Thomas Buckley

Thomas Buckley, James A. Diao, Pranav Rajpurkar et al.

Multimodal foundation models have shown compelling but conflicting performance in medical image interpretation. However, the mechanisms by which these models integrate and prioritize different data modalities, including images and text, remain poorly understood. Here, using a diverse collection of 1014 multimodal medical cases, we evaluate the unimodal and multimodal image interpretation abilities of proprietary (GPT-4, Gemini Pro 1.0) and open-source (Llama-3.2-90B, LLaVA-Med-v1.5) multimodal foundational models with and without the use of text descriptions. Across all models, image predictions were largely driven by exploiting text, with accuracy increasing monotonically with the amount of informative text. By contrast, human performance on medical image interpretation did not improve with informative text. Exploitation of text is a double-edged sword; we show that even mild suggestions of an incorrect diagnosis in text diminishes image-based classification, reducing performance dramatically in cases the model could previously answer with images alone. Finally, we conducted a physician evaluation of model performance on long-form medical cases, finding that the provision of images either reduced or had no effect on model performance when text is already highly informative. Our results suggest that multimodal AI models may be useful in medical diagnostic reasoning but that their accuracy is largely driven, for better and worse, by their exploitation of text.

Thomas Buckley, Leslie Schumm, Manor Askenazi et al.

In this paper we extend our earlier work of (Rietman et al. 2022) presenting an application of physical Reservoir Computing (RC) to the classification of handwritten and spoken digits. We utilize an unpoled cube of Lead Zirconate Titanate (PZT) as a computational substrate to process these datasets. Our results demonstrate that the PZT reservoir achieves 89.0% accuracy on MNIST handwritten digits, representing a 2.4 percentage point improvement over logistic regression baselines applied to the same preprocessed data. However, for the AudioMNIST spoken digits dataset, the reservoir system (88.2% accuracy) performs equivalently to baseline methods (88.1% accuracy), suggesting that reservoir computing provides the greatest benefits for classification tasks of intermediate difficulty where linear methods underperform but the problem remains learnable. PZT is a well-known material already used in semiconductor applications, presenting a low-power computational substrate that can be integrated with digital algorithms. Our findings indicate that physical reservoirs excel when the task difficulty exceeds the capability of simple linear classifiers but remains within the computational capacity of the reservoir dynamics.