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cs.DC updates on arXiv.org

DUAL-BLADE: Dual-Path NVMe-Direct KV-Cache Offloading for Edge LLM Inference Progressive Semantic Communication for Efficient Edge-Cloud Vision-Language Models Efficient, VRAM-Constrained xLM Inference on Clients Folding Tensor and Sequence Parallelism for Memory-Efficient Transformer Training & Inference DORA: A Scalable Asynchronous Reinforcement Learning System for Language Model Training AMMA: A Multi-Chiplet Memory-Centric Architecture for Low-Latency 1M Context Attention Serving RaMP: Runtime-Aware Megakernel Polymorphism for Mixture-of-Experts Spark Policy Toolkit: Semantic Contracts and Scalable Execution for Policy Learning in Spark Internet of Everything in the 6G Era: Paradigms, Enablers, Potentials and Future Directions PolyKV: A Shared Asymmetrically-Compressed KV Cache Pool for Multi-Agent LLM Inference A Survey on Split Learning for LLM Fine-Tuning: Models, Systems, and Privacy Optimizations ITAS: A Multi-Agent Architecture for LLM-Based Intelligent Tutoring Latency and Cost of Multi-Agent Intelligent Tutoring at Scale TACO: Efficient Communication Compression of Intermediate Tensors for Scalable Tensor-Parallel LLM Training FreeScale: Distributed Training for Sequence Recommendation Models with Minimal Scaling Cost CommFuse: Hiding Tail Latency via Communication Decomposition and Fusion for Distributed LLM Training A Taxonomy and Resolution Strategy for Client-Level Disagreements in Federated Learning Usable Agent Discovery for Decentralized AI Systems Cloud to Edge: Benchmarking LLM Inference On Hardware-Accelerated Single-Board Computers Data-Free Contribution Estimation in Federated Learning using Gradient von Neumann Entropy Shard the Gradient, Scale the Model: Serverless Federated Aggregation via Gradient Partitioning Promoting Simple Agents: Ensemble Methods for Event-Log Prediction GraphLeap: Decoupling Graph Construction and Convolution for Vision GNN Acceleration on FPGA AGNT2: Autonomous Agent Economies on Interaction-Optimized Layer 2 Infrastructure FedSIR: Spectral Client Identification and Relabeling for Federated Learning with Noisy Labels Stream-CQSA: Avoiding Out-of-Memory in Attention Computation via Flexible Workload Scheduling A Delta-Aware Orchestration Framework for Scalable Multi-Agent Edge Computing Federated Learning over Blockchain-Enabled Cloud Infrastructure Optimal Routing for Federated Learning over Dynamic Satellite Networks: Tractable or Not? Sherpa.ai Privacy-Preserving Multi-Party Entity Alignment without Intersection Disclosure for Noisy Identifiers
MedBeads: An Agent-Native, Immutable Data Substrate for T...
Takahito Nakajima · 2026-02-01 · via cs.DC updates on arXiv.org

Background: As of 2026, Large Language Models (LLMs) demonstrate expert-level medical knowledge. However, deploying them as autonomous "Clinical Agents" remains limited. Current Electronic Medical Records (EMRs) and standards like FHIR are designed for human review, creating a "Context Mismatch": AI agents receive fragmented data and must rely on probabilistic inference (e.g., RAG) to reconstruct patient history. This approach causes hallucinations and hinders auditability. Methods: We propose MedBeads, an agent-native data infrastructure where clinical events are immutable "Beads"--nodes in a Merkle Directed Acyclic Graph (DAG)--cryptographically referencing causal predecessors. This "write-once, read-many" architecture makes tampering mathematically detectable. We implemented a prototype with a Go Core Engine, Python middleware for LLM integration, and a React-based visualization interface. Results: We successfully implemented the workflow using synthetic data. The FHIR-to-DAG conversion transformed flat resources into a causally-linked graph. Our Breadth-First Search (BFS) Context Retrieval algorithm traverses relevant subgraphs with O(V+E) complexity, enabling real-time decision support. Tamper-evidence is guaranteed by design: any modification breaks the cryptographic chain. The visualization aids clinician understanding through explicit causal links. Conclusion: MedBeads addresses the "Context Mismatch" by shifting from probabilistic search to deterministic graph traversal, and from mutable records to immutable chains, providing the substrate for "Trustworthy Medical AI." It guarantees the context the AI receives is deterministic and tamper-evident, while the LLM determines interpretation. The structured Bead format serves as a token-efficient "AI-native language." We release MedBeads as open-source software to accelerate agent-native data standards.