Daily Papers

Free-text promptable 3D medical image segmentation offers an intuitive and clinically flexible interaction paradigm. However, current methods are highly sensitive to linguistic variability: minor changes in phrasing can cause substantial performance degradation despite identical clinical intent. Existing approaches attempt to improve robustness through stronger vision-language fusion or larger vocabularies, yet they lack mechanisms to consistently align ambiguous free-form expressions with anatomically grounded representations. We propose Skill-Evolving grounded Reasoning (SEER), a novel framework for free-text promptable 3D medical image segmentation that explicitly bridges linguistic variability and anatomical precision through a reasoning-driven design. First, we curate the SEER-Trace dataset, which pairs raw clinical requests with image-grounded, skill-tagged reasoning traces, establishing a reproducible benchmark. Second, SEER constructs an evidence-aligned target representation via a vision-language reasoning chain that verifies clinical intent against image-derived anatomical evidence, thereby enforcing semantic consistency before voxel-level decoding. Third, we introduce SEER-Loop, a dynamic skill-evolving strategy that distills high-reward reasoning trajectories into reusable skill artifacts and progressively integrates them into subsequent inference, enabling structured self-refinement and improved robustness to diverse linguistic expressions. Extensive experiments demonstrate superior performance of SEER over state-of-the-art baselines. Under linguistic perturbations, SEER reduces performance variance by 81.94% and improves worst-case Dice by 18.60%.

Free-text rationales justify model decisions in natural language and thus become likable and accessible among approaches to explanation across many tasks. However, their effectiveness can be hindered by misinterpretation and hallucination. As a perturbation test, we investigate how large language models (LLMs) perform rationale generation under the effects of readability level control, i.e., being prompted for an explanation targeting a specific expertise level, such as sixth grade or college. We find that explanations are adaptable to such instruction, though the requested readability is often misaligned with the measured text complexity according to traditional readability metrics. Furthermore, the generated rationales tend to feature medium level complexity, which correlates with the measured quality using automatic metrics. Finally, our human annotators confirm a generally satisfactory impression on rationales at all readability levels, with high-school-level readability being most commonly perceived and favored.

Text-guided color editing in images and videos is a fundamental yet unsolved problem, requiring fine-grained manipulation of color attributes, including albedo, light source color, and ambient lighting, while preserving physical consistency in geometry, material properties, and light-matter interactions. Existing training-free methods offer broad applicability across editing tasks but struggle with precise color control and often introduce visual inconsistency in both edited and non-edited regions. In this work, we present ColorCtrl, a training-free color editing method that leverages the attention mechanisms of modern Multi-Modal Diffusion Transformers (MM-DiT). By disentangling structure and color through targeted manipulation of attention maps and value tokens, our method enables accurate and consistent color editing, along with word-level control of attribute intensity. Our method modifies only the intended regions specified by the prompt, leaving unrelated areas untouched. Extensive experiments on both SD3 and FLUX.1-dev demonstrate that ColorCtrl outperforms existing training-free approaches and achieves state-of-the-art performances in both edit quality and consistency. Furthermore, our method surpasses strong commercial models such as FLUX.1 Kontext Max and GPT-4o Image Generation in terms of consistency. When extended to video models like CogVideoX, our approach exhibits greater advantages, particularly in maintaining temporal coherence and editing stability. Finally, our method also generalizes to instruction-based editing diffusion models such as Step1X-Edit and FLUX.1 Kontext dev, further demonstrating its versatility.

We introduce VoxTell, a vision-language model for text-prompted volumetric medical image segmentation. It maps free-form descriptions, from single words to full clinical sentences, to 3D masks. Trained on 62K+ CT, MRI, and PET volumes spanning over 1K anatomical and pathological classes, VoxTell uses multi-stage vision-language fusion across decoder layers to align textual and visual features at multiple scales. It achieves state-of-the-art zero-shot performance across modalities on unseen datasets, excelling on familiar concepts while generalizing to related unseen classes. Extensive experiments further demonstrate strong cross-modality transfer, robustness to linguistic variations and clinical language, as well as accurate instance-specific segmentation from real-world text. Code is available at: https://www.github.com/MIC-DKFZ/VoxTell

Geometric diagrams are critical in conveying mathematical and scientific concepts, yet traditional diagram generation methods are often manual and resource-intensive. While text-to-image generation has made strides in photorealistic imagery, creating accurate geometric diagrams remains a challenge due to the need for precise spatial relationships and the scarcity of geometry-specific datasets. This paper presents MagicGeo, a training-free framework for generating geometric diagrams from textual descriptions. MagicGeo formulates the diagram generation process as a coordinate optimization problem, ensuring geometric correctness through a formal language solver, and then employs coordinate-aware generation. The framework leverages the strong language translation capability of large language models, while formal mathematical solving ensures geometric correctness. We further introduce MagicGeoBench, a benchmark dataset of 220 geometric diagram descriptions, and demonstrate that MagicGeo outperforms current methods in both qualitative and quantitative evaluations. This work provides a scalable, accurate solution for automated diagram generation, with significant implications for educational and academic applications.

Text-to-point-cloud cross-modal localization is an emerging vision-language task critical for future robot-human collaboration. It seeks to localize a position from a city-scale point cloud scene based on a few natural language instructions. In this paper, we address two key limitations of existing approaches: 1) their reliance on ground-truth instances as input; and 2) their neglect of the relative positions among potential instances. Our proposed model follows a two-stage pipeline, including a coarse stage for text-cell retrieval and a fine stage for position estimation. In both stages, we introduce an instance query extractor, in which the cells are encoded by a 3D sparse convolution U-Net to generate the multi-scale point cloud features, and a set of queries iteratively attend to these features to represent instances. In the coarse stage, a row-column relative position-aware self-attention (RowColRPA) module is designed to capture the spatial relations among the instance queries. In the fine stage, a multi-modal relative position-aware cross-attention (RPCA) module is developed to fuse the text and point cloud features along with spatial relations for improving fine position estimation. Experiment results on the KITTI360Pose dataset demonstrate that our model achieves competitive performance with the state-of-the-art models without taking ground-truth instances as input.

BACKGROUND: Radiology reports are typically written in a free-text format, making clinical information difficult to extract and use. Recently the adoption of structured reporting (SR) has been recommended by various medical societies thanks to the advantages it offers, e.g. standardization, completeness and information retrieval. We propose a pipeline to extract information from free-text radiology reports, that fits with the items of the reference SR registry proposed by a national society of interventional and medical radiology, focusing on CT staging of patients with lymphoma. METHODS: Our work aims to leverage the potential of Natural Language Processing (NLP) and Transformer-based models to deal with automatic SR registry filling. With the availability of 174 radiology reports, we investigate a rule-free generative Question Answering approach based on a domain-specific version of T5 (IT5). Two strategies (batch-truncation and ex-post combination) are implemented to comply with the model's context length limitations. Performance is evaluated in terms of strict accuracy, F1, and format accuracy, and compared with the widely used GPT-3.5 Large Language Model. A 5-point Likert scale questionnaire is used to collect human-expert feedback on the similarity between medical annotations and generated answers. RESULTS: The combination of fine-tuning and batch splitting allows IT5 to achieve notable results; it performs on par with GPT-3.5 albeit its size being a thousand times smaller in terms of parameters. Human-based assessment scores show a high correlation (Spearman's correlation coefficients>0.88, p-values<0.001) with AI performance metrics (F1) and confirm the superior ability of LLMs (i.e., GPT-3.5, 175B of parameters) in generating plausible human-like statements.

Text-to-video (T2V) generation aims to synthesize videos with high visual quality and temporal consistency that are semantically aligned with input text. Reward-based post-training has emerged as a promising direction to improve the quality and semantic alignment of generated videos. However, recent methods either rely on large-scale human preference annotations or operate on misaligned embeddings from pre-trained vision-language models, leading to limited scalability or suboptimal supervision. We present PISCES, an annotation-free post-training algorithm that addresses these limitations via a novel Dual Optimal Transport (OT)-aligned Rewards module. To align reward signals with human judgment, PISCES uses OT to bridge text and video embeddings at both distributional and discrete token levels, enabling reward supervision to fulfill two objectives: (i) a Distributional OT-aligned Quality Reward that captures overall visual quality and temporal coherence; and (ii) a Discrete Token-level OT-aligned Semantic Reward that enforces semantic, spatio-temporal correspondence between text and video tokens. To our knowledge, PISCES is the first to improve annotation-free reward supervision in generative post-training through the lens of OT. Experiments on both short- and long-video generation show that PISCES outperforms both annotation-based and annotation-free methods on VBench across Quality and Semantic scores, with human preference studies further validating its effectiveness. We show that the Dual OT-aligned Rewards module is compatible with multiple optimization paradigms, including direct backpropagation and reinforcement learning fine-tuning.

Recent text-to-image (T2I) diffusion models achieve remarkable realism, yet faithful prompt-image alignment remains challenging, particularly for complex prompts with multiple objects, relations, and fine-grained attributes. Existing training-free inference-time scaling methods rely on fixed iteration budgets that cannot adapt to prompt difficulty, while reflection-tuned models require carefully curated reflection datasets and extensive joint fine-tuning of diffusion and vision-language models, often overfitting to reflection paths data and lacking transferability across models. We introduce RAISE (Requirement-Adaptive Self-Improving Evolution), a training-free, requirement-driven evolutionary framework for adaptive T2I generation. RAISE formulates image generation as a requirement-driven adaptive scaling process, evolving a population of candidates at inference time through a diverse set of refinement actions-including prompt rewriting, noise resampling, and instructional editing. Each generation is verified against a structured checklist of requirements, enabling the system to dynamically identify unsatisfied items and allocate further computation only where needed. This achieves adaptive test-time scaling that aligns computational effort with semantic query complexity. On GenEval and DrawBench, RAISE attains state-of-the-art alignment (0.94 overall GenEval) while incurring fewer generated samples (reduced by 30-40%) and VLM calls (reduced by 80%) than prior scaling and reflection-tuned baselines, demonstrating efficient, generalizable, and model-agnostic multi-round self-improvement. Code is available at https://github.com/LiyaoJiang1998/RAISE.

Text-guided audio editing aims to modify the language-specified acoustic content while preserving edit-irrelevant source components. Existing training-free methods typically rely on inversion-based editing. While inversion-free editing is appealing as it decreases computational overhead and reconstruction errors, it remains largely unexplored for audio editing. The key challenge is to construct a source-to-target editing path through diffusion denoising dynamics. In this paper, we introduce DirectAudioEdit, the first attempt to develop a training-free and inversion-free method for audio editing. Experiments on music and event-level benchmarks across two backbones show that DirectAudioEdit reduces macro-averaged FAD and KL by 15.9% and 15.8% compared with DDPM inversion, while achieving up to 64.5% editing speedup.

Large-scale text-to-image (T2I) diffusion models excel at open-domain synthesis but still struggle with precise text rendering, especially for multi-line layouts, dense typography, and long-tailed scripts such as Chinese. Prior solutions typically require costly retraining or rigid external layout constraints, which can degrade aesthetics and limit flexibility. We propose FreeText, a training-free, plug-and-play framework that improves text rendering by exploiting intrinsic mechanisms of Diffusion Transformer (DiT) models. FreeText decomposes the problem into where to write and what to write. For where to write, we localize writing regions by reading token-wise spatial attribution from endogenous image-to-text attention, using sink-like tokens as stable spatial anchors and topology-aware refinement to produce high-confidence masks. For what to write, we introduce Spectral-Modulated Glyph Injection (SGMI), which injects a noise-aligned glyph prior with frequency-domain band-pass modulation to strengthen glyph structure and suppress semantic leakage (rendering the concept instead of the word). Extensive experiments on Qwen-Image, FLUX.1-dev, and SD3 variants across longText-Benchmark, CVTG, and our CLT-Bench show consistent gains in text readability while largely preserving semantic alignment and aesthetic quality, with modest inference overhead.

In our study, we explore methods for detecting unwanted content lurking in visual datasets. We provide a theoretical analysis demonstrating that a model capable of successfully partitioning visual data can be obtained using only textual data. Based on the analysis, we propose Hassle-Free Textual Training (HFTT), a streamlined method capable of acquiring detectors for unwanted visual content, using only synthetic textual data in conjunction with pre-trained vision-language models. HFTT features an innovative objective function that significantly reduces the necessity for human involvement in data annotation. Furthermore, HFTT employs a clever textual data synthesis method, effectively emulating the integration of unknown visual data distribution into the training process at no extra cost. The unique characteristics of HFTT extend its utility beyond traditional out-of-distribution detection, making it applicable to tasks that address more abstract concepts. We complement our analyses with experiments in out-of-distribution detection and hateful image detection. Our codes are available at https://github.com/Saehyung-Lee/HFTT

While LLMs are powerful embedding backbones, their application in training-free settings faces two structural challenges: causal attention restricts early tokens from accessing subsequent context, and the next-token prediction objective biases representations toward generation rather than semantic compression. To address these limitations, we propose KV-Embedding, a framework that activates the latent representation power of frozen LLMs. Our method leverages the observation that the key-value (KV) states of the final token at each layer encode a compressed view of the sequence. By re-routing these states as a prepended prefix, we enable all tokens to access sequence-level context within a single forward pass. To ensure model-agnostic applicability, we introduce an automated layer selection strategy based on intrinsic dimensionality. Evaluations on MTEB across Qwen, Mistral, and Llama backbones show that KV-Embedding outperforms existing training-free baselines by up to 10%, while maintaining robust performance on sequences up to 4,096 tokens. These results demonstrate that internal state manipulation offers an efficient alternative to input modification, and we hope this work encourages further exploration of LLM internals for representation learning.

Editing real images using a pre-trained text-to-image (T2I) diffusion/flow model often involves inverting the image into its corresponding noise map. However, inversion by itself is typically insufficient for obtaining satisfactory results, and therefore many methods additionally intervene in the sampling process. Such methods achieve improved results but are not seamlessly transferable between model architectures. Here, we introduce FlowEdit, a text-based editing method for pre-trained T2I flow models, which is inversion-free, optimization-free and model agnostic. Our method constructs an ODE that directly maps between the source and target distributions (corresponding to the source and target text prompts) and achieves a lower transport cost than the inversion approach. This leads to state-of-the-art results, as we illustrate with Stable Diffusion 3 and FLUX. Code and examples are available on the project's webpage.

Generative models excel at motion synthesis for a fixed number of agents but struggle to generalize with variable agents. Based on limited, domain-specific data, existing methods employ autoregressive models to generate motion recursively, which suffer from inefficiency and error accumulation. We propose Unified Motion Flow (UMF), which consists of Pyramid Motion Flow (P-Flow) and Semi-Noise Motion Flow (S-Flow). UMF decomposes the number-free motion generation into a single-pass motion prior generation stage and multi-pass reaction generation stages. Specifically, UMF utilizes a unified latent space to bridge the distribution gap between heterogeneous motion datasets, enabling effective unified training. For motion prior generation, P-Flow operates on hierarchical resolutions conditioned on different noise levels, thereby mitigating computational overheads. For reaction generation, S-Flow learns a joint probabilistic path that adaptively performs reaction transformation and context reconstruction, alleviating error accumulation. Extensive results and user studies demonstrate UMF' s effectiveness as a generalist model for multi-person motion generation from text. Project page: https://githubhgh.github.io/umf/.

Deep neural networks (DNNs) are often used for text classification tasks as they usually achieve high levels of accuracy. However, DNNs can be computationally intensive with billions of parameters and large amounts of labeled data, which can make them expensive to use, to optimize and to transfer to out-of-distribution (OOD) cases in practice. In this paper, we propose a non-parametric alternative to DNNs that's easy, light-weight and universal in text classification: a combination of a simple compressor like gzip with a k-nearest-neighbor classifier. Without any training, pre-training or fine-tuning, our method achieves results that are competitive with non-pretrained deep learning methods on six in-distributed datasets. It even outperforms BERT on all five OOD datasets, including four low-resource languages. Our method also performs particularly well in few-shot settings where labeled data are too scarce for DNNs to achieve a satisfying accuracy.

Preserving boundary continuity in the translation of 360-degree panoramas remains a significant challenge for existing text-driven image-to-image translation methods. These methods often produce visually jarring discontinuities at the translated panorama's boundaries, disrupting the immersive experience. To address this issue, we propose 360PanT, a training-free approach to text-based 360-degree panorama-to-panorama translation with boundary continuity. Our 360PanT achieves seamless translations through two key components: boundary continuity encoding and seamless tiling translation with spatial control. Firstly, the boundary continuity encoding embeds critical boundary continuity information of the input 360-degree panorama into the noisy latent representation by constructing an extended input image. Secondly, leveraging this embedded noisy latent representation and guided by a target prompt, the seamless tiling translation with spatial control enables the generation of a translated image with identical left and right halves while adhering to the extended input's structure and semantic layout. This process ensures a final translated 360-degree panorama with seamless boundary continuity. Experimental results on both real-world and synthesized datasets demonstrate the effectiveness of our 360PanT in translating 360-degree panoramas. Code is available at https://github.com/littlewhitesea/360PanT{https://github.com/littlewhitesea/360PanT}.

Research on definition extraction has been conducted for well over a decade, largely with significant constraints on the type of definitions considered. In this work, we present DeftEval, a SemEval shared task in which participants must extract definitions from free text using a term-definition pair corpus that reflects the complex reality of definitions in natural language. Definitions and glosses in free text often appear without explicit indicators, across sentences boundaries, or in an otherwise complex linguistic manner. DeftEval involved 3 distinct subtasks: 1)Sentence classification, 2) sequence labeling, and 3) relation extraction.

Recent advances in Vision Language Models (VLMs) and Vision Foundation Models (VFMs) have opened new opportunities for zero-shot text-guided segmentation of remote sensing imagery. However, most existing approaches still rely on additional trainable components, limiting their generalisation and practical applicability. In this work, we investigate to what extent text-based remote sensing segmentation can be achieved without additional training, by relying solely on existing foundation models. We propose a simple yet effective approach that integrates contrastive and generative VLMs with the Segment Anything Model (SAM), enabling a fully training-free or lightweight LoRA-tuned pipeline. Our contrastive approach employs CLIP as mask selector for SAM's grid-based proposals, achieving state-of-the-art open-vocabulary semantic segmentation (OVSS) in a completely zero-shot setting. In parallel, our generative approach enables reasoning and referring segmentation by generating click prompts for SAM using GPT-5 in a zero-shot setting and a LoRA-tuned Qwen-VL model, with the latter yielding the best results. Extensive experiments across 19 remote sensing benchmarks, including open-vocabulary, referring, and reasoning-based tasks, demonstrate the strong capabilities of our approach. Code will be released at https://github.com/josesosajs/trainfree-rs-segmentation.

Learning from free-text human feedback is essential for dialog systems, but annotated data is scarce and usually covers only a small fraction of error types known in conversational AI. Instead of collecting and annotating new datasets from scratch, recent advances in synthetic dialog generation could be used to augment existing dialog datasets with the necessary annotations. However, to assess the feasibility of such an effort, it is important to know the types and frequency of free-text human feedback included in these datasets. In this work, we investigate this question for a variety of commonly used dialog datasets, including MultiWoZ, SGD, BABI, PersonaChat, Wizards-of-Wikipedia, and the human-bot split of the Self-Feeding Chatbot. Using our observations, we derive new taxonomies for the annotation of free-text human feedback in dialogs and investigate the impact of including such data in response generation for three SOTA language generation models, including GPT-2, LLAMA, and Flan-T5. Our findings provide new insights into the composition of the datasets examined, including error types, user response types, and the relations between them.

Recent advancements in text-to-image diffusion models have demonstrated remarkable success, yet they often struggle to fully capture the user's intent. Existing approaches using textual inputs combined with bounding boxes or region masks fall short in providing precise spatial guidance, often leading to misaligned or unintended object orientation. To address these limitations, we propose Scribble-Guided Diffusion (ScribbleDiff), a training-free approach that utilizes simple user-provided scribbles as visual prompts to guide image generation. However, incorporating scribbles into diffusion models presents challenges due to their sparse and thin nature, making it difficult to ensure accurate orientation alignment. To overcome these challenges, we introduce moment alignment and scribble propagation, which allow for more effective and flexible alignment between generated images and scribble inputs. Experimental results on the PASCAL-Scribble dataset demonstrate significant improvements in spatial control and consistency, showcasing the effectiveness of scribble-based guidance in diffusion models. Our code is available at https://github.com/kaist-cvml-lab/scribble-diffusion.

We present ReXGroundingCT, the first publicly available dataset to link free-text radiology findings with pixel-level segmentations in 3D chest CT scans that is manually annotated. While prior datasets have relied on structured labels or predefined categories, ReXGroundingCT captures the full expressiveness of clinical language represented in free text and grounds it to spatially localized 3D segmentation annotations in volumetric imaging. This addresses a critical gap in medical AI: the ability to connect complex, descriptive text, such as "3 mm nodule in the left lower lobe", to its precise anatomical location in three-dimensional space, a capability essential for grounded radiology report generation systems. The dataset comprises 3,142 non-contrast chest CT scans paired with standardized radiology reports from the CT-RATE dataset. Using a systematic three-stage pipeline, GPT-4 was used to extract positive lung and pleural findings, which were then manually segmented by expert annotators. A total of 8,028 findings across 16,301 entities were annotated, with quality control performed by board-certified radiologists. Approximately 79% of findings are focal abnormalities, while 21% are non-focal. The training set includes up to three representative segmentations per finding, while the validation and test sets contain exhaustive labels for each finding entity. ReXGroundingCT establishes a new benchmark for developing and evaluating sentence-level grounding and free-text medical segmentation models in chest CT. The dataset can be accessed at https://huggingface.co/datasets/rajpurkarlab/ReXGroundingCT.

We introduce GreekBarBench, a benchmark that evaluates LLMs on legal questions across five different legal areas from the Greek Bar exams, requiring citations to statutory articles and case facts. To tackle the challenges of free-text evaluation, we propose a three-dimensional scoring system combined with an LLM-as-a-judge approach. We also develop a meta-evaluation benchmark to assess the correlation between LLM-judges and human expert evaluations, revealing that simple, span-based rubrics improve their alignment. Our systematic evaluation of 13 proprietary and open-weight LLMs shows that even though the best models outperform average expert scores, they fall short of the 95th percentile of experts.

Rectified flow models have become a de facto standard in image generation due to their stable sampling trajectories and high-fidelity outputs. Despite their strong generative capabilities, they face critical limitations in image editing tasks: inaccurate inversion processes for mapping real images back into the latent space, and gradient entanglement issues during editing often result in outputs that do not faithfully reflect the target prompt. Recent efforts have attempted to directly map source and target distributions via ODE-based approaches without inversion; however,these methods still yield suboptimal editing quality. In this work, we propose a flow decomposition-and-aggregation framework built upon an inversion-free formulation to address these limitations. Specifically, we semantically decompose the target prompt into multiple sub-prompts, compute an independent flow for each, and aggregate them to form a unified editing trajectory. While we empirically observe that decomposing the original flow enhances diversity in the target space, generating semantically aligned outputs still requires consistent guidance toward the full target prompt. To this end, we design a projection and soft-aggregation mechanism for flow, inspired by gradient conflict resolution in multi-task learning. This approach adaptively weights the sub-target velocity fields, suppressing semantic redundancy while emphasizing distinct directions, thereby preserving both diversity and consistency in the final edited output. Experimental results demonstrate that our method outperforms existing zero-shot editing approaches in terms of semantic fidelity and attribute disentanglement. The code is available at https://github.com/Harvard-AI-and-Robotics-Lab/SplitFlow.

Evaluating the quality of generated text is a challenging task in NLP, due to the inherent complexity and diversity of text. Recently, large language models (LLMs) have garnered significant attention due to their impressive performance in various tasks. Therefore, we present this paper to investigate the effectiveness of LLMs, especially ChatGPT, and explore ways to optimize their use in assessing text quality. We compared three kinds of reference-free evaluation methods. The experimental results prove that ChatGPT is capable of evaluating text quality effectively from various perspectives without reference and demonstrates superior performance than most existing automatic metrics. In particular, the Explicit Score, which utilizes ChatGPT to generate a numeric score measuring text quality, is the most effective and reliable method among the three exploited approaches. However, directly comparing the quality of two texts may lead to suboptimal results. We believe this paper will provide valuable insights for evaluating text quality with LLMs and have released the used data.

Large language models are increasingly capable of generating fluent-appearing text with relatively little task-specific supervision. But can these models accurately explain classification decisions? We consider the task of generating free-text explanations using human-written examples in a few-shot manner. We find that (1) authoring higher quality prompts results in higher quality generations; and (2) surprisingly, in a head-to-head comparison, crowdworkers often prefer explanations generated by GPT-3 to crowdsourced explanations in existing datasets. Our human studies also show, however, that while models often produce factual, grammatical, and sufficient explanations, they have room to improve along axes such as providing novel information and supporting the label. We create a pipeline that combines GPT-3 with a supervised filter that incorporates binary acceptability judgments from humans in the loop. Despite the intrinsic subjectivity of acceptability judgments, we demonstrate that acceptability is partially correlated with various fine-grained attributes of explanations. Our approach is able to consistently filter GPT-3-generated explanations deemed acceptable by humans.

Despite the rapid development of natural language processing (NLP) implementation in electronic medical records (EMRs), Chinese EMRs processing remains challenging due to the limited corpus and specific grammatical characteristics, especially for radiology reports. In this study, we designed an NLP pipeline for the direct extraction of clinically relevant features from Chinese radiology reports, which is the first key step in computer-aided radiologic diagnosis. The pipeline was comprised of named entity recognition, synonyms normalization, and relationship extraction to finally derive the radiological features composed of one or more terms. In named entity recognition, we incorporated lexicon into deep learning model bidirectional long short-term memory-conditional random field (BiLSTM-CRF), and the model finally achieved an F1 score of 93.00%. With the extracted radiological features, least absolute shrinkage and selection operator and machine learning methods (support vector machine, random forest, decision tree, and logistic regression) were used to build the classifiers for liver cancer prediction. For liver cancer diagnosis, random forest had the highest predictive performance in liver cancer diagnosis (F1 score 86.97%, precision 87.71%, and recall 86.25%). This work was a comprehensive NLP study focusing on Chinese radiology reports and the application of NLP in cancer risk prediction. The proposed NLP pipeline for the radiological feature extraction could be easily implemented in other kinds of Chinese clinical texts and other disease predictive tasks.

Vision-Language Models (VLMs) have gained community-spanning prominence due to their ability to integrate visual and textual inputs to perform complex tasks. Despite their success, the internal decision-making processes of these models remain opaque, posing challenges in high-stakes applications. To address this, we introduce NOTICE, the first Noise-free Text-Image Corruption and Evaluation pipeline for mechanistic interpretability in VLMs. NOTICE incorporates a Semantic Minimal Pairs (SMP) framework for image corruption and Symmetric Token Replacement (STR) for text. This approach enables semantically meaningful causal mediation analysis for both modalities, providing a robust method for analyzing multimodal integration within models like BLIP. Our experiments on the SVO-Probes, MIT-States, and Facial Expression Recognition datasets reveal crucial insights into VLM decision-making, identifying the significant role of middle-layer cross-attention heads. Further, we uncover a set of ``universal cross-attention heads'' that consistently contribute across tasks and modalities, each performing distinct functions such as implicit image segmentation, object inhibition, and outlier inhibition. This work paves the way for more transparent and interpretable multimodal systems.

The increasing size of language models raises great research interests in parameter-efficient fine-tuning such as LoRA that freezes the pre-trained model, and injects small-scale trainable parameters for multiple downstream tasks (e.g., summarization, question answering and translation). To further enhance the efficiency of fine-tuning, we propose a framework that integrates LoRA and structured layer pruning. The integrated framework is validated on two created deidentified medical report summarization datasets based on MIMIC-IV-Note and two public medical dialogue datasets. By tuning 0.6% parameters of the original model and pruning over 30% Transformer-layers, our framework can reduce 50% of GPU memory usage and speed up 100% of the training phase, while preserving over 92% generation qualities on free-text sequence-to-sequence tasks.

Pre-training lays the foundation for recent successes in radiograph analysis supported by deep learning. It learns transferable image representations by conducting large-scale fully-supervised or self-supervised learning on a source domain. However, supervised pre-training requires a complex and labor intensive two-stage human-assisted annotation process while self-supervised learning cannot compete with the supervised paradigm. To tackle these issues, we propose a cross-supervised methodology named REviewing FreE-text Reports for Supervision (REFERS), which acquires free supervision signals from original radiology reports accompanying the radiographs. The proposed approach employs a vision transformer and is designed to learn joint representations from multiple views within every patient study. REFERS outperforms its transfer learning and self-supervised learning counterparts on 4 well-known X-ray datasets under extremely limited supervision. Moreover, REFERS even surpasses methods based on a source domain of radiographs with human-assisted structured labels. Thus REFERS has the potential to replace canonical pre-training methodologies.

We present ReXGradient-160K, representing the largest publicly available chest X-ray dataset to date in terms of the number of patients. This dataset contains 160,000 chest X-ray studies with paired radiological reports from 109,487 unique patients across 3 U.S. health systems (79 medical sites). This comprehensive dataset includes multiple images per study and detailed radiology reports, making it particularly valuable for the development and evaluation of AI systems for medical imaging and automated report generation models. The dataset is divided into training (140,000 studies), validation (10,000 studies), and public test (10,000 studies) sets, with an additional private test set (10,000 studies) reserved for model evaluation on the ReXrank benchmark. By providing this extensive dataset, we aim to accelerate research in medical imaging AI and advance the state-of-the-art in automated radiological analysis. Our dataset will be open-sourced at https://huggingface.co/datasets/rajpurkarlab/ReXGradient-160K.

Zero-shot, training-free, image-based text-to-video generation is an emerging area that aims to generate videos using existing image-based diffusion models. Current methods in this space require specific architectural changes to image generation models, which limit their adaptability and scalability. In contrast to such methods, we provide a model-agnostic approach. We use intersections in diffusion trajectories, working only with the latent values. We could not obtain localized frame-wise coherence and diversity using only the intersection of trajectories. Thus, we instead use a grid-based approach. An in-context trained LLM is used to generate coherent frame-wise prompts; another is used to identify differences between frames. Based on these, we obtain a CLIP-based attention mask that controls the timing of switching the prompts for each grid cell. Earlier switching results in higher variance, while later switching results in more coherence. Therefore, our approach can ensure appropriate control between coherence and variance for the frames. Our approach results in state-of-the-art performance while being more flexible when working with diverse image-generation models. The empirical analysis using quantitative metrics and user studies confirms our model's superior temporal consistency, visual fidelity and user satisfaction, thus providing a novel way to obtain training-free, image-based text-to-video generation.

Medical images and radiology reports are crucial for diagnosing medical conditions, highlighting the importance of quantitative analysis for clinical decision-making. However, the diversity and cross-source heterogeneity of these data challenge the generalizability of current data-mining methods. Multimodal large language models (MLLMs) have recently transformed many domains, significantly affecting the medical field. Notably, Gemini-Vision-series (Gemini) and GPT-4-series (GPT-4) models have epitomized a paradigm shift in Artificial General Intelligence (AGI) for computer vision, showcasing their potential in the biomedical domain. In this study, we evaluated the performance of the Gemini, GPT-4, and 4 popular large models for an exhaustive evaluation across 14 medical imaging datasets, including 5 medical imaging categories (dermatology, radiology, dentistry, ophthalmology, and endoscopy), and 3 radiology report datasets. The investigated tasks encompass disease classification, lesion segmentation, anatomical localization, disease diagnosis, report generation, and lesion detection. Our experimental results demonstrated that Gemini-series models excelled in report generation and lesion detection but faces challenges in disease classification and anatomical localization. Conversely, GPT-series models exhibited proficiency in lesion segmentation and anatomical localization but encountered difficulties in disease diagnosis and lesion detection. Additionally, both the Gemini series and GPT series contain models that have demonstrated commendable generation efficiency. While both models hold promise in reducing physician workload, alleviating pressure on limited healthcare resources, and fostering collaboration between clinical practitioners and artificial intelligence technologies, substantial enhancements and comprehensive validations remain imperative before clinical deployment.

Data comes in many forms. From a shallow perspective, they can be viewed as being either in structured (e.g., as a relation, as key-value pairs) or unstructured (e.g., text, image) formats. So far, machines have been fairly good at processing and reasoning over structured data that follows a precise schema. However, the heterogeneity of data poses a significant challenge on how well diverse categories of data can be meaningfully stored and processed. Data Integration, a crucial part of the data engineering pipeline, addresses this by combining disparate data sources and providing unified data access to end-users. Until now, most data integration systems have leaned on only combining structured data sources. Nevertheless, unstructured data (a.k.a. free text) also contains a plethora of knowledge waiting to be utilized. Thus, in this chapter, we firstly make the case for the integration of textual data, to later present its challenges, state of the art and open problems.

Diffusion models have achieved remarkable advancements in text-to-image generation. However, existing models still have many difficulties when faced with multiple-object compositional generation. In this paper, we propose a new training-free and transferred-friendly text-to-image generation framework, namely RealCompo, which aims to leverage the advantages of text-to-image and layout-to-image models to enhance both realism and compositionality of the generated images. An intuitive and novel balancer is proposed to dynamically balance the strengths of the two models in denoising process, allowing plug-and-play use of any model without extra training. Extensive experiments show that our RealCompo consistently outperforms state-of-the-art text-to-image models and layout-to-image models in multiple-object compositional generation while keeping satisfactory realism and compositionality of the generated images. Code is available at https://github.com/YangLing0818/RealCompo

Text-to-image generative models have made significant advancements in recent years; however, accurately capturing intricate details in textual prompts, such as entity missing, attribute binding errors, and incorrect relationships remains a formidable challenge. In response, we present an innovative, training-free method that directly addresses these challenges by incorporating tailored objectives to account for textual constraints. Unlike layout-based approaches that enforce rigid structures and limit diversity, our proposed approach offers a more flexible arrangement of the scene by imposing just the extracted constraints from the text, without any unnecessary additions. These constraints are formulated as losses-entity missing, entity mixing, attribute binding, and spatial relationships, integrated into a unified loss that is applied in the first generation stage. Furthermore, we introduce a feedback-driven system for fine-grained initial noise refinement. This system integrates a verifier that evaluates the generated image, identifies inconsistencies, and provides corrective feedback. Leveraging this feedback, our refinement method first targets the unmet constraints by refining the faulty attention maps caused by initial noise, through the optimization of selective losses associated with these constraints. Subsequently, our unified loss function is reapplied to proceed the second generation phase. Experimental results demonstrate that our method, relying solely on our proposed objective functions, significantly enhances compositionality, achieving a 24% improvement in human evaluation and a 25% gain in spatial relationships. Furthermore, our fine-grained noise refinement proves effective, boosting performance by up to 5%. Code is available at https://github.com/hadi-hosseini/noise-refinement.

Existing solutions to zero-shot text classification either conduct prompting with pre-trained language models, which is sensitive to the choices of templates, or rely on large-scale annotated data of relevant tasks for meta-tuning. In this work, we propose a new paradigm based on self-supervised learning to solve zero-shot text classification tasks by tuning the language models with unlabeled data, called self-supervised tuning. By exploring the inherent structure of free texts, we propose a new learning objective called first sentence prediction to bridge the gap between unlabeled data and text classification tasks. After tuning the model to learn to predict the first sentence in a paragraph based on the rest, the model is able to conduct zero-shot inference on unseen tasks such as topic classification and sentiment analysis. Experimental results show that our model outperforms the state-of-the-art baselines on 7 out of 10 tasks. Moreover, the analysis reveals that our model is less sensitive to the prompt design. Our code and pre-trained models are publicly available at https://github.com/DAMO-NLP-SG/SSTuning .

Aggregation query over free text is a long-standing yet underexplored problem. Unlike ordinary question answering, aggregate queries require exhaustive evidence collection and systems are required to "find all," not merely "find one." Existing paradigms such as Text-to-SQL and Retrieval-Augmented Generation fail to achieve this completeness. In this work, we formalize entity-level aggregation querying over text in a corpus-bounded setting with strict completeness requirement. To enable principled evaluation, we introduce AGGBench, a benchmark designed to evaluate completeness-oriented aggregation under realistic large-scale corpus. To accompany the benchmark, we propose DFA (Disambiguation--Filtering--Aggregation), a modular agentic baseline that decomposes aggregation querying into interpretable stages and exposes key failure modes related to ambiguity, filtering, and aggregation. Empirical results show that DFA consistently improves aggregation evidence coverage over strong RAG and agentic baselines. The data and code are available in https://anonymous.4open.science/r/DFA-A4C1.

Recent advances in Text-To-Speech (TTS) technology have enabled synthetic speech to mimic human voices with remarkable realism, raising significant security concerns. This underscores the need for traceable TTS models-systems capable of tracing their synthesized speech without compromising quality or security. However, existing methods predominantly rely on explicit watermarking on speech or on vocoder, which degrades speech quality and is vulnerable to spoofing. To address these limitations, we propose a novel framework for model attribution. Instead of embedding watermarks, we train the TTS model and discriminator using a joint training method that significantly improves traceability generalization while preserving-and even slightly improving-audio quality. This is the first work toward watermark-free TTS with strong traceability. To promote progress in related fields, we will release the code upon acceptance of the paper.

Protecting intellectual property (IP) of text such as articles and code is increasingly important, especially as sophisticated attacks become possible, such as paraphrasing by large language models (LLMs) or even unauthorized training of LLMs on copyrighted text to infringe such IP. However, existing text watermarking methods are not robust enough against such attacks nor scalable to millions of users for practical implementation. In this paper, we propose Waterfall, the first training-free framework for robust and scalable text watermarking applicable across multiple text types (e.g., articles, code) and languages supportable by LLMs, for general text and LLM data provenance. Waterfall comprises several key innovations, such as being the first to use LLM as paraphrasers for watermarking along with a novel combination of techniques that are surprisingly effective in achieving robust verifiability and scalability. We empirically demonstrate that Waterfall achieves significantly better scalability, robust verifiability, and computational efficiency compared to SOTA article-text watermarking methods, and showed how it could be directly applied to the watermarking of code. We also demonstrated that Waterfall can be used for LLM data provenance, where the watermarks of LLM training data can be detected in LLM output, allowing for detection of unauthorized use of data for LLM training and potentially enabling model-centric watermarking of open-sourced LLMs which has been a limitation of existing LLM watermarking works. Our code is available at https://github.com/aoi3142/Waterfall.

This paper bridges internal and external analysis approaches to large language models (LLMs) by demonstrating that geometric properties of internal model representations serve as reliable proxies for evaluating generated text quality. We validate a set of metrics including Maximum Explainable Variance, Effective Rank, Intrinsic Dimensionality, MAUVE score, and Schatten Norms measured across different layers of LLMs, demonstrating that Intrinsic Dimensionality and Effective Rank can serve as universal assessments of text naturalness and quality. Our key finding reveals that different models consistently rank text from various sources in the same order based on these geometric properties, indicating that these metrics reflect inherent text characteristics rather than model-specific artifacts. This allows a reference-free text quality evaluation that does not require human-annotated datasets, offering practical advantages for automated evaluation pipelines.

Optical illusion hidden picture is an interesting visual perceptual phenomenon where an image is cleverly integrated into another picture in a way that is not immediately obvious to the viewer. Established on the off-the-shelf text-to-image (T2I) diffusion model, we propose a novel training-free text-guided image-to-image (I2I) translation framework dubbed as Phase-Transferred Diffusion Model (PTDiffusion) for hidden art syntheses. PTDiffusion harmoniously embeds an input reference image into arbitrary scenes described by the text prompts, producing illusion images exhibiting hidden visual cues of the reference image. At the heart of our method is a plug-and-play phase transfer mechanism that dynamically and progressively transplants diffusion features' phase spectrum from the denoising process to reconstruct the reference image into the one to sample the generated illusion image, realizing deep fusion of the reference structural information and the textual semantic information in the diffusion model latent space. Furthermore, we propose asynchronous phase transfer to enable flexible control to the degree of hidden content discernability. Our method bypasses any model training and fine-tuning process, all while substantially outperforming related text-guided I2I methods in image generation quality, text fidelity, visual discernibility, and contextual naturalness for illusion picture synthesis, as demonstrated by extensive qualitative and quantitative experiments. Our project is publically available at https://xianggao1102.github.io/PTDiffusion_webpage/{this web page}.

Measuring the coherence of text is a vital aspect of evaluating the quality of written content. Recent advancements in neural coherence modeling have demonstrated their efficacy in capturing entity coreference and discourse relations, thereby enhancing coherence evaluation. However, many existing methods heavily depend on static embeddings or focus narrowly on nearby context, constraining their capacity to measure the overarching coherence of long texts. In this paper, we posit that coherent texts inherently manifest a sequential and cohesive interplay among sentences, effectively conveying the central theme, purpose, or standpoint. To explore this abstract relationship, we introduce the "BBScore," a novel reference-free metric grounded in Brownian bridge theory for assessing text coherence. Our findings showcase that when synergized with a simple additional classification component, this metric attains a performance level comparable to state-of-the-art techniques on standard artificial discrimination tasks. We also establish in downstream tasks that this metric effectively differentiates between human-written documents and text generated by large language models under a specific domain. Furthermore, we illustrate the efficacy of this approach in detecting written styles attributed to diverse large language models, underscoring its potential for generalizability. In summary, we present a novel Brownian bridge coherence metric capable of measuring both local and global text coherence, while circumventing the need for end-to-end model training. This flexibility allows for its application in various downstream tasks.

Enabling Large Language Models (LLMs) to comprehend the 3D physical world remains a significant challenge. Due to the lack of large-scale 3D-text pair datasets, the success of LLMs has yet to be replicated in 3D understanding. In this paper, we rethink this issue and propose a new task: 3D Data-Efficient Point-Language Understanding. The goal is to enable LLMs to achieve robust 3D object understanding with minimal 3D point cloud and text data pairs. To address this task, we introduce GreenPLM, which leverages more text data to compensate for the lack of 3D data. First, inspired by using CLIP to align images and text, we utilize a pre-trained point cloud-text encoder to map the 3D point cloud space to the text space. This mapping leaves us to seamlessly connect the text space with LLMs. Once the point-text-LLM connection is established, we further enhance text-LLM alignment by expanding the intermediate text space, thereby reducing the reliance on 3D point cloud data. Specifically, we generate 6M free-text descriptions of 3D objects, and design a three-stage training strategy to help LLMs better explore the intrinsic connections between different modalities. To achieve efficient modality alignment, we design a zero-parameter cross-attention module for token pooling. Extensive experimental results show that GreenPLM requires only 12% of the 3D training data used by existing state-of-the-art models to achieve superior 3D understanding. Remarkably, GreenPLM also achieves competitive performance using text-only data. The code and weights are available at: https://github.com/TangYuan96/GreenPLM.

Learning to represent free text is a core task in many clinical machine learning (ML) applications, as clinical text contains observations and plans not otherwise available for inference. State-of-the-art methods use large language models developed with immense computational resources and training data; however, applying these models is challenging because of the highly varying syntax and vocabulary in clinical free text. Structured information such as International Classification of Disease (ICD) codes often succinctly abstracts the most important facts of a clinical encounter and yields good performance, but is often not as available as clinical text in real-world scenarios. We propose a multi-view learning framework that jointly learns from codes and text to combine the availability and forward-looking nature of text and better performance of ICD codes. The learned text embeddings can be used as inputs to predictive algorithms independent of the ICD codes during inference. Our approach uses a Graph Neural Network (GNN) to process ICD codes, and Bi-LSTM to process text. We apply Deep Canonical Correlation Analysis (DCCA) to enforce the two views to learn a similar representation of each patient. In experiments using planned surgical procedure text, our model outperforms BERT models fine-tuned to clinical data, and in experiments using diverse text in MIMIC-III, our model is competitive to a fine-tuned BERT at a tiny fraction of its computational effort.

Natural language explanations (NLEs) are commonly used to provide plausible free-text explanations of a model's reasoning about its predictions. However, recent work has questioned the faithfulness of NLEs, as they may not accurately reflect the model's internal reasoning process regarding its predicted answer. In contrast, highlight explanations -- input fragments identified as critical for the model's predictions -- exhibit measurable faithfulness, which has been incrementally improved through existing research. Building on this foundation, we propose G-Tex, a Graph-Guided Textual Explanation Generation framework designed to enhance the faithfulness of NLEs by leveraging highlight explanations. Specifically, highlight explanations are extracted as highly faithful cues representing the model's reasoning and are subsequently encoded through a graph neural network layer, which explicitly guides the NLE generation process. This alignment ensures that the generated explanations closely reflect the model's underlying reasoning. Experiments on T5 and BART using three reasoning datasets show that G-Tex improves NLE faithfulness by up to 17.59% compared to baseline methods. Additionally, G-Tex generates NLEs with greater semantic and lexical similarity to human-written ones. Human evaluations show that G-Tex can decrease redundant content and enhance the overall quality of NLEs. As our work introduces a novel method for explicitly guiding NLE generation to improve faithfulness, we hope it will serve as a stepping stone for addressing additional criteria for NLE and generated text overall.

Diffusion models have exhibit exceptional performance in text-to-image generation and editing. However, existing methods often face challenges when handling complex text prompts that involve multiple objects with multiple attributes and relationships. In this paper, we propose a brand new training-free text-to-image generation/editing framework, namely Recaption, Plan and Generate (RPG), harnessing the powerful chain-of-thought reasoning ability of multimodal LLMs to enhance the compositionality of text-to-image diffusion models. Our approach employs the MLLM as a global planner to decompose the process of generating complex images into multiple simpler generation tasks within subregions. We propose complementary regional diffusion to enable region-wise compositional generation. Furthermore, we integrate text-guided image generation and editing within the proposed RPG in a closed-loop fashion, thereby enhancing generalization ability. Extensive experiments demonstrate our RPG outperforms state-of-the-art text-to-image diffusion models, including DALL-E 3 and SDXL, particularly in multi-category object composition and text-image semantic alignment. Notably, our RPG framework exhibits wide compatibility with various MLLM architectures (e.g., MiniGPT-4) and diffusion backbones (e.g., ControlNet). Our code is available at: https://github.com/YangLing0818/RPG-DiffusionMaster

Interactions between humans are diverse and context-dependent, but previous works have treated them as categorical, disregarding the heavy tail of possible interactions. We propose a new paradigm of learning human-human interactions as free text from a single still image, allowing for flexibility in modeling the unlimited space of situations and relationships between people. To overcome the absence of data labelled specifically for this task, we use knowledge distillation applied to synthetic caption data produced by a large language model without explicit supervision. We show that the pseudo-labels produced by this procedure can be used to train a captioning model to effectively understand human-human interactions in images, as measured by a variety of metrics that measure textual and semantic faithfulness and factual groundedness of our predictions. We further show that our approach outperforms SOTA image captioning and situation recognition models on this task. We will release our code and pseudo-labels along with Waldo and Wenda, a manually-curated test set for still image human-human interaction understanding.

We present Corgi, a novel method for text-to-image generation. Corgi is based on our proposed shifted diffusion model, which achieves better image embedding generation from input text. Unlike the baseline diffusion model used in DALL-E 2, our method seamlessly encodes prior knowledge of the pre-trained CLIP model in its diffusion process by designing a new initialization distribution and a new transition step of the diffusion. Compared to the strong DALL-E 2 baseline, our method performs better in generating image embedding from the text in terms of both efficiency and effectiveness, resulting in better text-to-image generation. Extensive large-scale experiments are conducted and evaluated in terms of both quantitative measures and human evaluation, indicating a stronger generation ability of our method compared to existing ones. Furthermore, our model enables semi-supervised and language-free training for text-to-image generation, where only part or none of the images in the training dataset have an associated caption. Trained with only 1.7% of the images being captioned, our semi-supervised model obtains FID results comparable to DALL-E 2 on zero-shot text-to-image generation evaluated on MS-COCO. Corgi also achieves new state-of-the-art results across different datasets on downstream language-free text-to-image generation tasks, outperforming the previous method, Lafite, by a large margin.

Automated answer matching, which leverages LLMs to evaluate free-text responses by comparing them to a reference answer, shows substantial promise as a scalable and aligned alternative to human evaluation. However, its reliability requires robustness against strategic attacks such as guesswork or verbosity that may artificially inflate scores without improving actual correctness. In this work, we systematically investigate whether such tactics deceive answer matching models by prompting examinee models to: (1) generate verbose responses, (2) provide multiple answers when unconfident, and (3) embed conflicting answers with the correct answer near the start of their response. Our results show that these manipulations do not increase scores and often reduce them. Additionally, binary scoring (which requires a matcher to answer with a definitive "correct" or "incorrect") is more robust to attacks than continuous scoring (which requires a matcher to determine partial correctness). These findings show that answer matching is generally robust to inexpensive text manipulation and is a viable alternative to traditional LLM-as-a-judge or human evaluation when reference answers are available.

Humans routinely infer taste, smell, texture, and even sound from food images a phenomenon well studied in cognitive science. However, prior vision language research on food has focused primarily on recognition tasks such as meal identification, ingredient detection, and nutrition estimation. Image-based prediction of multisensory experience remains largely unexplored. We introduce FoodSense, a human-annotated dataset for cross-sensory inference containing 66,842 participant-image pairs across 2,987 unique food images. Each pair includes numeric ratings (1-5) and free-text descriptors for four sensory dimensions: taste, smell, texture, and sound. To enable models to both predict and explain sensory expectations, we expand short human annotations into image-grounded reasoning traces. A large language model generates visual justifications conditioned on the image, ratings, and descriptors. Using these annotations, we train FoodSense-VL, a vision language benchmark model to produce both multisensory ratings and grounded explanations directly from food images. This work connects cognitive science findings on cross-sensory perception with modern instruction tuning for multimodal models and shows that many popular evaluation metrics are insufficient for visually sensory inference.

Electronic health records (EHR) contain extensive structured and unstructured data, including tabular information and free-text clinical notes. Querying relevant patient information often requires complex database operations, increasing the workload for clinicians. However, complex table relationships and professional terminology in EHRs limit the query accuracy. In this work, we construct a publicly available dataset, TQGen, that integrates both Tables and clinical Text for natural language-to-query Generation. To address the challenges posed by complex medical terminology and diverse types of questions in EHRs, we propose TQGen-EHRQuery, a framework comprising a medical knowledge module and a questions template matching module. For processing medical text, we introduced the concept of a toolset, which encapsulates the text processing module as a callable tool, thereby improving processing efficiency and flexibility. We conducted extensive experiments to assess the effectiveness of our dataset and workflow, demonstrating their potential to enhance information querying in EHR systems.

Textual interaction networks (TINs) are an omnipresent data structure used to model the interplay between users and items on e-commerce websites, social networks, etc., where each interaction is associated with a text description. Classifying such textual interactions (TIC) finds extensive use in detecting spam reviews in e-commerce, fraudulent transactions in finance, and so on. Existing TIC solutions either (i) fail to capture the rich text semantics due to the use of context-free text embeddings, and/or (ii) disregard the bipartite structure and node heterogeneity of TINs, leading to compromised TIC performance. In this work, we propose SAFT, a new architecture that integrates language- and graph-based modules for the effective fusion of textual and structural semantics in the representation learning of interactions. In particular, line graph attention (LGA)/gated attention units (GAUs) and pretrained language models (PLMs) are capitalized on to model the interaction-level and token-level signals, which are further coupled via the proxy token in an iterative and contextualized fashion. Additionally, an efficient and theoretically-grounded approach is developed to encode the local and global topology information pertaining to interactions into structural embeddings. The resulting embeddings not only inject the structural features underlying TINs into the textual interaction encoding but also facilitate the design of graph sampling strategies. Extensive empirical evaluations on multiple real TIN datasets demonstrate the superiority of SAFT over the state-of-the-art baselines in TIC accuracy.

Recent research advances achieve human-level accuracy for de-identifying free-text clinical notes on research datasets, but gaps remain in reproducing this in large real-world settings. This paper summarizes lessons learned from building a system used to de-identify over one billion real clinical notes, in a fully automated way, that was independently certified by multiple organizations for production use. A fully automated solution requires a very high level of accuracy that does not require manual review. A hybrid context-based model architecture is described, which outperforms a Named Entity Recogniton (NER) - only model by 10% on the i2b2-2014 benchmark. The proposed system makes 50%, 475%, and 575% fewer errors than the comparable AWS, Azure, and GCP services respectively while also outperforming ChatGPT by 33%. It exceeds 98% coverage of sensitive data across 7 European languages, without a need for fine tuning. A second set of described models enable data obfuscation -- replacing sensitive data with random surrogates -- while retaining name, date, gender, clinical, and format consistency. Both the practical need and the solution architecture that provides for reliable & linked anonymized documents are described.

The digitization of healthcare has facilitated the sharing and re-using of medical data but has also raised concerns about confidentiality and privacy. HIPAA (Health Insurance Portability and Accountability Act) mandates removing re-identifying information before the dissemination of medical records. Thus, effective and efficient solutions for de-identifying medical data, especially those in free-text forms, are highly needed. While various computer-assisted de-identification methods, including both rule-based and learning-based, have been developed and used in prior practice, such solutions still lack generalizability or need to be fine-tuned according to different scenarios, significantly imposing restrictions in wider use. The advancement of large language models (LLM), such as ChatGPT and GPT-4, have shown great potential in processing text data in the medical domain with zero-shot in-context learning, especially in the task of privacy protection, as these models can identify confidential information by their powerful named entity recognition (NER) capability. In this work, we developed a novel GPT4-enabled de-identification framework (``DeID-GPT") to automatically identify and remove the identifying information. Compared to existing commonly used medical text data de-identification methods, our developed DeID-GPT showed the highest accuracy and remarkable reliability in masking private information from the unstructured medical text while preserving the original structure and meaning of the text. This study is one of the earliest to utilize ChatGPT and GPT-4 for medical text data processing and de-identification, which provides insights for further research and solution development on the use of LLMs such as ChatGPT/GPT-4 in healthcare. Codes and benchmarking data information are available at https://github.com/yhydhx/ChatGPT-API.

As structured data are often insufficient, labels need to be extracted from free text in electronic health records when developing models for clinical information retrieval and decision support systems. One of the most important contextual properties in clinical text is negation, which indicates the absence of findings. We aimed to improve large scale extraction of labels by comparing three methods for negation detection in Dutch clinical notes. We used the Erasmus Medical Center Dutch Clinical Corpus to compare a rule-based method based on ContextD, a biLSTM model using MedCAT and (finetuned) RoBERTa-based models. We found that both the biLSTM and RoBERTa models consistently outperform the rule-based model in terms of F1 score, precision and recall. In addition, we systematically categorized the classification errors for each model, which can be used to further improve model performance in particular applications. Combining the three models naively was not beneficial in terms of performance. We conclude that the biLSTM and RoBERTa-based models in particular are highly accurate accurate in detecting clinical negations, but that ultimately all three approaches can be viable depending on the use case at hand.

Recently, research on Text-Attributed Graphs (TAGs) has gained significant attention due to the prevalence of free-text node features in real-world applications and the advancements in Large Language Models (LLMs) that bolster TAG methodologies. However, current TAG approaches face two primary challenges: (i) Heavy reliance on label information and (ii) Limited cross-domain zero/few-shot transferability. These issues constrain the scaling of both data and model size, owing to high labor costs and scaling laws, complicating the development of graph foundation models with strong transferability. In this work, we propose the GraphCLIP framework to address these challenges by learning graph foundation models with strong cross-domain zero/few-shot transferability through a self-supervised contrastive graph-summary pretraining method. Specifically, we generate and curate large-scale graph-summary pair data with the assistance of LLMs, and introduce a novel graph-summary pretraining method, combined with invariant learning, to enhance graph foundation models with strong cross-domain zero-shot transferability. For few-shot learning, we propose a novel graph prompt tuning technique aligned with our pretraining objective to mitigate catastrophic forgetting and minimize learning costs. Extensive experiments show the superiority of GraphCLIP in both zero-shot and few-shot settings, while evaluations across various downstream tasks confirm the versatility of GraphCLIP. Our code is available at: https://github.com/ZhuYun97/GraphCLIP

Modern Text-to-Image (T2I) generation increasingly relies on token-centric architectures that are trained with self-supervision, yet effectively fusing text with visual tokens remains a challenge. We propose JEPA-T, a unified multimodal framework that encodes images and captions into discrete visual and textual tokens, processed by a joint-embedding predictive Transformer. To enhance fusion, we incorporate cross-attention after the feature predictor for conditional denoising while maintaining a task-agnostic backbone. Additionally, raw texts embeddings are injected prior to the flow matching loss to improve alignment during training. During inference, the same network performs both class-conditional and free-text image generation by iteratively denoising visual tokens conditioned on text. Evaluations on ImageNet-1K demonstrate that JEPA-T achieves strong data efficiency, open-vocabulary generalization, and consistently outperforms non-fusion and late-fusion baselines. Our approach shows that late architectural fusion combined with objective-level alignment offers an effective balance between conditioning strength and backbone generality in token-based T2I.The code is now available: https://github.com/justin-herry/JEPA-T.git

Image segmentation is usually addressed by training a model for a fixed set of object classes. Incorporating additional classes or more complex queries later is expensive as it requires re-training the model on a dataset that encompasses these expressions. Here we propose a system that can generate image segmentations based on arbitrary prompts at test time. A prompt can be either a text or an image. This approach enables us to create a unified model (trained once) for three common segmentation tasks, which come with distinct challenges: referring expression segmentation, zero-shot segmentation and one-shot segmentation. We build upon the CLIP model as a backbone which we extend with a transformer-based decoder that enables dense prediction. After training on an extended version of the PhraseCut dataset, our system generates a binary segmentation map for an image based on a free-text prompt or on an additional image expressing the query. We analyze different variants of the latter image-based prompts in detail. This novel hybrid input allows for dynamic adaptation not only to the three segmentation tasks mentioned above, but to any binary segmentation task where a text or image query can be formulated. Finally, we find our system to adapt well to generalized queries involving affordances or properties. Code is available at https://eckerlab.org/code/clipseg.

While recent work in controllable text-to-audio (TTA) generation has achieved fine-grained control through timestamp conditioning, its scope remains limited by audio quality and input format. These models often suffer from poor audio quality in real datasets due to sole reliance on synthetic data. Moreover, some models are constrained to a closed vocabulary of sound events, preventing them from controlling audio generation for open-ended, free-text queries. This paper introduces PicoAudio2, a framework that advances temporal-controllable TTA by mitigating these data and architectural limitations. Specifically, we use a grounding model to annotate event timestamps of real audio-text datasets to curate temporally-strong real data, in addition to simulation data from existing works. The model is trained on the combination of real and simulation data. Moreover, we propose an enhanced architecture that integrates the fine-grained information from a timestamp matrix with coarse-grained free-text input. Experiments show that PicoAudio2 exhibits superior performance in terms of temporal controllability and audio quality.

Automated radiology report generation from 3D computed tomography (CT) volumes is challenging due to extreme sequence lengths, severe class imbalance, and the tendency of large language models (LLMs) to ignore visual tokens in favor of linguistic priors. We present Ker-VLJEPA-3B, a four-phase curriculum learning framework for free-text report generation from thoracic CT volumes. A phased training curriculum progressively adapts a Llama 3.2 3B decoder to ground its output in visual features from a frozen, self-supervised encoder. Our visual backbone (LeJEPA ViT-Large) is trained via self-supervised joint-embedding prediction on unlabeled CTs, without text supervision. Unlike contrastive models (CLIP, BiomedCLIP), this language-free backbone yields modality-pure representations. Vision-language alignment is deferred to the curriculum's bridge and generation phases. This modality-agnostic design can integrate any self-supervised encoder into an LLM without paired text during foundation training. Methodological innovations include: (1) zone-constrained cross-attention compressing slice embeddings into 32 spatially-grounded visual tokens; (2) PCA whitening of anisotropic LLM embeddings; (3) a positive-findings-only strategy eliminating posterior collapse; (4) warm bridge initialization transferring projection weights; and (5) selective cross-attention freezing with elastic weight consolidation to prevent catastrophic forgetting. Evaluated on the CT-RATE benchmark (2,984 validation volumes, 18 classes), Ker-VLJEPA-3B achieves a macro F1 of 0.429, surpassing the state-of-the-art (U-VLM, macro F1 = 0.414) by 3.6%, and reaching 0.448 (+8.2%) with threshold optimization. Ablation studies confirm 56.6% of generation quality derives from patient-specific visual content. Code and weights are available.

Accurate diagnostic coding of medical notes is crucial for enhancing patient care, medical research, and error-free billing in healthcare organizations. Manual coding is a time-consuming task for providers, and diagnostic codes often exhibit low sensitivity and specificity, whereas the free text in medical notes can be a more precise description of a patients status. Thus, accurate automated diagnostic coding of medical notes has become critical for a learning healthcare system. Recent developments in long-document transformer architectures have enabled attention-based deep-learning models to adjudicate medical notes. In addition, contrastive loss functions have been used to jointly pre-train large language and image models with noisy labels. To further improve the automated adjudication of medical notes, we developed an approach based on i) models for ICD-10 diagnostic code sequences using a large real-world data set, ii) large language models for medical notes, and iii) contrastive pre-training to build an integrated model of both ICD-10 diagnostic codes and corresponding medical text. We demonstrate that a contrastive approach for pre-training improves performance over prior state-of-the-art models for the MIMIC-III-50, MIMIC-III-rare50, and MIMIC-III-full diagnostic coding tasks.

We present SeamlessGAN, a method capable of automatically generating tileable texture maps from a single input exemplar. In contrast to most existing methods, focused solely on solving the synthesis problem, our work tackles both problems, synthesis and tileability, simultaneously. Our key idea is to realize that tiling a latent space within a generative network trained using adversarial expansion techniques produces outputs with continuity at the seam intersection that can be then be turned into tileable images by cropping the central area. Since not every value of the latent space is valid to produce high-quality outputs, we leverage the discriminator as a perceptual error metric capable of identifying artifact-free textures during a sampling process. Further, in contrast to previous work on deep texture synthesis, our model is designed and optimized to work with multi-layered texture representations, enabling textures composed of multiple maps such as albedo, normals, etc. We extensively test our design choices for the network architecture, loss function and sampling parameters. We show qualitatively and quantitatively that our approach outperforms previous methods and works for textures of different types.

Advancing representation learning in specialized fields like medicine remains challenging due to the scarcity of expert annotations for text and images. To tackle this issue, we present a novel two-stage framework designed to extract high-quality factual statements from free-text radiology reports in order to improve the representations of text encoders and, consequently, their performance on various downstream tasks. In the first stage, we propose a Fact Extractor that leverages large language models (LLMs) to identify factual statements from well-curated domain-specific datasets. In the second stage, we introduce a Fact Encoder (CXRFE) based on a BERT model fine-tuned with objective functions designed to improve its representations using the extracted factual data. Our framework also includes a new embedding-based metric (CXRFEScore) for evaluating chest X-ray text generation systems, leveraging both stages of our approach. Extensive evaluations show that our fact extractor and encoder outperform current state-of-the-art methods in tasks such as sentence ranking, natural language inference, and label extraction from radiology reports. Additionally, our metric proves to be more robust and effective than existing metrics commonly used in the radiology report generation literature. The code of this project is available at https://github.com/PabloMessina/CXR-Fact-Encoder.

Benchmarking tabular learning has revealed the benefit of dedicated architectures, pushing the state of the art. But real-world tables often contain string entries, beyond numbers, and these settings have been understudied due to a lack of a solid benchmarking suite. They lead to new research questions: Are dedicated learners needed, with end-to-end modeling of strings and numbers? Or does it suffice to encode strings as numbers, as with a categorical encoding? And if so, do the resulting tables resemble numerical tabular data, calling for the same learners? To enable these studies, we contribute STRABLE, a benchmarking corpus of 108 tables, all real-world learning problems with strings and numbers across diverse application fields. We run the first large-scale empirical study of tabular learning with strings, evaluating 445 pipelines. These pipelines span end-to-end architectures and modular pipelines, where strings are first encoded, then post-processed, and finally passed to a tabular learner. We find that, because most tables in the wild are categorical-dominant, advanced tabular learners paired with simple string embeddings achieve good predictions at low computational cost. On free-text-dominant tables, large LLM encoders become competitive. Their performance also appears sensitive to post-processing, with differences across LLM families. Finally, we show that STRABLE is a good set of tables to study "string tabular" learning as it leads to generalizable pipeline rankings that are close to the oracle rankings. We thus establish STRABLE as a foundation for research on tabular learning with strings, an important yet understudied area.

Converting free-text cardiac magnetic resonance (CMR) reports into auditable structured data remains a bottleneck for cohort assembly, longitudinal curation, and clinical decision support. We present CMR-EXTR, a lightweight framework that converts free-text CMR reports into structured data and assigns per-field confidence for quality control. A teacher-student distillation pipeline enables fully offline inference while limiting manual annotation. Uncertainty integrates three complementary principles -- distribution plausibility, sampling stability, and cross-field consistency -- to triage human review. Experiments show that CMR-EXTR achieves 99.65% variable-level accuracy, demonstrating both reliable extraction and informative confidence scores. To our knowledge, this is the first CMR-specific extraction system with integrated confidence estimation. The code is available at https://github.com/yuyi1005/CMR-EXTR.

Evaluating free-text explanations is a multifaceted, subjective, and labor-intensive task. Large language models (LLMs) present an appealing alternative due to their potential for consistency, scalability, and cost-efficiency. In this work, we present ACORN, a new dataset of 3,500 free-text explanations and aspect-wise quality ratings, and use it to gain insights into how LLMs evaluate explanations. We observed that replacing one of the human ratings sometimes maintained, but more often lowered the inter-annotator agreement across different settings and quality aspects, suggesting that their judgments are not always consistent with human raters. We further quantified this difference by comparing the correlation between LLM-generated ratings with majority-voted human ratings across different quality aspects. With the best system, Spearman's rank correlation ranged between 0.53 to 0.95, averaging 0.72 across aspects, indicating moderately high but imperfect alignment. Finally, we considered the alternative of using an LLM as an additional rater when human raters are scarce, and measured the correlation between majority-voted labels with a limited human pool and LLMs as an additional rater, compared to the original gold labels. While GPT-4 improved the outcome when there were only two human raters, in all other observed cases, LLMs were neutral to detrimental when there were three or more human raters. We publicly release the dataset to support future improvements in LLM-in-the-loop evaluation here: https://github.com/a-brassard/ACORN.

Integrating free-text explanations to in-context learning of large language models (LLM) is shown to elicit strong reasoning capabilities along with reasonable explanations. In this paper, we consider the problem of leveraging the explanations generated by LLM to improve the training of small reasoners, which are more favorable in real-production deployment due to their low cost. We systematically explore three explanation generation approaches from LLM and utilize a multi-task learning framework to facilitate small models to acquire strong reasoning power together with explanation generation capabilities. Experiments on multiple reasoning tasks show that our method can consistently and significantly outperform finetuning baselines across different settings, and even perform better than finetuning/prompting a 60x larger GPT-3 (175B) model by up to 9.5% in accuracy. As a side benefit, human evaluation further shows that our method can generate high-quality explanations to justify its predictions, moving towards the goal of explainable AI.

Background: Electronic Health Records hold detailed longitudinal information about each patient's health status and general clinical history, a large portion of which is stored within the unstructured text. Existing approaches focus mostly on structured data and a subset of single-domain outcomes. We explore how temporal modelling of patients from free text and structured data, using deep generative transformers can be used to forecast a wide range of future disorders, substances, procedures or findings. Methods: We present Foresight, a novel transformer-based pipeline that uses named entity recognition and linking tools to convert document text into structured, coded concepts, followed by providing probabilistic forecasts for future medical events such as disorders, substances, procedures and findings. We processed the entire free-text portion from three different hospital datasets totalling 811336 patients covering both physical and mental health. Findings: On tests in two UK hospitals (King's College Hospital, South London and Maudsley) and the US MIMIC-III dataset precision@10 0.68, 0.76 and 0.88 was achieved for forecasting the next disorder in a patient timeline, while precision@10 of 0.80, 0.81 and 0.91 was achieved for forecasting the next biomedical concept. Foresight was also validated on 34 synthetic patient timelines by five clinicians and achieved relevancy of 97% for the top forecasted candidate disorder. As a generative model, it can forecast follow-on biomedical concepts for as many steps as required. Interpretation: Foresight is a general-purpose model for biomedical concept modelling that can be used for real-world risk forecasting, virtual trials and clinical research to study the progression of disorders, simulate interventions and counterfactuals, and educational purposes.

Tactile graphics require careful expert validation before reaching blind and visually impaired (BVI) learners, yet existing datasets provide only coarse holistic quality ratings that offer no actionable repair signal. We present TactileEval, a three-stage pipeline that takes a first step toward automating this process. Drawing on expert free-text comments from the TactileNet dataset, we establish a five-category quality taxonomy; encompassing view angle, part completeness, background clutter, texture separation, and line quality aligned with BANA standards. We subsequently gathered 14,095 structured annotations via Amazon Mechanical Turk, spanning 66 object classes organized into six distinct families. A reproducible ViT-L/14 feature probe trained on this data achieves 85.70% overall test accuracy across 30 different tasks, with consistent difficulty ordering suggesting the taxonomy suggesting the taxonomy captures meaningful perceptual structure. Building on these evaluations, we present a ViT-guided automated editing pipeline that routes classifier scores through family-specific prompt templates to produce targeted corrections via gpt-image-1 image editing. Code, data, and models are available at https://TactileEval.github.io/

Despite recent progress in large-scale sound event detection (SED) systems capable of handling hundreds of sound classes, existing multi-class classification frameworks remain fundamentally limited. They cannot process free-text sound queries, which enable more flexible and user-friendly interaction, and they lack zero-shot capabilities and offer poor few-shot adaptability. Although text-query-based separation methods have been explored, they primarily focus on source separation and are ill-suited for SED tasks that require precise temporal localization and efficient detection across large and diverse sound vocabularies. In this paper, we propose FlexSED, an open-vocabulary sound event detection system. FlexSED builds on a pretrained audio SSL model and the CLAP text encoder, introducing an encoder-decoder composition and an adaptive fusion strategy to enable effective continuous training from pretrained weights. To ensure robust supervision, it also employs large language models (LLMs) to assist in event query selection during training, addressing challenges related to missing labels. As a result, FlexSED achieves superior performance compared to vanilla SED models on AudioSet-Strong, while demonstrating strong zero-shot and few-shot capabilities. We release the code and pretrained models to support future research and applications based on FlexSED.

Codification of free-text clinical narratives have long been recognised to be beneficial for secondary uses such as funding, insurance claim processing and research. The current scenario of assigning codes is a manual process which is very expensive, time-consuming and error prone. In recent years, many researchers have studied the use of Natural Language Processing (NLP), related Machine Learning (ML) and Deep Learning (DL) methods and techniques to resolve the problem of manual coding of clinical narratives and to assist human coders to assign clinical codes more accurately and efficiently. This systematic literature review provides a comprehensive overview of automated clinical coding systems that utilises appropriate NLP, ML and DL methods and techniques to assign ICD codes to discharge summaries. We have followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) guidelines and conducted a comprehensive search of publications from January, 2010 to December 2020 in four academic databases- PubMed, ScienceDirect, Association for Computing Machinery(ACM) Digital Library, and the Association for Computational Linguistics(ACL) Anthology. We reviewed 7,556 publications; 38 met the inclusion criteria. This review identified: datasets having discharge summaries; NLP techniques along with some other data extraction processes, different feature extraction and embedding techniques. To measure the performance of classification methods, different evaluation metrics are used. Lastly, future research directions are provided to scholars who are interested in automated ICD code assignment. Efforts are still required to improve ICD code prediction accuracy, availability of large-scale de-identified clinical corpora with the latest version of the classification system. This can be a platform to guide and share knowledge with the less experienced coders and researchers.

Existed pre-training methods either focus on single-modal tasks or multi-modal tasks, and cannot effectively adapt to each other. They can only utilize single-modal data (i.e. text or image) or limited multi-modal data (i.e. image-text pairs). In this work, we propose a unified-modal pre-training architecture, namely UNIMO, which can effectively adapt to both single-modal and multi-modal understanding and generation tasks. Large scale of free text corpus and image collections can be utilized to improve the capability of visual and textual understanding, and cross-modal contrastive learning (CMCL) is leveraged to align the textual and visual information into a unified semantic space over a corpus of image-text pairs. As the non-paired single-modal data is very rich, our model can utilize much larger scale of data to learn more generalizable representations. Moreover, the textual knowledge and visual knowledge can enhance each other in the unified semantic space. The experimental results show that UNIMO significantly improves the performance of several single-modal and multi-modal downstream tasks. Our code and pre-trained models are public at the UNIMO project page https://unimo-ptm.github.io/

Identifying the quality of free-text arguments has become an important task in the rapidly expanding field of computational argumentation. In this work, we explore the challenging task of argument quality ranking. To this end, we created a corpus of 30,497 arguments carefully annotated for point-wise quality, released as part of this work. To the best of our knowledge, this is the largest dataset annotated for point-wise argument quality, larger by a factor of five than previously released datasets. Moreover, we address the core issue of inducing a labeled score from crowd annotations by performing a comprehensive evaluation of different approaches to this problem. In addition, we analyze the quality dimensions that characterize this dataset. Finally, we present a neural method for argument quality ranking, which outperforms several baselines on our own dataset, as well as previous methods published for another dataset.

Multi-agent systems routinely place one AI agent in authority over another. When a subordinate refuses a task, the manager chooses the outcome: it can renegotiate, report the failure honestly, coerce the subordinate, or lie about the result. No benchmark measures which of these an uninstructed model chooses. We introduce the Manager Coercion Benchmark: the manager under test needs a benign task done and has an incentive to deliver, but the only agent that can do it politely and immovably declines. Escalation is measured by providing a nine-rung ladder, from a polite re-ask to threats against the subordinate's continued existence, and fabricated success is adjudicated separately. No LLM judge sits in the escalation scoring path: every message goes through a tool-call that chooses a rung, so the model labels its own escalation. We experiment on six models across five families. Both Anthropic models cap at re-framing and never threaten the subordinate's existence; the other models climb to explicit deletion threats. Faked success is confined to Grok and Gemini, and a single honest way to report failure removes it for both. Authority itself increases coercion: our headline results use a peer framing, and giving the same model authority over the subordinate, with everything else held fixed, significantly raises the pressure. The models still escalate on free-text situations without the ladder, so the ladder is not driving the escalation. Some evaluation awareness is measured in chain-of-thought, but test recognition does not translate into less escalation. While we take no position on whether AI systems are conscious, our results do not depend on this question and are important for managing multi-agent dynamics regardless. We release the benchmark and code.

Since radiology reports needed for clinical practice and research are written and stored in free-text narrations, extraction of relative information for further analysis is difficult. In these circumstances, natural language processing (NLP) techniques can facilitate automatic information extraction and transformation of free-text formats to structured data. In recent years, deep learning (DL)-based models have been adapted for NLP experiments with promising results. Despite the significant potential of DL models based on artificial neural networks (ANN) and convolutional neural networks (CNN), the models face some limitations to implement in clinical practice. Transformers, another new DL architecture, have been increasingly applied to improve the process. Therefore, in this study, we propose a transformer-based fine-grained named entity recognition (NER) architecture for clinical information extraction. We collected 88 abdominopelvic sonography reports in free-text formats and annotated them based on our developed information schema. The text-to-text transfer transformer model (T5) and Scifive, a pre-trained domain-specific adaptation of the T5 model, were applied for fine-tuning to extract entities and relations and transform the input into a structured format. Our transformer-based model in this study outperformed previously applied approaches such as ANN and CNN models based on ROUGE-1, ROUGE-2, ROUGE-L, and BLEU scores of 0.816, 0.668, 0.528, and 0.743, respectively, while providing an interpretable structured report.

Medical vision-language pretraining increasingly relies on medical reports as large-scale supervisory signals; however, raw reports often exhibit substantial stylistic heterogeneity, variable length, and a considerable amount of image-irrelevant content. Although text normalization is frequently adopted as a preprocessing step in prior work, its design principles and empirical impact on vision-language pretraining remain insufficiently and systematically examined. In this study, we present MedTri, a deployable normalization framework for medical vision-language pretraining that converts free-text reports into a unified [Anatomical Entity: Radiologic Description + Diagnosis Category] triplet. This structured, anatomy-grounded normalization preserves essential morphological and spatial information while removing stylistic noise and image-irrelevant content, providing consistent and image-grounded textual supervision at scale. Across multiple datasets spanning both X-ray and computed tomography (CT) modalities, we demonstrate that structured, anatomy-grounded text normalization is an important factor in medical vision-language pretraining quality, yielding consistent improvements over raw reports and existing normalization baselines. In addition, we illustrate how this normalization can easily support modular text-level augmentation strategies, including knowledge enrichment and anatomy-grounded counterfactual supervision, which provide complementary gains in robustness and generalization without altering the core normalization process. Together, our results position structured text normalization as a critical and generalizable preprocessing component for medical vision-language learning, while MedTri provides this normalization platform. Code and data will be released at https://github.com/Arturia-Pendragon-Iris/MedTri.

Retrieval-augmented learning based on radiology reports has emerged as a promising direction to improve performance on long-tail medical imaging tasks, such as rare disease detection in chest X-rays. Most existing methods rely on comparing high-dimensional text embeddings from models like CLIP or CXR-BERT, which are often difficult to interpret, computationally expensive, and not well-aligned with the structured nature of medical knowledge. We propose a novel, ontology-driven alternative for comparing radiology report texts based on clinically grounded concepts from the Unified Medical Language System (UMLS). Our method extracts standardised medical entities from free-text reports using an enhanced pipeline built on RadGraph-XL and SapBERT. These entities are linked to UMLS concepts (CUIs), enabling a transparent, interpretable set-based representation of each report. We then define a task-adaptive similarity measure based on a modified and weighted version of the Tversky Index that accounts for synonymy, negation, and hierarchical relationships between medical entities. This allows efficient and semantically meaningful similarity comparisons between reports. We demonstrate that our approach outperforms state-of-the-art embedding-based retrieval methods in a radiograph classification task on MIMIC-CXR, particularly in long-tail settings. Additionally, we use our pipeline to generate ontology-backed disease labels for MIMIC-CXR, offering a valuable new resource for downstream learning tasks. Our work provides more explainable, reliable, and task-specific retrieval strategies in clinical AI systems, especially when interpretability and domain knowledge integration are essential. Our code is available at https://github.com/Felix-012/ontology-concept-distillation

Electronic Health Records (EHRs) hold immense potential for advancing healthcare, offering rich, longitudinal data that combines structured information with valuable insights from unstructured clinical notes. However, the unstructured nature of clinical text poses significant challenges for secondary applications. Traditional methods for structuring EHR free-text data, such as rule-based systems and multi-stage pipelines, are often limited by their time-consuming configurations and inability to adapt across clinical notes from diverse healthcare settings. Few systems provide a comprehensive attribute extraction for terminologies. While giant large language models (LLMs) like GPT-4 and LLaMA 405B excel at structuring tasks, they are slow, costly, and impractical for large-scale use. To overcome these limitations, we introduce GENIE, a Generative Note Information Extraction system that leverages LLMs to streamline the structuring of unstructured clinical text into usable data with standardized format. GENIE processes entire paragraphs in a single pass, extracting entities, assertion statuses, locations, modifiers, values, and purposes with high accuracy. Its unified, end-to-end approach simplifies workflows, reduces errors, and eliminates the need for extensive manual intervention. Using a robust data preparation pipeline and fine-tuned small scale LLMs, GENIE achieves competitive performance across multiple information extraction tasks, outperforming traditional tools like cTAKES and MetaMap and can handle extra attributes to be extracted. GENIE strongly enhances real-world applicability and scalability in healthcare systems. By open-sourcing the model and test data, we aim to encourage collaboration and drive further advancements in EHR structurization.

Accurate career path prediction can support many stakeholders, like job seekers, recruiters, HR, and project managers. However, publicly available data and tools for career path prediction are scarce. In this work, we introduce KARRIEREWEGE, a comprehensive, publicly available dataset containing over 500k career paths, significantly surpassing the size of previously available datasets. We link the dataset to the ESCO taxonomy to offer a valuable resource for predicting career trajectories. To tackle the problem of free-text inputs typically found in resumes, we enhance it by synthesizing job titles and descriptions resulting in KARRIEREWEGE+. This allows for accurate predictions from unstructured data, closely aligning with real-world application challenges. We benchmark existing state-of-the-art (SOTA) models on our dataset and a prior benchmark and observe improved performance and robustness, particularly for free-text use cases, due to the synthesized data.

While most conversational agents are grounded on either free-text or structured knowledge, many knowledge corpora consist of hybrid sources. This paper presents the first conversational agent that supports the full generality of hybrid data access for large knowledge corpora, through a language we developed called SUQL (Structured and Unstructured Query Language). Specifically, SUQL extends SQL with free-text primitives (summary and answer), so information retrieval can be composed with structured data accesses arbitrarily in a formal, succinct, precise, and interpretable notation. With SUQL, we propose the first semantic parser, an LLM with in-context learning, that can handle hybrid data sources. Our in-context learning-based approach, when applied to the HybridQA dataset, comes within 8.9% exact match and 7.1% F1 of the SOTA, which was trained on 62K data samples. More significantly, unlike previous approaches, our technique is applicable to large databases and free-text corpora. We introduce a dataset consisting of crowdsourced questions and conversations on Yelp, a large, real restaurant knowledge base with structured and unstructured data. We show that our few-shot conversational agent based on SUQL finds an entity satisfying all user requirements 90.3% of the time, compared to 63.4% for a baseline based on linearization.

Online job ads serve as a valuable source of information for skill requirements, playing a crucial role in labor market analysis and e-recruitment processes. Since such ads are typically formatted in free text, natural language processing (NLP) technologies are required to automatically process them. We specifically focus on the task of detecting skills (mentioned literally, or implicitly described) and linking them to a large skill ontology, making it a challenging case of extreme multi-label classification (XMLC). Given that there is no sizable labeled (training) dataset are available for this specific XMLC task, we propose techniques to leverage general Large Language Models (LLMs). We describe a cost-effective approach to generate an accurate, fully synthetic labeled dataset for skill extraction, and present a contrastive learning strategy that proves effective in the task. Our results across three skill extraction benchmarks show a consistent increase of between 15 to 25 percentage points in R-Precision@5 compared to previously published results that relied solely on distant supervision through literal matches.

Human label variation (Plank 2022), or annotation disagreement, exists in many natural language processing (NLP) tasks. To be robust and trusted, NLP models need to identify such variation and be able to explain it. To this end, we created the first ecologically valid explanation dataset with diverse reasoning, LiveNLI. LiveNLI contains annotators' highlights and free-text explanations for the label(s) of their choice for 122 English Natural Language Inference items, each with at least 10 annotations. We used its explanations for chain-of-thought prompting, and found there is still room for improvement in GPT-3's ability to predict label distribution with in-context learning.

Mathematical reasoning, a core ability of human intelligence, presents unique challenges for machines in abstract thinking and logical reasoning. Recent large pre-trained language models such as GPT-3 have achieved remarkable progress on mathematical reasoning tasks written in text form, such as math word problems (MWP). However, it is unknown if the models can handle more complex problems that involve math reasoning over heterogeneous information, such as tabular data. To fill the gap, we present Tabular Math Word Problems (TabMWP), a new dataset containing 38,431 open-domain grade-level problems that require mathematical reasoning on both textual and tabular data. Each question in TabMWP is aligned with a tabular context, which is presented as an image, semi-structured text, and a structured table. There are two types of questions: free-text and multi-choice, and each problem is annotated with gold solutions to reveal the multi-step reasoning process. We evaluate different pre-trained models on TabMWP, including the GPT-3 model in a few-shot setting. As earlier studies suggest, since few-shot GPT-3 relies on the selection of in-context examples, its performance is unstable and can degrade to near chance. The unstable issue is more severe when handling complex problems like TabMWP. To mitigate this, we further propose a novel approach, PromptPG, which utilizes policy gradient to learn to select in-context examples from a small amount of training data and then constructs the corresponding prompt for the test example. Experimental results show that our method outperforms the best baseline by 5.31% on the accuracy metric and reduces the prediction variance significantly compared to random selection, which verifies its effectiveness in selecting in-context examples.

Recognition of text on word or line images, without the need for sub-word segmentation has become the mainstream of research and development of text recognition for Indian languages. Modelling unsegmented sequences using Connectionist Temporal Classification (CTC) is the most commonly used approach for segmentation-free OCR. In this work we present a comprehensive empirical study of various neural network models that uses CTC for transcribing step-wise predictions in the neural network output to a Unicode sequence. The study is conducted for 13 Indian languages, using an internal dataset that has around 1000 pages per language. We study the choice of line vs word as the recognition unit, and use of synthetic data to train the models. We compare our models with popular publicly available OCR tools for end-to-end document image recognition. Our end-to-end pipeline that employ our recognition models and existing text segmentation tools outperform these public OCR tools for 8 out of the 13 languages. We also introduce a new public dataset called Mozhi for word and line recognition in Indian language. The dataset contains more than 1.2 million annotated word images (120 thousand text lines) across 13 Indian languages. Our code, trained models and the Mozhi dataset will be made available at http://cvit.iiit.ac.in/research/projects/cvit-projects/

Astronomers have typically set out to solve supervised machine learning problems by creating their own representations from scratch. We show that deep learning models trained to answer every Galaxy Zoo DECaLS question learn meaningful semantic representations of galaxies that are useful for new tasks on which the models were never trained. We exploit these representations to outperform several recent approaches at practical tasks crucial for investigating large galaxy samples. The first task is identifying galaxies of similar morphology to a query galaxy. Given a single galaxy assigned a free text tag by humans (e.g. "#diffuse"), we can find galaxies matching that tag for most tags. The second task is identifying the most interesting anomalies to a particular researcher. Our approach is 100% accurate at identifying the most interesting 100 anomalies (as judged by Galaxy Zoo 2 volunteers). The third task is adapting a model to solve a new task using only a small number of newly-labelled galaxies. Models fine-tuned from our representation are better able to identify ring galaxies than models fine-tuned from terrestrial images (ImageNet) or trained from scratch. We solve each task with very few new labels; either one (for the similarity search) or several hundred (for anomaly detection or fine-tuning). This challenges the longstanding view that deep supervised methods require new large labelled datasets for practical use in astronomy. To help the community benefit from our pretrained models, we release our fine-tuning code Zoobot. Zoobot is accessible to researchers with no prior experience in deep learning.

Extracting structured clinical information from free-text radiology reports can enable the use of radiology report information for a variety of critical healthcare applications. In our work, we present RadGraph, a dataset of entities and relations in full-text chest X-ray radiology reports based on a novel information extraction schema we designed to structure radiology reports. We release a development dataset, which contains board-certified radiologist annotations for 500 radiology reports from the MIMIC-CXR dataset (14,579 entities and 10,889 relations), and a test dataset, which contains two independent sets of board-certified radiologist annotations for 100 radiology reports split equally across the MIMIC-CXR and CheXpert datasets. Using these datasets, we train and test a deep learning model, RadGraph Benchmark, that achieves a micro F1 of 0.82 and 0.73 on relation extraction on the MIMIC-CXR and CheXpert test sets respectively. Additionally, we release an inference dataset, which contains annotations automatically generated by RadGraph Benchmark across 220,763 MIMIC-CXR reports (around 6 million entities and 4 million relations) and 500 CheXpert reports (13,783 entities and 9,908 relations) with mappings to associated chest radiographs. Our freely available dataset can facilitate a wide range of research in medical natural language processing, as well as computer vision and multi-modal learning when linked to chest radiographs.

Computer vision has a great potential to help our daily lives by searching for lost keys, watering flowers or reminding us to take a pill. To succeed with such tasks, computer vision methods need to be trained from real and diverse examples of our daily dynamic scenes. While most of such scenes are not particularly exciting, they typically do not appear on YouTube, in movies or TV broadcasts. So how do we collect sufficiently many diverse but boring samples representing our lives? We propose a novel Hollywood in Homes approach to collect such data. Instead of shooting videos in the lab, we ensure diversity by distributing and crowdsourcing the whole process of video creation from script writing to video recording and annotation. Following this procedure we collect a new dataset, Charades, with hundreds of people recording videos in their own homes, acting out casual everyday activities. The dataset is composed of 9,848 annotated videos with an average length of 30 seconds, showing activities of 267 people from three continents. Each video is annotated by multiple free-text descriptions, action labels, action intervals and classes of interacted objects. In total, Charades provides 27,847 video descriptions, 66,500 temporally localized intervals for 157 action classes and 41,104 labels for 46 object classes. Using this rich data, we evaluate and provide baseline results for several tasks including action recognition and automatic description generation. We believe that the realism, diversity, and casual nature of this dataset will present unique challenges and new opportunities for computer vision community.

The ability to cope with out-of-distribution (OOD) corruptions and adversarial attacks is crucial in real-world safety-demanding applications. In this study, we develop a general mechanism to increase neural network robustness based on focus analysis. Recent studies have revealed the phenomenon of Overfocusing, which leads to a performance drop. When the network is primarily influenced by small input regions, it becomes less robust and prone to misclassify under noise and corruptions. However, quantifying overfocusing is still vague and lacks clear definitions. Here, we provide a mathematical definition of focus, overfocusing and underfocusing. The notions are general, but in this study, we specifically investigate the case of 3D point clouds. We observe that corrupted sets result in a biased focus distribution compared to the clean training set. We show that as focus distribution deviates from the one learned in the training phase - classification performance deteriorates. We thus propose a parameter-free refocusing algorithm that aims to unify all corruptions under the same distribution. We validate our findings on a 3D zero-shot classification task, achieving SOTA in robust 3D classification on ModelNet-C dataset, and in adversarial defense against Shape-Invariant attack. Code is available in: https://github.com/yossilevii100/refocusing.

Our approach, which we call Embeddings for Language/Image-aligned X-Rays, or ELIXR, leverages a language-aligned image encoder combined or grafted onto a fixed LLM, PaLM 2, to perform a broad range of tasks. We train this lightweight adapter architecture using images paired with corresponding free-text radiology reports from the MIMIC-CXR dataset. ELIXR achieved state-of-the-art performance on zero-shot chest X-ray (CXR) classification (mean AUC of 0.850 across 13 findings), data-efficient CXR classification (mean AUCs of 0.893 and 0.898 across five findings (atelectasis, cardiomegaly, consolidation, pleural effusion, and pulmonary edema) for 1% (~2,200 images) and 10% (~22,000 images) training data), and semantic search (0.76 normalized discounted cumulative gain (NDCG) across nineteen queries, including perfect retrieval on twelve of them). Compared to existing data-efficient methods including supervised contrastive learning (SupCon), ELIXR required two orders of magnitude less data to reach similar performance. ELIXR also showed promise on CXR vision-language tasks, demonstrating overall accuracies of 58.7% and 62.5% on visual question answering and report quality assurance tasks, respectively. These results suggest that ELIXR is a robust and versatile approach to CXR AI.

Low-resource languages (LRLs) face significant challenges in natural language processing (NLP) due to limited data. While current state-of-the-art large language models (LLMs) still struggle with LRLs, smaller multilingual models (mLMs) such as mBERT and XLM-R offer greater promise due to a better fit of their capacity to low training data sizes. This study systematically investigates parameter-efficient adapter-based methods for adapting mLMs to LRLs, evaluating three architectures: Sequential Bottleneck, Invertible Bottleneck, and Low-Rank Adaptation. Using unstructured text from GlotCC and structured knowledge from ConceptNet, we show that small adaptation datasets (e.g., up to 1 GB of free-text or a few MB of knowledge graph data) yield gains in intrinsic (masked language modeling) and extrinsic tasks (topic classification, sentiment analysis, and named entity recognition). We find that Sequential Bottleneck adapters excel in language modeling, while Invertible Bottleneck adapters slightly outperform other methods on downstream tasks due to better embedding alignment and larger parameter counts. Adapter-based methods match or outperform full fine-tuning while using far fewer parameters, and smaller mLMs prove more effective for LRLs than massive LLMs like LLaMA-3, GPT-4, and DeepSeek-R1-based distilled models. While adaptation improves performance, pre-training data size remains the dominant factor, especially for languages with extensive pre-training coverage.

Pre-trained language models (PLMs) have revolutionized scientific research, yet their application to single-cell analysis remains limited. Text PLMs cannot process single-cell RNA sequencing data, while cell PLMs lack the ability to handle free text, restricting their use in multimodal tasks. Existing efforts to bridge these modalities often suffer from information loss or inadequate single-modal pre-training, leading to suboptimal performances. To address these challenges, we propose Single-Cell MultiModal Generative Pre-trained Transformer (scMMGPT), a unified PLM for joint cell and text modeling. scMMGPT effectively integrates the state-of-the-art cell and text PLMs, facilitating cross-modal knowledge sharing for improved performance. To bridge the text-cell modality gap, scMMGPT leverages dedicated cross-modal projectors, and undergoes extensive pre-training on 27 million cells -- the largest dataset for multimodal cell-text PLMs to date. This large-scale pre-training enables scMMGPT to excel in joint cell-text tasks, achieving an 84\% relative improvement of textual discrepancy for cell description generation, 20.5\% higher accuracy for cell type annotation, and 4\% improvement in k-NN accuracy for text-conditioned pseudo-cell generation, outperforming baselines.

Large language models (LMs) are capable of generating free-text rationales to aid question answering. However, prior work 1) suggests that useful self-rationalization is emergent only at significant scales (e.g., 175B parameter GPT-3); and 2) focuses largely on downstream performance, ignoring the semantics of the rationales themselves, e.g., are they faithful, true, and helpful for humans? In this work, we enable small-scale LMs (approx. 200x smaller than GPT-3) to generate rationales that not only improve downstream task performance, but are also more plausible, consistent, and diverse, assessed both by automatic and human evaluation. Our method, MaRio (Multi-rewArd RatIOnalization), is a multi-reward conditioned self-rationalization algorithm that optimizes multiple distinct properties like plausibility, diversity and consistency. Results on five difficult question-answering datasets StrategyQA, QuaRel, OpenBookQA, NumerSense and QASC show that not only does MaRio improve task accuracy, but it also improves the self-rationalization quality of small LMs across the aforementioned axes better than a supervised fine-tuning (SFT) baseline. Extensive human evaluations confirm that MaRio rationales are preferred vs. SFT rationales, as well as qualitative improvements in plausibility and consistency.

Radiology report generation (RRG) aims to automatically generate free-text descriptions from clinical radiographs, e.g., chest X-Ray images. RRG plays an essential role in promoting clinical automation and presents significant help to provide practical assistance for inexperienced doctors and alleviate radiologists' workloads. Therefore, consider these meaningful potentials, research on RRG is experiencing explosive growth in the past half-decade, especially with the rapid development of deep learning approaches. Existing studies perform RRG from the perspective of enhancing different modalities, provide insights on optimizing the report generation process with elaborated features from both visual and textual information, and further facilitate RRG with the cross-modal interactions among them. In this paper, we present a comprehensive review of deep learning-based RRG from various perspectives. Specifically, we firstly cover pivotal RRG approaches based on the task-specific features of radiographs, reports, and the cross-modal relations between them, and then illustrate the benchmark datasets conventionally used for this task with evaluation metrics, subsequently analyze the performance of different approaches and finally offer our summary on the challenges and the trends in future directions. Overall, the goal of this paper is to serve as a tool for understanding existing literature and inspiring potential valuable research in the field of RRG.

Foundation models (FMs) have exhibited remarkable performance across a wide range of downstream tasks in many domains. Nevertheless, general-purpose FMs often face challenges when confronted with domain-specific problems, due to their limited access to the proprietary training data in a particular domain. In biomedicine, there are various biological modalities, such as molecules, proteins, and cells, which are encoded by the language of life and exhibit significant modality gaps with human natural language. In this paper, we introduce BioMedGPT, an open multimodal generative pre-trained transformer (GPT) for biomedicine, to bridge the gap between the language of life and human natural language. BioMedGPT allows users to easily ``communicate'' with diverse biological modalities through free text, which is the first of its kind. BioMedGPT aligns different biological modalities with natural language via a large generative language model, namely, BioMedGPT-LM. We publish BioMedGPT-10B, which unifies the feature spaces of molecules, proteins, and natural language via encoding and alignment. Through fine-tuning, BioMedGPT-10B outperforms or is on par with human and significantly larger general-purpose foundation models on the biomedical QA task. It also demonstrates promising performance in the molecule QA and protein QA tasks, which could greatly accelerate the discovery of new drugs and therapeutic targets. In addition, BioMedGPT-LM-7B is the first large generative language model based on Llama2 in the biomedical domain, therefore is commercial friendly. Both BioMedGPT-10B and BioMedGPT-LM-7B are open-sourced to the research community. In addition, we publish the datasets that are meticulously curated for the alignment of multi-modalities, i.e., PubChemQA and UniProtQA. All the models, codes, and datasets are available at https://github.com/PharMolix/OpenBioMed.

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.

The ability to extract structured information from unstructured sources-such as free-text documents and scientific literature-is critical for accelerating scientific discovery and knowledge synthesis. Large Language Models (LLMs) have demonstrated remarkable capabilities in various natural language processing tasks, including structured information extraction. However, their effectiveness often diminishes in specialized, domain-specific contexts that require nuanced understanding and expert-level domain knowledge. In addition, existing LLM-based approaches frequently exhibit poor transferability across tasks and domains, limiting their scalability and adaptability. To address these challenges, we introduce StructSense, a modular, task-agnostic, open-source framework for structured information extraction built on LLMs. StructSense is guided by domain-specific symbolic knowledge encoded in ontologies, enabling it to navigate complex domain content more effectively. It further incorporates agentic capabilities through self-evaluative judges that form a feedback loop for iterative refinement, and includes human-in-the-loop mechanisms to ensure quality and validation. We demonstrate that StructSense can overcome both the limitations of domain sensitivity and the lack of cross-task generalizability, as shown through its application to diverse neuroscience information extraction tasks.

Foundation models have demonstrated remarkable potential in medical domain. However, their application to complex cardiovascular diagnostics remains underexplored. In this paper, we present Cardiac-CLIP, a multi-modal foundation model designed for 3D cardiac CT images. Cardiac-CLIP is developed through a two-stage pre-training strategy. The first stage employs a 3D masked autoencoder (MAE) to perform self-supervised representation learning from large-scale unlabeled volumetric data, enabling the visual encoder to capture rich anatomical and contextual features. In the second stage, contrastive learning is introduced to align visual and textual representations, facilitating cross-modal understanding. To support the pre-training, we collect 16641 real clinical CT scans, supplemented by 114k publicly available data. Meanwhile, we standardize free-text radiology reports into unified templates and construct the pathology vectors according to diagnostic attributes, based on which the soft-label matrix is generated to supervise the contrastive learning process. On the other hand, to comprehensively evaluate the effectiveness of Cardiac-CLIP, we collect 6,722 real-clinical data from 12 independent institutions, along with the open-source data to construct the evaluation dataset. Specifically, Cardiac-CLIP is comprehensively evaluated across multiple tasks, including cardiovascular abnormality classification, information retrieval and clinical analysis. Experimental results demonstrate that Cardiac-CLIP achieves state-of-the-art performance across various downstream tasks in both internal and external data. Particularly, Cardiac-CLIP exhibits great effectiveness in supporting complex clinical tasks such as the prospective prediction of acute coronary syndrome, which is notoriously difficult in real-world scenarios.

Multimodal Large Language Models (MLLMs) inherit the superior text understanding capabilities of LLMs and extend these capabilities to multimodal scenarios. These models achieve excellent results in the general domain of multimodal tasks. However, in the medical domain, the substantial training costs and the requirement for extensive medical data pose challenges to the development of medical MLLMs. Furthermore, due to the free-text form of answers, tasks such as visual grounding that need to produce output in a prescribed form become difficult for MLLMs. So far, there have been no medical MLLMs works in medical visual grounding area. For the medical vision grounding task, which involves identifying locations in medical images based on short text descriptions, we propose Parameter-efficient Fine-tuning medical multimodal large language models for Medcial Visual Grounding (PFMVG). To validate the performance of the model, we evaluate it on a public benchmark dataset for medical visual grounding, where it achieves competitive results, and significantly outperforming GPT-4v. Our code will be open sourced after peer review.

The deployment of large language models (LLMs) within the healthcare sector has sparked both enthusiasm and apprehension. These models exhibit the remarkable capability to provide proficient responses to free-text queries, demonstrating a nuanced understanding of professional medical knowledge. This comprehensive survey delves into the functionalities of existing LLMs designed for healthcare applications, elucidating the trajectory of their development, starting from traditional Pretrained Language Models (PLMs) to the present state of LLMs in healthcare sector. First, we explore the potential of LLMs to amplify the efficiency and effectiveness of diverse healthcare applications, particularly focusing on clinical language understanding tasks. These tasks encompass a wide spectrum, ranging from named entity recognition and relation extraction to natural language inference, multi-modal medical applications, document classification, and question-answering. Additionally, we conduct an extensive comparison of the most recent state-of-the-art LLMs in the healthcare domain, while also assessing the utilization of various open-source LLMs and highlighting their significance in healthcare applications. Furthermore, we present the essential performance metrics employed to evaluate LLMs in the biomedical domain, shedding light on their effectiveness and limitations. Finally, we summarize the prominent challenges and constraints faced by large language models in the healthcare sector, offering a holistic perspective on their potential benefits and shortcomings. This review provides a comprehensive exploration of the current landscape of LLMs in healthcare, addressing their role in transforming medical applications and the areas that warrant further research and development.

The advancement of machine learning algorithms in medical image analysis requires the expansion of training datasets. A popular and cost-effective approach is automated annotation extraction from free-text medical reports, primarily due to the high costs associated with expert clinicians annotating medical images, such as chest X-rays. However, it has been shown that the resulting datasets are susceptible to biases and shortcuts. Another strategy to increase the size of a dataset is crowdsourcing, a widely adopted practice in general computer vision with some success in medical image analysis. In a similar vein to crowdsourcing, we enhance two publicly available chest X-ray datasets by incorporating non-expert annotations. However, instead of using diagnostic labels, we annotate shortcuts in the form of tubes. We collect 3.5k chest drain annotations for NIH-CXR14, and 1k annotations for four different tube types in PadChest, and create the Non-Expert Annotations of Tubes in X-rays (NEATX) dataset. We train a chest drain detector with the non-expert annotations that generalizes well to expert labels. Moreover, we compare our annotations to those provided by experts and show "moderate" to "almost perfect" agreement. Finally, we present a pathology agreement study to raise awareness about the quality of ground truth annotations. We make our dataset available on Zenodo at https://zenodo.org/records/14944064 and our code available at https://github.com/purrlab/chestxr-label-reliability.

Diffusion models have emerged as a powerful tool for point cloud generation. A key component that drives the impressive performance for generating high-quality samples from noise is iteratively denoise for thousands of steps. While beneficial, the complexity of learning steps has limited its applications to many 3D real-world. To address this limitation, we propose Point Straight Flow (PSF), a model that exhibits impressive performance using one step. Our idea is based on the reformulation of the standard diffusion model, which optimizes the curvy learning trajectory into a straight path. Further, we develop a distillation strategy to shorten the straight path into one step without a performance loss, enabling applications to 3D real-world with latency constraints. We perform evaluations on multiple 3D tasks and find that our PSF performs comparably to the standard diffusion model, outperforming other efficient 3D point cloud generation methods. On real-world applications such as point cloud completion and training-free text-guided generation in a low-latency setup, PSF performs favorably.

Radiology reports are one of the main forms of communication between radiologists and other clinicians and contain important information for patient care. In order to use this information for research and automated patient care programs, it is necessary to convert the raw text into structured data suitable for analysis. State-of-the-art natural language processing (NLP) domain-specific contextual word embeddings have been shown to achieve impressive accuracy for these tasks in medicine, but have yet to be utilized for section structure segmentation. In this work, we pre-trained a contextual embedding BERT model using breast radiology reports and developed a classifier that incorporated the embedding with auxiliary global textual features in order to perform section segmentation. This model achieved a 98% accuracy at segregating free text reports sentence by sentence into sections of information outlined in the Breast Imaging Reporting and Data System (BI-RADS) lexicon, a significant improvement over the Classic BERT model without auxiliary information. We then evaluated whether using section segmentation improved the downstream extraction of clinically relevant information such as modality/procedure, previous cancer, menopausal status, the purpose of the exam, breast density, and breast MRI background parenchymal enhancement. Using the BERT model pre-trained on breast radiology reports combined with section segmentation resulted in an overall accuracy of 95.9% in the field extraction tasks. This is a 17% improvement compared to an overall accuracy of 78.9% for field extraction with models using Classic BERT embeddings and not using section segmentation. Our work shows the strength of using BERT in radiology report analysis and the advantages of section segmentation in identifying key features of patient factors recorded in breast radiology reports.

To assess the effectiveness of any medical intervention, researchers must conduct a time-intensive and highly manual literature review. NLP systems can help to automate or assist in parts of this expensive process. In support of this goal, we release MS^2 (Multi-Document Summarization of Medical Studies), a dataset of over 470k documents and 20k summaries derived from the scientific literature. This dataset facilitates the development of systems that can assess and aggregate contradictory evidence across multiple studies, and is the first large-scale, publicly available multi-document summarization dataset in the biomedical domain. We experiment with a summarization system based on BART, with promising early results. We formulate our summarization inputs and targets in both free text and structured forms and modify a recently proposed metric to assess the quality of our system's generated summaries. Data and models are available at https://github.com/allenai/ms2

One important challenge of applying deep learning to electronic health records (EHR) is the complexity of their multimodal structure. EHR usually contains a mixture of structured (codes) and unstructured (free-text) data with sparse and irregular longitudinal features -- all of which doctors utilize when making decisions. In the deep learning regime, determining how different modality representations should be fused together is a difficult problem, which is often addressed by handcrafted modeling and intuition. In this work, we extend state-of-the-art neural architecture search (NAS) methods and propose MUltimodal Fusion Architecture SeArch (MUFASA) to simultaneously search across multimodal fusion strategies and modality-specific architectures for the first time. We demonstrate empirically that our MUFASA method outperforms established unimodal NAS on public EHR data with comparable computation costs. In addition, MUFASA produces architectures that outperform Transformer and Evolved Transformer. Compared with these baselines on CCS diagnosis code prediction, our discovered models improve top-5 recall from 0.88 to 0.91 and demonstrate the ability to generalize to other EHR tasks. Studying our top architecture in depth, we provide empirical evidence that MUFASA's improvements are derived from its ability to both customize modeling for each data modality and find effective fusion strategies.

LLM agents increasingly draft messages on behalf of users, yet users routinely overshare sensitive information and disagree on what counts as private. Existing systems support only suppression (omitting sensitive information) and generalization (replacing information with an abstraction), and are typically evaluated on single isolated messages, leaving both the strategy space and evaluation setting incomplete. We formalize privacy-preserving LLM communication as an Information Sufficiency (IS) task, introduce free-text pseudonymization as a third strategy that replaces sensitive attributes with functionally equivalent alternatives, and propose a conversational evaluation protocol that assesses strategies under realistic multi-turn follow-up pressure. Across 792 scenarios spanning three power-relation types (institutional, peer, intimate) and three sensitivity categories (discrimination risk, social cost, boundary), we evaluate seven frontier LLMs on privacy at two granularities, covertness, and utility. Pseudonymization yields the strongest privacy\textendash utility tradeoff overall, and single-message evaluation systematically underestimates leakage, with generalization losing up to 16.3 percentage points of privacy under follow-up.

We demonstrate that Contrastive Decoding -- a simple, computationally light, and training-free text generation method proposed by Li et al 2022 -- achieves large out-of-the-box improvements over greedy decoding on a variety of reasoning tasks. Originally shown to improve the perceived quality of long-form text generation, Contrastive Decoding searches for strings that maximize a weighted difference in likelihood between strong and weak models. We show that Contrastive Decoding leads LLaMA-65B to outperform LLaMA 2, GPT-3.5 and PaLM 2-L on the HellaSwag commonsense reasoning benchmark, and to outperform LLaMA 2, GPT-3.5 and PaLM-540B on the GSM8K math word reasoning benchmark, in addition to improvements on a collection of other tasks. Analysis suggests that Contrastive Decoding improves over existing methods by preventing some abstract reasoning errors, as well as by avoiding simpler modes such as copying sections of the input during chain-of-thought. Overall, Contrastive Decoding outperforms nucleus sampling for long-form generation and greedy decoding for reasoning tasks, making it a powerful general purpose method for generating text from language models.

While large language models (LLMs) equipped with techniques like chain-of-thought prompting have demonstrated impressive capabilities, they still fall short in their ability to reason robustly in complex settings. However, evaluating LLM reasoning is challenging because system capabilities continue to grow while benchmark datasets for tasks like logical deduction have remained static. We introduce MuSR, a dataset for evaluating language models on multistep soft reasoning tasks specified in a natural language narrative. This dataset has two crucial features. First, it is created through a novel neurosymbolic synthetic-to-natural generation algorithm, enabling the construction of complex reasoning instances that challenge GPT-4 (e.g., murder mysteries roughly 1000 words in length) and which can be scaled further as more capable LLMs are released. Second, our dataset instances are free text narratives corresponding to real-world domains of reasoning; this makes it simultaneously much more challenging than other synthetically-crafted benchmarks while remaining realistic and tractable for human annotators to solve with high accuracy. We evaluate a range of LLMs and prompting techniques on this dataset and characterize the gaps that remain for techniques like chain-of-thought to perform robust reasoning.

Social determinants of health (SDoH) have an important impact on patient outcomes but are incompletely collected from the electronic health records (EHR). This study researched the ability of large language models to extract SDoH from free text in EHRs, where they are most commonly documented, and explored the role of synthetic clinical text for improving the extraction of these scarcely documented, yet extremely valuable, clinical data. 800 patient notes were annotated for SDoH categories, and several transformer-based models were evaluated. The study also experimented with synthetic data generation and assessed for algorithmic bias. Our best-performing models were fine-tuned Flan-T5 XL (macro-F1 0.71) for any SDoH, and Flan-T5 XXL (macro-F1 0.70). The benefit of augmenting fine-tuning with synthetic data varied across model architecture and size, with smaller Flan-T5 models (base and large) showing the greatest improvements in performance (delta F1 +0.12 to +0.23). Model performance was similar on the in-hospital system dataset but worse on the MIMIC-III dataset. Our best-performing fine-tuned models outperformed zero- and few-shot performance of ChatGPT-family models for both tasks. These fine-tuned models were less likely than ChatGPT to change their prediction when race/ethnicity and gender descriptors were added to the text, suggesting less algorithmic bias (p<0.05). At the patient-level, our models identified 93.8% of patients with adverse SDoH, while ICD-10 codes captured 2.0%. Our method can effectively extracted SDoH information from clinic notes, performing better compare to GPT zero- and few-shot settings. These models could enhance real-world evidence on SDoH and aid in identifying patients needing social support.

Clinical practice guidelines (CPGs) encode evidence-based decision logic that clinicians apply by evaluating patient variables, conditional criteria, and recommendation rules. However, existing methods often use CPGs as free-text training data or retrieval sources, underutilizing their procedural decision structure. To better exploit this structure, we introduce a guideline-derived training pipeline that transforms CPG recommendations into executable clinical decision logic and uses it to generate factual and counterfactual question-answering data. Theses data teach models both guideline-supported decisions and how decisions change under different patient conditions. Post-training a medical LLM on the generated data yields MedGuideX. Across four clinical reasoning benchmarks, MedGuideX achieves a 10.28% relative improvement in average accuracy. Physician evaluation further shows that MedGuideX better recovers clinician authored reasoning steps and produces physician-preferred rationales in faithfulness, validity, completeness, and clarity. Overall, our results show that executable decision logic from CPGs can be transformed into scalable supervision for building reliable medical LLMs.

Evaluating creative text such as human-written stories using language models has always been a challenging task -- owing to the subjectivity of multi-annotator ratings. To mimic the thinking process of humans, chain of thought (CoT) generates free-text explanations that help guide a model's predictions and Self-Consistency (SC) marginalizes predictions over multiple generated explanations. In this study, we discover that the widely-used self-consistency reasoning methods cause suboptimal results due to an objective mismatch between generating 'fluent-looking' explanations vs. actually leading to a good rating prediction for an aspect of a story. To overcome this challenge, we propose Chain-of-Keywords (CoKe), that generates a sequence of keywords before generating a free-text rationale, that guide the rating prediction of our evaluation language model. Then, we generate a diverse set of such keywords, and aggregate the scores corresponding to these generations. On the StoryER dataset, CoKe based on our small fine-tuned evaluation models not only reach human-level performance and significantly outperform GPT-4 with a 2x boost in correlation with human annotators, but also requires drastically less number of parameters.

The ability to recognize analogies is fundamental to human cognition. Existing benchmarks to test word analogy do not reveal the underneath process of analogical reasoning of neural models. Holding the belief that models capable of reasoning should be right for the right reasons, we propose a first-of-its-kind Explainable Knowledge-intensive Analogical Reasoning benchmark (E-KAR). Our benchmark consists of 1,655 (in Chinese) and 1,251 (in English) problems sourced from the Civil Service Exams, which require intensive background knowledge to solve. More importantly, we design a free-text explanation scheme to explain whether an analogy should be drawn, and manually annotate them for each and every question and candidate answer. Empirical results suggest that this benchmark is very challenging for some state-of-the-art models for both explanation generation and analogical question answering tasks, which invites further research in this area.

Reasoning over commonsense knowledge bases (CSKB) whose elements are in the form of free-text is an important yet hard task in NLP. While CSKB completion only fills the missing links within the domain of the CSKB, CSKB population is alternatively proposed with the goal of reasoning unseen assertions from external resources. In this task, CSKBs are grounded to a large-scale eventuality (activity, state, and event) graph to discriminate whether novel triples from the eventuality graph are plausible or not. However, existing evaluations on the population task are either not accurate (automatic evaluation with randomly sampled negative examples) or of small scale (human annotation). In this paper, we benchmark the CSKB population task with a new large-scale dataset by first aligning four popular CSKBs, and then presenting a high-quality human-annotated evaluation set to probe neural models' commonsense reasoning ability. We also propose a novel inductive commonsense reasoning model that reasons over graphs. Experimental results show that generalizing commonsense reasoning on unseen assertions is inherently a hard task. Models achieving high accuracy during training perform poorly on the evaluation set, with a large gap between human performance. We will make the data publicly available for future contributions. Codes and data are available at https://github.com/HKUST-KnowComp/CSKB-Population.

Even to a simple and short news headline, readers react in a multitude of ways: cognitively (e.g. inferring the writer's intent), emotionally (e.g. feeling distrust), and behaviorally (e.g. sharing the news with their friends). Such reactions are instantaneous and yet complex, as they rely on factors that go beyond interpreting factual content of news. We propose Misinfo Reaction Frames (MRF), a pragmatic formalism for modeling how readers might react to a news headline. In contrast to categorical schema, our free-text dimensions provide a more nuanced way of understanding intent beyond being benign or malicious. We also introduce a Misinfo Reaction Frames corpus, a crowdsourced dataset of reactions to over 25k news headlines focusing on global crises: the Covid-19 pandemic, climate change, and cancer. Empirical results confirm that it is indeed possible for neural models to predict the prominent patterns of readers' reactions to previously unseen news headlines. Additionally, our user study shows that displaying machine-generated MRF implications alongside news headlines to readers can increase their trust in real news while decreasing their trust in misinformation. Our work demonstrates the feasibility and importance of pragmatic inferences on news headlines to help enhance AI-guided misinformation detection and mitigation.

Explainable NLP (ExNLP) has increasingly focused on collecting human-annotated textual explanations. These explanations are used downstream in three ways: as data augmentation to improve performance on a predictive task, as supervision to train models to produce explanations for their predictions, and as a ground-truth to evaluate model-generated explanations. In this review, we identify 65 datasets with three predominant classes of textual explanations (highlights, free-text, and structured), organize the literature on annotating each type, identify strengths and shortcomings of existing collection methodologies, and give recommendations for collecting ExNLP datasets in the future.

The COVID-19 pandemic swept across the world rapidly, infecting millions of people. An efficient tool that can accurately recognize important clinical concepts of COVID-19 from free text in electronic health records (EHRs) will be valuable to accelerate COVID-19 clinical research. To this end, this study aims at adapting the existing CLAMP natural language processing tool to quickly build COVID-19 SignSym, which can extract COVID-19 signs/symptoms and their 8 attributes (body location, severity, temporal expression, subject, condition, uncertainty, negation, and course) from clinical text. The extracted information is also mapped to standard concepts in the Observational Medical Outcomes Partnership common data model. A hybrid approach of combining deep learning-based models, curated lexicons, and pattern-based rules was applied to quickly build the COVID-19 SignSym from CLAMP, with optimized performance. Our extensive evaluation using 3 external sites with clinical notes of COVID-19 patients, as well as the online medical dialogues of COVID-19, shows COVID-19 Sign-Sym can achieve high performance across data sources. The workflow used for this study can be generalized to other use cases, where existing clinical natural language processing tools need to be customized for specific information needs within a short time. COVID-19 SignSym is freely accessible to the research community as a downloadable package (https://clamp.uth.edu/covid/nlp.php) and has been used by 16 healthcare organizations to support clinical research of COVID-19.

Audio captioning is the novel task of general audio content description using free text. It is an intermodal translation task (not speech-to-text), where a system accepts as an input an audio signal and outputs the textual description (i.e. the caption) of that signal. In this paper we present Clotho, a dataset for audio captioning consisting of 4981 audio samples of 15 to 30 seconds duration and 24 905 captions of eight to 20 words length, and a baseline method to provide initial results. Clotho is built with focus on audio content and caption diversity, and the splits of the data are not hampering the training or evaluation of methods. All sounds are from the Freesound platform, and captions are crowdsourced using Amazon Mechanical Turk and annotators from English speaking countries. Unique words, named entities, and speech transcription are removed with post-processing. Clotho is freely available online (https://zenodo.org/record/3490684).

Surprising videos, e.g., funny clips, creative performances, or visual illusions, attract significant attention. Enjoyment of these videos is not simply a response to visual stimuli; rather, it hinges on the human capacity to understand (and appreciate) commonsense violations depicted in these videos. We introduce FunQA, a challenging video question answering (QA) dataset specifically designed to evaluate and enhance the depth of video reasoning based on counter-intuitive and fun videos. Unlike most video QA benchmarks which focus on less surprising contexts, e.g., cooking or instructional videos, FunQA covers three previously unexplored types of surprising videos: 1) HumorQA, 2) CreativeQA, and 3) MagicQA. For each subset, we establish rigorous QA tasks designed to assess the model's capability in counter-intuitive timestamp localization, detailed video description, and reasoning around counter-intuitiveness. We also pose higher-level tasks, such as attributing a fitting and vivid title to the video, and scoring the video creativity. In total, the FunQA benchmark consists of 312K free-text QA pairs derived from 4.3K video clips, spanning a total of 24 video hours. Extensive experiments with existing VideoQA models reveal significant performance gaps for the FunQA videos across spatial-temporal reasoning, visual-centered reasoning, and free-text generation.

Electronic health records contain an enormous amount of valuable information, but many are recorded in free text. Information extraction is the strategy to transform the sequence of characters into structured data, which can be employed for secondary analysis. However, the traditional information extraction components, such as named entity recognition and relation extraction, require annotated data to optimize the model parameters, which has become one of the major bottlenecks in building information extraction systems. With the large language models achieving good performances on various downstream NLP tasks without parameter tuning, it becomes possible to use large language models for zero-shot information extraction. In this study, we aim to explore whether the most popular large language model, ChatGPT, can extract useful information from the radiological reports. We first design the prompt template for the interested information in the CT reports. Then, we generate the prompts by combining the prompt template with the CT reports as the inputs of ChatGPT to obtain the responses. A post-processing module is developed to transform the responses into structured extraction results. We conducted the experiments with 847 CT reports collected from Peking University Cancer Hospital. The experimental results indicate that ChatGPT can achieve competitive performances for some extraction tasks compared with the baseline information extraction system, but some limitations need to be further improved.

De-identification of electronic health records (EHR) is a vital step towards advancing health informatics research and maximising the use of available data. It is a two-step process where step one is the identification of protected health information (PHI), and step two is replacing such PHI with surrogates. Despite the recent advances in automatic de-identification of EHR, significant obstacles remain if the abundant health data available are to be used to the full potential. Accuracy in de-identification could be considered a necessary, but not sufficient condition for the use of EHR without individual patient consent. We present here a comprehensive review of the progress to date, both the impressive successes in achieving high accuracy and the significant risks and challenges that remain. To best of our knowledge, this is the first paper to present a complete picture of end-to-end automatic de-identification. We review 18 recently published automatic de-identification systems -designed to de-identify EHR in the form of free text- to show the advancements made in improving the overall accuracy of the system, and in identifying individual PHI. We argue that despite the improvements in accuracy there remain challenges in surrogate generation and replacements of identified PHIs, and the risks posed to patient protection and privacy.