A common strategy for scaling world models is to train on more crawled video with more compute. We argue that this strategy is inefficient: scaling world models also requires a recursive data engine that offers grounded reward signals. The success of code agents illustrates why this matters. As code is executable, compilers and runtimes can provide high-quality rewards for Reinforcement Learning (RL) post-training of LLMs. By contrast, spatial generation still relies largely on fuzzy proxies such as CLIP scores. These signals are fuzzy and biased, making them hard to support RL post-training. Compared with these, game development provides a missing reward environment for spatial world models. A scene encoded by a game engine is an executable world specification: the engine can efficiently check collision, physics, navigability and bounded playability, while the developer provides the global verification signal by judging whether the scene should be accepted. Game development also provides real-world long-horizon trajectory data for RL post-training. We therefore propose Reinforcement Learning with Human-Engine Verification (RLHEV), a post-training paradigm that combines dense engine signals with implicit human acceptance feedback from the development process.
P. Zhou, Hesong Wang, Zhengfeiyang Zhang et al.· 0 citations
Musculoskeletal diseases are among the leading causes of disability and drive the greatest global need for rehabilitation. Because recovery, remodelling and degeneration of bones, joints and related tissues unfold over months to years, care requires longitudinal management rather than isolated decisions. Clinicians must repeatedly integrate evolving patient evidence, medical knowledge and stage-specific functional goals, yet evidence is often fragmented across visits, departments and hospital systems, disrupting continuous, individualised management. Here we report OrthoPilot, a clinical artificial intelligence (AI) system powered by a large language model (LLM) that integrates hospital data streams with authoritative external knowledge for continuous musculoskeletal care. It autonomously retrieves real-time imaging, laboratory, pathology and order data and translates evolving patient states into evidence-based decisions from admission diagnosis through rehabilitation planning. We established a specialist-validated benchmark from real-world electronic health records (EHRs) spanning 1,000 disease codes. In a full-pathway reader study against 81 orthopaedic physicians, OrthoPilot outperformed experts with 25 years of experience in diagnostic reasoning, clinical decision-making and management planning. This advantage generalised across 60 external clinical centres, where OrthoPilot surpassed all evaluated intelligent systems. In a prospective physician decision-making study of 1,870 complex cases, OrthoPilot improved full-chain management success by 10.6%. In a randomised deployment involving 8,240 inpatients, integration into routine care increased cumulative cases per bed by 9.7% and improved patient-reported access to health information. These results move clinical AI from predicting isolated events toward executing longitudinal management across complete musculoskeletal care pathways.
Wenjie Li, Yu-Jie Zhang, Fanrui Zhang et al.· 0 citations
A wearable assistant should both answer questions about its visual history and recognize when that history is useful to the present situation. Existing video-memory systems primarily support question-conditioned recall, whereas proactive assistants typically use separate memory and control mechanisms. We introduce GROVE, a training-free framework that supports both behaviors with one memory grown causally from a continuous video stream. GROVE retains fine-grained perceptual evidence and incrementally consolidates it into time-stamped moments, coherent episodes, and recurring cross-day patterns. Each stratum is paired with a scale-native retrieval skill for locating an observation, replaying an activity, or traversing long-range regularities. Reactive QA and proactive assistance share this memory and access interface, differing in whether retrieval is initiated by a user query or the current situation. Across multiple benchmarks including the challenging MM-lifelong and EgoServe, GROVE achieves the best results among the compared methods. Controlled ablations show that the temporal strata and their access skills are complementary, with patterns providing the largest benefit when evidence spans multiple days. Code will be available at https://github.com/SitongGong/GROVE.
Sitong Gong, Caixin Kang, Tianyu Yan et al.· 0 citations
This work explicitly model the evolving world state, delegate exact geometric computation to a fixed, zero-parameter renderer, and leave the neural model to synthesize appearance, establishing two properties of Marionette, a world model for interactive games with articulated characters that is directly controllable.
Zian Meng, Zhen Li, Chuanhao Li et al.· 0 citations
