Liang Qiu

Mingjie Li, Haokun Lin, Liang Qiu et al.

Due to the common content of anatomy, radiology images with their corresponding reports exhibit high similarity. Such inherent data bias can predispose automatic report generation models to learn entangled and spurious representations resulting in misdiagnostic reports. To tackle these, we propose a novel \textbf{Co}unter\textbf{F}actual \textbf{E}xplanations-based framework (CoFE) for radiology report generation. Counterfactual explanations serve as a potent tool for understanding how decisions made by algorithms can be changed by asking ``what if'' scenarios. By leveraging this concept, CoFE can learn non-spurious visual representations by contrasting the representations between factual and counterfactual images. Specifically, we derive counterfactual images by swapping a patch between positive and negative samples until a predicted diagnosis shift occurs. Here, positive and negative samples are the most semantically similar but have different diagnosis labels. Additionally, CoFE employs a learnable prompt to efficiently fine-tune the pre-trained large language model, encapsulating both factual and counterfactual content to provide a more generalizable prompt representation. Extensive experiments on two benchmarks demonstrate that leveraging the counterfactual explanations enables CoFE to generate semantically coherent and factually complete reports and outperform in terms of language generation and clinical efficacy metrics.

Ilgee Hong, Changlong Yu, Liang Qiu et al. · gatech

Reinforcement learning from human feedback (RLHF) has become a powerful post-training paradigm for aligning large language models with human preferences. A core challenge in RLHF is constructing accurate reward signals, where the conventional Bradley-Terry reward models (BT RMs) often suffer from sensitivity to data size and coverage, as well as vulnerability to reward hacking. Generative reward models (GenRMs) offer a more robust alternative by generating chain-of-thought (CoT) rationales followed by a final reward. However, existing GenRMs rely on shallow, vertically scaled reasoning, limiting their capacity to handle nuanced or complex (e.g., reasoning-intensive) tasks. Moreover, their pairwise preference outputs are incompatible with standard RLHF algorithms that require pointwise reward signals. In this work, we introduce Think-RM, a training framework that enables long-horizon reasoning in GenRMs by modeling an internal thinking process. Rather than producing structured, externally provided rationales, Think-RM generates flexible, self-guided reasoning traces that support advanced capabilities such as self-reflection, hypothetical reasoning, and divergent reasoning. To elicit these reasoning abilities, we first warm-up the models by supervised fine-tuning (SFT) over long CoT data. We then further improve the model's long-horizon abilities by rule-based reinforcement learning (RL). In addition, we propose a novel pairwise RLHF pipeline that directly optimizes policies using pairwise preference rewards, eliminating the need for pointwise reward conversion and enabling more effective use of Think-RM outputs. Experiments show that Think-RM achieves state-of-the-art results on RM-Bench, outperforming both BT RM and vertically scaled GenRM by 8%. When combined with our pairwise RLHF pipeline, it demonstrates superior end-policy performance compared to traditional approaches.

Liang Qiu, Liyue Shen, Lianli Liu et al.

During and after a course of therapy, imaging is routinely used to monitor the disease progression and assess the treatment responses. Despite of its significance, reliably capturing and predicting the spatial-temporal anatomic changes from a sequence of patient-specific image series presents a considerable challenge. Thus, the development of a computational framework becomes highly desirable for a multitude of practical applications. In this context, we propose a strategy of Spatial-Temporal Neural Representation learning with Prior embedding (ST-NeRP) for patient-specific imaging study. Our strategy involves leveraging an Implicit Neural Representation (INR) network to encode the image at the reference time point into a prior embedding. Subsequently, a spatial-temporally continuous deformation function is learned through another INR network. This network is trained using the whole patient-specific image sequence, enabling the prediction of deformation fields at various target time points. The efficacy of the ST-NeRP model is demonstrated through its application to diverse sequential image series, including 4D CT and longitudinal CT datasets within thoracic and abdominal imaging. The proposed ST-NeRP model exhibits substantial potential in enabling the monitoring of anatomical changes within a patient throughout the therapeutic journey.