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Miao Liu

Miao Liu contributes to research discovery and scholarly infrastructure.

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Published work

2 published item(s)

preprint2026arXiv

EgoIntrospect: An Egocentric Dataset and Benchmark for User-Centric Internal State Reasoning

Despite extensive efforts on egocentric video datasets and benchmarks, understanding users' internal states, which is crucial for enabling seamless AI assistant experiences, remains largely overlooked. In this work, we introduce EgoIntrospect, the first egocentric dataset captured in user-driven scenarios with self-annotations that explicitly reveal users' interactive intentions with AI assistants. EgoIntrospect was collected using a cross-device setup, providing synchronized video, audio, gaze, motion, and physiological signals. It consists of 180 hours of recordings from 60 subjects, with an average recording duration of 3 hours per subject. Leveraging EgoIntrospect, we formalize a suite of tasks centered on user internal states, including affective experience, interactive intent, and cognitive memory. We further process the annotations to construct benchmarks that evaluate the ability of modern multimodal large language models to reason about users' internal states from egocentric observations. Experiments on our benchmark suggest that existing multimodal large language models struggle to effectively leverage multimodal signals to infer users' subjective internal states. The dataset and annotations will be made publicly available to advance research in egocentric vision and wearable AI assistants. Project page: https://ego-introspect.github.io/

preprint2026arXiv

SymptomAI: Toward a Conversational AI Agent for Everyday Symptom Assessment

Language models excel at diagnostic assessments on curated medical case-studies and vignettes, performing on par with, or better than, clinical professionals. However, existing studies focus on complex scenarios with rich context making it difficult to draw conclusions about how these systems perform for patients reporting symptoms in everyday life. We deployed SymptomAI, a set of conversational AI agents for end-to-end patient interviewing and differential diagnosis (DDx), via the Fitbit app in a study that randomized participants (N=13,917) to interact with five AI agents. This corpus captures diverse communication and a realistic distribution of illnesses from a real world population. A subset of 1,228 participants reported a clinician-provided diagnosis, and 517 of these were further evaluated by a panel of clinicians during over 250 hours of annotation. SymptomAI DDx were significantly more accurate (OR = 2.56, p < 0.001) than those from independent clinicians given the same dialogue in a blinded randomized comparison. Moreover, agentic strategies which conduct a dedicated symptom interview that elicit additional symptom information before providing a diagnosis, perform substantially better than baseline, user-guided conversations (p < 0.001). An auxiliary analysis on 1,509 conversations from a general US population panel validated that these results generalize beyond wearable device users. We used SymptomAI diagnoses as labels for all 13,917 participants to analyze over 500,000 days of wearable metrics across nearly 400 unique conditions. We identified strong associations between acute infections and physiological shifts (e.g., OR > 7 for influenza). While limited by self-reported ground truth, these results demonstrate the benefits of a dedicated and complete symptom interview compared to a user-guided symptom discussion, which is the default of most consumer LLMs.