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Generating radiology reports from 3D volumetric data remains challenging due to the difficulty of grounding fine-grained pathologies within high-dimensional scans. While retrieval-augmented generation (RAG) offers a potential solution, standard approaches struggle with visual-semantic ambiguity and often introduce irrelevant &quot;normal&quot; context that dilutes pathological signals. To address this limitation, we introduce CPR-RAG, a model-agnostic RAG framework that enhances organ-level grounding by integrating clinical priors into the retrieval process. Specifically, we propose a clinical prior-regularized re-ranking module that leverages corpus-derived co-occurrence statistics to align retrieved candidates with latent disease distributions, ensuring clinical consistency beyond mere visual similarity. Furthermore, we employ clinical relevance context refinement to selectively filter out boilerplate normal descriptions, thereby maximizing the information density of the evidence provided to the generator. Extensive experiments on the RadGenome-ChestCT benchmark demonstrate that CPR-RAG significantly improves clinical efficacy across state-of-the-art radiology report generation models. Human evaluation further confirms that our approach achieves superior factual correctness, completeness, and utility compared to the existing models.

ACL 2026

 CPR-RAG: Clinical Prior-Regularized Retrieval for Anatomy-Aware 3D CT Report Generation

### Welcome to The 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025)

Message from the General Chair: 
*It is my great pleasure and honor to welcome you to the 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025), held in beautiful Vienna, Austria, from July 27 to August 1, 2025. ACL2025continues our field’s 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.* 
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ACL 2025

Welcome to The 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025)

Generating radiology reports from 3D volumetric data remains challenging due to the difficulty of grounding fine-grained pathologies within high-dimensional scans. While retrieval-augmented generation (RAG) offers a potential solution, standard approaches struggle with visual-semantic ambiguity and often introduce irrelevant "normal" context that dilutes pathological signals. To address this limitation, we introduce CPR-RAG, a model-agnostic RAG framework that enhances organ-level grounding by integrating clinical priors into the retrieval process. Specifically, we propose a clinical prior-regularized re-ranking module that leverages corpus-derived co-occurrence statistics to align retrieved candidates with latent disease distributions, ensuring clinical consistency beyond mere visual similarity. Furthermore, we employ clinical relevance context refinement to selectively filter out boilerplate normal descriptions, thereby maximizing the information density of the evidence provided to the generator. Extensive experiments on the RadGenome-ChestCT benchmark demonstrate that CPR-RAG significantly improves clinical efficacy across state-of-the-art radiology report generation models. Human evaluation further confirms that our approach achieves superior factual correctness, completeness, and utility compared to the existing models.

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. 
[Full Message from General Chair Philipp Koehn](https://drive.google.com/file/d/1QiJFOmMjvDgsDo3i1XzlQnImxe3RU_Cy/view?usp=sharing) 
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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.

Deploying LLMs in real-world applications requires controllable output that satisfies multiple desiderata at the same time. While existing work extensively addresses LLM steering for a single behavior, compositional steering---i.e., steering LLMs simultaneously towards multiple behaviors---remains an underexplored problem. In this work, we propose compositional steering tokens for multi-behavior steering. We first embed individual behaviors, expressed as natural language instructions, into dedicated tokens via self-distillation. Contrary to most prior work, which operates in the activation space, our behavior steers live in the space of input tokens, enabling more effective zero-shot composition. We then train a dedicated composition token on pairs of behaviors and show that it successfully captures the notion of composition: it generalizes well to unseen compositions, including those with unseen behaviors as well as those with an unseen number of behaviors. Our experiments across different LLM architectures show that steering tokens lead to superior multi-behavior steering of verifiable constraints (e.g., length, format, structure, language) compared to competing approaches (instructions, activation steering, and LoRA merging). Moreover, we show that steering tokens complement natural language instructions, with their combination resulting in further gains.

Compositional Steering of Large Language Models with Steering Tokens

Test-time alignment methods offer a promising alternative to fine-tuning by steering the outputs of large language models (LLMs) at inference time with lightweight interventions on their internal representations. Recently, a prominent and effective approach, RE-Control (Kong et al., 2024), has proposed leveraging an external value function trained over the LLM's hidden states to guide generation via gradient-based editing. While effective, this method overlooks a key characteristic of alignment tasks, i.e. that they are typically formulated as learning from human preferences between candidate responses. To address this, in this paper we propose a novel preference-based training framework, **Pref-CTRL**, that uses a multi-objective value function to better reflect the structure of preference data. Our approach has outperformed RE-Control on two benchmark datasets and showed greater generalization on out-of-domain datasets. Our source code is available at https://github.com/UTS-nlPUG/pref-ctrl.

Pref-CTRL: Preference Driven LLM Alignment using Representation Editing

In large language model (LLM) agents, reasoning trajectories are treated as reliable internal beliefs for guiding actions and updating memory. However, coherent reasoning can still violate logical or evidential constraints, allowing unsupported beliefs repeatedly stored and propagated across decision steps, leading to systematic behavioral drift in long-horizon agentic systems. Most existing strategies rely on the consensus mechanism, conflating agreement with faithfulness. In this paper, inspired by the vulnerability of unfaithful intermediate reasoning trajectories, we propose \textbf{S}elf-\textbf{A}udited \textbf{Ve}rified \textbf{R}easoning (\textsc{SAVeR}), a novel framework that enforces verification over internal belief states within the agent before action commitment, achieving faithful reasoning. Concretely, we structurally generate persona-based diverse candidate beliefs for selection under a faithfulness-relevant structure space. To achieve reasoning faithfulness, we perform adversarial auditing to localize violations and repair through constraint-guided minimal interventions under verifiable acceptance criteria. Extensive experiments on six benchmark datasets demonstrate that our approach consistently improves reasoning faithfulness while preserving competitive end-task performance.

Verify Before You Commit: Towards Faithful Reasoning in LLM Agents via Self-Auditing

As AI text detectors are increasingly used to flag LLM-generated writing, a natural question arises: are there forms of high-quality generated narrative that can evade such detection? We introduce Frankentexts, a long-form narrative generation paradigm that treats an LLM as a composer of existing texts rather than as an author. Given a writing prompt and thousands of randomly sampled human-written snippets, the model assembles a coherent narrative where most tokens (e.g., 90%) are copied verbatim from the source passages. Despite the extreme challenge of the task, we observe through extensive automatic and human evaluation that Frankentexts improve over vanilla LLM generations in key writing quality metrics such as diversity and novelty while remaining mostly coherent and relevant to the prompt. Furthermore, Frankentexts pose a fundamental challenge to current AI text detectors: 72% of Frankentexts produced by our best configuration (Gemini-2.5-Pro with 5K input snippets) are misclassified as human-written by Pangram, a state-of-the-art detector. Human annotators praise Frankentexts for their inventive premises, vivid descriptions, and dry humor; however, they still identify issues with abrupt tonal shifts and uneven grammar across segments. Overall, the emergence of high-quality yet low-detectability Frankentexts challenges established authorship norms while raising concerns about the publishing economy.

Frankentext: Stitching random text fragments into long-form narratives

Interactive medical questioning is essential in clinical consultations, where physicians must actively gather necessary patient information. Yet existing medical Large Language Models (LLMs) predominantly follow a reactive paradigm, risking diagnostic errors by answering before seeking sufficient details. To bridge this gap, we propose ProMed, a reinforcement learning framework that transitions LLMs toward a proactive paradigm, enabling them to ask clinically valuable questions before decision-making. Central to ProMed is the Shapley Information Gain (SIG) reward, which quantifies a question's clinical utility as the amount of newly acquired information, while considering its contextual importance via Shapley values. We integrate SIG into a two-stage training pipeline: (1) SIG-Guided Model Initialization uses Monte Carlo Tree Search to construct high-reward interaction trajectories for supervision, and (2) SIG-Augmented Policy Optimization, with a novel SIG-guided Reward Distribution Mechanism that prioritizes informative questions for fine-grained optimization. Experiments on partial-information medical benchmarks show that ProMed significantly outperforms state-of-the-art methods by 6.29% on average and delivers a 54.45% gain over the reactive paradigm, and generalizes robustly to out-of-domain cases. Our codes are available at https://github.com/hxxding/ProMed.

ProMed: Shapley Information Gain Guided Reinforcement Learning for Proactive Medical LLMs

Supervised Fine-Tuning (SFT) and Reinforcement Learning (RL) dominate the post-training landscape for mathematical reasoning, yet differ fundamentally in their reliance on expert trajectories. To understand the optimal way to harness these trajectories for maximizing performance, we propose the Plasticity-Ceiling Framework. This framework empirically grounds the post-training landscape by decomposing the ﬁnal performance ceiling into the foundational SFT performance and the subsequent RL plasticity (i.e., the maximum improvement via RL). Through extensive benchmarking, we establish the Sequential SFT-then-RL pipeline as the superior standard, overcoming the stability and premature convergence deﬁcits inherent in synchronized approaches. Furthermore, we derive precise scaling guidelines: (1) Transitioning to RL at the Stable or Mild Overﬁtting Regime of SFT maximizes the ﬁnal ceiling by securing a robust SFT foundation with substantial RL plasticity; (2) Refuting the “Less is More” hypothesis in SFT-then-RL scaling, we demonstrate that Data Scale determines the primary post-training potential, while Trajectory Difﬁculty acts as a performance multiplier; and (3) The Minimum Validation Loss of SFT serves as a reliable indicator for selecting the expert trajectories that maximize the ultimate performance ceiling. Our ﬁndings provide actionable guidelines for extracting maximum value from expert trajectories.

 Rethinking Expert Trajectory Utilization in LLM Post-training for Mathematical Reasoning

Competitive programming has become a rigorous benchmark for evaluating the reasoning and problem-solving capabilities of large language models (LLMs). The International Olympiad in Informatics (IOI) stands out as one of the most prestigious annual competitions in competitive programming and has become a key benchmark for comparing human and AI-level programming ability. While several proprietary models have been claimed to achieve gold medal-level performance at the IOI, often with undisclosed methods, achieving comparable results with open-weight models remains a significant challenge. In this paper, we present GenCluster, a scalable and reproducible test-time compute framework that attains IOI gold-level performance using open-weight models. It combines large-scale generation, behavioral clustering, ranking, and a round-robin submission strategy to efficiently explore diverse solution spaces under limited validation budgets. Our experiments show that the performance of our proposed approach scales consistently with available compute, narrowing the gap between open and closed systems. Notably, we will show that GenCluster can achieve a gold medal at IOI 2025 for the first time with an open-weight model gpt-oss-120b, setting a new benchmark for transparent and reproducible evaluation of reasoning in LLMs.

Scaling Test-Time Compute to Achieve IOI Gold Medal with Open-Weight Models

Robustness has become a critical attribute for the deployment of RAG systems in real-world applications. Existing research focuses on robustness to explicit noise (e.g., document semantics) but overlooks implicit noise (spurious features). Moreover, previous studies on spurious features in LLMs are limited to specific types (e.g., formats) and narrow scenarios (e.g., ICL). In this work, we identify and study spurious features in the RAG paradigm, a robustness issue caused by the sensitivity of LLMs to semantic-agnostic features. We then propose a novel framework,\textit{SURE}, to empirically quantify the robustness of RALMs against spurious features. Beyond providing a comprehensive taxonomy and metrics for evaluation, the framework’s data synthesis pipeline facilitates training-based strategies to improve robustness. Further analysis suggests that spurious features are a widespread and challenging problem in the field of RAG. Our code is available at https://anonymous.4open.science/r/RAG-SpuriousFeatures-62B3.

Quantifying and Improving the Robustness of Retrieval-Augmented Language Models Against Spurious Features in Grounding Data

Overlapping calendar invitations force busy professionals to repeatedly decide which meetings to attend, reschedule, or decline. We refer to this preference-driven decision process as calendar conflict resolution. Automating this decision process is crucial yet challenging. Scheduling logistics can drain hours, and human delegation often fails at scale, which motivates us to ask: Can we trust large language models (LLMs) or language agents to manage time? To enable a systematic study of this question, we introduce CalConflictBench, a benchmark for long-horizon calendar conflict resolution. In CalConflictBench, conflicts are presented to agents round-by-round over a calendar year, requiring them to infer and adapt to user preferences progressively. Our experiments show that current LLM agents perform poorly with high error rates, e.g., Qwen-3-30B-Think has an average error rate of 35%. To address this gap, we propose PEARL, a reinforcement-learning framework that (i) augments the language agent with an external preference memory that stores and updates inferred strategies (e.g., attendee priorities, topic importance, time/location preferences), and (ii) optimizes the agent with round-wise rewards that directly supervise decision correctness, ranking quality, and memory usage across rounds. Experiments on CalConflictBench show that PEARL achieves an error reduction rate of 0.76 and a 55% improvement in average error rate compared to the strongest baseline.

PEARL: Self-Evolving Assistant for Time Management with Reinforcement Learning

GraphRAG augments large language models with structured knowledge graphs, enabling graph-based context selection and a more integrated view of the knowledge space. However, recent work shows that GraphRAG exposes a new attack surface: corpus-level knowledge poisoning can inject spurious entities and relationships during graph construction, corrupting query-specific subgraphs and steering the generator toward incorrect answers. We propose Hop-wise Guard for GraphRAG (HoG-GRAG), a defense layer between retriever and generator that decomposes multi-hop questions into ordered subqueries, monitors hop-wise execution for poisoning-induced inconsistencies, and locally repairs the retrieved subgraph by pruning compromised entities and relationships and adding only minimal missing evidence. Experiments on multi-hop datasets and multiple GraphRAG configurations show that HoG-GRAG recovers a large fraction of the lost performance. The code is available at https://github.com/CyberScienceLab/HoG-GRAG.

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