Daily Papers

Large language models (LLMs) excel in high-resource languages but struggle with low-resource languages (LRLs), particularly those spoken by minority communities in China, such as Tibetan, Uyghur, Kazakh, and Mongolian. To systematically track the progress in these languages, we introduce MiLiC-Eval, a benchmark designed for minority languages in China, featuring 24K instances across 9 tasks. MiLiC-Eval focuses on underrepresented writing systems and provides a fine-grained assessment of linguistic and problem-solving skills. Our evaluation reveals that LLMs perform poorly on syntax-intensive tasks and multi-script languages. We further demonstrate how MiLiC-Eval can help advance LRL research in handling diverse writing systems and understanding the process of language adaptation.

With large Foundation Models (FMs), language technologies (AI in general) are entering a new paradigm: eliminating the need for developing large-scale task-specific datasets and supporting a variety of tasks through set-ups ranging from zero-shot to few-shot learning. However, understanding FMs capabilities requires a systematic benchmarking effort by comparing FMs performance with the state-of-the-art (SOTA) task-specific models. With that goal, past work focused on the English language and included a few efforts with multiple languages. Our study contributes to ongoing research by evaluating FMs performance for standard Arabic NLP and Speech processing, including a range of tasks from sequence tagging to content classification across diverse domains. We start with zero-shot learning using GPT-3.5-turbo, Whisper, and USM, addressing 33 unique tasks using 59 publicly available datasets resulting in 96 test setups. For a few tasks, FMs performs on par or exceeds the performance of the SOTA models but for the majority it under-performs. Given the importance of prompt for the FMs performance, we discuss our prompt strategies in detail and elaborate on our findings. Our future work on Arabic AI will explore few-shot prompting, expand the range of tasks, and investigate additional open-source models.

Vision Language Models (VLMs) encode multimodal inputs over large, complex, and difficult-to-interpret architectures, which limit transparency and trust. We propose a Multimodal Inversion for Model Interpretation and Conceptualization (MIMIC) framework to visualize the internal representations of VLMs by synthesizing visual concepts corresponding to internal encodings. MIMIC uses a joint VLM-based inversion and a feature alignment objective to account for VLM's autoregressive processing. It additionally includes a triplet of regularizers for spatial alignment, natural image smoothness, and semantic realism. We quantitatively and qualitatively evaluate MIMIC by inverting visual concepts over a range of varying-length free-form VLM output texts. Reported results include both standard visual quality metrics as well as semantic text-based metrics. To the best of our knowledge, this is the first model inversion approach addressing visual interpretations of VLM concepts.

Foundation models (FMs) trained on electronic health records (EHRs) have shown strong performance on a range of clinical prediction tasks. However, adapting these models to local health systems remains challenging due to limited data availability and resource constraints. In this study, we investigated what these models learn and evaluated the transferability of an FM trained on MIMIC-IV to an institutional EHR dataset at the University of Chicago Medical Center. We assessed their ability to identify outlier patients and examined representation-space patient trajectories in relation to future clinical outcomes. We also evaluated the performance of supervised fine-tuned classifiers on both source and target datasets. Our findings offer insights into the adaptability of FMs across different healthcare systems, highlight considerations for their effective implementation, and provide an empirical analysis of the underlying factors that contribute to their predictive performance.

Linear programming (LP) problems are pervasive in real-life applications. However, despite their apparent simplicity, an untrained user may find it difficult to determine the linear model of their specific problem. We envisage the creation of a goal-oriented conversational agent that will engage in conversation with the user to elicit all information required so that a subsequent agent can generate the linear model. In this paper, we present an approach for the generation of sample dialogues that can be used to develop and train such a conversational agent. Using prompt engineering, we develop two agents that "talk" to each other, one acting as the conversational agent, and the other acting as the user. Using a set of text descriptions of linear problems from NL4Opt available to the user only, the agent and the user engage in conversation until the agent has retrieved all key information from the original problem description. We also propose an extrinsic evaluation of the dialogues by assessing how well the summaries generated by the dialogues match the original problem descriptions. We conduct human and automatic evaluations, including an evaluation approach that uses GPT-4 to mimic the human evaluation metrics. The evaluation results show an overall good quality of the dialogues, though research is still needed to improve the quality of the GPT-4 evaluation metrics. The resulting dialogues, including the human annotations of a subset, are available to the research community. The conversational agent used for the generation of the dialogues can be used as a baseline.

This paper uses the MIMIC-IV dataset to examine the fairness and bias in an XGBoost binary classification model predicting the Intensive Care Unit (ICU) length of stay (LOS). Highlighting the critical role of the ICU in managing critically ill patients, the study addresses the growing strain on ICU capacity. It emphasizes the significance of LOS prediction for resource allocation. The research reveals class imbalances in the dataset across demographic attributes and employs data preprocessing and feature extraction. While the XGBoost model performs well overall, disparities across race and insurance attributes reflect the need for tailored assessments and continuous monitoring. The paper concludes with recommendations for fairness-aware machine learning techniques for mitigating biases and the need for collaborative efforts among healthcare professionals and data scientists.

This is a report on the NSF Future Directions Workshop on Automatic Evaluation of Dialog. The workshop explored the current state of the art along with its limitations and suggested promising directions for future work in this important and very rapidly changing area of research.

High-quality instructions and responses are essential for the zero-shot performance of large language models on interactive natural language tasks. For interactive vision-language tasks involving intricate visual scenes, a large quantity of diverse and creative instruction-response pairs should be imperative to tune vision-language models (VLMs). Nevertheless, the current availability of vision-language instruction-response pairs in terms of quantity, diversity, and creativity remains limited, posing challenges to the generalization of interactive VLMs. Here we present MultI-Modal In-Context Instruction Tuning (MIMIC-IT), a dataset comprising 2.8 million multimodal instruction-response pairs, with 2.2 million unique instructions derived from images and videos. Each pair is accompanied by multi-modal in-context information, forming conversational contexts aimed at empowering VLMs in perception, reasoning, and planning. The instruction-response collection process, dubbed as Syphus, is scaled using an automatic annotation pipeline that combines human expertise with GPT's capabilities. Using the MIMIC-IT dataset, we train a large VLM named Otter. Based on extensive evaluations conducted on vision-language benchmarks, it has been observed that Otter demonstrates remarkable proficiency in multi-modal perception, reasoning, and in-context learning. Human evaluation reveals it effectively aligns with the user's intentions. We release the MIMIC-IT dataset, instruction-response collection pipeline, benchmarks, and the Otter model.

Foundation models rely on large-scale web-crawled datasets, which frequently contain noisy data, biases, and irrelevant content. Existing data selection techniques typically use human heuristics, downstream evaluation datasets, or specialized scoring models, and can overlook samples' utility in the training process. Instead, we propose a new approach, Mimic Score, a data quality metric that uses a pretrained reference model as a guide to assess the usefulness of data samples for training a new model. It relies on the alignment between the gradient of the new model parameters and the vector pointing toward the reference model in weight space. Samples that misalign with this direction are considered low-value and can be filtered out. Motivated by the Mimic score, we develop Grad-Mimic, a data selection framework that identifies and prioritizes useful samples, automating the selection process to create effective filters. Empirically, using Mimic scores to guide model training results in consistent performance gains across six image datasets and enhances the performance of CLIP models. Moreover, Mimic scores and their associated filters improve upon existing filtering methods and offer accurate estimation of dataset quality.

Recent advancements in visual generative models have enabled high-quality image and video generation, opening diverse applications. However, evaluating these models often demands sampling hundreds or thousands of images or videos, making the process computationally expensive, especially for diffusion-based models with inherently slow sampling. Moreover, existing evaluation methods rely on rigid pipelines that overlook specific user needs and provide numerical results without clear explanations. In contrast, humans can quickly form impressions of a model's capabilities by observing only a few samples. To mimic this, we propose the Evaluation Agent framework, which employs human-like strategies for efficient, dynamic, multi-round evaluations using only a few samples per round, while offering detailed, user-tailored analyses. It offers four key advantages: 1) efficiency, 2) promptable evaluation tailored to diverse user needs, 3) explainability beyond single numerical scores, and 4) scalability across various models and tools. Experiments show that Evaluation Agent reduces evaluation time to 10% of traditional methods while delivering comparable results. The Evaluation Agent framework is fully open-sourced to advance research in visual generative models and their efficient evaluation.

Large Language Models (LLMs) have shown strong performance on programming tasks, but can they generate student-like code like real students - imperfect, iterative, and stylistically diverse? We present ParaStudent, a systematic study of LLM-based "student-like" code generation in an introductory programming course setting. Using a dataset of timestamped student submissions across multiple semesters, we design low- and high-resolution experiments to model student progress and evaluate code outputs along semantic, functional, and stylistic dimensions. Our results show that fine-tuning significantly improves alignment with real student trajectories and captures error patterns, incremental improvements, and stylistic variations more faithfully. This study shows that modeling realistic student code requires capturing learning dynamics through context-aware generation, temporal modeling, and multi-dimensional evaluation. Code for experiments and evaluation is available at https://github.com/mmiroyan/ParaStudent.

While the general machine learning (ML) community has benefited from public datasets, tasks, and models, the progress of ML in healthcare has been hampered by a lack of such shared assets. The success of foundation models creates new challenges for healthcare ML by requiring access to shared pretrained models to validate performance benefits. We help address these challenges through three contributions. First, we publish a new dataset, EHRSHOT, which contains deidentified structured data from the electronic health records (EHRs) of 6,739 patients from Stanford Medicine. Unlike MIMIC-III/IV and other popular EHR datasets, EHRSHOT is longitudinal and not restricted to ICU/ED patients. Second, we publish the weights of CLMBR-T-base, a 141M parameter clinical foundation model pretrained on the structured EHR data of 2.57M patients. We are one of the first to fully release such a model for coded EHR data; in contrast, most prior models released for clinical data (e.g. GatorTron, ClinicalBERT) only work with unstructured text and cannot process the rich, structured data within an EHR. We provide an end-to-end pipeline for the community to validate and build upon its performance. Third, we define 15 few-shot clinical prediction tasks, enabling evaluation of foundation models on benefits such as sample efficiency and task adaptation. Our model and dataset are available via a research data use agreement from the Stanford AIMI Center. Code to reproduce our results are available at our Github repo: https://github.com/som-shahlab/ehrshot-benchmark

The lack of standardized evaluation benchmarks in the medical domain for text inputs can be a barrier to widely adopting and leveraging the potential of natural language models for health-related downstream tasks. This paper revisited an openly available MIMIC-IV benchmark for electronic health records (EHRs) to address this issue. First, we integrate the MIMIC-IV data within the Hugging Face datasets library to allow an easy share and use of this collection. Second, we investigate the application of templates to convert EHR tabular data to text. Experiments using fine-tuned and zero-shot LLMs on the mortality of patients task show that fine-tuned text-based models are competitive against robust tabular classifiers. In contrast, zero-shot LLMs struggle to leverage EHR representations. This study underlines the potential of text-based approaches in the medical field and highlights areas for further improvement.

Annually, at the Conference of Machine Translation (WMT), the Metrics Shared Task organizers conduct the meta-evaluation of Machine Translation (MT) metrics, ranking them according to their correlation with human judgments. Their results guide researchers toward enhancing the next generation of metrics and MT systems. With the recent introduction of neural metrics, the field has witnessed notable advancements. Nevertheless, the inherent opacity of these metrics has posed substantial challenges to the meta-evaluation process. This work highlights two issues with the meta-evaluation framework currently employed in WMT, and assesses their impact on the metrics rankings. To do this, we introduce the concept of sentinel metrics, which are designed explicitly to scrutinize the meta-evaluation process's accuracy, robustness, and fairness. By employing sentinel metrics, we aim to validate our findings, and shed light on and monitor the potential biases or inconsistencies in the rankings. We discover that the present meta-evaluation framework favors two categories of metrics: i) those explicitly trained to mimic human quality assessments, and ii) continuous metrics. Finally, we raise concerns regarding the evaluation capabilities of state-of-the-art metrics, emphasizing that they might be basing their assessments on spurious correlations found in their training data.

Large Language Models (LLMs) have shown the potential to significantly contribute to patient care, diagnostics, and administrative processes. Emerging biomedical LLMs address healthcare-specific challenges, including privacy demands and computational constraints. However, evaluation of these models has primarily been limited to non-clinical tasks, which do not reflect the complexity of practical clinical applications. Additionally, there has been no thorough comparison between biomedical and general-domain LLMs for clinical tasks. To fill this gap, we present the Clinical Language Understanding Evaluation (CLUE), a benchmark tailored to evaluate LLMs on real-world clinical tasks. CLUE includes two novel datasets derived from MIMIC IV discharge letters and four existing tasks designed to test the practical applicability of LLMs in healthcare settings. Our evaluation covers several biomedical and general domain LLMs, providing insights into their clinical performance and applicability. CLUE represents a step towards a standardized approach to evaluating and developing LLMs in healthcare to align future model development with the real-world needs of clinical application. We publish our evaluation and data generation scripts: https://github.com/dadaamin/CLUE

The integration of Artificial Intelligence (AI), especially Large Language Models (LLMs), into the clinical diagnosis process offers significant potential to improve the efficiency and accessibility of medical care. While LLMs have shown some promise in the medical domain, their application in clinical diagnosis remains underexplored, especially in real-world clinical practice, where highly sophisticated, patient-specific decisions need to be made. Current evaluations of LLMs in this field are often narrow in scope, focusing on specific diseases or specialties and employing simplified diagnostic tasks. To bridge this gap, we introduce CliBench, a novel benchmark developed from the MIMIC IV dataset, offering a comprehensive and realistic assessment of LLMs' capabilities in clinical diagnosis. This benchmark not only covers diagnoses from a diverse range of medical cases across various specialties but also incorporates tasks of clinical significance: treatment procedure identification, lab test ordering and medication prescriptions. Supported by structured output ontologies, CliBench enables a precise and multi-granular evaluation, offering an in-depth understanding of LLM's capability on diverse clinical tasks of desired granularity. We conduct a zero-shot evaluation of leading LLMs to assess their proficiency in clinical decision-making. Our preliminary results shed light on the potential and limitations of current LLMs in clinical settings, providing valuable insights for future advancements in LLM-powered healthcare.

Knowledge distillation is a widely used technique for compressing large language models (LLMs), in which a smaller student model is trained to mimic a larger teacher model. Typically, both the teacher and student models are Transformer-based architectures, leveraging softmax attention for sequence modeling. However, the quadratic complexity of self-attention during inference remains a significant bottleneck, motivating the exploration of subquadratic alternatives such as structured state-space models (SSMs), linear attention, and recurrent architectures. In this work, we systematically evaluate the transferability of knowledge distillation from a Transformer teacher model to eight subquadratic student architectures. Our study investigates which subquadratic model can most effectively approximate the teacher model's learned representations through knowledge distillation, and how different architectural design choices influence the training dynamics. We further investigate the impact of initialization strategies, such as matrix mixing and query-key-value (QKV) copying, on the adaptation process. Our empirical results on multiple NLP benchmarks provide insights into the trade-offs between efficiency and performance, highlighting key factors for successful knowledge transfer to subquadratic architectures.

Deepfakes powered by advanced machine learning models present a significant and evolving threat to identity verification and the authenticity of digital media. Although numerous detectors have been developed to address this problem, their effectiveness has yet to be tested when applied to real-world data. In this work we evaluate modern deepfake detectors, introducing a novel testing procedure designed to mimic real-world scenarios for deepfake detection. Using state-of-the-art deepfake generation methods, we create a comprehensive dataset containing more than 500,000 high-quality deepfake images. Our analysis shows that detecting deepfakes still remains a challenging task. The evaluation shows that in fewer than half of the deepfake detectors tested achieved an AUC score greater than 60%, with the lowest being 50%. We demonstrate that basic image manipulations, such as JPEG compression or image enhancement, can significantly reduce model performance. All code and data are publicly available at https://github.com/SumSubstance/Deepfake-Detectors-in-the-Wild.

Electrocardiogram (ECG) plays a foundational role in modern cardiovascular care, enabling non-invasive diagnosis of arrhythmias, myocardial ischemia, and conduction disorders. While machine learning has achieved expert-level performance in ECG interpretation, the development of clinically deployable multimodal AI systems remains constrained, primarily due to the lack of publicly available datasets that simultaneously incorporate raw signals, diagnostic images, and interpretation text. Most existing ECG datasets provide only single-modality data or, at most, dual modalities, making it difficult to build models that can understand and integrate diverse ECG information in real-world settings. To address this gap, we introduce MEETI (MIMIC-IV-Ext ECG-Text-Image), the first large-scale ECG dataset that synchronizes raw waveform data, high-resolution plotted images, and detailed textual interpretations generated by large language models. In addition, MEETI includes beat-level quantitative ECG parameters extracted from each lead, offering structured parameters that support fine-grained analysis and model interpretability. Each MEETI record is aligned across four components: (1) the raw ECG waveform, (2) the corresponding plotted image, (3) extracted feature parameters, and (4) detailed interpretation text. This alignment is achieved using consistent, unique identifiers. This unified structure supports transformer-based multimodal learning and supports fine-grained, interpretable reasoning about cardiac health. By bridging the gap between traditional signal analysis, image-based interpretation, and language-driven understanding, MEETI established a robust foundation for the next generation of explainable, multimodal cardiovascular AI. It offers the research community a comprehensive benchmark for developing and evaluating ECG-based AI systems.

Large Language Models (LLMs) have demonstrated impressive performance across diverse domains, yet they still encounter challenges such as insufficient domain-specific knowledge, biases, and hallucinations. This underscores the need for robust evaluation methodologies to accurately assess LLM-based applications. Traditional evaluation methods, which rely on word overlap or text embeddings, are inadequate for capturing the nuanced semantic information necessary to evaluate dynamic, open-ended text generation. Recent research has explored leveraging LLMs to mimic human reasoning and decision-making processes for evaluation purposes known as LLM-as-a-judge framework. However, these existing frameworks have two significant limitations. First, they lack the flexibility to adapt to different text styles, including various answer and ground truth styles, thereby reducing their generalization performance. Second, the evaluation scores produced by these frameworks are often skewed and hard to interpret, showing a low correlation with human judgment. To address these challenges, we propose a novel dynamic multi-agent system that automatically designs personalized LLM judges for various natural language generation applications. This system iteratively refines evaluation prompts and balances the trade-off between the adaptive requirements of downstream tasks and the alignment with human perception. Our experimental results show that the proposed multi-agent LLM Judge framework not only enhances evaluation accuracy compared to existing methods but also produces evaluation scores that better align with human perception.

Real-world Super-Resolution (Real-SR) methods focus on dealing with diverse real-world images and have attracted increasing attention in recent years. The key idea is to use a complex and high-order degradation model to mimic real-world degradations. Although they have achieved impressive results in various scenarios, they are faced with the obstacle of evaluation. Currently, these methods are only assessed by their average performance on a small set of degradation cases randomly selected from a large space, which fails to provide a comprehensive understanding of their overall performance and often yields inconsistent and potentially misleading results. To overcome the limitation in evaluation, we propose SEAL, a framework for systematic evaluation of real-SR. In particular, we cluster the extensive degradation space to create a set of representative degradation cases, which serves as a comprehensive test set. Next, we propose a coarse-to-fine evaluation protocol to measure the distributed and relative performance of real-SR methods on the test set. The protocol incorporates two new metrics: acceptance rate (AR) and relative performance ratio (RPR), derived from acceptance and excellence lines. Under SEAL, we benchmark existing real-SR methods, obtain new observations and insights into their performance, and develop a new strong baseline. We consider SEAL as the first step towards creating a comprehensive real-SR evaluation platform, which can promote the development of real-SR. The source code is available at https://github.com/XPixelGroup/SEAL

Inspired by the success of the General Language Understanding Evaluation benchmark, we introduce the Biomedical Language Understanding Evaluation (BLUE) benchmark to facilitate research in the development of pre-training language representations in the biomedicine domain. The benchmark consists of five tasks with ten datasets that cover both biomedical and clinical texts with different dataset sizes and difficulties. We also evaluate several baselines based on BERT and ELMo and find that the BERT model pre-trained on PubMed abstracts and MIMIC-III clinical notes achieves the best results. We make the datasets, pre-trained models, and codes publicly available at https://github.com/ncbi-nlp/BLUE_Benchmark.

Generative AI has made remarkable strides to revolutionize fields such as image and video generation. These advancements are driven by innovative algorithms, architecture, and data. However, the rapid proliferation of generative models has highlighted a critical gap: the absence of trustworthy evaluation metrics. Current automatic assessments such as FID, CLIP, FVD, etc often fail to capture the nuanced quality and user satisfaction associated with generative outputs. This paper proposes an open platform GenAI-Arena to evaluate different image and video generative models, where users can actively participate in evaluating these models. By leveraging collective user feedback and votes, GenAI-Arena aims to provide a more democratic and accurate measure of model performance. It covers three arenas for text-to-image generation, text-to-video generation, and image editing respectively. Currently, we cover a total of 27 open-source generative models. GenAI-Arena has been operating for four months, amassing over 6000 votes from the community. We describe our platform, analyze the data, and explain the statistical methods for ranking the models. To further promote the research in building model-based evaluation metrics, we release a cleaned version of our preference data for the three tasks, namely GenAI-Bench. We prompt the existing multi-modal models like Gemini, GPT-4o to mimic human voting. We compute the correlation between model voting with human voting to understand their judging abilities. Our results show existing multimodal models are still lagging in assessing the generated visual content, even the best model GPT-4o only achieves a Pearson correlation of 0.22 in the quality subscore, and behaves like random guessing in others.

Medical coding is the task of assigning medical codes to clinical free-text documentation. Healthcare professionals manually assign such codes to track patient diagnoses and treatments. Automated medical coding can considerably alleviate this administrative burden. In this paper, we reproduce, compare, and analyze state-of-the-art automated medical coding machine learning models. We show that several models underperform due to weak configurations, poorly sampled train-test splits, and insufficient evaluation. In previous work, the macro F1 score has been calculated sub-optimally, and our correction doubles it. We contribute a revised model comparison using stratified sampling and identical experimental setups, including hyperparameters and decision boundary tuning. We analyze prediction errors to validate and falsify assumptions of previous works. The analysis confirms that all models struggle with rare codes, while long documents only have a negligible impact. Finally, we present the first comprehensive results on the newly released MIMIC-IV dataset using the reproduced models. We release our code, model parameters, and new MIMIC-III and MIMIC-IV training and evaluation pipelines to accommodate fair future comparisons.

Recent progress in Large Vision-Language Models (LVLMs) has enabled promising applications in medical tasks, such as report generation and visual question answering. However, existing benchmarks focus mainly on the final diagnostic answer, offering limited insight into whether models engage in clinically meaningful reasoning. To address this, we present CheXStruct and CXReasonBench, a structured pipeline and benchmark built on the publicly available MIMIC-CXR-JPG dataset. CheXStruct automatically derives a sequence of intermediate reasoning steps directly from chest X-rays, such as segmenting anatomical regions, deriving anatomical landmarks and diagnostic measurements, computing diagnostic indices, and applying clinical thresholds. CXReasonBench leverages this pipeline to evaluate whether models can perform clinically valid reasoning steps and to what extent they can learn from structured guidance, enabling fine-grained and transparent assessment of diagnostic reasoning. The benchmark comprises 18,988 QA pairs across 12 diagnostic tasks and 1,200 cases, each paired with up to 4 visual inputs, and supports multi-path, multi-stage evaluation including visual grounding via anatomical region selection and diagnostic measurements. Even the strongest of 10 evaluated LVLMs struggle with structured reasoning and generalization, often failing to link abstract knowledge with anatomically grounded visual interpretation. The code is available at https://github.com/ttumyche/CXReasonBench

FinanceQA is a testing suite that evaluates LLMs' performance on complex numerical financial analysis tasks that mirror real-world investment work. Despite recent advances, current LLMs fail to meet the strict accuracy requirements of financial institutions, with models failing approximately 60% of realistic tasks that mimic on-the-job analyses at hedge funds, private equity firms, investment banks, and other financial institutions. The primary challenges include hand-spreading metrics, adhering to standard accounting and corporate valuation conventions, and performing analysis under incomplete information - particularly in multi-step tasks requiring assumption generation. This performance gap highlights the disconnect between existing LLM capabilities and the demands of professional financial analysis that are inadequately tested by current testing architectures. Results show that higher-quality training data is needed to support such tasks, which we experiment with using OpenAI's fine-tuning API. FinanceQA is publicly released at [this https URL](https://huggingface.co/datasets/AfterQuery/FinanceQA).

Spatial reasoning plays a vital role in both human cognition and machine intelligence, prompting new research into language models' (LMs) capabilities in this regard. However, existing benchmarks reveal shortcomings in evaluating qualitative spatial reasoning (QSR). These benchmarks typically present oversimplified scenarios or unclear natural language descriptions, hindering effective evaluation. We present a novel benchmark for assessing QSR in LMs, which is grounded in realistic 3D simulation data, offering a series of diverse room layouts with various objects and their spatial relationships. This approach provides a more detailed and context-rich narrative for spatial reasoning evaluation, diverging from traditional, toy-task-oriented scenarios. Our benchmark encompasses a broad spectrum of qualitative spatial relationships, including topological, directional, and distance relations. These are presented with different viewing points, varied granularities, and density of relation constraints to mimic real-world complexities. A key contribution is our logic-based consistency-checking tool, which enables the assessment of multiple plausible solutions, aligning with real-world scenarios where spatial relationships are often open to interpretation. Our benchmark evaluation of advanced LMs reveals their strengths and limitations in spatial reasoning. They face difficulties with multi-hop spatial reasoning and interpreting a mix of different view descriptions, pointing to areas for future improvement.

Posing reading comprehension as a generation problem provides a great deal of flexibility, allowing for open-ended questions with few restrictions on possible answers. However, progress is impeded by existing generation metrics, which rely on token overlap and are agnostic to the nuances of reading comprehension. To address this, we introduce a benchmark for training and evaluating generative reading comprehension metrics: MOdeling Correctness with Human Annotations. MOCHA contains 40K human judgement scores on model outputs from 6 diverse question answering datasets and an additional set of minimal pairs for evaluation. Using MOCHA, we train a Learned Evaluation metric for Reading Comprehension, LERC, to mimic human judgement scores. LERC outperforms baseline metrics by 10 to 36 absolute Pearson points on held-out annotations. When we evaluate robustness on minimal pairs, LERC achieves 80% accuracy, outperforming baselines by 14 to 26 absolute percentage points while leaving significant room for improvement. MOCHA presents a challenging problem for developing accurate and robust generative reading comprehension metrics.

Large language models (LLMs) have shown promise as automated evaluators for assessing the quality of answers generated by AI systems. However, these LLM-based evaluators exhibit position bias, or inconsistency, when used to evaluate candidate answers in pairwise comparisons, favoring either the first or second answer regardless of content. To address this limitation, we propose PORTIA, an alignment-based system designed to mimic human comparison strategies to calibrate position bias in a lightweight yet effective manner. Specifically, PORTIA splits the answers into multiple segments, aligns similar content across candidate answers, and then merges them back into a single prompt for evaluation by LLMs. We conducted extensive experiments with six diverse LLMs to evaluate 11,520 answer pairs. Our results show that PORTIA markedly enhances the consistency rates for all the models and comparison forms tested, achieving an average relative improvement of 47.46%. Remarkably, PORTIA enables less advanced GPT models to achieve 88% agreement with the state-of-the-art GPT-4 model at just 10% of the cost. Furthermore, it rectifies around 80% of the position bias instances within the GPT-4 model, elevating its consistency rate up to 98%. Subsequent human evaluations indicate that the PORTIA-enhanced GPT-3.5 model can even surpass the standalone GPT-4 in terms of alignment with human evaluators. These findings highlight PORTIA's ability to correct position bias, improve LLM consistency, and boost performance while keeping cost-efficiency. This represents a valuable step toward a more reliable and scalable use of LLMs for automated evaluations across diverse applications.

Can large language models (LLMs) accurately simulate the next web action of a specific user? While LLMs have shown promising capabilities in generating ``believable'' human behaviors, evaluating their ability to mimic real user behaviors remains an open challenge, largely due to the lack of high-quality, publicly available datasets that capture both the observable actions and the internal reasoning of an actual human user. To address this gap, we introduce OPERA, a novel dataset of Observation, Persona, Rationale, and Action collected from real human participants during online shopping sessions. OPERA is the first public dataset that comprehensively captures: user personas, browser observations, fine-grained web actions, and self-reported just-in-time rationales. We developed both an online questionnaire and a custom browser plugin to gather this dataset with high fidelity. Using OPERA, we establish the first benchmark to evaluate how well current LLMs can predict a specific user's next action and rationale with a given persona and <observation, action, rationale> history. This dataset lays the groundwork for future research into LLM agents that aim to act as personalized digital twins for human.

The natural language generation (NLG) component of a spoken dialogue system (SDS) usually needs a substantial amount of handcrafting or a well-labeled dataset to be trained on. These limitations add significantly to development costs and make cross-domain, multi-lingual dialogue systems intractable. Moreover, human languages are context-aware. The most natural response should be directly learned from data rather than depending on predefined syntaxes or rules. This paper presents a statistical language generator based on a joint recurrent and convolutional neural network structure which can be trained on dialogue act-utterance pairs without any semantic alignments or predefined grammar trees. Objective metrics suggest that this new model outperforms previous methods under the same experimental conditions. Results of an evaluation by human judges indicate that it produces not only high quality but linguistically varied utterances which are preferred compared to n-gram and rule-based systems.

The rapid evolution of image generation models has revolutionized visual content creation, enabling the synthesis of highly realistic and contextually accurate images for diverse applications. However, the potential for misuse, such as deepfake generation, image based phishing attacks, and fabrication of misleading visual evidence, underscores the need for robust authenticity verification mechanisms. While traditional statistical watermarking techniques have proven effective for autoregressive language models, their direct adaptation to image generation models encounters significant challenges due to a phenomenon we term retokenization mismatch, a disparity between original and retokenized sequences during the image generation process. To overcome this limitation, we propose C-reweight, a novel, distortion-free watermarking method explicitly designed for image generation models. By leveraging a clustering-based strategy that treats tokens within the same cluster equivalently, C-reweight mitigates retokenization mismatch while preserving image fidelity. Extensive evaluations on leading image generation platforms reveal that C-reweight not only maintains the visual quality of generated images but also improves detectability over existing distortion-free watermarking techniques, setting a new standard for secure and trustworthy image synthesis.

Supervised neural approaches are hindered by their dependence on large, meticulously annotated datasets, a requirement that is particularly cumbersome for sequential tasks. The quality of annotations tends to deteriorate with the transition from expert-based to crowd-sourced labelling. To address these challenges, we present CAMEL (Confidence-based Acquisition Model for Efficient self-supervised active Learning), a pool-based active learning framework tailored to sequential multi-output problems. CAMEL possesses two core features: (1) it requires expert annotators to label only a fraction of a chosen sequence, and (2) it facilitates self-supervision for the remainder of the sequence. By deploying a label correction mechanism, CAMEL can also be utilised for data cleaning. We evaluate CAMEL on two sequential tasks, with a special emphasis on dialogue belief tracking, a task plagued by the constraints of limited and noisy datasets. Our experiments demonstrate that CAMEL significantly outperforms the baselines in terms of efficiency. Furthermore, the data corrections suggested by our method contribute to an overall improvement in the quality of the resulting datasets.

Task-oriented dialogue (ToD) systems are designed to help users achieve specific goals through natural language interaction. While recent advances in large language models (LLMs) have significantly improved linguistic fluency and contextual understanding, building effective and emotionally intelligent ToD systems remains a complex challenge. Effective ToD systems must optimise for task success, emotional understanding and responsiveness, and precise information conveyance, all within inherently noisy and ambiguous conversational environments. In this work, we investigate architectural, representational, optimisational as well as emotional considerations of ToD systems. We set up systems covering these design considerations with a challenging evaluation environment composed of a natural-language user simulator coupled with an imperfect natural language understanding module. We propose LUSTER, an LLM-based Unified System for Task-oriented dialogue with End-to-end Reinforcement learning with both short-term (user sentiment) and long-term (task success) rewards. Our findings demonstrate that combining LLM capability with structured reward modelling leads to more resilient and emotionally responsive ToD systems, offering a practical path forward for next-generation conversational agents.

Understanding the internal mechanisms of large language models (LLMs) remains a challenging and complex endeavor. Even fundamental questions, such as how fine-tuning affects model behavior, often require extensive empirical evaluation. In this paper, we introduce a novel perspective based on the geometric properties of contextual latent embeddings to study the effects of training and fine-tuning. To that end, we measure the local dimensions of a contextual language model's latent space and analyze their shifts during training and fine-tuning. We show that the local dimensions provide insights into the model's training dynamics and generalization ability. Specifically, the mean of the local dimensions predicts when the model's training capabilities are exhausted, as exemplified in a dialogue state tracking task, overfitting, as demonstrated in an emotion recognition task, and grokking, as illustrated with an arithmetic task. Furthermore, our experiments suggest a practical heuristic: reductions in the mean local dimension tend to accompany and predict subsequent performance gains. Through this exploration, we aim to provide practitioners with a deeper understanding of the implications of fine-tuning on embedding spaces, facilitating informed decisions when configuring models for specific applications. The results of this work contribute to the ongoing discourse on the interpretability, adaptability, and generalizability of LLMs by bridging the gap between intrinsic model mechanisms and geometric properties in the respective embeddings.

Task-oriented dialogue (TOD) systems function as digital assistants, guiding users through various tasks such as booking flights or finding restaurants. Existing toolkits for building TOD systems often fall short of in delivering comprehensive arrays of data, models, and experimental environments with a user-friendly experience. We introduce ConvLab-3: a multifaceted dialogue system toolkit crafted to bridge this gap. Our unified data format simplifies the integration of diverse datasets and models, significantly reducing complexity and cost for studying generalization and transfer. Enhanced with robust reinforcement learning (RL) tools, featuring a streamlined training process, in-depth evaluation tools, and a selection of user simulators, ConvLab-3 supports the rapid development and evaluation of robust dialogue policies. Through an extensive study, we demonstrate the efficacy of transfer learning and RL and showcase that ConvLab-3 is not only a powerful tool for seasoned researchers but also an accessible platform for newcomers.

Transformers have significantly advanced the modeling of Electronic Health Records (EHR), yet their deployment in real-world healthcare is limited by several key challenges. Firstly, the quadratic computational cost and insufficient context length of these models pose significant obstacles for hospitals in processing the extensive medical histories typical in EHR data. Additionally, existing models employ separate finetuning for each clinical task, complicating maintenance in healthcare environments. Moreover, these models focus exclusively on either clinical prediction or EHR forecasting, lacking the flexibility to perform well across both. To overcome these limitations, we introduce EHRMamba, a robust foundation model built on the Mamba architecture. EHRMamba can process sequences up to four times longer than previous models due to its linear computational cost. We also introduce a novel approach to Multitask Prompted Finetuning (MTF) for EHR data, which enables EHRMamba to simultaneously learn multiple clinical tasks in a single finetuning phase, significantly enhancing deployment and cross-task generalization. Furthermore, our model leverages the HL7 FHIR data standard to simplify integration into existing hospital systems. Alongside EHRMamba, we open-source Odyssey, a toolkit designed to support the development and deployment of EHR foundation models, with an emphasis on data standardization and interpretability. Our evaluations on the MIMIC-IV dataset demonstrate that EHRMamba advances state-of-the-art performance across 6 major clinical tasks and excels in EHR forecasting, marking a significant leap forward in the field.

As large language models grow in capability and agency, identifying vulnerabilities through red-teaming becomes vital for safe deployment. However, traditional prompt-engineering approaches may prove ineffective once red-teaming turns into a weak-to-strong problem, where target models surpass red-teamers in capabilities. To study this shift, we frame red-teaming through the lens of the capability gap between attacker and target. We evaluate more than 500 attacker-target pairs using LLM-based jailbreak attacks that mimic human red-teamers across diverse families, sizes, and capability levels. Three strong trends emerge: (i) more capable models are better attackers, (ii) attack success drops sharply once the target's capability exceeds the attacker's, and (iii) attack success rates correlate with high performance on social science splits of the MMLU-Pro benchmark. From these trends, we derive a jailbreaking scaling law that predicts attack success for a fixed target based on attacker-target capability gap. These findings suggest that fixed-capability attackers (e.g., humans) may become ineffective against future models, increasingly capable open-source models amplify risks for existing systems, and model providers must accurately measure and control models' persuasive and manipulative abilities to limit their effectiveness as attackers.

This paper proposes one of the first clinical applications of multimodal large language models (LLMs) as an assistant for radiologists to check errors in their reports. We created an evaluation dataset from two real-world radiology datasets (MIMIC-CXR and IU-Xray), with 1,000 subsampled reports each. A subset of original reports was modified to contain synthetic errors by introducing various type of mistakes. The evaluation contained two difficulty levels: SIMPLE for binary error-checking and COMPLEX for identifying error types. LLaVA (Large Language and Visual Assistant) variant models, including our instruction-tuned model, were used for the evaluation. Additionally, a domain expert evaluation was conducted on a small test set. At the SIMPLE level, the LLaVA v1.5 model outperformed other publicly available models. Instruction tuning significantly enhanced performance by 47.4% and 25.4% on MIMIC-CXR and IU-Xray data, respectively. The model also surpassed the domain experts accuracy in the MIMIC-CXR dataset by 1.67%. Notably, among the subsets (N=21) of the test set where a clinician did not achieve the correct conclusion, the LLaVA ensemble mode correctly identified 71.4% of these cases. This study marks a promising step toward utilizing multi-modal LLMs to enhance diagnostic accuracy in radiology. The ensemble model demonstrated comparable performance to clinicians, even capturing errors overlooked by humans. Nevertheless, future work is needed to improve the model ability to identify the types of inconsistency.

Large language models (LLMs) are increasingly utilized to assist in scientific and academic writing, helping authors enhance the coherence of their articles. Previous studies have highlighted stereotypes and biases present in LLM outputs, emphasizing the need to evaluate these models for their alignment with human narrative styles and potential gender biases. In this study, we assess the alignment of three prominent LLMs - Claude 3 Opus, Mistral AI Large, and Gemini 1.5 Flash - by analyzing their performance on benchmark text-generation tasks for scientific abstracts. We employ the Linguistic Inquiry and Word Count (LIWC) framework to extract lexical, psychological, and social features from the generated texts. Our findings indicate that, while these models generally produce text closely resembling human authored content, variations in stylistic features suggest significant gender biases. This research highlights the importance of developing LLMs that maintain a diversity of writing styles to promote inclusivity in academic discourse.

In an ideal design pipeline, user interface (UI) design is intertwined with user research to validate decisions, yet studies are often resource-constrained during early exploration. Recent advances in multimodal large language models (MLLMs) offer a promising opportunity to act as early evaluators, helping designers narrow options before formal testing. Unlike prior work that emphasizes user behavior in narrow domains such as e-commerce with metrics like clicks or conversions, we focus on subjective user evaluations across varied interfaces. We investigate whether MLLMs can mimic human preferences when evaluating individual UIs and comparing them. Using data from a crowdsourcing platform, we benchmark GPT-4o, Claude, and Llama across 30 interfaces and examine alignment with human judgments on multiple UI factors. Our results show that MLLMs approximate human preferences on some dimensions but diverge on others, underscoring both their potential and limitations in supplementing early UX research.

We introduce a novel contextual embedding model med-gte-hybrid that was derived from the gte-large sentence transformer to extract information from unstructured clinical narratives. Our model tuning strategy for med-gte-hybrid combines contrastive learning and a denoising autoencoder. To evaluate the performance of med-gte-hybrid, we investigate several clinical prediction tasks in large patient cohorts extracted from the MIMIC-IV dataset, including Chronic Kidney Disease (CKD) patient prognosis, estimated glomerular filtration rate (eGFR) prediction, and patient mortality prediction. Furthermore, we demonstrate that the med-gte-hybrid model improves patient stratification, clustering, and text retrieval, thus outperforms current state-of-the-art models on the Massive Text Embedding Benchmark (MTEB). While some of our evaluations focus on CKD, our hybrid tuning of sentence transformers could be transferred to other medical domains and has the potential to improve clinical decision-making and personalised treatment pathways in various healthcare applications.

Medical vision-language models often struggle with generating accurate quantitative measurements in radiology reports, leading to hallucinations that undermine clinical reliability. We introduce FactCheXcker, a modular framework that de-hallucinates radiology report measurements by leveraging an improved query-code-update paradigm. Specifically, FactCheXcker employs specialized modules and the code generation capabilities of large language models to solve measurement queries generated based on the original report. After extracting measurable findings, the results are incorporated into an updated report. We evaluate FactCheXcker on endotracheal tube placement, which accounts for an average of 78% of report measurements, using the MIMIC-CXR dataset and 11 medical report-generation models. Our results show that FactCheXcker significantly reduces hallucinations, improves measurement precision, and maintains the quality of the original reports. Specifically, FactCheXcker improves the performance of 10/11 models and achieves an average improvement of 135.0% in reducing measurement hallucinations measured by mean absolute error. Code is available at https://github.com/rajpurkarlab/FactCheXcker.

Several medical Multimodal Large Languange Models (MLLMs) have been developed to address tasks involving visual images with textual instructions across various medical modalities, achieving impressive results. Most current medical generalist models are region-agnostic, treating the entire image as a holistic representation. However, they struggle to identify which specific regions they are focusing on when generating a sentence. To mimic the behavior of doctors, who typically begin by reviewing the entire image before concentrating on specific regions for a thorough evaluation, we aim to enhance the capability of medical MLLMs in understanding anatomical regions within entire medical scans. To achieve it, we first formulate Region-Centric tasks and construct a large-scale dataset, MedRegInstruct, to incorporate regional information into training. Combining our collected dataset with other medical multimodal corpora for training, we propose a Region-Aware medical MLLM, MedRegA, which is the first bilingual generalist medical AI system to simultaneously handle image-level and region-level medical vision-language tasks across a broad range of modalities. Our MedRegA not only enables three region-centric tasks, but also achieves the best performance for visual question answering, report generation and medical image classification over 8 modalities, showcasing significant versatility. Experiments demonstrate that our model can not only accomplish powerful performance across various medical vision-language tasks in bilingual settings, but also recognize and detect structures in multimodal medical scans, boosting the interpretability and user interactivity of medical MLLMs. Our project page is https://medrega.github.io.

We present a self-supervised, time-to-event (TTE) foundation model called MOTOR (Many Outcome Time Oriented Representations) which is pretrained on timestamped sequences of events in electronic health records (EHR) and health insurance claims. TTE models are used for estimating the probability distribution of the time until a specific event occurs, which is an important task in medical settings. TTE models provide many advantages over classification using fixed time horizons, including naturally handling censored observations, but are challenging to train with limited labeled data. MOTOR addresses this challenge by pretraining on up to 55M patient records (9B clinical events). We evaluate MOTOR's transfer learning performance on 19 tasks, across 3 patient databases (a private EHR system, MIMIC-IV, and Merative claims data). Task-specific models adapted from MOTOR improve time-dependent C statistics by 4.6% over state-of-the-art, improve label efficiency by up to 95% ,and are more robust to temporal distributional shifts. We further evaluate cross-site portability by adapting our MOTOR foundation model for six prediction tasks on the MIMIC-IV dataset, where it outperforms all baselines. MOTOR is the first foundation model for medical TTE predictions and we release a 143M parameter pretrained model for research use at [redacted URL].

This paper explores the advancements in making large language models (LLMs) more human-like. We focus on techniques that enhance natural language understanding, conversational coherence, and emotional intelligence in AI systems. The study evaluates various approaches, including fine-tuning with diverse datasets, incorporating psychological principles, and designing models that better mimic human reasoning patterns. Our findings demonstrate that these enhancements not only improve user interactions but also open new possibilities for AI applications across different domains. Future work will address the ethical implications and potential biases introduced by these human-like attributes.

Developmental psychologists have spent decades devising experiments to test the intelligence and knowledge of infants and children, tracing the origin of crucial concepts and capacities. Moreover, experimental techniques in developmental psychology have been carefully designed to discriminate the cognitive capacities that underlie particular behaviors. We propose that using classical experiments from child development is a particularly effective way to probe the computational abilities of AI models, in general, and LLMs in particular. First, the methodological techniques of developmental psychology, such as the use of novel stimuli to control for past experience or control conditions to determine whether children are using simple associations, can be equally helpful for assessing the capacities of LLMs. In parallel, testing LLMs in this way can tell us whether the information that is encoded in text is sufficient to enable particular responses, or whether those responses depend on other kinds of information, such as information from exploration of the physical world. In this work we adapt classical developmental experiments to evaluate the capabilities of LaMDA, a large language model from Google. We propose a novel LLM Response Score (LRS) metric which can be used to evaluate other language models, such as GPT. We find that LaMDA generates appropriate responses that are similar to those of children in experiments involving social understanding, perhaps providing evidence that knowledge of these domains is discovered through language. On the other hand, LaMDA's responses in early object and action understanding, theory of mind, and especially causal reasoning tasks are very different from those of young children, perhaps showing that these domains require more real-world, self-initiated exploration and cannot simply be learned from patterns in language input.

Adversarial threats against LLMs are escalating faster than current defenses can adapt. We expose a critical geometric blind spot in alignment: adversarial prompts exploit latent camouflage, embedding perilously close to the safe representation manifold while encoding unsafe intent thereby evading surface level defenses like Direct Preference Optimization (DPO), which remain blind to the latent geometry. We introduce ALKALI, the first rigorously curated adversarial benchmark and the most comprehensive to date spanning 9,000 prompts across three macro categories, six subtypes, and fifteen attack families. Evaluation of 21 leading LLMs reveals alarmingly high Attack Success Rates (ASRs) across both open and closed source models, exposing an underlying vulnerability we term latent camouflage, a structural blind spot where adversarial completions mimic the latent geometry of safe ones. To mitigate this vulnerability, we introduce GRACE - Geometric Representation Aware Contrastive Enhancement, an alignment framework coupling preference learning with latent space regularization. GRACE enforces two constraints: latent separation between safe and adversarial completions, and adversarial cohesion among unsafe and jailbreak behaviors. These operate over layerwise pooled embeddings guided by a learned attention profile, reshaping internal geometry without modifying the base model, and achieve up to 39% ASR reduction. Moreover, we introduce AVQI, a geometry aware metric that quantifies latent alignment failure via cluster separation and compactness. AVQI reveals when unsafe completions mimic the geometry of safe ones, offering a principled lens into how models internally encode safety. We make the code publicly available at https://anonymous.4open.science/r/alkali-B416/README.md.

We present HILGEN, a Hierarchically-Informed Data Generation approach that combines domain knowledge from the Unified Medical Language System (UMLS) with synthetic data generated by large language models (LLMs), specifically GPT-3.5. Our approach leverages UMLS's hierarchical structure to expand training data with related concepts, while incorporating contextual information from LLMs through targeted prompts aimed at automatically generating synthetic examples for sparsely occurring named entities. The performance of the HILGEN approach was evaluated across four biomedical NER datasets (MIMIC III, BC5CDR, NCBI-Disease, and Med-Mentions) using BERT-Large and DANN (Data Augmentation with Nearest Neighbor Classifier) models, applying various data generation strategies, including UMLS, GPT-3.5, and their best ensemble. For the BERT-Large model, incorporating UMLS led to an average F1 score improvement of 40.36%, while using GPT-3.5 resulted in a comparable average increase of 40.52%. The Best-Ensemble approach using BERT-Large achieved the highest improvement, with an average increase of 42.29%. DANN model's F1 score improved by 22.74% on average using the UMLS-only approach. The GPT-3.5-based method resulted in a 21.53% increase, and the Best-Ensemble DANN model showed a more notable improvement, with an average increase of 25.03%. Our proposed HILGEN approach improves NER performance in few-shot settings without requiring additional manually annotated data. Our experiments demonstrate that an effective strategy for optimizing biomedical NER is to combine biomedical knowledge curated in the past, such as the UMLS, and generative LLMs to create synthetic training instances. Our future research will focus on exploring additional innovative synthetic data generation strategies for further improving NER performance.

Focusing on the task of point-to-point navigation for an autonomous driving vehicle, we propose a novel deep learning model trained with end-to-end and multi-task learning manners to perform both perception and control tasks simultaneously. The model is used to drive the ego vehicle safely by following a sequence of routes defined by the global planner. The perception part of the model is used to encode high-dimensional observation data provided by an RGBD camera while performing semantic segmentation, semantic depth cloud (SDC) mapping, and traffic light state and stop sign prediction. Then, the control part decodes the encoded features along with additional information provided by GPS and speedometer to predict waypoints that come with a latent feature space. Furthermore, two agents are employed to process these outputs and make a control policy that determines the level of steering, throttle, and brake as the final action. The model is evaluated on CARLA simulator with various scenarios made of normal-adversarial situations and different weathers to mimic real-world conditions. In addition, we do a comparative study with some recent models to justify the performance in multiple aspects of driving. Moreover, we also conduct an ablation study on SDC mapping and multi-agent to understand their roles and behavior. As a result, our model achieves the highest driving score even with fewer parameters and computation load. To support future studies, we share our codes at https://github.com/oskarnatan/end-to-end-driving.

Recently a number of studies demonstrated impressive performance on diverse vision-language multi-modal tasks such as image captioning and visual question answering by extending the BERT architecture with multi-modal pre-training objectives. In this work we explore a broad set of multi-modal representation learning tasks in the medical domain, specifically using radiology images and the unstructured report. We propose Medical Vision Language Learner (MedViLL), which adopts a BERT-based architecture combined with a novel multi-modal attention masking scheme to maximize generalization performance for both vision-language understanding tasks (diagnosis classification, medical image-report retrieval, medical visual question answering) and vision-language generation task (radiology report generation). By statistically and rigorously evaluating the proposed model on four downstream tasks with three radiographic image-report datasets (MIMIC-CXR, Open-I, and VQA-RAD), we empirically demonstrate the superior downstream task performance of MedViLL against various baselines, including task-specific architectures. The source code is publicly available at: https://github.com/SuperSupermoon/MedViLL

Large language models (LLMs) can be used to serve as agents to simulate human behaviors, given the powerful ability to understand human instructions and provide high-quality generated texts. Such ability stimulates us to wonder whether LLMs can simulate a person in a higher form than simple human behaviors. Therefore, we aim to train an agent with the profile, experience, and emotional states of a specific person instead of using limited prompts to instruct ChatGPT API. In this work, we introduce Character-LLM that teach LLMs to act as specific people such as Beethoven, Queen Cleopatra, Julius Caesar, etc. Our method focuses on editing profiles as experiences of a certain character and training models to be personal simulacra with these experiences. To assess the effectiveness of our approach, we build a test playground that interviews trained agents and evaluates whether the agents memorize their characters and experiences. Experimental results show interesting observations that help build future simulacra of humankind.

Continuity of care is crucial to ensuring positive health outcomes for patients discharged from an inpatient hospital setting, and improved information sharing can help. To share information, caregivers write discharge notes containing action items to share with patients and their future caregivers, but these action items are easily lost due to the lengthiness of the documents. In this work, we describe our creation of a dataset of clinical action items annotated over MIMIC-III, the largest publicly available dataset of real clinical notes. This dataset, which we call CLIP, is annotated by physicians and covers 718 documents representing 100K sentences. We describe the task of extracting the action items from these documents as multi-aspect extractive summarization, with each aspect representing a type of action to be taken. We evaluate several machine learning models on this task, and show that the best models exploit in-domain language model pre-training on 59K unannotated documents, and incorporate context from neighboring sentences. We also propose an approach to pre-training data selection that allows us to explore the trade-off between size and domain-specificity of pre-training datasets for this task.

The public availability of collections containing user preferences is of vital importance for performing offline evaluations in the field of recommender systems. However, the number of rating datasets is limited because of the costs required for their creation and the fear of violating the privacy of the users by sharing them. For this reason, numerous research attempts investigated the creation of synthetic collections of ratings using generative approaches. Nevertheless, these datasets are usually not reliable enough for conducting an evaluation campaign. In this paper, we propose a method for creating synthetic datasets with a configurable number of users that mimic the characteristics of already existing ones. We empirically validated the proposed approach by exploiting the synthetic datasets for evaluating different recommenders and by comparing the results with the ones obtained using real datasets.

This paper presents a comprehensive evaluation of GPT-4V's capabilities across diverse medical imaging tasks, including Radiology Report Generation, Medical Visual Question Answering (VQA), and Visual Grounding. While prior efforts have explored GPT-4V's performance in medical image analysis, to the best of our knowledge, our study represents the first quantitative evaluation on publicly available benchmarks. Our findings highlight GPT-4V's potential in generating descriptive reports for chest X-ray images, particularly when guided by well-structured prompts. Meanwhile, its performance on the MIMIC-CXR dataset benchmark reveals areas for improvement in certain evaluation metrics, such as CIDEr. In the domain of Medical VQA, GPT-4V demonstrates proficiency in distinguishing between question types but falls short of the VQA-RAD benchmark in terms of accuracy. Furthermore, our analysis finds the limitations of conventional evaluation metrics like the BLEU scores, advocating for the development of more semantically robust assessment methods. In the field of Visual Grounding, GPT-4V exhibits preliminary promise in recognizing bounding boxes, but its precision is lacking, especially in identifying specific medical organs and signs. Our evaluation underscores the significant potential of GPT-4V in the medical imaging domain, while also emphasizing the need for targeted refinements to fully unlock its capabilities.

Motivated by the strong performance of CLIP-based models in natural image-text domains, recent efforts have adapted these architectures to medical tasks, particularly in radiology, where large paired datasets of images and reports, such as chest X-rays, are available. While these models have shown encouraging results in terms of accuracy and discriminative performance, their fairness and robustness in the different clinical tasks remain largely underexplored. In this study, we extensively evaluate six widely used CLIP-based models on chest X-ray classification using three publicly available datasets: MIMIC-CXR, NIH-CXR14, and NEATX. We assess the models fairness across six conditions and patient subgroups based on age, sex, and race. Additionally, we assess the robustness to shortcut learning by evaluating performance on pneumothorax cases with and without chest drains. Our results indicate performance gaps between patients of different ages, but more equitable results for the other attributes. Moreover, all models exhibit lower performance on images without chest drains, suggesting reliance on spurious correlations. We further complement the performance analysis with a study of the embeddings generated by the models. While the sensitive attributes could be classified from the embeddings, we do not see such patterns using PCA, showing the limitations of these visualisation techniques when assessing models. Our code is available at https://github.com/TheoSourget/clip_cxr_fairness

Recent advances in reasoning-enhanced large language models (LLMs) and multimodal LLMs (MLLMs) have significantly improved performance in complex tasks, yet medical AI models often overlook the structured reasoning processes inherent in clinical practice. In this work, we present ChestX-Reasoner, a radiology diagnosis MLLM designed to leverage process supervision mined directly from clinical reports, reflecting the step-by-step reasoning followed by radiologists. We construct a large dataset by extracting and refining reasoning chains from routine radiology reports. Our two-stage training framework combines supervised fine-tuning and reinforcement learning guided by process rewards to better align model reasoning with clinical standards. We introduce RadRBench-CXR, a comprehensive benchmark featuring 59K visual question answering samples with 301K clinically validated reasoning steps, and propose RadRScore, a metric evaluating reasoning factuality, completeness, and effectiveness. ChestX-Reasoner outperforms existing medical and general-domain MLLMs in both diagnostic accuracy and reasoning ability, achieving 16%, 5.9%, and 18% improvements in reasoning ability compared to the best medical MLLM, the best general MLLM, and its base model, respectively, as well as 3.3%, 24%, and 27% improvements in outcome accuracy. All resources are open-sourced to facilitate further research in medical reasoning MLLMs.

As AI grows more powerful, it will increasingly shape how we understand the world. But with this influence comes the risk of amplifying misinformation and deepening social divides-especially on consequential topics like public health where factual accuracy directly impacts well-being. Scalable Oversight aims to ensure AI truthfulness by enabling humans to supervise systems that may exceed human capabilities--yet humans themselves hold different beliefs and biases that impair their judgment. We study whether AI debate can guide biased judges toward the truth by having two AI systems debate opposing sides of controversial COVID-19 factuality claims where people hold strong prior beliefs. We conduct two studies: one with human judges holding either mainstream or skeptical beliefs evaluating factuality claims through AI-assisted debate or consultancy protocols, and a second examining the same problem with personalized AI judges designed to mimic these different human belief systems. In our human study, we find that debate-where two AI advisor systems present opposing evidence-based arguments-consistently improves judgment accuracy and confidence calibration, outperforming consultancy with a single-advisor system by 10% overall. The improvement is most significant for judges with mainstream beliefs (+15.2% accuracy), though debate also helps skeptical judges who initially misjudge claims move toward accurate views (+4.7% accuracy). In our AI judge study, we find that AI judges with human-like personas achieve even higher accuracy (78.5%) than human judges (70.1%) and default AI judges without personas (69.8%), suggesting their potential for supervising frontier AI models. These findings highlight AI debate as a promising path toward scalable, bias-resilient oversight--leveraging both diverse human and AI judgments to move closer to truth in contested domains.

In evaluating the long-context capabilities of large language models (LLMs), identifying content relevant to a user's query from original long documents is a crucial prerequisite for any LLM to answer questions based on long text. We present NeedleBench, a framework consisting of a series of progressively more challenging tasks for assessing bilingual long-context capabilities, spanning multiple length intervals (4k, 8k, 32k, 128k, 200k, 1000k, and beyond) and different depth ranges, allowing the strategic insertion of critical data points in different text depth zones to rigorously test the retrieval and reasoning capabilities of models in diverse contexts. We use the NeedleBench framework to assess how well the leading open-source models can identify key information relevant to the question and apply that information to reasoning in bilingual long texts. Furthermore, we propose the Ancestral Trace Challenge (ATC) to mimic the complexity of logical reasoning challenges that are likely to be present in real-world long-context tasks, providing a simple method for evaluating LLMs in dealing with complex long-context situations. Our results suggest that current LLMs have significant room for improvement in practical long-context applications, as they struggle with the complexity of logical reasoning challenges that are likely to be present in real-world long-context tasks. All codes and resources are available at OpenCompass: https://github.com/open-compass/opencompass.

Long-context modeling capabilities have garnered widespread attention, leading to the emergence of Large Language Models (LLMs) with ultra-context windows. Meanwhile, benchmarks for evaluating long-context LLMs are gradually catching up. However, existing benchmarks employ irrelevant noise texts to artificially extend the length of test cases, diverging from the real-world scenarios of long-context applications. To bridge this gap, we propose a novel long-context benchmark, Loong, aligning with realistic scenarios through extended multi-document question answering (QA). Unlike typical document QA, in Loong's test cases, each document is relevant to the final answer, ignoring any document will lead to the failure of the answer. Furthermore, Loong introduces four types of tasks with a range of context lengths: Spotlight Locating, Comparison, Clustering, and Chain of Reasoning, to facilitate a more realistic and comprehensive evaluation of long-context understanding. Extensive experiments indicate that existing long-context language models still exhibit considerable potential for enhancement. Retrieval augmented generation (RAG) achieves poor performance, demonstrating that Loong can reliably assess the model's long-context modeling capabilities.

Synthetic medical data generation has opened up new possibilities in the healthcare domain, offering a powerful tool for simulating clinical scenarios, enhancing diagnostic and treatment quality, gaining granular medical knowledge, and accelerating the development of unbiased algorithms. In this context, we present a novel approach called ViewXGen, designed to overcome the limitations of existing methods that rely on general domain pipelines using only radiology reports to generate frontal-view chest X-rays. Our approach takes into consideration the diverse view positions found in the dataset, enabling the generation of chest X-rays with specific views, which marks a significant advancement in the field. To achieve this, we introduce a set of specially designed tokens for each view position, tailoring the generation process to the user's preferences. Furthermore, we leverage multi-view chest X-rays as input, incorporating valuable information from different views within the same study. This integration rectifies potential errors and contributes to faithfully capturing abnormal findings in chest X-ray generation. To validate the effectiveness of our approach, we conducted statistical analyses, evaluating its performance in a clinical efficacy metric on the MIMIC-CXR dataset. Also, human evaluation demonstrates the remarkable capabilities of ViewXGen, particularly in producing realistic view-specific X-rays that closely resemble the original images.