Sean M. Wu

Sean Wu, Michael Koo, Lesley Blum et al.

In recent years, there have been significant breakthroughs in the field of natural language processing, particularly with the development of large language models (LLMs). These LLMs have showcased remarkable capabilities on various benchmarks. In the healthcare field, the exact role LLMs and other future AI models will play remains unclear. There is a potential for these models in the future to be used as part of adaptive physician training, medical co-pilot applications, and digital patient interaction scenarios. The ability of AI models to participate in medical training and patient care will depend in part on their mastery of the knowledge content of specific medical fields. This study investigated the medical knowledge capability of LLMs, specifically in the context of internal medicine subspecialty multiple-choice test-taking ability. We compared the performance of several open-source LLMs (Koala 7B, Falcon 7B, Stable-Vicuna 13B, and Orca Mini 13B), to GPT-4 and Claude 2 on multiple-choice questions in the field of Nephrology. Nephrology was chosen as an example of a particularly conceptually complex subspecialty field within internal medicine. The study was conducted to evaluate the ability of LLM models to provide correct answers to nephSAP (Nephrology Self-Assessment Program) multiple-choice questions. The overall success of open-sourced LLMs in answering the 858 nephSAP multiple-choice questions correctly was 17.1% - 25.5%. In contrast, Claude 2 answered 54.4% of the questions correctly, whereas GPT-4 achieved a score of 73.3%. We show that current widely used open-sourced LLMs do poorly in their ability for zero-shot reasoning when compared to GPT-4 and Claude 2. The findings of this study potentially have significant implications for the future of subspecialty medical training and patient care.

Shangrong Wu, Yanghong Zhou, Yang Chen et al.

Image retrieval remains a fundamental yet challenging problem in computer vision. While recent advances in Multimodal Large Language Models (MLLMs) have demonstrated strong reasoning capabilities, existing methods typically employ them only for evaluation, without involving them directly in the ranking process. As a result, their rich multimodal reasoning abilities remain underutilized, leading to suboptimal performance. In this paper, we propose a novel Chain-of-Thought Re-Ranking (CoTRR) method to address this issue. Specifically, we design a listwise ranking prompt that enables MLLM to directly participate in re-ranking candidate images. This ranking process is grounded in an image evaluation prompt, which assesses how well each candidate aligns with users query. By allowing MLLM to perform listwise reasoning, our method supports global comparison, consistent reasoning, and interpretable decision-making - all of which are essential for accurate image retrieval. To enable structured and fine-grained analysis, we further introduce a query deconstruction prompt, which breaks down the original query into multiple semantic components. Extensive experiments on five datasets demonstrate the effectiveness of our CoTRR method, which achieves state-of-the-art performance across three image retrieval tasks, including text-to-image retrieval (TIR), composed image retrieval (CIR) and chat-based image retrieval (Chat-IR). Our code is available at https://github.com/freshfish15/CoTRR .