United States

While coronary imaging is widely used for anatomical assessment, CCTA reports play a distinct last-mile role in clinical care. Rather
than serving as an intermediate signal, CCTA provides an assessment of coronary disease severity (known as the CAD-RADS score) to
guide patient management. However, real-world clinical text exhibits substantial heterogeneity in terminology and structure, leading
to inconsistent interpretation by automated systems, even for clinically similar cases. Recent work leverages a direct application of
LLMs for automated CAD-RADS scoring, but is limited by small, non-public, and homogeneous clinical data. We introduce CCTA-RADS, the largest publicly available dataset of 940 real-world CCTA reports from a major cardiovascular center, each annotated with CAD-RADS scores. Our analysis reveals that direct approaches, including state-of-the-art LLMs (GPT-4o, GPT-o3) and fine-tuned BERT models underperform on diverse real-world clinical data. To address these limitations, we propose a two-stage pipeline that decouples structuring from classification: an LLM-based parser normalizes heterogeneous reports into structured format, followed by fine-tuned BERT classification. This approach substantially improves the F1-score by 6%-13% compared with direct methods. We deploy our system as an interactive web interface that allows clinicians to upload CCTA reports for automated CAD-RADS assessment with SHAP and LIME explainability visualizations.

ACL 2026

Learning from Textual Radiology Reports: A Benchmark Dataset for Coronary CT Angiography

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It is my great pleasure and honor to welcome you to the 64th Annual Meeting of the Association for Computational Linguistics (ACL 2026), held in San Diego, California, USA, July 2–7, 2026. ACL 2026 continues our fields tradition of excellence in scholarship, innovation, and inclusivity, and I am deeply grateful to the many volunteers who have worked tirelessly to bring this event to life.

It is exciting to see the many developments in the field reflected at our conference, such as the advancement of large language models (born out of our community) into many application directions. This is not without challenges, partly due to unsolved problems, and partly due to misuse of the technology. All this is reflected well at ACL 2026. The conference also reflects that the field is not only about advancing technology, but also the science of fundamentally understanding language and how it is use by many different speaker communities. 
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The 64th Annual Meeting of the Association for Computational Linguistics (ACL 2026) will take place in San Diego, California, from July 2 - 7, 2026.

Retrieval-Augmented Generation (RAG) sys-
tems degrade sharply under extreme noise,
where relevant evidence is sparse and easily
pruned by static retrieval decisions. Existing
approaches fixed top-k retrieval, hierarchical
chunking, cross-encoder reranking, or policy-
based iterative control- either rely on rigid
heuristics or incur substantial computational
overhead, and often fail to recover context-
dependent evidence without introducing redun-
dancy or latency.
We introduce NEST (Nested Evidence Survival
for Retrieval), a lightweight, training-free RAG
framework that improves factual grounding by
explicitly separating recall amplification from
precision selection. NEST first maximizes re-
call through Nested Evidence Survival, eval-
uating candidates under nested retrieval con-
texts to rescue evidence that would otherwise
be pruned by static chunking. It then applies
a survival-consistent Mean Reciprocal Rank
(MRR) selection mechanism to retain evidence
that remains salient across retrieval scopes, re-
moving redundancy without harming recall.
Evaluated on WebQuestions, HotpotQA (dis-
tractor setting), and a proprietary InternalQA
benchmark with 50M Common Crawl distrac-
tors, NEST consistently outperforms strong
adaptive RAG baselines, including DeepRAG,
improving EM by up to +2.4 pp and F1 by +2.1
pp, while increasing retrieval recall by +6.8
pp. These gains are achieved with only 12–18
ms additional latency. Ablation studies confirm
that Nested Evidence Survival drives recall im-
provements, while MRR-based selection con-
verts these gains into precision, demonstrating
that recall-first retrieval with principled prun-
ing can outperform iterative control and model
scaling in retrieval-augmented generation.

NEST: Nested Evidence Survival for Retrieval

Retrieval-Augmented Generation (RAG) enhances large language models (LLMs) by incorporating external knowledge, yet traditional single-round retrieval struggles with complex multi-step reasoning.
Agentic RAG addresses this by enabling LLMs to dynamically decide when and what to retrieve, but current RL-based training methods suffer from sparse outcome rewards that discard intermediate signals and low sample efficiency where failed samples contribute nothing.
We propose Search-P1, a framework that introduces path-centric reward shaping for agentic RAG training, comprising two key components: (1) Path-Centric Reward, which evaluates the structural quality of reasoning trajectories through order-agnostic step coverage and soft scoring that extracts learning signals even from failed samples, and (2) Dual-Track Path Scoring with offline-generated reference planners that assesses paths from both self-consistency and reference-alignment perspectives.
Experiments on multiple QA benchmarks demonstrate that Search-P1 achieves significant improvements over Search-R1 and other strong baselines, with an average accuracy gain of 7.7 points.

Search-P1: Path-Centric Reward Shaping for Stable and Efficient Agentic RAG Training

Modern e-commerce assistants must go beyond simple product search to support inspiration, comparison, and tool-grounded fact-checking across non-linear shopping journeys. However, distilling these complex behaviors into efficient, deployable models is bottle-necked by a lack of post-training data: trajectories must cover diverse agentic workflows with high fidelity, yet the desired outputs are open-ended without a single ground truth. We propose a closed-loop Multi-Agent Simulation Framework to synthesize diverse, faithful, and policy-aligned shopping trajectories. The system orchestrates a journey-aware, stateful user simulator to drive exploration, a shopping agent that manages both tools and UI elements, and a critic agent that provides rubric-driven feedback to iteratively refine the data. On a domain-specific benchmark, this synthetic data enables a small model to significantly outperform same-size baselines and surpass a large-model baseline, achieving near-zero tool-calling errors with 8$\times$ higher inference throughput.

Small Agents, Big Gains: Journey-Aware and Critic-Guided Simulation for Long-Horizon Shopping Dialogues

Large language models (LLMs) excel at structured information generation but face cost and latency challenges when deployed at scale in user-facing products. We present a parameter-efficient supervised fine-tuning pipeline for adapting a small language model (SLM) to structured attribute generation in e-commerce product listing, enabling continuous model improvement with implicit user feedback without expensive manual annotation. Our approach involves completeness-deficit guided curation, which ranks samples by divergence between model predictions and seller-submitted attributes, selecting the highest completeness gap examples for progressive fine-tuning. Our system is deployed on a large-scale product listing service, reducing inference costs by 98% and p90 latency by 70% using a fine-tuned SLM relative to the baseline LLM while preserving an 86.4% user acceptance rate, translating to significant monthly infrastructure savings.

Progressive Fine-Tuning for Cost-Effective Structured Attribute Generation in E-commerce

Accurate Point of Interest (POI) attribute acquisition is essential for location-based services, yet traditional modular IVR systems suffer from error accumulation and high maintenance overhead. We present DuIVRS-2, an LLM-based end-to-end framework designed for large-scale POI verification at Baidu Maps. To address the long-tail distribution of real-world interactions, our methodology first employs an FSM-guided data augmentation strategy to synthesize a balanced and diverse training dataset. We then streamline dialogue management via a selective generation scheme combined with a Chain-of-Thought (CoT) mechanism, which ensures output stability and effectively eliminates hallucinations in industrial settings. To facilitate continuous policy refinement with minimal manual effort, we design a cooperative iterative learning framework that leverages a dual-evaluator voting system. Deployed in production for two months, DuIVRS-2 processed 0.4 million calls daily and achieved a 83.9\% Task Success Rate, outperforming its predecessor by 4 percentage points while maintaining a low reaction time of 130ms. This work provides a production-proven reference for developing robust, cost-effective LLM agents for large-scale industrial dialogue applications.

DuIVRS-2: An LLM-based Interactive Voice Response System for Large-scale POI Attribute Acquisition

LLM-as-a-Judge systems are increasingly used to evaluate text at scale, yet production deployment demands low latency, minimal cost, and compatibility with closed-source APIs. Current approaches fall short in different ways; some require many LLM calls and per-dataset prompt tuning, others depend on logit access unavailable in commercial APIs, and yet others demand multiple rounds of LLM interaction for iterative feature discovery. We present \textbf{SAJA} (\textbf{S}imple \textbf{A}pproach to \textbf{J}udge \textbf{A}lignment), built on the principle that task-specific alignment should reside in a lightweight calibration head, not in elaborate prompts or model internals. SAJA makes exactly one LLM call per item using a fixed structured rubric prompt, extracts a multi-dimensional feature vector, and maps it to a human-aligned score via a calibration head trained on a small number of human labels. No prompt optimization, no logit access, and no iterative LLM interaction are needed, yet SAJA matches far more complex systems across four evaluation paradigms, achieving 86\% F1 on MT-Bench pairwise preference (vs.\ 78\% uncalibrated), competitive performance on five classification benchmarks with a single call, and +5.71\% F1 over prompt-optimized baselines on proprietary data. Ablations confirm that multi-dimensional rubric features outperform one-dimensional calibration (SummEval $\rho$ improves from $0.60$ to $0.74$) and that coarse rubric outputs recover the same human alignment as full logit distributions ($\rho = 0.36$ vs.\ $0.37$), establishing that logit access is unnecessary for calibrated judge alignment.

SAJA: A Simple Approach to Judge Alignment for LLM-as-a-Judge

Clinical decisions are often required under incomplete information. Clinical experts must identify whether available information is sufficient for judgment, as both premature conclusion and unnecessary abstention can compromise patient safety. To evaluate this capability of large language models (LLMs), we developed ClinDet-Bench, a benchmark based on clinical scoring systems that decomposes incomplete-information scenarios into determinable and undeterminable conditions. Identifying determinability requires considering all hypotheses about missing information, including unlikely ones, and verifying whether the conclusion holds across them. We find that recent LLMs fail to identify determinability under incomplete information, producing both premature judgments and excessive abstention, even when they correctly explain the underlying scoring knowledge and perform well under complete information, as they tend to assume plausible values for missing information. These findings suggest that existing benchmarks are insufficient to evaluate the safety of LLMs in clinical settings. ClinDet-Bench provides a framework for evaluating determinability recognition, leading to appropriate abstention, with potential applicability to medicine and other high-stakes domains, and is publicly available.

ClinDet-Bench: Beyond Abstention, Evaluating Judgment Determinability of LLMs in Clinical Decision-Making

Industrial maintenance platforms contain rich but fragmented evidence, including free-text work orders, heterogeneous operational sensors or indicators, and structured failure knowledge. These sources are often analyzed in isolation, producing alerts or forecasts that do not support conditional decision-making: given this asset history and behavior, what is happening and what action is warranted?


We present Condition Insight Agent, a deployed decision-support framework that integrates maintenance language, behavioral abstractions of operational data, and engineering failure semantics to produce evidence-grounded explanations and advisory actions. The system constrains reasoning through deterministic evidence construction and structured failure knowledge, and applies a rule-based verification loop to suppress unsupported conclusions.


Case studies from production CMMS deployments show that this verification-first design operates reliably under heterogeneous and incomplete data while preserving human oversight. Our results demonstrate how constrained LLM-based reasoning can function as a governed decision-support layer for industrial maintenance.

Evidence‑Driven Reasoning for Industrial Maintenance Using Heterogeneous Data

The Model Context Protocol (MCP) has rapidly emerged as the dominant standard for connecting large language models to external tools, databases, and services. Yet this convenience introduces a fundamentally new attack surface that existing LLM safety measures fail to address: adversaries can now compromise AI agents not through the user prompt, but through the tools the agent trusts. We present ShieldMCP, a runtime security framework grounded in two contributions. First, we introduce a structured threat taxonomy derived from analysis of 80+ attack techniques catalogued under the SAFE-MCP initiative within the Linux Foundation's OpenSSF, spanning 14 tactical categories adapted from the MITRE ATT&CK methodology. Second, we describe an interception architecture that performs real-time validation of MCP tool calls and responses, combining structural analysis with semantic intent verification to detect tool poisoning, indirect prompt injection through tool outputs, and supply chain manipulation. In red-team evaluation across five popular LLM backends, ShieldMCP reduces attack success rates from 74% to under 9% for tool poisoning and from 47% to under 6% for indirect prompt injection via tool responses, while adding fewer than 120ms of median latency per tool call. We discuss deployment considerations, the tension between security and agent utility, and lessons applicable to any organization integrating MCP into production workflows. Our framework is categorized as an Emerging system intended for real-world deployment.

Securing the Tool Layer: A Threat Taxonomy and Runtime Defense Framework for Model Context Protocol Deployments

Modern data lakes contain vast and heterogeneous document collections, making Information Extraction (IE) a persistent and nontrivial challenge. Traditional IE systems are often rigid - i.e. domain-specific, require extensive supervision, or are limited to predefined entity types and data structures; LLM-based approaches are more flexible, but suffer from hallucinations, non-determinism, high computational costs - drawbacks inherent to all LLMs. To overcome these limitations, we introduce OSyTa, a novel scalable LLM-based IE system that processes documents of varying complexity, extracts relational tables, and can generate complex tables with Bi-dimensional metadata, enabling robust document-level IE.
We evaluated OSyTa on real user extraction tasks and \textcolor{blue}{achieved high F1 score (92.1\%) across three publicly available}, large-scale corpora from two distinct domains (medical and legal) each containing numerous documents.

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NEST: Nested Evidence Survival for Retrieval

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