Daily Papers

Artificial intelligence (AI) and extended reality (XR) are increasingly combined in applications such as motor skill training, personalized feedback, and embodied task guidance. Yet developing AI-XR systems remains challenging due to fragmented toolchains that push developers into ad hoc integrations, diverting their attention away from essential design concerns such as interactivity and context awareness. To address this issue, we present XARP (XR Agent-ready Remote Procedures), a toolkit for AI-XR development designed for both human developers and AI agents. XARP implements JSON-based remote procedure calls that allow server-side Python to control XR clients, providing a high-level abstraction over low-level integration details. Humans can use XARP as a Python library to write XR applications with reduced implementation overhead. AI agents operate with the same abstraction to dynamically call tools to generate XR applications at runtime in response to context changes and user requests. XARP offers Model Context Protocol (MCP) connectivity that allows third-party agents and tools to leverage XR capabilities, previously unavailable. We conducted three case studies that demonstrate XARP supports a variety of AI-XR applications, including AI-guided fencing, drone assistance, and room layout design. We evaluated XARP in a walkthrough study with 24 AI and XR developers. UTAUT scores indicate high potential for adoption, and participants reported that XARP can reduce authoring time, lower entry barriers for developers unfamiliar with AI or XR, and enable the implementation of novel AI-XR systems.

Extended reality (XR) devices such as the Meta Quest and Apple Vision Pro have seen a recent surge in attention, with motion tracking "telemetry" data lying at the core of nearly all XR and metaverse experiences. Researchers are just beginning to understand the implications of this data for security, privacy, usability, and more, but currently lack large-scale human motion datasets to study. The BOXRR-23 dataset contains 4,717,215 motion capture recordings, voluntarily submitted by 105,852 XR device users from over 50 countries. BOXRR-23 is over 200 times larger than the largest existing motion capture research dataset and uses a new, highly efficient purpose-built XR Open Recording (XROR) file format.

Chest X-Ray (CXR) report generation is a promising approach to improving the efficiency of CXR interpretation. However, a significant increase in diagnostic accuracy is required before that can be realised. Motivated by this, we propose a framework that is more inline with a radiologist's workflow by considering longitudinal data. Here, the decoder is additionally conditioned on the report from the subject's previous imaging study via a prompt. We also propose a new reward for reinforcement learning based on CXR-BERT, which computes the similarity between reports. We conduct experiments on the MIMIC-CXR dataset. The results indicate that longitudinal data improves CXR report generation. CXR-BERT is also shown to be a promising alternative to the current state-of-the-art reward based on RadGraph. This investigation indicates that longitudinal CXR report generation can offer a substantial increase in diagnostic accuracy. Our Hugging Face model is available at: https://huggingface.co/aehrc/cxrmate and code is available at: https://github.com/aehrc/cxrmate.

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.