NeurIPS 2025 Papers

Conference on Neural Information Processing Systems

Decision breakdown

5,812papers

Counted from the official paper list; may differ slightly from the number the conference announced.

  • Oral
    931.6%
  • Spotlight
    73912.7%
  • Poster
    4,98085.7%

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PerceptionLM: Open-Access Data and Models for Detailed Visual Understanding

Jang Hyun Cho, Andrea Madotto, Effrosyni Mavroudi, Triantafyllos Afouras, Tushar Nagarajan, Muhammad Maaz, Yale Song, Tengyu Ma, Shuming Hu, Suyog Jain, Miguel Martin, Huiyu Wang, Hanoona Abdul Rasheed, Peize Sun, Po-Yao Huang, Daniel Bolya, Nikhila Ravi, Shashank Jain, Tammy Stark, Seungwhan Moon, Babak Damavandi, Vivian Lee, Andrew Westbury, Salman Khan, Philipp Kraehenbuehl, Piotr Dollar, Lorenzo Torresani, Kristen Grauman, Christoph Feichtenhofer

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Vision-language models are integral to computer vision research, yet many high-performing models remain closed-source, obscuring their data, design and training recipe. The research community has responded by using distillation from black-box models to label training data, achieving strong benchmark results, at the cost of measurable scientific progress. However, without knowing the details of the teacher model and its data sources, scientific progress remains difficult to measure. In this paper, we study building a Perception Language Model (PLM) in a fully open and reproducible framework for transparent research in image and video understanding. We analyze standard training pipelines without distillation from proprietary models and explore large-scale synthetic data to identify critical data gaps, particularly in detailed video understanding. To bridge these gaps, we release 2.8M human-labeled instances of fine-grained video question-answer pairs and spatio-temporally grounded video captions. Additionally, we introduce PLM–VideoBench, a suite for evaluating challenging video understanding tasks focusing on the ability to reason about ''what'', ''where'', ''when'', and ''how'' of a video. We make our work fully reproducible by providing data, training recipes, code & models.

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The Computational Advantage of Depth in Learning High-Dimensional Hierarchical Targets

Yatin Dandi, Luca Pesce, Lenka Zdeborova, Florent Krzakala

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Understanding the advantages of deep neural networks trained by gradient descent (GD) compared to shallow models remains an open theoretical challenge. In this paper, we introduce a class of target functions (single and multi-index Gaussian hierarchical targets) that incorporate a hierarchy of latent subspace dimensionalities. This framework enables us to analytically study the learning dynamics and generalization performance of deep networks compared to shallow ones in the high-dimensional limit. Specifically, our main theorem shows that feature learning with GD successively reduces the effective dimensionality, transforming a high-dimensional problem into a sequence of lower-dimensional ones. This enables learning the target function with drastically less samples than with shallow networks. While the results are proven in a controlled training setting, we also discuss more common training procedures and argue that they learn through the same mechanisms. These findings open the way to further quantitative studies of the crucial role of depth in learning hierarchical structures with deep networks.

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Does Object Binding Naturally Emerge in Large Pretrained Vision Transformers?

Yihao Li, Saeed Salehi, Lyle Ungar, Konrad Kording

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Object binding, the brain’s ability to bind the many features that collectively represent an object into a coherent whole, is central to human cognition. It groups low-level perceptual features into high‑level object representations, stores those objects efficiently and compositionally in memory, and supports human reasoning about individual object instances. While prior work often imposes object-centric attention (e.g., Slot Attention) explicitly to probe these benefits, it remains unclear whether this ability naturally emerges in pre-trained Vision Transformers (ViTs). Intuitively, they could: recognizing which patches belong to the same object should be useful for downstream prediction and thus guide attention. Motivated by the quadratic nature of self-attention, we hypothesize that ViTs represent whether two patches belong to the same object, a property we term *IsSameObject*. We decode *IsSameObject* from patch embeddings across ViT layers using a similarity probe, which reaches over 90\% accuracy. Crucially, this object-binding capability emerges reliably in self-supervised ViTs (DINO, MAE, CLIP), but markedly weaker in ImageNet-supervised models, suggesting that binding is not a trivial architectural artifact, but an ability acquired through specific pretraining objectives. We further discover that *IsSameObject* is encoded in a low-dimensional subspace on top of object features, and that this signal actively guides attention. Ablating *IsSameObject* from model activations degrades downstream performance and works against the learning objective, implying that emergent object binding naturally serves the pretraining objective. Our findings challenge the view that ViTs lack object binding and highlight how symbolic knowledge of “which parts belong together” emerges naturally in a connectionist system.

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MJ-Video: Benchmarking and Rewarding Video Generation with Fine-Grained Video Preference

Haibo Tong, Zhaoyang Wang, Zhaorun Chen, Haonian Ji, Shi Qiu, Siwei Han, Kexin Geng, Zhongkai Xue, Yiyang Zhou, Peng Xia, Mingyu Ding, Rafael Rafailov, Chelsea Finn, Huaxiu Yao

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Recent advancements in video generation have significantly improved the ability to synthesize videos from text instructions. However, existing models still struggle with key challenges such as instruction misalignment, content hallucination, safety concerns, and generation bias. To address these limitations, we introduce MJ-BENCH-VIDEO, a large-scale video preference benchmark designed to evaluate video generation across five critical aspects: Alignment, Safety, Fineness, Coherence & Consistency, and Bias & Fairness. This benchmark further incorporates 28 fine-grained criteria to provide a comprehensive evaluation of video preference. Building upon this dataset, we propose MJ-VIDEO, a Mixture-of-Experts (MoE)-based video reward model designed to deliver fine-grained reward. MJ-VIDEO can dynamically select relevant experts to accurately judge the preference based on the input text-video pair. This architecture enables more precise and adaptable preference judgments. Through extensive benchmarking on MJ-BENCH-VIDEO, we analyze the limitations of existing video reward models and demonstrate the superior performance of MJ-VIDEO in video preference assessment, achieving 17.58% and 15.87% improvements in overall and fine-grained preference judgments, respectively. Additionally, MJ-VIDEO is able to improve the alignment performance in video generation via preference fine-tuning.

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StelLA: Subspace Learning in Low-rank Adaptation using Stiefel Manifold

Zhizhong Li, Sina Sajadmanesh, Jingtao Li, Lingjuan Lyu

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Low-rank adaptation (LoRA) has been widely adopted as a parameter-efficient technique for fine-tuning large-scale pre-trained models. However, it still lags behind full fine-tuning in performance, partly due to its insufficient exploitation of the geometric structure underlying low-rank manifolds. In this paper, we propose a geometry-aware extension of LoRA that uses a three-factor decomposition $USV^\top$. Analogous to the structure of singular value decomposition (SVD), it separates the adapter's input and output subspaces, $V$ and $U$, from the scaling factor $S$. Our method constrains $U$ and $V$ to lie on the Stiefel manifold, ensuring their orthonormality throughout the training. To optimize on the Stiefel manifold, we employ a flexible and modular geometric optimization design that converts any Euclidean optimizer to a Riemannian one. It enables efficient subspace learning while remaining compatible with existing fine-tuning pipelines. Empirical results across a wide range of downstream tasks, including commonsense reasoning, math and code generation, image classification, and image generation, demonstrate the superior performance of our approach against the recent state-of-the-art variants of LoRA. Code is available at https://github.com/SonyResearch/stella.

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ConnectomeBench: Can LLMs proofread the connectome?

Jeff Brown, Andrew Kirjner, Annika Vivekananthan, Edward Boyden

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Connectomics—the mapping of neural connections in an organism's brain—currently requires extraordinary human effort to proofread the data collected from imaging and machine-learning assisted segmentation. With the growing excitement around using AI agents to automate important scientific tasks, we explore whether current AI systems can perform multiple tasks necessary for data proofreading. We introduce ConnectomeBench, a multimodal benchmark evaluating large language model (LLM) capabilities in three critical proofreading tasks: segment type identification, split error correction, and merge error detection. Using expert annotated data from two large open-source datasets—a cubic millimeter of mouse visual cortex and the complete Drosophila brain—we evaluate proprietary multimodal LLMs including Claude 3.7/4 Sonnet, o4-mini, GPT-4.1, GPT-4o, as well as open source models like InternVL-3 and NVLM. Our results demonstrate that current models achieve surprisingly high performance in segment identification (52-82\% balanced accuracy vs. 20-25\% chance) and binary/multiple choice split error correction (75-85\% accuracy vs. 50\% chance) while generally struggling on merge error identification tasks. Overall, while the best models still lag behind expert performance, they demonstrate promising capabilities that could eventually enable them to augment and potentially replace human proofreading in connectomics.

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Sheetpedia: A 300K-Spreadsheet Corpus for Spreadsheet Intelligence and LLM Fine-Tuning

Zailong Tian, Zhuoheng Han, Houfeng Wang, Lizi Liao

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Spreadsheets are widely used for data analysis and reporting, yet their complex structure and formula logic pose significant challenges for AI systems. We introduce Sheetpedia, a large-scale corpus of over 290,000 diverse spreadsheets (from 324,000+ workbooks) compiled from enterprise email archives and online forums. We detail a rigorous collection and preprocessing pipeline (integrating the Enron email spreadsheet archive and the Fuse web corpus, plus a new crawl of Excel forums) to standardize formats, filter languages, and remove duplicates. Sheetpedia provides extensive coverage of real formulas and annotations – addressing a gap left by prior table datasets (e.g. web tables used in TURL or Text-to-SQL in Spider) which often lack formula semantics. We present comprehensive corpus statistics, highlighting rich formula diversity and a majority (78\%+) of English content. To demonstrate the corpus’s utility, we fine-tune large language models on Sheetpedia for two novel spreadsheet understanding tasks: Natural Language to Semantic Range (NL2SR) and Natural Language to Formula (NL2Formula). Using a rejection-sampling data generation strategy, our fine-tuned models achieve up to 97.5\% accuracy on NL2SR and 71.7\% on NL2Formula – substantially outperforming baseline approaches. Sheetpedia (to be released publicly) fills a crucial need for a large, high-quality spreadsheet benchmark, enabling more effective spreadsheet intelligence and natural language interfaces for spreadsheet tools.

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Achilles' Heel of Mamba: Essential difficulties of the Mamba architecture demonstrated by synthetic data

Tianyi Chen, Pengxiao Lin, Zhiwei Wang, Zhi-Qin John Xu

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State Space Models (SSMs) have emerged as promising alternatives to attention mechanisms, with the Mamba architecture demonstrating impressive performance and linear complexity for processing long sequences. However, the fundamental differences between Mamba and Transformer architectures remain incompletely understood. In this work, we use carefully designed synthetic tasks to reveal Mamba's inherent limitations. Through experiments, we identify that Mamba's nonlinear convolution introduces an asymmetry bias that significantly impairs its ability to recognize symmetrical patterns and relationships. Using composite function and inverse sequence matching tasks, we demonstrate that Mamba strongly favors compositional solutions over symmetrical ones and struggles with tasks requiring the matching of reversed sequences. We show these limitations stem not from the SSM module itself but from the nonlinear convolution preceding it, which fuses token information asymmetrically. These insights provide a new understanding of Mamba's constraints and suggest concrete architectural improvements for future sequence models.

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VL-Rethinker: Incentivizing Self-Reflection of Vision-Language Models with Reinforcement Learning

Haozhe Wang, Chao Qu, Zuming Huang, Wei Chu, Fangzhen Lin, Wenhu Chen

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Recently, slow-thinking systems like GPT-o1 and DeepSeek-R1 have demonstrated great potential in solving challenging problems through explicit reflection. They significantly outperform the best fast-thinking models, such as GPT-4o, on various math and science benchmarks. However, their multimodal reasoning capabilities remain on par with fast-thinking models. For instance, GPT-o1's performance on benchmarks like MathVista, MathVerse, and MathVision is similar to fast-thinking models. In this paper, we aim to enhance the slow-thinking capabilities of vision-language models using reinforcement learning (without relying on distillation) to advance the state of the art. First, we adapt the GRPO algorithm with a novel technique called Selective Sample Replay (SSR) to address the vanishing advantages problem. While this approach yields strong performance, the resulting RL-trained models exhibit limited self-reflection or self-verification. To further encourage slow-thinking, we introduce Forced Rethinking, which appends a rethinking trigger token to the end of rollouts in RL training, explicitly enforcing a self-reflection reasoning step. By combining these two techniques, our model, VL-Rethinker, advances state-of-the-art scores on MathVista, MathVerse to achieve 80.4%, 63.5% respectively. VL-Rethinker also achieves open-source SoTA on multi-disciplinary benchmarks such as MathVision, MMMU-Pro, EMMA, and MEGA-Bench, narrowing the gap with OpenAI-o1. We conduct comprehensive ablations and analysis to provide insights into the effectiveness of our approach.

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WISA: World simulator assistant for physics-aware text-to-video generation

Jing Wang, Ao Ma, Ke Cao, Jun Zheng, Jiasong Feng, Zhanjie Zhang, Wanyuan Pang, Xiaodan Liang

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Recent advances in text-to-video (T2V) generation, exemplified by models such as Sora and Kling, have demonstrated strong potential for constructing world simulators. However, existing T2V models still struggle to understand abstract physical principles and to generate videos that faithfully obey physical laws. This limitation stems primarily from the lack of explicit physical guidance, caused by a significant gap between high-level physical concepts and the generative capabilities of current models. To address this challenge, we propose the **W**orld **S**imulator **A**ssistant (**WISA**), a novel framework designed to systematically decompose and integrate physical principles into T2V models. Specifically, WISA decomposes physical knowledge into three hierarchical levels: textual physical descriptions, qualitative physical categories, and quantitative physical properties. It then incorporates several carefully designed modules—such as Mixture-of-Physical-Experts Attention (MoPA) and a Physical Classifier—to effectively encode these attributes and enhance the model’s adherence to physical laws during generation. In addition, most existing video datasets feature only weak or implicit representations of physical phenomena, limiting their utility for learning explicit physical principles. To bridge this gap, we present **WISA-80K**, a new dataset comprising 80,000 human-curated videos that depict 17 fundamental physical laws across three core domains of physics: dynamics, thermodynamics, and optics. Experimental results show that WISA substantially improves the alignment of T2V models (such as CogVideoX and Wan2.1) with real-world physical laws, achieving notable gains on the VideoPhy benchmark. Our data, code, and models are available in the [Project Page](https://wisav1.github.io/WISA/).

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The Best Instruction-Tuning Data are Those That Fit

Dylan Zhang, Qirun Dai, Hao Peng

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High-quality supervised finetuning (SFT) data are essential for unlocking pretrained LLMs’ capabilities. Typically, instructions are paired with responses from various sources—by human annotators or other LMs—which are often out of the distribution of the target model to be finetuned. At scale, this mismatch can lead to diminishing returns and even hurt model performance and robustness. We hypothesize that SFT is most effective when the data is aligned with the model’s pretrained distribution, and propose **GRAPE**—a novel SFT framework that tailors supervision to the target model. For each instruction, it **g**athers **r**esponses from various sources and selects the one that **a**ligns most closely to the model’s **pre**trained distribution, as measured by the normalized probability. Standard SFT is then performed on these selected responses. We first evaluate GRAPE in a controlled experiment, sampling multiple responses per question in the UltraInteract dataset from diverse models. We finetune using GRAPE-selected data on LMs from different families, including LLaMA-1-8B, Mistral-7B, and Qwen2.5-7B. GRAPE significantly outperforms strong baselines—including distilling from the strongest model—with absolute gains up to **13.8%** averaged across benchmarks, and outperforms a 3× larger data baseline with improvements up to **17.3%**. GRAPE's benefits generalize to off-the-shelf SFT data. When used to subsample from the post-training data of Tulu3 and Olmo-2, GRAPE surpasses strong baselines trained on 4.5× more data by **6.1%**, and outperforms state-of-the-art selection methods by **3.9%** on average. Notably, with only **1/3 the data** and **half the training epochs**, GRAPE enables LLaMA-1-8B to **exceed Tulu3-SFT performance by 3.5%**. Our findings highlight that aligning supervision with the pretrained distribution provides a simple yet powerful strategy to improve both the **efficiency** and **effectiveness** of SFT.

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Accelerating Visual-Policy Learning through Parallel Differentiable Simulation

Haoxiang You, Yilang Liu, Ian Abraham

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In this work, we propose a computationally efficient algorithm for visual policy learning that leverages differentiable simulation and first-order analytical policy gradients. Our approach decouple the rendering process from the computation graph, enabling seamless integration with existing differentiable simulation ecosystems without the need for specialized differentiable rendering software. This decoupling not only reduces computational and memory overhead but also effectively attenuates the policy gradient norm, leading to more stable and smoother optimization. We evaluate our method on standard visual control benchmarks using modern GPU-accelerated simulation. Experiments show that our approach significantly reduces wall-clock training time and consistently outperforms all baseline methods in terms of final returns. Notably, on complex tasks such as humanoid locomotion, our method achieves a $4\times$ improvement in final return, and successfully learns a humanoid running policy within 4 hours on a single GPU. Videos and code are available on https://haoxiangyou.github.io/Dva_website

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Complete Structure Guided Point Cloud Completion via Cluster- and Instance-Level Contrastive Learning

Yang Chen, Yirun Zhou, WEIZHONG ZHANG, Cheng Jin

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Point cloud completion, aiming to reconstruct missing part from incomplete point clouds, is a pivotal task in 3D computer vision. Traditional supervised approaches often necessitate complete point clouds for training supervision, which are not readily accessible in real-world applications. Recent studies have attempted to mitigate this dependency by employing self-supervise mechanisms. However, these approaches frequently yield suboptimal results due to the absence of complete structure in the point cloud data during training. To address these issues, in this paper, we propose an effective framework to complete the point cloud under the guidance of self learned complete structure. A key contribution of our work is the development of a novel self-supervised complete structure reconstruction module, which can learn the complete structure explicitly from incomplete point clouds and thus eliminate the reliance on training data from complete point clouds. Additionally, we introduce a contrastive learning approach at both the cluster- and instance-level to extract shape features guided by the complete structure and to capture style features, respectively. This dual-level learning design ensures that the generated point clouds are both shape-completed and detail-preserving. Extensive experiments on both synthetic and real-world datasets demonstrate that our approach significantly outperforms state-of-the-art self-supervised methods.

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Scaling and context steer LLMs along the same computational path as the human brain

Joséphine Raugel, Jérémy Rapin, Stéphane d'Ascoli, Valentin Wyart, Jean-Remi King

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Recent studies suggest that the representations learned by large language models (LLMs) are partially aligned to those of the human brain. However, whether this representational alignment arises from a similar sequence of computations remains elusive. In this study, we explore this question by examining temporally-resolved brain signals of participants listening to 10 hours of an audiobook. We study these neural dynamics jointly with a benchmark encompassing 17 LLMs varying in size and architecture type. Our analyses reveal that LLMs and the brain generate representations in a similar order: specifically, activations in the initial layers of LLMs tend to best align with early brain responses, while the deeper layers of LLMs tend to best align with later brain responses. This brain-LLM alignment is consistent across transformers and recurrent architectures. However, its emergence depends on both model size and context length. Overall, the alignment between LLMs and the brain provides novel elements supporting a partial convergence between biological and artificial neural networks.

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Towards a Pairwise Ranking Model with Orderliness and Monotonicity for Label Enhancement

Yunan Lu, Xixi Zhang, Yaojin Lin, Weiwei Li, Lei Yang, Xiuyi Jia

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Label distribution in recent years has been applied in a diverse array of complex decision-making tasks. To address the availability of label distributions, label enhancement has been established as an effective learning paradigm that aims to automatically infer label distributions from readily available multi-label data, e.g., logical labels. Recently, numerous works have demonstrated that the label ranking is significantly beneficial to label enhancement. However, these works still exhibit deficiencies in representing the probabilistic relationships between label distribution and label rankings, or fail to accommodate scenarios where multiple labels are equally important for a given instance. Therefore, we propose PROM, a pairwise ranking model with orderliness and monotonicity, to explain the probabilistic relationship between label distributions and label rankings. Specifically, we propose the monotonicity and orderliness assumptions for the probabilities of different ranking relationships and derive the mass functions for PROM, which are theoretically ensured to preserve the monotonicity and orderliness. Further, we propose a generative label enhancement algorithm based on PROM, which directly learns a label distribution predictor from the readily available multi-label data. Finally, extensive experiments demonstrate the efficacy of our proposed model.

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MARS-VFL: A Unified Benchmark for Vertical Federated Learning with Realistic Evaluation

Wei Shen, Weiqi Liu, Mingde Chen, Wenke Huang, Mang Ye

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Vertical Federated Learning (VFL) has emerged as a critical privacy-preserving learning paradigm, enabling collaborative model training by leveraging distributed features across clients. However, due to privacy concerns, there are few publicly available real-world datasets for evaluating VFL methods, which poses significant challenges to related research. To bridge this gap, we propose MARS-VFL, a unified benchmark for realistic VFL evaluation. It integrates data from practical applications involving collaboration across different features, maintaining compatibility with the VFL setting. Based on this, we standardize the evaluation of VFL methods from the mainstream aspects of efficiency, robustness, and security. We conduct comprehensive experiments to assess different VFL approaches, providing references for unified evaluation. Furthermore, we are the first to unify the evaluation of robustness challenges in VFL and introduce a new method for addressing robustness challenges, establishing standard baselines for future research.

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InterMT: Multi-Turn Interleaved Preference Alignment with Human Feedback

Boyuan Chen, Donghai Hong, Jiaming Ji, Jiacheng Zheng, Bowen Dong, Jiayi Zhou, Kaile Wang, Josef Dai, Xuyao Wang, Wenqi Chen, Qirui Zheng, Wenxin Li, Sirui Han, Yike Guo, Yaodong Yang

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As multimodal large models (MLLMs) continue to advance across challenging tasks, a key question emerges: \textbf{\textit{What essential capabilities are still missing? }} A critical aspect of human learning is continuous interaction with the environment -- not limited to language, but also involving multimodal understanding and generation. To move closer to human-level intelligence, models must similarly support \textbf{multi-turn}, \textbf{multimodal interaction}. In particular, they should comprehend interleaved multimodal contexts and respond coherently in ongoing exchanges. In this work, we present \textbf{an initial exploration} through the \textsc{InterMT} -- \textbf{the first preference dataset for \textit{multi-turn} multimodal interaction}, grounded in real human feedback. In this exploration, we particularly emphasize the importance of human oversight, introducing expert annotations to guide the process, motivated by the fact that current MLLMs lack such complex interactive capabilities. \textsc{InterMT} captures human preferences at both global and local levels into nine sub-dimensions, consists of 15.6k prompts, 52.6k multi-turn dialogue instances, and 32.4k human-labeled preference pairs. To compensate for the lack of capability for multi-modal understanding and generation, we introduce an agentic workflow that leverages tool-augmented MLLMs to construct multi-turn QA instances. To further this goal, we introduce \textsc{InterMT-Bench} to assess the ability of MLLMs in assisting judges with multi-turn, multimodal tasks. We demonstrate the utility of \textsc{InterMT} through applications such as judge moderation and further reveal the \textit{multi-turn scaling law} of judge model. We hope the open-source of our data can help facilitate further research on aligning current MLLMs to the next step.

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Cost-Aware Contrastive Routing for LLMs

Reza Shirkavand, Shangqian Gao, Peiran Yu, Heng Huang

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We study cost-aware routing for large language models across diverse and dynamic pools of models. Existing approaches often overlook prompt-specific context, rely on expensive model profiling, assume a fixed set of experts, or use inefficient trial-and-error strategies. We introduce Cost-Spectrum Contrastive Routing (CSCR), a lightweight framework that maps both prompts and models into a shared embedding space to enable fast, cost-sensitive selection. CSCR uses compact, fast-to-compute logit footprints for open-source models and perplexity fingerprints for black-box APIs. A contrastive encoder is trained to favor the cheapest accurate expert within adaptive cost bands. At inference time, routing reduces to a single $k$‑NN lookup via a FAISS index, requiring no retraining when the expert pool changes and enabling microsecond latency. Across multiple benchmarks, CSCR consistently outperforms baselines, improving the accuracy–cost tradeoff by up to 25\%, while generalizing robustly to unseen LLMs and out-of-distribution prompts.

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SpecEdge: Scalable Edge-Assisted Serving Framework for Interactive LLMs

Jinwoo Park, Seunggeun Cho, Dongsu Han

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Large language models (LLMs) power many modern applications, but serving them at scale remains costly and resource-intensive. Current server-centric systems overlook consumer-grade GPUs at the edge. We introduce SpecEdge, an edge-assisted inference framework that splits LLM workloads between edge and server GPUs using a speculative decoding scheme, exchanging only token outputs over the network. SpecEdge employs proactive edge drafting to overlap edge token creation with server verification and pipeline-aware scheduling that interleaves multiple user requests to increase server-side throughput. Experiments show SpecEdge enhances overall cost efficiency by **1.91×** through achieving **2.22×** server throughput, and reduces inter token latency by **11.24\%** compared to a server-only baseline, introducing a scalable, cost-effective paradigm for LLM serving. The code is available at https://github.com/kaist-ina/specedge

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Offline Guarded Safe Reinforcement Learning for Medical Treatment Optimization Strategies

Runze Yan, Xun Shen, Akifumi Wachi, Sebastien Gros, Anni Zhao, Xiao Hu

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When applying offline reinforcement learning (RL) in healthcare scenarios, the out-of-distribution (OOD) issues pose significant risks, as inappropriate generalization beyond clinical expertise can result in potentially harmful recommendations. While existing methods like conservative Q-learning (CQL) attempt to address the OOD issue, their effectiveness is limited by only constraining action selection by suppressing uncertain actions. This action-only regularization imitates clinician actions that prioritize short-term rewards, but it fails to regulate downstream state trajectories, thereby limiting the discovery of improved long-term treatment strategies. To safely improve policy beyond clinician recommendations while ensuring that state-action trajectories remain in-distribution, we propose \textit{Offline Guarded Safe Reinforcement Learning} ($\mathsf{OGSRL}$), a theoretically grounded model-based offline RL framework. $\mathsf{OGSRL}$ introduces a novel dual constraint mechanism for improving policy with reliability and safety. First, the OOD guardian is established to specify clinically validated regions for safe policy exploration. By constraining optimization within these regions, it enables the reliable exploration of treatment strategies that outperform clinician behavior by leveraging the full patient state history, without drifting into unsupported state-action trajectories. Second, we introduce a safety cost constraint that encodes medical knowledge about physiological safety boundaries, providing domain-specific safeguards even in areas where training data might contain potentially unsafe interventions. Notably, we provide theoretical guarantees on safety and near-optimality: policies that satisfy these constraints remain in safe and reliable regions and achieve performance close to the best possible policy supported by the data. When evaluated on the MIMIC-III sepsis treatment dataset, $\mathsf{OGSRL}$ demonstrated significantly better OOD handling than baselines. $\mathsf{OGSRL}$ achieved a 78\% reduction in mortality estimates and a 51\% increase in reward compared to clinician decisions.

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