3 Papers

0.6CLJan 29Code
Note2Chat: Improving LLMs for Multi-Turn Clinical History Taking Using Medical Notes

Yang Zhou, Zhenting Sheng, Mingrui Tan et al.

Effective clinical history taking is a foundational yet underexplored component of clinical reasoning. While large language models (LLMs) have shown promise on static benchmarks, they often fall short in dynamic, multi-turn diagnostic settings that require iterative questioning and hypothesis refinement. To address this gap, we propose \method{}, a note-driven framework that trains LLMs to conduct structured history taking and diagnosis by learning from widely available medical notes. Instead of relying on scarce and sensitive dialogue data, we convert real-world medical notes into high-quality doctor-patient dialogues using a decision tree-guided generation and refinement pipeline. We then propose a three-stage fine-tuning strategy combining supervised learning, simulated data augmentation, and preference learning. Furthermore, we propose a novel single-turn reasoning paradigm that reframes history taking as a sequence of single-turn reasoning problems. This design enhances interpretability and enables local supervision, dynamic adaptation, and greater sample efficiency. Experimental results show that our method substantially improves clinical reasoning, achieving gains of +16.9 F1 and +21.0 Top-1 diagnostic accuracy over GPT-4o. Our code and dataset can be found at https://github.com/zhentingsheng/Note2Chat.

1.4LGJan 29
Per-parameter Task Arithmetic for Unlearning in Large Language Models

Chengyi Cai, Zesheng Ye, Jiangchao Yao et al.

In large language model (LLM) unlearning, private information is required to be removed. Task arithmetic unlearns by subtracting a specific task vector (TV)--defined as the parameter difference between a privacy-information-tuned model and the original model. While efficient, it can cause over-forgetting by disrupting parameters essential for retaining other information. Motivated by the observation that each parameter exhibits different importance for forgetting versus retention, we propose a per-parameter task arithmetic (PerTA) mechanism to rescale the TV, allowing per-parameter adjustment. These weights quantify the relative importance of each parameter for forgetting versus retention, estimated via gradients (i.e., PerTA-grad) or the diagonal Fisher information approximation (i.e., PerTA-fisher). Moreover, we discuss the effectiveness of PerTA, extend it to a more general form, and provide further analysis. Extensive experiments demonstrate that PerTA consistently improves upon standard TV, and in many cases surpasses widely used training-based unlearning methods in both forgetting effectiveness and overall model utility. By retaining the efficiency of task arithmetic while mitigating over-forgetting, PerTA offers a principled and practical framework for LLM unlearning.

2.4AIJan 29Code
Ostrakon-VL: Towards Domain-Expert MLLM for Food-Service and Retail Stores

Zhiyong Shen, Gongpeng Zhao, Jun Zhou et al.

Multimodal Large Language Models (MLLMs) have recently achieved substantial progress in general-purpose perception and reasoning. Nevertheless, their deployment in Food-Service and Retail Stores (FSRS) scenarios encounters two major obstacles: (i) real-world FSRS data, collected from heterogeneous acquisition devices, are highly noisy and lack auditable, closed-loop data curation, which impedes the construction of high-quality, controllable, and reproducible training corpora; and (ii) existing evaluation protocols do not offer a unified, fine-grained and standardized benchmark spanning single-image, multi-image, and video inputs, making it challenging to objectively gauge model robustness. To address these challenges, we first develop Ostrakon-VL, an FSRS-oriented MLLM based on Qwen3-VL-8B. Second, we introduce ShopBench, the first public benchmark for FSRS. Third, we propose QUAD (Quality-aware Unbiased Automated Data-curation), a multi-stage multimodal instruction data curation pipeline. Leveraging a multi-stage training strategy, Ostrakon-VL achieves an average score of 60.1 on ShopBench, establishing a new state of the art among open-source MLLMs with comparable parameter scales and diverse architectures. Notably, it surpasses the substantially larger Qwen3-VL-235B-A22B (59.4) by +0.7, and exceeds the same-scale Qwen3-VL-8B (55.3) by +4.8, demonstrating significantly improved parameter efficiency. These results indicate that Ostrakon-VL delivers more robust and reliable FSRS-centric perception and decision-making capabilities. To facilitate reproducible research, we will publicly release Ostrakon-VL and the ShopBench benchmark.