Wang Li

Iman Azimi, Mohan Qi, Li Wang et al.

Large language models (LLMs) are fundamentally transforming human-facing applications in the health and well-being domains: boosting patient engagement, accelerating clinical decision-making, and facilitating medical education. Although state-of-the-art LLMs have shown superior performance in several conversational applications, evaluations within nutrition and diet applications are still insufficient. In this paper, we propose to employ the Registered Dietitian (RD) exam to conduct a standard and comprehensive evaluation of state-of-the-art LLMs, GPT-4o, Claude 3.5 Sonnet, and Gemini 1.5 Pro, assessing both accuracy and consistency in nutrition queries. Our evaluation includes 1050 RD exam questions encompassing several nutrition topics and proficiency levels. In addition, for the first time, we examine the impact of Zero-Shot (ZS), Chain of Thought (CoT), Chain of Thought with Self Consistency (CoT-SC), and Retrieval Augmented Prompting (RAP) on both accuracy and consistency of the responses. Our findings revealed that while these LLMs obtained acceptable overall performance, their results varied considerably with different prompts and question domains. GPT-4o with CoT-SC prompting outperformed the other approaches, whereas Gemini 1.5 Pro with ZS recorded the highest consistency. For GPT-4o and Claude 3.5, CoT improved the accuracy, and CoT-SC improved both accuracy and consistency. RAP was particularly effective for GPT-4o to answer Expert level questions. Consequently, choosing the appropriate LLM and prompting technique, tailored to the proficiency level and specific domain, can mitigate errors and potential risks in diet and nutrition chatbots.

Xueyao Zhang, Chaoren Wang, Huan Liao et al.

Aligning large generative models with human feedback is a critical challenge. In speech synthesis, this is particularly pronounced due to the lack of a large-scale human preference dataset, which hinders the development of models that truly align with human perception. To address this, we introduce SpeechJudge, a comprehensive suite comprising a dataset, a benchmark, and a reward model centered on naturalness--one of the most fundamental subjective metrics for speech synthesis. First, we present SpeechJudge-Data, a large-scale human feedback corpus of 99K speech pairs. The dataset is constructed using a diverse set of advanced zero-shot text-to-speech (TTS) models across diverse speech styles and multiple languages, with human annotations for both intelligibility and naturalness preference. From this, we establish SpeechJudge-Eval, a challenging benchmark for speech naturalness judgment. Our evaluation reveals that existing metrics and AudioLLMs struggle with this task; the leading model, Gemini-2.5-Flash, achieves less than 70% agreement with human judgment, highlighting a significant gap for improvement. To bridge this gap, we develop SpeechJudge-GRM, a generative reward model (GRM) based on Qwen2.5-Omni-7B. It is trained on SpeechJudge-Data via a two-stage post-training process: Supervised Fine-Tuning (SFT) with Chain-of-Thought rationales followed by Reinforcement Learning (RL) with GRPO on challenging cases. On the SpeechJudge-Eval benchmark, the proposed SpeechJudge-GRM demonstrates superior performance, achieving 77.2% accuracy (and 79.4% after inference-time scaling @10) compared to a classic Bradley-Terry reward model (72.7%). Furthermore, SpeechJudge-GRM can be also employed as a reward function during the post-training of speech generation models to facilitate their alignment with human preferences.

Weizhi Liu, Xi Chen, Zekun Jiang et al.

Knee osteoarthritis (KOA) affects more than 600 million individuals globally and is associated with significant pain, functional impairment, and disability. While personalized multidisciplinary interventions have the potential to slow disease progression and enhance quality of life, they typically require substantial medical resources and expertise, making them difficult to implement in resource-limited settings. To address this challenge, we developed KOM, a multi-agent system designed to automate KOA evaluation, risk prediction, and treatment prescription. This system assists clinicians in performing essential tasks across the KOA care pathway and supports the generation of tailored management plans based on individual patient profiles, disease status, risk factors, and contraindications. In benchmark experiments, KOM demonstrated superior performance compared to several general-purpose large language models in imaging analysis and prescription generation. A randomized three-arm simulation study further revealed that collaboration between KOM and clinicians reduced total diagnostic and planning time by 38.5% and resulted in improved treatment quality compared to each approach used independently. These findings indicate that KOM could help facilitate automated KOA management and, when integrated into clinical workflows, has the potential to enhance care efficiency. The modular architecture of KOM may also offer valuable insights for developing AI-assisted management systems for other chronic conditions.