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5 papers

#01Nov 6, 2026

cs.AI

Can Agentic Systems Close the Gap in Radiology with Production AI Tools?

Aubin Charley, Julien Khlaut, Charles Corbière and 3 more

Radiology AI has developed along two paths: specialized models that perform well on narrow tasks but cover few clinical findings, and generalist models that address a broader range of tasks but remain prone to hallucination and inaccurate measurements. Combining the two through agentic systems offers a route towards comprehensive radiology reporting, but published systems are tied to one modality or body part. We describe a radiology agentic framework that standardizes how an orchestrator calls modular tools to produce a structured report, and use it to measure what such a system can do with the tools from FDA-cleared radiology AI devices. Report generation is simulated on a large multi-modality report corpus, with the orchestrator given either a catalog of finding classes consolidated from the cleared devices, each available on the modalities it is cleared for, or an unlimited catalog in which any class can be requested, and planning either from the clinical indication or from the target report. Tool outputs are simulated from the reference report, so the comparison isolates tool availability and orchestration from tool error. With the cleared catalog and the indication alone, the orchestrator recovers under a third of the clinically actionable findings; recovery improves substantially with the unlimited catalog, and further when the plan is written from the target report. Attributing every missed finding to a cause shows that most are classes no cleared device offers for the study's modality, and that a third are classes or tools that were offered and not called. Adding the most frequently missing tools closes most of the gap to the unlimited catalog on held-out reports, whereas a smaller orchestrator with the unlimited catalog gives up the whole gain. Tool availability and effective orchestration are thus complementary constraints on comprehensive AI-assisted radiology reporting.

#02Nov 6, 2026

cs.AI

BitDecoding-FP4: Native FP4 KV Cache Decoding via Algorithm-System Co-Design

Dayou Du, Woon Yee Ng, Guangming Sheng and 3 more

The key-value (KV) cache dominates memory capacity and bandwidth in long-context LLM serving. While 4-bit microscaling formats (NVFP4, MXFP4) shrink the cache and run attention on FP4 Tensor Cores, a fundamental gap remains between algorithmic quantization and system-aware acceleration: existing FP4 KV systems use vanilla quantization that causes severe accuracy drops, whereas accuracy-oriented 4-bit algorithms rely on vector codebooks whose lookup overhead degrades decoding throughput. We present BitDecoding-FP4, an algorithm--system co-design for accurate and efficient native FP4 KV decoding. We mitigate three error sources: Dual-Residual Query Quantization splits queries into two FP4 tensors, cutting query logit error from 60% to 1%; Underflow-Aware Probability Scaling prevents E4M3 scales from rounding long-context probabilities to zero; and Outlier-Aware Key Quantization combines static smoothing, Hadamard rotation, and scale search to suppress key outliers under token-wise scaling. At the system level, we remove the softmax bottleneck via transposed softmax with fused probability quantization and stacked query MMA on paged KV caches. Across dense and MoE models with GQA and MLA, BitDecoding-FP4 stays within 0.5 points of BF16 KV accuracy with NVFP4 (1 point with MXFP4), and tracks BF16 KV in RL training rollouts. In end-to-end serving on NVIDIA B300 with Qwen3-4B and Qwen3-30B-A3B, it delivers 2.4-3.0$\times$ higher peak serving throughput than BF16 KV. The implementation is available at https://github.com/OpenBitSys/BitDecoding-FP4.

#03Nov 6, 2026

cs.CL

Are These Programmers Ripe Enough to Eat? Evaluating How LLMs Handle Lexical Knowledge Conflicts in Translation

Dongxu Wu, Sara Court, Micha Elsner

External lexical resources can help large language models (LLMs) translate texts in low-resource languages and specialized domains, but these resources may conflict with models' prior lexical knowledge. To isolate this conflict, we construct a controlled Mandarin-to-English translation task in which familiar source words are assigned new meanings within and across semantic categories. We treat these prompt-supplied meanings as contextual knowledge (CK) and systematically evaluate the effects of word frequency, sentence context, and prompt framing on the translated outputs. Across nine models, CK reliance is greater for less frequent source words and in sentence contexts that support the supplied meanings. Prompt framing can reduce CK reliance, but seven of nine models favor CK even when explicitly instructed to ignore the supplied meanings. Within model families, larger models are more likely than smaller models to utilize CK in their outputs. Three follow-up experiments further show that modal weakening lowers CK reliance, the effect of repetition depends on prompt layout, and the effect of reasoning varies across models. Overall, our controlled study reveals how CK reliance varies across conditions and models, motivating new methods to detect and evaluate lexical conflicts and guide models' lexical choices in LLM-based translation.

#04Nov 6, 2026

cs.AI

Maya a1: Do the Options Read the Model, or Does Their Position? Order Sensitivity in a Non-Autoregressive Decision Model

Mohammed Nayeem Khan, Logesh L

Laya answers typed multiple-choice questions in one forward pass by scoring a hidden state at one [MASK] marker per option. We re-engineer the checkpoint (421M parameters; a 2-layer option head with no positional tensor; a documented but unused parallel layout) and test whether the answer depends on where an option is listed. Presenting 951 Qwen-verified questions under every cyclic rotation of their options (or six random permutations for 12 options), the released checkpoint changes its answer for 25.8% [22.9-28.7] of questions (19.7% on the 605 English-language items alone); accuracy with the gold option first versus last differs by 10.1 points, and the flips concentrate where the model's own confidence is low (54% versus 8% across confidence terciles). Fine-tuning with Laya's trainer on 2,818 teacher-verified rows with option shuffling cuts the flip rate to 7.2%; the identical rows without shuffling give 11.4%, so shuffling is responsible for 4.2 points of the improvement. A confidence-weighted vote over orderings gives 69.7% against 69.1% for a single base pass at 4.1x the compute. Labels are LLM-made and the test sets are teacher-filtered. We also fine-tune with the authors' parallel layout on the same rows: flip rate 0.5%.

#05Nov 6, 2026

cs.AI

Ensemble Methodology for Reference-Free Confidence Estimation in LLM-based Code Summarization

Marco Colombo, Balaji A Jayaram, Sowmyakumari Selvaraj and 5 more

This paper describes an approach and use case to estimate the correctness of LLM-generated COBOL summaries without access to human-authored references. The core intuition is that inter-model agreement on semantics is informative about truth, and that an LLM-as-judge can provide higher-fidelity pairwise assessments than traditional string- or embedding-based metrics. We operationalise this intuition with (i) controlled summary generation from diverse models; (ii) a LLM evaluator that compares pairs of summaries and emits structured judgments; and (iii) a calibrated aggregation rule that combines supportive evidence while penalising only corroborated contradictions.