Ashwin Kumar

Ashwin Kumar, Yevgeniy Vorobeychik, William Yeoh

State-of-the-art order dispatching algorithms for ridesharing batch passenger requests and allocate them to a fleet of vehicles in a centralized manner, optimizing over the estimated values of each passenger-vehicle matching using integer linear programming (ILP). Using good estimates of future values, such ILP-based approaches are able to significantly increase the service rates (percentage of requests served) for a fixed fleet of vehicles. However, such approaches that focus solely on maximizing efficiency can lead to disparities for both drivers (e.g., income inequality) and passengers (e.g., inequality of service for different groups). Existing approaches that consider fairness only do it for naive assignment policies, require extensive training, or look at only single-sided fairness. We propose a simple incentive-based fairness scheme that can be implemented online as a part of this ILP formulation that allows us to improve fairness over a variety of fairness metrics. Deriving from a lens of variance minimization, we describe how these fairness incentives can be formulated for two distinct use cases for passenger groups and driver fairness. We show that under mild conditions, our approach can guarantee an improvement in the chosen metric for the worst-off individual. We also show empirically that our Simple Incentives approach significantly outperforms prior art, despite requiring no retraining; indeed, it often leads to a large improvement over the state-of-the-art fairness-aware approach in both overall service rate and fairness.

Stylianos Loukas Vasileiou, Ashwin Kumar, William Yeoh et al.

We present a novel framework designed to extend model reconciliation approaches, commonly used in human-aware planning, for enhanced human-AI interaction. By adopting a structured argumentation-based dialogue paradigm, our framework enables dialectical reconciliation to address knowledge discrepancies between an explainer (AI agent) and an explainee (human user), where the goal is for the explainee to understand the explainer's decision. We formally describe the operational semantics of our proposed framework, providing theoretical guarantees. We then evaluate the framework's efficacy ``in the wild'' via computational and human-subject experiments. Our findings suggest that our framework offers a promising direction for fostering effective human-AI interactions in domains where explainability is important.

Asad Aali, Vasiliki Bikia, Maya Varma et al. · stanford

With the growing use of language models (LMs) in clinical environments, there is an immediate need to evaluate the accuracy and safety of LM-generated medical text. Currently, such evaluation relies solely on manual physician review. However, detecting errors in LM-generated text is challenging because 1) manual review is costly and 2) expert-composed reference outputs are often unavailable in real-world settings. While the "LM-as-judge" paradigm (a LM evaluating another LM) offers scalable evaluation, even frontier LMs can miss subtle but clinically significant errors. To address these challenges, we propose MedVAL, a novel, self-supervised, data-efficient distillation method that leverages synthetic data to train evaluator LMs to assess whether LM-generated medical outputs are factually consistent with inputs, without requiring physician labels or reference outputs. To evaluate LM performance, we introduce MedVAL-Bench, a dataset of 840 physician-annotated outputs across 6 diverse medical tasks capturing real-world challenges. Across 10 state-of-the-art LMs spanning open-source and proprietary models, MedVAL distillation significantly improves (p < 0.001) alignment with physicians across seen and unseen tasks, increasing average F1 scores from 66% to 83%. Despite strong baseline performance, MedVAL improves the best-performing proprietary LM (GPT-4o) by 8% without training on physician-labeled data, demonstrating a performance statistically non-inferior to a single human expert (p < 0.001). To support a scalable, risk-aware pathway towards clinical integration, we open-source: 1) Codebase (https://github.com/StanfordMIMI/MedVAL), 2) MedVAL-Bench (https://huggingface.co/datasets/stanfordmimi/MedVAL-Bench), 3) MedVAL-4B (https://huggingface.co/stanfordmimi/MedVAL-4B). Our benchmark provides evidence of LMs approaching expert-level ability in validating AI-generated medical text.

Louis Blankemeier, Ashwin Kumar, Joseph Paul Cohen et al.

The large volume of abdominal computed tomography (CT) scans coupled with the shortage of radiologists have intensified the need for automated medical image analysis tools. Previous state-of-the-art approaches for automated analysis leverage vision-language models (VLMs) that jointly model images and radiology reports. However, current medical VLMs are generally limited to 2D images and short reports. Here to overcome these shortcomings for abdominal CT interpretation, we introduce Merlin, a 3D VLM that learns from volumetric CT scans, electronic health record data and radiology reports. This approach is enabled by a multistage pretraining framework that does not require additional manual annotations. We trained Merlin using a high-quality clinical dataset of paired CT scans (>6 million images from 15,331 CT scans), diagnosis codes (>1.8 million codes) and radiology reports (>6 million tokens). We comprehensively evaluated Merlin on 6 task types and 752 individual tasks that covered diagnostic, prognostic and quality-related tasks. The non-adapted (off-the-shelf) tasks included zero-shot classification of findings (30 findings), phenotype classification (692 phenotypes) and zero-shot cross-modal retrieval (image-to-findings and image-to-impression). The model-adapted tasks included 5-year chronic disease prediction (6 diseases), radiology report generation and 3D semantic segmentation (20 organs). We validated Merlin at scale, with internal testing on 5,137 CT scans and external testing on 44,098 CT scans from 3 independent sites and 2 public datasets. The results demonstrated high generalization across institutions and anatomies. Merlin outperformed 2D VLMs, CT foundation models and off-the-shelf radiology models. We also release our trained models, code, and dataset, available at: https://github.com/StanfordMIMI/Merlin.