Ruibo Hou

Shiyu Teng, Jiaqing Liu, Hao Sun et al.

Depression remains widely underdiagnosed and undertreated because stigma and subjective symptom ratings hinder reliable screening. To address this challenge, we propose a coarse-to-fine, multi-stage framework that leverages large language models (LLMs) for accurate and interpretable detection. The pipeline performs binary screening, five-class severity classification, and continuous regression. At each stage, an LLM produces progressively richer clinical summaries that guide a multimodal fusion module integrating text, audio, and video features, yielding predictions with transparent rationale. The system then consolidates all summaries into a concise, human-readable assessment report. Experiments on the E-DAIC and CMDC datasets show significant improvements over state-of-the-art baselines in both accuracy and interpretability.

Yunpu Zhao, Rui Zhang, Junbin Xiao et al.

Large Vision-Language Models (LVLMs) have shown significant capability in vision-language understanding. However, one critical issue that persists in these models is sycophancy, where models are unduly influenced by leading or deceptive prompts, resulting in biased outputs and hallucinations. Despite the rapid development of LVLMs, evaluating and mitigating sycophancy remains largely under-explored. In this work, we fill this gap by systematically analyzing sycophancy across multiple vision-language benchmarks and propose an inference-time mitigation framework. We curate leading queries and quantify the susceptibility of state-of-the-art LVLMs to prompt-induced bias, revealing consistent performance degradation and instability across models and tasks. Our analysis further uncovers model-specific behavioral traits, such as sentiment sensitivity and prediction polarity shifts under sycophancy. To mitigate these issues, we propose a training-free, model-agnostic framework that operates entirely at inference time. Our approach first employs a query neutralizer, leveraging an language model to suppress implicit sycophantic bias in user queries. We then introduce a sycophancy-aware contrastive decoding mechanism that dynamically recalibrates token-level output distributions by contrasting responses to neutralized and leading queries. Finally, an adaptive logits refinement module further modifies the contrasted logits by integrating both a adaptive plausibility filter and query sentiment scaler, ensuring coherent and robust generation. Extensive experiments demonstrate that this framework effectively mitigates sycophancy across all evaluated models, while maintaining performance on neutral prompts. Our results suggest that sycophancy in LVLMs is a general and urgent challenge, and that inference-time strategies offer a promising path toward trustworthy multimodal reasoning.

Shurong Chai, Rahul Kumar JAIN, Rui Xu et al.

Deep learning relies heavily on data augmentation to mitigate limited data, especially in medical imaging. Recent multimodal learning integrates text and images for segmentation, known as referring or text-guided image segmentation. However, common augmentations like rotation and flipping disrupt spatial alignment between image and text, weakening performance. To address this, we propose an early fusion framework that combines text and visual features before augmentation, preserving spatial consistency. We also design a lightweight generator that projects text embeddings into visual space, bridging semantic gaps. Visualization of generated pseudo-images shows accurate region localization. Our method is evaluated on three medical imaging tasks and four segmentation frameworks, achieving state-of-the-art results. Code is publicly available on GitHub: https://github.com/11yxk/MedSeg_EarlyFusion.

Xiaoyu Shi, Rahul Kumar Jain, Yinhao Li et al.

Deep learning has demonstrated remarkable success in medical image segmentation and computer-aided diagnosis. In particular, numerous advanced methods have achieved state-of-the-art performance in brain tumor segmentation from MRI scans. While recent studies in other medical imaging domains have revealed that integrating textual reports with visual data can enhance segmentation accuracy, the field of brain tumor analysis lacks a comprehensive dataset that combines radiological images with corresponding textual annotations. This limitation has hindered the exploration of multimodal approaches that leverage both imaging and textual data. To bridge this critical gap, we introduce the TextBraTS dataset, the first publicly available volume-level multimodal dataset that contains paired MRI volumes and rich textual annotations, derived from the widely adopted BraTS2020 benchmark. Building upon this novel dataset, we propose a novel baseline framework and sequential cross-attention method for text-guided volumetric medical image segmentation. Through extensive experiments with various text-image fusion strategies and templated text formulations, our approach demonstrates significant improvements in brain tumor segmentation accuracy, offering valuable insights into effective multimodal integration techniques. Our dataset, implementation code, and pre-trained models are publicly available at https://github.com/Jupitern52/TextBraTS.

Hengjie Liu, Ruibo Hou, Yves Lepage

Back translation, as a technique for extending a dataset, is widely used by researchers in low-resource language translation tasks. It typically translates from the target to the source language to ensure high-quality translation results. This paper proposes a novel way of utilizing a monolingual corpus on the source side to assist Neural Machine Translation (NMT) in low-resource settings. We realize this concept by employing a Generative Adversarial Network (GAN), which augments the training data for the discriminator while mitigating the interference of low-quality synthetic monolingual translations with the generator. Additionally, this paper integrates Translation Memory (TM) with NMT, increasing the amount of data available to the generator. Moreover, we propose a novel procedure to filter the synthetic sentence pairs during the augmentation process, ensuring the high quality of the data.

Shiyu Teng, Jiaqing Liu, Rahul Kumar Jain et al.

Depression is one of the leading causes of disability worldwide, posing a severe burden on individuals, healthcare systems, and society at large. Recent advancements in Large Language Models (LLMs) have shown promise in addressing mental health challenges, including the detection of depression through text-based analysis. However, current LLM-based methods often struggle with nuanced symptom identification and lack a transparent, step-by-step reasoning process, making it difficult to accurately classify and explain mental health conditions. To address these challenges, we propose a Chain-of-Thought Prompting approach that enhances both the performance and interpretability of LLM-based depression detection. Our method breaks down the detection process into four stages: (1) sentiment analysis, (2) binary depression classification, (3) identification of underlying causes, and (4) assessment of severity. By guiding the model through these structured reasoning steps, we improve interpretability and reduce the risk of overlooking subtle clinical indicators. We validate our method on the E-DAIC dataset, where we test multiple state-of-the-art large language models. Experimental results indicate that our Chain-of-Thought Prompting technique yields superior performance in both classification accuracy and the granularity of diagnostic insights, compared to baseline approaches.

Yunpu Zhao, Rui Zhang, Junbin Xiao et al.

Vision-language models (VLMs) excel in various multimodal tasks but frequently suffer from poor calibration, resulting in misalignment between their verbalized confidence and response correctness. This miscalibration undermines user trust, especially when models confidently provide incorrect or fabricated information. In this work, we propose a novel Confidence Calibration through Semantic Perturbation (CSP) framework to improve the calibration of verbalized confidence for VLMs in response to object-centric queries. We first introduce a perturbed dataset where Gaussian noise is applied to the key object regions to simulate visual uncertainty at different confidence levels, establishing an explicit mapping between visual ambiguity and confidence levels. We further enhance calibration through a two-stage training process combining supervised fine-tuning on the perturbed dataset with subsequent preference optimization. Extensive experiments on popular benchmarks demonstrate that our method significantly improves the alignment between verbalized confidence and response correctness while maintaining or enhancing overall task performance. These results highlight the potential of semantic perturbation as a practical tool for improving the reliability and interpretability of VLMs.

Ruibo Hou, Shiyu Teng, Jiaqing Liu et al.

Multimodal deep learning has shown promise in depression detection by integrating text, audio, and video signals. Recent work leverages sentiment analysis to enhance emotional understanding, yet suffers from high computational cost, domain mismatch, and static knowledge limitations. To address these issues, we propose a novel Retrieval-Augmented Generation (RAG) framework. Given a depression-related text, our method retrieves semantically relevant emotional content from a sentiment dataset and uses a Large Language Model (LLM) to generate an Emotion Prompt as an auxiliary modality. This prompt enriches emotional representation and improves interpretability. Experiments on the AVEC 2019 dataset show our approach achieves state-of-the-art performance with CCC of 0.593 and MAE of 3.95, surpassing previous transfer learning and multi-task learning baselines.

Peng Xia, Ze Chen, Juanxi Tian et al.

Artificial intelligence has significantly impacted medical applications, particularly with the advent of Medical Large Vision Language Models (Med-LVLMs), sparking optimism for the future of automated and personalized healthcare. However, the trustworthiness of Med-LVLMs remains unverified, posing significant risks for future model deployment. In this paper, we introduce CARES and aim to comprehensively evaluate the Trustworthiness of Med-LVLMs across the medical domain. We assess the trustworthiness of Med-LVLMs across five dimensions, including trustfulness, fairness, safety, privacy, and robustness. CARES comprises about 41K question-answer pairs in both closed and open-ended formats, covering 16 medical image modalities and 27 anatomical regions. Our analysis reveals that the models consistently exhibit concerns regarding trustworthiness, often displaying factual inaccuracies and failing to maintain fairness across different demographic groups. Furthermore, they are vulnerable to attacks and demonstrate a lack of privacy awareness. We publicly release our benchmark and code in https://cares-ai.github.io/.