United States

Automated 3D radiology report generation often suffers from clinical hallucinations and a lack of the iterative verification found in human practice. While recent Vision-Language Models (VLMs) have advanced the field, they typically operate as monolithic &quot;black-box&quot; systems without the collaborative oversight characteristic of clinical workflows. To address these challenges, we propose MARCH (Multi-Agent Radiology Clinical Hierarchy), a multi-agent framework that emulates the professional hierarchy of radiology departments and assigns specialized roles to distinct agents. MARCH utilizes a Resident Agent for initial drafting with multi-scale CT feature extraction, multiple Fellow Agents for retrieval-augmented revision, and an Attending Agent that orchestrates an iterative, stance-based consensus discourse to resolve diagnostic discrepancies. On the RadGenome-ChestCT dataset, MARCH significantly outperforms state-of-the-art baselines in both clinical fidelity and linguistic accuracy. Our work demonstrates that modeling human-like organizational structures enhances the reliability of AI in high-stakes medical domains.

ACL 2026

MARCH: Multi-Agent Radiology Clinical Hierarchy for CT Report Generation

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ACL 2024

The 62nd Annual Meeting of the Association for Computational Linguistics (ACL 2024) will take place in Bangkok, Thailand from August 11th to 16th, 2024. More information will be announced soon.

Automated 3D radiology report generation often suffers from clinical hallucinations and a lack of the iterative verification found in human practice. While recent Vision-Language Models (VLMs) have advanced the field, they typically operate as monolithic "black-box" systems without the collaborative oversight characteristic of clinical workflows. To address these challenges, we propose MARCH (Multi-Agent Radiology Clinical Hierarchy), a multi-agent framework that emulates the professional hierarchy of radiology departments and assigns specialized roles to distinct agents. MARCH utilizes a Resident Agent for initial drafting with multi-scale CT feature extraction, multiple Fellow Agents for retrieval-augmented revision, and an Attending Agent that orchestrates an iterative, stance-based consensus discourse to resolve diagnostic discrepancies. On the RadGenome-ChestCT dataset, MARCH significantly outperforms state-of-the-art baselines in both clinical fidelity and linguistic accuracy. Our work demonstrates that modeling human-like organizational structures enhances the reliability of AI in high-stakes medical domains.

poster

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.

Uncertainty quantification (UQ) for large language models (LLMs) is a key building block for safety guardrails of daily LLM applications. Yet, even as LLM agents are increasingly deployed in highly complex tasks, most UQ research still centers on single-turn question-answering. We argue that UQ research must shift to realistic settings with interactive agents, and that a new principled framework for agent UQ is needed. This paper presents three pillars to build a solid ground for future agent UQ research: (1. Foundations) We present the first general formulation of agent UQ that subsumes broad classes of existing UQ setups; (2. Challenges) We identify four technical challenges specifically tied to agentic setups---selection of uncertainty estimator, uncertainty of heterogeneous entities, modeling uncertainty dynamics in interactive systems, and lack of fine-grained benchmarks---with numerical analysis on a real-world agent benchmark, $\tau^2$-bench; (3. Future Directions) We conclude with noting on the practical implications of agent UQ and remaining open problems as forward-looking discussion for future explorations.

Uncertainty Quantification in LLM Agents: Foundations, Emerging Challenges, and Opportunities

In Question Answering (QA), Retrieval Augmented Generation (RAG) has revolutionized performance in various domains. However, how to effectively capture multi-document relationships remains an open question. This is particularly critical for biomedical tasks due to their reliance on information spread across multiple documents. In this work, we propose a novel method CLAIMS, which utilizes propositional claims to construct a local knowledge graph from retrieved documents. Summaries are then derived via layerwise summarization from the knowledge graph to contextualize a small language model to perform QA. The structured summaries effectively capture explicit and implicit relationships between entities in the documents, thus having a more comprehensive context to provide to LLMs. CLAIMS achieved comparable or superior performance over RAG baselines on several biomedical QA benchmarks. We also evaluated its generalizability and each individual step of our approach with a targeted set of metrics, demonstrating its effectiveness.

Biomedical Question Answering via Multi-Level Summarization on a Local Knowledge Graph

We present a neuromuscular speech interface that translates electromyographic (EMG) signals recorded from orofacial muscles during speech articulation directly into audio. We find that self-supervised speech (S3) representations are strongly linearly related to the electrical power of muscle activity: a simple linear mapping predicts EMG power from S3 representations with a correlation of *r* = 0.85. In addition, EMG power vectors associated with distinct articulatory gestures form structured, separable clusters. Together, these observations suggest that S3 models implicitly encode articulatory mechanisms, as reflected in EMG activity. Leveraging this structure, we map EMG signals into the S3 representation space and synthesize speech, enabling end-to-end EMG-to-speech generation without explicit articulatory modeling or vocoder training. We demonstrate this system with a participant with amyotrophic lateral sclerosis (ALS), converting orofacial EMG recorded while she *silently* articulated speech into audio.

emg2speech: synthesizing speech from electromyography using self-supervised speech models

Recent advancements in large language models (LLMs) have underscored their vulnerability to safety alignment jailbreaks, particularly when subjected to downstream fine-tuning. However, existing mitigation strategies primarily focus on reactively addressing jailbreak incidents after safety guardrails have been compromised, removing harmful gradients during fine-tuning, or continuously reinforcing safety alignment throughout fine-tuning. As such, they tend to overlook a critical upstream factor: the role of the original safety-alignment data. This paper therefore investigates the degradation of safety guardrails through the lens of representation similarity between upstream alignment datasets and downstream fine-tuning tasks. Our experiments demonstrate that high similarity between these datasets significantly weakens safety guardrails, making models more susceptible to jailbreaks. Conversely, low similarity between these two types of datasets yields substantially more robust models and thus reduces harmfulness score by up to 10.33%. By highlighting the importance of upstream dataset design in the building of durable safety guardrails and reducing real-world vulnerability to jailbreak attacks, these findings offer actionable insights for fine-tuning service providers to prioritize upstream models with low jailbreak risk.

Why LLM Safety Guardrails Collapse After Fine-tuning: A Similarity Analysis Between Alignment and Fine-tuning Datasets

Speech representations that capture prosodic information can be useful for both understanding and generation. However, speaker characteristics are reflected in acoustic-prosodic features (e.g., pitch). To address privacy concerns from the leakage of identity information, we propose a new self-supervised approach to learning prosody representations that incorporates speaker disentanglement strategies. We evaluate our encoder on three tasks to probe representation capabilities, including pitch reconstruction and detection of different prosodic events. Our encoder outperforms raw prosody and HuBERT-base baselines, achieving strong speaker disentanglement without adverse impact on prosody-related downstream tasks.

Privacy-preserving Prosody Representation Learning

Translationese refers to the statistical patterns that distinguish translated texts from original texts, which are often subtle and imperceptible to human readers. When translated texts appear in either training or testing data, these patterns can negatively affect model performance or warp model evaluation. We approach the task of discerning whether a text was originally written in English or translated into English by fine-tuning contemporary foundation models at distinct item lengths and achieve state-of-the-art performance (94% Macro F1). Given that these linguistic cues are subtle and often imperceptible to humans, we analyze the features which enable our model's high performance. Employing a suite of interpretability-based techniques, we find that: (1) our high accuracy is enabled by a collection of linguistic features, a number of which correspond with linguistic theories of translationese, and (2) pretrained neural models are adept at picking up these features without any fine-tuning.

Lost in Translation, and Found: Detecting and Interpreting Translation Effects

Multimodal health sensing offers rich behavioral signals for assessing mental health, yet translating these numerical time-series measurements into natural language remains challenging. Current LLMs cannot natively ingest long-duration sensor streams, and paired sensor–text datasets are scarce. To address these challenges, we introduce LENS, a framework that aligns multimodal sensing data with language models to generate clinically grounded mental-health narratives. LENS first constructs a large-scale dataset by transforming Ecological Momentary Assessment (EMA) responses related to depression and anxiety symptoms into natural-language descriptions, yielding over 100,000 sensor–text QA pairs from 258 participants. To enable native time-series integration, we train a patch-level encoder that projects raw sensor signals directly into an LLM’s representation space. Our results show that LENS outperforms strong baselines on standard NLP metrics and task-specific measures of symptom-severity accuracy. A user study with 13 mental-health professionals further indicates that LENS-produced narratives are comprehensive and clinically meaningful. Ultimately, our approach advances LLMs as interfaces for health sensing, providing a scalable path toward models that can reason over raw behavioral signals and support downstream clinical decision-making.

LENS: LLM-Enabled Narrative Synthesis for Mental Health by Aligning Multimodal Sensing with Language Models

Large Language Models (LLMs) are increasingly deployed in contexts requiring complex moral reasoning and value trade-offs. However, existing evaluations typically rely on item-level behavioral metrics, which fail to capture how models structurally prioritize competing values as a cohesive system. To address this, we propose a symmetric human-LLM evaluation framework, grounded in Q methodology, to measure value-structure alignment. Under our protocol, humans and models sort an identical 140-item moral statement set into a shared nine-column forced distribution; for LLMs, we elicit strict rankings and deterministically map them to Q-sort buckets. Using a human reference sample ($N=35$), we establish a stable three-factor reference geometry specific to this instrument and sample. We evaluate 12 LLMs across four model families via 240 replicated Q-sorts at two temperature settings, quantifying structural alignment via Procrustes similarity ($\phi$) and RSA-based Spearman correlation ($\rho$). Our results reveal significant cross-family heterogeneity, model-specific sensitivity to generation stochasticity and localized misalignment, which demonstrate that favorable global scores can obscure underlying regional distortions. While rank- and bucket-based analyses remain highly consistent, prompt phrasing introduces notable variance. Ultimately, assessing value-structure alignment provides a crucial structural complement to traditional itemwise moral benchmarks.

Beyond Value Benchmarks: Measuring Value-Structure Alignment in Large Language Models via Symmetric Q-Sorts

Previous research on multi-party dialogue generation has predominantly leveraged structural information inherent in dialogues to directly inform the generation process. However, the prevalence of colloquial expressions and incomplete utterances in dialogues often impedes comprehension and weakens the fidelity of dialogue structure representations, which is particularly pronounced in multi-party dialogues. In this work, we propose a novel framework DRCR (Discourse coherence and Response-guided Context Rewriting) to improve multi-party dialogue generation through dialogue context rewriting. Specifically, DRCR employs two complementary feedback signals, discourse coherence and response quality, to construct preference data for both context rewriting and response generation. Moreover, we propose a dynamic self-evolution learning method that allows the rewriter and responder to continuously enhance their capabilities through mutual interaction in an iterative training loop. Comprehensive experiments conducted on four multi-party dialogue datasets substantiate the effectiveness of DRCR.

 Discourse Coherence and Response-Guided Context Rewriting for Multi-Party Dialogue Generation

Reinforcement learning based post-training paradigms for Video Large Language Models (VideoLLMs) have achieved significant success by optimizing for visual-semantic tasks such as captioning or VideoQA. However, while these approaches effectively enhance perception abilities, they primarily target holistic content understanding, often lacking explicit supervision for intrinsic temporal coherence and inter-frame correlations. This tendency limits the models' ability to capture intricate dynamics and fine-grained visual causality. To explicitly bridge this gap, we propose a novel post-training objective: Masked Video Prediction (MVP). By requiring the model to reconstruct a masked continuous segment from a set of challenging distractors, MVP forces the model to attend to the sequential logic and temporal context of events. To support scalable training, we introduce a scalable data synthesis pipeline capable of transforming arbitrary video corpora into MVP training samples, and further employ Group Relative Policy Optimization (GRPO) with a fine-grained reward function to enhance the model's understanding of video context and temporal properties. Comprehensive evaluations demonstrate that MVP enhances video reasoning capabilities by directly reinforcing temporal reasoning and causal understanding.

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