Daily Papers

The growing prevalence of Large Language Models (LLMs) and their substantial memory requirements have prompted renewed interest in CPU offloading as a method to compensate for limited GPU memory. In particular, when CPU memory is leveraged to temporarily store intermediate states of LLMs, CPU memory becomes a new bottleneck and soon reaches the capacity limitation of commodity CPUs. In this work, we investigate the effectiveness of Compute Express Link (CXL) add-in card (AIC) memory as an extension to CPU memory, enabling larger model sizes and longer context lengths during fine-tuning. Through extensive benchmarking, this study quantifies the performance overhead introduced by transferring data between CXL memory, CPU, and GPUs, focusing on how concurrency and data volume influence bandwidth utilization and latency. This study also compares CPUbased optimizer steps when model parameters, gradients, and optimizer states reside in local memory versus CXL memory, revealing that naive adoption of CXL often degrades performance during the optimizer phase. To overcome these challenges, this study proposes a CXL-aware allocation to strategically partition CPU offloading workloads across both local and CXL memory. This study further demonstrates that employing multiple AICs significantly reduces bandwidth contention, thus improving scalability. Experimental results show that these optimizations enable efficient long-context LLM fine-tuning, underscoring CXL as a promising avenue for unlocking the full potential of CPU offloading in long-context LLM fine-tuning.

Recent progress in Large Vision-Language Models (LVLMs) has enabled promising applications in medical tasks, such as report generation and visual question answering. However, existing benchmarks focus mainly on the final diagnostic answer, offering limited insight into whether models engage in clinically meaningful reasoning. To address this, we present CheXStruct and CXReasonBench, a structured pipeline and benchmark built on the publicly available MIMIC-CXR-JPG dataset. CheXStruct automatically derives a sequence of intermediate reasoning steps directly from chest X-rays, such as segmenting anatomical regions, deriving anatomical landmarks and diagnostic measurements, computing diagnostic indices, and applying clinical thresholds. CXReasonBench leverages this pipeline to evaluate whether models can perform clinically valid reasoning steps and to what extent they can learn from structured guidance, enabling fine-grained and transparent assessment of diagnostic reasoning. The benchmark comprises 18,988 QA pairs across 12 diagnostic tasks and 1,200 cases, each paired with up to 4 visual inputs, and supports multi-path, multi-stage evaluation including visual grounding via anatomical region selection and diagnostic measurements. Even the strongest of 10 evaluated LVLMs struggle with structured reasoning and generalization, often failing to link abstract knowledge with anatomically grounded visual interpretation. The code is available at https://github.com/ttumyche/CXReasonBench

We introduce xLLM, an intelligent and efficient Large Language Model (LLM) inference framework designed for high-performance, large-scale enterprise-grade serving, with deep optimizations for diverse AI accelerators. To address these challenges, xLLM builds a novel decoupled service-engine architecture. At the service layer, xLLM-Service features an intelligent scheduling module that efficiently processes multimodal requests and co-locates online and offline tasks through unified elastic scheduling to maximize cluster utilization. This module also relies on a workload-adaptive dynamic Prefill-Decode (PD) disaggregation policy and a novel Encode-Prefill-Decode (EPD) disaggregation policy designed for multimodal inputs. Furthermore, it incorporates a distributed architecture to provide global KV Cache management and robust fault-tolerant capabilities for high availability. At the engine layer, xLLM-Engine co-optimizes system and algorithm designs to fully saturate computing resources. This is achieved through comprehensive multi-layer execution pipeline optimizations, an adaptive graph mode and an xTensor memory management. xLLM-Engine also further integrates algorithmic enhancements such as optimized speculative decoding and dynamic EPLB, collectively serving to substantially boost throughput and inference efficiency. Extensive evaluations demonstrate that xLLM delivers significantly superior performance and resource efficiency. Under identical TPOT constraints, xLLM achieves throughput up to 1.7x that of MindIE and 2.2x that of vLLM-Ascend with Qwen-series models, while maintaining an average throughput of 1.7x that of MindIE with Deepseek-series models. xLLM framework is publicly available at https://github.com/jd-opensource/xllm and https://github.com/jd-opensource/xllm-service.

Large Language Models (LLMs) hold immense potential for revolutionizing Customer Experience Management (CXM), particularly in contact center operations. However, evaluating their practical utility in complex operational environments is hindered by data scarcity (due to privacy concerns) and the limitations of current benchmarks. Existing benchmarks often lack realism, failing to incorporate deep knowledge base (KB) integration, real-world noise, or critical operational tasks beyond conversational fluency. To bridge this gap, we introduce CXMArena, a novel, large-scale synthetic benchmark dataset specifically designed for evaluating AI in operational CXM contexts. Given the diversity in possible contact center features, we have developed a scalable LLM-powered pipeline that simulates the brand's CXM entities that form the foundation of our datasets-such as knowledge articles including product specifications, issue taxonomies, and contact center conversations. The entities closely represent real-world distribution because of controlled noise injection (informed by domain experts) and rigorous automated validation. Building on this, we release CXMArena, which provides dedicated benchmarks targeting five important operational tasks: Knowledge Base Refinement, Intent Prediction, Agent Quality Adherence, Article Search, and Multi-turn RAG with Integrated Tools. Our baseline experiments underscore the benchmark's difficulty: even state of the art embedding and generation models achieve only 68% accuracy on article search, while standard embedding methods yield a low F1 score of 0.3 for knowledge base refinement, highlighting significant challenges for current models necessitating complex pipelines and solutions over conventional techniques.

Chest X-ray (CXR) is the most frequently ordered imaging test, supporting diverse clinical tasks from thoracic disease detection to postoperative monitoring. However, task-specific classification models are limited in scope, require costly labeled data, and lack generalizability to out-of-distribution datasets. To address these challenges, we introduce CheXFound, a self-supervised vision foundation model that learns robust CXR representations and generalizes effectively across a wide range of downstream tasks. We pretrain CheXFound on a curated CXR-1M dataset, comprising over one million unique CXRs from publicly available sources. We propose a Global and Local Representations Integration (GLoRI) module for downstream adaptations, by incorporating disease-specific local features with global image features for enhanced performance in multilabel classification. Our experimental results show that CheXFound outperforms state-of-the-art models in classifying 40 disease findings across different prevalence levels on the CXR-LT 24 dataset and exhibits superior label efficiency on downstream tasks with limited training data. Additionally, CheXFound achieved significant improvements on new tasks with out-of-distribution datasets, including opportunistic cardiovascular disease risk estimation and mortality prediction. These results highlight CheXFound's strong generalization capabilities, enabling diverse adaptations with improved label efficiency. The project source code is publicly available at https://github.com/RPIDIAL/CheXFound.

Chest X-rays (CXRs) are the most frequently performed imaging test in clinical practice. Recent advances in the development of vision-language foundation models (FMs) give rise to the possibility of performing automated CXR interpretation, which can assist physicians with clinical decision-making and improve patient outcomes. However, developing FMs that can accurately interpret CXRs is challenging due to the (1) limited availability of large-scale vision-language datasets in the medical image domain, (2) lack of vision and language encoders that can capture the complexities of medical data, and (3) absence of evaluation frameworks for benchmarking the abilities of FMs on CXR interpretation. In this work, we address these challenges by first introducing CheXinstruct - a large-scale instruction-tuning dataset curated from 28 publicly-available datasets. We then present CheXagent - an instruction-tuned FM capable of analyzing and summarizing CXRs. To build CheXagent, we design a clinical large language model (LLM) for parsing radiology reports, a vision encoder for representing CXR images, and a network to bridge the vision and language modalities. Finally, we introduce CheXbench - a novel benchmark designed to systematically evaluate FMs across 8 clinically-relevant CXR interpretation tasks. Extensive quantitative evaluations and qualitative reviews with five expert radiologists demonstrate that CheXagent outperforms previously-developed general- and medical-domain FMs on CheXbench tasks. Furthermore, in an effort to improve model transparency, we perform a fairness evaluation across factors of sex, race and age to highlight potential performance disparities. Our project is at https://stanford-aimi.github.io/chexagent.html.

Radiology reports are crucial for planning treatment strategies and enhancing doctor-patient communication, yet manually writing these reports is burdensome for radiologists. While automatic report generation offers a solution, existing methods often rely on single-view radiographs, limiting diagnostic accuracy. To address this problem, we propose MCL, a Multi-view enhanced Contrastive Learning method for chest X-ray report generation. Specifically, we first introduce multi-view enhanced contrastive learning for visual representation by maximizing agreements between multi-view radiographs and their corresponding report. Subsequently, to fully exploit patient-specific indications (e.g., patient's symptoms) for report generation, we add a transitional ``bridge" for missing indications to reduce embedding space discrepancies caused by their presence or absence. Additionally, we construct Multi-view CXR and Two-view CXR datasets from public sources to support research on multi-view report generation. Our proposed MCL surpasses recent state-of-the-art methods across multiple datasets, achieving a 5.0% F1 RadGraph improvement on MIMIC-CXR, a 7.3% BLEU-1 improvement on MIMIC-ABN, a 3.1% BLEU-4 improvement on Multi-view CXR, and an 8.2% F1 CheXbert improvement on Two-view CXR.

Inspired by the success of large language models (LLMs), there is growing research interest in developing LLMs in the medical domain to assist clinicians. However, for hospitals, using closed-source commercial LLMs involves privacy issues, and developing open-source public LLMs requires large-scale computational resources, which are usually limited, especially in resource-efficient regions and low-income countries. We propose an open-source Small Language and Vision Assistant (SLaVA-CXR) that can be used for Chest X-Ray report automation. To efficiently train a small assistant, we first propose the Re^3Training method, which simulates the cognitive development of radiologists and optimizes the model in the Recognition, Reasoning, and Reporting training manner. Then, we introduce a data synthesis method, RADEX, which can generate a high-quality and diverse training corpus with privacy regulation compliance. The extensive experiments show that our SLaVA-CXR built on a 2.7B backbone not only outperforms but also achieves 6 times faster inference efficiency than previous state-of-the-art larger models.

Computing the polar decomposition and the related matrix sign function has been a well-studied problem in numerical analysis for decades. Recently, it has emerged as an important subroutine within the Muon algorithm for training deep neural networks. However, the requirements of this application differ sharply from classical settings: deep learning demands GPU-friendly algorithms that prioritize high throughput over high precision. We introduce Polar Express, a new method for computing the polar decomposition. Like Newton-Schulz and other classical polynomial methods, our approach uses only matrix-matrix multiplications, making it very efficient on GPUs. Inspired by earlier work of Chen & Chow and Nakatsukasa & Freund, Polar Express adapts the update rule at each iteration by solving a minimax optimization problem. We prove that this strategy minimizes error in a worst-case sense, allowing Polar Express to converge as rapidly as possible both in the early iterations and asymptotically. We also address finite-precision issues, making it practical to use in bfloat16. When integrated into the Muon training framework, our method leads to consistent improvements in validation loss when training a GPT-2 model on one billion tokens from the FineWeb dataset, outperforming recent alternatives across a range of learning rates.

Chest X-ray (CXR) radiology report generation (RRG) models have shown rapid progress, yet their clinical utility remains uncertain due to limited evaluation by radiologists. We present CXRMate-2, a state-of-the-art CXR RRG model that integrates structured multimodal conditioning and reinforcement learning with a composite reward for semantic alignment with radiologist reports. Across the MIMIC-CXR, CheXpert Plus, and ReXgradient datasets, CXRMate-2 achieves statistically significant improvements over strong benchmarks, including gains of 11.2% and 24.4% in GREEN and RadGraph-XL, respectively, on MIMIC-CXR relative to MedGemma 1.5 (4B). To directly compare CXRMate-2 against radiologist reporting, we conduct a blinded, randomised qualitative retrospective evaluation. Three consultant radiologists compare generated and radiologist reports across 120 studies from the MIMIC-CXR test set. Generated reports were deemed acceptable (defined as preferred or rated equally to radiologist reports) in 45% of ratings, with no statistically significant difference in preference rates between radiologist reports and acceptable generated reports for seven of the eight analysed findings. Preference for radiologist reports was driven primarily by higher recall, while generated reports were often preferred for readability. Together, these results suggest a credible pathway to clinically acceptable CXR RRG. Improvements in recall, alongside better detection of subtle findings (e.g., pulmonary congestion), are likely sufficient to achieve non-inferiority to radiologist reporting. With these targeted advances, CXR RRG systems may be ready for prospective evaluation in assistive roles within radiologist-led workflows.

Automatic radiology report generation is a promising application of multimodal deep learning, aiming to reduce reporting workload and improve consistency. However, current state-of-the-art (SOTA) systems - such as Multimodal AI for Radiology Applications (MAIRA-2) and Medical Pathways Language Model-Multimodal (MedPaLM-M) - depend on large-scale multimodal training, clinical metadata, and multiple imaging views, making them resource-intensive and inaccessible for most settings. We introduce a compact image-to-text architecture that generates the Findings section of chest X-ray reports from a single frontal image. The model combines a frozen Self-Distillation with No Labels v3 (DINOv3) Vision Transformer (ViT) encoder with a Generative Pre-trained Transformer 2 (GPT-2) decoder enhanced by layer-wise anatomical attention. This mechanism integrates lung and heart segmentation masks through hierarchical Gaussian smoothing, biasing attention toward clinically relevant regions without adding trainable parameters. Evaluated on the official Medical Information Mart for Intensive Care-Chest X-ray (MIMIC-CXR) dataset using Chest Radiograph Expert (CheXpert) and Radiology Graph (RadGraph) metrics, our approach achieved substantial gains: CheXpert Macro-F1 for five key pathologies increased by 168% (0.083 -> 0.238) and Micro-F1 by 146% (0.137 -> 0.337), while broader performance across 14 observations improved by 86% (0.170 -> 0.316). Structural coherence also improved, with RadGraph F1 rising by 9.7%. Despite its small size and purely image-conditioned design, the model demonstrates that decoder-level anatomical guidance improves spatial grounding and enhances coherence in clinically relevant regions. The source code is publicly available at: https://github.com/devMuniz02/UDEM-CXR-Reporting-Thesis-2025.

We present FAX, a JAX-based library designed to support large-scale distributed and federated computations in both data center and cross-device applications. FAX leverages JAX's sharding mechanisms to enable native targeting of TPUs and state-of-the-art JAX runtimes, including Pathways. FAX embeds building blocks for federated computations as primitives in JAX. This enables three key benefits. First, FAX computations can be translated to XLA HLO. Second, FAX provides a full implementation of federated automatic differentiation, greatly simplifying the expression of federated computations. Last, FAX computations can be interpreted out to existing production cross-device federated compute systems. We show that FAX provides an easily programmable, performant, and scalable framework for federated computations in the data center. FAX is available at https://github.com/google-research/google-research/tree/master/fax .

Purpose: Recent advancements in large language models (LLMs) have expanded their capabilities in a multimodal fashion, potentially replicating the image interpretation of human radiologists. This study aimed to develop open-source multimodal large language model for interpreting chest X-ray images (CXR-LLaVA). We also examined the effect of prompt engineering and model parameters such as temperature and nucleus sampling. Materials and Methods: For training, we collected 659,287 publicly available CXRs: 417,336 CXRs had labels for certain radiographic abnormalities (dataset 1); 241,951 CXRs provided free-text radiology reports (dataset 2). After pre-training the Resnet50 as an image encoder, the contrastive language-image pre-training was used to align CXRs and corresponding radiographic abnormalities. Then, the Large Language Model Meta AI-2 was fine-tuned using dataset 2, which were refined using GPT-4, with generating various question answering scenarios. The code can be found at https://github.com/ECOFRI/CXR_LLaVA. Results: In the test set, we observed that the model's performance fluctuated based on its parameters. On average, it achieved F1 score of 0.34 for five pathologic findings (atelectasis, cardiomegaly, consolidation, edema, and pleural effusion), which was improved to 0.46 through prompt engineering. In the independent set, the model achieved an average F1 score of 0.30 for the same pathologic findings. Notably, for the pediatric chest radiograph dataset, which was unseen during training, the model differentiated abnormal radiographs with an F1 score ranging from 0.84 to 0.85. Conclusion: CXR-LLaVA demonstrates promising potential in CXR interpretation. Both prompt engineering and model parameter adjustments can play pivotal roles in interpreting CXRs.

Foundation models for medical imaging are typically pretrained on increasingly large datasets, following a "scale-at-all-costs" paradigm. However, this strategy faces two critical challenges: large-scale medical datasets often contain substantial redundancy and severe class imbalance that bias representation learning toward over-represented patterns, and indiscriminate training regardless of heterogeneity in data quality incurs considerable computational inefficiency. Here we demonstrate that active, principled data curation during pretraining can serve as a viable, cost-effective alternative to brute-force dataset enlargement. We introduce CheXficient, a chest X-ray (CXR) foundation model that selectively prioritizes informative training samples. CheXficient is pretrained on only 22.7% of 1,235,004 paired CXR images and reports while consuming under 27.3% of the total compute budget, yet achieving comparable or superior performance to its full-data counterpart and other large-scale pretrained models. We assess CheXficient across 20 individual benchmarks spanning 5 task types, including non-adapted off-the-shelf evaluations (zero-shot findings classification and crossmodal retrieval) and adapted downstream tasks (disease prediction, semantic segmentation, and radiology report generation). Further analyses show that CheXficient systematically prioritizes under-represented training samples, improving generalizability on long-tailed or rare conditions. Overall, our work offers practical insights into the data and computation demands for efficient pretraining and downstream adaptation of medical vision-language foundation models.

We introduce TravelFraudBench (TFG), a configurable benchmark for evaluating graph neural networks (GNNs) on fraud ring detection in travel platform graphs. Existing benchmarks--YelpChi, Amazon-Fraud, Elliptic, PaySim--cover single node types or domain-generic patterns with no mechanism to evaluate across structurally distinct fraud ring topologies. TFG simulates three travel-specific ring types--ticketing fraud (star topology with shared device/IP clusters), ghost hotel schemes (reviewer x hotel bipartite cliques), and account takeover rings (loyalty transfer chains)--in a heterogeneous graph with 9 node types and 12 edge types. Ring size, count, fraud rate, scale (500 to 200,000 nodes), and composition are fully configurable. We evaluate six methods--MLP, GraphSAGE, RGCN-proj, HAN, RGCN, and PC-GNN--under a ring-based split where each ring appears entirely in one partition, eliminating transductive label leakage. GraphSAGE achieves AUC=0.992 and RGCN-proj AUC=0.987, outperforming the MLP baseline (AUC=0.938) by 5.5 and 5.0 pp, confirming graph structure adds substantial discriminative power. HAN (AUC=0.935) is a negative result, matching the MLP baseline. On the ring recovery task (>=80% of ring members flagged simultaneously), GraphSAGE achieves 100% recovery across all ring types; MLP recovers only 17-88%. The edge-type ablation shows device and IP co-occurrence are the primary signals: removing uses_device drops AUC by 5.2 pp. TFG is released as an open-source Python package (MIT license) with PyG, DGL, and NetworkX exporters and pre-generated datasets at https://huggingface.co/datasets/bsajja7/travel-fraud-graphs, with Croissant metadata including Responsible AI fields.

Longitudinal chest X-ray (CXR) interpretation requires reasoning over disease evolution across multiple patient visits, yet most existing medical VQA benchmarks focus on single images or short-horizon image pairs. We introduce MI-CXR, a benchmark for standardized evaluation of Multi-Interval longitudinal reasoning over multi-visit CXR sequences, without requiring free-form report generation or additional clinical context. MI-CXR comprises five-way multiple-choice questions over five-visit patient timelines and instantiates three complementary task families: Temporal Event Localization, Interval-wise Change Reasoning, and Global Trajectory Summarization, which assess clinically grounded visual reasoning over time. Evaluating 14 state-of-the-art vision-language models (VLMs) shows low overall performance, with an average accuracy of 29.3%, only modestly above random guessing. Using stage-wise diagnostic probing, we find that models often produce locally plausible interval descriptions but fail to enforce temporal constraints or compose evidence into globally consistent decisions over the full timeline. These findings reveal key limitations of current VLMs and establish MI-CXR as a principled benchmark for longitudinal medical reasoning. The benchmark is available at https://github.com/AIDASLab/MI-CXR

Our approach, which we call Embeddings for Language/Image-aligned X-Rays, or ELIXR, leverages a language-aligned image encoder combined or grafted onto a fixed LLM, PaLM 2, to perform a broad range of tasks. We train this lightweight adapter architecture using images paired with corresponding free-text radiology reports from the MIMIC-CXR dataset. ELIXR achieved state-of-the-art performance on zero-shot chest X-ray (CXR) classification (mean AUC of 0.850 across 13 findings), data-efficient CXR classification (mean AUCs of 0.893 and 0.898 across five findings (atelectasis, cardiomegaly, consolidation, pleural effusion, and pulmonary edema) for 1% (~2,200 images) and 10% (~22,000 images) training data), and semantic search (0.76 normalized discounted cumulative gain (NDCG) across nineteen queries, including perfect retrieval on twelve of them). Compared to existing data-efficient methods including supervised contrastive learning (SupCon), ELIXR required two orders of magnitude less data to reach similar performance. ELIXR also showed promise on CXR vision-language tasks, demonstrating overall accuracies of 58.7% and 62.5% on visual question answering and report quality assurance tasks, respectively. These results suggest that ELIXR is a robust and versatile approach to CXR AI.

Despite the success of Large Language Models (LLMs) in general image tasks, a gap persists in the medical field for a multimodal large model adept at handling the nuanced diversity of medical images. Addressing this, we propose MedXChat, a unified multimodal large model designed for seamless interactions between medical assistants and users. MedXChat encompasses three key functionalities: CXR(Chest X-ray)-to-Report generation, CXR-based visual question-answering (VQA), and Text-to-CXR synthesis. Our contributions are as follows. Firstly, our model showcases exceptional cross-task adaptability, displaying adeptness across all three defined tasks and outperforming the benchmark models on the MIMIC dataset in medical multimodal applications. Secondly, we introduce an innovative Text-to-CXR synthesis approach that utilizes instruction-following capabilities within the Stable Diffusion (SD) architecture. This technique integrates smoothly with the existing model framework, requiring no extra parameters, thereby maintaining the SD's generative strength while also bestowing upon it the capacity to render fine-grained medical images with high fidelity. Comprehensive experiments validate MedXChat's synergistic enhancement across all tasks. Our instruction data and model will be open-sourced.

Large language models (LLMs) have achieved success, but cost and privacy constraints necessitate deploying smaller models locally while offloading complex queries to cloud-based models. Existing router evaluations are unsystematic, overlooking scenario-specific requirements and out-of-distribution robustness. We propose RouterXBench, a principled evaluation framework with three dimensions: router ability, scenario alignment, and cross-domain robustness. Unlike prior work that relies on output probabilities or external embeddings, we utilize internal hidden states that capture model uncertainty before answer generation. We introduce ProbeDirichlet, a lightweight router that aggregates cross-layer hidden states via learnable Dirichlet distributions with probabilistic training. Trained on multi-domain data, it generalizes robustly across in-domain and out-of-distribution scenarios. Our results show ProbeDirichlet achieves 16.68% and 18.86% relative improvements over the best baselines in router ability and high-accuracy scenarios, with consistent performance across model families, model scales, heterogeneous tasks, and agentic workflows.

We introduce CheXGenBench, a rigorous and multifaceted evaluation framework for synthetic chest radiograph generation that simultaneously assesses fidelity, privacy risks, and clinical utility across state-of-the-art text-to-image generative models. Despite rapid advancements in generative AI for real-world imagery, medical domain evaluations have been hindered by methodological inconsistencies, outdated architectural comparisons, and disconnected assessment criteria that rarely address the practical clinical value of synthetic samples. CheXGenBench overcomes these limitations through standardised data partitioning and a unified evaluation protocol comprising over 20 quantitative metrics that systematically analyse generation quality, potential privacy vulnerabilities, and downstream clinical applicability across 11 leading text-to-image architectures. Our results reveal critical inefficiencies in the existing evaluation protocols, particularly in assessing generative fidelity, leading to inconsistent and uninformative comparisons. Our framework establishes a standardised benchmark for the medical AI community, enabling objective and reproducible comparisons while facilitating seamless integration of both existing and future generative models. Additionally, we release a high-quality, synthetic dataset, SynthCheX-75K, comprising 75K radiographs generated by the top-performing model (Sana 0.6B) in our benchmark to support further research in this critical domain. Through CheXGenBench, we establish a new state-of-the-art and release our framework, models, and SynthCheX-75K dataset at https://raman1121.github.io/CheXGenBench/

We present StateSMix, a fully self-contained lossless compressor that couples an online-trained Mamba-style State Space Model (SSM) with sparse n-gram context mixing and arithmetic coding. The model is initialised from scratch and trained token-by-token on the file being compressed, requiring no pre-trained weights, no GPU, and no external dependencies. The SSM (DM=32, NL=2, approximately 120K active parameters per file) provides a continuously-updated probability estimate over BPE tokens, while nine sparse n-gram hash tables (bigram through 32-gram, 16M slots each) add exact local and long-range pattern memorisation via a softmax-invariant logit-bias mechanism that updates only non-zero-count tokens. An entropy-adaptive scaling mechanism modulates the n-gram contribution based on the SSM's predictive confidence, preventing over-correction when the neural model is already well-calibrated. On the standard enwik8 benchmark, StateSMix achieves 2.123 bpb on 1 MB, 2.149 bpb on 3 MB, and 2.162 bpb on 10 MB, beating xz -9e (LZMA2) by 8.7%, 5.4%, and 0.7% respectively. Ablation experiments establish the SSM as the dominant compression engine: it alone accounts for a 46.6% size reduction over a frequency-count baseline and beats xz without any n-gram component, while n-gram tables provide a complementary 4.1% gain through exact context memorisation. OpenMP parallelisation of the training loop yields 1.9x speedup on 4 cores. The system is implemented in pure C with AVX2 SIMD and processes approximately 2,000 tokens per second on commodity x86-64 hardware.

Stable Diffusion XL (SDXL) has become the best open source text-to-image model (T2I) for its versatility and top-notch image quality. Efficiently addressing the computational demands of SDXL models is crucial for wider reach and applicability. In this work, we introduce two scaled-down variants, Segmind Stable Diffusion (SSD-1B) and Segmind-Vega, with 1.3B and 0.74B parameter UNets, respectively, achieved through progressive removal using layer-level losses focusing on reducing the model size while preserving generative quality. We release these models weights at https://hf.co/Segmind. Our methodology involves the elimination of residual networks and transformer blocks from the U-Net structure of SDXL, resulting in significant reductions in parameters, and latency. Our compact models effectively emulate the original SDXL by capitalizing on transferred knowledge, achieving competitive results against larger multi-billion parameter SDXL. Our work underscores the efficacy of knowledge distillation coupled with layer-level losses in reducing model size while preserving the high-quality generative capabilities of SDXL, thus facilitating more accessible deployment in resource-constrained environments.

Modern cutting-edge AI applications are being developed over fast-evolving, heterogeneous, nascent hardware devices. This requires frequent reworking of the AI software stack to adopt bottom-up changes from new hardware, which takes time for general-purpose software libraries. Consequently, real applications often develop custom software stacks optimized for their specific workloads and hardware. Custom stacks help in quick development and optimization, but incur a lot of redundant efforts across applications in writing non-portable code. This paper discusses an alternative communication library interface for AI applications that offers both portability and performance by reducing redundant efforts while maintaining flexibility for customization. We present MSCCL++, a novel abstraction of GPU communication based on separation of concerns: (1) a primitive interface provides a minimal hardware abstraction as a common ground for software and hardware developers to write custom communication, and (2) higher-level portable interfaces and specialized implementations enable optimization for different workloads and hardware environments. This approach makes the primitive interface reusable across applications while enabling highly flexible optimization. Compared to state-of-the-art baselines (NCCL, RCCL, and MSCCL), MSCCL++ achieves speedups of up to 5.4times for collective communication and up to 15% for real-world AI inference workloads. MSCCL++ is in production of multiple AI services provided by Microsoft Azure, and is also adopted by RCCL, the GPU collective communication library maintained by AMD. MSCCL++ is open-source and available at https://github.com/microsoft/mscclpp.

Long-tailed class distributions pose a significant challenge for multi-label chest X-ray (CXR) classification, where rare but clinically important findings are severely underrepresented. In this work, we present a systematic empirical evaluation of loss functions, CNN backbone architectures and post-training strategies on the CXR-LT 2026 benchmark, comprising approximately 143K images with 30 disease labels from PadChest. Our experiments demonstrate that LDAM with deferred re-weighting (LDAM-DRW) consistently outperforms standard BCE and asymmetric losses for rare class recognition. Amongst the architectures evaluated, ConvNeXt-Large achieves the best single-model performance with 0.5220 mAP and 0.3765 F1 on our development set, whilst classifier re-training and test-time augmentation further improve ranking metrics. On the official test leaderboard, our submission achieved 0.3950 mAP, ranking 5th amongst all 68 participating teams with total of 1528 submissions. We provide a candid analysis of the development-to-test performance gap and discuss practical insights for handling class imbalance in clinical imaging settings. Code is available at https://github.com/Nikhil-Rao20/Long_Tail.

In this paper, we present techniques used to implement our portable vectorized library of C standard mathematical functions written entirely in C language. In order to make the library portable while maintaining good performance, intrinsic functions of vector extensions are abstracted by inline functions or preprocessor macros. We implemented the functions so that they can use sub-features of vector extensions such as fused multiply-add, mask registers and extraction of mantissa. In order to make computation with SIMD instructions efficient, the library only uses a small number of conditional branches, and all the computation paths are vectorized. We devised a variation of the Payne-Hanek argument reduction for trigonometric functions and a floating point remainder, both of which are suitable for vector computation. We compare the performance of our library to Intel SVML.

The application of large language models (LLMs) in clinical decision support faces significant challenges of "tunnel vision" and diagnostic hallucinations present in their processing unstructured electronic health records (EHRs). To address these challenges, we propose a novel chain-based clinical reasoning framework, called DxChain, which transforms the diagnostic workflow into an iterative process by mirroring a clinician's cognitive trajectory that consists of "Memory Anchoring", "Navigation" and "Verification" phases. DxChain introduces three key methodological innovations to elicit the potential of LLM: (i) a Profile-Then-Plan paradigm to mitigate cold-start hallucinations by establishing a panoramic patient baseline, (ii) a Medical Tree-of-Thoughts (Med-ToT) algorithm for strategic look ahead planning and resource aware navigation, and (iii) a Dialectical Diagnostic Verification procedure utilizing "Angel-Devil" adversarial debates to resolve complex evidence conflicts. Evaluated on two real world benchmarks, MIMIC-IV-Ext Cardiac Disease and MIMIC-IV-Ext CDM, DxChain achieves state-of-the-art performances in both diagnostic accuracy and logical consistency, offering a modular and reliable architecture for next-generation clinical AI. The code is at https://anonymous.4open.science/r/Dx-Chain.

Many clinical tasks require an understanding of specialized data, such as medical images and genomics, which is not typically found in general-purpose large multimodal models. Building upon Gemini's multimodal models, we develop several models within the new Med-Gemini family that inherit core capabilities of Gemini and are optimized for medical use via fine-tuning with 2D and 3D radiology, histopathology, ophthalmology, dermatology and genomic data. Med-Gemini-2D sets a new standard for AI-based chest X-ray (CXR) report generation based on expert evaluation, exceeding previous best results across two separate datasets by an absolute margin of 1% and 12%, where 57% and 96% of AI reports on normal cases, and 43% and 65% on abnormal cases, are evaluated as "equivalent or better" than the original radiologists' reports. We demonstrate the first ever large multimodal model-based report generation for 3D computed tomography (CT) volumes using Med-Gemini-3D, with 53% of AI reports considered clinically acceptable, although additional research is needed to meet expert radiologist reporting quality. Beyond report generation, Med-Gemini-2D surpasses the previous best performance in CXR visual question answering (VQA) and performs well in CXR classification and radiology VQA, exceeding SoTA or baselines on 17 of 20 tasks. In histopathology, ophthalmology, and dermatology image classification, Med-Gemini-2D surpasses baselines across 18 out of 20 tasks and approaches task-specific model performance. Beyond imaging, Med-Gemini-Polygenic outperforms the standard linear polygenic risk score-based approach for disease risk prediction and generalizes to genetically correlated diseases for which it has never been trained. Although further development and evaluation are necessary in the safety-critical medical domain, our results highlight the potential of Med-Gemini across a wide range of medical tasks.

Radiology report generation (RRG) is a challenging task, as it requires a thorough understanding of medical images, integration of multiple temporal inputs, and accurate report generation. Effective interpretation of medical images, such as chest X-rays (CXRs), demands sophisticated visual-language reasoning to map visual findings to structured reports. Recent studies have shown that multimodal large language models (MLLMs) can acquire multimodal capabilities by aligning with pre-trained vision encoders. However, current approaches predominantly focus on single-image analysis or utilise rule-based symbolic processing to handle multiple images, thereby overlooking the essential temporal information derived from comparing current images with prior ones. To overcome this critical limitation, we introduce Libra, a temporal-aware MLLM tailored for CXR report generation using temporal images. Libra integrates a radiology-specific image encoder with a MLLM and utilises a novel Temporal Alignment Connector to capture and synthesise temporal information of images across different time points with unprecedented precision. Extensive experiments show that Libra achieves new state-of-the-art performance among the same parameter scale MLLMs for RRG tasks on the MIMIC-CXR. Specifically, Libra improves the RadCliQ metric by 12.9% and makes substantial gains across all lexical metrics compared to previous models.

This work proposes XR-NPE, a high-throughput Mixed-precision SIMD Neural Processing Engine, designed for extended reality (XR) perception workloads like visual inertial odometry (VIO), object classification, and eye gaze extraction. XR-NPE is first to support FP4, Posit (4,1), Posit (8,0), and Posit (16,1) formats, with layer adaptive hybrid-algorithmic implementation supporting ultra-low bit precision to significantly reduce memory bandwidth requirements, and accompanied by quantization-aware training for minimal accuracy loss. The proposed Reconfigurable Mantissa Multiplication and Exponent processing Circuitry (RMMEC) reduces dark silicon in the SIMD MAC compute engine, assisted by selective power gating to reduce energy consumption, providing 2.85x improved arithmetic intensity. XR-NPE achieves a maximum operating frequency of 1.72 GHz, area 0.016 mm2 , and arithmetic intensity 14 pJ at CMOS 28nm, reducing 42% area, 38% power compared to the best of state-of-the-art MAC approaches. The proposed XR-NPE based AXI-enabled Matrix-multiplication co-processor consumes 1.4x fewer LUTs, 1.77x fewer FFs, and provides 1.2x better energy efficiency compared to SoTA accelerators on VCU129. The proposed co-processor provides 23% better energy efficiency and 4% better compute density for VIO workloads. XR-NPE establishes itself as a scalable, precision-adaptive compute engine for future resource-constrained XR devices. The complete set for codes for results reproducibility are released publicly, enabling designers and researchers to readily adopt and build upon them. https://github.com/mukullokhande99/XR-NPE.

Chest X-rays (CXRs) are among the most frequently performed imaging examinations worldwide, yet rising imaging volumes increase radiologist workload and the risk of diagnostic errors. Although artificial intelligence (AI) systems have shown promise for CXR interpretation, most generate only final predictions, without making explicit how visual evidence is translated into radiographic findings and diagnostic predictions. We present CheXOne, a reasoning-enabled vision-language model for CXR interpretation. CheXOne jointly generates diagnostic predictions and explicit, clinically grounded reasoning traces that connect visual evidence, radiographic findings, and these predictions. The model is trained on 14.7 million instruction and reasoning samples curated from 30 public datasets spanning 36 CXR interpretation tasks, using a two-stage framework that combines instruction tuning with reinforcement learning to improve reasoning quality. We evaluate CheXOne in zero-shot settings across visual question answering, report generation, visual grounding and reasoning assessment, covering 17 evaluation settings. CheXOne outperforms existing medical and general-domain foundation models and achieves strong performance on independent public benchmarks. A clinical reader study demonstrates that CheXOne-drafted reports are comparable to or better than resident-written reports in 55% of cases, while effectively addressing clinical indications and enhancing both report writing and CXR interpretation efficiency. Further analyses involving radiologists reveal that the generated reasoning traces show high clinical factuality and provide causal support for the final predictions, offering a plausible explanation for the performance gains. These results suggest that explicit reasoning can improve model performance, interpretability and clinical utility in AI-assisted CXR interpretation.

We present a feasibility-seeking approach to neural network training. This mathematical optimization framework is distinct from conventional gradient-based loss minimization and uses projection operators and iterative projection algorithms. We reformulate training as a large-scale feasibility problem: finding network parameters and states that satisfy local constraints derived from its elementary operations. Training then involves projecting onto these constraints, a local operation that can be parallelized across the network. We introduce PJAX, a JAX-based software framework that enables this paradigm. PJAX composes projection operators for elementary operations, automatically deriving the solution operators for the feasibility problems (akin to autodiff for derivatives). It inherently supports GPU/TPU acceleration, provides a familiar NumPy-like API, and is extensible. We train diverse architectures (MLPs, CNNs, RNNs) on standard benchmarks using PJAX, demonstrating its functionality and generality. Our results show that this approach is as a compelling alternative to gradient-based training, with clear advantages in parallelism and the ability to handle non-differentiable operations.

Integrating multi-modal clinical data, such as electronic health records (EHR) and chest X-ray images (CXR), is particularly beneficial for clinical prediction tasks. However, in a temporal setting, multi-modal data are often inherently asynchronous. EHR can be continuously collected but CXR is generally taken with a much longer interval due to its high cost and radiation dose. When clinical prediction is needed, the last available CXR image might have been outdated, leading to suboptimal predictions. To address this challenge, we propose DDL-CXR, a method that dynamically generates an up-to-date latent representation of the individualized CXR images. Our approach leverages latent diffusion models for patient-specific generation strategically conditioned on a previous CXR image and EHR time series, providing information regarding anatomical structures and disease progressions, respectively. In this way, the interaction across modalities could be better captured by the latent CXR generation process, ultimately improving the prediction performance. Experiments using MIMIC datasets show that the proposed model could effectively address asynchronicity in multimodal fusion and consistently outperform existing methods.

In recent years, large language models (LLMs) have made significant progress in code intelligence, yet systematically evaluating their code understanding and reasoning abilities remains challenging. Mainstream benchmarks such as HumanEval and MBPP primarily assess functional correctness, while reasoning benchmarks like CRUXEVAL are limited to single-function, low-complexity scenarios. As a result, advanced models achieve nearly saturated scores, limiting their discriminative power. To address this, we present STEPWISE-CODEX-Bench (SX-Bench), a novel benchmark designed for complex multi-function understanding and fine-grained execution reasoning. SX-Bench features tasks involving collaboration among multiple sub-functions (e.g., chained calls, nested loops), shifting evaluation towards overall control and data flow modeling. It defines "computation steps" as the minimal execution unit and requires models to predict the total number of steps in reasoning tasks, thereby assessing a model's in-depth understanding of dynamic execution beyond simple I/O matching. Evaluation on over 20 mainstream models (including 14 reasoning-enhanced models) demonstrates that SX-Bench is highly discriminative: even the state-of-the-art OpenAI-O3 achieves only 78.37 percent accuracy on Hard-Reasoning tasks, much lower than its saturated scores on previous benchmarks, thereby revealing bottlenecks in complex and fine-grained reasoning. We also release an automated pipeline combining program synthesis, symbolic execution, and LLM-aided validation for efficient benchmark generation and quality assurance. SX-Bench advances code evaluation from "single-function verification" to "multi-function dynamic reasoning," providing a key tool for the in-depth assessment of advanced code intelligence models.

Optical Coherence Tomography Angiography (OCTA) and its derived en-face projections provide high-resolution visualization of the retinal and choroidal vasculature, which is critical for the rapid and accurate diagnosis of retinal diseases. However, acquiring high-quality OCTA images is challenging due to motion sensitivity and the high costs associated with software modifications for conventional OCT devices. Moreover, current deep learning methods for OCT-to-OCTA translation often overlook the vascular differences across retinal layers and struggle to reconstruct the intricate, dense vascular details necessary for reliable diagnosis. To overcome these limitations, we propose XOCT, a novel deep learning framework that integrates Cross-Dimensional Supervision (CDS) with a Multi-Scale Feature Fusion (MSFF) network for layer-aware vascular reconstruction. Our CDS module leverages 2D layer-wise en-face projections, generated via segmentation-weighted z-axis averaging, as supervisory signals to compel the network to learn distinct representations for each retinal layer through fine-grained, targeted guidance. Meanwhile, the MSFF module enhances vessel delineation through multi-scale feature extraction combined with a channel reweighting strategy, effectively capturing vascular details at multiple spatial scales. Our experiments on the OCTA-500 dataset demonstrate XOCT's improvements, especially for the en-face projections which are significant for clinical evaluation of retinal pathologies, underscoring its potential to enhance OCTA accessibility, reliability, and diagnostic value for ophthalmic disease detection and monitoring. The code is available at https://github.com/uci-cbcl/XOCT.

Diffusion models are pivotal for generating high-quality images and videos. Inspired by the success of OpenAI's Sora, the backbone of diffusion models is evolving from U-Net to Transformer, known as Diffusion Transformers (DiTs). However, generating high-quality content necessitates longer sequence lengths, exponentially increasing the computation required for the attention mechanism, and escalating DiTs inference latency. Parallel inference is essential for real-time DiTs deployments, but relying on a single parallel method is impractical due to poor scalability at large scales. This paper introduces xDiT, a comprehensive parallel inference engine for DiTs. After thoroughly investigating existing DiTs parallel approaches, xDiT chooses Sequence Parallel (SP) and PipeFusion, a novel Patch-level Pipeline Parallel method, as intra-image parallel strategies, alongside CFG parallel for inter-image parallelism. xDiT can flexibly combine these parallel approaches in a hybrid manner, offering a robust and scalable solution. Experimental results on two 8xL40 GPUs (PCIe) nodes interconnected by Ethernet and an 8xA100 (NVLink) node showcase xDiT's exceptional scalability across five state-of-the-art DiTs. Notably, we are the first to demonstrate DiTs scalability on Ethernet-connected GPU clusters. xDiT is available at https://github.com/xdit-project/xDiT.

Chest X-ray imaging (CXR) is an important diagnostic tool used in hospitals to assess patient conditions and monitor changes over time. Generative models, specifically diffusion-based models, have shown promise in generating realistic synthetic X-rays. However, these models mainly focus on conditional generation using single-time-point data, i.e., typically CXRs taken at a specific time with their corresponding reports, limiting their clinical utility, particularly for capturing temporal changes. To address this limitation, we propose a novel framework, EHRXDiff, which predicts future CXR images by integrating previous CXRs with subsequent medical events, e.g., prescriptions, lab measures, etc. Our framework dynamically tracks and predicts disease progression based on a latent diffusion model, conditioned on the previous CXR image and a history of medical events. We comprehensively evaluate the performance of our framework across three key aspects, including clinical consistency, demographic consistency, and visual realism. We demonstrate that our framework generates high-quality, realistic future images that capture potential temporal changes, suggesting its potential for further development as a clinical simulation tool. This could offer valuable insights for patient monitoring and treatment planning in the medical field.

Chest X-ray (CXR) classification in clinical practice is often limited by imperfect supervision, arising from (i) extreme long-tailed multi-label disease distributions and (ii) missing annotations for rare or previously unseen findings. The CXR-LT 2026 challenge addresses these issues on a PadChest-based benchmark with a 36-class label space split into 30 in-distribution classes for training and 6 out-of-distribution (OOD) classes for zero-shot evaluation. We present task-specific solutions tailored to the distinct supervision regimes. For Task 1 (long-tailed multi-label classification), we adopt an imbalance-aware multi-label learning strategy to improve recognition of tail classes while maintaining stable performance on frequent findings. For Task 2 (zero-shot OOD recognition), we propose a prediction approach that produces scores for unseen disease categories without using any supervised labels or examples from the OOD classes during training. Evaluated with macro-averaged mean Average Precision (mAP), our method achieves strong performance on both tasks, ranking first on the public leaderboard of the development phase. Code and pre-trained models are available at https://github.com/hieuphamha19/CXR_LT.

Extracting structured clinical information from free-text radiology reports can enable the use of radiology report information for a variety of critical healthcare applications. In our work, we present RadGraph, a dataset of entities and relations in full-text chest X-ray radiology reports based on a novel information extraction schema we designed to structure radiology reports. We release a development dataset, which contains board-certified radiologist annotations for 500 radiology reports from the MIMIC-CXR dataset (14,579 entities and 10,889 relations), and a test dataset, which contains two independent sets of board-certified radiologist annotations for 100 radiology reports split equally across the MIMIC-CXR and CheXpert datasets. Using these datasets, we train and test a deep learning model, RadGraph Benchmark, that achieves a micro F1 of 0.82 and 0.73 on relation extraction on the MIMIC-CXR and CheXpert test sets respectively. Additionally, we release an inference dataset, which contains annotations automatically generated by RadGraph Benchmark across 220,763 MIMIC-CXR reports (around 6 million entities and 4 million relations) and 500 CheXpert reports (13,783 entities and 9,908 relations) with mappings to associated chest radiographs. Our freely available dataset can facilitate a wide range of research in medical natural language processing, as well as computer vision and multi-modal learning when linked to chest radiographs.

In this work we design an end-to-end deep learning architecture for predicting, on Chest X-rays images (CXR), a multi-regional score conveying the degree of lung compromise in COVID-19 patients. Such semi-quantitative scoring system, namely Brixia~score, is applied in serial monitoring of such patients, showing significant prognostic value, in one of the hospitals that experienced one of the highest pandemic peaks in Italy. To solve such a challenging visual task, we adopt a weakly supervised learning strategy structured to handle different tasks (segmentation, spatial alignment, and score estimation) trained with a "from-the-part-to-the-whole" procedure involving different datasets. In particular, we exploit a clinical dataset of almost 5,000 CXR annotated images collected in the same hospital. Our BS-Net demonstrates self-attentive behavior and a high degree of accuracy in all processing stages. Through inter-rater agreement tests and a gold standard comparison, we show that our solution outperforms single human annotators in rating accuracy and consistency, thus supporting the possibility of using this tool in contexts of computer-assisted monitoring. Highly resolved (super-pixel level) explainability maps are also generated, with an original technique, to visually help the understanding of the network activity on the lung areas. We also consider other scores proposed in literature and provide a comparison with a recently proposed non-specific approach. We eventually test the performance robustness of our model on an assorted public COVID-19 dataset, for which we also provide Brixia~score annotations, observing good direct generalization and fine-tuning capabilities that highlight the portability of BS-Net in other clinical settings. The CXR dataset along with the source code and the trained model are publicly released for research purposes.

Despite the progress in automatic detection of radiologic findings from chest X-ray (CXR) images in recent years, a quantitative evaluation of the explainability of these models is hampered by the lack of locally labeled datasets for different findings. With the exception of a few expert-labeled small-scale datasets for specific findings, such as pneumonia and pneumothorax, most of the CXR deep learning models to date are trained on global "weak" labels extracted from text reports, or trained via a joint image and unstructured text learning strategy. Inspired by the Visual Genome effort in the computer vision community, we constructed the first Chest ImaGenome dataset with a scene graph data structure to describe 242,072 images. Local annotations are automatically produced using a joint rule-based natural language processing (NLP) and atlas-based bounding box detection pipeline. Through a radiologist constructed CXR ontology, the annotations for each CXR are connected as an anatomy-centered scene graph, useful for image-level reasoning and multimodal fusion applications. Overall, we provide: i) 1,256 combinations of relation annotations between 29 CXR anatomical locations (objects with bounding box coordinates) and their attributes, structured as a scene graph per image, ii) over 670,000 localized comparison relations (for improved, worsened, or no change) between the anatomical locations across sequential exams, as well as ii) a manually annotated gold standard scene graph dataset from 500 unique patients.

The rapid evolution of artificial intelligence, especially in large language models (LLMs), has significantly impacted various domains, including healthcare. In chest X-ray (CXR) analysis, previous studies have employed LLMs, but with limitations: either underutilizing the multi-tasking capabilities of LLMs or lacking clinical accuracy. This paper presents M4CXR, a multi-modal LLM designed to enhance CXR interpretation. The model is trained on a visual instruction-following dataset that integrates various task-specific datasets in a conversational format. As a result, the model supports multiple tasks such as medical report generation (MRG), visual grounding, and visual question answering (VQA). M4CXR achieves state-of-the-art clinical accuracy in MRG by employing a chain-of-thought prompting strategy, in which it identifies findings in CXR images and subsequently generates corresponding reports. The model is adaptable to various MRG scenarios depending on the available inputs, such as single-image, multi-image, and multi-study contexts. In addition to MRG, M4CXR performs visual grounding at a level comparable to specialized models and also demonstrates outstanding performance in VQA. Both quantitative and qualitative assessments reveal M4CXR's versatility in MRG, visual grounding, and VQA, while consistently maintaining clinical accuracy.

We introduce AIBrix, a cloud-native, open-source framework designed to optimize and simplify large-scale LLM deployment in cloud environments. Unlike traditional cloud-native stacks, AIBrix follows a co-design philosophy, ensuring every layer of the infrastructure is purpose-built for seamless integration with inference engines like vLLM. AIBrix introduces several key innovations to reduce inference costs and enhance performance including high-density LoRA management for dynamic adapter scheduling, LLM-specific autoscalers, and prefix-aware, load-aware routing. To further improve efficiency, AIBrix incorporates a distributed KV cache, boosting token reuse across nodes, leading to a 50% increase in throughput and a 70% reduction in inference latency. AIBrix also supports unified AI runtime which streamlines model management while maintaining vendor-agnostic engine compatibility. For large-scale multi-node inference, AIBrix employs hybrid orchestration -- leveraging Kubernetes for coarse-grained scheduling and Ray for fine-grained execution -- to balance efficiency and flexibility. Additionally, an SLO-driven GPU optimizer dynamically adjusts resource allocations, optimizing heterogeneous serving to maximize cost efficiency while maintaining service guarantees. Finally, AIBrix enhances system reliability with AI accelerator diagnostic tools, enabling automated failure detection and mock-up testing to improve fault resilience. AIBrix is available at https://github.com/vllm-project/aibrix.

Multi-model routing has evolved from an engineering technique into essential infrastructure, yet existing work lacks a systematic, reproducible benchmark for evaluating vision-language models (VLMs). We present VL-RouterBench to assess the overall capability of VLM routing systems systematically. The benchmark is grounded in raw inference and scoring logs from VLMs and constructs quality and cost matrices over sample-model pairs. In scale, VL-RouterBench covers 14 datasets across 3 task groups, totaling 30,540 samples, and includes 15 open-source models and 2 API models, yielding 519,180 sample-model pairs and a total input-output token volume of 34,494,977. The evaluation protocol jointly measures average accuracy, average cost, and throughput, and builds a ranking score from the harmonic mean of normalized cost and accuracy to enable comparison across router configurations and cost budgets. On this benchmark, we evaluate 10 routing methods and baselines and observe a significant routability gain, while the best current routers still show a clear gap to the ideal Oracle, indicating considerable room for improvement in router architecture through finer visual cues and modeling of textual structure. We will open-source the complete data construction and evaluation toolchain to promote comparability, reproducibility, and practical deployment in multimodal routing research.

The rapid evolution of large language models (LLMs), driven by growing parameter scales, adoption of mixture-of-experts (MoE) architectures, and expanding context lengths, imposes unprecedented demands on AI infrastructure. Traditional AI clusters face limitations in compute intensity, memory bandwidth, inter-chip communication, and latency, compounded by variable workloads and strict service-level objectives. Addressing these issues requires fundamentally redesigned hardware-software integration. This paper introduces Huawei CloudMatrix, a next-generation AI datacenter architecture, realized in the production-grade CloudMatrix384 supernode. It integrates 384 Ascend 910C NPUs and 192 Kunpeng CPUs interconnected via an ultra-high-bandwidth Unified Bus (UB) network, enabling direct all-to-all communication and dynamic pooling of resources. These features optimize performance for communication-intensive operations, such as large-scale MoE expert parallelism and distributed key-value cache access. To fully leverage CloudMatrix384, we propose CloudMatrix-Infer, an advanced LLM serving solution incorporating three core innovations: a peer-to-peer serving architecture that independently scales prefill, decode, and caching; a large-scale expert parallelism strategy supporting EP320 via efficient UB-based token dispatch; and hardware-aware optimizations including specialized operators, microbatch-based pipelining, and INT8 quantization. Evaluation with the DeepSeek-R1 model shows CloudMatrix-Infer achieves state-of-the-art efficiency: prefill throughput of 6,688 tokens/s per NPU and decode throughput of 1,943 tokens/s per NPU (<50 ms TPOT). It effectively balances throughput and latency, sustaining 538 tokens/s even under stringent 15 ms latency constraints, while INT8 quantization maintains model accuracy across benchmarks.

This study investigates the integration of diverse patient data sources into multimodal language models for automated chest X-ray (CXR) report generation. Traditionally, CXR report generation relies solely on CXR images and limited radiology data, overlooking valuable information from patient health records, particularly from emergency departments. Utilising the MIMIC-CXR and MIMIC-IV-ED datasets, we incorporate detailed patient information such as aperiodic vital signs, medications, and clinical history to enhance diagnostic accuracy. We introduce a novel approach to transform these heterogeneous data sources into embeddings that prompt a multimodal language model, significantly enhancing the diagnostic accuracy of generated radiology reports. Our comprehensive evaluation demonstrates the benefits of using a broader set of patient data, underscoring the potential for enhanced diagnostic capabilities and better patient outcomes through the integration of multimodal data in CXR report generation.

Large language models (LLMs) have achieved impressive results on multi-step mathematical reasoning, yet at the cost of high computational overhead. This challenge is particularly acute for test-time scaling methods such as parallel decoding, which increase answer diversity but scale poorly in efficiency. To address this efficiency-accuracy trade-off, we propose SSR (Speculative Parallel Scaling Reasoning), a training-free framework that leverages a key insight: by introducing speculative decoding at the step level, we can accelerate reasoning without sacrificing correctness. SSR integrates two components: a Selective Parallel Module (SPM) that identifies a small set of promising reasoning strategies via model-internal scoring, and Step-level Speculative Decoding (SSD), which enables efficient draft-target collaboration for fine-grained reasoning acceleration. Experiments on three mathematical benchmarks-AIME 2024, MATH-500, and LiveMathBench - demonstrate that SSR achieves strong gains over baselines. For instance, on LiveMathBench, SSR improves pass@1 accuracy by 13.84% while reducing computation to 80.5% of the baseline FLOPs. On MATH-500, SSR reduces compute to only 30% with no loss in accuracy.