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Jun 18

Atari-GPT: Investigating the Capabilities of Multimodal Large Language Models as Low-Level Policies for Atari Games

Recent advancements in large language models (LLMs) have expanded their capabilities beyond traditional text-based tasks to multimodal domains, integrating visual, auditory, and textual data. While multimodal LLMs have been extensively explored for high-level planning in domains like robotics and games, their potential as low-level controllers remains largely untapped. This paper explores the application of multimodal LLMs as low-level controllers in the domain of Atari video games, introducing Atari game performance as a new benchmark for evaluating the ability of multimodal LLMs to perform low-level control tasks. Unlike traditional reinforcement learning (RL) and imitation learning (IL) methods that require extensive computational resources as well as reward function specification, these LLMs utilize pre-existing multimodal knowledge to directly engage with game environments. Our study assesses multiple multimodal LLMs performance against traditional RL agents, human players, and random agents, focusing on their ability to understand and interact with complex visual scenes and formulate strategic responses. Additionally, we examine the impact of In-Context Learning (ICL) by incorporating human-demonstrated game-play trajectories to enhance the models contextual understanding. Through this investigation, we aim to determine the extent to which multimodal LLMs can leverage their extensive training to effectively function as low-level controllers, thereby redefining potential applications in dynamic and visually complex environments. Additional results and videos are available at our project webpage: https://sites.google.com/view/atari-gpt/.

  • 4 authors
·
Aug 28, 2024

Are Large Vision Language Models up to the Challenge of Chart Comprehension and Reasoning? An Extensive Investigation into the Capabilities and Limitations of LVLMs

Natural language is a powerful complementary modality of communication for data visualizations, such as bar and line charts. To facilitate chart-based reasoning using natural language, various downstream tasks have been introduced recently such as chart question answering, chart summarization, and fact-checking with charts. These tasks pose a unique challenge, demanding both vision-language reasoning and a nuanced understanding of chart data tables, visual encodings, and natural language prompts. Despite the recent success of Large Language Models (LLMs) across diverse NLP tasks, their abilities and limitations in the realm of data visualization remain under-explored, possibly due to their lack of multi-modal capabilities. To bridge the gap, this paper presents the first comprehensive evaluation of the recently developed large vision language models (LVLMs) for chart understanding and reasoning tasks. Our evaluation includes a comprehensive assessment of LVLMs, including GPT-4V and Gemini, across four major chart reasoning tasks. Furthermore, we perform a qualitative evaluation of LVLMs' performance on a diverse range of charts, aiming to provide a thorough analysis of their strengths and weaknesses. Our findings reveal that LVLMs demonstrate impressive abilities in generating fluent texts covering high-level data insights while also encountering common problems like hallucinations, factual errors, and data bias. We highlight the key strengths and limitations of chart comprehension tasks, offering insights for future research.

  • 6 authors
·
May 31, 2024

Beyond the Imitation Game: Quantifying and extrapolating the capabilities of language models

Language models demonstrate both quantitative improvement and new qualitative capabilities with increasing scale. Despite their potentially transformative impact, these new capabilities are as yet poorly characterized. In order to inform future research, prepare for disruptive new model capabilities, and ameliorate socially harmful effects, it is vital that we understand the present and near-future capabilities and limitations of language models. To address this challenge, we introduce the Beyond the Imitation Game benchmark (BIG-bench). BIG-bench currently consists of 204 tasks, contributed by 442 authors across 132 institutions. Task topics are diverse, drawing problems from linguistics, childhood development, math, common-sense reasoning, biology, physics, social bias, software development, and beyond. BIG-bench focuses on tasks that are believed to be beyond the capabilities of current language models. We evaluate the behavior of OpenAI's GPT models, Google-internal dense transformer architectures, and Switch-style sparse transformers on BIG-bench, across model sizes spanning millions to hundreds of billions of parameters. In addition, a team of human expert raters performed all tasks in order to provide a strong baseline. Findings include: model performance and calibration both improve with scale, but are poor in absolute terms (and when compared with rater performance); performance is remarkably similar across model classes, though with benefits from sparsity; tasks that improve gradually and predictably commonly involve a large knowledge or memorization component, whereas tasks that exhibit "breakthrough" behavior at a critical scale often involve multiple steps or components, or brittle metrics; social bias typically increases with scale in settings with ambiguous context, but this can be improved with prompting.

  • 445 authors
·
Jun 9, 2022 1

Brevity Constraints Reverse Performance Hierarchies in Language Models

Standard evaluation protocols reveal a counterintuitive phenomenon: on 7.7% of benchmark problems spanning five datasets, larger language models underperform smaller ones by 28.4 percentage points despite 10-100x more parameters. Through systematic evaluation of 31 models (0.5B-405B parameters) across 1,485 problems, we identify the mechanism as spontaneous scale-dependent verbosity that introduces errors through overelaboration. Causal intervention experiments demonstrate this reflects correctable prompt design rather than fundamental capability limitations. Constraining large models to produce brief responses improves accuracy by 26 percentage points and reduces performance gaps by up to two-thirds. Most critically, brevity constraints completely reverse performance hierarchies on mathematical reasoning and scientific knowledge benchmarks, with large models achieving 7.7-15.9 percentage point advantages over small models -- direct inversions of the original gaps. These reversals prove large models possess superior latent capabilities that universal prompting masks. We validate findings through three independent contamination tests and demonstrate inverse scaling operates continuously across the full parameter spectrum, with dataset-specific optimal scales ranging from 0.5B to 3.0B parameters. Our results establish that maximizing large model performance requires scale-aware prompt engineering rather than universal evaluation protocols, with immediate implications for deployment: prompt adaptation simultaneously improves accuracy and reduces computational costs.

  • 1 authors
·
Mar 11 2

When Reasoning Beats Scale: A 1.5B Reasoning Model Outranks 13B LLMs as Discriminator

Large Language Models (LLM) with reasoning capabilities offer a promising path for improving candidate evaluation in planning frameworks, but their relative performance against traditional non-reasoning models remains largely underexplored. In this study, we benchmark a distilled 1.5B parameter reasoning model (DeepSeek-R1) against several state-of-the-art non-reasoning LLMs within a generator-discriminator LLM planning framework for the text-to-SQL task. For this, we introduce a novel method for extracting soft scores from the chain-of-thought (CoT) outputs from reasoning that enables fine-grained ranking of candidates. Our central hypothesis is that reasoning models are more effective discriminators than non-reasoning LLMs. Our results show that distilled DeepSeek-R1-1.5B achieves up to 87% higher F1 and 3.7% better discrimination accuracy than CodeLlama-7B, as well as 3.7% higher execution accuracy than CodeLlama-13B, despite having significantly fewer parameters. Furthermore, we find that there is a limit to the logical capabilities of reasoning models, and only providing more context or allowing more compute budget for reasoning is not enough to improve their discrimination performance. Finally, we demonstrate that, unlike non-reasoning LLMs, reasoning models find generation more challenging than discrimination and may underperform as generators compared to smaller non-reasoning LLMs. Our work highlights the potential of reasoning models as discriminators in agentic frameworks, far outweighing their capabilities as generators, offering insights into their optimal role within LLM planning infrastructures.

  • 1 authors
·
Apr 30, 2025

Understanding Dominant Themes in Reviewing Agentic AI-authored Code

While prior work has examined the generation capabilities of Agentic AI systems, little is known about how reviewers respond to AI-authored code in practice. In this paper, we present a large-scale empirical study of code review dynamics in agent-generated PRs. Using a curated subset of the AIDev dataset, we analyze 19,450 inline review comments spanning 3,177 agent-authored PRs from real-world GitHub repositories. We first derive a taxonomy of 12 review comment themes using topic modeling combined with large language model (LLM)-assisted semantic clustering and consolidation. According to this taxonomy, we then investigate whether zero-shot prompts to LLM can reliably annotate review comments. Our evaluation against human annotations shows that open-source LLM achieves reasonably high exact match (78.63%), macro F1 score (0.78), and substantial agreement with human annotators at the review comment level. At the PR level, the LLM also correctly identifies the dominant review theme with 78% Top-1 accuracy and achieves an average Jaccard similarity of 0.76, indicating strong alignment with human judgments. Applying this annotation pipeline at scale, we find that apart from functional correctness and logical changes, reviews of agent-authored PRs predominantly focus on documentation gaps, refactoring needs, styling and formatting issues, with testing and security-related concerns. These findings suggest that while AI agents can accelerate code production, there remain gaps requiring targeted human review oversight.

  • 2 authors
·
Jan 27

TrafficLens: Multi-Camera Traffic Video Analysis Using LLMs

Traffic cameras are essential in urban areas, playing a crucial role in intelligent transportation systems. Multiple cameras at intersections enhance law enforcement capabilities, traffic management, and pedestrian safety. However, efficiently managing and analyzing multi-camera feeds poses challenges due to the vast amount of data. Analyzing such huge video data requires advanced analytical tools. While Large Language Models (LLMs) like ChatGPT, equipped with retrieval-augmented generation (RAG) systems, excel in text-based tasks, integrating them into traffic video analysis demands converting video data into text using a Vision-Language Model (VLM), which is time-consuming and delays the timely utilization of traffic videos for generating insights and investigating incidents. To address these challenges, we propose TrafficLens, a tailored algorithm for multi-camera traffic intersections. TrafficLens employs a sequential approach, utilizing overlapping coverage areas of cameras. It iteratively applies VLMs with varying token limits, using previous outputs as prompts for subsequent cameras, enabling rapid generation of detailed textual descriptions while reducing processing time. Additionally, TrafficLens intelligently bypasses redundant VLM invocations through an object-level similarity detector. Experimental results with real-world datasets demonstrate that TrafficLens reduces video-to-text conversion time by up to 4times while maintaining information accuracy.

  • 3 authors
·
Nov 25, 2025

Applying Pre-trained Multilingual BERT in Embeddings for Improved Malicious Prompt Injection Attacks Detection

Large language models (LLMs) are renowned for their exceptional capabilities, and applying to a wide range of applications. However, this widespread use brings significant vulnerabilities. Also, it is well observed that there are huge gap which lies in the need for effective detection and mitigation strategies against malicious prompt injection attacks in large language models, as current approaches may not adequately address the complexity and evolving nature of these vulnerabilities in real-world applications. Therefore, this work focuses the impact of malicious prompt injection attacks which is one of most dangerous vulnerability on real LLMs applications. It examines to apply various BERT (Bidirectional Encoder Representations from Transformers) like multilingual BERT, DistilBert for classifying malicious prompts from legitimate prompts. Also, we observed how tokenizing the prompt texts and generating embeddings using multilingual BERT contributes to improve the performance of various machine learning methods: Gaussian Naive Bayes, Random Forest, Support Vector Machine, and Logistic Regression. The performance of each model is rigorously analyzed with various parameters to improve the binary classification to discover malicious prompts. Multilingual BERT approach to embed the prompts significantly improved and outperformed the existing works and achieves an outstanding accuracy of 96.55% by Logistic regression. Additionally, we investigated the incorrect predictions of the model to gain insights into its limitations. The findings can guide researchers in tuning various BERT for finding the most suitable model for diverse LLMs vulnerabilities.

  • 4 authors
·
Sep 20, 2024

HandVQA: Diagnosing and Improving Fine-Grained Spatial Reasoning about Hands in Vision-Language Models

Understanding the fine-grained articulation of human hands is critical in high-stakes settings such as robot-assisted surgery, chip manufacturing, and AR/VR-based human-AI interaction. Despite achieving near-human performance on general vision-language benchmarks, current vision-language models (VLMs) struggle with fine-grained spatial reasoning, especially in interpreting complex and articulated hand poses. We introduce HandVQA, a large-scale diagnostic benchmark designed to evaluate VLMs' understanding of detailed hand anatomy through visual question answering. Built upon high-quality 3D hand datasets (FreiHAND, InterHand2.6M, FPHA), our benchmark includes over 1.6M controlled multiple-choice questions that probe spatial relationships between hand joints, such as angles, distances, and relative positions. We evaluate several state-of-the-art VLMs (LLaVA, DeepSeek and Qwen-VL) in both base and fine-tuned settings, using lightweight fine-tuning via LoRA. Our findings reveal systematic limitations in current models, including hallucinated finger parts, incorrect geometric interpretations, and poor generalization. HandVQA not only exposes these critical reasoning gaps but provides a validated path to improvement. We demonstrate that the 3D-grounded spatial knowledge learned from our benchmark transfers in a zero-shot setting, significantly improving accuracy of model on novel downstream tasks like hand gesture recognition (+10.33%) and hand-object interaction (+2.63%).

  • 7 authors
·
Mar 27

SafeSynthDP: Leveraging Large Language Models for Privacy-Preserving Synthetic Data Generation Using Differential Privacy

Machine learning (ML) models frequently rely on training data that may include sensitive or personal information, raising substantial privacy concerns. Legislative frameworks such as the General Data Protection Regulation (GDPR) and the California Consumer Privacy Act (CCPA) have necessitated the development of strategies that preserve privacy while maintaining the utility of data. In this paper, we investigate the capability of Large Language Models (LLMs) to generate synthetic datasets integrated with Differential Privacy (DP) mechanisms, thereby enabling data-driven research and model training without direct exposure of sensitive information. Our approach incorporates DP-based noise injection methods, including Laplace and Gaussian distributions, into the data generation process. We then evaluate the utility of these DP-enhanced synthetic datasets by comparing the performance of ML models trained on them against models trained on the original data. To substantiate privacy guarantees, we assess the resilience of the generated synthetic data to membership inference attacks and related threats. The experimental results demonstrate that integrating DP within LLM-driven synthetic data generation offers a viable balance between privacy protection and data utility. This study provides a foundational methodology and insight into the privacy-preserving capabilities of LLMs, paving the way for compliant and effective ML research and applications.

  • 2 authors
·
Dec 29, 2024

Assessing Small Language Models for Code Generation: An Empirical Study with Benchmarks

The recent advancements of Small Language Models (SLMs) have opened new possibilities for efficient code generation. SLMs offer lightweight and cost-effective alternatives to Large Language Models (LLMs), making them attractive for use in resource-constrained environments. However, empirical understanding of SLMs, particularly their capabilities, limitations, and performance trade-offs in code generation remains limited. This study presents a comprehensive empirical evaluation of 20 open-source SLMs ranging from 0.4B to 10B parameters on five diverse code-related benchmarks (HumanEval, MBPP, Mercury, HumanEvalPack, and CodeXGLUE). The models are assessed along three dimensions: i) functional correctness of generated code, ii) computational efficiency and iii) performance across multiple programming languages. The findings of this study reveal that several compact SLMs achieve competitive results while maintaining a balance between performance and efficiency, making them viable for deployment in resource-constrained environments. However, achieving further improvements in accuracy requires switching to larger models. These models generally outperform their smaller counterparts, but they require much more computational power. We observe that for 10% performance improvements, models can require nearly a 4x increase in VRAM consumption, highlighting a trade-off between effectiveness and scalability. Besides, the multilingual performance analysis reveals that SLMs tend to perform better in languages such as Python, Java, and PHP, while exhibiting relatively weaker performance in Go, C++, and Ruby. However, statistical analysis suggests these differences are not significant, indicating a generalizability of SLMs across programming languages. Based on the findings, this work provides insights into the design and selection of SLMs for real-world code generation tasks.

  • 6 authors
·
Jul 3, 2025

Detection Made Easy: Potentials of Large Language Models for Solidity Vulnerabilities

The large-scale deployment of Solidity smart contracts on the Ethereum mainnet has increasingly attracted financially-motivated attackers in recent years. A few now-infamous attacks in Ethereum's history includes DAO attack in 2016 (50 million dollars lost), Parity Wallet hack in 2017 (146 million dollars locked), Beautychain's token BEC in 2018 (900 million dollars market value fell to 0), and NFT gaming blockchain breach in 2022 ($600 million in Ether stolen). This paper presents a comprehensive investigation of the use of large language models (LLMs) and their capabilities in detecting OWASP Top Ten vulnerabilities in Solidity. We introduce a novel, class-balanced, structured, and labeled dataset named VulSmart, which we use to benchmark and compare the performance of open-source LLMs such as CodeLlama, Llama2, CodeT5 and Falcon, alongside closed-source models like GPT-3.5 Turbo and GPT-4o Mini. Our proposed SmartVD framework is rigorously tested against these models through extensive automated and manual evaluations, utilizing BLEU and ROUGE metrics to assess the effectiveness of vulnerability detection in smart contracts. We also explore three distinct prompting strategies-zero-shot, few-shot, and chain-of-thought-to evaluate the multi-class classification and generative capabilities of the SmartVD framework. Our findings reveal that SmartVD outperforms its open-source counterparts and even exceeds the performance of closed-source base models like GPT-3.5 and GPT-4 Mini. After fine-tuning, the closed-source models, GPT-3.5 Turbo and GPT-4o Mini, achieved remarkable performance with 99% accuracy in detecting vulnerabilities, 94% in identifying their types, and 98% in determining severity. Notably, SmartVD performs best with the `chain-of-thought' prompting technique, whereas the fine-tuned closed-source models excel with the `zero-shot' prompting approach.

  • 3 authors
·
Sep 15, 2024

VLAgeBench: Benchmarking Large Vision-Language Models for Zero-Shot Human Age Estimation

Human age estimation from facial images represents a challenging computer vision task with significant applications in biometrics, healthcare, and human-computer interaction. While traditional deep learning approaches require extensive labeled datasets and domain-specific training, recent advances in large vision-language models (LVLMs) offer the potential for zero-shot age estimation. This study presents a comprehensive zero-shot evaluation of state-of-the-art Large Vision-Language Models (LVLMs) for facial age estimation, a task traditionally dominated by domain-specific convolutional networks and supervised learning. We assess the performance of GPT-4o, Claude 3.5 Sonnet, and LLaMA 3.2 Vision on two benchmark datasets, UTKFace and FG-NET, without any fine-tuning or task-specific adaptation. Using eight evaluation metrics, including MAE, MSE, RMSE, MAPE, MBE, R^2, CCC, and pm5-year accuracy, we demonstrate that general-purpose LVLMs can deliver competitive performance in zero-shot settings. Our findings highlight the emergent capabilities of LVLMs for accurate biometric age estimation and position these models as promising tools for real-world applications. Additionally, we highlight performance disparities linked to image quality and demographic subgroups, underscoring the need for fairness-aware multimodal inference. This work introduces a reproducible benchmark and positions LVLMs as promising tools for real-world applications in forensic science, healthcare monitoring, and human-computer interaction. The benchmark focuses on strict zero-shot inference without fine-tuning and highlights remaining challenges related to prompt sensitivity, interpretability, computational cost, and demographic fairness.

  • 5 authors
·
Mar 26

DocSplit: A Comprehensive Benchmark Dataset and Evaluation Approach for Document Packet Recognition and Splitting

Document understanding in real-world applications often requires processing heterogeneous, multi-page document packets containing multiple documents stitched together. Despite recent advances in visual document understanding, the fundamental task of document packet splitting, which involves separating a document packet into individual units, remains largely unaddressed. We present the first comprehensive benchmark dataset, DocSplit, along with novel evaluation metrics for assessing the document packet splitting capabilities of large language models. DocSplit comprises five datasets of varying complexity, covering diverse document types, layouts, and multimodal settings. We formalize the DocSplit task, which requires models to identify document boundaries, classify document types, and maintain correct page ordering within a document packet. The benchmark addresses real-world challenges, including out-of-order pages, interleaved documents, and documents lacking clear demarcations. We conduct extensive experiments evaluating multimodal LLMs on our datasets, revealing significant performance gaps in current models' ability to handle complex document splitting tasks. The DocSplit benchmark datasets and proposed novel evaluation metrics provide a systematic framework for advancing document understanding capabilities essential for legal, financial, healthcare, and other document-intensive domains. We release the datasets to facilitate future research in document packet processing.

  • 9 authors
·
Feb 17

SPARE: Single-Pass Annotation with Reference-Guided Evaluation for Automatic Process Supervision and Reward Modelling

Process or step-wise supervision has played a crucial role in advancing complex multi-step reasoning capabilities of Large Language Models (LLMs). However, efficient, high-quality automated process annotation remains a significant challenge. To address this, we introduce Single-Pass Annotation with Reference-Guided Evaluation (SPARE), a novel structured framework that enables single-pass, per-step annotation by aligning each solution step to one or multiple steps in a reference solution, accompanied by explicit reasoning for evaluation. We show that reference-guided step-level evaluation effectively facilitates process supervision on four datasets spanning three domains: mathematical reasoning, multi-hop compositional question answering, and spatial reasoning. We demonstrate that SPARE, when compared to baselines, improves reasoning performance when used for: (1) fine-tuning models in an offline RL setup for inference-time greedy-decoding, and (2) training reward models for ranking/aggregating multiple LLM-generated outputs. Additionally, SPARE achieves competitive performance on challenging mathematical datasets while offering 2.6 times greater efficiency, requiring only 38% of the runtime, compared to tree search-based automatic annotation. The codebase, along with a trained SPARE-PRM model, is publicly released to facilitate further research and reproducibility.

  • 3 authors
·
Jun 18, 2025

CODESIM: Multi-Agent Code Generation and Problem Solving through Simulation-Driven Planning and Debugging

Large Language Models (LLMs) have made significant strides in code generation and problem solving. Current approaches employ external tool-based iterative debuggers that use compiler or other tool-based runtime feedback to refine coarse programs generated by various methods. However, the effectiveness of these approaches heavily relies on the quality of the initial code generation, which remains an open challenge. In this paper, we introduce CodeSim, a novel multi-agent code generation framework that comprehensively addresses the stages of program synthesis-planning, coding, and debugging-through a human-like perception approach. As human verifies their understanding of any algorithms through visual simulation, CodeSim uniquely features a method of plan verification and internal debugging through the step-by-step simulation of input/output. Extensive experiments across seven challenging competitive problem-solving and program synthesis benchmarks demonstrate CodeSim's remarkable code generation capabilities. Our framework achieves new state-of-the-art (pass@1) results-(HumanEval 95.1%, MBPP 90.7%, APPS 22%, and CodeContests 29.1%). Furthermore, our method shows potential for even greater enhancement when cascaded with external debuggers. To facilitate further research and development in this area, we have open-sourced our framework in this link (https://kagnlp.github.io/codesim.github.io/).

  • 3 authors
·
Feb 8, 2025 3

Guardians of the Agentic System: Preventing Many Shots Jailbreak with Agentic System

The autonomous AI agents using large language models can create undeniable values in all span of the society but they face security threats from adversaries that warrants immediate protective solutions because trust and safety issues arise. Considering the many-shot jailbreaking and deceptive alignment as some of the main advanced attacks, that cannot be mitigated by the static guardrails used during the supervised training, points out a crucial research priority for real world robustness. The combination of static guardrails in dynamic multi-agent system fails to defend against those attacks. We intend to enhance security for LLM-based agents through the development of new evaluation frameworks which identify and counter threats for safe operational deployment. Our work uses three examination methods to detect rogue agents through a Reverse Turing Test and analyze deceptive alignment through multi-agent simulations and develops an anti-jailbreaking system by testing it with GEMINI 1.5 pro and llama-3.3-70B, deepseek r1 models using tool-mediated adversarial scenarios. The detection capabilities are strong such as 94\% accuracy for GEMINI 1.5 pro yet the system suffers persistent vulnerabilities when under long attacks as prompt length increases attack success rates (ASR) and diversity metrics become ineffective in prediction while revealing multiple complex system faults. The findings demonstrate the necessity of adopting flexible security systems based on active monitoring that can be performed by the agents themselves together with adaptable interventions by system admin as the current models can create vulnerabilities that can lead to the unreliable and vulnerable system. So, in our work, we try to address such situations and propose a comprehensive framework to counteract the security issues.

  • 6 authors
·
Feb 23, 2025 2

Cognitively Inspired Energy-Based World Models

One of the predominant methods for training world models is autoregressive prediction in the output space of the next element of a sequence. In Natural Language Processing (NLP), this takes the form of Large Language Models (LLMs) predicting the next token; in Computer Vision (CV), this takes the form of autoregressive models predicting the next frame/token/pixel. However, this approach differs from human cognition in several respects. First, human predictions about the future actively influence internal cognitive processes. Second, humans naturally evaluate the plausibility of predictions regarding future states. Based on this capability, and third, by assessing when predictions are sufficient, humans allocate a dynamic amount of time to make a prediction. This adaptive process is analogous to System 2 thinking in psychology. All these capabilities are fundamental to the success of humans at high-level reasoning and planning. Therefore, to address the limitations of traditional autoregressive models lacking these human-like capabilities, we introduce Energy-Based World Models (EBWM). EBWM involves training an Energy-Based Model (EBM) to predict the compatibility of a given context and a predicted future state. In doing so, EBWM enables models to achieve all three facets of human cognition described. Moreover, we developed a variant of the traditional autoregressive transformer tailored for Energy-Based models, termed the Energy-Based Transformer (EBT). Our results demonstrate that EBWM scales better with data and GPU Hours than traditional autoregressive transformers in CV, and that EBWM offers promising early scaling in NLP. Consequently, this approach offers an exciting path toward training future models capable of System 2 thinking and intelligently searching across state spaces.

  • 6 authors
·
Jun 13, 2024 7

BRAINS: A Retrieval-Augmented System for Alzheimer's Detection and Monitoring

As the global burden of Alzheimer's disease (AD) continues to grow, early and accurate detection has become increasingly critical, especially in regions with limited access to advanced diagnostic tools. We propose BRAINS (Biomedical Retrieval-Augmented Intelligence for Neurodegeneration Screening) to address this challenge. This novel system harnesses the powerful reasoning capabilities of Large Language Models (LLMs) for Alzheimer's detection and monitoring. BRAINS features a dual-module architecture: a cognitive diagnostic module and a case-retrieval module. The Diagnostic Module utilizes LLMs fine-tuned on cognitive and neuroimaging datasets -- including MMSE, CDR scores, and brain volume metrics -- to perform structured assessments of Alzheimer's risk. Meanwhile, the Case Retrieval Module encodes patient profiles into latent representations and retrieves similar cases from a curated knowledge base. These auxiliary cases are fused with the input profile via a Case Fusion Layer to enhance contextual understanding. The combined representation is then processed with clinical prompts for inference. Evaluations on real-world datasets demonstrate BRAINS effectiveness in classifying disease severity and identifying early signs of cognitive decline. This system not only shows strong potential as an assistive tool for scalable, explainable, and early-stage Alzheimer's disease detection, but also offers hope for future applications in the field.

eliteresearch ELITE Research Lab
·
Nov 4, 2025 1

MapEval: A Map-Based Evaluation of Geo-Spatial Reasoning in Foundation Models

Recent advancements in foundation models have enhanced AI systems' capabilities in autonomous tool usage and reasoning. However, their ability in location or map-based reasoning - which improves daily life by optimizing navigation, facilitating resource discovery, and streamlining logistics - has not been systematically studied. To bridge this gap, we introduce MapEval, a benchmark designed to assess diverse and complex map-based user queries with geo-spatial reasoning. MapEval features three task types (textual, API-based, and visual) that require collecting world information via map tools, processing heterogeneous geo-spatial contexts (e.g., named entities, travel distances, user reviews or ratings, images), and compositional reasoning, which all state-of-the-art foundation models find challenging. Comprising 700 unique multiple-choice questions about locations across 180 cities and 54 countries, MapEval evaluates foundation models' ability to handle spatial relationships, map infographics, travel planning, and navigation challenges. Using MapEval, we conducted a comprehensive evaluation of 28 prominent foundation models. While no single model excelled across all tasks, Claude-3.5-Sonnet, GPT-4o, and Gemini-1.5-Pro achieved competitive performance overall. However, substantial performance gaps emerged, particularly in MapEval, where agents with Claude-3.5-Sonnet outperformed GPT-4o and Gemini-1.5-Pro by 16% and 21%, respectively, and the gaps became even more amplified when compared to open-source LLMs. Our detailed analyses provide insights into the strengths and weaknesses of current models, though all models still fall short of human performance by more than 20% on average, struggling with complex map images and rigorous geo-spatial reasoning. This gap highlights MapEval's critical role in advancing general-purpose foundation models with stronger geo-spatial understanding.

  • 8 authors
·
Dec 31, 2024 2

Biomolecular Analysis of Soil Samples and Rock Imagery for Tracing Evidence of Life Using a Mobile Robot

The search for evidence of past life on Mars presents a tremendous challenge that requires the usage of very advanced robotic technologies to overcome it. Current digital microscopic imagers and spectrometers used for astrobiological examination suffer from limitations such as insufficient resolution, narrow detection range, and lack of portability. To overcome these challenges, this research study presents modifications to the Phoenix rover to expand its capability for detecting biosignatures on Mars. This paper examines the modifications implemented on the Phoenix rover to enhance its capability to detect a broader spectrum of biosignatures. One of the notable improvements comprises the integration of advanced digital microscopic imagers and spectrometers, enabling high-resolution examination of soil samples. Additionally, the mechanical components of the device have been reinforced to enhance maneuverability and optimize subsurface sampling capabilities. Empirical investigations have demonstrated that Phoenix has the capability to navigate diverse geological environments and procure samples for the purpose of biomolecular analysis. The biomolecular instrumentation and hybrid analytical methods showcased in this study demonstrate considerable potential for future astrobiology missions on Mars. The potential for enhancing the system lies in the possibility of broadening the range of detectable biomarkers and biosignatures.

  • 5 authors
·
Nov 27, 2024

UAL-Bench: The First Comprehensive Unusual Activity Localization Benchmark

Localizing unusual activities, such as human errors or surveillance incidents, in videos holds practical significance. However, current video understanding models struggle with localizing these unusual events likely because of their insufficient representation in models' pretraining datasets. To explore foundation models' capability in localizing unusual activity, we introduce UAL-Bench, a comprehensive benchmark for unusual activity localization, featuring three video datasets: UAG-OOPS, UAG-SSBD, UAG-FunQA, and an instruction-tune dataset: OOPS-UAG-Instruct, to improve model capabilities. UAL-Bench evaluates three approaches: Video-Language Models (Vid-LLMs), instruction-tuned Vid-LLMs, and a novel integration of Vision-Language Models and Large Language Models (VLM-LLM). Our results show the VLM-LLM approach excels in localizing short-span unusual events and predicting their onset (start time) more accurately than Vid-LLMs. We also propose a new metric, R@1, TD <= p, to address limitations in existing evaluation methods. Our findings highlight the challenges posed by long-duration videos, particularly in autism diagnosis scenarios, and the need for further advancements in localization techniques. Our work not only provides a benchmark for unusual activity localization but also outlines the key challenges for existing foundation models, suggesting future research directions on this important task.

  • 5 authors
·
Oct 1, 2024

CAM-Seg: A Continuous-valued Embedding Approach for Semantic Image Generation

Traditional transformer-based semantic segmentation relies on quantized embeddings. However, our analysis reveals that autoencoder accuracy on segmentation mask using quantized embeddings (e.g. VQ-VAE) is 8% lower than continuous-valued embeddings (e.g. KL-VAE). Motivated by this, we propose a continuous-valued embedding framework for semantic segmentation. By reformulating semantic mask generation as a continuous image-to-embedding diffusion process, our approach eliminates the need for discrete latent representations while preserving fine-grained spatial and semantic details. Our key contribution includes a diffusion-guided autoregressive transformer that learns a continuous semantic embedding space by modeling long-range dependencies in image features. Our framework contains a unified architecture combining a VAE encoder for continuous feature extraction, a diffusion-guided transformer for conditioned embedding generation, and a VAE decoder for semantic mask reconstruction. Our setting facilitates zero-shot domain adaptation capabilities enabled by the continuity of the embedding space. Experiments across diverse datasets (e.g., Cityscapes and domain-shifted variants) demonstrate state-of-the-art robustness to distribution shifts, including adverse weather (e.g., fog, snow) and viewpoint variations. Our model also exhibits strong noise resilience, achieving robust performance (approx 95% AP compared to baseline) under gaussian noise, moderate motion blur, and moderate brightness/contrast variations, while experiencing only a moderate impact (approx 90% AP compared to baseline) from 50% salt and pepper noise, saturation and hue shifts. Code available: https://github.com/mahmed10/CAMSS.git

  • 7 authors
·
Mar 19, 2025 1

From Concept to Manufacturing: Evaluating Vision-Language Models for Engineering Design

Engineering Design is undergoing a transformative shift with the advent of AI, marking a new era in how we approach product, system, and service planning. Large language models have demonstrated impressive capabilities in enabling this shift. Yet, with text as their only input modality, they cannot leverage the large body of visual artifacts that engineers have used for centuries and are accustomed to. This gap is addressed with the release of multimodal vision language models, such as GPT-4V, enabling AI to impact many more types of tasks. In light of these advancements, this paper presents a comprehensive evaluation of GPT-4V, a vision language model, across a wide spectrum of engineering design tasks, categorized into four main areas: Conceptual Design, System-Level and Detailed Design, Manufacturing and Inspection, and Engineering Education Tasks. Our study assesses GPT-4V's capabilities in design tasks such as sketch similarity analysis, concept selection using Pugh Charts, material selection, engineering drawing analysis, CAD generation, topology optimization, design for additive and subtractive manufacturing, spatial reasoning challenges, and textbook problems. Through this structured evaluation, we not only explore GPT-4V's proficiency in handling complex design and manufacturing challenges but also identify its limitations in complex engineering design applications. Our research establishes a foundation for future assessments of vision language models, emphasizing their immense potential for innovating and enhancing the engineering design and manufacturing landscape. It also contributes a set of benchmark testing datasets, with more than 1000 queries, for ongoing advancements and applications in this field.

  • 7 authors
·
Nov 21, 2023

Energy-Based Transformers are Scalable Learners and Thinkers

Inference-time computation techniques, analogous to human System 2 Thinking, have recently become popular for improving model performances. However, most existing approaches suffer from several limitations: they are modality-specific (e.g., working only in text), problem-specific (e.g., verifiable domains like math and coding), or require additional supervision/training on top of unsupervised pretraining (e.g., verifiers or verifiable rewards). In this paper, we ask the question "Is it possible to generalize these System 2 Thinking approaches, and develop models that learn to think solely from unsupervised learning?" Interestingly, we find the answer is yes, by learning to explicitly verify the compatibility between inputs and candidate-predictions, and then re-framing prediction problems as optimization with respect to this verifier. Specifically, we train Energy-Based Transformers (EBTs) -- a new class of Energy-Based Models (EBMs) -- to assign an energy value to every input and candidate-prediction pair, enabling predictions through gradient descent-based energy minimization until convergence. Across both discrete (text) and continuous (visual) modalities, we find EBTs scale faster than the dominant Transformer++ approach during training, achieving an up to 35% higher scaling rate with respect to data, batch size, parameters, FLOPs, and depth. During inference, EBTs improve performance with System 2 Thinking by 29% more than the Transformer++ on language tasks, and EBTs outperform Diffusion Transformers on image denoising while using fewer forward passes. Further, we find that EBTs achieve better results than existing models on most downstream tasks given the same or worse pretraining performance, suggesting that EBTs generalize better than existing approaches. Consequently, EBTs are a promising new paradigm for scaling both the learning and thinking capabilities of models.

  • 10 authors
·
Jul 2, 2025 26

On the limits and opportunities of AI reviewers: Reviewing the reviews of Nature-family papers with 45 expert scientists

With the advancement of AI capabilities, AI reviewers are beginning to be deployed in scientific peer review, yet their capability and credibility remain in question: many scientists simply view them as probabilistic systems without the expertise to evaluate research, while other researchers are more optimistic about their readiness without concrete evidence. Understanding what AI reviewers do well, where they fall short, and what challenges remain is essential. However, existing evaluations of AI reviewers have focused on whether their verdicts match human verdicts (e.g., score alignment, acceptance prediction), which is insufficient to characterize their capabilities and limits. In this paper, we close this gap through a large-scale expert annotation study, in which 45 domain scientists in Physical, Biological, and Health Sciences spent 469 hours rating 2,960 individual criticisms (each targeting one specific aspect of a paper) from human-written and AI-generated reviews of 82 Nature-family papers on correctness, significance, and sufficiency of evidence. On a composite of all three dimensions, a reviewing agent powered by GPT-5.2 scores above each paper's top-rated human reviewer (60.0% vs. 48.2%, p = 0.009), while all three AI reviewers (including Gemini 3.0 Pro and Claude Opus 4.5) exceed the lowest-rated human across every dimension. AI reviewers' accurate criticisms are also more often rated significant and well-evidenced, and surface a distinct 26% of issues no human raises. However, AI reviewers overlap far more than humans do (21% vs. 3% for cross-reviewer pairs), and exhibit 16 recurring weaknesses humans do not share, such as limited subfield knowledge, lack of long context management over multiple files, and overly critical stance on minor issues. Overall, our results position current AI reviewers as complements to, not substitutes for, human reviewers.

Representation-Aware Unlearning via Activation Signatures: From Suppression to Knowledge-Signature Erasure

Selective knowledge erasure from LLMs is critical for GDPR compliance and model safety, yet current unlearning methods conflate behavioral suppression with true knowledge removal, allowing latent capabilities to persist beneath surface-level refusals. In this work, we address this challenge by introducing Knowledge Immunization Framework (KIF), a representation-aware architecture that distinguishes genuine erasure from obfuscation by targeting internal activation signatures rather than surface outputs. Our approach combines dynamic suppression of subject-specific representations with parameter-efficient adaptation, enabling durable unlearning without full model retraining. KIF achieves near-oracle erasure (FQ approx 0.99 vs. 1.00) while preserving utility at oracle levels (MU = 0.62), effectively breaking the stability-erasure tradeoff that has constrained all prior work. We evaluate both standard foundation models (Llama and Mistral) and reasoning-prior models (Qwen and DeepSeek) across 3B to 14B parameters. Our observation shows that standard models exhibit scale-independent true erasure (<3% utility drift), while reasoning-prior models reveal fundamental architectural divergence. Our comprehensive dual-metric evaluation protocol, combining surface-level leakage with latent trace persistence, operationalizes the obfuscation - erasure distinction and enables the first systematic diagnosis of mechanism-level forgetting behavior across model families and scales.

  • 8 authors
·
Mar 16

MathMist: A Parallel Multilingual Benchmark Dataset for Mathematical Problem Solving and Reasoning

Mathematical reasoning remains one of the most challenging domains for large language models (LLMs), requiring not only linguistic understanding but also structured logical deduction and numerical precision. While recent LLMs demonstrate strong general-purpose reasoning abilities, their mathematical competence across diverse languages remains underexplored. Existing benchmarks primarily focus on English or a narrow subset of high-resource languages, leaving significant gaps in assessing multilingual and cross-lingual mathematical reasoning. To address this, we introduce MathMist, a parallel multilingual benchmark for mathematical problem solving and reasoning. MathMist encompasses over 21K aligned question-answer pairs across seven languages, representing a balanced coverage of high-, medium-, and low-resource linguistic settings. The dataset captures linguistic variety, multiple types of problem settings, and solution synthesizing capabilities. We systematically evaluate a diverse suite of models, including open-source small and medium LLMs, proprietary systems, and multilingual-reasoning-focused models, under zero-shot, chain-of-thought (CoT), and code-switched reasoning paradigms. Our results reveal persistent deficiencies in LLMs' ability to perform consistent and interpretable mathematical reasoning across languages, with pronounced degradation in low-resource settings. All the codes and data are available at GitHub: https://github.com/mahbubhimel/MathMist

  • 5 authors
·
Oct 16, 2025

Text2Vis: A Challenging and Diverse Benchmark for Generating Multimodal Visualizations from Text

Automated data visualization plays a crucial role in simplifying data interpretation, enhancing decision-making, and improving efficiency. While large language models (LLMs) have shown promise in generating visualizations from natural language, the absence of comprehensive benchmarks limits the rigorous evaluation of their capabilities. We introduce Text2Vis, a benchmark designed to assess text-to-visualization models, covering 20+ chart types and diverse data science queries, including trend analysis, correlation, outlier detection, and predictive analytics. It comprises 1,985 samples, each with a data table, natural language query, short answer, visualization code, and annotated charts. The queries involve complex reasoning, conversational turns, and dynamic data retrieval. We benchmark 11 open-source and closed-source models, revealing significant performance gaps, highlighting key challenges, and offering insights for future advancements. To close this gap, we propose the first cross-modal actor-critic agentic framework that jointly refines the textual answer and visualization code, increasing GPT-4o`s pass rate from 26% to 42% over the direct approach and improving chart quality. We also introduce an automated LLM-based evaluation framework that enables scalable assessment across thousands of samples without human annotation, measuring answer correctness, code execution success, visualization readability, and chart accuracy. We release Text2Vis at https://github.com/vis-nlp/Text2Vis.

  • 4 authors
·
Jul 26, 2025

SpatiaLab: Can Vision-Language Models Perform Spatial Reasoning in the Wild?

Spatial reasoning is a fundamental aspect of human cognition, yet it remains a major challenge for contemporary vision-language models (VLMs). Prior work largely relied on synthetic or LLM-generated environments with limited task designs and puzzle-like setups, failing to capture the real-world complexity, visual noise, and diverse spatial relationships that VLMs encounter. To address this, we introduce SpatiaLab, a comprehensive benchmark for evaluating VLMs' spatial reasoning in realistic, unconstrained contexts. SpatiaLab comprises 1,400 visual question-answer pairs across six major categories: Relative Positioning, Depth & Occlusion, Orientation, Size & Scale, Spatial Navigation, and 3D Geometry, each with five subcategories, yielding 30 distinct task types. Each subcategory contains at least 25 questions, and each main category includes at least 200 questions, supporting both multiple-choice and open-ended evaluation. Experiments across diverse state-of-the-art VLMs, including open- and closed-source models, reasoning-focused, and specialized spatial reasoning models, reveal a substantial gap in spatial reasoning capabilities compared with humans. In the multiple-choice setup, InternVL3.5-72B achieves 54.93% accuracy versus 87.57% for humans. In the open-ended setting, all models show a performance drop of around 10-25%, with GPT-5-mini scoring highest at 40.93% versus 64.93% for humans. These results highlight key limitations in handling complex spatial relationships, depth perception, navigation, and 3D geometry. By providing a diverse, real-world evaluation framework, SpatiaLab exposes critical challenges and opportunities for advancing VLMs' spatial reasoning, offering a benchmark to guide future research toward robust, human-aligned spatial understanding. SpatiaLab is available at: https://spatialab-reasoning.github.io/.

DashboardQA: Benchmarking Multimodal Agents for Question Answering on Interactive Dashboards

Dashboards are powerful visualization tools for data-driven decision-making, integrating multiple interactive views that allow users to explore, filter, and navigate data. Unlike static charts, dashboards support rich interactivity, which is essential for uncovering insights in real-world analytical workflows. However, existing question-answering benchmarks for data visualizations largely overlook this interactivity, focusing instead on static charts. This limitation severely constrains their ability to evaluate the capabilities of modern multimodal agents designed for GUI-based reasoning. To address this gap, we introduce DashboardQA, the first benchmark explicitly designed to assess how vision-language GUI agents comprehend and interact with real-world dashboards. The benchmark includes 112 interactive dashboards from Tableau Public and 405 question-answer pairs with interactive dashboards spanning five categories: multiple-choice, factoid, hypothetical, multi-dashboard, and conversational. By assessing a variety of leading closed- and open-source GUI agents, our analysis reveals their key limitations, particularly in grounding dashboard elements, planning interaction trajectories, and performing reasoning. Our findings indicate that interactive dashboard reasoning is a challenging task overall for all the VLMs evaluated. Even the top-performing agents struggle; for instance, the best agent based on Gemini-Pro-2.5 achieves only 38.69% accuracy, while the OpenAI CUA agent reaches just 22.69%, demonstrating the benchmark's significant difficulty. We release DashboardQA at https://github.com/vis-nlp/DashboardQA

  • 11 authors
·
Aug 24, 2025

MapQaTor: A System for Efficient Annotation of Map Query Datasets

Mapping and navigation services like Google Maps, Apple Maps, Openstreet Maps, are essential for accessing various location-based data, yet they often struggle to handle natural language geospatial queries. Recent advancements in Large Language Models (LLMs) show promise in question answering (QA), but creating reliable geospatial QA datasets from map services remains challenging. We introduce MapQaTor, a web application that streamlines the creation of reproducible, traceable map-based QA datasets. With its plug-and-play architecture, MapQaTor enables seamless integration with any maps API, allowing users to gather and visualize data from diverse sources with minimal setup. By caching API responses, the platform ensures consistent ground truth, enhancing the reliability of the data even as real-world information evolves. MapQaTor centralizes data retrieval, annotation, and visualization within a single platform, offering a unique opportunity to evaluate the current state of LLM-based geospatial reasoning while advancing their capabilities for improved geospatial understanding. Evaluation metrics show that, MapQaTor speeds up the annotation process by at least 30 times compared to manual methods, underscoring its potential for developing geospatial resources, such as complex map reasoning datasets. The website is live at: https://mapqator.github.io/ and a demo video is available at: https://youtu.be/7_aV9Wmhs6Q.

  • 3 authors
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Dec 30, 2024 2

SVI-Bench: A Dynamic Microworld for Strategic Video Intelligence

True video intelligence demands more than recognizing what is visible: it requires reasoning about why events unfold, predicting what would change under different conditions, and deciding what to do next. We refer to this progression, from perception through causal reasoning and simulation to strategic planning, as Strategic Video Intelligence (SVI). No existing benchmark evaluates this capability stack: in-the-wild videos lack verifiable ground truth for causal and strategic questions, while synthetic environments sacrifice the complexity of real multi-agent systems. To bridge this gap, we introduce SVI-Bench, a large-scale benchmark that leverages team sports as a dynamic microworld, combining the complexity of real-world multi-agent interaction (10-22 agents making coordinated decisions under adversarial pressure) with the verifiability of explicit rules and definitive outcomes. SVI-Bench comprises approximately 35K hours of broadcast video, 15M annotated actions, 15K hours of expert commentary, 23K game reports, and 103K structured statistical records across basketball, soccer, and hockey, all constructed via a data engine that transforms raw game data into a dense, cross-referenced corpus. We organize evaluation into 9 tasks spanning a progressive four-pillar hierarchy: Dynamic Scene Understanding, Causal Reasoning, Strategic Simulation, and Agentic Synthesis. Evaluating strong multimodal and agentic baselines, we find a capability cliff: models perform competently on perceptual tasks, achieving approximately 73% on fine-grained action QA, but degrade sharply at each successive cognitive level. Agentic tasks prove hardest: the strongest model achieves only 5% accuracy when required to autonomously gather and integrate evidence across a corpus of 1.8M clips.

ThinkTuning: Instilling Cognitive Reflections without Distillation

Recent advances in test-time scaling have led to the emergence of thinking LLMs that exhibit self-reflective behaviors and multi-step reasoning. While RL drives this self-improvement paradigm, a recent study (Gandhi et al., 2025) shows that RL alone does not truly instill these new reasoning abilities - it merely draws out behaviors already present in the base models. This raises a question: How can we train the models that don't exhibit such thinking behavior to develop it in the first place? To this end, we propose ThinkTuning, a GRPO-based interactive training approach where we augment the rollouts of a student model with the guidance from a teacher model. A simple idea from classroom practice inspires our method: a teacher poses a problem, lets the student try an answer, then gives corrective feedback -- enough to point the mind in the right direction and then show the solution. Each piece of feedback reshapes the student's thoughts, leading them to arrive at the correct solution. Similarly, we find that this type of implicit supervision through feedback from a teacher model of the same size improves the reasoning capabilities of the student model. In particular, on average, our method shows a 3.85% improvement over zero-shot baselines across benchmarks, and on MATH-500, AIME and GPQA-Diamond it shows 2.08%, 2.23% and 3.99% improvements over the vanilla-GRPO baseline. Source code is available at https://github.com/3rdAT/ThinkTuning.

  • 7 authors
·
Aug 11, 2025

AI Debate Aids Assessment of Controversial Claims

As AI grows more powerful, it will increasingly shape how we understand the world. But with this influence comes the risk of amplifying misinformation and deepening social divides-especially on consequential topics like public health where factual accuracy directly impacts well-being. Scalable Oversight aims to ensure AI truthfulness by enabling humans to supervise systems that may exceed human capabilities--yet humans themselves hold different beliefs and biases that impair their judgment. We study whether AI debate can guide biased judges toward the truth by having two AI systems debate opposing sides of controversial COVID-19 factuality claims where people hold strong prior beliefs. We conduct two studies: one with human judges holding either mainstream or skeptical beliefs evaluating factuality claims through AI-assisted debate or consultancy protocols, and a second examining the same problem with personalized AI judges designed to mimic these different human belief systems. In our human study, we find that debate-where two AI advisor systems present opposing evidence-based arguments-consistently improves judgment accuracy and confidence calibration, outperforming consultancy with a single-advisor system by 10% overall. The improvement is most significant for judges with mainstream beliefs (+15.2% accuracy), though debate also helps skeptical judges who initially misjudge claims move toward accurate views (+4.7% accuracy). In our AI judge study, we find that AI judges with human-like personas achieve even higher accuracy (78.5%) than human judges (70.1%) and default AI judges without personas (69.8%), suggesting their potential for supervising frontier AI models. These findings highlight AI debate as a promising path toward scalable, bias-resilient oversight--leveraging both diverse human and AI judgments to move closer to truth in contested domains.

  • 14 authors
·
Jun 2, 2025

From Language to Action: A Review of Large Language Models as Autonomous Agents and Tool Users

The pursuit of human-level artificial intelligence (AI) has significantly advanced the development of autonomous agents and Large Language Models (LLMs). LLMs are now widely utilized as decision-making agents for their ability to interpret instructions, manage sequential tasks, and adapt through feedback. This review examines recent developments in employing LLMs as autonomous agents and tool users and comprises seven research questions. We only used the papers published between 2023 and 2025 in conferences of the A* and A rank and Q1 journals. A structured analysis of the LLM agents' architectural design principles, dividing their applications into single-agent and multi-agent systems, and strategies for integrating external tools is presented. In addition, the cognitive mechanisms of LLM, including reasoning, planning, and memory, and the impact of prompting methods and fine-tuning procedures on agent performance are also investigated. Furthermore, we evaluated current benchmarks and assessment protocols and have provided an analysis of 68 publicly available datasets to assess the performance of LLM-based agents in various tasks. In conducting this review, we have identified critical findings on verifiable reasoning of LLMs, the capacity for self-improvement, and the personalization of LLM-based agents. Finally, we have discussed ten future research directions to overcome these gaps.

  • 8 authors
·
Oct 27, 2025

BAMBOO: a predictive and transferable machine learning force field framework for liquid electrolyte development

Despite the widespread applications of machine learning force field (MLFF) on solids and small molecules, there is a notable gap in applying MLFF to complex liquid electrolytes. In this work, we introduce BAMBOO (ByteDance AI Molecular Simulation Booster), a novel framework for molecular dynamics (MD) simulations, with a demonstration of its capabilities in the context of liquid electrolytes for lithium batteries. We design a physics-inspired graph equivariant transformer architecture as the backbone of BAMBOO to learn from quantum mechanical simulations. Additionally, we pioneer an ensemble knowledge distillation approach and apply it on MLFFs to improve the stability of MD simulations. Finally, we propose the density alignment algorithm to align BAMBOO with experimental measurements. BAMBOO demonstrates state-of-the-art accuracy in predicting key electrolyte properties such as density, viscosity, and ionic conductivity across various solvents and salt combinations. Our current model, trained on more than 15 chemical species, achieves the average density error of 0.01 g/cm^3 on various compositions compared with experimental data. Moreover, our model demonstrates transferability to molecules not included in the quantum mechanical dataset. We envision this work as paving the way to a "universal MLFF" capable of simulating properties of common organic liquids.

  • 15 authors
·
Apr 10, 2024

Towards Generalist Biomedical AI

Medicine is inherently multimodal, with rich data modalities spanning text, imaging, genomics, and more. Generalist biomedical artificial intelligence (AI) systems that flexibly encode, integrate, and interpret this data at scale can potentially enable impactful applications ranging from scientific discovery to care delivery. To enable the development of these models, we first curate MultiMedBench, a new multimodal biomedical benchmark. MultiMedBench encompasses 14 diverse tasks such as medical question answering, mammography and dermatology image interpretation, radiology report generation and summarization, and genomic variant calling. We then introduce Med-PaLM Multimodal (Med-PaLM M), our proof of concept for a generalist biomedical AI system. Med-PaLM M is a large multimodal generative model that flexibly encodes and interprets biomedical data including clinical language, imaging, and genomics with the same set of model weights. Med-PaLM M reaches performance competitive with or exceeding the state of the art on all MultiMedBench tasks, often surpassing specialist models by a wide margin. We also report examples of zero-shot generalization to novel medical concepts and tasks, positive transfer learning across tasks, and emergent zero-shot medical reasoning. To further probe the capabilities and limitations of Med-PaLM M, we conduct a radiologist evaluation of model-generated (and human) chest X-ray reports and observe encouraging performance across model scales. In a side-by-side ranking on 246 retrospective chest X-rays, clinicians express a pairwise preference for Med-PaLM M reports over those produced by radiologists in up to 40.50% of cases, suggesting potential clinical utility. While considerable work is needed to validate these models in real-world use cases, our results represent a milestone towards the development of generalist biomedical AI systems.

  • 32 authors
·
Jul 26, 2023

Specialist vision-language models for clinical ophthalmology

Clinicians spend a significant amount of time reviewing medical images and transcribing their findings regarding patient diagnosis, referral and treatment in text form. Vision-language models (VLMs), which automatically interpret images and summarize their findings as text, have enormous potential to alleviate clinical workloads and increase patient access to high-quality medical care. While foundational models have stirred considerable interest in the medical community, it is unclear whether their general capabilities translate to real-world clinical utility. In this work, we show that foundation VLMs markedly underperform compared to practicing ophthalmologists on specialist tasks crucial to the care of patients with age-related macular degeneration (AMD). To address this, we initially identified the essential capabilities required for image-based clinical decision-making, and then developed a curriculum to selectively train VLMs in these skills. The resulting model, RetinaVLM, can be instructed to write reports that significantly outperform those written by leading foundation medical VLMs in disease staging (F1 score of 0.63 vs. 0.11) and patient referral (0.67 vs. 0.39), and approaches the diagnostic performance of junior ophthalmologists (who achieve 0.77 and 0.78 on the respective tasks). Furthermore, in a reader study involving two senior ophthalmologists with up to 32 years of experience, RetinaVLM's reports were found to be similarly correct (78.6% vs. 82.1%) and complete (both 78.6%) as reports written by junior ophthalmologists with up to 10 years of experience. These results demonstrate that our curriculum-based approach provides a blueprint for specializing generalist foundation medical VLMs to handle real-world clinical tasks.

  • 16 authors
·
Jul 11, 2024

MedGemma 1.5 Technical Report

We introduce MedGemma 1.5 4B, the latest model in the MedGemma collection. MedGemma 1.5 expands on MedGemma 1 by integrating additional capabilities: high-dimensional medical imaging (CT/MRI volumes and histopathology whole slide images), anatomical localization via bounding boxes, multi-timepoint chest X-ray analysis, and improved medical document understanding (lab reports, electronic health records). We detail the innovations required to enable these modalities within a single architecture, including new training data, long-context 3D volume slicing, and whole-slide pathology sampling. Compared to MedGemma 1 4B, MedGemma 1.5 4B demonstrates significant gains in these new areas, improving 3D MRI condition classification accuracy by 11% and 3D CT condition classification by 3% (absolute improvements). In whole slide pathology imaging, MedGemma 1.5 4B achieves a 47% macro F1 gain. Additionally, it improves anatomical localization with a 35% increase in Intersection over Union on chest X-rays and achieves a 4% macro accuracy for longitudinal (multi-timepoint) chest x-ray analysis. Beyond its improved multimodal performance over MedGemma 1, MedGemma 1.5 improves on text-based clinical knowledge and reasoning, improving by 5% on MedQA accuracy and 22% on EHRQA accuracy. It also achieves an average of 18% macro F1 on 4 different lab report information extraction datasets (EHR Datasets 2, 3, 4, and Mendeley Clinical Laboratory Test Reports). Taken together, MedGemma 1.5 serves as a robust, open resource for the community, designed as an improved foundation on which developers can create the next generation of medical AI systems. Resources and tutorials for building upon MedGemma 1.5 can be found at https://goo.gle/MedGemma.

  • 42 authors
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Apr 5 1

Can Generalist Foundation Models Outcompete Special-Purpose Tuning? Case Study in Medicine

Generalist foundation models such as GPT-4 have displayed surprising capabilities in a wide variety of domains and tasks. Yet, there is a prevalent assumption that they cannot match specialist capabilities of fine-tuned models. For example, most explorations to date on medical competency benchmarks have leveraged domain-specific training, as exemplified by efforts on BioGPT and Med-PaLM. We build on a prior study of GPT-4's capabilities on medical challenge benchmarks in the absence of special training. Rather than using simple prompting to highlight the model's out-of-the-box capabilities, we perform a systematic exploration of prompt engineering. We find that prompting innovation can unlock deeper specialist capabilities and show that GPT-4 easily tops prior leading results for medical benchmarks. The prompting methods we explore are general purpose, and make no specific use of domain expertise, removing the need for expert-curated content. Our experimental design carefully controls for overfitting during the prompt engineering process. We introduce Medprompt, based on a composition of several prompting strategies. With Medprompt, GPT-4 achieves state-of-the-art results on all nine of the benchmark datasets in the MultiMedQA suite. The method outperforms leading specialist models such as Med-PaLM 2 by a significant margin with an order of magnitude fewer calls to the model. Steering GPT-4 with Medprompt achieves a 27% reduction in error rate on the MedQA dataset over the best methods to date achieved with specialist models and surpasses a score of 90% for the first time. Beyond medical problems, we show the power of Medprompt to generalize to other domains and provide evidence for the broad applicability of the approach via studies of the strategy on exams in electrical engineering, machine learning, philosophy, accounting, law, nursing, and clinical psychology.

  • 18 authors
·
Nov 27, 2023

MMRareBench: A Rare-Disease Multimodal and Multi-Image Medical Benchmark

Multimodal large language models (MLLMs) have advanced clinical tasks for common conditions, but their performance on rare diseases remains largely untested. In rare-disease scenarios, clinicians often lack prior clinical knowledge, forcing them to rely strictly on case-level evidence for clinical judgments. Existing benchmarks predominantly evaluate common-condition, single-image settings, leaving multimodal and multi-image evidence integration under rare-disease data scarcity systematically unevaluated. We introduce MMRareBench, to our knowledge the first rare-disease benchmark jointly evaluating multimodal and multi-image clinical capability across four workflow-aligned tracks: diagnosis, treatment planning, cross-image evidence alignment, and examination suggestion. The benchmark comprises 1,756 question-answer pairs with 7,958 associated medical images curated from PMC case reports, with Orphanet-anchored ontology alignment, track-specific leakage control, evidence-grounded annotations, and a two-level evaluation protocol. A systematic evaluation of 23 MLLMs reveals fragmented capability profiles and universally low treatment-planning performance, with medical-domain models trailing general-purpose MLLMs substantially on multi-image tracks despite competitive diagnostic scores. These patterns are consistent with a capacity dilution effect: medical fine-tuning can narrow the diagnostic gap but may erode the compositional multi-image capability that rare-disease evidence integration demands.

  • 12 authors
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Apr 11

MedBookVQA: A Systematic and Comprehensive Medical Benchmark Derived from Open-Access Book

The accelerating development of general medical artificial intelligence (GMAI), powered by multimodal large language models (MLLMs), offers transformative potential for addressing persistent healthcare challenges, including workforce deficits and escalating costs. The parallel development of systematic evaluation benchmarks emerges as a critical imperative to enable performance assessment and provide technological guidance. Meanwhile, as an invaluable knowledge source, the potential of medical textbooks for benchmark development remains underexploited. Here, we present MedBookVQA, a systematic and comprehensive multimodal benchmark derived from open-access medical textbooks. To curate this benchmark, we propose a standardized pipeline for automated extraction of medical figures while contextually aligning them with corresponding medical narratives. Based on this curated data, we generate 5,000 clinically relevant questions spanning modality recognition, disease classification, anatomical identification, symptom diagnosis, and surgical procedures. A multi-tier annotation system categorizes queries through hierarchical taxonomies encompassing medical imaging modalities (42 categories), body anatomies (125 structures), and clinical specialties (31 departments), enabling nuanced analysis across medical subdomains. We evaluate a wide array of MLLMs, including proprietary, open-sourced, medical, and reasoning models, revealing significant performance disparities across task types and model categories. Our findings highlight critical capability gaps in current GMAI systems while establishing textbook-derived multimodal benchmarks as essential evaluation tools. MedBookVQA establishes textbook-derived benchmarking as a critical paradigm for advancing clinical AI, exposing limitations in GMAI systems while providing anatomically structured performance metrics across specialties.

  • 7 authors
·
Jun 1, 2025

MedAgentBench: A Realistic Virtual EHR Environment to Benchmark Medical LLM Agents

Recent large language models (LLMs) have demonstrated significant advancements, particularly in their ability to serve as agents thereby surpassing their traditional role as chatbots. These agents can leverage their planning and tool utilization capabilities to address tasks specified at a high level. However, a standardized dataset to benchmark the agent capabilities of LLMs in medical applications is currently lacking, making the evaluation of LLMs on complex tasks in interactive healthcare environments challenging. To address this gap, we introduce MedAgentBench, a broad evaluation suite designed to assess the agent capabilities of large language models within medical records contexts. MedAgentBench encompasses 300 patient-specific clinically-derived tasks from 10 categories written by human physicians, realistic profiles of 100 patients with over 700,000 data elements, a FHIR-compliant interactive environment, and an accompanying codebase. The environment uses the standard APIs and communication infrastructure used in modern EMR systems, so it can be easily migrated into live EMR systems. MedAgentBench presents an unsaturated agent-oriented benchmark that current state-of-the-art LLMs exhibit some ability to succeed at. The best model (Claude 3.5 Sonnet v2) achieves a success rate of 69.67%. However, there is still substantial space for improvement which gives the community a next direction to optimize. Furthermore, there is significant variation in performance across task categories. MedAgentBench establishes this and is publicly available at https://github.com/stanfordmlgroup/MedAgentBench , offering a valuable framework for model developers to track progress and drive continuous improvements in the agent capabilities of large language models within the medical domain.

  • 7 authors
·
Jan 24, 2025

A Comparative Study of Open-Source Large Language Models, GPT-4 and Claude 2: Multiple-Choice Test Taking in Nephrology

In recent years, there have been significant breakthroughs in the field of natural language processing, particularly with the development of large language models (LLMs). These LLMs have showcased remarkable capabilities on various benchmarks. In the healthcare field, the exact role LLMs and other future AI models will play remains unclear. There is a potential for these models in the future to be used as part of adaptive physician training, medical co-pilot applications, and digital patient interaction scenarios. The ability of AI models to participate in medical training and patient care will depend in part on their mastery of the knowledge content of specific medical fields. This study investigated the medical knowledge capability of LLMs, specifically in the context of internal medicine subspecialty multiple-choice test-taking ability. We compared the performance of several open-source LLMs (Koala 7B, Falcon 7B, Stable-Vicuna 13B, and Orca Mini 13B), to GPT-4 and Claude 2 on multiple-choice questions in the field of Nephrology. Nephrology was chosen as an example of a particularly conceptually complex subspecialty field within internal medicine. The study was conducted to evaluate the ability of LLM models to provide correct answers to nephSAP (Nephrology Self-Assessment Program) multiple-choice questions. The overall success of open-sourced LLMs in answering the 858 nephSAP multiple-choice questions correctly was 17.1% - 25.5%. In contrast, Claude 2 answered 54.4% of the questions correctly, whereas GPT-4 achieved a score of 73.3%. We show that current widely used open-sourced LLMs do poorly in their ability for zero-shot reasoning when compared to GPT-4 and Claude 2. The findings of this study potentially have significant implications for the future of subspecialty medical training and patient care.

  • 7 authors
·
Aug 9, 2023

MediConfusion: Can you trust your AI radiologist? Probing the reliability of multimodal medical foundation models

Multimodal Large Language Models (MLLMs) have tremendous potential to improve the accuracy, availability, and cost-effectiveness of healthcare by providing automated solutions or serving as aids to medical professionals. Despite promising first steps in developing medical MLLMs in the past few years, their capabilities and limitations are not well-understood. Recently, many benchmark datasets have been proposed that test the general medical knowledge of such models across a variety of medical areas. However, the systematic failure modes and vulnerabilities of such models are severely underexplored with most medical benchmarks failing to expose the shortcomings of existing models in this safety-critical domain. In this paper, we introduce MediConfusion, a challenging medical Visual Question Answering (VQA) benchmark dataset, that probes the failure modes of medical MLLMs from a vision perspective. We reveal that state-of-the-art models are easily confused by image pairs that are otherwise visually dissimilar and clearly distinct for medical experts. Strikingly, all available models (open-source or proprietary) achieve performance below random guessing on MediConfusion, raising serious concerns about the reliability of existing medical MLLMs for healthcare deployment. We also extract common patterns of model failure that may help the design of a new generation of more trustworthy and reliable MLLMs in healthcare.

  • 4 authors
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Sep 23, 2024

MEDIC: Towards a Comprehensive Framework for Evaluating LLMs in Clinical Applications

The rapid development of Large Language Models (LLMs) for healthcare applications has spurred calls for holistic evaluation beyond frequently-cited benchmarks like USMLE, to better reflect real-world performance. While real-world assessments are valuable indicators of utility, they often lag behind the pace of LLM evolution, likely rendering findings obsolete upon deployment. This temporal disconnect necessitates a comprehensive upfront evaluation that can guide model selection for specific clinical applications. We introduce MEDIC, a framework assessing LLMs across five critical dimensions of clinical competence: medical reasoning, ethics and bias, data and language understanding, in-context learning, and clinical safety. MEDIC features a novel cross-examination framework quantifying LLM performance across areas like coverage and hallucination detection, without requiring reference outputs. We apply MEDIC to evaluate LLMs on medical question-answering, safety, summarization, note generation, and other tasks. Our results show performance disparities across model sizes, baseline vs medically finetuned models, and have implications on model selection for applications requiring specific model strengths, such as low hallucination or lower cost of inference. MEDIC's multifaceted evaluation reveals these performance trade-offs, bridging the gap between theoretical capabilities and practical implementation in healthcare settings, ensuring that the most promising models are identified and adapted for diverse healthcare applications.

  • 10 authors
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Sep 11, 2024 6

Proactive Reasoning-with-Retrieval Framework for Medical Multimodal Large Language Models

Incentivizing the reasoning ability of Multimodal Large Language Models (MLLMs) is essential for medical applications to transparently analyze medical scans and provide reliable diagnosis. However, existing medical MLLMs rely solely on internal knowledge during reasoning, leading to hallucinated reasoning and factual inaccuracies when encountering cases beyond their training scope. Although recent Agentic Retrieval-Augmented Generation (RAG) methods elicit the medical model's proactive retrieval ability during reasoning, they are confined to unimodal LLMs, neglecting the crucial visual information during reasoning and retrieval. Consequently, we propose the first Multimodal Medical Reasoning-with-Retrieval framework, Med-RwR, which actively retrieves external knowledge by querying observed symptoms or domain-specific medical concepts during reasoning. Specifically, we design a two-stage reinforcement learning strategy with tailored rewards that stimulate the model to leverage both visual diagnostic findings and textual clinical information for effective retrieval. Building on this foundation, we further propose a Confidence-Driven Image Re-retrieval (CDIR) method for test-time scaling when low prediction confidence is detected. Evaluation on various public medical benchmarks demonstrates Med-RwR's significant improvements over baseline models, proving the effectiveness of enhancing reasoning capabilities with external knowledge integration. Furthermore, Med-RwR demonstrates remarkable generalizability to unfamiliar domains, evidenced by 8.8% performance gain on our proposed EchoCardiography Benchmark (ECBench), despite the scarcity of echocardiography data in the training corpus. Our data, model, and codes will be made publicly available at https://github.com/xmed-lab/Med-RwR.

  • 4 authors
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Oct 21, 2025

Lingshu: A Generalist Foundation Model for Unified Multimodal Medical Understanding and Reasoning

Multimodal Large Language Models (MLLMs) have demonstrated impressive capabilities in understanding common visual elements, largely due to their large-scale datasets and advanced training strategies. However, their effectiveness in medical applications remains limited due to the inherent discrepancies between data and tasks in medical scenarios and those in the general domain. Concretely, existing medical MLLMs face the following critical limitations: (1) limited coverage of medical knowledge beyond imaging, (2) heightened susceptibility to hallucinations due to suboptimal data curation processes, (3) lack of reasoning capabilities tailored for complex medical scenarios. To address these challenges, we first propose a comprehensive data curation procedure that (1) efficiently acquires rich medical knowledge data not only from medical imaging but also from extensive medical texts and general-domain data; and (2) synthesizes accurate medical captions, visual question answering (VQA), and reasoning samples. As a result, we build a multimodal dataset enriched with extensive medical knowledge. Building on the curated data, we introduce our medical-specialized MLLM: Lingshu. Lingshu undergoes multi-stage training to embed medical expertise and enhance its task-solving capabilities progressively. Besides, we preliminarily explore the potential of applying reinforcement learning with verifiable rewards paradigm to enhance Lingshu's medical reasoning ability. Additionally, we develop MedEvalKit, a unified evaluation framework that consolidates leading multimodal and textual medical benchmarks for standardized, fair, and efficient model assessment. We evaluate the performance of Lingshu on three fundamental medical tasks, multimodal QA, text-based QA, and medical report generation. The results show that Lingshu consistently outperforms the existing open-source multimodal models on most tasks ...

Alibaba-DAMO-Academy DAMO Academy
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Jun 8, 2025 4

MedQ-Deg: A Multidimensional Benchmark for Evaluating MLLMs Across Medical Image Quality Degradations

Despite impressive performance on standard benchmarks, multimodal large language models (MLLMs) face critical challenges in real-world clinical environments where medical images inevitably suffer various quality degradations. Existing benchmarks exhibit two key limitations: (1) absence of large-scale, multidimensional assessment across medical image quality gradients and (2) no systematic confidence calibration analysis. To address these gaps, we present MedQ-Deg, a comprehensive benchmark for evaluating medical MLLMs under image quality degradations. MedQ-Deg provides multi-dimensional evaluation spanning 18 distinct degradation types, 30 fine-grained capability dimensions, and 7 imaging modalities, with 24,894 question-answer pairs. Each degradation is implemented at 3 severity degrees, calibrated by expert radiologists. We further introduce Calibration Shift metric, which quantifies the gap between a model's perceived confidence and actual performance to assess metacognitive reliability under degradation. Our comprehensive evaluation of 40 mainstream MLLMs reveals several critical findings: (1) overall model performance degrades systematically as degradation severity increases, (2) models universally exhibit the AI Dunning-Kruger Effect, maintaining inappropriately high confidence despite severe accuracy collapse, and (3) models display markedly differentiated behavioral patterns across capability dimensions, imaging modalities, and degradation types. We hope MedQ-Deg drives progress toward medical MLLMs that are robust and trustworthy in real clinical practice.

  • 17 authors
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Mar 8

Fleming-VL: Towards Universal Medical Visual Reasoning with Multimodal LLMs

Multimodal Large Language Models (MLLMs) have demonstrated remarkable effectiveness in various general-domain scenarios, such as visual question answering and image captioning. Recently, researchers have increasingly focused on empowering MLLMs with medical conversational abilities, which hold significant promise for clinical applications. However, medical data presents unique challenges due to its heterogeneous nature -- encompassing diverse modalities including 2D images, 3D volumetric scans, and temporal video sequences. The substantial domain gap and data format inconsistencies across these modalities have hindered the development of unified medical MLLMs. To address these challenges, we propose Fleming-VL, a unified end-to-end framework for comprehensive medical visual understanding across heterogeneous modalities. Fleming-VL tackles this problem from a data-centric perspective through three key strategies: (1) scaling up pretraining by integrating long-context data from both natural and medical-specific domains; (2) complementing fine-tuning with rare medical data, including holistic video analysis and underrepresented 2D modalities such as ultrasound and dermoscopy images; (3) extending existing evaluation frameworks to incorporate 3D volumetric and video understanding benchmarks. Through supervised fine-tuning (SFT) and group relative policy optimization (GRPO), we develop Fleming-VL in multiple model scales. Extensive experiments demonstrate that Fleming-VL achieves state-of-the-art performance across multiple benchmarks, including medical VQA, video QA, and 3D medical image understanding. We publicly release Fleming-VL to promote transparent, reproducible, and auditable progress in medical AI.

  • 5 authors
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Nov 2, 2025

Multiple Choice Questions and Large Languages Models: A Case Study with Fictional Medical Data

Large Language Models (LLMs) like ChatGPT demonstrate significant potential in the medical field, often evaluated using multiple-choice questions (MCQs) similar to those found on the USMLE. Despite their prevalence in medical education, MCQs have limitations that might be exacerbated when assessing LLMs. To evaluate the effectiveness of MCQs in assessing the performance of LLMs, we developed a fictional medical benchmark focused on a non-existent gland, the Glianorex. This approach allowed us to isolate the knowledge of the LLM from its test-taking abilities. We used GPT-4 to generate a comprehensive textbook on the Glianorex in both English and French and developed corresponding multiple-choice questions in both languages. We evaluated various open-source, proprietary, and domain-specific LLMs using these questions in a zero-shot setting. The models achieved average scores around 67%, with minor performance differences between larger and smaller models. Performance was slightly higher in English than in French. Fine-tuned medical models showed some improvement over their base versions in English but not in French. The uniformly high performance across models suggests that traditional MCQ-based benchmarks may not accurately measure LLMs' clinical knowledge and reasoning abilities, instead highlighting their pattern recognition skills. This study underscores the need for more robust evaluation methods to better assess the true capabilities of LLMs in medical contexts.

  • 4 authors
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Jun 4, 2024

Towards Expert-Level Medical Question Answering with Large Language Models

Recent artificial intelligence (AI) systems have reached milestones in "grand challenges" ranging from Go to protein-folding. The capability to retrieve medical knowledge, reason over it, and answer medical questions comparably to physicians has long been viewed as one such grand challenge. Large language models (LLMs) have catalyzed significant progress in medical question answering; Med-PaLM was the first model to exceed a "passing" score in US Medical Licensing Examination (USMLE) style questions with a score of 67.2% on the MedQA dataset. However, this and other prior work suggested significant room for improvement, especially when models' answers were compared to clinicians' answers. Here we present Med-PaLM 2, which bridges these gaps by leveraging a combination of base LLM improvements (PaLM 2), medical domain finetuning, and prompting strategies including a novel ensemble refinement approach. Med-PaLM 2 scored up to 86.5% on the MedQA dataset, improving upon Med-PaLM by over 19% and setting a new state-of-the-art. We also observed performance approaching or exceeding state-of-the-art across MedMCQA, PubMedQA, and MMLU clinical topics datasets. We performed detailed human evaluations on long-form questions along multiple axes relevant to clinical applications. In pairwise comparative ranking of 1066 consumer medical questions, physicians preferred Med-PaLM 2 answers to those produced by physicians on eight of nine axes pertaining to clinical utility (p < 0.001). We also observed significant improvements compared to Med-PaLM on every evaluation axis (p < 0.001) on newly introduced datasets of 240 long-form "adversarial" questions to probe LLM limitations. While further studies are necessary to validate the efficacy of these models in real-world settings, these results highlight rapid progress towards physician-level performance in medical question answering.

  • 31 authors
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May 16, 2023 2

A Preliminary Study of o1 in Medicine: Are We Closer to an AI Doctor?

Large language models (LLMs) have exhibited remarkable capabilities across various domains and tasks, pushing the boundaries of our knowledge in learning and cognition. The latest model, OpenAI's o1, stands out as the first LLM with an internalized chain-of-thought technique using reinforcement learning strategies. While it has demonstrated surprisingly strong capabilities on various general language tasks, its performance in specialized fields such as medicine remains unknown. To this end, this report provides a comprehensive exploration of o1 on different medical scenarios, examining 3 key aspects: understanding, reasoning, and multilinguality. Specifically, our evaluation encompasses 6 tasks using data from 37 medical datasets, including two newly constructed and more challenging question-answering (QA) tasks based on professional medical quizzes from the New England Journal of Medicine (NEJM) and The Lancet. These datasets offer greater clinical relevance compared to standard medical QA benchmarks such as MedQA, translating more effectively into real-world clinical utility. Our analysis of o1 suggests that the enhanced reasoning ability of LLMs may (significantly) benefit their capability to understand various medical instructions and reason through complex clinical scenarios. Notably, o1 surpasses the previous GPT-4 in accuracy by an average of 6.2% and 6.6% across 19 datasets and two newly created complex QA scenarios. But meanwhile, we identify several weaknesses in both the model capability and the existing evaluation protocols, including hallucination, inconsistent multilingual ability, and discrepant metrics for evaluation. We release our raw data and model outputs at https://ucsc-vlaa.github.io/o1_medicine/ for future research.

  • 9 authors
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Sep 23, 2024 2

OpenMEDLab: An Open-source Platform for Multi-modality Foundation Models in Medicine

The emerging trend of advancing generalist artificial intelligence, such as GPTv4 and Gemini, has reshaped the landscape of research (academia and industry) in machine learning and many other research areas. However, domain-specific applications of such foundation models (e.g., in medicine) remain untouched or often at their very early stages. It will require an individual set of transfer learning and model adaptation techniques by further expanding and injecting these models with domain knowledge and data. The development of such technologies could be largely accelerated if the bundle of data, algorithms, and pre-trained foundation models were gathered together and open-sourced in an organized manner. In this work, we present OpenMEDLab, an open-source platform for multi-modality foundation models. It encapsulates not only solutions of pioneering attempts in prompting and fine-tuning large language and vision models for frontline clinical and bioinformatic applications but also building domain-specific foundation models with large-scale multi-modal medical data. Importantly, it opens access to a group of pre-trained foundation models for various medical image modalities, clinical text, protein engineering, etc. Inspiring and competitive results are also demonstrated for each collected approach and model in a variety of benchmarks for downstream tasks. We welcome researchers in the field of medical artificial intelligence to continuously contribute cutting-edge methods and models to OpenMEDLab, which can be accessed via https://github.com/openmedlab.

  • 20 authors
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Feb 27, 2024

Expert-level vision-language foundation model for real-world radiology and comprehensive evaluation

Radiology is a vital and complex component of modern clinical workflow and covers many tasks. Recently, vision-language (VL) foundation models in medicine have shown potential in processing multimodal information, offering a unified solution for various radiology tasks. However, existing studies either pre-trained VL models on natural data or did not fully integrate vision-language architecture and pretraining, often neglecting the unique multimodal complexity in radiology images and their textual contexts. Additionally, their practical applicability in real-world scenarios remains underexplored. Here, we present RadFound, a large and open-source vision-language foundation model tailored for radiology, that is trained on the most extensive dataset of over 8.1 million images and 250,000 image-text pairs, covering 19 major organ systems and 10 imaging modalities. To establish expert-level multimodal perception and generation capabilities, RadFound introduces an enhanced vision encoder to capture intra-image local features and inter-image contextual information, and a unified cross-modal learning design tailored to radiology. To fully assess the models' capability, we construct a benchmark, RadVLBench, including radiology interpretation tasks like medical vision-language question-answering, as well as text generation tasks ranging from captioning to report generation. We also propose a human evaluation framework. When evaluated on the real-world benchmark involving three representative modalities, 2D images (chest X-rays), multi-view images (mammograms), and 3D images (thyroid CT scans), RadFound significantly outperforms other VL foundation models on both quantitative metrics and human evaluation. In summary, the development of RadFound represents an advancement in radiology generalists, demonstrating broad applicability potential for integration into clinical workflows.

  • 9 authors
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Sep 24, 2024