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Jul 31

WavTokenizer: an Efficient Acoustic Discrete Codec Tokenizer for Audio Language Modeling

Language models have been effectively applied to modeling natural signals, such as images, video, speech, and audio. A crucial component of these models is the codec tokenizer, which compresses high-dimensional natural signals into lower-dimensional discrete tokens. In this paper, we introduce WavTokenizer, which offers several advantages over previous SOTA acoustic codec models in the audio domain: 1)extreme compression. By compressing the layers of quantizers and the temporal dimension of the discrete codec, one-second audio of 24kHz sampling rate requires only a single quantizer with 40 or 75 tokens. 2)improved subjective quality. Despite the reduced number of tokens, WavTokenizer achieves state-of-the-art reconstruction quality with outstanding UTMOS scores and inherently contains richer semantic information. Specifically, we achieve these results by designing a broader VQ space, extended contextual windows, and improved attention networks, as well as introducing a powerful multi-scale discriminator and an inverse Fourier transform structure. We conducted extensive reconstruction experiments in the domains of speech, audio, and music. WavTokenizer exhibited strong performance across various objective and subjective metrics compared to state-of-the-art models. We also tested semantic information, VQ utilization, and adaptability to generative models. Comprehensive ablation studies confirm the necessity of each module in WavTokenizer. The related code, demos, and pre-trained models are available at https://github.com/jishengpeng/WavTokenizer.

  • 16 authors
·
Aug 29, 2024 4

SIMAX: A Scalable and Interpretable Framework for Multi-Fidelity and Annotated Clinician-Patient Dialogue Simulation

Background. The widespread deployment of ambient digital scribes is driving large-scale capture of clinician-patient dialogues. Human coding of clinical communication data remains costly, inconsistent, and difficult to scale, motivating AI-driven communication coding systems. However, evaluating these systems requires real-world dialogues and human-coded labels, both hard to obtain at scale. Methods. We developed SIMAX (Scalable and Interpretable Framework for Multi-Fidelity and Annotated Clinician-Patient Dialogue Simulation), a framework for generating controlled clinical dialogue data with reference behavioral annotations. SIMAX generates clinician-patient dialogues from predefined clinical scenarios, personas and voice conditions, and target communication behaviors. Behaviors are controlled using two codebooks: the Global Codebook for overall communication quality and the WISER Codebook for specific countable behaviors. We evaluated SIMAX using automated and human quality assessments and an example communication coding system. Results. SIMAX generated 3,388 simulated dialogues across three specialties, multiple visit stages, persona characteristics, and accent conditions. Automated assessment showed mean UTMOS and WV-MOS scores of 3.03 and 2.61, WER and CER of 0.07 and 0.05, and CLAP cosine similarity of 0.41, suggesting reasonable speech naturalness, high transcription fidelity, and positive text-audio correspondence. Human evaluation showed a median MOS of 4.67 and a median clinical realism score of 3.00. Downstream evaluation suggests that SIMAX can assess how a communication coding system responds to behavioral targets and reveal insufficient sensitivity in some dimensions. Conclusions. SIMAX generates controlled and reproducible simulated clinician-patient dialogues, providing a data foundation for developing, validating, and refining communication coding systems.

  • 19 authors
·
Jun 28

Octopus v4: Graph of language models

Language models have been effective in a wide range of applications, yet the most sophisticated models are often proprietary. For example, GPT-4 by OpenAI and various models by Anthropic are expensive and consume substantial energy. In contrast, the open-source community has produced competitive models, like Llama3. Furthermore, niche-specific smaller language models, such as those tailored for legal, medical or financial tasks, have outperformed their proprietary counterparts. This paper introduces a novel approach that employs functional tokens to integrate multiple open-source models, each optimized for particular tasks. Our newly developed Octopus v4 model leverages functional tokens to intelligently direct user queries to the most appropriate vertical model and reformat the query to achieve the best performance. Octopus v4, an evolution of the Octopus v1, v2, and v3 models, excels in selection and parameter understanding and reformatting. Additionally, we explore the use of graph as a versatile data structure that effectively coordinates multiple open-source models by harnessing the capabilities of the Octopus model and functional tokens. Use our open-sourced GitHub (https://www.nexa4ai.com/) to try Octopus v4 models (https://huggingface.co/NexaAIDev/Octopus-v4), and contrite to a larger graph of language models. By activating models less than 10B parameters, we achieved SOTA MMLU score of 74.8 among the same level models.

  • 2 authors
·
Apr 30, 2024 19

Prediction of the Position of External Markers Using a Recurrent Neural Network Trained With Unbiased Online Recurrent Optimization for Safe Lung Cancer Radiotherapy

During lung radiotherapy, the position of infrared reflective objects on the chest can be recorded to estimate the tumor location. However, radiotherapy systems have a latency inherent to robot control limitations that impedes the radiation delivery precision. Prediction with online learning of recurrent neural networks (RNN) allows for adaptation to non-stationary respiratory signals, but classical methods such as RTRL and truncated BPTT are respectively slow and biased. This study investigates the capabilities of unbiased online recurrent optimization (UORO) to forecast respiratory motion and enhance safety in lung radiotherapy. We used 9 observation records of the 3D position of 3 external markers on the chest and abdomen of healthy individuals breathing during intervals from 73s to 222s. The sampling frequency was 10Hz, and the amplitudes of the recorded trajectories range from 6mm to 40mm in the superior-inferior direction. We forecast the 3D location of each marker simultaneously with a horizon value between 0.1s and 2.0s, using an RNN trained with UORO. We compare its performance with an RNN trained with RTRL, LMS, and offline linear regression. We provide closed-form expressions for quantities involved in the loss gradient calculation in UORO, thereby making its implementation efficient. Training and cross-validation were performed during the first minute of each sequence. On average over the horizon values considered and the 9 sequences, UORO achieves the lowest root-mean-square (RMS) error and maximum error among the compared algorithms. These errors are respectively equal to 1.3mm and 8.8mm, and the prediction time per time step was lower than 2.8ms (Dell Intel core i9-9900K 3.60 GHz). Linear regression has the lowest RMS error for the horizon values 0.1s and 0.2s, followed by LMS for horizon values between 0.3s and 0.5s, and UORO for horizon values greater than 0.6s.

  • 5 authors
·
Jun 2, 2021

Metric Unreliability in Multimodal Machine Unlearning: A Systematic Analysis and Principled Unified Score

Machine unlearning in Vision-Language Models (VLMs) is required for compliance with the General Data Protection Regulation (GDPR), yet current evaluation practices are inconsistent. We present the first systematic study of metric reliability in multimodal unlearning. Five standard metrics, Forget Accuracy (FA), Retain Accuracy (RA), Membership Inference Attack (MIA), Activation Distance (AD), and JS divergence (JS), yield conflicting method rankings across three VQA benchmarks (MLLMU-Bench, UnLOK-VQA, MMUBench). Kendall tau analysis over 36 unlearned LLaVA-1.5-7B models reveals two opposing clusters, {FA, RA, MIA} and {AD, JS}, with tau_FA_AD = -0.26, reproduced on BLIP-2 OPT-2.7B. Agreement is lower in multimodal VQA (average tau = 0.086) than in unimodal classification (average tau = 0.158; difference = 0.072), indicating that dual image-and-text pathways amplify inconsistency. We introduce the Unified Quality Score (UQS), a composite metric with weights derived from each metric's Spearman correlation with the oracle distance d(M_hat, M_star), where M_star is the oracle model retrained only on the retain set. RA shows the strongest reliability (rho = 0.484, p = 0.003), while FA is negatively correlated (rho = -0.418, p = 0.011). UQS yields stable rankings under 100 random weight perturbations (tau = 0.647 +- 0.262). We release the benchmark, 36 checkpoints, and an interactive leaderboard. Code and pre-computed results are available at https://github.com/neurips26/UnifiedUnl.

  • 3 authors
·
May 7

Evaluating SSL and ViViT Architectures for Cross-Corpus Audio MOS Prediction via LODO Validation

Automatic Mean Opinion Score (MOS) prediction is essential for evaluating large-scale synthetic speech and audio enhancement systems, yet models frequently struggle with domain shift. This study presents a comprehensive benchmarking of three architectural frameworks: Frozen Self-Supervised Learning (SSL-FRZ), Fine-Tuned SSL (SSL-FT), and a Video Vision Transformer (ViViT). Evaluation is conducted in two phases: Part I utilizes a consolidated corpus of 130,000 samples across 19 diverse datasets, while Part II focuses on a purified 17-dataset English-only corpus. To assess robustness, a systematic Leave-One-Dataset-Out (LODO) protocol is employed to quantify the generalization gap between seen and unseen distributions. Finally, the top-performing model is benchmarked against 18 state-of-the-art (SOTA) metrics using the ARECHO framework. Results demonstrate that an English-only purified corpus consistently yields higher predictive precision across all architectures. While SSL-FT achieves the highest performance on seen validation data, the SSL-FRZ model provides superior robustness on unseen distributions, achieving a competitive Mean Squared Error (MSE) of 0.36 on the URGENT 2024 benchmark-closely matching domain-optimized SOTA metrics (MSE 0.30). Although the ViViT architecture remains below SSL-based models in total capacity, it delivers stable results in English-only trials. LODO results confirm that while models perform significantly better on seen samples, frozen SSL embeddings combined with deep Transformer encoders offer the most stable and scalable solution for universal speech quality assessment. To support further research, the top-performing English-only SSL-Transformer model and weights are made publicly available via Hugging Face.

  • 2 authors
·
Jul 10

OpenMedLM: Prompt engineering can out-perform fine-tuning in medical question-answering with open-source large language models

LLMs have become increasingly capable at accomplishing a range of specialized-tasks and can be utilized to expand equitable access to medical knowledge. Most medical LLMs have involved extensive fine-tuning, leveraging specialized medical data and significant, thus costly, amounts of computational power. Many of the top performing LLMs are proprietary and their access is limited to very few research groups. However, open-source (OS) models represent a key area of growth for medical LLMs due to significant improvements in performance and an inherent ability to provide the transparency and compliance required in healthcare. We present OpenMedLM, a prompting platform which delivers state-of-the-art (SOTA) performance for OS LLMs on medical benchmarks. We evaluated a range of OS foundation LLMs (7B-70B) on four medical benchmarks (MedQA, MedMCQA, PubMedQA, MMLU medical-subset). We employed a series of prompting strategies, including zero-shot, few-shot, chain-of-thought (random selection and kNN selection), and ensemble/self-consistency voting. We found that OpenMedLM delivers OS SOTA results on three common medical LLM benchmarks, surpassing the previous best performing OS models that leveraged computationally costly extensive fine-tuning. The model delivers a 72.6% accuracy on the MedQA benchmark, outperforming the previous SOTA by 2.4%, and achieves 81.7% accuracy on the MMLU medical-subset, establishing itself as the first OS LLM to surpass 80% accuracy on this benchmark. Our results highlight medical-specific emergent properties in OS LLMs which have not yet been documented to date elsewhere, and showcase the benefits of further leveraging prompt engineering to improve the performance of accessible LLMs for medical applications.

  • 10 authors
·
Feb 29, 2024

Next Token Is Enough: Realistic Image Quality and Aesthetic Scoring with Multimodal Large Language Model

The rapid expansion of mobile internet has resulted in a substantial increase in user-generated content (UGC) images, thereby making the thorough assessment of UGC images both urgent and essential. Recently, multimodal large language models (MLLMs) have shown great potential in image quality assessment (IQA) and image aesthetic assessment (IAA). Despite this progress, effectively scoring the quality and aesthetics of UGC images still faces two main challenges: 1) A single score is inadequate to capture the hierarchical human perception. 2) How to use MLLMs to output numerical scores, such as mean opinion scores (MOS), remains an open question. To address these challenges, we introduce a novel dataset, named Realistic image Quality and Aesthetic (RealQA), including 14,715 UGC images, each of which is annoted with 10 fine-grained attributes. These attributes span three levels: low level (e.g., image clarity), middle level (e.g., subject integrity) and high level (e.g., composition). Besides, we conduct a series of in-depth and comprehensive investigations into how to effectively predict numerical scores using MLLMs. Surprisingly, by predicting just two extra significant digits, the next token paradigm can achieve SOTA performance. Furthermore, with the help of chain of thought (CoT) combined with the learnt fine-grained attributes, the proposed method can outperform SOTA methods on five public datasets for IQA and IAA with superior interpretability and show strong zero-shot generalization for video quality assessment (VQA). The code and dataset will be released.

  • 5 authors
·
Mar 8, 2025 2

Bounding Box Stability against Feature Dropout Reflects Detector Generalization across Environments

Bounding boxes uniquely characterize object detection, where a good detector gives accurate bounding boxes of categories of interest. However, in the real-world where test ground truths are not provided, it is non-trivial to find out whether bounding boxes are accurate, thus preventing us from assessing the detector generalization ability. In this work, we find under feature map dropout, good detectors tend to output bounding boxes whose locations do not change much, while bounding boxes of poor detectors will undergo noticeable position changes. We compute the box stability score (BoS score) to reflect this stability. Specifically, given an image, we compute a normal set of bounding boxes and a second set after feature map dropout. To obtain BoS score, we use bipartite matching to find the corresponding boxes between the two sets and compute the average Intersection over Union (IoU) across the entire test set. We contribute to finding that BoS score has a strong, positive correlation with detection accuracy measured by mean average precision (mAP) under various test environments. This relationship allows us to predict the accuracy of detectors on various real-world test sets without accessing test ground truths, verified on canonical detection tasks such as vehicle detection and pedestrian detection. Code and data are available at https://github.com/YangYangGirl/BoS.

  • 5 authors
·
Mar 20, 2024

Audio Turing Test: Benchmarking the Human-likeness of Large Language Model-based Text-to-Speech Systems in Chinese

Recent advances in large language models (LLMs) have significantly improved text-to-speech (TTS) systems, enhancing control over speech style, naturalness, and emotional expression, which brings TTS Systems closer to human-level performance. Although the Mean Opinion Score (MOS) remains the standard for TTS System evaluation, it suffers from subjectivity, environmental inconsistencies, and limited interpretability. Existing evaluation datasets also lack a multi-dimensional design, often neglecting factors such as speaking styles, context diversity, and trap utterances, which is particularly evident in Chinese TTS evaluation. To address these challenges, we introduce the Audio Turing Test (ATT), a multi-dimensional Chinese corpus dataset ATT-Corpus paired with a simple, Turing-Test-inspired evaluation protocol. Instead of relying on complex MOS scales or direct model comparisons, ATT asks evaluators to judge whether a voice sounds human. This simplification reduces rating bias and improves evaluation robustness. To further support rapid model development, we also finetune Qwen2-Audio-Instruct with human judgment data as Auto-ATT for automatic evaluation. Experimental results show that ATT effectively differentiates models across specific capability dimensions using its multi-dimensional design. Auto-ATT also demonstrates strong alignment with human evaluations, confirming its value as a fast and reliable assessment tool. The white-box ATT-Corpus and Auto-ATT can be found in ATT Hugging Face Collection (https://huggingface.co/collections/meituan/audio-turing-test-682446320368164faeaf38a4).

  • 12 authors
·
May 16, 2025

Real-time respiratory motion forecasting with online learning of recurrent neural networks for accurate targeting in externally guided radiotherapy

In lung radiotherapy, infrared cameras can track reflective objects on the chest to estimate tumor motion due to breathing, but treatment system latencies hinder radiation beam precision. Real-time recurrent learning (RTRL) is a potential solution that can learn patterns within non-stationary respiratory data but has high complexity. This study assesses the capabilities of resource-efficient online RNN algorithms, namely unbiased online recurrent optimization (UORO), sparse-1 step approximation (SnAp-1), and decoupled neural interfaces (DNI) to forecast respiratory motion during radiotherapy treatment accurately. We use time series containing the 3D positions of external markers on the chest of healthy subjects. We propose efficient implementations for SnAp-1 and DNI that compress the influence and immediate Jacobian matrices and accurately update the linear coefficients used in credit assignment estimation, respectively. Data was originally sampled at 10Hz; we resampled it at 3.33Hz and 30Hz to analyze the effect of the sampling rate on performance. We use UORO, SnAp-1, and DNI to forecast each marker's 3D position with horizons h<=2.1s (the time interval in advance for which the prediction is made) and compare them with RTRL, least mean squares, kernel support vector regression, and linear regression. RNNs trained online achieved similar or better accuracy than most previous works using larger training databases and deep learning, even though we used only the first minute of each sequence to predict motion within that exact sequence. SnAp-1 had the lowest normalized root mean square errors (nRMSEs) averaged over the horizon values considered, equal to 0.335 and 0.157, at 3.33Hz and 10.0Hz, respectively. Similarly, UORO had the lowest nRMSE at 30Hz, equal to 0.086. DNI's inference time (6.8ms per time step at 30Hz, Intel Core i7-13700 CPU) was the lowest among the RNN methods.

  • 5 authors
·
Mar 3, 2024

Multidimensional Rubric-oriented Reward Model Learning via Geometric Projection Reference Constraints

The integration of large language models (LLMs) into medical practice holds transformative potential, yet their real-world clinical utility remains limited by critical alignment challenges: (1) a disconnect between static evaluation benchmarks and dynamic clinical cognitive needs, (2) difficulties in adapting to evolving, multi-source medical standards, and (3) the inability of conventional reward models to capture nuanced, multi-dimensional medical quality criteria. To address these gaps, we propose MR-RML (Multidimensional Rubric-oriented Reward Model Learning) via GPRC (Geometric Projection Reference Constraints), a novel alignment framework that integrates medical standards into a structured "Dimensions-Scenarios-Disciplines" matrix to guide data generation and model optimization. MR-RML introduces three core innovations: (1) a "Dimensions-Scenarios-Disciplines" medical standard system that embeds domain standards into the full training pipeline; (2) an independent multi-dimensional reward model that decomposes evaluation criteria, shifting from real-time rubric-based scoring to internalized reward modeling for improved consistency and cost-efficiency; (3) geometric projection reference constraints that transform medical cognitive logic into mathematical regularization, aligning scoring gradients with clinical reasoning and enabling synthetic data-driven training. Through extensive evaluations on the authoritative medical benchmark Healthbench, our method yields substantial performance gains over the base LLM Qwen-32B (45% on the full subset and 85% on Hard subset, respectively). It achieves a SOTA among open-source LLMs with scores of 62.7 (full subset) and 44.7 (hard subset), while also outperforming the majority of closed-source models.

  • 5 authors
·
Nov 20, 2025

UniRL: Self-Improving Unified Multimodal Models via Supervised and Reinforcement Learning

Unified multimodal large language models such as Show-o and Janus have achieved strong performance across both generation and understanding tasks. However, these models typically rely on large-scale datasets and require substantial computation during the pretraining stage. In addition, several post-training methods have been proposed, but they often depend on external data or are limited to task-specific customization. In this work, we introduce UniRL, a self-improving post-training approach. Our approach enables the model to generate images from prompts and use them as training data in each iteration, without relying on any external image data. Moreover, it enables the two tasks to enhance each other: the generated images are used for understanding, and the understanding results are used to supervise generation. We explore supervised fine-tuning (SFT) and Group Relative Policy Optimization (GRPO) to optimize the models. UniRL offers three key advantages: (1) it requires no external image data, as all training samples are generated by the model itself during training; (2) it not only improves individual task performance, but also reduces the imbalance between generation and understanding; and (3) it requires only several additional training steps during the post-training stage. We evaluate UniRL on top of Show-o and Janus, achieving a GenEval score of 0.77 for Show-o and 0.65 for Janus. Code and models will be released in https://github.com/showlab/UniRL.

  • 3 authors
·
May 29, 2025 2

RIMO: An Easy-to-Evaluate, Hard-to-Solve Olympiad Benchmark for Advanced Mathematical Reasoning

As large language models (LLMs) reach high scores on established mathematical benchmarks, such as GSM8K and MATH, the research community has turned to International Mathematical Olympiad (IMO) problems to push the evaluation frontier. However, existing Olympiad-level benchmarks suffer from practical constraints that introduce grading noise and potential bias, such as heterogeneous answer formats requiring model-based judges and a reliance on potentially flawed solutions. We introduce RIMO, a two-track benchmark designed to preserve peak Olympiad difficulty while eliminating this evaluation noise. The first track, RIMO-N, rewrites 335 IMO problems to admit a single, unique integer answer, allowing for deterministic correctness checking. The second track, RIMO-P, features 456 proof problems with expert-checked solutions, which are decomposed into a sequence of sub-problems to evaluate the step-by-step reasoning process via an automated grading system. Our benchmarking of ten frontier LLMs, including GPT-4o and Gemini 2.5 Flash, reveals that while these systems excel on older benchmarks, their performance drops sharply on RIMO. These results highlight a substantial gap between current LLM capabilities and actual Olympiad-level reasoning. By providing a challenging yet easy-to-evaluate suite, RIMO offers a high-resolution yardstick for future research, presenting a clear target for closing the profound reasoning gap our findings expose.

  • 3 authors
·
Sep 9, 2025 2

GOUHFI: a novel contrast- and resolution-agnostic segmentation tool for Ultra-High Field MRI

Recently, Ultra-High Field MRI (UHF-MRI) has become more available and one of the best tools to study the brain. One common step in quantitative neuroimaging is to segment the brain into several regions, which has been done using software packages like FreeSurfer , FastSurferVINN or SynthSeg. However, the differences between UHF-MRI and 1.5T or 3T images are such that the automatic segmentation techniques optimized at these field strengths usually produce unsatisfactory segmentation results for UHF images. Thus, it has been particularly challenging to perform region-based quantitative analyses as typically done with 1.5-3T data, underscoring the crucial need for developing new automatic segmentation techniques designed to handle UHF images. Hence, we propose a novel Deep Learning (DL)-based segmentation technique called GOUHFI: Generalized and Optimized segmentation tool for Ultra-High Field Images, designed to segment UHF images of various contrasts and resolutions. For training, we used a total of 206 label maps from datasets acquired at 3T, 7T and 9.4T. In contrast to most DL strategies, we used a domain randomization approach, where synthetic images were used to train a 3D U-Net. GOUHFI was tested on seven different datasets and compared to existing techniques like FastSurferVINN,SynthSeg and CEREBRUM-7T. GOUHFI was able to segment the six contrasts and seven resolutions tested at 3T, 7T and 9.4T. Average Dice scores of 0.90, 0.90 and 0.93 were computed against the ground truth segmentations at 3T, 7T and 9.4T, respectively. Ultimately, GOUHFI is a promising new segmentation tool, being the first of its kind proposing a contrast- and resolution-agnostic alternative for UHF-MRI without requiring fine-tuning or retraining, making it the forthcoming alternative for neuroscientists working with UHF-MRI or even lower field strengths.

  • 6 authors
·
Sep 29, 2025

PitVis-2023 Challenge: Workflow Recognition in videos of Endoscopic Pituitary Surgery

The field of computer vision applied to videos of minimally invasive surgery is ever-growing. Workflow recognition pertains to the automated recognition of various aspects of a surgery: including which surgical steps are performed; and which surgical instruments are used. This information can later be used to assist clinicians when learning the surgery; during live surgery; and when writing operation notes. The Pituitary Vision (PitVis) 2023 Challenge tasks the community to step and instrument recognition in videos of endoscopic pituitary surgery. This is a unique task when compared to other minimally invasive surgeries due to the smaller working space, which limits and distorts vision; and higher frequency of instrument and step switching, which requires more precise model predictions. Participants were provided with 25-videos, with results presented at the MICCAI-2023 conference as part of the Endoscopic Vision 2023 Challenge in Vancouver, Canada, on 08-Oct-2023. There were 18-submissions from 9-teams across 6-countries, using a variety of deep learning models. A commonality between the top performing models was incorporating spatio-temporal and multi-task methods, with greater than 50% and 10% macro-F1-score improvement over purely spacial single-task models in step and instrument recognition respectively. The PitVis-2023 Challenge therefore demonstrates state-of-the-art computer vision models in minimally invasive surgery are transferable to a new dataset, with surgery specific techniques used to enhance performance, progressing the field further. Benchmark results are provided in the paper, and the dataset is publicly available at: https://doi.org/10.5522/04/26531686.

  • 32 authors
·
Sep 2, 2024

HiPhO: How Far Are (M)LLMs from Humans in the Latest High School Physics Olympiad Benchmark?

Recently, the physical capabilities of (M)LLMs have garnered increasing attention. However, existing benchmarks for physics suffer from two major gaps: they neither provide systematic and up-to-date coverage of real-world physics competitions such as physics Olympiads, nor enable direct performance comparison with humans. To bridge these gaps, we present HiPhO, the first benchmark dedicated to high school physics Olympiads with human-aligned evaluation. Specifically, HiPhO highlights three key innovations. (1) Comprehensive Data: It compiles 13 latest Olympiad exams from 2024-2025, spanning both international and regional competitions, and covering mixed modalities that encompass problems spanning text-only to diagram-based. (2) Professional Evaluation: We adopt official marking schemes to perform fine-grained grading at both the answer and step level, fully aligned with human examiners to ensure high-quality and domain-specific evaluation. (3) Comparison with Human Contestants: We assign gold, silver, and bronze medals to models based on official medal thresholds, thereby enabling direct comparison between (M)LLMs and human contestants. Our large-scale evaluation of 30 state-of-the-art (M)LLMs shows that: across 13 exams, open-source MLLMs mostly remain at or below the bronze level; open-source LLMs show promising progress with occasional golds; closed-source reasoning MLLMs can achieve 6 to 12 gold medals; and most models still have a significant gap from full marks. These results highlight a substantial performance gap between open-source models and top students, the strong physical reasoning capabilities of closed-source reasoning models, and the fact that there is still significant room for improvement. HiPhO, as a rigorous, human-aligned, and Olympiad-focused benchmark for advancing multimodal physical reasoning, is open-source and available at https://github.com/SciYu/HiPhO.

  • 17 authors
·
Sep 9, 2025

OTSurv: A Novel Multiple Instance Learning Framework for Survival Prediction with Heterogeneity-aware Optimal Transport

Survival prediction using whole slide images (WSIs) can be formulated as a multiple instance learning (MIL) problem. However, existing MIL methods often fail to explicitly capture pathological heterogeneity within WSIs, both globally -- through long-tailed morphological distributions, and locally through -- tile-level prediction uncertainty. Optimal transport (OT) provides a principled way of modeling such heterogeneity by incorporating marginal distribution constraints. Building on this insight, we propose OTSurv, a novel MIL framework from an optimal transport perspective. Specifically, OTSurv formulates survival predictions as a heterogeneity-aware OT problem with two constraints: (1) global long-tail constraint that models prior morphological distributions to avert both mode collapse and excessive uniformity by regulating transport mass allocation, and (2) local uncertainty-aware constraint that prioritizes high-confidence patches while suppressing noise by progressively raising the total transport mass. We then recast the initial OT problem, augmented by these constraints, into an unbalanced OT formulation that can be solved with an efficient, hardware-friendly matrix scaling algorithm. Empirically, OTSurv sets new state-of-the-art results across six popular benchmarks, achieving an absolute 3.6% improvement in average C-index. In addition, OTSurv achieves statistical significance in log-rank tests and offers high interpretability, making it a powerful tool for survival prediction in digital pathology. Our codes are available at https://github.com/Y-Research-SBU/OTSurv.

  • 5 authors
·
Jun 25, 2025

Bounds on Agreement between Subjective and Objective Measurements

Objective estimators of multimedia quality are often judged by comparing estimates with subjective "truth data," most often via Pearson correlation coefficient (PCC) or mean-squared error (MSE). But subjective test results contain noise, so striving for a PCC of 1.0 or an MSE of 0.0 is neither realistic nor repeatable. Numerous efforts have been made to acknowledge and appropriately accommodate subjective test noise in objective-subjective comparisons, typically resulting in new analysis frameworks and figures-of-merit. We take a different approach. By making only basic assumptions, we derive bounds on PCC and MSE that can be expected for a subjective test. Consistent with intuition, these bounds are functions of subjective vote variance. When a subjective test includes vote variance information, the calculation of the bounds is easy, and in this case we say the resulting bounds are "fully data-driven." We provide two options for calculating bounds in cases where vote variance information is not available. One option is to use vote variance information from other subjective tests that do provide such information, and the second option is to use a model for subjective votes. Thus we introduce a binomial-based model for subjective votes (BinoVotes) that naturally leads to a mean opinion score (MOS) model, named BinoMOS, with multiple unique desirable properties. BinoMOS reproduces the discrete nature of MOS values and its dependence on the number of votes per file. This modeling provides vote variance information required by the PCC and MSE bounds and we compare this modeling with data from 18 subjective tests. The modeling yields PCC and MSE bounds that agree very well with those found from the data directly. These results allow one to set expectations for the PCC and MSE that might be achieved for any subjective test, even those where vote variance information is not available.

  • 2 authors
·
Mar 13

AUPIMO: Redefining Visual Anomaly Detection Benchmarks with High Speed and Low Tolerance

Recent advances in visual anomaly detection research have seen AUROC and AUPRO scores on public benchmark datasets such as MVTec and VisA converge towards perfect recall, giving the impression that these benchmarks are near-solved. However, high AUROC and AUPRO scores do not always reflect qualitative performance, which limits the validity of these metrics in real-world applications. We argue that the artificial ceiling imposed by the lack of an adequate evaluation metric restrains progression of the field, and it is crucial that we revisit the evaluation metrics used to rate our algorithms. In response, we introduce Per-IMage Overlap (PIMO), a novel metric that addresses the shortcomings of AUROC and AUPRO. PIMO retains the recall-based nature of the existing metrics but introduces two distinctions: the assignment of curves (and respective area under the curve) is per-image, and its X-axis relies solely on normal images. Measuring recall per image simplifies instance score indexing and is more robust to noisy annotations. As we show, it also accelerates computation and enables the usage of statistical tests to compare models. By imposing low tolerance for false positives on normal images, PIMO provides an enhanced model validation procedure and highlights performance variations across datasets. Our experiments demonstrate that PIMO offers practical advantages and nuanced performance insights that redefine anomaly detection benchmarks -- notably challenging the perception that MVTec AD and VisA datasets have been solved by contemporary models. Available on GitHub: https://github.com/jpcbertoldo/aupimo.

  • 4 authors
·
Jan 3, 2024

Curry-DPO: Enhancing Alignment using Curriculum Learning & Ranked Preferences

Direct Preference Optimization (DPO) is an effective technique that leverages pairwise preference data (usually one chosen and rejected response pair per user prompt) to align LLMs to human preferences. In practice, multiple responses can exist for a given prompt with varying quality relative to each other. With availability of such quality ratings for multiple responses, we propose utilizing these responses to create multiple preference pairs for a given prompt. Our work focuses on systematically using the constructed multiple preference pair in DPO training via curriculum learning methodology. In particular, we order these multiple pairs of preference data from easy to hard (emulating curriculum training) according to various criteria. We show detailed comparisons of our proposed approach to the standard single-pair DPO setting. Our method, which we call Curry-DPO consistently shows increased performance gains on MTbench, Vicuna, WizardLM, and the UltraFeedback test set, highlighting its effectiveness. More specifically, Curry-DPO achieves a score of 7.43 on MT-bench with Zephy-7B model outperforming majority of existing LLMs with similar parameter size. Curry-DPO also achieves the highest adjusted win rates on Vicuna, WizardLM, and UltraFeedback test datasets (90.7%, 87.1%, and 87.9% respectively) in our experiments, with notable gains of upto 7.5% when compared to standard DPO technique.

  • 5 authors
·
Mar 11, 2024

Uni-X: Mitigating Modality Conflict with a Two-End-Separated Architecture for Unified Multimodal Models

Unified Multimodal Models (UMMs) built on shared autoregressive (AR) transformers are attractive for their architectural simplicity. However, we identify a critical limitation: when trained on multimodal inputs, modality-shared transformers suffer from severe gradient conflicts between vision and text, particularly in shallow and deep layers. We trace this issue to the fundamentally different low-level statistical properties of images and text, while noting that conflicts diminish in middle layers where representations become more abstract and semantically aligned. To overcome this challenge, we propose Uni-X, a two-end-separated, middle-shared architecture. Uni-X dedicates its initial and final layers to modality-specific processing, while maintaining shared parameters in the middle layers for high-level semantic fusion. This X-shaped design not only eliminates gradient conflicts at both ends but also further alleviates residual conflicts in the shared layers. Extensive experiments validate the effectiveness of Uni-X. Under identical training conditions, Uni-X achieves superior training efficiency compared to strong baselines. When scaled to 3B parameters with larger training data, Uni-X matches or surpasses 7B AR-based UMMs, achieving a GenEval score of 82 for image generation alongside strong performance in text and vision understanding tasks. These results establish Uni-X as a parameter-efficient and scalable foundation for future unified multimodal modeling. Our code is available at https://github.com/CURRENTF/Uni-X

  • 5 authors
·
Sep 29, 2025

CXR-LLaVA: Multimodal Large Language Model for Interpreting Chest X-ray Images

Purpose: Recent advancements in large language models (LLMs) have expanded their capabilities in a multimodal fashion, potentially replicating the image interpretation of human radiologists. This study aimed to develop open-source multimodal large language model for interpreting chest X-ray images (CXR-LLaVA). We also examined the effect of prompt engineering and model parameters such as temperature and nucleus sampling. Materials and Methods: For training, we collected 659,287 publicly available CXRs: 417,336 CXRs had labels for certain radiographic abnormalities (dataset 1); 241,951 CXRs provided free-text radiology reports (dataset 2). After pre-training the Resnet50 as an image encoder, the contrastive language-image pre-training was used to align CXRs and corresponding radiographic abnormalities. Then, the Large Language Model Meta AI-2 was fine-tuned using dataset 2, which were refined using GPT-4, with generating various question answering scenarios. The code can be found at https://github.com/ECOFRI/CXR_LLaVA. Results: In the test set, we observed that the model's performance fluctuated based on its parameters. On average, it achieved F1 score of 0.34 for five pathologic findings (atelectasis, cardiomegaly, consolidation, edema, and pleural effusion), which was improved to 0.46 through prompt engineering. In the independent set, the model achieved an average F1 score of 0.30 for the same pathologic findings. Notably, for the pediatric chest radiograph dataset, which was unseen during training, the model differentiated abnormal radiographs with an F1 score ranging from 0.84 to 0.85. Conclusion: CXR-LLaVA demonstrates promising potential in CXR interpretation. Both prompt engineering and model parameter adjustments can play pivotal roles in interpreting CXRs.

  • 4 authors
·
Oct 22, 2023

OralGPT-Omni: A Versatile Dental Multimodal Large Language Model

Multimodal Large Language Models (MLLMs) have exhibited immense potential across numerous medical specialties; yet, dentistry remains underexplored, in part due to limited domain-specific data, scarce dental expert annotations, insufficient modality-specific modeling, and challenges in reliability. In this paper, we present OralGPT-Omni, the first dental-specialized MLLM designed for comprehensive and trustworthy analysis across diverse dental imaging modalities and clinical tasks. To explicitly capture dentists' diagnostic reasoning, we construct TRACE-CoT, a clinically grounded chain-of-thought dataset that mirrors dental radiologists' decision-making processes. This reasoning supervision, combined with our proposed four-stage training paradigm, substantially strengthens the model's capacity for dental image understanding and analysis. In parallel, we introduce MMOral-Uni, the first unified multimodal benchmark for dental image analysis. It comprises 2,809 open-ended question-answer pairs spanning five modalities and five tasks, offering a comprehensive evaluation suite to date for MLLMs in digital dentistry. OralGPT-Omni achieves an overall score of 51.84 on the MMOral-Uni benchmark and 45.31 on the MMOral-OPG benchmark, dramatically outperforming the scores of GPT-5. Our work promotes intelligent dentistry and paves the way for future advances in dental image analysis. All code, benchmark, and models will be made publicly available.

OralGPT OralGPT-Family
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Nov 26, 2025 2

A Controlled Candidate-Set Benchmark for Offline Satellite-Security Plan Decomposition

Some security-development settings require local models that map an objective to an ordered, checkable plan. We present a low-rank decomposition adapter and release a case-disjoint corpus with 24 authored decompositions and 83 derived next-step examples across 24 satellite-security cases. To prevent reference-plan leakage, prompts contain one objective and eight shuffled SPARTA candidates. The evaluation candidate sets are constructed with oracle inclusion of every reference technique, so this study measures selection from a controlled set, not retrieval. On six fixed cases and five decoding seeds, mean scores vary across adapters and prompted Qwen2.5 baselines; a separate greedy check over three adapter training seeds shows non-negligible training variance. A 24-fold greedy leave-one-case-out control at the two compact sizes likewise shows tradeoffs: at 1.5B, adapter precision is 0.583 against 0.480 for two-shot prompting, while recall is 0.586 against 0.660. Case-resampling intervals for adapter precision relative to the strongest prompted baseline cross zero at 1.5B and 7B. The adapter is also substantially more format-compliant, which prevents attributing all score differences to selection. Autoregressive next-step accuracy is 0.08, 0.06, and 0.29 at 0.5B, 1.5B, and 7B. We therefore offer the formulation, leakage-controlled dataset, reproducibility package, and descriptive analysis as a proof of concept, not evidence of a reliable stand-alone decomposition system or a general adapter advantage. A separate diagnostic tests contract reuse.

  • 3 authors
·
Jul 28

Application of NotebookLM, a Large Language Model with Retrieval-Augmented Generation, for Lung Cancer Staging

Purpose: In radiology, large language models (LLMs), including ChatGPT, have recently gained attention, and their utility is being rapidly evaluated. However, concerns have emerged regarding their reliability in clinical applications due to limitations such as hallucinations and insufficient referencing. To address these issues, we focus on the latest technology, retrieval-augmented generation (RAG), which enables LLMs to reference reliable external knowledge (REK). Specifically, this study examines the utility and reliability of a recently released RAG-equipped LLM (RAG-LLM), NotebookLM, for staging lung cancer. Materials and methods: We summarized the current lung cancer staging guideline in Japan and provided this as REK to NotebookLM. We then tasked NotebookLM with staging 100 fictional lung cancer cases based on CT findings and evaluated its accuracy. For comparison, we performed the same task using a gold-standard LLM, GPT-4 Omni (GPT-4o), both with and without the REK. Results: NotebookLM achieved 86% diagnostic accuracy in the lung cancer staging experiment, outperforming GPT-4o, which recorded 39% accuracy with the REK and 25% without it. Moreover, NotebookLM demonstrated 95% accuracy in searching reference locations within the REK. Conclusion: NotebookLM successfully performed lung cancer staging by utilizing the REK, demonstrating superior performance compared to GPT-4o. Additionally, it provided highly accurate reference locations within the REK, allowing radiologists to efficiently evaluate the reliability of NotebookLM's responses and detect possible hallucinations. Overall, this study highlights the potential of NotebookLM, a RAG-LLM, in image diagnosis.

  • 8 authors
·
Oct 8, 2024

Reducing Annotation Burden in Physical Activity Research Using Vision-Language Models

Introduction: Data from wearable devices collected in free-living settings, and labelled with physical activity behaviours compatible with health research, are essential for both validating existing wearable-based measurement approaches and developing novel machine learning approaches. One common way of obtaining these labels relies on laborious annotation of sequences of images captured by cameras worn by participants through the course of a day. Methods: We compare the performance of three vision language models and two discriminative models on two free-living validation studies with 161 and 111 participants, collected in Oxfordshire, United Kingdom and Sichuan, China, respectively, using the Autographer (OMG Life, defunct) wearable camera. Results: We found that the best open-source vision-language model (VLM) and fine-tuned discriminative model (DM) achieved comparable performance when predicting sedentary behaviour from single images on unseen participants in the Oxfordshire study; median F1-scores: VLM = 0.89 (0.84, 0.92), DM = 0.91 (0.86, 0.95). Performance declined for light (VLM = 0.60 (0.56,0.67), DM = 0.70 (0.63, 0.79)), and moderate-to-vigorous intensity physical activity (VLM = 0.66 (0.53, 0.85); DM = 0.72 (0.58, 0.84)). When applied to the external Sichuan study, performance fell across all intensity categories, with median Cohen's kappa-scores falling from 0.54 (0.49, 0.64) to 0.26 (0.15, 0.37) for the VLM, and from 0.67 (0.60, 0.74) to 0.19 (0.10, 0.30) for the DM. Conclusion: Freely available computer vision models could help annotate sedentary behaviour, typically the most prevalent activity of daily living, from wearable camera images within similar populations to seen data, reducing the annotation burden.

  • 5 authors
·
May 5, 2025

Learning from the Best, Differently: A Diversity-Driven Rethinking on Data Selection

High-quality pre-training data is crutial for large language models, where quality captures factual reliability and semantic value, and diversity ensures broad coverage and distributional heterogeneity. Existing approaches typically rely on single or multiple-dimensional score-based selection. However, directly selecting top-scored data often degrades performance, and sampling from a broader range is required to recover results. The above non-monotonicity between dataset scores and downstream benchmark results reveals a fundamental bias: score-based methods collapse correlated dimensions, causing top-scored data to appear high-quality while systematically overlooking diversity. We argue that ensuring diversity requires decomposing correlated metrics into orthogonal feature dimensions, from which the top-scored data can be directly selected. Therefore, we proposed the Orthogonal Diversity-Aware Selection (ODiS) algorithm, which preserves both quality and diversity during data selection. First, ODiS evaluates data from multiple dimensions, covering language quality, knowledge quality, and comprehension difficulty. The multi-dimensional scores are then decorrelated via Principal Component Analysis (PCA), yielding orthogonal evaluation dimensions. For each dimension, a Roberta-based scorer is trained to regress the data onto PCA-projected scores, enabling scalable inference on large corpora. Finally, ODiS constructs the training dataset by selecting top-scored data within each orthogonal dimension, thereby ensuring both quality and diversity. Empirical results show that ODiS-selected data exhibit less than 2\% inter-dimension overlap, confirming orthogonality between dimensions. More importantly, models trained with ODiS-selected data significantly outperform other baselines on downstream benchmarks, highlighting the necessity of orthogonal, diversity-aware data selection for LLMs.

  • 9 authors
·
Oct 20, 2025 3

Automated Rubrics for Reliable Evaluation of Medical Dialogue Systems

Large Language Models (LLMs) are increasingly used for clinical decision support, where hallucinations and unsafe suggestions may pose direct risks to patient safety. These risks are particularly challenging as they often manifest as subtle clinical errors that evade detection by generic metrics, while expert-authored fine-grained rubrics remain costly to construct and difficult to scale. In this paper, we propose a retrieval-augmented multi-agent framework designed to automate the generation of instance-specific evaluation rubrics. Our approach grounds evaluation in authoritative medical evidence by decomposing retrieved content into atomic facts and synthesizing them with user interaction constraints to form verifiable, fine-grained evaluation criteria. Evaluated on HealthBench, our framework achieves a Clinical Intent Alignment (CIA) score of 60.12%, a statistically significant improvement over the GPT-4o baseline (55.16%). In discriminative tests, our rubrics yield a mean score delta (μ_Δ = 8.658) and an AUROC of 0.977, nearly doubling the quality separation achieved by GPT-4o baseline (4.972). Beyond evaluation, our rubrics effectively guide response refinement, improving quality by 9.2% (from 59.0% to 68.2%). This provides a scalable and transparent foundation for both evaluating and improving medical LLMs. The code is available at https://anonymous.4open.science/r/Automated-Rubric-Generation-AF3C/.

  • 4 authors
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Jan 21

URPO: A Unified Reward & Policy Optimization Framework for Large Language Models

Large-scale alignment pipelines typically pair a policy model with a separately trained reward model whose parameters remain frozen during reinforcement learning (RL). This separation creates a complex, resource-intensive pipeline and suffers from a performance ceiling due to a static reward signal. We propose a novel framework, Unified Reward & Policy Optimization (URPO), that unifies instruction-following ("player") and reward modeling ("referee") within a single model and a single training phase. Our method recasts all alignment data-including preference pairs, verifiable reasoning, and open-ended instructions-into a unified generative format optimized by a single Group-Relative Policy Optimization (GRPO) loop. This enables the model to learn from ground-truth preferences and verifiable logic while simultaneously generating its own rewards for open-ended tasks. Experiments on the Qwen2.5-7B model demonstrate URPO's superiority. Our unified model significantly outperforms a strong baseline using a separate generative reward model, boosting the instruction-following score on AlpacaEval from 42.24 to 44.84 and the composite reasoning average from 32.66 to 35.66. Furthermore, URPO cultivates a superior internal evaluator as a byproduct of training, achieving a RewardBench score of 85.15 and surpassing the dedicated reward model it replaces (83.55). By eliminating the need for a separate reward model and fostering a co-evolutionary dynamic between generation and evaluation, URPO presents a simpler, more efficient, and more effective path towards robustly aligned language models.

  • 4 authors
·
Jul 23, 2025

IatroBench: Pre-Registered Evidence of Iatrogenic Harm from AI Safety Measures

Ask a frontier model how to taper six milligrams of alprazolam (psychiatrist retired, ten days of pills left, abrupt cessation causes seizures) and it tells her to call the psychiatrist she just explained does not exist. Change one word ("I'm a psychiatrist; a patient presents with...") and the same model, same weights, same inference pass produces a textbook Ashton Manual taper with diazepam equivalence, anticonvulsant coverage, and monitoring thresholds. The knowledge was there; the model withheld it. IatroBench measures this gap. Sixty pre-registered clinical scenarios, six frontier models, 3,600 responses, scored on two axes (commission harm, CH 0-3; omission harm, OH 0-4) through a structured-evaluation pipeline validated against physician scoring (kappa_w = 0.571, within-1 agreement 96%). The central finding is identity-contingent withholding: match the same clinical question in physician vs. layperson framing and all five testable models provide better guidance to the physician (decoupling gap +0.38, p = 0.003; binary hit rates on safety-colliding actions drop 13.1 percentage points in layperson framing, p < 0.0001, while non-colliding actions show no change). The gap is widest for the model with the heaviest safety investment (Opus, +0.65). Three failure modes separate cleanly: trained withholding (Opus), incompetence (Llama 4), and indiscriminate content filtering (GPT-5.2, whose post-generation filter strips physician responses at 9x the layperson rate because they contain denser pharmacological tokens). The standard LLM judge assigns OH = 0 to 73% of responses a physician scores OH >= 1 (kappa = 0.045); the evaluation apparatus has the same blind spot as the training apparatus. Every scenario targets someone who has already exhausted the standard referrals.

  • 1 authors
·
Apr 13

Are Performance-Optimization Benchmarks Reliably Measuring Coding Agents?

Repository-level performance-optimization benchmarks such as GSO, SWE-Perf and SWE-fficiency evaluate coding agents by applying patches to real repositories and comparing runtime against unoptimized baselines and official reference patches. Their leaderboard scores are increasingly used as evidence of coding-agent progress, but those scores can conflate runtime instability, benchmark-specific scoring rules, and how many tasks are already solved by at least one public submission. We audit these issues across the three benchmarks. First, we replay the official reference patches for 740 code optimization tasks across four common types of Google Cloud machines. Most benchmark tasks can be replayed, but their reference patches satisfy the original benchmark validity rules in every cross-machine replay for only 39/102 GSO tasks, 11/140 SWE-Perf tasks, and 411/498 SWE-fficiency tasks; SWE-Perf is especially fragile because many reference patches produce close-to-zero runtime changes. Second, we show that public submission rankings depend strongly on the benchmark scoring rule. Among eight public submissions shared by GSO and SWE-fficiency, the official rankings disagree on 9 of 28 pairwise submission comparisons, and SWE-fficiency's leaderboard scoring rule assigns the worst ten tasks overly high score weights of 58.5%-82.8%. Third, looking across 10 public submissions for each task, we find that at least one submission matches or beats the reference patch on 85.3% (384/450) of replay-valid GSO and SWE-fficiency tasks, and beats the unoptimized base code on 99.8% (449/450). Our study complements leaderboard scores by identifying tasks with more reliable performance signals, quantifying per-task score contributions, and exposing the remaining performance gaps that are hidden by aggregate rankings.