NeurIPS 2026 Papers

Conference on Neural Information Processing Systems

Decision breakdown

6,437papers

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

  • Oral
    991.5%
  • Spotlight
    2403.7%
  • Poster
    6,09894.7%

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Topic: Alignment and Safety · 480 papers · Reset filters

SAMPPO: Structure-Aware Mirror Proximal Policy Optimization

Corinna Cortes, Mehryar Mohri, Yutao Zhong

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The alignment of Large Language Models (LLMs) via reinforcement learning from human feedback (RLHF) typically relies on Proximal Policy Optimization (PPO), which uses a uniform clipping hyperparameter $\epsilon$ to maintain a stable trust region. However, we demonstrate that this uniform constraint is ill-suited for the non-uniform semantic topology of natural language. In ``semantically dense'' regions, where candidate tokens act as semantic synonyms within the current context, noisy advantage estimates can destabilize the fixed trust region, leading to *policy collapse*, a severe loss of generative diversity and policy entropy. To resolve this, we propose *Structure-Aware Mirror Proximal Policy Optimization (SAMPPO)*, which introduces an adaptive trust region governed by local semantic density. SAMPPO generalizes the trust-region framework to non-uniform semantic spaces by adapting the mirror-descent geometry to the local action topology. SAMPPO uses a per-timestep *Semantic Isolation Score* to dynamically tighten the clipping range in dense regions and relax it in sparse ones. We provide theoretical foundations for this approach, deriving a *Structure-Aware Monotonic Improvement* bound and establishing a formal link to structure-aware margin-shifted $H$-consistency theory. Empirically, SAMPPO prevents the entropy collapse observed in standard PPO baselines and significantly improves alignment. Evaluated on the Anthropic HH-RLHF and NVIDIA HelpSteer benchmarks across multiple model architectures (Llama-3-8B and Gemma-2-2B), SAMPPO achieves robust, zero-shot generalizable alignment gains. Crucially, it strictly outperforms standard PPO and recent empirical adaptive heuristics (BAPO), demonstrating competitive performance against direct preference baselines including DPO and SimPO on the alignment-diversity Pareto frontier.

Poster
S2T-RLHF: Hierarchical Credit Assignment for Stable Preference-Based RLHF

Wei Chen, Guanghui Zhu, Yafei Li, Limin Wang, Yihua Huang

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Reinforcement learning from human feedback (RLHF) with preference-based reward models often exhibits unstable training dynamics. A key contributing factor is that standard RLHF relies on a single sequence-level scalar reward, which is propagated to token-level policy updates and leaves credit assignment within a response inherently ambiguous. Recent work has attempted to address this issue by refining rewards into denser token-level supervision, often relying on the implicit assumption that finer-grained credit assignment improves optimization. We argue that this assumption is incomplete: when preference signals are noisy and only defined at the response level, overly fine-grained reward refinement can amplify reward uncertainty and destabilize learning. To address this problem, we propose a granularity-aware principle for hierarchical credit assignment, emphasizing stability-oriented reward design rather than maximal allocation precision. Under this principle, sentences serve as a natural intermediate granularity, balancing semantic coherence with robustness to token-level noise. Guided by this view, we introduce S2T-RLHF. This sentence-to-token reward decomposition framework first allocates sequence-level preference rewards across sentences and then applies bounded token-level refinement within each sentence, without reward-model retraining or token-level supervision. Experiments across multiple datasets and optimization settings show that S2T-RLHF improves training stability and robustness while maintaining competitive preference alignment.

Poster
RxDiff: Discrete Diffusion for Medication Recommendation with Inference-Time Safety Control

Jinke Feng, Wenjie Du, Xuchang Zhong, Yang Wang

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Medication recommendation requires generating drug combinations that are therapeutically effective while minimizing harmful drug-drug interactions (DDIs). Both objectives are rooted in the combinatorial nature of prescriptions. Existing discriminative methods predict drugs independently, neglecting inter-drug dependencies; autoregressive methods introduce sequential dependencies but impose arbitrary generation orders and accumulate errors. Both paradigms confine DDI mitigation to training-time penalties, offering limited capacity to regulate interactions during inference for individual prescriptions. We reformulate medication recommendation as a discrete diffusion process and propose RxDiff, which leverages iterative denoising for bidirectional and revisable generation and provides a natural interface for dynamic DDI regulation at each step. A clinically grounded dual-guided forward process and an inference-time interaction-aware modulation mechanism are designed to jointly enable RxDiff to achieve consistent accuracy improvements, lower and more individually controlled DDI rates, and robustness to evolving DDI knowledge across MIMIC-III, MIMIC-IV, and a real-world inpatient dataset. Code is available at https://anonymous.4open.science/r/RxDiff-9157.

Poster
Rubric-Align: Safety Alignment through Dynamically Co-Evolving Rubrics

Ruipeng Wang, Junfeng Fang, Houcheng Jiang, Kai Tang, Pengyu Cheng, Xiaoxi Jiang, Guanjun Jiang, Xiang Wang

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Recent progress in large language models (LLMs) has led to impressive performance across diverse domains. However, their deployment in critical areas such as healthcare, law, and education raises serious concerns regarding the potential generation of harmful content. While reinforcement learning (RL)-based safety alignment methods have been extensively studied, they face persistent challenges, including sparse reward signals, limited interpretability, and limited transferability across domains. In this paper, we introduce Rubric‑Align, a framework that replaces static binary scalar rewards with dynamic, natural‑language evaluation rubrics. Instead of assigning a single reward to each response, Rubric‑Align provides fine‑grained and interpretable feedback, thereby alleviating reward sparsity and improving the transparency of the alignment signal. A key feature of Rubric-Align is its dynamic rubric evolution mechanism. Rather than using fixed reward templates, Rubric-Align periodically refines prompt-specific rubrics based on the current policy behavior, keeping the supervision signal informative and aligned with the model’s evolving failure modes. Experiments on safety benchmarks and vertical-domain settings show that Rubric-Align improves robustness against harmful and jailbreak prompts while largely preserving general capabilities, suggesting that natural-language rubrics provide a transferable interface for adapting safety supervision to new safety subdomains.

Poster
Routing as a Singular Reparameterization: A Closed-Form Pushforward Prior and Exact Bayesian Complexity in a Minimal Proxy

Ali Mehrabian, Mahdi Mazloum

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A two-branch routed regressor realizes exactly the function class of ordinary quadratic regression. Because routing does not enlarge the observable function class here, the routed model differs from quadratic regression only through the prior induced by routed coordinates. We compute this induced prior in closed form and show that fiber integration along the routing map creates a logarithmically singular density on the linear submodel. The induced posterior over quadratic coefficients then coincides exactly with the quadratic-regression posterior under the pushed-forward prior, isolating the role of prior geometry in this proxy model. For compactly supported priors on linear truth ($q_2=0$), the support-relative global real log canonical threshold (RLCT) is $(3/2,2)$ when the support reaches the collapsed stratum and $(3/2,1)$ when it avoids it; under the full-support Gaussian-coordinate prior, the global RLCT is $(3/2,2)$. Against smooth coefficient-space baselines with the same known noise variance on linear truth, this singular-versus-smooth prior comparison yields a rigorous $\log\log n$ Bayes-factor advantage. The same multiplicity-$2$ product singularity transfers locally to sigmoid gates on linear truth and extends locally to $d$-dimensional inputs.

Poster
Root Cause Analysis of Measurement and Mechanistic Anomalies

Hendrik Suhr, David Kaltenpoth, Jilles Vreeken

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Root cause analysis of anomalies aims to identify how and why a sample deviates from the normal process. Existing methods primarily focus on telling which features are responsible, ignoring that anomalies can arise through two fundamentally different processes: measurement errors, where the sample is generated normally but one or more values is recorded incorrectly, and mechanism shifts, where the causal process that generated the sample was changed. While measurement errors can often be safely corrected, mechanistic anomalies require careful consideration. In this paper, we formally define a causal model that explicitly captures both types by treating outliers as latent interventions on latent (“true”) and observed (“measured”) variables and show under which conditions the distinction is possible. Based on this model, we develop an efficient inference procedure for localizing root causes and distinguishing anomaly types. Experiments on synthetic and real-world data show that our method provides state-of-the-art and highly robust performance in both root cause localization and classification of anomaly types.

Poster
Robust and Scalable Collaborative Learning via Pull-Based Epidemic Communication

Abdellah El Mrini, Sadegh Farhadkhani, Rachid Guerraoui

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Collaborative machine learning is vulnerable to adversarial behaviors during training. Existing defenses typically rely on central coordination or induce high communication costs. We introduce *Robust Pull-based Epidemic Learning (RPEL)*, a scalable and fully decentralized framework that achieves robustness without a central server. Unlike traditional methods, whose communication cost grows as $\mathcal{O}(n^2)$ with the number of nodes $n$, RPEL uses a pull-based epidemic communication scheme that scales as $\mathcal{O}(n \log n)$. By pulling model parameters from small, randomly selected subsets of peers, RPEL significantly lowers the number of required messages while preserving convergence guarantees with high probability. Experimental results demonstrate that RPEL indeed tolerates attacks, attains accuracy comparable with all-to-all communication, and scales efficiently to large networks.

Poster
Robust and Efficient Continual Model Merging via Global Singular Subspace Separation and Restoration

JunCheol Shin, Byeongho Yu, Semin Kim, Eunhyeok Park

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Continual model merging addresses a more realistic setting in which task-specific models arrive sequentially. Naive extension of standard model merging approaches to the continual setting leads to task balance collapse and substantial performance degradation. To address this issue, we propose Global Singular Subspace Separation and Restoration (GS3R), a data-free and optimization-compatible framework for continual model merging. GS3R preserves task balance by globally separating singular components and introducing vector restoration matrices for perturbation-free recovery. To further enhance efficiency, we introduce Pre-merge Restoration and Flushing (PRF), which guarantees peak memory usage comparable to that of other methods. Experiments on vision and language tasks demonstrate that GS3R consistently outperforms prior continual model merging methods.

Poster
Robust Policy Optimization to Prevent Catastrophic Forgetting

Mahdi Sabbaghi, George J. Pappas, Adel Javanmard, Hamed Hassani

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LLMs are commonly trained through multi-stage post-training: first via RLHF, then fine-tuned for other downstream objectives. Yet even small downstream updates can compromise earlier learned behaviors (e.g., safety), exposing a brittleness known as catastrophic forgetting. This suggests standard RLHF objectives do not guarantee robustness to future adaptation. To address it, most prior work designs downstream-time methods to preserve previously learned behaviors. We argue that preventing this requires pre-finetuning robustness: the base policy should avoid brittle high-reward solutions whose reward drops sharply under fine-tuning. We propose Fine-tuning Robust Policy Optimization (FRPO), a robust RLHF framework that optimizes reward not only at the current policy, but across a KL-bounded neighborhood of policies reachable by downstream adaptation. The key idea is to ensure reward stability under policy shifts via a max-min formulation. By modifying GRPO, we develop an algorithm with no extra computation, and empirically show it substantially reduces safety degradation across multiple base models and downstream fine-tuning regimes (SFT and RL) while preserving downstream task performance. We further study a math-focused RL setting, demonstrating that FRPO preserves accuracy under subsequent fine-tuning.

Poster
Robust Domain Generalization under Divergent Marginal and Conditional Distributions

Jewon Yeom, Kyubyung Chae, Hyunggyu Lim, Yoonna Oh, Dongyoon Yang, Taesup Kim

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Domain generalization (DG) aims to learn predictive models that can generalize to unseen domains. Most existing DG approaches focus on learning domain-invariant representations under the assumption of conditional distribution shift (i.e., primarily addressing changes in $P(X\mid Y)$ while assuming $P(Y)$ remains stable). However, real-world scenarios with multiple domains often involve compound distribution shifts where both the marginal label distribution $P(Y)$ and the conditional distribution $P(X\mid Y)$ vary simultaneously. To address this, we propose a unified framework for robust domain generalization under divergent marginal and conditional distributions. We derive a novel risk bound for unseen domains by explicitly decomposing the joint distribution into marginal and conditional components and characterizing risk gaps arising from both sources of divergence. To operationalize this bound and prevent it from becoming vacuous, we explicitly enforce feature-space $\ell_2$-normalization. We then design a meta-learning procedure that minimizes and validates the proposed risk bound across seen domains, ensuring strong generalization to unseen ones. Empirical evaluations demonstrate that our method achieves competitive performance not only on conventional DG benchmarks but also in challenging multi-domain long-tailed recognition settings where both marginal and conditional shifts are pronounced.

Poster
Risk-Sensitive Deep Optimal Stopping

Yechan Jeong, Youngjoon Hong

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Risk-sensitive optimal stopping arises wherever a single bad outcome dominates a sequential decision, such as option exercise, sequential medical treatment, and safety-critical control. The natural objective is the conditional value-at-risk (CVaR) of the stopped reward. We develop the first theoretical framework and algorithm for risk-sensitive deep optimal stopping. Together they resolve all four structural problems of risk-sensitive RL: state augmentation, score-function pathology, blindness to success, and bootstrapping circularity. We isolate three structural properties of optimal stopping: single-point reward, action-independent dynamics, and sum-zero gradient. They yield Markov optimality on the original state space and uniform boundedness of the per-step pathwise gradient at the deterministic-policy boundary, resolving the first two. From these, we derive DIOS (Distribution-Informed Optimal Stopping), a single-time-scale CVaR estimator on the Rockafellar-Uryasev envelope that resolves the remaining two. A soft penalty replaces the hard tail indicator, and a tail-level annealing schedule initializes training in the risk-neutral regime, where no trajectory is gated out. The inner quantile admits a closed-form update without an auxiliary critic. DIOS admits a finite-time best-iterate stationarity guarantee under standard CVaR non-degeneracy, the first explicit rate for CVaR optimal stopping. On Bermudan max-call options, DIOS achieves the highest mean CVaR and the lowest wall time against five representative CVaR baselines.

Poster
Revisiting Subgradient Dominance in Robust MDPs: Counterexamples, Hardness, and Sufficient Conditions

Toshinori Kitamura, Arnob Ghosh, Alex Ayoub, Thang Chu, Csaba Szepesvari

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Projected subgradient descent (PSD) has gained popularity for solving robust Markov decision processes (RMDPs) because it applies to a broader class of uncertainty sets than traditional dynamic programming. Existing work claims that RMDPs with a general compact uncertainty set satisfy the subgradient dominance property, under which exact PSD converges to an $\varepsilon$-optimal policy in a polynomial number of updates (e.g., Wang et al., 2023). We show that these claims are incorrect. Even when the uncertainty set has cardinality two, the RMDP objective is not subgradient-dominant and can admit suboptimal strict local minima. Moreover, we prove that finding an $\varepsilon$-optimal policy can be NP-hard even in settings where subgradients are efficiently computable: (i) finite transition uncertainty sets and (ii) $sa$-rectangular finite transition uncertainty sets with finite cost uncertainty sets. Finally, we identify two conditions under which RMDPs do satisfy subgradient dominance: when, for each policy, either the worst-case transition kernel or the worst-case action-value function is unique.

Poster
Revisiting Incremental Learning: A Three-Interface Diagnosis of Stability and Plasticity

Keuntae Kim, Beomseok Lee, Hyunwoo Kim, Yong Suk Choi

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Incremental learning is usually evaluated through the final classifier or LM head, but this interface does not indicate where forgetting occurs. A drop in accuracy may reflect representation degradation in the backbone, readout mismatch in the head, or both. We argue that BWT and FWT should therefore be interpreted as interface-dependent quantities rather than as single model-level properties. We study three evaluation interfaces: the sequentially trained head, a newly optimized probing classifier, and a classifier-free backbone separability diagnostic based on clustering. These interfaces answer different questions: deployed performance, recoverable information under a new readout, and representation-level separability. Across CIL experiments with encoder and decoder language backbones, plus discriminative-backbone TIL sanity checks, we find that qualitative conclusions about forgetting and plasticity change substantially with the evaluation interface. Standard heads often indicate severe forgetting, probes often suggest near-complete recoverability, and backbone diagnostics suggest intermediate representation changes and a stability--plasticity pattern. This pattern is consistent across five clustering algorithms and three clustering metrics, suggesting that it is not an artifact of a single diagnostic choice. Finally, we use Just LM-Head Tuning (JLT) as a head-only intervention to quantify recoverable performance on a fixed incrementally trained backbone. The large gap between standard and head-realigned performance suggests that many failures attributed to catastrophic forgetting are better understood as head--backbone mismatch plus partial representation drift. Our results call for reporting where forgetting is measured, not only how much forgetting is observed.

Poster
Revisiting Decentralized Online Convex Optimization with Compressed Communication

Hao Zhou, Xiaoyu Wang, Chang Yao, Mingli Song, Yuanyu Wan

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Decentralized online convex optimization (D-OCO) is a popular framework for distributed applications with streaming data. To tackle the communication bottleneck, previous studies have investigated D-OCO with compressed communication and proposed several algorithms that are variants of online gradient descent (OGD). However, for D-OCO with exact communication, the best existing algorithms are variants of follow-the-regularized-leader (FTRL). In this paper, for the first time, we propose two FTRL-type algorithms for D-OCO with compressed communication. Compared with OGD-type algorithms, our algorithms are more elegant in both algorithmic design and theoretical analysis. The key insight is that the dual update mechanism of FTRL allows us to make a simple application of the technique for average consensus with communication compression. More specifically, our first algorithm considers the full-information setting, and can match the existing regret bounds. Our second algorithm is designed for the bandit setting, and can significantly improve both the regret bounds and communication costs of existing algorithms.

Poster
Rethinking Sequential Locate-Then-Edit: Optimality and Stability

Bingqing Liu, Wei Liu, Zhiying Deng, Jun Wang, Yuhua Li, Ruixuan Li

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The \textit{Locate-Then-Edit} framework enables efficient knowledge updates in large language models without requiring full retraining. Recent research has increasingly focused on \textit{sequential editing}, where knowledge arrives continuously and the model is updated incrementally. However, existing sequential methods commonly suffer from catastrophic forgetting and model collapse after only a few hundred edits. In contrast, \textit{batch editing}---which performs joint optimization over all edits and represents the theoretical optimum---can support tens of thousands of edits with high edit efficacy while preserving the model's general capabilities, resulting in a substantial performance gap between the two editing paradigms. In this paper, we demonstrate that this gap can be closed via a \textit{batch-equivalent sequential editing} approach. Moreover, we investigate the underlying mechanism of model degradation in existing sequential methods by analyzing the convergence behavior of weight perturbations as edits accumulate. Our analysis reveals that current methods typically exhibit linear or logarithmic growth in perturbation, whereas the proposed batch-equivalent method achieves \textit{time-invariant} growth, thereby theoretically guaranteeing long-term stability and preserving the integrity of pretrained knowledge throughout massive-scale sequential editing.

Poster
Rethinking Semantic ID Construction for Generative Recommendation: SimHash with Parallel Decoding and Semantic Alignment

Yuqing Liu, Huiyuan Chen, Yibo Wang, Wooseong Yang, Philip S. Yu

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Semantic ID-based generative recommendation represents each item as a sequence of discrete tokens, enabling structured modeling of item semantics. A critical challenge is constructing semantic IDs that are both semantically expressive and computationally efficient. While recent approaches favor complex learned quantization, simple hashing-based methods such as SimHash are widely regarded as fundamentally inferior. In this work, we challenge this consensus by showing that the apparent performance gap does not stem from inherent limitations of hashing, but rather from a structural mismatch with autoregressive decoding, coupled with the inevitable information loss during rigid discretization. Based on this insight, we propose FLASH, a two-stage framework that revitalizes training-free SimHash tokenization through parallel decoding and explicit semantic alignment. Despite its simplicity, FLASH achieves state-of-the-art performance across multiple datasets without requiring any tokenizer training, while exhibiting stronger generalization in cold-start scenarios. Notably, we demonstrate that semantic alignment acts as a universally effective mechanism across diverse paradigms. Our findings suggest that, with compatible decoding and semantic grounding, simple and efficient tokenizers can outperform complex learned counterparts. Our code and data are available: https://anonymous.4open.science/r/Flash-014A/.

Poster
Rethinking SAE Evaluation: An Atomic Interpretable Unit Framework Reveals Hidden Polysemanticity and Redundancy

Riteng Zhang, Xiaoqian Wang

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Sparse autoencoders (SAEs) were originally motivated by discovering monosemantic features, a property that characterizes individual features but does not specify what the learned feature set should look like as a whole. As SAEs have increasingly been adopted for attribution, circuit discovery, and intervention, researchers have begun evaluating metrics that describe global properties of the feature set, such as sparsity, dead feature rates, reconstruction fidelity, and disentanglement, a diverse set that extends far beyond monosemanticity. However, this implicit shift beyond monosemanticity has not been formalized as a clear, well-defined objective that comes before these evaluation metrics. Without such an objective, existing metrics remain ad hoc, with their necessity unjustified. In this work, we formalize this ultimate objective by introducing a new paradigm for SAE evaluation: requiring that SAE features, and more generally dictionary-based decompositions of model representations, form an atomic interpretable unit basis, a coordinate system for semantically meaningful explanation. Under this paradigm, we organize existing and new measurements such as DAME (Dominance-Aware Monosemanticity Evaluation) as proxy metrics and introduce a comprehensive benchmarking framework. Evaluating hundreds of SAEs across multiple architectures and model families, we uncover failure modes in which some SAEs appear monosemantic under existing evaluation metrics while remaining functionally polysemantic: the most dominant features, those contributing most to model computation, are systematically less interpretable and more redundant. These failure modes warrant attention from SAE researchers as targets for improved training and architectures, and motivate dominance-aware evaluation as a standard check for practitioners before SAE features are deployed for attribution, circuit tracing, or intervention.

Poster
Rethinking Personalized Generation: Test-time Alignment via Factorized Ranking Models

Qiyao Ma, Junshan Zhang, Zhe Zhao

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Aligning large language models (LLMs) to diverse user preferences is fundamentally hindered by standard alignment paradigms that optimize for monolithic users. In this work, through empirical studies, we first discover a massive, untapped performance headroom for personalized generation through test-time scaling. We demonstrate that personalized generation is uniquely suited for test-time sampling methods like Best-of-$N$ (BoN) because it can be viewed primarily as a candidate matching problem rather than a generator capability bottleneck. While standard reward models can theoretically exploit this headroom, their massive parameter counts introduce a prohibitive computational bottleneck. To overcome this limitation, we propose a parameter-efficient framework utilizing million-parameter scale Multi-Layer Perceptron (MLP) ranking models. Our personalized ranking model directly reuses the internal embeddings of the base generator with minimal overhead. By scaling train-time data to provide fine-grained personalized preferences, this million-parameter ranking model accurately scores large candidate pools and can seamlessly guide generation to reduce the cost of materializing $N$ candidates. Extensive experiments on nine datasets across three different personalized generation settings demonstrate that our framework effectively exploits the discovered headroom. Remarkably, our million-parameter MLP performs competitively with billion-parameter reward models explicitly finetuned on the same tasks, while requiring only a negligible fraction of the inference cost.

Poster
Rethinking LLM Fine-Tuning via Weight Space Reparameterization: Preserving Safety during Downstream Adaptation

Min-Seong Kim, Jongbok Won, Jeesup Park, Yonghee Choi, Dong-Jun Han

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Fine-tuning large language models (LLMs) on downstream tasks often weakens their previously aligned safety behavior, creating an inherent trade-off between task adaptation and safety preservation. Existing approaches attempt to mitigate this issue by identifying safety-relevant neurons, layers, or update directions in the original parameter space. However, safety-related information is often distributed across many directions in this space, causing downstream updates to overwrite parameters that encode safety behavior. We propose WSR-Tune, a Weight Space Reparameterization-based fine-tuning framework that preserves safety during downstream adaptation. Our approach constructs a safety-conditioned basis and reparameterizes the weight matrices such that safety-relevant information becomes concentrated in a small subset of directions. We then identify safety-critical directions and freeze them in the reparameterized space, while updating the remaining complementary directions for downstream adaptation. By explicitly structuring the parameter space to disentangle safety and task information, our method reduces interference between objectives and enables simultaneous preservation of safety and improvement in downstream performance. Experimental results show that our method achieves a more favorable trade-off between downstream performance and safety retention, demonstrating its effectiveness for reliable LLM fine-tuning.

Spotlight
Rethinking CT Synthesis through Semantics-Structure Alignment

Riyu Qiu, Qichao Zhou, Jiacheng Wang, Liansheng Wang

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Mask-guided CT synthesis bridges structural annotations with imaging appearance, facilitating data augmentation and clinical tasks such as radiotherapy planning. Despite plausible visual realism, current methods seek optimal solutions by treating all tissues uniformly, failing to capture intrinsic CT properties such as tissue-specific distributions and strict anatomy, leading to semantic misalignment and structural hallucinations. To address this, we decompose CT synthesis into semantics-structure alignment through the proposed Semantics and Structure Loss. Specifically, the Semantic Intensity Distribution (SID) Loss partitions the broad Hounsfield Unit (HU) range into semantic subspaces to achieve tissue-specific intensity alignment. Building on SID-based semantic alignment, the Structural Anatomy (SA) Loss further improves structural fidelity by regularizing gradient manifolds within clinically-informed spatial domains. Extensive experiments across GAN, Diffusion, Flow, and foundation models demonstrate the broad compatibility and consistent gains of our approach. A user study further confirms the clinical realism and mask fidelity, while downstream segmentation demonstrates the practical utility. Code will be released after acceptance.

Poster