Hongkuan Zhang

Hongkuan Zhang, Saku Sugawara, Akiko Aizawa et al.

Image captioning models require the high-level generalization ability to describe the contents of various images in words. Most existing approaches treat the image-caption pairs equally in their training without considering the differences in their learning difficulties. Several image captioning approaches introduce curriculum learning methods that present training data with increasing levels of difficulty. However, their difficulty measurements are either based on domain-specific features or prior model training. In this paper, we propose a simple yet efficient difficulty measurement for image captioning using cross-modal similarity calculated by a pretrained vision-language model. Experiments on the COCO and Flickr30k datasets show that our proposed approach achieves superior performance and competitive convergence speed to baselines without requiring heuristics or incurring additional training costs. Moreover, the higher model performance on difficult examples and unseen data also demonstrates the generalization ability.

Hongkuan Zhang, Edward Whittaker, Ikuo Kitagishi

Digitization of scanned receipts aims to extract text from receipt images and save it into structured documents. This is usually split into two sub-tasks: text localization and optical character recognition (OCR). Most existing OCR models only focus on the cropped text instance images, which require the bounding box information provided by a text region detection model. Introducing an additional detector to identify the text instance images in advance adds complexity, however instance-level OCR models have very low accuracy when processing the whole image for the document-level OCR, such as receipt images containing multiple text lines arranged in various layouts. To this end, we propose a localization-free document-level OCR model for transcribing all the characters in a receipt image into an ordered sequence end-to-end. Specifically, we finetune the pretrained instance-level model TrOCR with randomly cropped image chunks, and gradually increase the image chunk size to generalize the recognition ability from instance images to full-page images. In our experiments on the SROIE receipt OCR dataset, the model finetuned with our strategy achieved 64.4 F1-score and a 22.8% character error rate (CER), respectively, which outperforms the baseline results with 48.5 F1-score and 50.6% CER. The best model, which splits the full image into 15 equally sized chunks, gives 87.8 F1-score and 4.98% CER with minimal additional pre or post-processing of the output. Moreover, the characters in the generated document-level sequences are arranged in the reading order, which is practical for real-world applications.

Wenhao Li, Hongkuan Zhang, Hongwei Zhang et al.

Current medical language models, adapted from large language models (LLMs), typically predict ICD code-based diagnosis from electronic health records (EHRs) because these labels are readily available. However, ICD codes do not capture the nuanced, context-rich reasoning clinicians use for diagnosis. Clinicians synthesize diverse patient data and reference clinical practice guidelines (CPGs) to make evidence-based decisions. This misalignment limits the clinical utility of existing models. We introduce GARMLE-G, a Generation-Augmented Retrieval framework that grounds medical language model outputs in authoritative CPGs. Unlike conventional Retrieval-Augmented Generation based approaches, GARMLE-G enables hallucination-free outputs by directly retrieving authoritative guideline content without relying on model-generated text. It (1) integrates LLM predictions with EHR data to create semantically rich queries, (2) retrieves relevant CPG knowledge snippets via embedding similarity, and (3) fuses guideline content with model output to generate clinically aligned recommendations. A prototype system for hypertension diagnosis was developed and evaluated on multiple metrics, demonstrating superior retrieval precision, semantic relevance, and clinical guideline adherence compared to RAG-based baselines, while maintaining a lightweight architecture suitable for localized healthcare deployment. This work provides a scalable, low-cost, and hallucination-free method for grounding medical language models in evidence-based clinical practice, with strong potential for broader clinical deployment.