Autoregressive image generation has recently emerged as a competitive visual generation paradigm, yet its generation order is often predefined or heuristic, such as next-patch prediction, random-order prediction, or one-step generation for specific scales. We observe that these strategies can cause models to overlook important structural dependencies in images, thereby limiting both structural robustness and reasoning capability. In this work, we propose a context-aware autoregressive generation framework, where the model dynamically determines the next token location based on global context and current local information. Rather than following a fixed or random order, our method allows the generation process to adapt to image structure and semantic dependencies. Extensive experiments show that context-aware generation significantly improves structural robustness across different image AR paradigms, including masked autoregressive and scale-wise autoregressive models. Beyond quantitative improvements, we further observe emerging reasoning properties: the model can better understand complex semantic instructions and generate images that more faithfully follow the given guidance. These findings suggest that generation order is a critical yet underexplored factor in image autoregressive modeling, and that context-aware decoding can unlock stronger reasoning-aware visual generation capabilities. Code is available at https://github.com/Hpesojyjx/Saccades-AR.
Clinical genomic analysis requires experts to integrate evolving guidelines, databases, and computational evidence. As sequencing has become increasingly accessible, this complex and labor-intensive process has become a major bottleneck to the timely use of genomic information in clinical decision-making. To fill this gap, we developed ClinGeX, a large-language-model agent that composes 105 curated executable skills through task-specific retrieval and dependency-aware orchestration. On 223 temporally held-out benchmark cases, ClinGeX achieved 71.7\% macro-averaged task-level concordance with expert reference classifications, compared with 45.7\% for the strongest comparator. In a three-condition, counterbalanced human-AI collaboration study, 45 clinical genomic professionals assessed 135 clinically derived cases under routine (no AI assistance), DeepSeek-assisted and ClinGeX-assisted conditions. ClinGeX assistance increased raw case-level concordance across criterion-level variant analysis, genomic interpretation in rare disease and molecular oncology decision-making (51.1\%, 57.8\%, 64.4\% versus 15.6\%, 31.1\%, 20.0\% in comparator conditions) and reduced reported interpretation time in all scenarios. During an exploratory one-month real-world non-interventional assessment, 11 experienced professionals submitted feedback on 96 self-selected analysis episodes and reported frequent conclusion adoption and time savings. These findings support executable domain skills as a promising approach to augment specialist genomic interpretation.