Xin Su

Kuo Yang, Zecong Yu, Xin Su et al. · tsinghua

Treatment planning for chronic diseases is a critical task in medical artificial intelligence, particularly in traditional Chinese medicine (TCM). However, generating optimized sequential treatment strategies for patients with chronic diseases in different clinical encounters remains a challenging issue that requires further exploration. In this study, we proposed a TCM herbal prescription planning framework based on deep reinforcement learning for chronic disease treatment (PrescDRL). PrescDRL is a sequential herbal prescription optimization model that focuses on long-term effectiveness rather than achieving maximum reward at every step, thereby ensuring better patient outcomes. We constructed a high-quality benchmark dataset for sequential diagnosis and treatment of diabetes and evaluated PrescDRL against this benchmark. Our results showed that PrescDRL achieved a higher curative effect, with the single-step reward improving by 117% and 153% compared to doctors. Furthermore, PrescDRL outperformed the benchmark in prescription prediction, with precision improving by 40.5% and recall improving by 63%. Overall, our study demonstrates the potential of using artificial intelligence to improve clinical intelligent diagnosis and treatment in TCM.

Neale Ratzlaff, Man Luo, Xin Su et al.

Multimodal models typically combine a powerful large language model (LLM) with a vision encoder and are then trained on multimodal data via instruction tuning. While this process adapts LLMs to multimodal settings, it remains unclear whether this adaptation compromises their original language reasoning capabilities. In this work, we explore the effects of multimodal instruction tuning on language reasoning performance. We focus on LLaVA, a leading multimodal framework that integrates LLMs such as Vicuna or Mistral with the CLIP vision encoder. We compare the performance of the original LLMs with their multimodal-adapted counterparts across eight language reasoning tasks. Our experiments yield several key insights. First, the impact of multimodal learning varies between Vicuna and Mistral: we observe a degradation in language reasoning for Mistral but improvements for Vicuna across most tasks. Second, while multimodal instruction learning consistently degrades performance on mathematical reasoning tasks (e.g., GSM8K), it enhances performance on commonsense reasoning tasks (e.g., CommonsenseQA). Finally, we demonstrate that a training-free model merging technique can effectively mitigate the language reasoning degradation observed in multimodal-adapted Mistral and even improve performance on visual tasks.