Zhichao Yang

Avijit Mitra, Richeek Pradhan, Rachel D Melamed et al.

Importance: Social determinants of health (SDOH) are known to be associated with increased risk of suicidal behaviors, but few studies utilized SDOH from unstructured electronic health record (EHR) notes. Objective: To investigate associations between suicide and recent SDOH, identified using structured and unstructured data. Design: Nested case-control study. Setting: EHR data from the US Veterans Health Administration (VHA). Participants: 6,122,785 Veterans who received care in the US VHA between October 1, 2010, and September 30, 2015. Exposures: Occurrence of SDOH over a maximum span of two years compared with no occurrence of SDOH. Main Outcomes and Measures: Cases of suicide deaths were matched with 4 controls on birth year, cohort entry date, sex, and duration of follow-up. We developed an NLP system to extract SDOH from unstructured notes. Structured data, NLP on unstructured data, and combining them yielded six, eight and nine SDOH respectively. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were estimated using conditional logistic regression. Results: In our cohort, 8,821 Veterans committed suicide during 23,725,382 person-years of follow-up (incidence rate 37.18/100,000 person-years). Our cohort was mostly male (92.23%) and white (76.99%). Across the five common SDOH as covariates, NLP-extracted SDOH, on average, covered 80.03% of all SDOH occurrences. All SDOH, measured by structured data and NLP, were significantly associated with increased risk of suicide. The SDOH with the largest effects was legal problems (aOR=2.66, 95% CI=.46-2.89), followed by violence (aOR=2.12, 95% CI=1.98-2.27). NLP-extracted and structured SDOH were also associated with suicide. Conclusions and Relevance: NLP-extracted SDOH were always significantly associated with increased risk of suicide among Veterans, suggesting the potential of NLP in public health studies.

Zhichao Yang, Yuanze Hu, Haojie Hao et al.

Mobile agents are increasingly expected to operate everyday applications from screenshots and language goals, where reliable control requires reasoning over screen affordances, multi-step navigation, and future state changes. However, many agents externalize this computation as long textual chains of thought, which slows interaction, increases supervision cost, and complicates deployment. We introduce MIRAGE, a framework that learns continuous latent reasoning representations from visible textual reasoning traces. MIRAGE transfers explicit reasoning into compact hidden states, enabling the agent to reason internally without decoding long rationales. It also incorporates a generative world-model objective: latent reasoning vectors are aligned with future screenshots, encouraging the agent to anticipate upcoming interface states before acting. This turns hidden computation into both a compressed thought representation and a forward-looking model of environment dynamics. At inference time, MIRAGE reasons in continuous latent space, reducing token generation while improving execution efficiency. On AndroidWorld, MIRAGE matches explicit chain-of-thought supervised fine-tuning in the 4B ablation with a 3-5x lower decoded-token budget and improves a comparable instruction-tuned baseline by 10.2 points; on AndroidControl, it improves action grounding while generating over 75% fewer tokens.

Zhichao Yang, Sunjae Kwon, Zonghai Yao et al.

Automatic International Classification of Diseases (ICD) coding aims to assign multiple ICD codes to a medical note with an average of 3,000+ tokens. This task is challenging due to the high-dimensional space of multi-label assignment (155,000+ ICD code candidates) and the long-tail challenge - Many ICD codes are infrequently assigned yet infrequent ICD codes are important clinically. This study addresses the long-tail challenge by transforming this multi-label classification task into an autoregressive generation task. Specifically, we first introduce a novel pretraining objective to generate free text diagnoses and procedure using the SOAP structure, the medical logic physicians use for note documentation. Second, instead of directly predicting the high dimensional space of ICD codes, our model generates the lower dimension of text descriptions, which then infer ICD codes. Third, we designed a novel prompt template for multi-label classification. We evaluate our Generation with Prompt model with the benchmark of all code assignment (MIMIC-III-full) and few shot ICD code assignment evaluation benchmark (MIMIC-III-few). Experiments on MIMIC-III-few show that our model performs with a marco F1 30.2, which substantially outperforms the previous MIMIC-III-full SOTA model (marco F1 4.3) and the model specifically designed for few/zero shot setting (marco F1 18.7). Finally, we design a novel ensemble learner, a cross attention reranker with prompts, to integrate previous SOTA and our best few-shot coding predictions. Experiments on MIMIC-III-full show that our ensemble learner substantially improves both macro and micro F1, from 10.4 to 14.6 and from 58.2 to 59.1, respectively.

Zonghai Yao, Yi Cao, Zhichao Yang et al.

Language Models (LMs) have performed well on biomedical natural language processing applications. In this study, we conducted some experiments to use prompt methods to extract knowledge from LMs as new knowledge Bases (LMs as KBs). However, prompting can only be used as a low bound for knowledge extraction, and perform particularly poorly on biomedical domain KBs. In order to make LMs as KBs more in line with the actual application scenarios of the biomedical domain, we specifically add EHR notes as context to the prompt to improve the low bound in the biomedical domain. We design and validate a series of experiments for our Dynamic-Context-BioLAMA task. Our experiments show that the knowledge possessed by those language models can distinguish the correct knowledge from the noise knowledge in the EHR notes, and such distinguishing ability can also be used as a new metric to evaluate the amount of knowledge possessed by the model.

Zonghai Yao, Benlu Wang, Yifan Zhang et al.

Large language models perform well on many medical QA benchmarks, but real clinical reasoning often requires integrating evidence across multiple images rather than interpreting a single view. We introduce MedThinkVQA, an expert-annotated benchmark for thinking with multiple images, where models must interpret each image, combine cross-view evidence, and answer diagnostic questions with intermediate supervision and step-level evaluation. The dataset contains 8,067 cases, including 720 test cases, with an average of 6.62 images per case, substantially denser than prior work, whose expert-level benchmarks use at most 1.43 images per case. On the test set, the best closed-source models, Claude-4.6-Opus, Gemini-3-Pro, and GPT-5.2-xhigh, reach only 57.2%, 55.3%, and 54.9% accuracy, while GPT-5-mini and GPT-5-nano reach 39.7% and 30.8%. Strong open-source models lag behind, led by Qwen3.5-397B-A17B at 52.2% and Qwen3.5-27B at 50.6%. Further analysis identifies grounded multi-image reasoning as the main bottleneck: models often fail to extract, align, and compose evidence across views before higher-level inference can help. Providing expert single-image cues and cross-image summaries improves performance, whereas replacing them with self-generated intermediates reduces accuracy. Step-level analysis shows that over 70% of errors arise from image reading and cross-view integration. Scaling results further show that additional inference-time computation helps only when visual grounding is already reliable; when early evidence extraction is weak, longer reasoning yields limited or unstable gains and can amplify misread cues. These results suggest that the key challenge is not reasoning length alone, but reliable mechanisms for grounding, aligning, and composing distributed evidence across real-world multimodal clinical inputs.

Zonghai Yao, Yi Cao, Zhichao Yang et al.

Pretrained language models (PLMs) have motivated research on what kinds of knowledge these models learn. Fill-in-the-blanks problem (e.g., cloze tests) is a natural approach for gauging such knowledge. BioLAMA generates prompts for biomedical factual knowledge triples and uses the Top-k accuracy metric to evaluate different PLMs' knowledge. However, existing research has shown that such prompt-based knowledge probing methods can only probe a lower bound of knowledge. Many factors like prompt-based probing biases make the LAMA benchmark unreliable and unstable. This problem is more prominent in BioLAMA. The severe long-tailed distribution in vocabulary and large-N-M relation make the performance gap between LAMA and BioLAMA remain notable. To address these, we introduce context variance into the prompt generation and propose a new rank-change-based evaluation metric. Different from the previous known-unknown evaluation criteria, we propose the concept of "Misunderstand" in LAMA for the first time. Through experiments on 12 PLMs, our context variance prompts and Understand-Confuse-Misunderstand (UCM) metric makes BioLAMA more friendly to large-N-M relations and rare relations. We also conducted a set of control experiments to disentangle "understand" from just "read and copy".

Junda Wang, Zonghai Yao, Avijit Mitra et al.

This paper presents UMASS_BioNLP team participation in the MEDIQA-Chat 2023 shared task for Task-A and Task-C. We focus especially on Task-C and propose a novel LLMs cooperation system named a doctor-patient loop to generate high-quality conversation data sets. The experiment results demonstrate that our approaches yield reasonable performance as evaluated by automatic metrics such as ROUGE, medical concept recall, BLEU, and Self-BLEU. Furthermore, we conducted a comparative analysis between our proposed method and ChatGPT and GPT-4. This analysis also investigates the potential of utilizing cooperation LLMs to generate high-quality datasets.

Mengxue Zhang, Zichao Wang, Zhichao Yang et al.

Solutions to math word problems (MWPs) with step-by-step explanations are valuable, especially in education, to help students better comprehend problem-solving strategies. Most existing approaches only focus on obtaining the final correct answer. A few recent approaches leverage intermediate solution steps to improve final answer correctness but often cannot generate coherent steps with a clear solution strategy. Contrary to existing work, we focus on improving the correctness and coherence of the intermediate solutions steps. We propose a step-by-step planning approach for intermediate solution generation, which strategically plans the generation of the next solution step based on the MWP and the previous solution steps. Our approach first plans the next step by predicting the necessary math operation needed to proceed, given history steps, then generates the next step, token-by-token, by prompting a language model with the predicted math operation. Experiments on the GSM8K dataset demonstrate that our approach improves the accuracy and interpretability of the solution on both automatic metrics and human evaluation.

Pascal Jutras-Dubé, Mohammad B. Al-Khasawneh, Zhichao Yang et al.

Population synthesis involves generating synthetic yet realistic representations of a target population of micro-agents for behavioral modeling and simulation. Traditional methods, often reliant on target population samples, such as census data or travel surveys, face limitations due to high costs and small sample sizes, particularly at smaller geographical scales. We propose a novel framework based on copulas to generate synthetic data for target populations where only empirical marginal distributions are known. This method utilizes samples from different populations with similar marginal dependencies, introduces a spatial component into population synthesis, and considers various information sources for more realistic generators. Concretely, the process involves normalizing the data and treating it as realizations of a given copula, and then training a generative model before incorporating the information on the marginals of the target population. Utilizing American Community Survey data, we assess our framework's performance through standardized root mean squared error (SRMSE) and so-called sampled zeros. We focus on its capacity to transfer a model learned from one population to another. Our experiments include transfer tests between regions at the same geographical level as well as to lower geographical levels, hence evaluating the framework's adaptability in varied spatial contexts. We compare Bayesian Networks, Variational Autoencoders, and Generative Adversarial Networks, both individually and combined with our copula framework. Results show that the copula enhances machine learning methods in matching the marginals of the reference data. Furthermore, it consistently surpasses Iterative Proportional Fitting in terms of SRMSE in the transferability experiments, while introducing unique observations not found in the original training sample.

Zhichao Yang, Shufan Wang, Bhanu Pratap Singh Rawat et al.

Automatic International Classification of Diseases (ICD) coding aims to assign multiple ICD codes to a medical note with average length of 3,000+ tokens. This task is challenging due to a high-dimensional space of multi-label assignment (tens of thousands of ICD codes) and the long-tail challenge: only a few codes (common diseases) are frequently assigned while most codes (rare diseases) are infrequently assigned. This study addresses the long-tail challenge by adapting a prompt-based fine-tuning technique with label semantics, which has been shown to be effective under few-shot setting. To further enhance the performance in medical domain, we propose a knowledge-enhanced longformer by injecting three domain-specific knowledge: hierarchy, synonym, and abbreviation with additional pretraining using contrastive learning. Experiments on MIMIC-III-full, a benchmark dataset of code assignment, show that our proposed method outperforms previous state-of-the-art method in 14.5% in marco F1 (from 10.3 to 11.8, P<0.001). To further test our model on few-shot setting, we created a new rare diseases coding dataset, MIMIC-III-rare50, on which our model improves marco F1 from 17.1 to 30.4 and micro F1 from 17.2 to 32.6 compared to previous method.

Hieu Tran, Zhichao Yang, Zonghai Yao et al.

To enhance the performance of large language models (LLMs) in biomedical natural language processing (BioNLP) by introducing a domain-specific instruction dataset and examining its impact when combined with multi-task learning principles. We created the BioInstruct, comprising 25,005 instructions to instruction-tune LLMs(LLaMA 1 & 2, 7B & 13B version). The instructions were created by prompting the GPT-4 language model with three-seed samples randomly drawn from an 80 human curated instructions. We employed Low-Rank Adaptation(LoRA) for parameter-efficient fine-tuning. We then evaluated these instruction-tuned LLMs on several BioNLP tasks, which can be grouped into three major categories: question answering(QA), information extraction(IE), and text generation(GEN). We also examined whether categories(e.g., QA, IE, and generation) of instructions impact model performance. Comparing with LLMs without instruction-tuned, our instruction-tuned LLMs demonstrated marked performance gains: 17.3% in QA, 5.7% in IE, and 96% in Generation tasks. Our 7B-parameter instruction-tuned LLaMA 1 model was competitive or even surpassed other LLMs in the biomedical domain that were also fine-tuned from LLaMA 1 with vast domain-specific data or a variety of tasks. Our results also show that the performance gain is significantly higher when instruction fine-tuning is conducted with closely related tasks. Our findings align with the observations of multi-task learning, suggesting the synergies between two tasks. The BioInstruct dataset serves as a valuable resource and instruction tuned LLMs lead to the best performing BioNLP applications.

Junda Wang, Zonghai Yao, Zhichao Yang et al.

We introduce NoteChat, a novel cooperative multi-agent framework leveraging Large Language Models (LLMs) to generate patient-physician dialogues. NoteChat embodies the principle that an ensemble of role-specific LLMs, through structured role-play and strategic prompting, can perform their assigned roles more effectively. The synergy among these role-playing LLMs results in a cohesive and efficient dialogue generation. Evaluation on MTS-dialogue, a benchmark dataset for patient-physician dialogues-note pairs, shows that models trained with the augmented synthetic patient-physician dialogues by NoteChat outperforms other state-of-the-art models for generating clinical notes. Our comprehensive automatic and human evaluation demonstrates that NoteChat substantially surpasses state-of-the-art models like ChatGPT and GPT-4 up to 22.78% by domain experts in generating superior synthetic patient-physician dialogues based on clinical notes. NoteChat has the potential to engage patients directly and help clinical documentation, a leading cause of physician burnout.

Zhichao Yang, Weisong Liu, Dan Berlowitz et al.

Question: Can an encoder-decoder architecture pretrained on a large dataset of longitudinal electronic health records improves patient outcome predictions? Findings: In this prognostic study of 6.8 million patients, our denoising sequence-to-sequence prediction model of multiple outcomes outperformed state-of-the-art models scuh pretrained BERT on a broad range of patient outcomes, including intentional self-harm and pancreatic cancer. Meaning: Deep bidirectional and autoregressive representation improves patient outcome prediction.

Tung Sum Thomas Kwok, Qian Qian, Xiaofeng Lin et al.

Large Language Models exhibit strong reasoning and semantic understanding capabilities but often hallucinate in domains that require expert knowledge, among which fabrications, the generation of factually incorrect yet fluent statements, pose the greatest risk in medical contexts. Existing medical hallucination datasets inadequately capture fabrication phenomena due to limited fabrication coverage, stylistic disparities between human and LLM-authored texts, and distributional drift during hallucinated sample synthesis. To address this, we propose a data-centric pipeline to generate realistic and word-level fabrications that preserve syntactic and stylistic fidelity while introducing subtle factual deviations, resulting in MedFabric. Building upon this dataset, we introduce ETHER, a modular word-level fabrication detector integrating Text2Table Decomposition, Word Masking and Filling and Hybrid Sentence Pair Evaluation to enhance factual alignment. Empirical results demonstrate that MedFabric outperforms state-of-the-art detectors by over 15% on word-level fabrication benchmarks while maintaining consistent performance across structural similarities, offering a comprehensive framework for reliable and domain-specific factuality detection.

Zhichao Yang, Sanjit Singh Batra, Joel Stremmel et al.

Recent advances in large language models (LLMs) show potential for clinical applications, such as clinical decision support and trial recommendations. However, the GPT-4 LLM predicts an excessive number of ICD codes for medical coding tasks, leading to high recall but low precision. To tackle this challenge, we introduce LLM-codex, a two-stage approach to predict ICD codes that first generates evidence proposals using an LLM and then employs an LSTM-based verification stage. The LSTM learns from both the LLM's high recall and human expert's high precision, using a custom loss function. Our model is the only approach that simultaneously achieves state-of-the-art results in medical coding accuracy, accuracy on rare codes, and sentence-level evidence identification to support coding decisions without training on human-annotated evidence according to experiments on the MIMIC dataset.

Zonghai Yao, Ahmed Jaafar, Beining Wang et al.

This study examines the effect of prompt engineering on the performance of Large Language Models (LLMs) in clinical note generation. We introduce an Automatic Prompt Optimization (APO) framework to refine initial prompts and compare the outputs of medical experts, non-medical experts, and APO-enhanced GPT3.5 and GPT4. Results highlight GPT4 APO's superior performance in standardizing prompt quality across clinical note sections. A human-in-the-loop approach shows that experts maintain content quality post-APO, with a preference for their own modifications, suggesting the value of expert customization. We recommend a two-phase optimization process, leveraging APO-GPT4 for consistency and expert input for personalization.

Junda Wang, Zhichao Yang, Zonghai Yao et al.

Large Language Models (LLMs) have demonstrated a remarkable potential in medical knowledge acquisition and question-answering. However, LLMs can potentially hallucinate and yield factually incorrect outcomes, even with domain-specific pretraining. Previously, retrieval augmented generation (RAG) has limited success in addressing hallucinations. Unlike previous methods in RAG where the retrieval model was trained separately from the LLM, we introduce JMLR (for Jointly trains LLM and information Retrieval) during the fine-tuning phase. The synchronized training mechanism enhances JMLR's ability to retrieve clinical guidelines and leverage medical knowledge to reason and answer questions and reduces the demand for computational resources. We evaluated JMLR on the important medical question-answering application. Our experimental results demonstrate that JMLR-13B (70.5%) outperforms a previous state-of-the-art open-source model using conventional pre-training and fine-tuning Meditron-70B (68.9%) and Llama2-13B with RAG (67.7%) on a medical question-answering dataset. Comprehensive evaluations reveal JMLR-13B enhances reasoning quality and reduces hallucinations better than Claude3-Opus. Additionally, JMLR-13B (148 GPU hours) also trains much faster than Meditron-70B (42630 GPU hours). Through this work, we provide a new and efficient knowledge enhancement method for healthcare, demonstrating the potential of integrating retrieval and LLM training for medical question-answering systems.

Yipo Huang, Xiangfei Sheng, Zhichao Yang et al.

The highly abstract nature of image aesthetics perception (IAP) poses significant challenge for current multimodal large language models (MLLMs). The lack of human-annotated multi-modality aesthetic data further exacerbates this dilemma, resulting in MLLMs falling short of aesthetics perception capabilities. To address the above challenge, we first introduce a comprehensively annotated Aesthetic Multi-Modality Instruction Tuning (AesMMIT) dataset, which serves as the footstone for building multi-modality aesthetics foundation models. Specifically, to align MLLMs with human aesthetics perception, we construct a corpus-rich aesthetic critique database with 21,904 diverse-sourced images and 88K human natural language feedbacks, which are collected via progressive questions, ranging from coarse-grained aesthetic grades to fine-grained aesthetic descriptions. To ensure that MLLMs can handle diverse queries, we further prompt GPT to refine the aesthetic critiques and assemble the large-scale aesthetic instruction tuning dataset, i.e. AesMMIT, which consists of 409K multi-typed instructions to activate stronger aesthetic capabilities. Based on the AesMMIT database, we fine-tune the open-sourced general foundation models, achieving multi-modality Aesthetic Expert models, dubbed AesExpert. Extensive experiments demonstrate that the proposed AesExpert models deliver significantly better aesthetic perception performances than the state-of-the-art MLLMs, including the most advanced GPT-4V and Gemini-Pro-Vision. Project homepage: https://yipoh.github.io/aes-expert/.

Jiachen Zhao, Zonghai Yao, Zhichao Yang et al.

In this work, we study in-context teaching (ICT), where a teacher provides in-context example rationales to teach a student to reason over unseen cases. Human teachers are usually required to craft in-context demonstrations, which are costly and have high variance. We ask whether a large language model (LLM) can serve as a more effective in-context teacher for itself or other LLMs, compared to humans. Inspired by the Encoding Specificity Hypothesis from human episodic memory, we hypothesize that in-context exemplars crafted by the teacher should match the training data of the student. This hypothesis motivates us to propose Self-Explain where an LLM's self-elicited explanations are used as in-context demonstrations for prompting it as they are generalized from the model's training examples. Self-Explain is shown to significantly outperform using human-crafted exemplars and other baselines. Furthermore, we reveal that for ICT, rationales from different teacher LLMs or human experts that more resemble the student LLM's self-explanations are better in-context demonstrations. This supports our encoding specificity hypothesis. We then propose Teach-Back that aligns a teacher LLM with the student to enhance the ICT performance. For example, Teach-Back enables a 7B model to teach the much larger GPT-3.5 in context, surpassing human teachers by around 5% in test accuracy on medical question answering.

Sunjae Kwon, Zhichao Yang, Hong Yu

In this paper, we introduce a comprehensive framework for developing a machine learning-based SOAP (Subjective, Objective, Assessment, and Plan) classification system without manually SOAP annotated training data or with less manually SOAP annotated training data. The system is composed of the following two parts: 1) Data construction, 2) A neural network-based SOAP classifier, and 3) Transfer learning framework. In data construction, since a manual construction of a large size training dataset is expensive, we propose a rule-based weak labeling method utilizing the structured information of an EHR note. Then, we present a SOAP classifier composed of a pre-trained language model and bi-directional long-short term memory with conditional random field (Bi-LSTM-CRF). Finally, we propose a transfer learning framework that re-uses the trained parameters of the SOAP classifier trained with the weakly labeled dataset for datasets collected from another hospital. The proposed weakly label-based learning model successfully performed SOAP classification (89.99 F1-score) on the notes collected from the target hospital. Otherwise, in the notes collected from other hospitals and departments, the performance dramatically decreased. Meanwhile, we verified that the transfer learning framework is advantageous for inter-hospital adaptation of the model increasing the models' performance in every cases. In particular, the transfer learning approach was more efficient when the manually annotated data size was smaller. We showed that SOAP classification models trained with our weakly labeling algorithm can perform SOAP classification without manually annotated data on the EHR notes from the same hospital. The transfer learning framework helps SOAP classification model's inter-hospital migration with a minimal size of the manually annotated dataset.

Dongxu Zhang, Zhichao Yang, Sepehr Janghorbani et al.

On-policy distillation (OPD), which samples trajectories from the student model and supervises them with a teacher at the token level, avoids relying solely on verifiable terminal rewards and can yield better generalization than off-policy distillation. However, OPD requires expensive on-the-fly sampling of the student policy during training, which substantially increases training cost, especially for long responses. Our initial analysis shows that, during OPD, training signals are often concentrated in the prefix of each output, and that even a short teacher-generated prefix can significantly help the student produce the correct answer. Motivated by these observations, we propose a simple yet effective modification of OPD: we apply the distillation objective only to prefixes of student-generated outputs and terminate each sampling early during distillation. Experiments on a suite of AI-for-Math and out-of-domain benchmarks show that on-policy prefix distillation matches the performance of full OPD while reducing training FLOP by 2x-47x.

Zhichao Yang, Jianjie Wang, Zhixianhe Zhang et al.

Image aesthetic assessment (IAA) has extensive applications in content creation, album management, and recommendation systems, etc. In such applications, it is commonly needed to pick out the most aesthetically pleasing image from a series of images with subtle aesthetic variations, a topic we refer to as fine-grained IAA. Unfortunately, state-of-the-art IAA models are typically designed for coarse-grained evaluation, where images with notable aesthetic differences are evaluated independently on an absolute scale. These models are inherently limited in discriminating fine-grained aesthetic differences. To address the dilemma, we contribute FGAesthetics, a fine-grained IAA database with 32,217 images organized into 10,028 series, which are sourced from diverse categories including Natural, AIGC, and Cropping. Annotations are collected via pairwise comparisons within each series. We also devise Series Refinement and Rank Calibration to ensure the reliability of data and labels. Based on FGAesthetics, we further propose FGAesQ, a novel IAA framework that learns discriminative aesthetic scores from relative ranks through Difference-preserved Tokenization (DiffToken), Comparative Text-assisted Alignment (CTAlign), and Rank-aware Regression (RankReg). FGAesQ enables accurate aesthetic assessment in fine-grained scenarios while still maintains competitive performance in coarse-grained evaluation. Extensive experiments and comparisons demonstrate the superiority of the proposed method.

Zonghai Yao, Nandyala Siddharth Kantu, Guanghao Wei et al.

The advancement in healthcare has shifted focus toward patient-centric approaches, particularly in self-care and patient education, facilitated by access to Electronic Health Records (EHR). However, medical jargon in EHRs poses significant challenges in patient comprehension. To address this, we introduce a new task of automatically generating lay definitions, aiming to simplify complex medical terms into patient-friendly lay language. We first created the README dataset, an extensive collection of over 50,000 unique (medical term, lay definition) pairs and 300,000 mentions, each offering context-aware lay definitions manually annotated by domain experts. We have also engineered a data-centric Human-AI pipeline that synergizes data filtering, augmentation, and selection to improve data quality. We then used README as the training data for models and leveraged a Retrieval-Augmented Generation method to reduce hallucinations and improve the quality of model outputs. Our extensive automatic and human evaluations demonstrate that open-source mobile-friendly models, when fine-tuned with high-quality data, are capable of matching or even surpassing the performance of state-of-the-art closed-source large language models like ChatGPT. This research represents a significant stride in closing the knowledge gap in patient education and advancing patient-centric healthcare solutions.

Junda Wang, Zonghai Tao, Hansi Zeng et al.

Complex clinical decision making often fails not because a model lacks facts, but because it cannot reliably select and apply the right procedural knowledge and the right prior example at the right reasoning step. We frame clinical question answering as an agent problem with two explicit, retrievable resources: skills, reusable clinical procedures such as guidelines, protocols, and pharmacologic mechanisms; and experience, verified reasoning trajectories from previously solved cases (e.g., chain-of-thought solutions and their step-level decompositions). At test time, the agent retrieves both relevant skills and experiences from curated libraries and performs lightweight test-time adaptation to align the language model's intermediate reasoning with clinically valid logic. Concretely, we build (i) a skills library from guideline-style documents organized as executable decision rules, (ii) an experience library of exemplar clinical reasoning chains indexed by step-level transitions, and (iii) a step-aware retriever that selects the most useful skill and experience items for the current case. We then adapt the model on the retrieved items to reduce instance-step misalignment and to prevent reasoning from drifting toward unsupported shortcuts. Experiments on medical question-answering benchmarks show consistent gains over strong medical RAG baselines and prompting-only reasoning methods. Our results suggest that explicitly separating and retrieving clinical skills and experience, and then aligning the model at test time, is a practical approach to more reliable medical agents.

Hieu Tran, Zonghai Yao, Junda Wang et al.

This work introduces RARE (Retrieval-Augmented Reasoning Enhancement), a versatile extension to the mutual reasoning framework (rStar), aimed at enhancing reasoning accuracy and factual integrity across large language models (LLMs) for complex, knowledge-intensive tasks such as commonsense and medical reasoning. RARE incorporates two innovative actions within the Monte Carlo Tree Search (MCTS) framework: A6, which generates search queries based on the initial problem statement, performs information retrieval using those queries, and augments reasoning with the retrieved data to formulate the final answer; and A7, which leverages information retrieval specifically for generated sub-questions and re-answers these sub-questions with the relevant contextual information. Additionally, a Retrieval-Augmented Factuality Scorer is proposed to replace the original discriminator, prioritizing reasoning paths that meet high standards of factuality. Experimental results with LLaMA 3.1 show that RARE enables open-source LLMs to achieve competitive performance with top open-source models like GPT-4 and GPT-4o. This research establishes RARE as a scalable solution for improving LLMs in domains where logical coherence and factual integrity are critical.

Zhichao Yang, Tianjiao Gu, Jianjie Wang et al.

The increasing popularity of long Text-to-Image (T2I) generation has created an urgent need for automatic and interpretable models that can evaluate the image-text alignment in long prompt scenarios. However, the existing T2I alignment benchmarks predominantly focus on short prompt scenarios and only provide MOS or Likert scale annotations. This inherent limitation hinders the development of long T2I evaluators, particularly in terms of the interpretability of alignment. In this study, we contribute LongT2IBench, which comprises 14K long text-image pairs accompanied by graph-structured human annotations. Given the detail-intensive nature of long prompts, we first design a Generate-Refine-Qualify annotation protocol to convert them into textual graph structures that encompass entities, attributes, and relations. Through this transformation, fine-grained alignment annotations are achieved based on these granular elements. Finally, the graph-structed annotations are converted into alignment scores and interpretations to facilitate the design of T2I evaluation models. Based on LongT2IBench, we further propose LongT2IExpert, a LongT2I evaluator that enables multi-modal large language models (MLLMs) to provide both quantitative scores and structured interpretations through an instruction-tuning process with Hierarchical Alignment Chain-of-Thought (CoT). Extensive experiments and comparisons demonstrate the superiority of the proposed LongT2IExpert in alignment evaluation and interpretation. Data and code have been released in https://welldky.github.io/LongT2IBench-Homepage/.

Zhichao Yang, Sepehr Janghorbani, Dongxu Zhang et al.

Rubrics are essential for evaluating open-ended LLM responses, especially in safety-critical domains such as healthcare. However, creating high-quality and domain-specific rubrics typically requires significant human expertise time and development cost, making rubric-based evaluation and training difficult to scale. In this work, we introduce Health-SCORE, a generalizable and scalable rubric-based training and evaluation framework that substantially reduces rubric development costs without sacrificing performance. We show that Health-SCORE provides two practical benefits beyond standalone evaluation: it can be used as a structured reward signal to guide reinforcement learning with safety-aware supervision, and it can be incorporated directly into prompts to improve response quality through in-context learning. Across open-ended healthcare tasks, Health-SCORE achieves evaluation quality comparable to human-created rubrics while significantly lowering development effort, making rubric-based evaluation and training more scalable.

Junda Wang, Zhichao Yang, Dongxu Zhang et al.

Large reasoning models (LRMs) achieve state-of-the-art performance by generating long chains-of-thought, but often waste computation on redundant reasoning after the correct answer has already been reached. We introduce Early-Stopping for Token-Aware Reasoning (ESTAR), which detects and reduces such reasoning redundancy to improve efficiency without sacrificing accuracy. Our method combines (i) a trajectory-based classifier that identifies when reasoning can be safely stopped, (ii) supervised fine-tuning to teach LRMs to propose self-generated <stop> signals, and (iii) <stop>-aware reinforcement learning that truncates rollouts at self-generated stop points with compute-aware rewards. Experiments on four reasoning datasets show that ESTAR reduces reasoning length by about 3.7x (from 4,799 to 1,290) while preserving accuracy (74.9% vs. 74.2%), with strong cross-domain generalization. These results highlight early stopping as a simple yet powerful mechanism for improving reasoning efficiency in LRMs.

Won Seok Jang, Sharmin Sultana, Zonghai Yao et al.

OpenNotes enables patients to access EHR notes, but medical jargon can hinder comprehension. To improve understanding, we evaluated closed- and open-source LLMs for extracting and prioritizing key medical terms using prompting, fine-tuning, and data augmentation. We assessed LLMs on 106 expert-annotated EHR notes, experimenting with (i) general vs. structured prompts, (ii) zero-shot vs. few-shot prompting, (iii) fine-tuning, and (iv) data augmentation. To enhance open-source models in low-resource settings, we used ChatGPT for data augmentation and applied ranking techniques. We incrementally increased the augmented dataset size (10 to 10,000) and conducted 5-fold cross-validation, reporting F1 score and Mean Reciprocal Rank (MRR). Our result show that fine-tuning and data augmentation improved performance over other strategies. GPT-4 Turbo achieved the highest F1 (0.433), while Mistral7B with data augmentation had the highest MRR (0.746). Open-source models, when fine-tuned or augmented, outperformed closed-source models. Notably, the best F1 and MRR scores did not always align. Few-shot prompting outperformed zero-shot in vanilla models, and structured prompts yielded different preferences across models. Fine-tuning improved zero-shot performance but sometimes degraded few-shot performance. Data augmentation performed comparably or better than other methods. Our evaluation highlights the effectiveness of prompting, fine-tuning, and data augmentation in improving model performance for medical jargon extraction in low-resource scenarios.

Zhichao Yang, Jiashu He, Jinxuan Fan et al.

Accurate prediction of traffic crash severity is critical for improving emergency response and public safety planning. Although recent large language models (LLMs) exhibit strong reasoning capabilities, their single-agent architectures often struggle with heterogeneous, domain-specific crash data and tend to generate biased or unstable predictions. To address these limitations, this paper proposes TransportAgents, a hybrid multi-agent framework that integrates category-specific LLM reasoning with a multilayer perceptron (MLP) integration module. Each specialized agent focuses on a particular subset of traffic information, such as demographics, environmental context, or incident details, to produce intermediate severity assessments that are subsequently fused into a unified prediction. Extensive experiments on two complementary U.S. datasets, the Consumer Product Safety Risk Management System (CPSRMS) and the National Electronic Injury Surveillance System (NEISS), demonstrate that TransportAgents consistently outperforms both traditional machine learning and advanced LLM-based baselines. Across three representative backbones, including closed-source models such as GPT-3.5 and GPT-4o, as well as open-source models such as LLaMA-3.3, the framework exhibits strong robustness, scalability, and cross-dataset generalizability. A supplementary distributional analysis further shows that TransportAgents produces more balanced and well-calibrated severity predictions than standard single-agent LLM approaches, highlighting its interpretability and reliability for safety-critical decision support applications.

Hieu Tran, Zonghai Yao, Nguyen Luong Tran et al.

Inspired by the dual-process theory of human cognition from \textit{Thinking, Fast and Slow}, we introduce \textbf{PRIME} (Planning and Retrieval-Integrated Memory for Enhanced Reasoning), a multi-agent reasoning framework that dynamically integrates \textbf{System 1} (fast, intuitive thinking) and \textbf{System 2} (slow, deliberate thinking). PRIME first employs a Quick Thinking Agent (System 1) to generate a rapid answer; if uncertainty is detected, it then triggers a structured System 2 reasoning pipeline composed of specialized agents for \textit{planning}, \textit{hypothesis generation}, \textit{retrieval}, \textit{information integration}, and \textit{decision-making}. This multi-agent design faithfully mimics human cognitive processes and enhances both efficiency and accuracy. Experimental results with LLaMA 3 models demonstrate that PRIME enables open-source LLMs to perform competitively with state-of-the-art closed-source models like GPT-4 and GPT-4o on benchmarks requiring multi-hop and knowledge-grounded reasoning. This research establishes PRIME as a scalable solution for improving LLMs in domains requiring complex, knowledge-intensive reasoning.

Yipo Huang, Quan Yuan, Xiangfei Sheng et al.

With collective endeavors, multimodal large language models (MLLMs) are undergoing a flourishing development. However, their performances on image aesthetics perception remain indeterminate, which is highly desired in real-world applications. An obvious obstacle lies in the absence of a specific benchmark to evaluate the effectiveness of MLLMs on aesthetic perception. This blind groping may impede the further development of more advanced MLLMs with aesthetic perception capacity. To address this dilemma, we propose AesBench, an expert benchmark aiming to comprehensively evaluate the aesthetic perception capacities of MLLMs through elaborate design across dual facets. (1) We construct an Expert-labeled Aesthetics Perception Database (EAPD), which features diversified image contents and high-quality annotations provided by professional aesthetic experts. (2) We propose a set of integrative criteria to measure the aesthetic perception abilities of MLLMs from four perspectives, including Perception (AesP), Empathy (AesE), Assessment (AesA) and Interpretation (AesI). Extensive experimental results underscore that the current MLLMs only possess rudimentary aesthetic perception ability, and there is still a significant gap between MLLMs and humans. We hope this work can inspire the community to engage in deeper explorations on the aesthetic potentials of MLLMs. Source data will be available at https://github.com/yipoh/AesBench.

Zhichao Yang, Avijit Mitra, Sunjae Kwon et al.

The advancement of natural language processing (NLP) systems in healthcare hinges on language model ability to interpret the intricate information contained within clinical notes. This process often requires integrating information from various time points in a patient's medical history. However, most earlier clinical language models were pretrained with a context length limited to roughly one clinical document. In this study, We introduce ClinicalMamba, a specialized version of the Mamba language model, pretrained on a vast corpus of longitudinal clinical notes to address the unique linguistic characteristics and information processing needs of the medical domain. ClinicalMamba, with 130 million and 2.8 billion parameters, demonstrates a superior performance in modeling clinical language across extended text lengths compared to Mamba and clinical Llama. With few-shot learning, ClinicalMamba achieves notable benchmarks in speed and accuracy, outperforming existing clinical language models and general domain large models like GPT-4 in longitudinal clinical notes information extraction tasks.

Zonghai Yao, Aditya Parashar, Huixue Zhou et al.

Automatic question generation (QG) is essential for AI and NLP, particularly in intelligent tutoring, dialogue systems, and fact verification. Generating multiple-choice questions (MCQG) for professional exams, like the United States Medical Licensing Examination (USMLE), is particularly challenging, requiring domain expertise and complex multi-hop reasoning for high-quality questions. However, current large language models (LLMs) like GPT-4 struggle with professional MCQG due to outdated knowledge, hallucination issues, and prompt sensitivity, resulting in unsatisfactory quality and difficulty. To address these challenges, we propose MCQG-SRefine, an LLM self-refine-based (Critique and Correction) framework for converting medical cases into high-quality USMLE-style questions. By integrating expert-driven prompt engineering with iterative self-critique and self-correction feedback, MCQG-SRefine significantly enhances human expert satisfaction regarding both the quality and difficulty of the questions. Furthermore, we introduce an LLM-as-Judge-based automatic metric to replace the complex and costly expert evaluation process, ensuring reliable and expert-aligned assessments.

Yuanze Hu, Gen Li, Yuqin Lan et al.

Multimodal large language models (MLLMs) have achieved impressive progress on general multimodal tasks, yet they remain brittle on dial-based measurement reading. In this paper, we study this problem through controlled benchmarks and feature-space probing, and show that current MLLMs not only achieve unsatisfactory accuracy on dial-based readout, but also suffer sharp performance drops under viewpoint and illumination changes even when the underlying dial state remains fixed. Our probing analysis further reveals that same-state samples under appearance variation are not consistently clustered, while neighboring states fail to preserve the local structure implied by continuous dial values. These findings suggest that existing MLLMs largely ignore the intrinsic state geometry of dial measurement tasks and instead rely on superficial appearance cues. Motivated by this diagnosis, we propose TriSCA, a tri-level state-consistent alignment framework for dial-based measurement reading. Specifically, TriSCA consists of state-distance-aware representation alignment, metadata-grounded observation-to-state supervision, and state-aware objective alignment. Extensive ablation studies and evaluation experiments on controlled clock and gauge benchmarks, together with evaluation on an external real-world benchmark, demonstrate the effectiveness of our method.

Jiatan Huang, Mingchen Li, Zonghai Yao et al.

Answering complex real-world questions often requires accurate retrieval from textual knowledge graphs (TKGs). The scarcity of annotated data, along with intricate topological structures, makes this task particularly challenging. As the nature of relational path information could enhance the inference ability of Large Language Models (LLMs), efficiently retrieving more complex relational path information from TKGs presents another key challenge. To tackle these challenges, we first develop a Dataset for LLMs Complex Reasoning over Textual Knowledge Graphs (RiTeK) with a broad topological structure coverage.We synthesize realistic user queries that integrate diverse topological structures, relational information, and complex textual descriptions. We conduct rigorous expert evaluation to validate the quality of our synthesized queries. And then, we introduce an enhanced Monte Carlo Tree Search (MCTS) method, Relational MCTS, to automatically extract relational path information from textual graphs for specific queries. Our dataset mainly covers the medical domain as the relation types and entity are complex and publicly available. Experimental results indicate that RiTeK poses significant challenges for current retrieval and LLM systems, while the proposed Relational MCTS method enhances LLM inference ability and achieves state-of-the-art performance on RiTeK.

Parth Vashisht, Abhilasha Lodha, Mukta Maddipatla et al.

This paper presents our team's participation in the MEDIQA-ClinicalNLP2024 shared task B. We present a novel approach to diagnosing clinical dermatology cases by integrating large multimodal models, specifically leveraging the capabilities of GPT-4V under a retriever and a re-ranker framework. Our investigation reveals that GPT-4V, when used as a retrieval agent, can accurately retrieve the correct skin condition 85% of the time using dermatological images and brief patient histories. Additionally, we empirically show that Naive Chain-of-Thought (CoT) works well for retrieval while Medical Guidelines Grounded CoT is required for accurate dermatological diagnosis. Further, we introduce a Multi-Agent Conversation (MAC) framework and show its superior performance and potential over the best CoT strategy. The experiments suggest that using naive CoT for retrieval and multi-agent conversation for critique-based diagnosis, GPT-4V can lead to an early and accurate diagnosis of dermatological conditions. The implications of this work extend to improving diagnostic workflows, supporting dermatological education, and enhancing patient care by providing a scalable, accessible, and accurate diagnostic tool.

Zhichao Yang, Gregory D. Lyng, Sanjit Singh Batra et al.

Medical concept extraction from electronic health records underpins many downstream applications, yet remains challenging because medically meaningful concepts are frequently implied rather than explicitly stated in medical narratives. Existing benchmarks with human-annotated evidence spans underscore the importance of grounding extracted concepts in medical text. However, they predominantly focus on explicitly stated concepts instead of implicit concepts. We present MedicalBench, a benchmark for medical concept extraction with evidence grounding that evaluates implicit medical reasoning. MedicalBench formulates medical concept extraction as a verification task over medical note-concept pairs, coupled with sentence-level evidence identification. Built from MIMIC-IV discharge summaries and human-verified ICD-10 codes, the dataset is curated through a multi-stage large language model (LLM) triage pipeline followed by medical annotation and expert review. It deliberately includes implicit positives, semantically confusable negatives, and cases where LLM judgments disagree with medical expert assessments. We define two complementary evaluation tasks: (1) medical concept extraction and (2) sentence-level evidence retrieval, enabling assessment of both correctness and interpretability. Benchmarking state-of-the-art LLMs reveals that performance remains modest, highlighting the difficulty of extracting implicitly expressed concepts. We further show that performance is largely invariant to note length, indicating that MedicalBench isolates reasoning difficulty rather than superficial confounders. MedicalBench provides the first systematic benchmark for implicit, evidence-grounded medical concept extraction, offering a foundation for developing medical language models that can both identify medically relevant concepts and justify their predictions in a transparent and medically faithful manner.

Yuanze Hu, Zhaoxin Fan, Xinyu Wang et al.

Lightweight Vision-Language Models (VLMs) are indispensable for resource-constrained applications. The prevailing approach to aligning vision and language models involves freezing both the vision encoder and the language model while training small connector modules. However, this strategy heavily depends on the intrinsic capabilities of the language model, which can be suboptimal for lightweight models with limited representational capacity. In this work, we investigate this alignment bottleneck through the lens of mutual information, demonstrating that the constrained capacity of the language model inherently limits the Effective Mutual Information (EMI) between multimodal inputs and outputs, thereby compromising alignment quality. To address this challenge, we propose TinyAlign, a novel framework inspired by Retrieval-Augmented Generation, which strategically retrieves relevant context from a memory bank to enrich multimodal inputs and enhance their alignment. Extensive empirical evaluations reveal that TinyAlign significantly reduces training loss, accelerates convergence, and enhances task performance. Remarkably, it allows models to achieve baseline-level performance with only 40\% of the fine-tuning data, highlighting exceptional data efficiency. Our work thus offers a practical pathway for developing more capable lightweight VLMs while introducing a fresh theoretical lens to better understand and address alignment bottlenecks in constrained multimodal systems.

Zhichao Yang, Leida Li, Pengfei Chen et al.

Contrastive vision-language models, such as CLIP, have demonstrated excellent zero-shot capability across semantic recognition tasks, mainly attributed to the training on a large-scale I&1T (one Image with one Text) dataset. This kind of multimodal representations often blend semantic and perceptual elements, placing a particular emphasis on semantics. However, this could be problematic for popular tasks like image quality assessment (IQA) and conditional image generation (CIG), which typically need to have fine control on perceptual and semantic features. Motivated by the above facts, this paper presents a new multimodal disentangled representation learning framework, which leverages disentangled text to guide image disentanglement. To this end, we first build an I&2T (one Image with a perceptual Text and a semantic Text) dataset, which consists of disentangled perceptual and semantic text descriptions for an image. Then, the disentangled text descriptions are utilized as supervisory signals to disentangle pure perceptual representations from CLIP's original `coarse' feature space, dubbed DeCLIP. Finally, the decoupled feature representations are used for both image quality assessment (technical quality and aesthetic quality) and conditional image generation. Extensive experiments and comparisons have demonstrated the advantages of the proposed method on the two popular tasks. The dataset, code, and model will be available.

Junda Wang, Zonghai Yao, Lingxi Li et al.

Substance use disorders (SUDs) affect millions of people, and relapses are common, requiring multi-session treatments. Access to care is limited, which contributes to the challenge of recovery support. We present \textbf{ChatThero}, an innovative low-cost, multi-session, stressor-aware, and memory-persistent autonomous \emph{language agent} designed to facilitate long-term behavior change and therapeutic support in addiction recovery. Unlike existing work that mostly finetuned large language models (LLMs) on patient-therapist conversation data, ChatThero was trained in a multi-agent simulated environment that mirrors real therapy. We created anonymized patient profiles from recovery communities (e.g., Reddit). We classify patients as \texttt{easy}, \texttt{medium}, and \texttt{difficult}, three scales representing their resistance to recovery. We created an external environment by introducing stressors (e.g., social determinants of health) to simulate real-world situations. We dynamically inject clinically-grounded therapeutic strategies (motivational interview and cognitive behavioral therapy). Our evaluation, conducted by both human (blinded clinicians) and LLM-as-Judge, shows that ChatThero is superior in empathy and clinical relevance. We show that stressor simulation improves robustness of ChatThero. Explicit stressors increase relapse-like setbacks, matching real-world patterns. We evaluate ChatThero with behavioral change metrics. On a 1--5 scale, ChatThero raises \texttt{motivation} by $+1.71$ points (from $2.39$ to $4.10$) and \texttt{confidence} by $+1.67$ points (from $1.52$ to $3.19$), substantially outperforming GPT-5. On \texttt{difficult} patients, ChatThero reaches the success milestone with $26\%$ fewer turns than GPT-5.

Zhichao Yang, Zhaoxin Fan, Gen Li et al.

Structured, procedural reasoning is essential for Large Language Models (LLMs), especially in mathematics. While post-training methods have improved LLM performance, they still fall short in capturing deep procedural logic on complex tasks. To tackle the issue, in this paper, we first investigate this limitation and uncover a novel finding: a Scaling Law by Difficulty, which reveals that model performance follows a U-shaped curve with respect to training data complexity -- excessive low-difficulty data impedes abstraction, while high-difficulty data significantly enhances reasoning ability. Motivated by this, we propose the Structured Solution Template (SST) framework, which uses solution templates and a curriculum of varied difficulty to explicitly teach procedural reasoning. Specifically, SST comprises (1) fine-tuning with structured solution-template chains and dynamically weighted loss to prioritize procedural logic, (2) prompt-time injection of solution templates as cognitive scaffolds to guide inference, and (3) integrated curriculum fine-tuning that explicitly teaches the model to self-plan - execute - self-correct. Experiments on GSM8K, AIME24, and new Dynamic En benchmark show that SST significantly improves both accuracy and efficiency, especially on harder problems.

Xiangfei Sheng, Zhichao Duan, Xiaofeng Pan et al.

Livestreaming has become increasingly prevalent in modern visual communication, where automatic camera quality tuning is essential for delivering superior user Quality of Experience (QoE). Such tuning requires accurate blind image quality assessment (BIQA) to guide parameter optimization decisions. Unfortunately, the existing BIQA models typically only predict an overall coarse-grained quality score, which cannot provide fine-grained perceptual guidance for precise camera parameter tuning. To bridge this gap, we first establish FGLive-10K, a comprehensive fine-grained BIQA database containing 10,185 high-resolution images captured under varying camera parameter configurations across diverse livestreaming scenarios. The dataset features 50,925 multi-attribute quality annotations and 19,234 fine-grained pairwise preference annotations. Based on FGLive-10K, we further develop TuningIQA, a fine-grained BIQA metric for livestreaming camera tuning, which integrates human-aware feature extraction and graph-based camera parameter fusion. Extensive experiments and comparisons demonstrate that TuningIQA significantly outperforms state-of-the-art BIQA methods in both score regression and fine-grained quality ranking, achieving superior performance when deployed for livestreaming camera tuning.

Xiangfei Sheng, Xiaofeng Pan, Zhichao Yang et al.

Recent years have witnessed remarkable achievements in perceptual image restoration (IR), creating an urgent demand for accurate image quality assessment (IQA), which is essential for both performance comparison and algorithm optimization. Unfortunately, the existing IQA metrics exhibit inherent weakness for IR task, particularly when distinguishing fine-grained quality differences among restored images. To address this dilemma, we contribute the first-of-its-kind fine-grained image quality assessment dataset for image restoration, termed FGRestore, comprising 18,408 restored images across six common IR tasks. Beyond conventional scalar quality scores, FGRestore was also annotated with 30,886 fine-grained pairwise preferences. Based on FGRestore, a comprehensive benchmark was conducted on the existing IQA metrics, which reveal significant inconsistencies between score-based IQA evaluations and the fine-grained restoration quality. Motivated by these findings, we further propose FGResQ, a new IQA model specifically designed for image restoration, which features both coarse-grained score regression and fine-grained quality ranking. Extensive experiments and comparisons demonstrate that FGResQ significantly outperforms state-of-the-art IQA metrics. Codes and model weights have been released in https://sxfly99.github.io/FGResQ-Homepage.

Zhichao Yang, Jiashu He, Mohammad B. Al-Khasawneh et al.

E-bikes have rapidly gained popularity as a sustainable form of urban mobility, yet their safety implications remain underexplored. This paper analyzes injury incidents involving e-bikes and traditional bicycles using two sources of data, the CPSRMS (Consumer Product Safety Risk Management System Information Security Review Report) and NEISS (National Electronic Injury Surveillance System) datasets. We propose a standardized classification framework to identify and quantify injury causes and severity. By integrating incident narratives with demographic attributes, we reveal key differences in mechanical failure modes, injury severity patterns, and affected user groups. While both modes share common causes, such as loss of control and pedal malfunctions, e-bikes present distinct risks, including battery-related fires and brake failures. These findings highlight the need for tailored safety interventions and infrastructure design to support the safe integration of micromobility devices into urban transportation networks.

Avijit Mitra, Zhichao Yang, Emily Druhl et al.

Social and behavioral determinants of health (SBDH) play a crucial role in health outcomes and are frequently documented in clinical text. Automatically extracting SBDH information from clinical text relies on publicly available good-quality datasets. However, existing SBDH datasets exhibit substantial limitations in their availability and coverage. In this study, we introduce Synth-SBDH, a novel synthetic dataset with detailed SBDH annotations, encompassing status, temporal information, and rationale across 15 SBDH categories. We showcase the utility of Synth-SBDH on three tasks using real-world clinical datasets from two distinct hospital settings, highlighting its versatility, generalizability, and distillation capabilities. Models trained on Synth-SBDH consistently outperform counterparts with no Synth-SBDH training, achieving up to 63.75% macro-F improvements. Additionally, Synth-SBDH proves effective for rare SBDH categories and under-resource constraints while being substantially cheaper than expert-annotated real-world data. Human evaluation reveals a 71.06% Human-LLM alignment and uncovers areas for future refinements.

Sunjae Kwon, Rishabh Garodia, Minhwa Lee et al.

Visual Word Sense Disambiguation (VWSD) is a task to find the image that most accurately depicts the correct sense of the target word for the given context. Previously, image-text matching models often suffered from recognizing polysemous words. This paper introduces an unsupervised VWSD approach that uses gloss information of an external lexical knowledge-base, especially the sense definitions. Specifically, we suggest employing Bayesian inference to incorporate the sense definitions when sense information of the answer is not provided. In addition, to ameliorate the out-of-dictionary (OOD) issue, we propose a context-aware definition generation with GPT-3. Experimental results show that the VWSD performance significantly increased with our Bayesian inference-based approach. In addition, our context-aware definition generation achieved prominent performance improvement in OOD examples exhibiting better performance than the existing definition generation method.

Zhichao Yang, Pengshan Cai, Yansong Feng et al.

Classical Chinese poetry is a jewel in the treasure house of Chinese culture. Previous poem generation models only allow users to employ keywords to interfere the meaning of generated poems, leaving the dominion of generation to the model. In this paper, we propose a novel task of generating classical Chinese poems from vernacular, which allows users to have more control over the semantic of generated poems. We adapt the approach of unsupervised machine translation (UMT) to our task. We use segmentation-based padding and reinforcement learning to address under-translation and over-translation respectively. According to experiments, our approach significantly improve the perplexity and BLEU compared with typical UMT models. Furthermore, we explored guidelines on how to write the input vernacular to generate better poems. Human evaluation showed our approach can generate high-quality poems which are comparable to amateur poems.

Dongxu Zhang, Zhichao Yang

In this technique report, we aim to mitigate the overfitting problem of natural language by applying data augmentation methods. Specifically, we attempt several types of noise to perturb the input word embedding, such as Gaussian noise, Bernoulli noise, and adversarial noise, etc. We also apply several constraints on different types of noise. By implementing these proposed data augmentation methods, the baseline models can gain improvements on several sentence classification tasks.