Robust anatomical segmentation of chest X-rays (CXRs) remains challenging due to the scarcity of comprehensive annotations and the substantial variability of real-world acquisition conditions. We propose AnyCXR, a unified framework that enables generalizable multi-organ segmentation across arbitrary CXR projection angles using only synthetic supervision. The method combines a Multi-stage Domain Randomization (MSDR) engine, which generates over 100,000 anatomically faithful and highly diverse synthetic radiographs from 3D CT volumes, with a Conditional Joint Annotation Regularization (CAR) learning strategy that leverages partial and imperfect labels by enforcing anatomical consistency in a latent space. Trained entirely on synthetic data, AnyCXR achieves strong zero-shot generalization on multiple real-world datasets, providing accurate delineation of 54 anatomical structures in PA, lateral, and oblique views. The resulting segmentation maps support downstream clinical tasks, including automated cardiothoracic ratio estimation, spine curvature assessment, and disease classification, where the incorporation of anatomical priors improves diagnostic performance. These results demonstrate that AnyCXR establishes a scalable and reliable foundation for anatomy-aware CXR analysis and offers a practical pathway toward reducing annotation burdens while improving robustness across diverse imaging conditions.
Open-Set Test-Time Adaptation (OSTTA) operates on non-stationary target streams where covariate and semantic shifts coexist. Existing TTA methods often obtain adaptation signals by updating model parameters or maintaining mutable memories, which can be costly and vulnerable to unknown samples. We present TALOR, a lightweight, backward-free rectification module that uses the source linear head as a geometric anchor. The head-induced basis decomposes each normalized feature into high-gain principal coordinates and low-gain tail coordinates. TALOR estimates a soft-routed affine correction in the principal subspace, combining a regime-level principal bias with a tail-conditioned slope that captures sample-level tail-to-principal coupling. Using weighted ridge regression, it subtracts this drift estimate from the principal coordinates, reconstructs the feature and feeds it into the source head. On the ImageNet-C benchmark with six csOOD datasets, TALOR outperforms the next-best UniEnt by 2.2% H-score while running 2.5x faster and using only 12% of its GPU memory; as a post-correction plug-in, it further boosts COME to 68.4% H-score with only 2% additional memory overhead.
Omnimodal large language models (Omni-LLMs) are increasingly expected to assist users while observing continuous audiovisual streams. However, existing evaluations provide limited insight into how reliably these models connect stream evidence and user needs to timely, sustained interventions. We introduce \textbf{Omni-InteractScope}, a benchmark of 1,479 human-annotated, cross-reviewed interactions with 1,790 temporal targets across eight task groups. It links input modalities, event triggers, intervention types, and user needs, covering event-timed tool invocation and query-free assistance alongside notifications, warnings, state tracking, and continuous responses. Our experimental results on the proposed benchmark reveal three critical limitations of current Omni-LLMs: (1) \textbf{Timely tool invocation remains unreliable}: all 12 evaluated models produce an on-time first response for at most 40\% of tool-invocation targets, and joint timing-and-tool accuracy reaches at most 32.0\%. (2) \textbf{Query-free reminders remain poorly covered}: all evaluated models achieve lower timely reference-target recall on query-free reminders than on explicit questions, measured on their respective target sets. Reminder recall never exceeds 23.0\%. (3) \textbf{End-to-end guidance coverage remains limited}: nine models cover none of the 26 guidance sequences in full, and the remaining three cover only one to three sequences each. Targeted controls further show that tool-invocation scores alone do not establish event grounding and that reminder coverage depends on response history and frequency. These findings motivate developing and evaluating streaming assistants for timely action, initiative under general user needs, and coverage of entire response sequences.
Yang Yue, Zhiqi Chen, Rui Lu, Andrew Zhao, Zhaokai Wang, Yang Yue, Shiji Song, Gao Huang
Reinforcement Learning with Verifiable Rewards (RLVR) has recently demonstrated notable success in enhancing the reasoning performance of large language models (LLMs), particularly on mathematics and programming tasks. Similar to how traditional RL helps agents explore and learn new strategies, RLVR is believed to enable LLMs to continuously self-improve, thus acquiring novel reasoning abilities beyond those of the corresponding base models. In this study we critically examine the current state of RLVR by systematically probing the reasoning capability boundaries of RLVR-trained LLMs across various model families, RL algorithms, and math, coding, and visual reasoning benchmarks, using pass@k at large k values as the evaluation metric. Surprisingly, we find that the current training setup does not elicit fundamentally new reasoning patterns. While RLVR-trained models outperform their base models at small k (e.g., k = 1), the base models achieve a higher pass@k score when k is large. Coverage and perplexity analyses show that the observed reasoning abilities originate from and are bounded by the base model. Treating the base model as an upper bound, our quantitative analysis shows that six popular RLVR algorithms perform similarly and remain far from optimal in leveraging the potential of the base model. By contrast, we find that distillation can introduce new reasoning patterns from the teacher and genuinely expand the model's reasoning capabilities. Overall, our findings suggest that current RLVR methods have not yet realized the potential of RL to elicit truly novel reasoning abilities in LLMs. This highlights the need for improved RL paradigms, such as continual scaling and multi-turn agent-environment interaction, to unlock this potential.