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Jan 9

Offline Guarded Safe Reinforcement Learning for Medical Treatment Optimization Strategies

When applying offline reinforcement learning (RL) in healthcare scenarios, the out-of-distribution (OOD) issues pose significant risks, as inappropriate generalization beyond clinical expertise can result in potentially harmful recommendations. While existing methods like conservative Q-learning (CQL) attempt to address the OOD issue, their effectiveness is limited by only constraining action selection by suppressing uncertain actions. This action-only regularization imitates clinician actions that prioritize short-term rewards, but it fails to regulate downstream state trajectories, thereby limiting the discovery of improved long-term treatment strategies. To safely improve policy beyond clinician recommendations while ensuring that state-action trajectories remain in-distribution, we propose Offline Guarded Safe Reinforcement Learning (OGSRL), a theoretically grounded model-based offline RL framework. OGSRL introduces a novel dual constraint mechanism for improving policy with reliability and safety. First, the OOD guardian is established to specify clinically validated regions for safe policy exploration. By constraining optimization within these regions, it enables the reliable exploration of treatment strategies that outperform clinician behavior by leveraging the full patient state history, without drifting into unsupported state-action trajectories. Second, we introduce a safety cost constraint that encodes medical knowledge about physiological safety boundaries, providing domain-specific safeguards even in areas where training data might contain potentially unsafe interventions. Notably, we provide theoretical guarantees on safety and near-optimality: policies that satisfy these constraints remain in safe and reliable regions and achieve performance close to the best possible policy supported by the data.

  • 6 authors
·
May 22, 2025

Meta OOD Learning for Continuously Adaptive OOD Detection

Out-of-distribution (OOD) detection is crucial to modern deep learning applications by identifying and alerting about the OOD samples that should not be tested or used for making predictions. Current OOD detection methods have made significant progress when in-distribution (ID) and OOD samples are drawn from static distributions. However, this can be unrealistic when applied to real-world systems which often undergo continuous variations and shifts in ID and OOD distributions over time. Therefore, for an effective application in real-world systems, the development of OOD detection methods that can adapt to these dynamic and evolving distributions is essential. In this paper, we propose a novel and more realistic setting called continuously adaptive out-of-distribution (CAOOD) detection which targets on developing an OOD detection model that enables dynamic and quick adaptation to a new arriving distribution, with insufficient ID samples during deployment time. To address CAOOD, we develop meta OOD learning (MOL) by designing a learning-to-adapt diagram such that a good initialized OOD detection model is learned during the training process. In the testing process, MOL ensures OOD detection performance over shifting distributions by quickly adapting to new distributions with a few adaptations. Extensive experiments on several OOD benchmarks endorse the effectiveness of our method in preserving both ID classification accuracy and OOD detection performance on continuously shifting distributions.

  • 4 authors
·
Sep 20, 2023

ProGuard: Towards Proactive Multimodal Safeguard

The rapid evolution of generative models has led to a continuous emergence of multimodal safety risks, exposing the limitations of existing defense methods. To address these challenges, we propose ProGuard, a vision-language proactive guard that identifies and describes out-of-distribution (OOD) safety risks without the need for model adjustments required by traditional reactive approaches. We first construct a modality-balanced dataset of 87K samples, each annotated with both binary safety labels and risk categories under a hierarchical multimodal safety taxonomy, effectively mitigating modality bias and ensuring consistent moderation across text, image, and text-image inputs. Based on this dataset, we train our vision-language base model purely through reinforcement learning (RL) to achieve efficient and concise reasoning. To approximate proactive safety scenarios in a controlled setting, we further introduce an OOD safety category inference task and augment the RL objective with a synonym-bank-based similarity reward that encourages the model to generate concise descriptions for unseen unsafe categories. Experimental results show that ProGuard achieves performance comparable to closed-source large models on binary safety classification, substantially outperforms existing open-source guard models on unsafe content categorization. Most notably, ProGuard delivers a strong proactive moderation ability, improving OOD risk detection by 52.6% and OOD risk description by 64.8%.

nanjinguniv Nanjing University
·
Dec 29, 2025 4