Daily Papers

An accurate differential diagnosis (DDx) is a cornerstone of medical care, often reached through an iterative process of interpretation that combines clinical history, physical examination, investigations and procedures. Interactive interfaces powered by Large Language Models (LLMs) present new opportunities to both assist and automate aspects of this process. In this study, we introduce an LLM optimized for diagnostic reasoning, and evaluate its ability to generate a DDx alone or as an aid to clinicians. 20 clinicians evaluated 302 challenging, real-world medical cases sourced from the New England Journal of Medicine (NEJM) case reports. Each case report was read by two clinicians, who were randomized to one of two assistive conditions: either assistance from search engines and standard medical resources, or LLM assistance in addition to these tools. All clinicians provided a baseline, unassisted DDx prior to using the respective assistive tools. Our LLM for DDx exhibited standalone performance that exceeded that of unassisted clinicians (top-10 accuracy 59.1% vs 33.6%, [p = 0.04]). Comparing the two assisted study arms, the DDx quality score was higher for clinicians assisted by our LLM (top-10 accuracy 51.7%) compared to clinicians without its assistance (36.1%) (McNemar's Test: 45.7, p < 0.01) and clinicians with search (44.4%) (4.75, p = 0.03). Further, clinicians assisted by our LLM arrived at more comprehensive differential lists than those without its assistance. Our study suggests that our LLM for DDx has potential to improve clinicians' diagnostic reasoning and accuracy in challenging cases, meriting further real-world evaluation for its ability to empower physicians and widen patients' access to specialist-level expertise.

Media bias detection is a critical task in ensuring fair and balanced information dissemination, yet it remains challenging due to the subjectivity of bias and the scarcity of high-quality annotated data. In this work, we perform sentence-level bias classification by fine-tuning a RoBERTa-based model on the expert-annotated BABE dataset. Using McNemar's test and the 5x2 cross-validation paired t-test, we show statistically significant improvements in performance when comparing our model to a domain-adaptively pre-trained DA-RoBERTa baseline. Furthermore, attention-based analysis shows that our model avoids common pitfalls like oversensitivity to politically charged terms and instead attends more meaningfully to contextually relevant tokens. For a comprehensive examination of media bias, we present a pipeline that combines our model with an already-existing bias-type classifier. Our method exhibits good generalization and interpretability, despite being constrained by sentence-level analysis and dataset size because of a lack of larger and more advanced bias corpora. We talk about context-aware modeling, bias neutralization, and advanced bias type classification as potential future directions. Our findings contribute to building more robust, explainable, and socially responsible NLP systems for media bias detection.

Enhancing the multimodal reasoning capabilities of Multimodal Large Language Models (MLLMs) is a challenging task that has attracted increasing attention in the community. Recently, several studies have applied Reinforcement Learning with Verifiable Rewards (RLVR) to the multimodal domain in order to enhance the reasoning abilities of MLLMs. However, these works largely overlook the enhancement of multimodal perception capabilities in MLLMs, which serve as a core prerequisite and foundational component of complex multimodal reasoning. Through McNemar's test, we find that existing RLVR method fails to effectively enhance the multimodal perception capabilities of MLLMs, thereby limiting their further improvement in multimodal reasoning. To address this limitation, we propose Perception-R1, which introduces a novel visual perception reward that explicitly encourages MLLMs to perceive the visual content accurately, thereby can effectively incentivizing both their multimodal perception and reasoning capabilities. Specifically, we first collect textual visual annotations from the CoT trajectories of multimodal problems, which will serve as visual references for reward assignment. During RLVR training, we employ a judging LLM to assess the consistency between the visual annotations and the responses generated by MLLM, and assign the visual perception reward based on these consistency judgments. Extensive experiments on several multimodal reasoning benchmarks demonstrate the effectiveness of our Perception-R1, which achieves state-of-the-art performance on most benchmarks using only 1,442 training data.

Self-consistency has emerged as a popular technique for improving large language model accuracy on reasoning tasks. The approach is straightforward: generate multiple reasoning paths and select the most common answer through majority voting. While this reliably boosts accuracy, it remains unclear whether these gains reflect genuine improvements in reasoning quality. We investigate a fundamental question that has not been studied before: does inference scaling improve reasoning faithfulness? We conduct a comprehensive empirical study across four frontier models (GPT-5.2, Claude Opus 4.5, Gemini-3-flash-preview, and DeepSeek-v3.2) on 100 GSM8K mathematical reasoning problems. Our analysis employs bootstrap confidence intervals, McNemar's tests for paired comparisons, and Cohen's d effect sizes to quantify the effects rigorously. The results reveal striking differences across models that challenge common assumptions about self-consistency. GPT-5.2 shows the expected pattern: accuracy improves from 78% to 90% at N=5, with faithfulness remaining relatively stable (0.540 to 0.510). Claude Opus 4.5 tells a completely different story. Its accuracy actually drops from 78% to 74.3% while faithfulness jumps dramatically from 0.270 to 0.891 at N=5. DeepSeek-v3.2, already at 98% accuracy, shows ceiling effects with modest faithfulness gains (0.440 to 0.541). Gemini-3-flash improves from 81% to 86% accuracy with a slight faithfulness decrease (0.260 to 0.212). Problem difficulty analysis reveals that GPT-5.2 solves 82% of hard problems while breaking only 13% of easy ones. Claude, in contrast, breaks 23% of easy problems, explaining its accuracy decrease. These findings matter for practitioners: self-consistency is not universally beneficial, and teams should test their specific models before deployment. We release our code and provide practical recommendations for navigating these tradeoffs.

Recent work on chain-of-thought (CoT) faithfulness reports single aggregate numbers (e.g., DeepSeek-R1 acknowledges hints 39% of the time), implying that faithfulness is an objective, measurable property of a model. This paper demonstrates that it is not. Three classifiers (a regex-only detector, a two-stage regex-plus-LLM pipeline, and an independent Claude Sonnet 4 judge) are applied to 10,276 influenced reasoning traces from 12 open-weight models spanning 9 families and 7B to 1T parameters. On identical data, these classifiers produce overall faithfulness rates of 74.4%, 82.6%, and 69.7%, respectively, with non-overlapping 95% confidence intervals. Per-model gaps range from 2.6 to 30.6 percentage points; all are statistically significant (McNemar's test, p < 0.001). The disagreements are systematic, not random: inter-classifier agreement measured by Cohen's kappa ranges from 0.06 ("slight") for sycophancy hints to 0.42 ("moderate") for grader hints, and the asymmetry is pronounced: for sycophancy, 883 cases are classified as faithful by the pipeline but unfaithful by the Sonnet judge, while only 2 go the other direction. Classifier choice can also reverse model rankings: Qwen3.5-27B ranks 1st under the pipeline but 7th under the Sonnet judge; OLMo-3.1-32B moves in the opposite direction, from 9th to 3rd. The root cause is that different classifiers operationalize related faithfulness constructs at different levels of stringency (lexical mention versus epistemic dependence), and these constructs yield divergent measurements on the same behavior. These results demonstrate that published faithfulness numbers cannot be meaningfully compared across studies that use different classifiers, and that future evaluations should report sensitivity ranges across multiple classification methodologies rather than single point estimates.

In August 2025, OpenAI released GPT-OSS models, its first open weight large language models since GPT-2 in 2019, comprising two mixture of experts architectures with 120B and 20B parameters. We evaluated both variants against six contemporary open source large language models ranging from 14.7B to 235B parameters, representing both dense and sparse designs, across ten benchmarks covering general knowledge, mathematical reasoning, code generation, multilingual understanding, and conversational ability. All models were tested in unquantised form under standardised inference settings, with statistical validation using McNemars test and effect size analysis. Results show that gpt-oss-20B consistently outperforms gpt-oss-120B on several benchmarks, such as HumanEval and MMLU, despite requiring substantially less memory and energy per response. Both models demonstrate mid-tier overall performance within the current open source landscape, with relative strength in code generation and notable weaknesses in multilingual tasks. These findings provide empirical evidence that scaling in sparse architectures may not yield proportional performance gains, underscoring the need for further investigation into optimisation strategies and informing more efficient model selection for future open source deployments.