今日摘要

OpenAI Blog:AI for Disaster Response in Asia: OpenAI Workshop with Gates Foundation

X Andrej Karpathy:- Drafted a blog post - Used an LLM to meticulously improve the argument over 4 hours. - Wow, feeling great, it’s so convincing! -…

OpenAI Blog:OpenAI raises $122 billion in new funding to expand frontier AI globally, invest in next-generation compute, and meet growing dema…

X Andrej Karpathy:New supply chain attack this time for npm axios, the most popular HTTP client library with 300M weekly downloads. Scanning my syst…

OpenAI Blog:Learn how STADLER uses ChatGPT to transform knowledge work, saving time and accelerating productivity across 650 employees.

总结 + 观点:Gradient Labs uses GPT-4.1 and GPT-5.4 mini and…|中文观点:对 Gradient Labs gives every bank customer an…

总结 + 观点:When I built menugen ~1 year ago, I observed tha…|中文观点:从 When I built menugen ~1 year ago, I observe…

总结 + 观点:LLM Knowledge Bases Something I'm finding very u…|中文观点:比起表面参数,LLM Knowledge Bases Something I'm find…

总结 + 观点:OpenAI acquires TBPN to accelerate global conver…|中文观点:OpenAI acquires TBPN 更值得从实际采用价值来判断,而不是只看它有没有制…

总结 + 观点:Codex now includes pay-as-you-go pricing for Cha…|中文观点:围绕 Codex now offers more flexible pricing for…

Helping disaster response teams turn AI into action across Asia

来源:OpenAI Blog

标签:#ai_engineering_blogs #core

作者:

原文:AI for Disaster Response in Asia: OpenAI Workshop with Gates Foundation

链接:https://openai.com/index/helping-disaster-response-teams-asia

观点:Helping disaster response teams turn AI into action across A... 更值得从实际采用价值来判断,而不是只看它有没有制造新的讨论热度。

- Drafted a blog post - Used an LLM to meticulously improve the argument over 4 hours. - Wow, feeling great, it’s so convincing!

来源:X Andrej Karpathy

标签:#x_profiles #extended

作者:

原文:- Drafted a blog post - Used an LLM to meticulously improve the argument over 4 hours. - Wow, feeling great, it’s so convincing! - Fun idea let’s ask it to argue the opposite. - LLM demolishes the entire argument and convinces me that the opposite is in fact true. - lol The LLMs may elicit an opinion when asked but are extremely competent in arguing almost any direction. This is actually super useful as a tool for forming your own opinions, just make sure to ask different directions and be careful with the sycophancy.

链接:https://twitter.com/karpathy/status/2037921699824607591

观点:- Drafted a blog post - Used an LLM to meticulously improve... 的核心不在新鲜感,而在它是否能提升工程效率、部署稳定性或开发者工作流。

Accelerating the next phase of AI

来源:OpenAI Blog

标签:#ai_engineering_blogs #core

作者:

原文:OpenAI raises $122 billion in new funding to expand frontier AI globally, invest in next-generation compute, and meet growing demand for ChatGPT, Codex, and enterprise AI.

链接:https://openai.com/index/accelerating-the-next-phase-ai

观点:围绕 Accelerating the next phase of AI,真正重要的是它会不会影响团队的模型选型、性能边界和产品体验。

New supply chain attack this time for npm axios, the most popular HTTP client library with 300M weekly downloads.

来源:X Andrej Karpathy

标签:#x_profiles #extended

作者:

原文:New supply chain attack this time for npm axios, the most popular HTTP client library with 300M weekly downloads. Scanning my system I found a use imported from googleworkspace/cli from a few days ago when I was experimenting with gmail/gcal cli. The installed version (luckily) resolved to an unaffected 1.13.5, but the project dependency is not pinned, meaning that if I did this earlier today the code would have resolved to latest and I'd be pwned. It's possible to personally defend against these to some extent with local settings e.g. release-age constraints, or containers or etc, but I think ultimately the defaults of package management projects (pip, npm etc) have to change so that a single infection (usually luckily fairly temporary in nature due to security scanning) does not spread through users at random and at scale via unpinned dependencies. More comprehensive article: stepsecurity.io/blog/axios-c… Feross (@feross) CRITICAL: Active supply chain attack on axios -- one of npm's most depended-on packages. The latest axios@1.14.1 now pulls in plain-crypto-js@4.2.1, a package that did not exist before today. This is a live compromise. This is textbook supply chain installer malware. axios has 100M+ weekly downloads. Every npm install pulling the latest version is potentially compromised right now. Socket AI analysis confirms this is malware. plain-crypto-js is an obfuscated dropper/loader that: Deobfuscates embedded payloads and operational strings at runtime Dynamically loads fs, os, and execSync to evade static analysis Executes decoded shell commands Stages and copies payload files into OS temp and Windows ProgramData directories Deletes and renames artifacts post-execution to destroy forensic evidence If you use axios, pin your version immediately and audit your lockfiles. Do not upgrade. https://nitter.net/feross/status/2038807290422370479#m

链接:https://twitter.com/karpathy/status/2038849654423798197

观点:从 New supply chain attack this time for npm axios, the most po... 看,后续更应关注安全事故是否改变企业采购、接入和上线前的合规门槛。

STADLER reshapes knowledge work at a 230-year-old company

来源:OpenAI Blog

标签:#ai_engineering_blogs #core

作者:

原文:Learn how STADLER uses ChatGPT to transform knowledge work, saving time and accelerating productivity across 650 employees.

链接:https://openai.com/index/stadler

观点:围绕 STADLER reshapes knowledge work at a 230-year-old company,真正重要的是它会不会影响团队的模型选型、性能边界和产品体验。

Gradient Labs gives every bank customer an AI account manager

来源:OpenAI Blog

标签:#ai_engineering_blogs #core

作者:

原文:Gradient Labs uses GPT-4.1 and GPT-5.4 mini and nano to power AI agents that automate banking support workflows with low latency and high reliability.

链接:https://openai.com/index/gradient-labs

观点:对 Gradient Labs gives every bank customer an AI account manage...,更该看它能不能改善多步骤协作、记忆管理和稳定交付,而不是只看 demo 效果。

When I built menugen ~1 year ago, I observed that the hardest part by far was not the code itself, it was the plethora of services you have...

来源:X Andrej Karpathy

标签:#x_profiles #extended

作者:

原文:When I built menugen ~1 year ago, I observed that the hardest part by far was not the code itself, it was the plethora of services you have to assemble like IKEA furniture to make it real, the DevOps: services, payments, auth, database, security, domain names, etc... I am really looking forward to a day where I could simply tell my agent: "build menugen" (referencing the post) and it would just work. The whole thing up to the deployed web page. The agent would have to browse a number of services, read the docs, get all the api keys, make everything work, debug it in dev, and deploy to prod. This is the actually hard part, not the code itself. Or rather, the better way to think about it is that the entire DevOps lifecycle has to become code, in addition to the necessary sensors/actuators of the CLIs/APIs with agent-native ergonomics. And there should be no need to visit web pages, click buttons, or anything like that for the human. It's easy to state, it's now just barely technically possible and expected to work maybe, but it definitely requires from-scratch re-design, work and thought. Very exciting direction! Patrick Collison (@patrickc) When @karpathy built MenuGen karpathy.bearblog.dev/vibe-c… he said: "Vibe coding menugen was exhilarating and fun escapade as a local demo, but a bit of a painful slog as a deployed, real app. Building a modern app is a bit like assembling IKEA future. There are all these services, docs, API keys, configurations, dev/prod deployments, team and security features, rate limits, pricing tiers." We've all run into this issue when building with agents: you have to scurry off to establish accounts, clicking things in the browser as though it's the antediluvian days of 2023, in order to unblock its superintelligent progress. So we decided to build Stripe Projects to help agents instantly provision services from the CLI. For example, simply run: stripe projects add posthog/analytics And it'll create a PostHog account, get an API key, and (as needed) set up billing. Projects is launching today as a developer preview. You can register for access (we'll make it available to everyone soon) at projects.dev We're also rolling out support for many new providers over the coming weeks. (Get in touch if you'd like to make your service available.) projects.dev https://nitter.net/patrickc/status/2037190688950161709#m

链接:https://twitter.com/karpathy/status/2037200624450936940

观点:从 When I built menugen ~1 year ago, I observed that the hardes... 看,后续更应关注安全事故是否改变企业采购、接入和上线前的合规门槛。

LLM Knowledge Bases Something I'm finding very useful recently: using LLMs to build personal knowledge bases for various topics of research...

来源:X Andrej Karpathy

标签:#x_profiles #extended

作者:

原文:LLM Knowledge Bases Something I'm finding very useful recently: using LLMs to build personal knowledge bases for various topics of research interest. In this way, a large fraction of my recent token throughput is going less into manipulating code, and more into manipulating knowledge (stored as markdown and images). The latest LLMs are quite good at it. So: Data ingest: I index source documents (articles, papers, repos, datasets, images, etc.) into a raw/ directory, then I use an LLM to incrementally "compile" a wiki, which is just a collection of .md files in a directory structure. The wiki includes summaries of all the data in raw/, backlinks, and then it categorizes data into concepts, writes articles for them, and links them all. To convert web articles into .md files I like to use the Obsidian Web Clipper extension, and then I also use a hotkey to download all the related images to local so that my LLM can easily reference them. IDE: I use Obsidian as the IDE "frontend" where I can view the raw data, the the compiled wiki, and the derived visualizations. Important to note that the LLM writes and maintains all of the data of the wiki, I rarely touch it directly. I've played with a few Obsidian plugins to render and view data in other ways (e.g. Marp for slides). Q&A: Where things get interesting is that once your wiki is big enough (e.g. mine on some recent research is ~100 articles and ~400K words), you can ask your LLM agent all kinds of complex questions against the wiki, and it will go off, research the answers, etc. I thought I had to reach for fancy RAG, but the LLM has been pretty good about auto-maintaining index files and brief summaries of all the documents and it reads all the important related data fairly easily at this ~small scale. Output: Instead of getting answers in text/terminal, I like to have it render markdown files for me, or slide shows (Marp format), or matplotlib images, all of which I then view again in Obsidian. You can imagine many other visual output formats depending on the query. Often, I end up "filing" the outputs back into the wiki to enhance it for further queries. So my own explorations and queries always "add up" in the knowledge base. Linting: I've run some LLM "health checks" over the wiki to e.g. find inconsistent data, impute missing data (with web searchers), find interesting connections for new article candidates, etc., to incrementally clean up the wiki and enhance its overall data integrity. The LLMs are quite good at suggesting further questions to ask and look into. Extra tools: I find myself developing additional tools to process the data, e.g. I vibe coded a small and naive search engine over the wiki, which I both use directly (in a web ui), but more often I want to hand it off to an LLM via CLI as a tool for larger queries. Further explorations: As the repo grows, the natural desire is to also think about synthetic data generation finetuning to have your LLM "know" the data in its weights instead of just context windows. TLDR: raw data from a given number of sources is collected, then compiled by an LLM into a .md wiki, then operated on by various CLIs by the LLM to do Q&A and to incrementally enhance the wiki, and all of it viewable in Obsidian. You rarely ever write or edit the wiki manually, it's the domain of the LLM. I think there is room here for an incredible new product instead of a hacky collection of scripts.

链接:https://twitter.com/karpathy/status/2039805659525644595

观点:比起表面参数,LLM Knowledge Bases Something I'm finding very useful recent... 更需要观察它是否在推理质量、检索效果或可用性上带来真实改进。

OpenAI acquires TBPN

来源:OpenAI Blog

标签:#ai_engineering_blogs #core

作者:

原文:OpenAI acquires TBPN to accelerate global conversations around AI and support independent media, expanding dialogue with builders, businesses, and the broader tech community.

链接:https://openai.com/index/openai-acquires-tbpn

观点:OpenAI acquires TBPN 更值得从实际采用价值来判断,而不是只看它有没有制造新的讨论热度。

Codex now offers more flexible pricing for teams

来源:OpenAI Blog

标签:#ai_engineering_blogs #core

作者:

原文:Codex now includes pay-as-you-go pricing for ChatGPT Business and Enterprise, providing teams a more flexible option to start and scale adoption.

链接:https://openai.com/index/codex-flexible-pricing-for-teams

观点:围绕 Codex now offers more flexible pricing for teams,真正重要的是它会不会影响团队的模型选型、性能边界和产品体验。

(I cycle through all LLMs over time and all of them seem to do this so it's not any particular implementation but something deeper, e.g.

来源:X Andrej Karpathy

标签:#x_profiles #extended

作者:

原文:(I cycle through all LLMs over time and all of them seem to do this so it's not any particular implementation but something deeper, e.g. maybe during training, a lot of the information in the context window is relevant to the task, so the LLMs develop a bias to use what is given, then at test time overfit to anything that happens to RAG its way there via a memory feature

链接:https://twitter.com/karpathy/status/2036841069636370467

观点:R to @karpathy: (I cycle through all LLMs over time and all... 更值得从实际采用价值来判断,而不是只看它有没有制造新的讨论热度。

One common issue with personalization in all LLMs is how distracting memory seems to be for the models.

来源:X Andrej Karpathy

标签:#x_profiles #extended

作者:

原文:One common issue with personalization in all LLMs is how distracting memory seems to be for the models. A single question from 2 months ago about some topic can keep coming up as some kind of a deep interest of mine with undue mentions in perpetuity. Some kind of trying too hard.

链接:https://twitter.com/karpathy/status/2036836816654147718

观点:One common issue with personalization in all LLMs is how dis... 更值得从实际采用价值来判断,而不是只看它有没有制造新的讨论热度。

Introducing the OpenAI Safety Bug Bounty program

来源:OpenAI Blog

标签:#ai_engineering_blogs #core

作者:

原文:OpenAI launches a Safety Bug Bounty program to identify AI abuse and safety risks, including agentic vulnerabilities, prompt injection, and data exfiltration.

链接:https://openai.com/index/safety-bug-bounty

观点:从 Introducing the OpenAI Safety Bug Bounty program 看,后续更应关注安全事故是否改变企业采购、接入和上线前的合规门槛。

Software horror: litellm PyPI supply chain attack.

来源:X Andrej Karpathy

标签:#x_profiles #extended

作者:

原文:Software horror: litellm PyPI supply chain attack. Simple `pip install litellm` was enough to exfiltrate SSH keys, AWS/GCP/Azure creds, Kubernetes configs, git credentials, env vars (all your API keys), shell history, crypto wallets, SSL private keys, CI/CD secrets, database passwords. LiteLLM itself has 97 million downloads per month which is already terrible, but much worse, the contagion spreads to any project that depends on litellm. For example, if you did `pip install dspy` (which depended on litellm>=1.64.0), you'd also be pwnd. Same for any other large project that depended on litellm. Afaict the poisoned version was up for only less than ~1 hour. The attack had a bug which led to its discovery - Callum McMahon was using an MCP plugin inside Cursor that pulled in litellm as a transitive dependency. When litellm 1.82.8 installed, their machine ran out of RAM and crashed. So if the attacker didn't vibe code this attack it could have been undetected for many days or weeks. Supply chain attacks like this are basically the scariest thing imaginable in modern software. Every time you install any depedency you could be pulling in a poisoned package anywhere deep inside its entire depedency tree. This is especially risky with large projects that might have lots and lots of dependencies. The credentials that do get stolen in each attack can then be used to take over more accounts and compromise more packages. Classical software engineering would have you believe that dependencies are good (we're building pyramids from bricks), but imo this has to be re-evaluated, and it's why I've been so growingly averse to them, preferring to use LLMs to "yoink" functionality when it's simple enough and possible. Daniel Hnyk (@hnykda) LiteLLM HAS BEEN COMPROMISED, DO NOT UPDATE. We just discovered that LiteLLM pypi release 1.82.8. It has been compromised, it contains litellm_init.pth with base64 encoded instructions to send all the credentials it can find to remote server self-replicate. link below https://nitter.net/hnykda/status/2036414330267193815#m

链接:https://twitter.com/karpathy/status/2036487306585268612

观点:从 Software horror: litellm PyPI supply chain attack. Simple `p... 看,后续更应关注安全事故是否改变企业采购、接入和上线前的合规门槛。

Farzapedia, personal wikipedia of Farza, good example following my Wiki LLM tweet.

来源:X Andrej Karpathy

标签:#x_profiles #extended

作者:

原文:Farzapedia, personal wikipedia of Farza, good example following my Wiki LLM tweet. I really like this approach to personalization in a number of ways, compared to "status quo" of an AI that allegedly gets better the more you use it or something: 1. Explicit. The memory artifact is explicit and navigable (the wiki), you can see exactly what the AI does and does not know and you can inspect and manage this artifact, even if you don't do the direct text writing (the LLM does). The knowledge of you is not implicit and unknown, it's explicit and viewable. 2. Yours. Your data is yours, on your local computer, it's not in some particular AI provider's system without the ability to extract it. You're in control of your information. 3. File over app. The memory here is a simple collection of files in universal formats (images, markdown). This means the data is interoperable: you can use a very large collection of tools/CLIs or whatever you want over this information because it's just files. The agents can apply the entire Unix toolkit over them. They can natively read and understand them. Any kind of data can be imported into files as input, and any kind of interface can be used to view them as the output. E.g. you can use Obsidian to view them or vibe code something of your own. Search "File over app" for an article on this philosophy. 4. BYOAI. You can use whatever AI you want to "plug into" this information - Claude, Codex, OpenCode, whatever. You can even think about taking an open source AI and finetuning it on your wiki - in principle, this AI could "know" you in its weights, not just attend over your data. So this approach to personalization puts *you* in full control. The data is yours. In Universal formats. Explicit and inspectable. Use whatever AI you want over it, keep the AI companies on their toes! Certainly this is not the simplest way to get an AI to know you - it does require you to manage file directories and so on, but agents also make it quite simple and they can help you a lot. I imagine a number of products might come out to make this all easier, but imo "agent proficiency" is a CORE SKILL of the 21st century. These are extremely powerful tools - they speak English and they do all the computer stuff for you. Try this opportunity to play with one. Farza (@FarzaTV) This is Farzapedia. I had an LLM take 2,500 entries from my diary, Apple Notes, and some iMessage convos to create a personal Wikipedia for me. It made 400 detailed articles for my friends, my startups, research areas, and even my favorite animes and their impact on me complete with backlinks. But, this Wiki was not built for me! I built it for my agent! The structure of the wiki files and how it's all backlinked is very easily crawlable by any agent makes it a truly useful knowledge base. I can spin up Claude Code on the wiki and starting at index.md (a catalog of all my articles) the agent does a really good job at drilling into the specific pages on my wiki it needs context on when I have a query. For example, when trying to cook up a new landing page I may ask: "I'm trying to design this landing page for a new idea I have. Please look into the images and films that inspired me recently and give me ideas for new copy and aesthetics". In my diary I kept track of everything from: learnings, people, inspo, interesting links, images. So the agent reads my wiki and pulls up my "Philosophy" articles from notes on a Studio Ghibli documentary, "Competitor" articles with YC companies whose landing pages I screenshotted, and pics of 1970s Beatles merch I saved years ago. And it delivers a great answer. I built a similar system to this a year ago with RAG but it was ass. A knowledge base that lets an agent find what it needs via a file system it actually understands just works better. The most magical thing now is as I add new things to my wiki (articles, images of inspo, meeting notes) the system will likely update 2-3 different articles where it feels that context belongs, or, just creates a new article. It's like this super genius librarian for your brain that's always filing stuff for your perfectly and also let's you easily query the knowledge for tasks useful to you (ex. design, product, writing, etc) and it never gets tired. I might spend next week productizing this, if that's of interest to you DM me tell me your usecase! Video https://nitter.net/FarzaTV/status/2040563939797504467#m

链接:https://twitter.com/karpathy/status/2040572272944324650

观点:比起表面参数,Farzapedia, personal wikipedia of Farza, good example follow... 更需要观察它是否在推理质量、检索效果或可用性上带来真实改进。

PaperOrchestra: A Multi-Agent Framework for Automated AI Research Paper Writing

来源:arXiv cs.AI

标签:#research_community #core

作者:

原文:arXiv:2604.05018v1 Announce Type: new Abstract: Synthesizing unstructured research materials into manuscripts is an essential yet under-explored challenge in AI-driven scientific discovery. Existing autonomous writers are rigidly coupled to specific experimental pipelines, and produce superficial literature reviews. We introduce PaperOrchestra, a multi-agent framework for automated AI research paper writing. It flexibly transforms unconstrained pre-writing materials into submission-ready LaTeX manuscripts, including comprehensive literature synthesis and generated visuals, such as plots and conceptual diagrams. To evaluate performance, we present PaperWritingBench, the first standardized benchmark of reverse-engineered raw materials from 200 top-tier AI conference papers, alongside a comprehensive suite of automated evaluators. In side-by-side human evaluations, PaperOrchestra significantly outperforms autonomous baselines, achieving an absolute win rate margin of 50%-68% in literature review quality, and 14%-38% in overall manuscript quality.

链接:https://arxiv.org/abs/2604.05018

观点:PaperOrchestra: A Multi-Agent Framework for Automated AI Res... 的价值在于它是否能真正降低智能体落地门槛,而不是再提供一层概念包装。

Part-Level 3D Gaussian Vehicle Generation with Joint and Hinge Axis Estimation

来源:arXiv cs.AI

标签:#research_community #core

作者:

原文:arXiv:2604.05070v1 Announce Type: new Abstract: Simulation is essential for autonomous driving, yet current frameworks often model vehicles as rigid assets and fail to capture part-level articulation. With perception algorithms increasingly leveraging dynamics such as wheel steering or door opening, realistic simulation requires animatable vehicle representations. Existing CAD-based pipelines are limited by library coverage and fixed templates, preventing faithful reconstruction of in-the-wild instances. We propose a generative framework that, from a single image or sparse multi-view input, synthesizes an animatable 3D Gaussian vehicle. Our method addresses two challenges: (i) large 3D asset generators are optimized for static quality but not articulation, leading to distortions at part boundaries when animated; and (ii) segmentation alone cannot provide the kinematic parameters required for motion. To overcome this, we introduce a part-edge refinement module that enforces exclusive Gaussian ownership and a kinematic reasoning head that predicts joint positions and hinge axes of movable parts. Together, these components enable faithful part-aware simulation, bridging the gap between static generation and animatable vehicle models.

链接:https://arxiv.org/abs/2604.05070

观点:对 Part-Level 3D Gaussian Vehicle Generation with Joint and Hin...,更该看它能不能改善多步骤协作、记忆管理和稳定交付,而不是只看 demo 效果。

MMORF: A Multi-agent Framework for Designing Multi-objective Retrosynthesis Planning Systems

来源:arXiv cs.AI

标签:#research_community #core

作者:

原文:arXiv:2604.05075v1 Announce Type: new Abstract: Multi-objective retrosynthesis planning is a critical chemistry task requiring dynamic balancing of quality, safety, and cost objectives. Language model-based multi-agent systems (MAS) offer a promising approach for this task: leveraging interactions of specialized agents to incorporate multiple objectives into retrosynthesis planning. We present MMORF, a framework for constructing MAS for multi-objective retrosynthesis planning. MMORF features modular agentic components, which can be flexibly combined and configured into different systems, enabling principled evaluation and comparison of different system designs. Using MMORF, we construct two representative MAS: MASIL and RFAS. On a newly curated benchmark consisting of 218 multi-objective retrosynthesis planning tasks, MASIL achieves strong safety and cost metrics on soft-constraint tasks, frequently Pareto-dominating baseline routes, while RFAS achieves a 48.6% success rate on hard-constraint tasks, outperforming state-of-the-art baselines. Together, these results show the effectiveness of MMORF as a foundational framework for exploring MAS for multi-objective retrosynthesis planning. Code and data are available at https://anonymous.4open.science/r/MMORF/.

链接:https://arxiv.org/abs/2604.05075

观点:MMORF: A Multi-agent Framework for Designing Multi-objective... 的价值在于它是否能真正降低智能体落地门槛,而不是再提供一层概念包装。

MedGemma 1.5 Technical Report

来源:arXiv cs.AI

标签:#research_community #core

作者:

原文:arXiv:2604.05081v1 Announce Type: new Abstract: We introduce MedGemma 1.5 4B, the latest model in the MedGemma collection. MedGemma 1.5 expands on MedGemma 1 by integrating additional capabilities: high-dimensional medical imaging (CT/MRI volumes and histopathology whole slide images), anatomical localization via bounding boxes, multi-timepoint chest X-ray analysis, and improved medical document understanding (lab reports, electronic health records). We detail the innovations required to enable these modalities within a single architecture, including new training data, long-context 3D volume slicing, and whole-slide pathology sampling. Compared to MedGemma 1 4B, MedGemma 1.5 4B demonstrates significant gains in these new areas, improving 3D MRI condition classification accuracy by 11% and 3D CT condition classification by 3% (absolute improvements). In whole slide pathology imaging, MedGemma 1.5 4B achieves a 47% macro F1 gain. Additionally, it improves anatomical localization with a 35% increase in Intersection over Union on chest X-rays and achieves a 4% macro accuracy for longitudinal (multi-timepoint) chest x-ray analysis. Beyond its improved multimodal performance over MedGemma 1, MedGemma 1.5 improves on text-based clinical knowledge and reasoning, improving by 5% on MedQA accuracy and 22% on EHRQA accuracy. It also achieves an average of 18% macro F1 on 4 different lab report information extraction datasets (EHR Datasets 2, 3, 4, and Mendeley Clinical Laboratory Test Reports). Taken together, MedGemma 1.5 serves as a robust, open resource for the community, designed as an improved foundation on which developers can create the next generation of medical AI systems. Resources and tutorials for building upon MedGemma 1.5 can be found at https://goo.gle/MedGemma.

链接:https://arxiv.org/abs/2604.05081

观点:比起表面参数,MedGemma 1.5 Technical Report 更需要观察它是否在推理质量、检索效果或可用性上带来真实改进。

Uncertainty-Guided Latent Diagnostic Trajectory Learning for Sequential Clinical Diagnosis

来源:arXiv cs.AI

标签:#research_community #core

作者:

原文:arXiv:2604.05116v1 Announce Type: new Abstract: Clinical diagnosis requires sequential evidence acquisition under uncertainty. However, most Large Language Model (LLM) based diagnostic systems assume fully observed patient information and therefore do not explicitly model how clinical evidence should be sequentially acquired over time. Even when diagnosis is formulated as a sequential decision process, it is still challenging to learn effective diagnostic trajectories. This is because the space of possible evidence-acquisition paths is relatively large, while clinical datasets rarely provide explicit supervision information for desirable diagnostic paths. To this end, we formulate sequential diagnosis as a Latent Diagnostic Trajectory Learning (LDTL) framework based on a planning LLM agent and a diagnostic LLM agent. For the diagnostic LLM agent, diagnostic action sequences are treated as latent paths and we introduce a posterior distribution that prioritizes trajectories providing more diagnostic information. The planning LLM agent is then trained to follow this distribution, encouraging coherent diagnostic trajectories that progressively reduce uncertainty. Experiments on the MIMIC-CDM benchmark demonstrate that our proposed LDTL framework outperforms existing baselines in diagnostic accuracy under a sequential clinical diagnosis setting, while requiring fewer diagnostic tests. Furthermore, ablation studies highlight the critical role of trajectory-level posterior alignment in achieving these improvements.

链接:https://arxiv.org/abs/2604.05116

观点:比起表面参数,Uncertainty-Guided Latent Diagnostic Trajectory Learning for... 更需要观察它是否在推理质量、检索效果或可用性上带来真实改进。