#01Oct 26, 2026
cs.AI
Patient-specific rubric-based evaluation of large language models across longitudinal cancer care
Wei-Wei Zhang, Pengkai Wang, Yan Li and 13 more
Large language models (LLMs) show promise in specialty medicine, yet existing evaluations largely focus on isolated clinical encounters rather than tracking how clinical responsibilities evolve across a longitudinal care pathway. Here we introduce NPC-RubricBench, a phase-aware benchmark for evaluating multistage clinical reasoning across the cancer care continuum, using nasopharyngeal carcinoma as a defined disease context. Curated from longitudinal records of 405 patients across two cancer centers, the benchmark comprises 941 patient-phase units across six sequential care phases and 17,688 patient-specific atomic criteria spanning five evaluation dimensions, with each assessment strictly restricted to decision-time clinical evidence. Evaluating 30 general-purpose and medical LLMs revealed that strong diagnostic performance does not carry over to downstream care. We evaluated 30 general-purpose and medical LLMs, showing that high diagnostic performance did not translate into improved downstream care. Instead, the dominant failure modes reversed across phases. Explicit decision errors dominated anatomical staging at 48.2%, whereas decision omissions dominated initial work-up and post-treatment follow-up at 33.4% and 30.4%, respectively. In the evaluated model set, medically adapted models showed higher omission rates than general-purpose models. Moreover, varying query granularity exposes a critical specification trade-off: broad open-ended requests degrade Decision Quality across all 30 models, while more detailed, checklist-like prompts raise Decision Quality but reduce Evidence Faithfulness and Safety Adherence. Furthermore, NPC-RubricBench demonstrates that static diagnostic benchmarks are insufficient to ensure consistent clinical reliability over time, highlighting the importance of phase-adaptive safeguards in multistage medical AI.
#02Oct 26, 2026
cs.AI
Center-of-Mass Interpretation of Evolution Strategies
Akshat Gupta
Evolution strategies (ES) update a model by sampling a population of perturbed copies, scoring each one, and moving in the reward-weighted direction of the perturbations. This update is usually presented as an estimate of a smoothed gradient. We present a geometrical interpretation of this update instead. Treat each perturbed model as a particle and its reward as the particle's mass. Before scoring, every particle has the same mass and the population balances at its centroid. Once rewards are assigned, it balances at its reward-weighted center of mass instead. We show that the mean-subtracted ES update is exactly this displacement, scaled by a scalar factor that depends on the mean reward, for any finite population. The physical reading needs nonnegative rewards, which can always be arranged by adding a constant to every reward without changing the update. In the limit of a large population or under antithetic sampling, the centroid sits on the model itself, so ES has an even simpler geometric interpretation: from its current location, the model moves towards the reward-weighted center of mass of its own population. The same picture explains what subtracting the mean reward does: it changes the point from which the displacement is measured, from the model to the sampled centroid. Our contribution is an intuitive, geometric way to visualize an ES update, exact for any finite population.
#03Oct 26, 2026
cs.RO
Learning Force-Reactive Humanoid Loco-Manipulation
Sihang Li, Xiaofeng Guo, Jinkun Cao and 5 more
Many everyday tasks require controlling contact force as well as motion. On a humanoid, this force must often be coordinated across both hands and the whole body, and cannot be specified by kinematic trajectories alone. Therefore, we present FLORE, a framework for learning force-reactive humanoid loco-manipulation. We collect robot-free demonstrations using two force-sensing UMI-style handheld grippers for hand motion and contact wrenches, and wearable trackers for body motion. A force-reactive diffusion policy takes vision, proprioception, and measured wrenches as input, then predicts actions and per-hand force commands. A hybrid compliance whole-body controller with force tracking executes these commands while maintaining balance: an integral of the force error measured by real force/torque (F/T) sensors lets each hand track force accurately along the commanded direction and remain compliant along the others. In simulation, the controller tracks per-hand force commands of varied magnitude and direction, with little loss in whole-body motion accuracy. Across three contact-rich tasks on the robot, the force-reactive policy succeeds in 80% of rollouts, compared with 26.7% for a position-only policy trained on the same demonstrations and executed by the same controller. For more details, please visit our website: https://louis-leee.github.io/FLoRe/.
#04Oct 26, 2026
cs.AI
Free to Look, Free to Reason: Simple LLM Harnesses Outdiagnose Hand-Crafted Root Cause Analysis Agents
Tingzhu Bi, Xun Zhang, Jinglin Li and 2 more
Root cause analysis (RCA) of microservice failures has attracted many LLM agents whose investigation is hand-crafted, through standard operating procedures, fixed stages and role agents. Each is evaluated on its own data against few baselines, so it is unknown whether this design beats letting a capable model investigate on its own. We compare three simple harnesses that prescribe none of the model's calls (one call over an evidence package, a SQL agent and the Codex coding agent) with five published LLM RCA agents and with statistical and causal methods on RCAtlas, 90 validated cases from eight public datasets, across six models and three reasoning efforts. The simple harnesses are the most accurate (PR@1 65-77% on three mid-tier models), ahead of the published agents (16-53%) and the non-LLM methods (6-39%), on every model on which both families were run. The published agents fix from a tenth to all of their model calls in the program, and a case study shows how these prescriptions skip the decisive evidence. A stronger model mainly improves reliability, a multi-turn harness mainly improves aptitude, and more reasoning effort changes accuracy by a few points at most while multiplying the time by up to seven. Among runs more accurate than the best non-LLM method, every Pareto-optimal run in cost or time uses a simple harness.
#05Oct 26, 2026
cs.CL
From Self-Confidence to Statistical Accuracy: Scaling Human-in-the-Loop Evaluation with Direct and LLM-Assisted Auditing
Harine Choi, Chenchen Kuai, Zihao Li and 5 more
For large language models (LLMs) and multimodal large language models (MLLMs), model-reported self-confidence is often miscalibrated, yet it may still be useful for efficient evaluation. At the same time, LLM-as-a-judge offers a scalable alternative to direct human auditing, but its practical benefit depends on calibration quality and inference cost. This paper develops a unified statistical framework for both evaluation routes under alternative sampling strategies. For direct auditing, confidence-stratified sampling is used to recover population accuracy from partially verified outputs without requiring calibrated confidence. Finite-sample uncertainty is characterized, and the analysis shows how highly uneven confidence strata affect audit efficiency and label allocation. For judge-assisted evaluation, the judge is modeled through sensitivity and false-positive rate, yielding an error-corrected estimator with calibration uncertainty. The two routes are then compared through human-label and total-cost efficiency boundaries. Experiments on MMLU-Pro and MMMU-Pro show that miscalibrated self-confidence can still support statistically valid stratified auditing. Under highly imbalanced confidence distributions, proportional allocation substantially reduces estimation error relative to equal-per-stratum allocation. For judge-assisted evaluation, only a small subset of target--verifier pairs satisfies the idealized human-label efficiency condition, and automated inference costs can further limit potential savings. These findings clarify the statistical and economic conditions under which confidence-guided auditing and automated verification are useful.