Preprint Open access
Large language models (LLMs) and vision-language models (VLMs) are usually frozen after deployment, so they do not learn from the cases they solve. This is especially concerning in medicine, where new clinical evidence, updated guidelines, and new therapies can change established practice. Fine-tuning can update the mo …
Preprint Open access
Competent agents need precise and verifiable environments, such as sandboxes that are resumable at any stage and evolve from observable evidence. However, most long-horizon work exposes how rare these are: for example, an agent in medical research must ground a finding, classify it, and write a report over dozens of de …
Preprint Open access
In recent years, LLM-based multi-agent systems have been widely applied to orchestrate tool-using agents into executable communication graphs. However, existing self-evolving orchestration still faces key challenges, including post-hoc evolution that revises the team only after the trajectory ends, credit diffusion tha …
Preprint Open access
We present NV-Reason-CT, a generative vision--language model for chest and abdominal CT combining native 3D visual encoding with radiologist-guided reasoning. The model couples a native 3D vision transformer with a language model, passing all visual tokens and their explicit 3D coordinates into language decoding withou …