Geoff Brown

Yaqing Wang, Jialin Wu, Tanmaya Dabral et al.

Large language models (LLMs) and vision language models (VLMs) demonstrate excellent performance on a wide range of tasks by scaling up parameter counts from O(10^9) to O(10^{12}) levels and further beyond. These large scales make it impossible to adapt and deploy fully specialized models given a task of interest. Parameter-efficient fine-tuning (PEFT) emerges as a promising direction to tackle the adaptation and serving challenges for such large models. We categorize PEFT techniques into two types: intrusive and non-intrusive. Intrusive PEFT techniques directly change a model's internal architecture. Though more flexible, they introduce significant complexities for training and serving. Non-intrusive PEFT techniques leave the internal architecture unchanged and only adapt model-external parameters, such as embeddings for input. In this work, we describe AdaLink as a non-intrusive PEFT technique that achieves competitive performance compared to SoTA intrusive PEFT (LoRA) and full model fine-tuning (FT) on various tasks. We evaluate using both text-only and multimodal tasks, with experiments that account for both parameter-count scaling and training regime (with and without instruction tuning).

Khaled Saab, Jan Freyberg, Chunjong Park et al.

Large Language Models (LLMs) have demonstrated great potential for conducting diagnostic conversations but evaluation has been largely limited to language-only interactions, deviating from the real-world requirements of remote care delivery. Instant messaging platforms permit clinicians and patients to upload and discuss multimodal medical artifacts seamlessly in medical consultation, but the ability of LLMs to reason over such data while preserving other attributes of competent diagnostic conversation remains unknown. Here we advance the conversational diagnosis and management performance of the Articulate Medical Intelligence Explorer (AMIE) through a new capability to gather and interpret multimodal data, and reason about this precisely during consultations. Leveraging Gemini 2.0 Flash, our system implements a state-aware dialogue framework, where conversation flow is dynamically controlled by intermediate model outputs reflecting patient states and evolving diagnoses. Follow-up questions are strategically directed by uncertainty in such patient states, leading to a more structured multimodal history-taking process that emulates experienced clinicians. We compared AMIE to primary care physicians (PCPs) in a randomized, blinded, OSCE-style study of chat-based consultations with patient actors. We constructed 105 evaluation scenarios using artifacts like smartphone skin photos, ECGs, and PDFs of clinical documents across diverse conditions and demographics. Our rubric assessed multimodal capabilities and other clinically meaningful axes like history-taking, diagnostic accuracy, management reasoning, communication, and empathy. Specialist evaluation showed AMIE to be superior to PCPs on 7/9 multimodal and 29/32 non-multimodal axes (including diagnostic accuracy). The results show clear progress in multimodal conversational diagnostic AI, but real-world translation needs further research.

Andrea Burns, Krishna Srinivasan, Joshua Ainslie et al.

Webpages have been a rich resource for language and vision-language tasks. Yet only pieces of webpages are kept: image-caption pairs, long text articles, or raw HTML, never all in one place. Webpage tasks have resultingly received little attention and structured image-text data underused. To study multimodal webpage understanding, we introduce the Wikipedia Webpage 2M (WikiWeb2M) suite; the first to retain the full set of images, text, and structure data available in a page. WikiWeb2M can be used for tasks like page description generation, section summarization, and contextual image captioning.

Andrea Burns, Krishna Srinivasan, Joshua Ainslie et al.

Webpages have been a rich, scalable resource for vision-language and language only tasks. Yet only pieces of webpages are kept in existing datasets: image-caption pairs, long text articles, or raw HTML, never all in one place. Webpage tasks have resultingly received little attention and structured image-text data left underused. To study multimodal webpage understanding, we introduce the Wikipedia Webpage suite (WikiWeb2M) containing 2M pages with all of the associated image, text, and structure data. We verify its utility on three generative tasks: page description generation, section summarization, and contextual image captioning. We design a novel attention mechanism Prefix Global, which selects the most relevant image and text content as global tokens to attend to the rest of the webpage for context. By using page structure to separate such tokens, it performs better than full attention with lower computational complexity. Extensive experiments show that the new data in WikiWeb2M improves task performance compared to prior work.