Medical tasks such as diagnosis and treatment planning require precise and complex reasoning, particularly in life-critical domains. Unlike mathematical reasoning, medical reasoning demands meticulous, verifiable thought processes to ensure reliability and accuracy. However, there is a notable lack of datasets that provide transparent, step-by-step reasoning to validate and enhance the medical reasoning ability of AI models. To bridge this gap, we introduce **MedReason**, a large-scale high-quality medical reasoning dataset designed to enable faithful and explainable medical problem-solving in large language models (LLMs). We utilize a structured medical knowledge graph (KG) to convert clinical QA pairs into logical chains of reasoning, or “thinking paths”, which trace connections from question elements to answers via relevant KG entities. Each path is validated for consistency with clinical logic and evidence-based medicine. Our pipeline generates detailed reasoning for various medical questions from 7 medical datasets, resulting in a dataset of **32,682** question-answer pairs, each with detailed, step-by-step explanations. Experiments demonstrate that fine-tuning with our dataset consistently boosts medical problem-solving capabilities, achieving significant gains of up to **7.7%** for DeepSeek-Ditill-8B. Our top-performing model, MedReason-8B, outperforms the Huatuo-o1-8B, a state-of-the-art medical reasoning model, by up to **4.2%** on the clinical benchmark MedBullets. We also engage medical professionals from diverse specialties to assess our dataset’s quality, ensuring MedReason offers accurate and coherent medical reasoning. Our data, models, and code will be publicly available.

Data valuation is essential for enhancing the transparency and accountability of large language models (LLMs) and vision-language models (VLMs). However, existing methods typically rely on gradient computations, making them computationally prohibitive for billion-parameter models and precluding batch parallelization. In this work, we introduce For-Value, a forward-only data valuation framework that enables efficient batch-scalable value estimation while maintaining effectiveness. Leveraging the expressive power of pretrained LLMs/VLMs, we theoretically demonstrate that data valuation can be captured by the alignment between the final hidden representations and prediction errors at the last layer. In light of this insight, For-Value computes data value using a simple closed-form expression with a single forward pass, eliminating the need for costly backpropagation and enabling efficient batch calculating at scale. Extensive experiments show that For-Value matches or outperforms gradient-based baselines in detecting influential data and mislabeled data, while achieving significant efficiency improvements.

While prompt engineering offers effective control over Text-to-Image (T2I) generation, it remains labor-intensive for large-scale production. We present PRISM-DUEL, a black-box framework that formalizes prompt optimization as Automatic Prompt Engineering (APE), motivated by advertising workflows requiring low-latency, diverse variants faithful to a human-designed ads. Since zero-shot LLMs are unreliable judges of image quality, PRISM-DUEL obtains label-free pairwise preferences and rationales from an LLM judge over pairs of generated images, then uses a dueling-bandit optimizer to optimize a prompt for generating controlled variations while matching the reference ad’s visual content. By iteratively steering the prompt distribution towards higher-quality generations and improving posterior calibration, PRISM-DUEL preserves visual similarity and semantic faithfulness while increasing diversity. Experiments on PartiPrompts and DreamBooth across Gemini 2.5 Flash Image, FLUX.1, and Qwen-Image show consistent gains over strong baselines in visual faithfulness and prompt interpretability.