Amina Miftakhova

Ivan Sviridov, Amina Miftakhova, Artemiy Tereshchenko et al.

Though Large Vision-Language Models (LVLMs) are being actively explored in medicine, their ability to conduct complex real-world telemedicine consultations combining accurate diagnosis with professional dialogue remains underexplored. This paper presents 3MDBench (Medical Multimodal Multi-agent Dialogue Benchmark), an open-source framework for simulating and evaluating LVLM-driven telemedical consultations. 3MDBench simulates patient variability through temperament-based Patient Agent and evaluates diagnostic accuracy and dialogue quality via Assessor Agent. It includes 2996 cases across 34 diagnoses from real-world telemedicine interactions, combining textual and image-based data. The experimental study compares diagnostic strategies for widely used open and closed-source LVLMs. We demonstrate that multimodal dialogue with internal reasoning improves F1 score by 6.5% over non-dialogue settings, highlighting the importance of context-aware, information-seeking questioning. Moreover, injecting predictions from a diagnostic convolutional neural network into the LVLM's context boosts F1 by up to 20%. Source code is available at https://github.com/univanxx/3mdbench.

Amina Miftakhova, Alexey Zaytsev

Detecting hallucination risk before generation enables abstention, retrieval augmentation, and routing decisions without incurring the cost of decoding. While prior work has shown that such risk can be estimated from a model's internal representations, existing approaches treat this as binary classification over a single decoded output. We instead formulate it as a risk-estimation problem. Under this formulation, we introduce soft-target supervision based on the empirical answer error rate over stochastically sampled outputs - an estimator we prove to be the unique unbiased minimum-variance estimator of the model's per-prompt error probability under its sampling distribution. We further adapt attention probing to the pre-generation setting, enabling the detector to selectively aggregate hallucination-relevant prompt representations. Across three question-answering benchmarks and five models, attention probing outperforms linear probing on short-answer tasks. Replacing binary labels with soft-target supervision further and consistently improves detection quality.