Yi Su

Wenhui Zhu, Xin Li, Xiwen Chen et al.

Recently, Multimodal Large Language Models (MLLMs) have gained significant attention for their remarkable ability to process and analyze non-textual data, such as images, videos, and audio. Notably, several adaptations of general-domain MLLMs to the medical field have been explored, including LLaVA-Med. However, these medical adaptations remain insufficiently advanced in understanding and interpreting retinal images. In contrast, medical experts emphasize the importance of quantitative analyses for disease detection and interpretation. This underscores a gap between general-domain and medical-domain MLLMs: while general-domain MLLMs excel in broad applications, they lack the specialized knowledge necessary for precise diagnostic and interpretative tasks in the medical field. To address these challenges, we introduce \textit{RetinalGPT}, a multimodal conversational assistant for clinically preferred quantitative analysis of retinal images. Specifically, we achieve this by compiling a large retinal image dataset, developing a novel data pipeline, and employing customized visual instruction tuning to enhance both retinal analysis and enrich medical knowledge. In particular, RetinalGPT outperforms MLLM in the generic domain by a large margin in the diagnosis of retinal diseases in 8 benchmark retinal datasets. Beyond disease diagnosis, RetinalGPT features quantitative analyses and lesion localization, representing a pioneering step in leveraging LLMs for an interpretable and end-to-end clinical research framework. The code is available at https://github.com/Retinal-Research/RetinalGPT

Wenhui Zhu, Xuanzhao Dong, Xin Li et al.

Recently, reinforcement learning (RL)-based tuning has shifted the trajectory of Multimodal Large Language Models (MLLMs), particularly following the introduction of Group Relative Policy Optimization (GRPO). However, directly applying it to medical tasks remains challenging for achieving clinically grounded model behavior. Motivated by the need to align model response with clinical expectations, we investigate four critical dimensions that affect the effectiveness of RL-based tuning in medical visual question answering (VQA): base model initialization strategy, the role of medical semantic alignment, the impact of length-based rewards on long-chain reasoning, and the influence of bias. We conduct extensive experiments to analyze these factors for medical MLLMs, providing new insights into how models are domain-specifically fine-tuned. Additionally, our results also demonstrate that GRPO-based RL tuning consistently outperforms standard supervised fine-tuning (SFT) in both accuracy and reasoning quality.

Yi Su, Magd Bayoumi, Thorsten Joachims

Based on the success of recommender systems in e-commerce, there is growing interest in their use in matching markets (e.g., labor). While this holds potential for improving market fluidity and fairness, we show in this paper that naively applying existing recommender systems to matching markets is sub-optimal. Considering the standard process where candidates apply and then get evaluated by employers, we present a new recommendation framework to model this interaction mechanism and propose efficient algorithms for computing personalized rankings in this setting. We show that the optimal rankings need to not only account for the potentially divergent preferences of candidates and employers, but they also need to account for capacity constraints. This makes conventional ranking systems that merely rank by some local score (e.g., one-sided or reciprocal relevance) highly sub-optimal -- not only for an individual user, but also for societal goals (e.g., low unemployment). To address this shortcoming, we propose the first method for jointly optimizing the rankings for all candidates in the market to explicitly maximize social welfare. In addition to the theoretical derivation, we evaluate the method both on simulated environments and on data from a real-world networking-recommendation system that we built and fielded at a large computer science conference.