Zengmao Wang

Haoshen Wang, Lei Chen, Wei-Hua Zhang et al.

Cone beam computed tomography (CBCT)-guided puncture has become an established approach for diagnosing and treating early- to mid-stage thoracic tumours, yet the associated radiation exposure substantially elevates the risk of secondary malignancies. Although multiple low-dose CBCT strategies have been introduced, none have undergone validation using large-scale multicenter retrospective datasets, and prospective clinical evaluation remains lacking. Here, we propose DeepPriorCBCT - a three-stage deep learning framework that achieves diagnostic-grade reconstruction using only one-sixth of the conventional radiation dose. 4102 patients with 8675 CBCT scans from 12 centers were included to develop and validate DeepPriorCBCT. Additionally, a prospective cross-over trial (Registry number: NCT07035977) which recruited 138 patients scheduled for percutaneous thoracic puncture was conducted to assess the model's clinical applicability. Assessment by 11 physicians confirmed that reconstructed images were indistinguishable from original scans. Moreover, diagnostic performance and overall image quality were comparable to those generated by standard reconstruction algorithms. In the prospective trial, five radiologists reported no significant differences in image quality or lesion assessment between DeepPriorCBCT and the clinical standard (all P>0.05). Likewise, 25 interventionalists expressed no preference between model-based and full-sampling images for surgical guidance (Kappa<0.2). Radiation exposure with DeepPriorCBCT was reduced to approximately one-sixth of that with the conventional approach, and collectively, the findings confirm that it enables high-quality CBCT reconstruction under sparse sampling conditions while markedly decreasing intraoperative radiation risk.

Zhanke Zhou, Rong Tao, Jianing Zhu et al.

This paper investigates an under-explored challenge in large language models (LLMs): chain-of-thought prompting with noisy rationales, which include irrelevant or inaccurate reasoning thoughts within examples used for in-context learning. We construct NoRa dataset that is tailored to evaluate the robustness of reasoning in the presence of noisy rationales. Our findings on NoRa dataset reveal a prevalent vulnerability to such noise among current LLMs, with existing robust methods like self-correction and self-consistency showing limited efficacy. Notably, compared to prompting with clean rationales, base LLM drops by 1.4%-19.8% in accuracy with irrelevant thoughts and more drastically by 2.2%-40.4% with inaccurate thoughts. Addressing this challenge necessitates external supervision that should be accessible in practice. Here, we propose the method of contrastive denoising with noisy chain-of-thought (CD-CoT). It enhances LLMs' denoising-reasoning capabilities by contrasting noisy rationales with only one clean rationale, which can be the minimal requirement for denoising-purpose prompting. This method follows a principle of exploration and exploitation: (1) rephrasing and selecting rationales in the input space to achieve explicit denoising and (2) exploring diverse reasoning paths and voting on answers in the output space. Empirically, CD-CoT demonstrates an average improvement of 17.8% in accuracy over the base model and shows significantly stronger denoising capabilities than baseline methods. The source code is publicly available at: https://github.com/tmlr-group/NoisyRationales.

Chaoyang Zhou, Shunyu Liu, Zengmao Wang et al.

Reward models are critical for improving large language models (LLMs), particularly in reinforcement learning from human feedback (RLHF) or inference-time verification. Current reward modeling typically relies on scores of overall responses to learn the outcome rewards for the responses. However, since the response-level scores are coarse-grained supervision signals, the reward model struggles to identify the specific components within a response trajectory that truly correlate with the scores, leading to poor generalization on unseen responses. In this paper, we propose to leverage generation probabilities to establish reward consistency between processes in the response trajectory, which allows the response-level supervisory signal to propagate across processes, thereby providing additional fine-grained signals for reward learning. Building on analysis under the Bayesian framework, we develop an intra-trajectory consistency regularization to enforce that adjacent processes with higher next-token generation probability maintain more consistent rewards. We apply the proposed regularization to the advanced outcome reward model, improving its performance on RewardBench. Besides, we show that the reward model trained with the proposed regularization induces better DPO-aligned policies and achieves better best-of-N (BON) inference-time verification results. Our code is provided in https://github.com/chaoyang101/ICRM.