Wenlong Deng

Ruinan Jin, Wenlong Deng, Minghui Chen et al.

In the era of Foundation Models' (FMs) rising prominence in AI, our study addresses the challenge of biases in medical images while the model operates in black-box (e.g., using FM API), particularly spurious correlations between pixels and sensitive attributes. Traditional methods for bias mitigation face limitations due to the restricted access to web-hosted FMs and difficulties in addressing the underlying bias encoded within the FM API. We propose a D(ebiased) N(oise) E(diting) strategy, termed DNE, which generates DNE noise to mask such spurious correlation. DNE is capable of mitigating bias both within the FM API embedding and the images themselves. Furthermore, DNE is suitable for both white-box and black-box FM APIs, where we introduced G(reedy) (Z)eroth-O(rder) (GeZO) optimization for it when the gradient is inaccessible in black-box APIs. Our whole pipeline enables fairness-aware image editing that can be applied across various medical contexts without requiring direct model manipulation or significant computational resources. Our empirical results demonstrate the method's effectiveness in maintaining fairness and utility across different patient groups and diseases. In the era of AI-driven medicine, this work contributes to making healthcare diagnostics more equitable, showcasing a practical solution for bias mitigation in pre-trained image FMs. Our code is provided at https://github.com/ubc-tea/DNE-foundation-model-fairness.

Beidi Zhao, Wenlong Deng, Xinting Liao et al.

While Retrieval-Augmented Generation (RAG) is one of the dominant paradigms for enhancing Large Vision-Language Models (LVLMs) on knowledge-based VQA tasks, recent work attributes RAG failures to insufficient attention towards the retrieved context, proposing to reduce the attention allocated to image tokens. In this work, we identify a distinct failure mode that previous study overlooked: Attention Distraction (AD). When the retrieved context is sufficient (highly relevant or including the correct answer), the retrieved text suppresses the visual attention globally, and the attention on image tokens shifts away from question-relevant regions. This leads to failures on questions the model could originally answer correctly without the retrieved text. To mitigate this issue, we propose MAD-RAG, a training-free intervention that decouples visual grounding from context integration through a dual-question formulation, combined with attention mixing to preserve image-conditioned evidence. Extensive experiments on OK-VQA, E-VQA, and InfoSeek demonstrate that MAD-RAG consistently outperforms existing baselines across different model families, yielding absolute gains of up to 4.76%, 9.20%, and 6.18% over the vanilla RAG baseline. Notably, MAD-RAG rectifies up to 74.68% of failure cases with negligible computational overhead.

Running Yang, Wenlong Deng, Minghui Chen et al.

Clinical tasks such as diagnosis and treatment require strong decision-making abilities, highlighting the importance of rigorous evaluation benchmarks to assess the reliability of large language models (LLMs). In this work, we introduce a knowledge-guided data augmentation framework that enhances the difficulty of clinical multiple-choice question (MCQ) datasets by generating distractors (i.e., incorrect choices that are similar to the correct one and may confuse existing LLMs). Using our KG-based pipeline, the generated choices are both clinically plausible and deliberately misleading. Our approach involves multi-step, semantically informed walks on a medical knowledge graph to identify distractor paths-associations that are medically relevant but factually incorrect-which then guide the LLM in crafting more deceptive distractors. We apply the designed knowledge graph guided distractor generation (KGGDG) pipline, to six widely used medical QA benchmarks and show that it consistently reduces the accuracy of state-of-the-art LLMs. These findings establish KGGDG as a powerful tool for enabling more robust and diagnostic evaluations of medical LLMs.

Minghui Chen, Wenlong Deng, James Zou et al.

Large language models (LLMs) are increasingly deployed as part of compound AI systems that coordinate multiple modules (e.g., retrievers, tools, verifiers) over long-horizon workflows. Recent approaches that propagate textual feedback globally (e.g., TextGrad) make it feasible to optimize such pipelines, but we find that performance degrades as system depth grows. In particular, long-horizon agentic workflows exhibit two depth-scaling failure modes: 1) exploding textual gradient, where textual feedback grows exponentially with depth, leading to prohibitively long message and amplifies evaluation biases; and 2) vanishing textual gradient, where limited long-context ability causes models overemphasize partial feedback and compression of lengthy feedback causes downstream messages to lose specificity gradually as they propagate many hops upstream. To mitigate these issues, we introduce Textual Equilibrium Propagation (TEP), a local learning principle inspired by Equilibrium Propagation in energy-based models. TEP includes two phases: 1) a free phase where a local LLM critics iteratively refine prompts until reaching equilibrium (no further improvements are suggested); and 2) a nudged phase which applies proximal prompt edits with bounded modification intensity, using task-level objectives that propagate via forward signaling rather than backward feedback chains. This design supports local prompt optimization followed by controlled adaptation toward global goals without the computational burden and signal degradation of global textual backpropagation. Across long-horizon QA benchmarks and multi-agent tool-use dataset, TEP consistently improves accuracy and efficiency over global propagation methods such as TextGrad. The gains grows with depth, while preserving the practicality of black-box LLM components in deep compound AI system.