Clinical AI systems are evaluated with instruments built for research settings (reference-based similarity metrics and expert rubric panels) that measure resemblance to an artifact rather than reduction of a burden. We introduce KnowBench, pioneered by Knowtex, whose unifying metric is Effort Reduction (ER): the proportion of system-generated clinical work product accepted by the responsible clinician under expert and safety review. ER is defined once and instantiated per task across the administrative workload clinical AI automates: visit notes, diagnosis and billing codes, orders, EHR chart summarization, patient after-visit summaries, and clinical decision support. In every instantiation the construction is identical: the clinician's review-and-attestation event is the ground truth, every accepted unit is work the system completed, and every correction is residual effort returned to the clinician. The primary contribution of this paper is the benchmark itself: the metric, its degenerate cases, and a reporting protocol under which ER claims are auditable and cross-system comparable. Alongside it we report an initial headline measurement from the documentation instantiation: over one million signed encounters across a production window exceeding six months and thirteen medical specialties, Knowtex's proprietary fine-tuned clinical foundation models operating inside a closed feedback architecture achieve an aggregate ER of 97.99%, with per-specialty aggregates spanning 96.8-98.9%. This release reports the protocol's checklist partially, and states which companion statistics are withheld; the benchmark is offered so that this figure, and every figure reported after it, can be held to the same standard.
https://arxiv.org/abs/2609.15794
Researchers assessing competent generative-AI use at work must choose among self-reports, objective tests, and measures of oversight and reliance. We conducted a structured, seeded review of 24 focal empirical publications, starting from the 2024 COSMIN-based review and adding a targeted update through 17 August 2026. We grouped the measures into four domains: knowledge and use, epistemic oversight, reliance calibration, and operational control of tool-using agents. In an exploratory meta-analysis, we pooled three direct subjective-objective correlations from one research program (REML r = .055; Hartung-Knapp 95% CI [-.047, .156]; combined reported N = 2,765). We could not resolve a discrepancy between the largest study's reported correlation and p-value, leaving its weight uncertain. Adding a synthetic mean of 12 cross-factor correlations from a fourth study gave r = .079 (95% CI [-.025, .181]). This sensitivity analysis concerns a broader comparison. From this small evidence base, we cannot establish a population correlation, validate workplace cutoffs, or justify substituting self-ratings for performance scores. We identified tests of foundation knowledge (AICOS-S and GLAT) and measures of verification, reliance, trust, and dependency. We found no validated individual-level instrument in the focal corpus that tests the full combination of agent scope, permissions, recovery, state isolation, independent review, and evidence-based closure; some cover subsets. We propose a four-layer workplace battery with non-compensatory decision rules, but have not tested its thresholds or whether it improves on other assessment approaches.
https://arxiv.org/abs/2609.15624
Adding answer options can lower multiple-choice scores without improving assessment validity. Turkish MMLU Pro examines this distinction using 12,000 Turkish-source questions across 58 sections. Each question retains its stem, five original options and source key, and receives five options copied from other questions in the same section. Sentence-embedding retrieval proposes candidates; a language model selects existing identifiers. Deterministic verification reconstructs all 60,000 additions. A 25-model calibration exposes scoring and generation-budget effects. Five evaluations produce source-key accuracies of 34.8%-81.4%. On 981 shared questions, one API-served model falls from 93.7% with five choices to 83.1% with ten; 102 of 115 lost correct responses select borrowed options. The decrease is 24.4 percentage points on heuristically flagged negative stems and 5.9 points elsewhere. A completed human-checked audit of 200 sampled questions, with undocumented reviewer tool use, yields 47 and 31 multiple-answer judgments across the two record sets, 25 of the latter unresolved. These records support concern about ambiguity, while their dependence and incomplete reviewer-method documentation limit validation. Because order and labels also change, the paired comparison measures augmentation as implemented. The contribution is a traceable construction and an analysis of its validity limits, not evidence that lower ten-choice scores measure knowledge better.
https://arxiv.org/abs/2609.15467
Using food package images to monitor sodium and salt content against South Africa's R214 sodium limits is challenging when screening decisions require product identity, nutrition facts panel evidence, reporting basis, and category-specific thresholds. This study presents a conservative image-based workflow that combines region detection, optical character recognition (OCR), product identity and sodium evidence extraction, R214 category assignment, deterministic threshold comparison, and independent vision language model comparison. The evaluation used 442 packaged food products and 3 929 full package images from a real-world South African food packaging dataset. A YOLO26s small detector generated 4 195 region crops, and strict post-processing produced one sodium evidence row per product. The integrated workflow produced 290 OUTSIDE R214 SCOPE, 139 REVIEW, seven SCREEN-PASS, and six SCREEN-FAIL outcomes. The independent Qwen2.5-VL 7B vision language model workflow produced 387 OUTSIDE R214 SCOPE, 31 REVIEW, twenty SCREEN-PASS, and four SCREEN-FAIL outcomes. The workflows agreed on exact R214 category assignment for 415 of 442 products (93.9%) and on whether the assigned category was within R214 scope for 416 of 442 products (94.1%). Final screening outcome agreement was 307 out of 442 products, or 69.5%. Manual verification on 60 products showed lower strict outcome agreement than regulated status agreement, while all manual INSUFFICIENT DATA cases were kept out of SCREEN-PASS and SCREEN-FAIL by both automated workflows. The findings show that conservative image-based screening can organise package evidence, identify clear cases, and assign uncertain cases to REVIEW rather than forcing SCREEN-PASS or SCREEN-FAIL decisions.
https://arxiv.org/abs/2609.15427
Language models compute over tokens: language is their input, their output, and increasingly their internal representation. Whether language should keep all of these positions depends on what language does to the system that uses it. The one system with a century of data on that question is the human. We review what language does to human perception, the brain, and thought, and read the same evidence against multimodal models and language models. Throughout, we treat language as a compressor that runs on a shared codebook: a word is an index, the content is in the receiver, and a community maintains the codebook. In humans the compression is measurable, learning the codebook reorganizes the senses, and thought survives the loss of language. We then measure the rule that models apply when two cues disagree, with cue-conflict experiments on six vision-language models and two robot policies. Surviving cues are weighted in the order their reliabilities prescribe, at 11 to 82\% of the ideal observer's slope, and many answers copy the text. One policy family drops a cue that adds no information beyond the others rather than down-weighting it, another keeps it at a weight that fails when the cues conflict, and a visual cue that identifies the task in every training frame is never learned, because the language pathway already fits the data. Language models are the best current models of the human language network, and they have entered the human speech community, shifting word frequencies while alignment narrows their conceptual diversity. We close with seven implications for token-based systems. Language belongs at a model's boundary and in the shared codebook, as in the brain, not as its internal representation; the price of leaving the codebook inside is auditability.
https://arxiv.org/abs/2609.07474
Music retrieval is relation-dependent: given a reference track, a listener may seek its style with a new theme, a cover, or a comparable voice, and these intents demand contradictory rankings. We present MUUNRiver-Bench, a diagnostic benchmark whose reference-audio queries use natural-language instructions to define relevance. A pipeline combining expert genre priors, LLM-generated prompts and lyrics, synthesis, and expert review yields 3,440 tracks spanning 13 genres and 116 sub-genres, and seven tasks: similar-music, style-preserving lyric-rewriting, lyric-preserving style-rewriting, cover, vocal-timbre, isolated-vocal, and segment retrieval. Across six models in eight configurations, task-wise rank reversals reveal complementary biases: acoustic encoders favour local identity, whereas text-aligned encoders favour semantic relations. Frozen encoders diagnose default similarity preferences; instruction-aware and audio-text fusion systems provide exploratory tests of textual conditioning, with neither simple fusion scheme consistently improving its backbone
https://arxiv.org/abs/2609.16090
Automatic Item Generation (AIG) is pivotal for personalized education, yet guaranteeing the pedagogical value of generated items remains a bottleneck. Existing Item Quality Assessment (IQA) methods typically rely on unscalable manual reviews or shallow stem-based metrics, failing to capture the reasoning process required for mathematical problem-solving. To bridge this gap, this paper proposes Process-based Item Quality Assessment (ProIQA), a process-aware framework for fine-grained quality assessment of math items. We first formulate IQA across three heterogeneous dimensions, including knowledge concepts, difficulty, and disciplinary competencies, under a unified process-aware perspective. Based on this formulation, we construct a process-enhanced IQA resource by augmenting original item data with structured reasoning trees derived from raw solutions. Technically, ProIQA leverages Large Language Modelsto construct hierarchical reasoning trees and employs Graph Neural Networks (GNN) to encode their topological dependencies and procedural semantics. The resulting solving representation is fused with stem semantics through a dual-view (``Stem + Solving'') architecture, enabling comprehensive assessment across learning objectives. Extensive experiments on K12 mathematical datasets show that ProIQA effectively captures process-oriented features, offering a scalable data-driven solution for evaluating AIG outputs in intelligent education systems.
https://arxiv.org/abs/2609.15292
When a direct proof of a statement $S$ seems hard or even impossible to obtain, there may exist another statement (or set of statements) $S^{*}$, somehow related to $S$, on the basis of which $S$ can be proved. In order to investigate what options can be used to move from $S$ to $S^{*}$, four kinds of semiotic relations inspired by the four master tropes of semiotic research are briefly reviewed. Specifically, our syntagmatic, paradigmatic, antithetic and meronymic relations correspond, respectively, to metonymy, metaphor, irony and synecdoche. It is suggested that these four semiotic relations determine the options to move from $S$ to $S^{*}$, leading to proof by inference, proof by analogy, proof by contradiction, and proof by case analysis. To examine how the four relations are actually used across different kinds of argument, we complement the framework with an empirical study. We turn the four relations into explicit operational definitions and apply them to a cross-genre corpus of mathematical, legal, and everyday argument using a panel of large language models. We find that the relations are used very unevenly across genres: mathematical proofs draw on all four, whereas legal and everyday reasoning rely almost entirely on inference.
https://arxiv.org/abs/2609.15194
Since late 2022, a Limitations section has become mandatory at many top-tier NLP conferences. The growing number of accepted papers at these venues has resulted in a vast corpus of self-reported limitations that cannot all be manually reviewed, yet remains systematically unanalyzed. Therefore, in this paper, we conduct a large-scale analysis of the Limitations sections from ACL and EMNLP papers published between 2020 and 2025 to understand what researchers disclose about their own work. To do so, we implement a novel human-AI framework for iterative hybrid qualitative coding. This framework enables us to investigate trends in self-reported limitations over time, their correlations with specific paper attributes, and the writing patterns that recur around these disclosures. Our findings offer a critical reflection on the diverse reported challenges as well as the self-reporting practices of researchers in the NLP community.
https://arxiv.org/abs/2609.15191
When several retrieved sources support the same claim, an answer engine cites some but not others. We call this decision citation allocation and introduce CITECHOICE, a causal audit of authentic multi-turn agentic search. From 129 everyday-query transcripts, CITECHOICE selects 113 same-call document pairs with independently verified support for the same pre-specified fact, without observing ranks or answer outcomes; blinded human review confirms 103. It runs a hash-verified 2-by-2 replay crossing pair order with jointly generated, fidelity-checked structured and prose renderings of one target while the rest of the transcript remains fixed. Three results emerge. First, and most importantly, structured rendering concentrates citation credit rather than clearly increasing source admission. It raises target citation count by +0.50 citations per answer (95 percent CI [+0.20, +0.84]; Holm-adjusted p=.033), without increasing total citations or reducing competitor credit. The pre-specified incidence effect (whether the target is cited at all) is +4.5 percentage points and inconclusive (95 percent CI [-1.4, +10.4]; p=.168). Second, observational position differences exceed controlled reordering effects: the citation-rate gap between rank 1 and rank 5 is 42.3 percentage points, compared with +7.9 percentage points in the main replay and 0.0 percentage points held out. Third, citation evaluation has a measurable noise floor. Although the aggregate count effect repeats under fresh decoding of 30 frozen families, 15 percent of binary decisions change and decoding accounts for an estimated 45 percent of single-generation family-effect variance. Together, these findings isolate what survives control: presentation can causally redistribute visible citation credit within frozen transcripts. They do not establish reliable source admission, a pure formatting mechanism, or a general rank advantage.
https://arxiv.org/abs/2609.15164
An image tool can change its underlying generator while retaining its public name, making version attribution from online posts ambiguous. We study this problem after the ChatGPT Images 2.5 launch. Our frozen collection contains 3,478 images from 2,440 posts across 8 sources. Recorded posting times fall within the first 51.1 hours after the announcement. It records three attribution tiers and retains standalone images after image-form filtering and targeted review. Caption claims and host records provide admission evidence, not independently verified generator identity. The observed content profile depends on the source mixture: NightCafe supplies 39.0% of images but 77.0% of CLIP-assigned fantasy scenes. We then evaluate six frozen detectors at thresholds calibrated to a 5% flag rate on reference photographs. Collection flag rates range from 3.7 to 56.4%, falling 42-81 percentage points below GenImage recall. Held-out artwork false-positive rates range from 1.5 to 96.5%, so a higher collection flag rate does not by itself establish better detection. An exploratory X-only comparison with our April collection finds a higher September flag rate for Effort, and a suggestive difference for DoU, under fixed-threshold post-clustered bootstrap intervals. Attribution, content and processing differences prevent a causal interpretation of these contrasts. The collection supports analysis of reported model use during a product transition, with source and attribution evidence retained for interpretation.
https://arxiv.org/abs/2609.15100
Synthetic perturbations appear to offer inexpensive calibration data for LLM evaluators in biomedical ML, where expert review is scarce. Yet a planted mutation key is neither a detector output nor automatically human ground truth. We formalize four distinct ledgers: planted perturbations, independent detector outputs, source-linked human dispositions, and human-added discoveries. We then audit the evaluation design, scoring code, read paths, and current human records of a private synthetic Japanese care-handoff workflow. The factory stored 69 planted error cards across 47 targets. Final review covers 22 targets and contains 22 confirmed imported proposals, 9 rejected proposals, and 79 human-added cards; only 3 reviewed targets are double annotated. Passing imported plant keys to a generic detector scorer yields 22/(22+9)=0.710 and 22/(22+79)=0.218. A direct audit identity shows that these values are proposal-confirmation yield and submitted-ledger composition, not judge precision and recall, because no independent detector realization was preserved for the audited proposals in the available records. The audit also finds source-name collisions, row shadowing, forced severity, vacuous ratio defaults, and unsupported zero-support field weights. We contribute a provenance-aware claim audit, a storage contract, and a minimum calibration gate for responsibly communicating biomedical ML capability claims. This single-workflow forensic case is an existence proof of a failure mode, not an estimate of its prevalence: existing human work supports an exploratory audit of synthetic proposals, but not LLM-judge operating characteristics, clinical validity, corpus prevalence, or robust inter-annotator agreement.
https://arxiv.org/abs/2609.15015
As large language models become capable translators of classical texts, a key challenge is deciding which outputs need expert review when no human reference exists. This study tests reference-free error triage through Pali-to-English translation. Three LLMs translated 15,493 passages. Five signals were compared: source novelty, source-candidate embedding distance, peer-translation disagreement, English-to-Pali backtranslation, and no-reference GEMBA scoring. Signals were calibrated on a 3,000-item reference-informed LLM-adjudicated sample and checked against a 500-item author-adjudicated anchor. Human references supported calibration and validation only; they were never used to compute the risk signals. Source novelty was a useful source-side risk prior but not a per-candidate error detector. Peer disagreement and backtranslation provided secondary signal. The strongest method was no-reference GEMBA scoring by a panel of models generally regarded as stronger than the translators: reviewing the top 10% by GEMBA risk captured 81.6% of panel-major errors in the calibration set. GEMBA also remained the best reference-free signal against the author anchor. A same-tier panel, with self-scoring excluded, remained useful but performed worse, indicating that evaluator strength matters beyond the prompt alone. A budgeted workflow is proposed, combining source novelty, peer disagreement, and stronger candidate-aware judging to allocate human review. Transfer to other classical languages, including Latin, Ancient Greek, and Sanskrit, remains to be tested.
https://arxiv.org/abs/2609.14963
Large language models (LLMs) have a growing range of applications in medicine, and their evaluation is critical for ensuring they provide benefit and not harm. This evaluation can be more challenging than traditional machine learning for many reasons, including probabilistic and open-ended outputs, and behavior that shifts with prompt design and accumulated context. This review covers four key areas of LLM evaluation: principles of study design, statistical methods, capability evaluation and clinical context evaluation. Capability evaluation considers different benchmarks, including multiple-choice, agentic and multi-turn benchmarks, alongside operational metrics like token usage. Clinical context evaluation addresses establishing accuracy of free text outputs, such as human review and LLM-as-a-judge, and clinical trial approaches. Across sections, we describe underlying concepts and potential pitfalls, while emphasizing the importance of aligning evaluation methods with the research question. Together, this article aims to provide a pragmatic basis for designing and executing rigorous evaluations of healthcare LLMs.
https://arxiv.org/abs/2609.14819
Hierarchical orchestration, in which a Manager agent reviews worker output and can send it back for revision, is the default coordination pattern in production multi-agent LLM frameworks. Classical organizational theory predicts that the authority link speeds convergence on decisive output; work on sycophancy and Degeneration-of-Thought predicts that authoritative critique makes LLM output worse. Prior comparisons vary whole frameworks on tasks with checkable answers, leaving the authority link untested on open-ended work. We present a paired experiment that holds five LLM agents, their roles, prompts, tools, models, and data fixed and varies one link: whether the Manager may reject a worker's output and oblige a revision. Across 43 paired products and 86 runs of a business-intelligence reporting task, a five-model judge panel and a deterministic specification check score every report. The flat organization scores higher on Utility (d = 0.42, p = 0.009) and on Writing Clarity (d = 0.34, p = 0.030); the classical prediction fails. The reports are the same length, but hierarchical reports hedge 53% more, each revision loop is associated with a 0.14-point drop in Writing Clarity, and the hierarchical Writer's first draft is indistinguishable from the flat report: the gap opens inside the revision loop. Specification accuracy is at ceiling in both organizations, and the supervisory tier costs 51.5% more tokens for no quality gain. A supervisor pays for itself when it can verify and becomes a liability when it can only opine.
https://arxiv.org/abs/2609.14767
Visual feedback in the form of user-uploaded images and videos is becoming increasingly common in e-commerce platforms because it provides authentic evidence of product quality, defects, packaging conditions, and real-world usage. However, visual feedback alone often lacks the contextual explanations and subjective opinions necessary for informed decision-making, while many users provide limited textual feedback due to the effort required to compose detailed reviews. To bridge this gap, we introduce image-grounded review assistance, a novel task that aims to generate editable review drafts from user-uploaded product images. Unlike conventional image captioning, which focuses on objective visual description, the proposed task requires product-specific understanding, sentiment estimation, and evidence-driven review composition under challenging real-world conditions, including degraded image quality, excessive zoom-in, target ambiguity, and partial product visibility. We propose a multi-agent vision-language framework consisting of four specialised roles: product grounding, visual sentiment estimation, visual evidence generation, and review synthesis. The framework employs explicit intermediate representations, including product entities, predicted ratings, and evidence summaries, to improve interpretability and visual grounding. Experiments on a curated subset of the Amazon Reviews Electronics dataset demonstrate the feasibility of generating coherent, product-aware, and sentiment-aware review drafts from visual feedback. To the best of our knowledge, this is the first study to formulate image-grounded review assistance as a multi-agent vision-language reasoning problem, providing a practical step toward AI-assisted review authoring in e-commerce systems.
https://arxiv.org/abs/2609.14761
Automated reviewing systems are increasingly evaluated based on the quality of the reviews they produce. Yet a review is only useful if acting on it leads to a measurable improvement in the paper. We present AppliedScientist, a closed-loop system that couples an autonomous AI scientist with an AI reviewer, and evaluate it by iteratively revising rejected papers from a range of research subfields. To mirror how human authors build on earlier drafts, the AI scientist has access to its previous versions during revision. To avoid bias from prior judgments, however, each review is generated independently, with the reviewer having no memory of earlier feedback or scores. We compare three revision settings: one initialized with the original venue reviews, one initialized with AI-generated reviews, and autonomous self-revision using the same fixed prompt in every round. Because the reviewer both guides and evaluates the revision, we also assess the human-initialized revisions using Stanford Reviewer as an independent evaluator. Reviewer-guided revision consistently improves more than fixed-prompt self-revision, and Stanford Reviewer also assigns higher scores to later revisions. AppliedScientist resolves 128 of 150 execution-related weaknesses (85.3%), but only 2 of 18 idea-related weaknesses (11.1%), suggesting that iterative revision is effective at improving experiments and implementation, but rarely changes concerns about novelty or significance.
https://arxiv.org/abs/2609.14738
Robots operating in open environments act under partial observability, physical constraints, and dynamic task contexts. Beyond mapping observations and language instructions to actions, they must anticipate how candidate actions may affect future states and task-relevant outcomes. Recent advances in world models, video generation, and Vision-Language-Action (VLA) policies have motivated the development of World-Action Models (WAMs), which couple future world prediction with executable action generation. This survey provides a robotics-oriented review of WAMs. We clarify their scope relative to conventional world models, model-based reinforcement learning, action-conditioned video generation, and reactive VLA policies, and organize existing methods through a unified taxonomy covering representations, transition modeling, action interfaces, architectures, training pipelines, data modalities, and scaling strategies. We further review applications of WAMs in manipulation, navigation, and autonomous driving, and we summarize the datasets, benchmarks, metrics, and protocols used to evaluate WAM systems. Finally, we discuss key challenges in action alignment, world-action factorization, spatial and multi-view consistency, long-horizon memory, neural simulation for closed-loop policy learning, and efficient inference. Taken together, this survey aims to provide a concise technical foundation for integrating predictive world modeling with action generation, toward more reliable embodied robot intelligence. Project page: this https URL.
https://arxiv.org/abs/2609.16074
Large language model agents are increasingly deployed for long-horizon task execution. However, current evaluation paradigms face three major limitations: terminal-only assessment ignores intermediate processes and struggles to localize errors efficiently and accurately, single-reference matching penalizes valid alternative solution paths, and post-hoc trajectory judging incurs high costs without the ability to halt failed runs early. To address these issues, we propose DynSTEER, a dynamic stage-wise trajectory evaluation framework for agents. DynSTEER segments rollouts into stages anchored by key completed actions, focusing evaluation on essential milestones with adequate context while enabling targeted strategy adjustments. It compiles a path-tolerant milestone graph from public task views to respect diverse legitimate strategies without leaking ground truth. Furthermore, it adaptively routes evaluation queries across multi-tier judges and halts unrecoverable executions online to curb resource waste. Experiments demonstrate that DynSTEER improves evaluation discriminability across LLM agents by 85.2\% over native evaluation, separates all model pairs with statistical significance, and saves 34.51\% of execution steps on failed rollouts.
https://arxiv.org/abs/2609.14637
LLM-based sequential recommenders usually cast next-item prediction as text generation, but this interface is poorly matched to full-catalog top-K ranking. We propose TATK, a Triple-Aware framework that couples Top-K Learning (TKL) with Knowledge-Grounded Verification (KGV) for LLM-based sequential recommendation. Top-K Learning combines context-aware metadata-KG prompt grounding with position-aware top-K rewards, aligning training with ranking utility; Knowledge-Grounded Verification then applies structure-aware reranking over the top-M candidates after a single LLM forward pass, using the same metadata-derived item graph. We evaluate TATK on Musical Instruments, CDs and Vinyl, and Video Games from Amazon Reviews 2023 under a matched R2ec-style full-catalog protocol. Experiments use Gemma-2-2B-It and Qwen2.5-3B-Instruct backbones, compare against sequential, generative, KG-augmented, and reasoning-enhanced baselines, and include component, reward-shape, sequence-perturbation, reranking, relation-quality, and candidate-pool diagnostics. TATK improves over the matched R2ec reproduction on all 36 reported metrics. On NDCG@10, it improves Qwen by 8.05%, 4.26%, and 3.78% on the three datasets, and improves Gemma by 27.03%, 10.52%, and 10.23%, while keeping inference within 1.17x of Base RecPO latency. The diagnostics show that structural evidence is most useful for recoverable top-M candidates with reliable KG support, and should be gated when metadata relations are sparse or noisy.
https://arxiv.org/abs/2609.14565