Simran Tiwari

Shamanth Kuthpadi Seethakantha, Dung Ngoc Thai, Vara Prasad Gudi et al.

Large language models (LLMs) have shown promise on summarization tasks, but they often produce hallucinations, which are unsupported or incorrect statements that limit their reliability in specialized healthcare applications. We introduce \itermodelfull (\itermodel), an inference-time method that leverages hallucination detectors to guide iterative summary revisions toward factual corrections. Building on this, we propose \itermodel for Preference Learning (\model), which converts detector-guided refinement trajectories into preference pairs for model finetuning. Extensive experiments show that our methods substantially reduce hallucinations for Llama and Gemma models in summarizing real-world clinical notes from \MimicIV. For example, \itermodel reduces 24\% and \model reduces 48\% hallucinations in Llama-3.1-8B-Instruct. Importantly, both methods preserve summary fluency, coherence, and relevance according to human expert and LLM-Jury evaluations. Together, these results demonstrate that detection-informed refinement and preference learning offer an automated solution for improving factual faithfulness in clinical summarization.

Xudong Lin, Simran Tiwari, Shiyuan Huang et al.

Multi-channel video-language retrieval require models to understand information from different channels (e.g. video$+$question, video$+$speech) to correctly link a video with a textual response or query. Fortunately, contrastive multimodal models are shown to be highly effective at aligning entities in images/videos and text, e.g., CLIP; text contrastive models are extensively studied recently for their strong ability of producing discriminative sentence embeddings, e.g., SimCSE. However, there is not a clear way to quickly adapt these two lines to multi-channel video-language retrieval with limited data and resources. In this paper, we identify a principled model design space with two axes: how to represent videos and how to fuse video and text information. Based on categorization of recent methods, we investigate the options of representing videos using continuous feature vectors or discrete text tokens; for the fusion method, we explore the use of a multimodal transformer or a pretrained contrastive text model. We extensively evaluate the four combinations on five video-language datasets. We surprisingly find that discrete text tokens coupled with a pretrained contrastive text model yields the best performance, which can even outperform state-of-the-art on the iVQA and How2QA datasets without additional training on millions of video-text data. Further analysis shows that this is because representing videos as text tokens captures the key visual information and text tokens are naturally aligned with text models that are strong retrievers after the contrastive pretraining process. All the empirical analysis establishes a solid foundation for future research on affordable and upgradable multimodal intelligence.

Shivani Shekhar, Simran Tiwari, T. C. Rensink et al.

The application of Artificial Intelligence (AI) in healthcare has been revolutionary, especially with the recent advancements in transformer-based Large Language Models (LLMs). However, the task of understanding unstructured electronic medical records remains a challenge given the nature of the records (e.g., disorganization, inconsistency, and redundancy) and the inability of LLMs to derive reasoning paradigms that allow for comprehensive understanding of medical variables. In this work, we examine the power of coupling symbolic reasoning with language modeling toward improved understanding of unstructured clinical texts. We show that such a combination improves the extraction of several medical variables from unstructured records. In addition, we show that the state-of-the-art commercially-free LLMs enjoy retrieval capabilities comparable to those provided by their commercial counterparts. Finally, we elaborate on the need for LLM steering through the application of symbolic reasoning as the exclusive use of LLMs results in the lowest performance.

Dung Ngoc Thai, Victor Ardulov, Jose Ulises Mena et al.

Identifying patient cohorts is fundamental to numerous healthcare tasks, including clinical trial recruitment and retrospective studies. Current cohort retrieval methods in healthcare organizations rely on automated queries of structured data combined with manual curation, which are time-consuming, labor-intensive, and often yield low-quality results. Recent advancements in large language models (LLMs) and information retrieval (IR) offer promising avenues to revolutionize these systems. Major challenges include managing extensive eligibility criteria and handling the longitudinal nature of unstructured Electronic Medical Records (EMRs) while ensuring that the solution remains cost-effective for real-world application. This paper introduces a new task, Automatic Cohort Retrieval (ACR), and evaluates the performance of LLMs and commercial, domain-specific neuro-symbolic approaches. We provide a benchmark task, a query dataset, an EMR dataset, and an evaluation framework. Our findings underscore the necessity for efficient, high-quality ACR systems capable of longitudinal reasoning across extensive patient databases.