Xiaohan Li

Pengxiang Cai, Xiaohan Li, Anglin Liu et al.

Text-conditioned chest X-ray generation aims to synthesize realistic radiographs that faithfully depict specified findings. Existing work has primarily improved quality by updating image generators, implicitly treating prompts as fixed after CXR-domain adaptation. We show that this generator-centric view leaves a substantial optimization dimension underexplored. With a CXR-adapted Sana generator frozen, one-pass reformulation by an unmodified LLM reduces RadDINO-FID from 54.225 to 27.572. Prompt analysis shows that the LLM suppresses temporal comparisons, uncertainty, and other non-renderable report content while emphasizing visible radiographic findings. However, unconstrained reformulation reduces BioViL-T alignment with source prompts from 0.695 to 0.609. We therefore introduce JustLLMGRPO, which applies standard Group Relative Policy Optimization (GRPO) only to the LLM prompt policy while keeping Sana frozen. Group-relative radiology-aware image feedback retains visual focus while preserving source-prompt alignment. On CheXGenBench, JustLLMGRPO reduces RadDINO-FID to 26.780, a 50.6% improvement over direct prompting, while maintaining alignment (0.696 versus 0.695). It also achieves state-of-the-art distribution coverage and downstream classification utility. These results show that substantial performance can remain latent in how radiographic information is expressed to an adapted generator. Code is publicly available at https://github.com/pxcai/JustLLMGRPO.

Pengxiang Cai, Wanchen Lian, Chenyang Liu et al.

Interval prediction aims to achieve a target coverage level while producing intervals that are as short as possible. Many conformal regression pipelines first predict an uncertainty surrogate and then convert it into an interval through calibration or selection. This separation supports coverage calibration, but post hoc rules largely determine the final interval and do not fully use the learned output distribution. We observe that the resulting intervals have inherently hierarchical geometry: an interval can be recursively refined into nested subintervals, and binary trees naturally represent this structure. We formulate this hierarchy as next-interval prediction and propose PATH, which learns how probability mass flows from each interval to its next nested subintervals. PATH predicts a base leaf distribution and uses an autoregressive decoder to refine branch probabilities. Matching the distribution to the interval hierarchy aligns learning with extraction: PATH accumulates probability over adjacent output intervals and returns the shortest contiguous range reaching a selected mass. We compare PATH with 24 baselines for interval prediction on PATHBench, comprising 56 OpenML regression datasets. PATH substantially shortens the resulting intervals, achieving the lowest mean normalized length, 0.1473, while maintaining mean coverage of 0.9144. These results establish hierarchical output modeling as an effective approach for compact interval prediction on tabular data. Code is publicly available at https://github.com/pxcai/PATH.