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SubscribeEXAMS: A Multi-Subject High School Examinations Dataset for Cross-Lingual and Multilingual Question Answering
We propose EXAMS -- a new benchmark dataset for cross-lingual and multilingual question answering for high school examinations. We collected more than 24,000 high-quality high school exam questions in 16 languages, covering 8 language families and 24 school subjects from Natural Sciences and Social Sciences, among others. EXAMS offers a fine-grained evaluation framework across multiple languages and subjects, which allows precise analysis and comparison of various models. We perform various experiments with existing top-performing multilingual pre-trained models and we show that EXAMS offers multiple challenges that require multilingual knowledge and reasoning in multiple domains. We hope that EXAMS will enable researchers to explore challenging reasoning and knowledge transfer methods and pre-trained models for school question answering in various languages which was not possible before. The data, code, pre-trained models, and evaluation are available at https://github.com/mhardalov/exams-qa.
CPsyExam: A Chinese Benchmark for Evaluating Psychology using Examinations
In this paper, we introduce a novel psychological benchmark, CPsyExam, constructed from questions sourced from Chinese language examinations. CPsyExam is designed to prioritize psychological knowledge and case analysis separately, recognizing the significance of applying psychological knowledge to real-world scenarios. From the pool of 22k questions, we utilize 4k to create the benchmark that offers balanced coverage of subjects and incorporates a diverse range of case analysis techniques.Furthermore, we evaluate a range of existing large language models~(LLMs), spanning from open-sourced to API-based models. Our experiments and analysis demonstrate that CPsyExam serves as an effective benchmark for enhancing the understanding of psychology within LLMs and enables the comparison of LLMs across various granularities.
GPT-4 passes most of the 297 written Polish Board Certification Examinations
Introduction: Recently, the effectiveness of Large Language Models (LLMs) has increased rapidly, allowing them to be used in a great number of applications. However, the risks posed by the generation of false information through LLMs significantly limit their applications in sensitive areas such as healthcare, highlighting the necessity for rigorous validations to determine their utility and reliability. To date, no study has extensively compared the performance of LLMs on Polish medical examinations across a broad spectrum of specialties on a very large dataset. Objectives: This study evaluated the performance of three Generative Pretrained Transformer (GPT) models on the Polish Board Certification Exam (Pa\'nstwowy Egzamin Specjalizacyjny, PES) dataset, which consists of 297 tests. Methods: We developed a software program to download and process PES exams and tested the performance of GPT models using OpenAI Application Programming Interface. Results: Our findings reveal that GPT-3.5 did not pass any of the analyzed exams. In contrast, the GPT-4 models demonstrated the capability to pass the majority of the exams evaluated, with the most recent model, gpt-4-0125, successfully passing 222 (75%) of them. The performance of the GPT models varied significantly, displaying excellence in exams related to certain specialties while completely failing others. Conclusions: The significant progress and impressive performance of LLM models hold great promise for the increased application of AI in the field of medicine in Poland. For instance, this advancement could lead to the development of AI-based medical assistants for healthcare professionals, enhancing the efficiency and accuracy of medical services.
KorMedMCQA: Multi-Choice Question Answering Benchmark for Korean Healthcare Professional Licensing Examinations
We introduce KorMedMCQA, the first Korean multiple-choice question answering (MCQA) benchmark derived from Korean healthcare professional licensing examinations, covering from the year 2012 to year 2023. This dataset consists of a selection of questions from the license examinations for doctors, nurses, and pharmacists, featuring a diverse array of subjects. We conduct baseline experiments on various large language models, including proprietary/open-source, multilingual/Korean-additional pretrained, and clinical context pretrained models, highlighting the potential for further enhancements. We make our data publicly available on HuggingFace and provide a evaluation script via LM-Harness, inviting further exploration and advancement in Korean healthcare environments.
Multiple Instance Learning for Cheating Detection and Localization in Online Examinations
The spread of the Coronavirus disease-2019 epidemic has caused many courses and exams to be conducted online. The cheating behavior detection model in examination invigilation systems plays a pivotal role in guaranteeing the equality of long-distance examinations. However, cheating behavior is rare, and most researchers do not comprehensively take into account features such as head posture, gaze angle, body posture, and background information in the task of cheating behavior detection. In this paper, we develop and present CHEESE, a CHEating detection framework via multiplE inStancE learning. The framework consists of a label generator that implements weak supervision and a feature encoder to learn discriminative features. In addition, the framework combines body posture and background features extracted by 3D convolution with eye gaze, head posture and facial features captured by OpenFace 2.0. These features are fed into the spatio-temporal graph module by stitching to analyze the spatio-temporal changes in video clips to detect the cheating behaviors. Our experiments on three datasets, UCF-Crime, ShanghaiTech and Online Exam Proctoring (OEP), prove the effectiveness of our method as compared to the state-of-the-art approaches, and obtain the frame-level AUC score of 87.58% on the OEP dataset.
Evaluating GPT-4 and ChatGPT on Japanese Medical Licensing Examinations
As large language models (LLMs) gain popularity among speakers of diverse languages, we believe that it is crucial to benchmark them to better understand model behaviors, failures, and limitations in languages beyond English. In this work, we evaluate LLM APIs (ChatGPT, GPT-3, and GPT-4) on the Japanese national medical licensing examinations from the past five years, including the current year. Our team comprises native Japanese-speaking NLP researchers and a practicing cardiologist based in Japan. Our experiments show that GPT-4 outperforms ChatGPT and GPT-3 and passes all six years of the exams, highlighting LLMs' potential in a language that is typologically distant from English. However, our evaluation also exposes critical limitations of the current LLM APIs. First, LLMs sometimes select prohibited choices that should be strictly avoided in medical practice in Japan, such as suggesting euthanasia. Further, our analysis shows that the API costs are generally higher and the maximum context size is smaller for Japanese because of the way non-Latin scripts are currently tokenized in the pipeline. We release our benchmark as Igaku QA as well as all model outputs and exam metadata. We hope that our results and benchmark will spur progress on more diverse applications of LLMs. Our benchmark is available at https://github.com/jungokasai/IgakuQA.
KokushiMD-10: Benchmark for Evaluating Large Language Models on Ten Japanese National Healthcare Licensing Examinations
Recent advances in large language models (LLMs) have demonstrated notable performance in medical licensing exams. However, comprehensive evaluation of LLMs across various healthcare roles, particularly in high-stakes clinical scenarios, remains a challenge. Existing benchmarks are typically text-based, English-centric, and focus primarily on medicines, which limits their ability to assess broader healthcare knowledge and multimodal reasoning. To address these gaps, we introduce KokushiMD-10, the first multimodal benchmark constructed from ten Japanese national healthcare licensing exams. This benchmark spans multiple fields, including Medicine, Dentistry, Nursing, Pharmacy, and allied health professions. It contains over 11588 real exam questions, incorporating clinical images and expert-annotated rationales to evaluate both textual and visual reasoning. We benchmark over 30 state-of-the-art LLMs, including GPT-4o, Claude 3.5, and Gemini, across both text and image-based settings. Despite promising results, no model consistently meets passing thresholds across domains, highlighting the ongoing challenges in medical AI. KokushiMD-10 provides a comprehensive and linguistically grounded resource for evaluating and advancing reasoning-centric medical AI across multilingual and multimodal clinical tasks.
A Stronger Mixture of Low-Rank Experts for Fine-Tuning Foundation Models
In order to streamline the fine-tuning of foundation models, Low-Rank Adapters (LoRAs) have been substantially adopted across various fields, including instruction tuning and domain adaptation. The underlying concept of LoRA involves decomposing a full-rank matrix into the product of two lower-rank matrices, which reduces storage consumption and accelerates the training process. Furthermore, to address the limited expressive capacity of LoRA, the Mixture-of-Expert (MoE) has been introduced for incorporating multiple LoRA adapters. The integration of LoRA experts leads to a visible improvement across several downstream scenes. However, the mixture of LoRAs (MoE-LoRA) still exhibits its low robustness during tuning and inferring. Inspired by the Riemannian Preconditioners which train LoRA as a sub-space projector, we propose a new training strategy for MoE-LoRA, to stabilize and boost its feature learning procedure by multi-space projections. Examinations on SGD and AdamW optimizers demonstrate the effectiveness of our methodology. Source code is available at https://github.com/THUDM/MoELoRA_Riemannian.
TotalSegmentator MRI: Robust Sequence-independent Segmentation of Multiple Anatomic Structures in MRI
Since the introduction of TotalSegmentator CT, there is demand for a similar robust automated MRI segmentation tool that can be applied across all MRI sequences and anatomic structures. In this retrospective study, a nnU-Net model (TotalSegmentator) was trained on MRI and CT examinations to segment 80 anatomic structures relevant for use cases such as organ volumetry, disease characterization, surgical planning and opportunistic screening. Examinations were randomly sampled from routine clinical studies to represent real-world examples. Dice scores were calculated between the predicted segmentations and expert radiologist reference standard segmentations to evaluate model performance on an internal test set, two external test sets and against two publicly available models, and TotalSegmentator CT. The model was applied to an internal dataset containing abdominal MRIs to investigate age-dependent volume changes. A total of 1143 examinations (616 MRIs, 527 CTs) (median age 61 years, IQR 50-72) were split into training (n=1088, CT and MRI) and an internal test set (n=55; only MRI), two external test sets (AMOS, n=20; CHAOS, n=20; only MRI), and an internal aging-study dataset of 8672 abdominal MRIs (median age 59 years, IQR 45-70) were included. The model showed a Dice Score of 0.839 on the internal test set and outperformed two other models (Dice Score, 0.862 versus 0.759; and 0.838 versus 0.560; p<.001 for both). The proposed open-source, easy-to-use model allows for automatic, robust segmentation of 80 structures, extending the capabilities of TotalSegmentator to MRIs of any sequence. The ready-to-use online tool is available at https://totalsegmentator.com, the model at https://github.com/wasserth/TotalSegmentator, and the dataset at https://zenodo.org/records/14710732.
The AI Companion in Education: Analyzing the Pedagogical Potential of ChatGPT in Computer Science and Engineering
Artificial Intelligence (AI), with ChatGPT as a prominent example, has recently taken center stage in various domains including higher education, particularly in Computer Science and Engineering (CSE). The AI revolution brings both convenience and controversy, offering substantial benefits while lacking formal guidance on their application. The primary objective of this work is to comprehensively analyze the pedagogical potential of ChatGPT in CSE education, understanding its strengths and limitations from the perspectives of educators and learners. We employ a systematic approach, creating a diverse range of educational practice problems within CSE field, focusing on various subjects such as data science, programming, AI, machine learning, networks, and more. According to our examinations, certain question types, like conceptual knowledge queries, typically do not pose significant challenges to ChatGPT, and thus, are excluded from our analysis. Alternatively, we focus our efforts on developing more in-depth and personalized questions and project-based tasks. These questions are presented to ChatGPT, followed by interactions to assess its effectiveness in delivering complete and meaningful responses. To this end, we propose a comprehensive five-factor reliability analysis framework to evaluate the responses. This assessment aims to identify when ChatGPT excels and when it faces challenges. Our study concludes with a correlation analysis, delving into the relationships among subjects, task types, and limiting factors. This analysis offers valuable insights to enhance ChatGPT's utility in CSE education, providing guidance to educators and students regarding its reliability and efficacy.
A Frustratingly Easy Approach for Entity and Relation Extraction
End-to-end relation extraction aims to identify named entities and extract relations between them. Most recent work models these two subtasks jointly, either by casting them in one structured prediction framework, or performing multi-task learning through shared representations. In this work, we present a simple pipelined approach for entity and relation extraction, and establish the new state-of-the-art on standard benchmarks (ACE04, ACE05 and SciERC), obtaining a 1.7%-2.8% absolute improvement in relation F1 over previous joint models with the same pre-trained encoders. Our approach essentially builds on two independent encoders and merely uses the entity model to construct the input for the relation model. Through a series of careful examinations, we validate the importance of learning distinct contextual representations for entities and relations, fusing entity information early in the relation model, and incorporating global context. Finally, we also present an efficient approximation to our approach which requires only one pass of both entity and relation encoders at inference time, achieving an 8-16times speedup with a slight reduction in accuracy.
DREAM: A Challenge Dataset and Models for Dialogue-Based Reading Comprehension
We present DREAM, the first dialogue-based multiple-choice reading comprehension dataset. Collected from English-as-a-foreign-language examinations designed by human experts to evaluate the comprehension level of Chinese learners of English, our dataset contains 10,197 multiple-choice questions for 6,444 dialogues. In contrast to existing reading comprehension datasets, DREAM is the first to focus on in-depth multi-turn multi-party dialogue understanding. DREAM is likely to present significant challenges for existing reading comprehension systems: 84% of answers are non-extractive, 85% of questions require reasoning beyond a single sentence, and 34% of questions also involve commonsense knowledge. We apply several popular neural reading comprehension models that primarily exploit surface information within the text and find them to, at best, just barely outperform a rule-based approach. We next investigate the effects of incorporating dialogue structure and different kinds of general world knowledge into both rule-based and (neural and non-neural) machine learning-based reading comprehension models. Experimental results on the DREAM dataset show the effectiveness of dialogue structure and general world knowledge. DREAM will be available at https://dataset.org/dream/.
WorldMedQA-V: a multilingual, multimodal medical examination dataset for multimodal language models evaluation
Multimodal/vision language models (VLMs) are increasingly being deployed in healthcare settings worldwide, necessitating robust benchmarks to ensure their safety, efficacy, and fairness. Multiple-choice question and answer (QA) datasets derived from national medical examinations have long served as valuable evaluation tools, but existing datasets are largely text-only and available in a limited subset of languages and countries. To address these challenges, we present WorldMedQA-V, an updated multilingual, multimodal benchmarking dataset designed to evaluate VLMs in healthcare. WorldMedQA-V includes 568 labeled multiple-choice QAs paired with 568 medical images from four countries (Brazil, Israel, Japan, and Spain), covering original languages and validated English translations by native clinicians, respectively. Baseline performance for common open- and closed-source models are provided in the local language and English translations, and with and without images provided to the model. The WorldMedQA-V benchmark aims to better match AI systems to the diverse healthcare environments in which they are deployed, fostering more equitable, effective, and representative applications.
Med-HALT: Medical Domain Hallucination Test for Large Language Models
This research paper focuses on the challenges posed by hallucinations in large language models (LLMs), particularly in the context of the medical domain. Hallucination, wherein these models generate plausible yet unverified or incorrect information, can have serious consequences in healthcare applications. We propose a new benchmark and dataset, Med-HALT (Medical Domain Hallucination Test), designed specifically to evaluate and reduce hallucinations. Med-HALT provides a diverse multinational dataset derived from medical examinations across various countries and includes multiple innovative testing modalities. Med-HALT includes two categories of tests reasoning and memory-based hallucination tests, designed to assess LLMs's problem-solving and information retrieval abilities. Our study evaluated leading LLMs, including Text Davinci, GPT-3.5, LlaMa-2, MPT, and Falcon, revealing significant differences in their performance. The paper provides detailed insights into the dataset, promoting transparency and reproducibility. Through this work, we aim to contribute to the development of safer and more reliable language models in healthcare. Our benchmark can be found at medhalt.github.io
MediQAl: A French Medical Question Answering Dataset for Knowledge and Reasoning Evaluation
This work introduces MediQAl, a French medical question answering dataset designed to evaluate the capabilities of language models in factual medical recall and reasoning over real-world clinical scenarios. MediQAl contains 32,603 questions sourced from French medical examinations across 41 medical subjects. The dataset includes three tasks: (i) Multiple-Choice Question with Unique answer, (ii) Multiple-Choice Question with Multiple answer, and (iii) Open-Ended Question with Short-Answer. Each question is labeled as Understanding or Reasoning, enabling a detailed analysis of models' cognitive capabilities. We validate the MediQAl dataset through extensive evaluation with 14 large language models, including recent reasoning-augmented models, and observe a significant performance gap between factual recall and reasoning tasks. Our evaluation provides a comprehensive benchmark for assessing language models' performance on French medical question answering, addressing a crucial gap in multilingual resources for the medical domain.
Imitating Radiological Scrolling: A Global-Local Attention Model for 3D Chest CT Volumes Multi-Label Anomaly Classification
The rapid increase in the number of Computed Tomography (CT) scan examinations has created an urgent need for automated tools, such as organ segmentation, anomaly classification, and report generation, to assist radiologists with their growing workload. Multi-label classification of Three-Dimensional (3D) CT scans is a challenging task due to the volumetric nature of the data and the variety of anomalies to be detected. Existing deep learning methods based on Convolutional Neural Networks (CNNs) struggle to capture long-range dependencies effectively, while Vision Transformers require extensive pre-training, posing challenges for practical use. Additionally, these existing methods do not explicitly model the radiologist's navigational behavior while scrolling through CT scan slices, which requires both global context understanding and local detail awareness. In this study, we present CT-Scroll, a novel global-local attention model specifically designed to emulate the scrolling behavior of radiologists during the analysis of 3D CT scans. Our approach is evaluated on two public datasets, demonstrating its efficacy through comprehensive experiments and an ablation study that highlights the contribution of each model component.
ResUNet++: An Advanced Architecture for Medical Image Segmentation
Accurate computer-aided polyp detection and segmentation during colonoscopy examinations can help endoscopists resect abnormal tissue and thereby decrease chances of polyps growing into cancer. Towards developing a fully automated model for pixel-wise polyp segmentation, we propose ResUNet++, which is an improved ResUNet architecture for colonoscopic image segmentation. Our experimental evaluations show that the suggested architecture produces good segmentation results on publicly available datasets. Furthermore, ResUNet++ significantly outperforms U-Net and ResUNet, two key state-of-the-art deep learning architectures, by achieving high evaluation scores with a dice coefficient of 81.33%, and a mean Intersection over Union (mIoU) of 79.27% for the Kvasir-SEG dataset and a dice coefficient of 79.55%, and a mIoU of 79.62% with CVC-612 dataset.
Large-vocabulary forensic pathological analyses via prototypical cross-modal contrastive learning
Forensic pathology is critical in determining the cause and manner of death through post-mortem examinations, both macroscopic and microscopic. The field, however, grapples with issues such as outcome variability, laborious processes, and a scarcity of trained professionals. This paper presents SongCi, an innovative visual-language model (VLM) designed specifically for forensic pathology. SongCi utilizes advanced prototypical cross-modal self-supervised contrastive learning to enhance the accuracy, efficiency, and generalizability of forensic analyses. It was pre-trained and evaluated on a comprehensive multi-center dataset, which includes over 16 million high-resolution image patches, 2,228 vision-language pairs of post-mortem whole slide images (WSIs), and corresponding gross key findings, along with 471 distinct diagnostic outcomes. Our findings indicate that SongCi surpasses existing multi-modal AI models in many forensic pathology tasks, performs comparably to experienced forensic pathologists and significantly better than less experienced ones, and provides detailed multi-modal explainability, offering critical assistance in forensic investigations. To the best of our knowledge, SongCi is the first VLM specifically developed for forensic pathological analysis and the first large-vocabulary computational pathology (CPath) model that directly processes gigapixel WSIs in forensic science.
Are Large Language Models True Healthcare Jacks-of-All-Trades? Benchmarking Across Health Professions Beyond Physician Exams
Recent advancements in Large Language Models (LLMs) have demonstrated their potential in delivering accurate answers to questions about world knowledge. Despite this, existing benchmarks for evaluating LLMs in healthcare predominantly focus on medical doctors, leaving other critical healthcare professions underrepresented. To fill this research gap, we introduce the Examinations for Medical Personnel in Chinese (EMPEC), a pioneering large-scale healthcare knowledge benchmark in traditional Chinese. EMPEC consists of 157,803 exam questions across 124 subjects and 20 healthcare professions, including underrepresented occupations like Optometrists and Audiologists. Each question is tagged with its release time and source, ensuring relevance and authenticity. We conducted extensive experiments on 17 LLMs, including proprietary, open-source models, general domain models and medical specific models, evaluating their performance under various settings. Our findings reveal that while leading models like GPT-4 achieve over 75\% accuracy, they still struggle with specialized fields and alternative medicine. Surprisingly, general-purpose LLMs outperformed medical-specific models, and incorporating EMPEC's training data significantly enhanced performance. Additionally, the results on questions released after the models' training cutoff date were consistent with overall performance trends, suggesting that the models' performance on the test set can predict their effectiveness in addressing unseen healthcare-related queries. The transition from traditional to simplified Chinese characters had a negligible impact on model performance, indicating robust linguistic versatility. Our study underscores the importance of expanding benchmarks to cover a broader range of healthcare professions to better assess the applicability of LLMs in real-world healthcare scenarios.
TotalSegmentator: robust segmentation of 104 anatomical structures in CT images
We present a deep learning segmentation model that can automatically and robustly segment all major anatomical structures in body CT images. In this retrospective study, 1204 CT examinations (from the years 2012, 2016, and 2020) were used to segment 104 anatomical structures (27 organs, 59 bones, 10 muscles, 8 vessels) relevant for use cases such as organ volumetry, disease characterization, and surgical or radiotherapy planning. The CT images were randomly sampled from routine clinical studies and thus represent a real-world dataset (different ages, pathologies, scanners, body parts, sequences, and sites). The authors trained an nnU-Net segmentation algorithm on this dataset and calculated Dice similarity coefficients (Dice) to evaluate the model's performance. The trained algorithm was applied to a second dataset of 4004 whole-body CT examinations to investigate age dependent volume and attenuation changes. The proposed model showed a high Dice score (0.943) on the test set, which included a wide range of clinical data with major pathologies. The model significantly outperformed another publicly available segmentation model on a separate dataset (Dice score, 0.932 versus 0.871, respectively). The aging study demonstrated significant correlations between age and volume and mean attenuation for a variety of organ groups (e.g., age and aortic volume; age and mean attenuation of the autochthonous dorsal musculature). The developed model enables robust and accurate segmentation of 104 anatomical structures. The annotated dataset (https://doi.org/10.5281/zenodo.6802613) and toolkit (https://www.github.com/wasserth/TotalSegmentator) are publicly available.
ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseases
The chest X-ray is one of the most commonly accessible radiological examinations for screening and diagnosis of many lung diseases. A tremendous number of X-ray imaging studies accompanied by radiological reports are accumulated and stored in many modern hospitals' Picture Archiving and Communication Systems (PACS). On the other side, it is still an open question how this type of hospital-size knowledge database containing invaluable imaging informatics (i.e., loosely labeled) can be used to facilitate the data-hungry deep learning paradigms in building truly large-scale high precision computer-aided diagnosis (CAD) systems. In this paper, we present a new chest X-ray database, namely "ChestX-ray8", which comprises 108,948 frontal-view X-ray images of 32,717 unique patients with the text-mined eight disease image labels (where each image can have multi-labels), from the associated radiological reports using natural language processing. Importantly, we demonstrate that these commonly occurring thoracic diseases can be detected and even spatially-located via a unified weakly-supervised multi-label image classification and disease localization framework, which is validated using our proposed dataset. Although the initial quantitative results are promising as reported, deep convolutional neural network based "reading chest X-rays" (i.e., recognizing and locating the common disease patterns trained with only image-level labels) remains a strenuous task for fully-automated high precision CAD systems. Data download link: https://nihcc.app.box.com/v/ChestXray-NIHCC
Towards a Personal Health Large Language Model
In health, most large language model (LLM) research has focused on clinical tasks. However, mobile and wearable devices, which are rarely integrated into such tasks, provide rich, longitudinal data for personal health monitoring. Here we present Personal Health Large Language Model (PH-LLM), fine-tuned from Gemini for understanding and reasoning over numerical time-series personal health data. We created and curated three datasets that test 1) production of personalized insights and recommendations from sleep patterns, physical activity, and physiological responses, 2) expert domain knowledge, and 3) prediction of self-reported sleep outcomes. For the first task we designed 857 case studies in collaboration with domain experts to assess real-world scenarios in sleep and fitness. Through comprehensive evaluation of domain-specific rubrics, we observed that Gemini Ultra 1.0 and PH-LLM are not statistically different from expert performance in fitness and, while experts remain superior for sleep, fine-tuning PH-LLM provided significant improvements in using relevant domain knowledge and personalizing information for sleep insights. We evaluated PH-LLM domain knowledge using multiple choice sleep medicine and fitness examinations. PH-LLM achieved 79% on sleep and 88% on fitness, exceeding average scores from a sample of human experts. Finally, we trained PH-LLM to predict self-reported sleep quality outcomes from textual and multimodal encoding representations of wearable data, and demonstrate that multimodal encoding is required to match performance of specialized discriminative models. Although further development and evaluation are necessary in the safety-critical personal health domain, these results demonstrate both the broad knowledge and capabilities of Gemini models and the benefit of contextualizing physiological data for personal health applications as done with PH-LLM.
MILU: A Multi-task Indic Language Understanding Benchmark
Evaluating Large Language Models (LLMs) in low-resource and linguistically diverse languages remains a significant challenge in NLP, particularly for languages using non-Latin scripts like those spoken in India. Existing benchmarks predominantly focus on English, leaving substantial gaps in assessing LLM capabilities in these languages. We introduce MILU, a Multi task Indic Language Understanding Benchmark, a comprehensive evaluation benchmark designed to address this gap. MILU spans 8 domains and 42 subjects across 11 Indic languages, reflecting both general and culturally specific knowledge. With an India-centric design, incorporates material from regional and state-level examinations, covering topics such as local history, arts, festivals, and laws, alongside standard subjects like science and mathematics. We evaluate over 42 LLMs, and find that current LLMs struggle with MILU, with GPT-4o achieving the highest average accuracy at 72 percent. Open multilingual models outperform language-specific fine-tuned models, which perform only slightly better than random baselines. Models also perform better in high resource languages as compared to low resource ones. Domain-wise analysis indicates that models perform poorly in culturally relevant areas like Arts and Humanities, Law and Governance compared to general fields like STEM. To the best of our knowledge, MILU is the first of its kind benchmark focused on Indic languages, serving as a crucial step towards comprehensive cultural evaluation. All code, benchmarks, and artifacts will be made publicly available to foster open research.
SPOCKMIP: Segmentation of Vessels in MRAs with Enhanced Continuity using Maximum Intensity Projection as Loss
Identification of vessel structures of different sizes in biomedical images is crucial in the diagnosis of many neurodegenerative diseases. However, the sparsity of good-quality annotations of such images makes the task of vessel segmentation challenging. Deep learning offers an efficient way to segment vessels of different sizes by learning their high-level feature representations and the spatial continuity of such features across dimensions. Semi-supervised patch-based approaches have been effective in identifying small vessels of one to two voxels in diameter. This study focuses on improving the segmentation quality by considering the spatial correlation of the features using the Maximum Intensity Projection~(MIP) as an additional loss criterion. Two methods are proposed with the incorporation of MIPs of label segmentation on the single~(z-axis) and multiple perceivable axes of the 3D volume. The proposed MIP-based methods produce segmentations with improved vessel continuity, which is evident in visual examinations of ROIs. Patch-based training is improved by introducing an additional loss term, MIP loss, to penalise the predicted discontinuity of vessels. A training set of 14 volumes is selected from the StudyForrest dataset comprising of 18 7-Tesla 3D Time-of-Flight~(ToF) Magnetic Resonance Angiography (MRA) images. The generalisation performance of the method is evaluated using the other unseen volumes in the dataset. It is observed that the proposed method with multi-axes MIP loss produces better quality segmentations with a median Dice of 80.245 pm 0.129. Also, the method with single-axis MIP loss produces segmentations with a median Dice of 79.749 pm 0.109. Furthermore, a visual comparison of the ROIs in the predicted segmentation reveals a significant improvement in the continuity of the vessels when MIP loss is incorporated into training.
Large Language Models for Mathematical Reasoning: Progresses and Challenges
Mathematical reasoning serves as a cornerstone for assessing the fundamental cognitive capabilities of human intelligence. In recent times, there has been a notable surge in the development of Large Language Models (LLMs) geared towards the automated resolution of mathematical problems. However, the landscape of mathematical problem types is vast and varied, with LLM-oriented techniques undergoing evaluation across diverse datasets and settings. This diversity makes it challenging to discern the true advancements and obstacles within this burgeoning field. This survey endeavors to address four pivotal dimensions: i) a comprehensive exploration of the various mathematical problems and their corresponding datasets that have been investigated; ii) an examination of the spectrum of LLM-oriented techniques that have been proposed for mathematical problem-solving; iii) an overview of factors and concerns affecting LLMs in solving math; and iv) an elucidation of the persisting challenges within this domain. To the best of our knowledge, this survey stands as one of the first extensive examinations of the landscape of LLMs in the realm of mathematics, providing a holistic perspective on the current state, accomplishments, and future challenges in this rapidly evolving field.
Spark-Prover-X1: Formal Theorem Proving Through Diverse Data Training
Large Language Models (LLMs) have shown significant promise in automated theorem proving, yet progress is often constrained by the scarcity of diverse and high-quality formal language data. To address this issue, we introduce Spark-Prover-X1, a 7B parameter model trained via an three-stage framework designed to unlock the reasoning potential of more accessible and moderately-sized LLMs. The first stage infuses deep knowledge through continuous pre-training on a broad mathematical corpus, enhanced by a suite of novel data tasks. Key innovation is a "CoT-augmented state prediction" task to achieve fine-grained reasoning. The second stage employs Supervised Fine-tuning (SFT) within an expert iteration loop to specialize both the Spark-Prover-X1-7B and Spark-Formalizer-X1-7B models. Finally, a targeted round of Group Relative Policy Optimization (GRPO) is applied to sharpen the prover's capabilities on the most challenging problems. To facilitate robust evaluation, particularly on problems from real-world examinations, we also introduce ExamFormal-Bench, a new benchmark dataset of 402 formal problems. Experimental results demonstrate that Spark-Prover achieves state-of-the-art performance among similarly-sized open-source models within the "Whole-Proof Generation" paradigm. It shows exceptional performance on difficult competition benchmarks, notably solving 27 problems on PutnamBench (pass@32) and achieving 24.0\% on CombiBench (pass@32). Our work validates that this diverse training data and progressively refined training pipeline provides an effective path for enhancing the formal reasoning capabilities of lightweight LLMs. We will release both Spark-Prover-X1-7B and Spark-Formalizer-X1-7B, along with the ExamFormal-Bench dataset, in the near future.
MedRECT: A Medical Reasoning Benchmark for Error Correction in Clinical Texts
Large language models (LLMs) show increasing promise in medical applications, but their ability to detect and correct errors in clinical texts -- a prerequisite for safe deployment -- remains under-evaluated, particularly beyond English. We introduce MedRECT, a cross-lingual benchmark (Japanese/English) that formulates medical error handling as three subtasks: error detection, error localization (sentence extraction), and error correction. MedRECT is built with a scalable, automated pipeline from the Japanese Medical Licensing Examinations (JMLE) and a curated English counterpart, yielding MedRECT-ja (663 texts) and MedRECT-en (458 texts) with comparable error/no-error balance. We evaluate 9 contemporary LLMs spanning proprietary, open-weight, and reasoning families. Key findings: (i) reasoning models substantially outperform standard architectures, with up to 13.5% relative improvement in error detection and 51.0% in sentence extraction; (ii) cross-lingual evaluation reveals 5-10% performance gaps from English to Japanese, with smaller disparities for reasoning models; (iii) targeted LoRA fine-tuning yields asymmetric improvements in error correction performance (Japanese: +0.078, English: +0.168) while preserving reasoning capabilities; and (iv) our fine-tuned model exceeds human expert performance on structured medical error correction tasks. To our knowledge, MedRECT is the first comprehensive cross-lingual benchmark for medical error correction, providing a reproducible framework and resources for developing safer medical LLMs across languages.
Shaping Explanations: Semantic Reward Modeling with Encoder-Only Transformers for GRPO
While Large Language Models (LLMs) excel at generating human-like text, aligning their outputs with complex, qualitative goals like pedagogical soundness remains a significant challenge. Standard reinforcement learning techniques often rely on slow and expensive LLM-as-a-judge evaluations or on brittle, keyword-based metrics like ROUGE, which fail to capture the semantic essence of a high-quality explanation. In this work, we introduce a novel approach to reward shaping within the Group Relative Policy Optimisation (GRPO) framework. Our central contribution is the use of a small, efficient encoder-only transformer as a semantic reward model. This model provides a dense, semantically rich reward signal based on the cosine similarity between a generated explanation and a ground-truth reference, guiding the policy towards explanations that are not just factually correct but also structurally and conceptually aligned with expert reasoning. We apply this method to the task of training a model for the Italian medical-school entrance examinations, following standard domain-adaptive continued pre-training (CPT) and supervised fine-tuning (SFT). Our results demonstrate that GRPO with our proposed semantic reward significantly improves explanation faithfulness and clarity over a strong SFT baseline, showcasing the power of using lightweight encoder models for nuanced reward shaping in complex generation tasks
Polyp-Gen: Realistic and Diverse Polyp Image Generation for Endoscopic Dataset Expansion
Automated diagnostic systems (ADS) have shown significant potential in the early detection of polyps during endoscopic examinations, thereby reducing the incidence of colorectal cancer. However, due to high annotation costs and strict privacy concerns, acquiring high-quality endoscopic images poses a considerable challenge in the development of ADS. Despite recent advancements in generating synthetic images for dataset expansion, existing endoscopic image generation algorithms failed to accurately generate the details of polyp boundary regions and typically required medical priors to specify plausible locations and shapes of polyps, which limited the realism and diversity of the generated images. To address these limitations, we present Polyp-Gen, the first full-automatic diffusion-based endoscopic image generation framework. Specifically, we devise a spatial-aware diffusion training scheme with a lesion-guided loss to enhance the structural context of polyp boundary regions. Moreover, to capture medical priors for the localization of potential polyp areas, we introduce a hierarchical retrieval-based sampling strategy to match similar fine-grained spatial features. In this way, our Polyp-Gen can generate realistic and diverse endoscopic images for building reliable ADS. Extensive experiments demonstrate the state-of-the-art generation quality, and the synthetic images can improve the downstream polyp detection task. Additionally, our Polyp-Gen has shown remarkable zero-shot generalizability on other datasets. The source code is available at https://github.com/CUHK-AIM-Group/Polyp-Gen.
A Comprehensive Catalog of Emission-line Nebulae, Star Clusters, and Supergiants in M31 from the LAMOST Spectroscopic Survey
Spectroscopic observations of various tracers in nearby galaxies, such as Andromeda (M31), play a crucial role in identifying and classifying individual stellar populations and nebular objects, thereby enhancing our understanding of galactic composition, environment, and dynamics as well as stellar evolution. While the LAMOST (Large Sky Area Multi-Object Fibre Spectroscopic Telescope) survey of M31 has produced extensive datasets, a comprehensive catalog of emission-line nebulae, star clusters, and supergiants is yet to be completed. In this paper, we present a final catalog of 384 emission-line nebulae, 380 star clusters, and 375 supergiants and candidates in M31, as carefully selected and identified from the LAMOST spectroscopic database. These objects were classified using a random forest algorithm, followed by thorough visual examinations of their spectral characteristics as well as morphologies revealed by archive images. For emission-line nebulae, we measured radial velocities and relative fluxes of emission lines, enabling further classification of planetary nebulae and HII regions. Additionally, we identified 245 emission-line nebulae in M33. This work lays the data foundation for the study of M31, and offers valuable tracers to investigate M31's structure and evolution.
MedQA-CS: Benchmarking Large Language Models Clinical Skills Using an AI-SCE Framework
Artificial intelligence (AI) and large language models (LLMs) in healthcare require advanced clinical skills (CS), yet current benchmarks fail to evaluate these comprehensively. We introduce MedQA-CS, an AI-SCE framework inspired by medical education's Objective Structured Clinical Examinations (OSCEs), to address this gap. MedQA-CS evaluates LLMs through two instruction-following tasks, LLM-as-medical-student and LLM-as-CS-examiner, designed to reflect real clinical scenarios. Our contributions include developing MedQA-CS, a comprehensive evaluation framework with publicly available data and expert annotations, and providing the quantitative and qualitative assessment of LLMs as reliable judges in CS evaluation. Our experiments show that MedQA-CS is a more challenging benchmark for evaluating clinical skills than traditional multiple-choice QA benchmarks (e.g., MedQA). Combined with existing benchmarks, MedQA-CS enables a more comprehensive evaluation of LLMs' clinical capabilities for both open- and closed-source LLMs.
Benchmarking Large Language Models on Answering and Explaining Challenging Medical Questions
LLMs have demonstrated impressive performance in answering medical questions, such as passing scores on medical licensing examinations. However, medical board exam questions or general clinical questions do not capture the complexity of realistic clinical cases. Moreover, the lack of reference explanations means we cannot easily evaluate the reasoning of model decisions, a crucial component of supporting doctors in making complex medical decisions. To address these challenges, we construct two new datasets: JAMA Clinical Challenge and Medbullets. JAMA Clinical Challenge consists of questions based on challenging clinical cases, while Medbullets comprises USMLE Step 2&3 style clinical questions. Both datasets are structured as multiple-choice question-answering tasks, where each question is accompanied by an expert-written explanation. We evaluate four LLMs on the two datasets using various prompts. Experiments demonstrate that our datasets are harder than previous benchmarks. The inconsistency between automatic and human evaluations of model-generated explanations highlights the need to develop new metrics to support future research on explainable medical QA.
From Reasoning to Generalization: Knowledge-Augmented LLMs for ARC Benchmark
Recent reasoning-oriented LLMs have demonstrated strong performance on challenging tasks such as mathematics and science examinations. However, core cognitive faculties of human intelligence, such as abstract reasoning and generalization, remain underexplored. To address this, we evaluate recent reasoning-oriented LLMs on the Abstraction and Reasoning Corpus (ARC) benchmark, which explicitly demands both faculties. We formulate ARC as a program synthesis task and propose nine candidate solvers. Experimental results show that repeated-sampling planning-aided code generation (RSPC) achieves the highest test accuracy and demonstrates consistent generalization across most LLMs. To further improve performance, we introduce an ARC solver, Knowledge Augmentation for Abstract Reasoning (KAAR), which encodes core knowledge priors within an ontology that classifies priors into three hierarchical levels based on their dependencies. KAAR progressively expands LLM reasoning capacity by gradually augmenting priors at each level, and invokes RSPC to generate candidate solutions after each augmentation stage. This stage-wise reasoning reduces interference from irrelevant priors and improves LLM performance. Empirical results show that KAAR maintains strong generalization and consistently outperforms non-augmented RSPC across all evaluated LLMs, achieving around 5% absolute gains and up to 64.52% relative improvement. Despite these achievements, ARC remains a challenging benchmark for reasoning-oriented LLMs, highlighting future avenues of progress in LLMs.
MRSegmentator: Robust Multi-Modality Segmentation of 40 Classes in MRI and CT Sequences
Purpose: To introduce a deep learning model capable of multi-organ segmentation in MRI scans, offering a solution to the current limitations in MRI analysis due to challenges in resolution, standardized intensity values, and variability in sequences. Materials and Methods: he model was trained on 1,200 manually annotated MRI scans from the UK Biobank, 221 in-house MRI scans and 1228 CT scans, leveraging cross-modality transfer learning from CT segmentation models. A human-in-the-loop annotation workflow was employed to efficiently create high-quality segmentations. The model's performance was evaluated on NAKO and the AMOS22 dataset containing 600 and 60 MRI examinations. Dice Similarity Coefficient (DSC) and Hausdorff Distance (HD) was used to assess segmentation accuracy. The model will be open sourced. Results: The model showcased high accuracy in segmenting well-defined organs, achieving Dice Similarity Coefficient (DSC) scores of 0.97 for the right and left lungs, and 0.95 for the heart. It also demonstrated robustness in organs like the liver (DSC: 0.96) and kidneys (DSC: 0.95 left, 0.95 right), which present more variability. However, segmentation of smaller and complex structures such as the portal and splenic veins (DSC: 0.54) and adrenal glands (DSC: 0.65 left, 0.61 right) revealed the need for further model optimization. Conclusion: The proposed model is a robust, tool for accurate segmentation of 40 anatomical structures in MRI and CT images. By leveraging cross-modality learning and interactive annotation, the model achieves strong performance and generalizability across diverse datasets, making it a valuable resource for researchers and clinicians. It is open source and can be downloaded from https://github.com/hhaentze/MRSegmentator.
Orca: Progressive Learning from Complex Explanation Traces of GPT-4
Recent research has focused on enhancing the capability of smaller models through imitation learning, drawing on the outputs generated by large foundation models (LFMs). A number of issues impact the quality of these models, ranging from limited imitation signals from shallow LFM outputs; small scale homogeneous training data; and most notably a lack of rigorous evaluation resulting in overestimating the small model's capability as they tend to learn to imitate the style, but not the reasoning process of LFMs. To address these challenges, we develop Orca (We are working with our legal team to publicly release a diff of the model weights in accordance with LLaMA's release policy to be published at https://aka.ms/orca-lm), a 13-billion parameter model that learns to imitate the reasoning process of LFMs. Orca learns from rich signals from GPT-4 including explanation traces; step-by-step thought processes; and other complex instructions, guided by teacher assistance from ChatGPT. To promote this progressive learning, we tap into large-scale and diverse imitation data with judicious sampling and selection. Orca surpasses conventional state-of-the-art instruction-tuned models such as Vicuna-13B by more than 100% in complex zero-shot reasoning benchmarks like Big-Bench Hard (BBH) and 42% on AGIEval. Moreover, Orca reaches parity with ChatGPT on the BBH benchmark and shows competitive performance (4 pts gap with optimized system message) in professional and academic examinations like the SAT, LSAT, GRE, and GMAT, both in zero-shot settings without CoT; while trailing behind GPT-4. Our research indicates that learning from step-by-step explanations, whether these are generated by humans or more advanced AI models, is a promising direction to improve model capabilities and skills.
Evolving Diagnostic Agents in a Virtual Clinical Environment
In this paper, we present a framework for training large language models (LLMs) as diagnostic agents with reinforcement learning, enabling them to manage multi-turn diagnostic processes, adaptively select examinations, and commit to final diagnoses. Unlike instruction-tuned models trained on static case summaries, our method acquires diagnostic strategies through interactive exploration and outcome-based feedback. Our contributions are fourfold: (i) We present DiagGym, a diagnostics world model trained with electronic health records that emits examination outcomes conditioned on patient history and recommended examination, serving as a virtual clinical environment for realistic diagnosis training and evaluation; (ii) We train DiagAgent via end-to-end, multi-turn reinforcement learning to learn diagnostic policies that optimize both information yield and diagnostic accuracy; (iii) We introduce DiagBench, a diagnostic benchmark comprising 750 cases with physician-validated examination recommendations and 99 cases annotated with 973 physician-written rubrics on diagnosis process; (iv) we demonstrate superior performance across diverse diagnostic settings. DiagAgent significantly outperforms 10 state-of-the-art LLMs, including DeepSeek-v3 and GPT-4o, as well as two prompt-engineered agents. In single-turn settings, DiagAgent achieves 9.34% higher diagnostic accuracy and 44.03% improvement in examination recommendation hit ratio. In end-to-end settings, it delivers 15.12% increase in diagnostic accuracy and 23.09% boost in examination recommendation F1 score. In rubric-based evaluation, it surpasses the next-best model, Claude-sonnet-4, by 7.1% in weighted rubric score. These findings indicate that learning policies in interactive clinical environments confers dynamic and clinically meaningful diagnostic management abilities unattainable through passive training alone.
Typhoon: Thai Large Language Models
Typhoon is a series of Thai large language models (LLMs) developed specifically for the Thai language. This technical report presents challenges and insights in developing Thai LLMs, including data preparation, pretraining, instruction-tuning, and evaluation. As one of the challenges of low-resource languages is the amount of pretraining data, we apply continual training to transfer existing world knowledge from a strong LLM. To evaluate the Thai knowledge encapsulated in each model from the pretraining stage, we develop ThaiExam, a benchmark based on examinations for high-school students and investment professionals in Thailand. In addition, we fine-tune Typhoon to follow Thai instructions, and we evaluate instruction-tuned models on Thai instruction datasets as well as translation, summarization, and question-answering tasks. Experimental results on a suite of Thai benchmarks show that Typhoon outperforms all open-source Thai language models, and its performance is on par with GPT-3.5 in Thai while having only 7 billion parameters and being 2.62 times more efficient in tokenizing Thai text.
COIG-CQIA: Quality is All You Need for Chinese Instruction Fine-tuning
Recently, there have been significant advancements in large language models (LLMs), particularly focused on the English language. These advancements have enabled these LLMs to understand and execute complex instructions with unprecedented accuracy and fluency. However, despite these advancements, there remains a noticeable gap in the development of Chinese instruction tuning. The unique linguistic features and cultural depth of the Chinese language pose challenges for instruction tuning tasks. Existing datasets are either derived from English-centric LLMs or are ill-suited for aligning with the interaction patterns of real-world Chinese users. To bridge this gap, we introduce COIG-CQIA, a high-quality Chinese instruction tuning dataset. Our aim is to build a diverse, wide-ranging instruction-tuning dataset to better align model behavior with human interactions. To this end, we collect a high-quality human-written corpus from various sources on the Chinese Internet, including Q&A communities, Wikis, examinations, and existing NLP datasets. This corpus was rigorously filtered and carefully processed to form the COIG-CQIA dataset. Furthermore, we train models of various scales on different subsets of CQIA, following in-depth evaluation and analyses. The findings from our experiments offer valuable insights for selecting and developing Chinese instruction-tuning datasets. We also find that models trained on CQIA-Subset achieve competitive results in human assessment as well as knowledge and security benchmarks. Data are available at https://huggingface.co/datasets/m-a-p/COIG-CQIA
Mitigating Hallucinations of Large Language Models via Knowledge Consistent Alignment
While Large Language Models (LLMs) have proven to be exceptional on a variety of tasks after alignment, they may still produce responses that contradict the context or world knowledge confidently, a phenomenon known as ``hallucination''. In this paper, we demonstrate that reducing the inconsistency between the external knowledge encapsulated in the training data and the intrinsic knowledge inherited in the pretraining corpus could mitigate hallucination in alignment. Specifically, we introduce a novel knowledge consistent alignment (KCA) approach, which involves automatically formulating examinations based on external knowledge for accessing the comprehension of LLMs. For data encompassing knowledge inconsistency, KCA implements several simple yet efficient strategies for processing. We illustrate the superior performance of the proposed KCA approach in mitigating hallucinations across six benchmarks using LLMs of different backbones and scales. Furthermore, we confirm the correlation between knowledge inconsistency and hallucination, signifying the effectiveness of reducing knowledge inconsistency in alleviating hallucinations. Our code, model weights, and data are public at https://github.com/fanqiwan/KCA.
MedAlpaca -- An Open-Source Collection of Medical Conversational AI Models and Training Data
As large language models (LLMs) like OpenAI's GPT series continue to make strides, we witness the emergence of artificial intelligence applications in an ever-expanding range of fields. In medicine, these LLMs hold considerable promise for improving medical workflows, diagnostics, patient care, and education. Yet, there is an urgent need for open-source models that can be deployed on-premises to safeguard patient privacy. In our work, we present an innovative dataset consisting of over 160,000 entries, specifically crafted to fine-tune LLMs for effective medical applications. We investigate the impact of fine-tuning these datasets on publicly accessible pre-trained LLMs, and subsequently, we juxtapose the performance of pre-trained-only models against the fine-tuned models concerning the examinations that future medical doctors must pass to achieve certification.
Self-Evolving Multi-Agent Simulations for Realistic Clinical Interactions
In this work, we introduce MedAgentSim, an open-source simulated clinical environment with doctor, patient, and measurement agents designed to evaluate and enhance LLM performance in dynamic diagnostic settings. Unlike prior approaches, our framework requires doctor agents to actively engage with patients through multi-turn conversations, requesting relevant medical examinations (e.g., temperature, blood pressure, ECG) and imaging results (e.g., MRI, X-ray) from a measurement agent to mimic the real-world diagnostic process. Additionally, we incorporate self improvement mechanisms that allow models to iteratively refine their diagnostic strategies. We enhance LLM performance in our simulated setting by integrating multi-agent discussions, chain-of-thought reasoning, and experience-based knowledge retrieval, facilitating progressive learning as doctor agents interact with more patients. We also introduce an evaluation benchmark for assessing the LLM's ability to engage in dynamic, context-aware diagnostic interactions. While MedAgentSim is fully automated, it also supports a user-controlled mode, enabling human interaction with either the doctor or patient agent. Comprehensive evaluations in various simulated diagnostic scenarios demonstrate the effectiveness of our approach. Our code, simulation tool, and benchmark are available at https://medagentsim.netlify.app/.
PsycoLLM: Enhancing LLM for Psychological Understanding and Evaluation
Mental health has attracted substantial attention in recent years and LLM can be an effective technology for alleviating this problem owing to its capability in text understanding and dialogue. However, existing research in this domain often suffers from limitations, such as training on datasets lacking crucial prior knowledge and evidence, and the absence of comprehensive evaluation methods. In this paper, we propose a specialized psychological large language model (LLM), named PsycoLLM, trained on a proposed high-quality psychological dataset, including single-turn QA, multi-turn dialogues enriched with prior knowledge and knowledge-based QA. Additionally, to compare the performance of PsycoLLM with other LLMs, we develop a comprehensive psychological benchmark based on authoritative psychological counseling examinations in China, which includes assessments of professional ethics, theoretical proficiency, and case analysis. The experimental results on the benchmark illustrates the effectiveness of PsycoLLM, which demonstrates superior performance compared to other LLMs.
Capabilities of GPT-4 on Medical Challenge Problems
Large language models (LLMs) have demonstrated remarkable capabilities in natural language understanding and generation across various domains, including medicine. We present a comprehensive evaluation of GPT-4, a state-of-the-art LLM, on medical competency examinations and benchmark datasets. GPT-4 is a general-purpose model that is not specialized for medical problems through training or engineered to solve clinical tasks. Our analysis covers two sets of official practice materials for the USMLE, a three-step examination program used to assess clinical competency and grant licensure in the United States. We also evaluate performance on the MultiMedQA suite of benchmark datasets. Beyond measuring model performance, experiments were conducted to investigate the influence of test questions containing both text and images on model performance, probe for memorization of content during training, and study probability calibration, which is of critical importance in high-stakes applications like medicine. Our results show that GPT-4, without any specialized prompt crafting, exceeds the passing score on USMLE by over 20 points and outperforms earlier general-purpose models (GPT-3.5) as well as models specifically fine-tuned on medical knowledge (Med-PaLM, a prompt-tuned version of Flan-PaLM 540B). In addition, GPT-4 is significantly better calibrated than GPT-3.5, demonstrating a much-improved ability to predict the likelihood that its answers are correct. We also explore the behavior of the model qualitatively through a case study that shows the ability of GPT-4 to explain medical reasoning, personalize explanations to students, and interactively craft new counterfactual scenarios around a medical case. Implications of the findings are discussed for potential uses of GPT-4 in medical education, assessment, and clinical practice, with appropriate attention to challenges of accuracy and safety.
LECTOR: LLM-Enhanced Concept-based Test-Oriented Repetition for Adaptive Spaced Learning
Spaced repetition systems are fundamental to efficient learning and memory retention, but existing algorithms often struggle with semantic interference and personalized adaptation. We present LECTOR (LLM-Enhanced Concept-based Test-Oriented Repetition), a novel adaptive scheduling algorithm specifically designed for test-oriented learning scenarios, particularly language examinations where success rate is paramount. LECTOR leverages large language models for semantic analysis while incorporating personalized learning profiles, addressing the critical challenge of semantic confusion in vocabulary learning by utilizing LLM-powered semantic similarity assessment and integrating it with established spaced repetition principles. Our comprehensive evaluation against six baseline algorithms (SSP-MMC, SM2, HLR, FSRS, ANKI, THRESHOLD) across 100 simulated learners over 100 days demonstrates significant improvements: LECTOR achieves a 90.2\% success rate compared to 88.4\% for the best baseline (SSP-MMC), representing a 2.0\% relative improvement. The algorithm shows particular strength in handling semantically similar concepts, reducing confusion-induced errors while maintaining computational efficiency. Our results establish LECTOR as a promising direction for intelligent tutoring systems and adaptive learning platforms.
ClinBench-HPB: A Clinical Benchmark for Evaluating LLMs in Hepato-Pancreato-Biliary Diseases
Hepato-pancreato-biliary (HPB) disorders represent a global public health challenge due to their high morbidity and mortality. Although large language models (LLMs) have shown promising performance in general medical question-answering tasks, the current evaluation benchmarks are mostly derived from standardized examinations or manually designed questions, lacking HPB coverage and clinical cases. To address these issues, we systematically eatablish an HPB disease evaluation benchmark comprising 3,535 closed-ended multiple-choice questions and 337 open-ended real diagnosis cases, which encompasses all the 33 main categories and 465 subcategories of HPB diseases defined in the International Statistical Classification of Diseases, 10th Revision (ICD-10). The multiple-choice questions are curated from public datasets and synthesized data, and the clinical cases are collected from prestigious medical journals, case-sharing platforms, and collaborating hospitals. By evalauting commercial and open-source general and medical LLMs on our established benchmark, namely ClinBench-HBP, we find that while commercial LLMs perform competently on medical exam questions, they exhibit substantial performance degradation on HPB diagnosis tasks, especially on complex, inpatient clinical cases. Those medical LLMs also show limited generalizability to HPB diseases. Our results reveal the critical limitations of current LLMs in the domain of HPB diseases, underscoring the imperative need for future medical LLMs to handle real, complex clinical diagnostics rather than simple medical exam questions. The benchmark will be released at https://clinbench-hpb.github.io.
GRAF: Graph Retrieval Augmented by Facts for Romanian Legal Multi-Choice Question Answering
Pre-trained Language Models (PLMs) have shown remarkable performances in recent years, setting a new paradigm for NLP research and industry. The legal domain has received some attention from the NLP community partly due to its textual nature. Some tasks from this domain are represented by question-answering (QA) tasks. This work explores the legal domain Multiple-Choice QA (MCQA) for a low-resource language. The contribution of this work is multi-fold. We first introduce JuRO, the first openly available Romanian legal MCQA dataset, comprising three different examinations and a number of 10,836 total questions. Along with this dataset, we introduce CROL, an organized corpus of laws that has a total of 93 distinct documents with their modifications from 763 time spans, that we leveraged in this work for Information Retrieval (IR) techniques. Moreover, we are the first to propose Law-RoG, a Knowledge Graph (KG) for the Romanian language, and this KG is derived from the aforementioned corpus. Lastly, we propose a novel approach for MCQA, Graph Retrieval Augmented by Facts (GRAF), which achieves competitive results with generally accepted SOTA methods and even exceeds them in most settings.
Analytic Study of Text-Free Speech Synthesis for Raw Audio using a Self-Supervised Learning Model
We examine the text-free speech representations of raw audio obtained from a self-supervised learning (SSL) model by analyzing the synthesized speech using the SSL representations instead of conventional text representations. Since raw audio does not have paired speech representations as transcribed texts do, obtaining speech representations from unpaired speech is crucial for augmenting available datasets for speech synthesis. Specifically, the proposed speech synthesis is conducted using discrete symbol representations from the SSL model in comparison with text representations, and analytical examinations of the synthesized speech have been carried out. The results empirically show that using text representations is advantageous for preserving semantic information, while using discrete symbol representations is superior for preserving acoustic content, including prosodic and intonational information.
Dehazing Ultrasound using Diffusion Models
Echocardiography has been a prominent tool for the diagnosis of cardiac disease. However, these diagnoses can be heavily impeded by poor image quality. Acoustic clutter emerges due to multipath reflections imposed by layers of skin, subcutaneous fat, and intercostal muscle between the transducer and heart. As a result, haze and other noise artifacts pose a real challenge to cardiac ultrasound imaging. In many cases, especially with difficult-to-image patients such as patients with obesity, a diagnosis from B-Mode ultrasound imaging is effectively rendered unusable, forcing sonographers to resort to contrast-enhanced ultrasound examinations or refer patients to other imaging modalities. Tissue harmonic imaging has been a popular approach to combat haze, but in severe cases is still heavily impacted by haze. Alternatively, denoising algorithms are typically unable to remove highly structured and correlated noise, such as haze. It remains a challenge to accurately describe the statistical properties of structured haze, and develop an inference method to subsequently remove it. Diffusion models have emerged as powerful generative models and have shown their effectiveness in a variety of inverse problems. In this work, we present a joint posterior sampling framework that combines two separate diffusion models to model the distribution of both clean ultrasound and haze in an unsupervised manner. Furthermore, we demonstrate techniques for effectively training diffusion models on radio-frequency ultrasound data and highlight the advantages over image data. Experiments on both in-vitro and in-vivo cardiac datasets show that the proposed dehazing method effectively removes haze while preserving signals from weakly reflected tissue.
Are We Hungry for 3D LiDAR Data for Semantic Segmentation? A Survey and Experimental Study
3D semantic segmentation is a fundamental task for robotic and autonomous driving applications. Recent works have been focused on using deep learning techniques, whereas developing fine-annotated 3D LiDAR datasets is extremely labor intensive and requires professional skills. The performance limitation caused by insufficient datasets is called data hunger problem. This research provides a comprehensive survey and experimental study on the question: are we hungry for 3D LiDAR data for semantic segmentation? The studies are conducted at three levels. First, a broad review to the main 3D LiDAR datasets is conducted, followed by a statistical analysis on three representative datasets to gain an in-depth view on the datasets' size and diversity, which are the critical factors in learning deep models. Second, a systematic review to the state-of-the-art 3D semantic segmentation is conducted, followed by experiments and cross examinations of three representative deep learning methods to find out how the size and diversity of the datasets affect deep models' performance. Finally, a systematic survey to the existing efforts to solve the data hunger problem is conducted on both methodological and dataset's viewpoints, followed by an insightful discussion of remaining problems and open questions To the best of our knowledge, this is the first work to analyze the data hunger problem for 3D semantic segmentation using deep learning techniques that are addressed in the literature review, statistical analysis, and cross-dataset and cross-algorithm experiments. We share findings and discussions, which may lead to potential topics in future works.
MDK12-Bench: A Multi-Discipline Benchmark for Evaluating Reasoning in Multimodal Large Language Models
Multimodal reasoning, which integrates language and visual cues into problem solving and decision making, is a fundamental aspect of human intelligence and a crucial step toward artificial general intelligence. However, the evaluation of multimodal reasoning capabilities in Multimodal Large Language Models (MLLMs) remains inadequate. Most existing reasoning benchmarks are constrained by limited data size, narrow domain coverage, and unstructured knowledge distribution. To close these gaps, we introduce MDK12-Bench, a multi-disciplinary benchmark assessing the reasoning capabilities of MLLMs via real-world K-12 examinations. Spanning six disciplines (math, physics, chemistry, biology, geography, and information science), our benchmark comprises 140K reasoning instances across diverse difficulty levels from primary school to 12th grade. It features 6,827 instance-level knowledge point annotations based on a well-organized knowledge structure, detailed answer explanations, difficulty labels and cross-year partitions, providing a robust platform for comprehensive evaluation. Additionally, we present a novel dynamic evaluation framework to mitigate data contamination issues by bootstrapping question forms, question types, and image styles during evaluation. Extensive experiment on MDK12-Bench reveals the significant limitation of current MLLMs in multimodal reasoning. The findings on our benchmark provide insights into the development of the next-generation models. Our data and codes are available at https://github.com/LanceZPF/MDK12.
Alvorada-Bench: Can Language Models Solve Brazilian University Entrance Exams?
Language models are increasingly used in Brazil, but most evaluation remains English-centric. This paper presents Alvorada-Bench, a 4,515-question, text-only benchmark drawn from five Brazilian university entrance examinations. Evaluating twenty models under zero-shot, role-playing, and chain-of-thought prompting, producing 270,900 responses with structured self-reports of confidence, perceived difficulty, and Bloom level. The top models exceed 94% accuracy overall, but accuracy declines on Mathematics and on the engineering oriented IME and ITA exams, indicating persistent weaknesses in multi-step reasoning. Confidence is well calibrated and correlates with perceived difficulty, revealing that models can accurately assess their own certainty capabilities. A cost accuracy analysis shows that high accuracy is achievable at under $2 per 1K tokens. On ENEM 2024 the top model (O3) achieved perfect scores in Languages subject questions while even the weakest system (GPT-4.1 Nano) only underperforms humans in Mathematics. Through exams that distill decades of Brazilian educational priorities and assess millions of students yearly, Alvorada-Bench establishes whether language models can navigate the intersection of language, culture, and reasoning that defines academic readiness in Brazil.
Can Large Multimodal Models Understand Agricultural Scenes? Benchmarking with AgroMind
Large Multimodal Models (LMMs) has demonstrated capabilities across various domains, but comprehensive benchmarks for agricultural remote sensing (RS) remain scarce. Existing benchmarks designed for agricultural RS scenarios exhibit notable limitations, primarily in terms of insufficient scene diversity in the dataset and oversimplified task design. To bridge this gap, we introduce AgroMind, a comprehensive agricultural remote sensing benchmark covering four task dimensions: spatial perception, object understanding, scene understanding, and scene reasoning, with a total of 13 task types, ranging from crop identification and health monitoring to environmental analysis. We curate a high-quality evaluation set by integrating eight public datasets and one private farmland plot dataset, containing 25,026 QA pairs and 15,556 images. The pipeline begins with multi-source data preprocessing, including collection, format standardization, and annotation refinement. We then generate a diverse set of agriculturally relevant questions through the systematic definition of tasks. Finally, we employ LMMs for inference, generating responses, and performing detailed examinations. We evaluated 18 open-source LMMs and 3 closed-source models on AgroMind. Experiments reveal significant performance gaps, particularly in spatial reasoning and fine-grained recognition, it is notable that human performance lags behind several leading LMMs. By establishing a standardized evaluation framework for agricultural RS, AgroMind reveals the limitations of LMMs in domain knowledge and highlights critical challenges for future work. Data and code can be accessed at https://rssysu.github.io/AgroMind/.
Evaluating GPT-4's Vision Capabilities on Brazilian University Admission Exams
Recent advancements in language models have showcased human-comparable performance in academic entrance exams. However, existing studies often overlook questions that require the integration of visual comprehension, thus compromising the full spectrum and complexity inherent in real-world scenarios. To address this gap, we present a comprehensive framework to evaluate language models on entrance exams, which incorporates both textual and visual elements. We evaluate the two most recent editions of Exame Nacional do Ensino M\'edio (ENEM), the main standardized entrance examination adopted by Brazilian universities. Our study not only reaffirms the capabilities of GPT-4 as the state of the art for handling complex multidisciplinary questions, but also pioneers in offering a realistic assessment of multimodal language models on Portuguese examinations. One of the highlights is that text captions transcribing visual content outperform the direct use of images, suggesting that the vision model has room for improvement. Yet, despite improvements afforded by images or captions, mathematical questions remain a challenge for these state-of-the-art models. The code and data used on experiments are available at https://github.com/piresramon/gpt-4-enem.
An Empirical Analysis for Zero-Shot Multi-Label Classification on COVID-19 CT Scans and Uncurated Reports
The pandemic resulted in vast repositories of unstructured data, including radiology reports, due to increased medical examinations. Previous research on automated diagnosis of COVID-19 primarily focuses on X-ray images, despite their lower precision compared to computed tomography (CT) scans. In this work, we leverage unstructured data from a hospital and harness the fine-grained details offered by CT scans to perform zero-shot multi-label classification based on contrastive visual language learning. In collaboration with human experts, we investigate the effectiveness of multiple zero-shot models that aid radiologists in detecting pulmonary embolisms and identifying intricate lung details like ground glass opacities and consolidations. Our empirical analysis provides an overview of the possible solutions to target such fine-grained tasks, so far overlooked in the medical multimodal pretraining literature. Our investigation promises future advancements in the medical image analysis community by addressing some challenges associated with unstructured data and fine-grained multi-label classification.
FCGEC: Fine-Grained Corpus for Chinese Grammatical Error Correction
Grammatical Error Correction (GEC) has been broadly applied in automatic correction and proofreading system recently. However, it is still immature in Chinese GEC due to limited high-quality data from native speakers in terms of category and scale. In this paper, we present FCGEC, a fine-grained corpus to detect, identify and correct the grammatical errors. FCGEC is a human-annotated corpus with multiple references, consisting of 41,340 sentences collected mainly from multi-choice questions in public school Chinese examinations. Furthermore, we propose a Switch-Tagger-Generator (STG) baseline model to correct the grammatical errors in low-resource settings. Compared to other GEC benchmark models, experimental results illustrate that STG outperforms them on our FCGEC. However, there exists a significant gap between benchmark models and humans that encourages future models to bridge it.
ReClor: A Reading Comprehension Dataset Requiring Logical Reasoning
Recent powerful pre-trained language models have achieved remarkable performance on most of the popular datasets for reading comprehension. It is time to introduce more challenging datasets to push the development of this field towards more comprehensive reasoning of text. In this paper, we introduce a new Reading Comprehension dataset requiring logical reasoning (ReClor) extracted from standardized graduate admission examinations. As earlier studies suggest, human-annotated datasets usually contain biases, which are often exploited by models to achieve high accuracy without truly understanding the text. In order to comprehensively evaluate the logical reasoning ability of models on ReClor, we propose to identify biased data points and separate them into EASY set while the rest as HARD set. Empirical results show that state-of-the-art models have an outstanding ability to capture biases contained in the dataset with high accuracy on EASY set. However, they struggle on HARD set with poor performance near that of random guess, indicating more research is needed to essentially enhance the logical reasoning ability of current models.
Investigating Prior Knowledge for Challenging Chinese Machine Reading Comprehension
Machine reading comprehension tasks require a machine reader to answer questions relevant to the given document. In this paper, we present the first free-form multiple-Choice Chinese machine reading Comprehension dataset (C^3), containing 13,369 documents (dialogues or more formally written mixed-genre texts) and their associated 19,577 multiple-choice free-form questions collected from Chinese-as-a-second-language examinations. We present a comprehensive analysis of the prior knowledge (i.e., linguistic, domain-specific, and general world knowledge) needed for these real-world problems. We implement rule-based and popular neural methods and find that there is still a significant performance gap between the best performing model (68.5%) and human readers (96.0%), especially on problems that require prior knowledge. We further study the effects of distractor plausibility and data augmentation based on translated relevant datasets for English on model performance. We expect C^3 to present great challenges to existing systems as answering 86.8% of questions requires both knowledge within and beyond the accompanying document, and we hope that C^3 can serve as a platform to study how to leverage various kinds of prior knowledge to better understand a given written or orally oriented text. C^3 is available at https://dataset.org/c3/.
Latxa: An Open Language Model and Evaluation Suite for Basque
We introduce Latxa, a family of large language models for Basque ranging from 7 to 70 billion parameters. Latxa is based on Llama 2, which we continue pretraining on a new Basque corpus comprising 4.3M documents and 4.2B tokens. Addressing the scarcity of high-quality benchmarks for Basque, we further introduce 4 multiple choice evaluation datasets: EusProficiency, comprising 5,169 questions from official language proficiency exams; EusReading, comprising 352 reading comprehension questions; EusTrivia, comprising 1,715 trivia questions from 5 knowledge areas; and EusExams, comprising 16,774 questions from public examinations. In our extensive evaluation, Latxa outperforms all previous open models we compare to by a large margin. In addition, it is competitive with GPT-4 Turbo in language proficiency and understanding, despite lagging behind in reading comprehension and knowledge-intensive tasks. Both the Latxa family of models, as well as our new pretraining corpora and evaluation datasets, are publicly available under open licenses at https://github.com/hitz-zentroa/latxa. Our suite enables reproducible research on methods to build LLMs for low-resource languages.
