pruned construction routes. To better use these features, overlap-aware activity-query masking improves speaker embedding extraction under overlap, while late-speaker training aligns unknown-speaker training with online inference conditions. Combining these improvements, the pruned system achieves competitive average diarization error rates of 14.52% online and 12.03% offline across eight test sets.
https://arxiv.org/abs/2610.34707
Large Language Models (LLMs) have revolutionized Artificial Intelligence (AI) by their extraordinary capabilities, like contextual understanding, few-shot/zero-shot learning, code generation, ability to reason and problem-solving. Recent studies have shown immense work on LLMs. Yet, there is limited work on the thorough taxonomy of LLMs. This study would showcase a detailed classification of LLMs, starting with the earlier models like BERT and leading to LLMs like GPT, Gemini, Claude and Grok. We would delve into topics like datasets used to train LLMs, computational power used during training, their hardware specifications, architecture and parameters. Further, we would also look at the limitations, computational challenges and open problems as well. This study would primarily focus on the timeline of LLMs, signifying their growth over the period. Findings reveal a clear pattern: models that optimize the ratio between architectural complexity and data quality exhibit stronger reasoning stability and better alignment, without proportionally increasing the computational load. This desired balance between scaling and sustainability is the defining characteristic of the current generation of AI.
https://arxiv.org/abs/2610.34281
AI foundation models play a pivotal role in advancing heart disease diagnosis from electrocardiogram (ECG) data, particularly for rare diseases where the lack of sufficient labeled data hinders supervised learning. However, most self-supervised learning methods treat ECGs as generic sequence or image data without exploiting underlying physiological structure. To address this limitation, we propose QECGBERT, a self-supervised ECG language model that explicitly encodes physiological semantics by tokenizing the P, QRS, T, and isoelectric background waveforms. Vector-quantized variational autoencoder (VQ-VAE) tokenization is applied to each 12-lead ECG, with tokens enriched by continuous waveform features to preserve morphology lost during quantization without increasing sequence length. This design enables compact BERT masked language modeling with short sequences, improving scalability and reducing computational cost relative to long-sequence approaches. QECGBERT applies BERT pre-training to the MIMIC-IV dataset containing over 800,000 unlabeled ECG recordings, and fine-tuning on labeled PTB-XL, CPSC2018, and Chapman--Shaoxing--Ningbo datasets for evaluation. The results demonstrate that QECGBERT achieves comparable or superior performance to published benchmarks, offering a scalable, physiologically aware approach to ECG foundation modeling for cardiac diagnosis.
https://arxiv.org/abs/2610.33964
The integration of quantum computing into robotics requires mathematical representations that preserve the geometric structure and configuration dependence of robot motion. This paper introduces a structure-preserving quantum representation of rigid-body transformations and serial-manipulator kinematics, establishing a correspondence between classical kinematic models and parameterized quantum circuits. Building on the Bloch-sphere representation, spatial directions are encoded into single-qubit states, while quantum rotations reproduce the ordered composition of reference-frame transformations. Translational contributions are combined through quantum-state aggregation, with their metric scales retained classically, enabling the reconstruction of end-effector position and orientation from Pauli expectation values. The formulation preserves the original joint variables and accommodates different kinematic conventions and joint types. Beyond forward kinematics, we establish that the manipulator geometric Jacobian can be reconstructed from quantum-observable derivatives using the parameter-shift rule, with analytical equivalence to its classical counterpart under ideal readout. To demonstrate the applicability of this representation to robot-level algorithms, we introduce Quantum Closed Loop Inverse Kinematics, a hybrid closed-loop method that exploits quantum-derived pose and Jacobian information. The proposed framework provides a geometrically interpretable foundation for developing and investigating quantum and hybrid computational methods for robotic kinematics and motion.
https://arxiv.org/abs/2610.33715
This paper examines speech characteristics of the Austrian National Council members (CMs). We introduce analysis methodology based on a fine-tuned BERT-Model which assigns to every speech a probability distribution over Austrian parties. These are then aggregated at the speaker and party level. We perform an extensive evaluation to ensure the quality of the generated distributions prior to further analysis. Instead of considering mis-assignments of predicted parties as a performance issue, we leverage them to derive insights about the CMs and political developments. Our findings show that parties that govern together become more similar in their speech characteristics, while, analogously, parties that are in opposition move further away from governing parties. Moreover, CMs who switch party usually adapt their speech characteristics only after the switch occurs. Finally, we publicly release a data set containing party affiliation predictions for the speeches of the Austrian National Council from 1996 to 2018.
https://arxiv.org/abs/2610.32515
We present DeepOpen, a decision-Oriented intent-classification framework with dataset- specific systems for BANKING77 and CLINC150. On BANKING77, a single English classi- fier continued with sharpness-aware minimization (SAM) achieves 94.1234% test accuracy (2,899/3,080). This is the best observed result among three fixed SAM seeds, selected for display after test evaluation; their mean is 94.0368%. On the 150 in-scope CLINC150 classes, probability fusion of one Laya specialist and three DeBERTa-v3-large classifiers achieves 98.0222% (4,411/4,500). We describe the two configurations, reproduce the reference com- parisons displayed in the accompanying evaluation explorer, and separate headline scores from evidence about improvement. Under a uniform BANKING77 evaluation path, the SAM mean exceeds the historical checkpoint by 0.0433 percentage points, with a shared-row 95% interval of [-0.2273, +0.3247]. Thus, the continuation does not establish a reliable accuracy gain. The report documents strong observed task-specific performance, selection effects, and unresolved historical execution-path differences, rather than a new backbone or a unified algorithmic advantage.
https://arxiv.org/abs/2610.31104
Patronizing and condescending language (PCL) is a form of harmful language that belittles and assumes pity for vulnerable groups, reinforcing negative societal stereotypes. However, unlike overt hate speech, it is often difficult to detect, even for human judges. This paper proposes a system for the automated detection of PCL. Our first approach uses static word embeddings and a convolutional neural network for classification, while our second approach uses pre-trained BERT embeddings fine-tuned for the PCL task. Our second approach was considerably more successful, and achieved an F1 score of 0.528 over the development set.
https://arxiv.org/abs/2610.31808
Wrong automatic routing of an IT support ticket can cost more than human triage. We evaluate cost-aware abstention as an offline, cost-conditional readiness assessment: select a routing policy on calibration data under explicit costs, then evaluate that frozen policy once on held-out test data. On a public 47,837-ticket, eight-class corpus, we compare four trained non-LLM classifiers with four large language models under zero- and few-shot prompting. Under the illustrative cost model (c_ok, c_triage, c_wrong) = (0, 1, 5), TF-IDF with logistic regression and a threshold of 0.60 selected on calibration reduces test cost from 0.763 to 0.472, a 38.1% relative reduction (paired ratio-bootstrap 95% CI [35.7%, 40.4%]), while lowering wrong routes from 15.3% to 3.5%. Frozen calibration-selected policies also beat both always-route and always-defer on held-out test data in 14 of 16 settings in a post-hoc cost-parameter analysis. The strongest prompted configuration reaches 0.477 accuracy on a stratified 1,000-ticket test subset, versus 0.879 for fine-tuned DistilBERT on the same tickets. Isotonic lowers expected calibration error without reliably improving discrimination: GPT-4o-mini few-shot has one confidence value before and after recalibration and correctness AUROC 0.500. We therefore report correctness AUROC and tie-aware risk-coverage area alongside ECE. At the analytically derived break-even probability 0.80, seven prompted configurations defer all tickets; Haiku few-shot routes only 19/1,000. An LLM-only agreement control and margin/entropy rejection baselines further separate calibration from discrimination. The findings are scoped to this dataset, prompt design, model endpoints, and illustrative costs; the work is an evaluation framework, not a new abstention algorithm or universal deployment certification.
https://arxiv.org/abs/2610.31657
Objective: Iontophoretic drug delivery has primarily relied on current modulation to regulate drug transport. Here, we investigate hydrogel geometry, microstructure, and local electric fields as alternative mechanisms for controlling transdermal delivery. Methods: Bovine serum albumin (BSA) was encapsulated in polypyrrole-polyvinyl alcohol (PPy-PVA) hydrogels. Five geometries, including Hilbert curve-based designs, were fabricated to vary pore architecture and local electric field distributions. We optimized PPy content, drug loading, and current density. Electric fields were evaluated using finite element analysis, and microstructures were characterized by scanning electron microscopy. Drug transport was assessed using Franz diffusion cells with artificial membranes. Results: Hydrogel geometries exhibited distinct microstructures and electric field distributions. Iontophoresis substantially enhanced permeability compared with passive diffusion, while individual geometries produced different cumulative release, flux, and permeability profiles. The average iontophoretic permeability was (3.80 +/- 1.93) x 10^-5, exceeding previously reported values using artificial membranes. Conclusion: Geometry-driven fabrication of drug-loaded hydrogels enables tunable transport characteristics under both iontophoretic and passive conditions. Significance: Geometry-mediated control offers an alternative approach to regulating iontophoretic drug delivery without requiring individual current-density modulation.
https://arxiv.org/abs/2610.31567
Bashkir is a low-resource agglutinative language written in Cyrillic and remains poorly represented in modern LLMs. We present an open resource suite and a systematic benchmark of adaptation methods: the Bashkir Web Corpus (71,567 documents, 46.9M tokens, 16 sources) and three labelled datasets for binary, multiclass and multilabel text classification; the benchmark covers the first two. Experiments use eight architectures (82M-8B: DistilGPT2, GPT-2 base/medium, Phi-3-mini, Mistral-7B, YandexGPT-5-Lite-8B, mBERT, XLM-R) and three adaptation groups (full fine-tuning, QLoRA, in-context learning), plus continual pretraining (CPT). (1) QLoRA on 3.8-8B models outperforms encoder-only fine-tuning on binary classification: YandexGPT-5-Lite-8B with CPT reaches macro-F1 0.748 vs 0.653 (XLM-R) and 0.650 (mBERT); pairwise differences are significant after Holm correction (p<0.001). (2) YandexGPT-5-Lite-8B significantly outperforms Mistral-7B and Phi-3-mini on multiclass classification, BPB and native-speaker ratings (mean 3.28 vs 2.52 and 2.22; n=100; alpha=0.69-0.77; p<0.05); on binary classification its QLoRA advantage is not significant (p>=0.084). (3) CPT effects depend on model and task: perplexity improves for Phi-3-mini (+0.58) and YandexGPT-5-Lite-8B (+0.33) but worsens for Mistral-7B (-1.15, p<0.001); on binary classification CPT helps Mistral-7B most (+4.0 macro-F1). (4) Tokeniser fertility on Bashkir varies 2.67x (2.92-7.80) and tracks adaptation quality, while perplexity across tokenisers is not comparable. Cyrillic tokenisers with Russian pretraining are preferable; LLM judges reproduce native ratings for grammar and coherence (rho=0.33-0.46) but not language correctness (rho=0.16, p=0.11); native evaluation remains necessary. All artefacts are open-licensed.
https://arxiv.org/abs/2610.31397
Communicating with the public during an emergency entails issuing warning messages promptly. In Europe, it often requires producing them in more than one language. Recent work has shown that language models can be trained to generate warning messages as a crisis unfolds, but the available data covers only English. To fill this gap, we present CrisiLangs, a multilingual extension of CrisiText (an English dataset of crisis events paired with warning messages written according to expert communication guidelines) to Italian, Bulgarian, German, and Greek. Expert native speakers translated the warning messages of 1,000 events drawn from 411 scenarios, for a total of 5,000 event-message pairs across five languages. We test the resource to fine-tune a multilingual model on all five languages jointly, with and without the emergency guidelines in the prompt, and compare it with a zero-shot baseline. The fine-tuned models outperform the baseline on ROUGE-L, BLEU and BERTScore in every language and configuration. In a human preference study, low decoding temperatures receive the most preferences in all five languages and in both configurations, while the effect of the guidelines varies by language.
https://arxiv.org/abs/2610.31356
Clinical Question Answering (QA) underpins Clinical Intelligent Decision Support Systems, but progress is severely limited for low-resource languages such as Indonesian by the absence of public domain-specific data. We introduce IndoNutriQA, an expert-curated Indonesian clinical QA benchmark of 911 question-answer pairs built from real clinical-nutrition reports. Rather than a large-scale training corpus, it is positioned as a high-quality evaluation resource: every pair is grounded in a clinically relevant context, enriched with structured metadata (anthropometric assessment, medical diagnosis, document provenance, chunk segmentation). Eight standardised question types following the Nutrition Care Process (NCP), including the Problem, Etiology, Sign and Symptom (PES) diagnosis statement, are answered for every report, which was written by a graduate-level dietetic intern, by one of three nutritionists. Answers are free-form clinical prose rather than extractive spans, and an expert validation study finds 6-10% of reference answers contestable. The dataset supports generative, extractive and retrieval-augmented QA as well as zero- and few-shot LLM evaluation. We report fine-tuned baselines (IndoBERT variants, mT5, RAG) with 5-fold cross-validation, learning curves and bootstrap 95% confidence intervals, and benchmark eight contemporary LLMs zero- and five-shot. We further calibrate our LLM-as-judge rubric against three expert raters (one RD, two nutritionists), finding it human-comparable on factuality and completeness but unreliable on clinical safety, and a human error analysis shows it misses unsupported content that the raters identify. IndoNutriQA is released to foster research in Indonesian clinical NLP and nutritional decision support.
https://arxiv.org/abs/2610.31256
This article introduces Latin Modern BERT (LAMB), an encoder for the Latin language based on the ModernBERT architecture, pretrained in two phases on more than 74B Latin tokens using a novel morphologically informed masking regimen. We also present two corpora for the Latin language. Acervus contains 24B BERT WordPiece tokens, including over 760K samples from heavily damaged OCR transcriptions, repaired by a ByT5 model trained for Latin text repair. The second dataset, Corpus Trinum, contains a mixture of over 100M strong and weak Latin language semantic triplets. Corpus Trinum is the first Latin semantic triplet dataset, opening the door for Latin language models to be adapted to general sentence semantic similarity tasks. We construct an experimental grid using five tasks and seventeen subtasks, applying a variety of finetuning configurations and subword aggregation techniques for 15 pretrained encoders, 6 LAMB training checkpoints, and an ablation model designed to quantify the impact of different masking regimens. Using this benchmark, we rank Latin encoders and find that LAMB outperforms all other evaluated models on 16 of 17 subtasks, coming within 0.8 percentage points of state of the art on the seventeenth. We provide additional analyses relating Latin encoder performance to tokenizer behavior, syntactic structure, finetuning configuration, pretraining state, subword aggregation, and variation in source texts and domains. In these, we identify unique acquisition dynamics for Latin open class words during terminal decay phases, and establish that for some task categories, finetuning configuration selection can have a greater effect on downstream scores than additional pretraining tokens.
https://arxiv.org/abs/2610.31723
Many language-model pipelines end in a closed-set decision, such as selecting a tool. Prompting a large language model for it is slow and order-sensitive. We ask how small an encoder for such decisions can be and whether it should read the options jointly or separately. In a three-seed study at 32 million parameters, per-option scoring beats joint scoring on a held-out sample of a 37-benchmark decision suite by 5.8 points of chance-corrected skill at matched optimizer steps and by 2.8 at approximately matched training compute; two external benchmarks agree, though not significantly on their unseen tasks. Crossing reader with initialisation shows that the advantage requires a reranker initialisation, whose query-candidate pair input matches per-option reading; from the raw encoder the two readers are indistinguishable. Per-option scoring needs 5 to 13 times more encoder passes: at most twice the median latency, but more than four times the mean. Of six released joint encoders (17 million to 1 billion parameters), the 68- and 150-million-parameter models exceed a 435-million-parameter DeBERTa-v3 zero-shot classifier by 4.9 and 5.9 accuracy points on 209 overlap-audited System1-Arena tasks and are at least on par with it on the 145 tasks unseen in training. The smallest answers a median request in 14 milliseconds on 16 processor threads, against 728 for the classifier. Reordering options changes 12 to 23% of the joint models' answers (per-option scoring: none). Up to 68 million parameters, they lead their size range on a public leaderboard's private, mainly in-distribution tests.
https://arxiv.org/abs/2610.30970
Auxiliary patient data can improve chest X-ray report generation, but directly concatenating heterogeneous clinical information with visual tokens produces long, variable-length decoder prompts and may expose the model to redundant or image-irrelevant context. We propose ICGF-CXRMate, an image-conditioned clinical context compression and gated fusion framework. Learnable queries are first conditioned on the current chest X-ray representations and then attend to the patient-data sequence, compressing it into a fixed number of clinical context tokens. Gated cross-attention selectively integrates these tokens into the visual stream, while the compressed tokens are retained in the decoder prompt as a direct clinical pathway. Experiments on linked MIMIC-CXR and MIMIC-IV-ED examinations show that ICGF-CXRMate improves report quality while reducing the average prompt length. In Stage~2, it improves RadGraph-F1 from 24.00 to 28.86, CXR-BERT similarity from 56.86 to 62.80, and BLEU-4 from 5.14 to 7.96 compared with CXRMate-ED, while reducing the average prompt length from 373.89 to 288.37 tokens, corresponding to a 22.9\% reduction. After self-critical sequence training, ICGF-CXRMate outperforms CXRMate-ED on six of eight report-quality metrics in Stage~3. Ablation studies confirm the complementary contributions of image-conditioned compression, gated fusion, and direct retention of the compressed clinical tokens.
https://arxiv.org/abs/2610.30928
Most questions that reach an HPC help desk have already been answered in the center's user guides or in a ticket someone else filed last semester; users still file new tickets because the guides are hard to navigate and the ticket history is not theirs to search. We present an assistant that answers from both sources: an orchestrator calls two tools over the Model Context Protocol, retrieval-augmented generation (RAG) over the live documentation and a Llama-3-8B model fine-tuned with QLoRA on 11,244 query-resolution pairs mined from historical tickets, and merges their answers. Every model runs on-premises or on the university's hosted LLM service because ticket data may not leave the institution. On 400 held-out tickets from Purdue's Rosen Center for Advanced Computing, disjoint from training and free of near-duplicates, and evaluated by two judges from model families that generated none of the answers, fine-tuning on resolutions rewritten into self-service guidance is the clear winner in agreement with RCAC's resolutions (BERTScore F1 improves from 0.06 to 0.27 over the base model) and is judged most correct on average. The end-to-end system does not improve on its tools, although they are complementary: choosing the better answer per question would exceed either tool (judged correctness 3.41 versus 3.20, an oracle bound), while the merge follows the documentation tool in 78% of answers. Returning one tool's answer instead recovers the fine-tuned tool's quality (3.19 versus 2.66), but neither a learned selector nor an LLM verifier beats that tool alone.
https://arxiv.org/abs/2610.31703
Vietnamese pre-trained encoders have improved rapidly, but the strongest ones are large, multilingual-vocabulary models or depend on external word segmentation, which makes them costly to deploy. We present GoiBERT, a family of two compact Vietnamese encoders with 26M and 49M parameters that operate directly on raw text. GoiBERT learns from two complementary teachers. A same-tokenizer Vietnamese encoder first teaches general-purpose representations. A much larger teacher then provides task-level guidance through soft labels that are generated without ever labeling its own training data. Across eight benchmarks covering text classification, aspect-based sentiment analysis, natural language inference, and named entity recognition, GoiBERT-large achieves the highest average score among non-teacher models. It does so with fewer than half the parameters of the strongest compact baseline and twice its throughput. GoiBERT-base retains 99% of that baseline's performance at a quarter of its size. Our analysis shows that compression is nearly lossless for sentiment and classification tasks but remains costly for inference and entity recognition, which points to clear directions for future work. Our code and models are available at: this https URL
https://arxiv.org/abs/2610.30067