Vishal Patel

Jean Feng, Vishal Patel, Patrick Heagerty et al.

Physicians now pose millions of clinical questions to AI tools each week, yet these tools are evaluated largely on hypothetical or exam-style questions, not those actually asked in practice. We report a blinded evaluation built on 620 Real-world Point-Of-Care Queries (Real-POCQi) submitted to the OpenEvidence (OE) platform by physicians spanning 30 specialties, as well as 187 questions from HealthBench. 149 practicing physicians across 36 states made head-to-head comparisons between answers from three frontier general-purpose models (Claude Opus 4.8, Gemini 3.1 Pro, and GPT-5.5) and a specialized clinical tool (OE), with graders matched to each question's specialty. When comparing answers along five dimensions relevant to clinical decision support -- accuracy, clinical utility, source quality, verifiability, & completeness -- physicians scored the specialized tool highest on all axes; in the primary analysis on Real-POCQi, win differences (margins between win and loss rates) ranged from 25 to 39 percentage points (p<0.001). Results remained consistent in sensitivity analyses stratifying by citation display, answer length, OE-user status, and Real-POCQi versus HealthBench. In parallel, LLM judges were found to systematically differ from expert judges, though both generally agreed on the best model. These findings underscore two conclusions: (i) AI tool evaluations should reflect real-world query distributions and use expert judges that mirror the specialization defining modern medicine and (ii) the consistent advantage of the specialized tool over general-purpose models does not necessarily mean that the latter cannot serve similar purposes, but that targeted engineering and customization can yield meaningful gains in performance for its users. We release Real-POCQi as a public benchmark, as well as the prespecified statistical analysis for reproducing results of this study.

Jameel Hassan, Yasiru Ranasinghe, Vishal Patel

3D Gaussian Splatting (3DGS) has emerged at the forefront of 3D scene reconstruction. Extending 3DGS with language-driven, open-vocabulary understanding has gained significant attention for real-world applications such as embodied AI. Recent methods achieve this by learning an instance feature attribute and assigning semantics by distilling high-dimensional Contrastive Language-Image Pretraining (CLIP) features directly into the scene representation. However, the instance grouping mechanisms of these methods either require a predefined number of instances or suffer from noise in their bottom-up grouping strategies. Furthermore, the reliance on CLIP restricts semantic understanding to simple noun phrases, preventing complex spatial reasoning and referential expression grounding. We present GaussDet, a method that circumvents the need for dense CLIP features by leveraging discrete, open-vocabulary 2D object detectors with referring expression capabilities. We learn instance features for individual Gaussians to decompose the scene into 3D instance groups. By rendering these groups and aggregating semantic votes from multi-view 2D detections, we generate a robust View-Aggregated Semantic Label Distribution (VASD) for each 3D instance. This view-aggregation strategy acts as a strong regularizer, attenuating spurious labels caused by low-quality instance grouping. Our approach enables a straightforward, zero-shot extension from simple language queries to complex referential grounding. Extensive evaluations across two key tasks -- open-vocabulary segmentation (LeRF-OVS, ScanNet) and referring expression grounding (Ref-LeRF) -- demonstrate that GaussDet achieves consistent improvements over existing methods. Most notably, we achieve a substantial 16.7% mIoU improvement in referential grounding within a strict zero-shot setting.