Daily Papers

Extracting textual information from scanned medical documents, such as external laboratory reports and manually filled forms, has been a major challenge in modern electronic health records (EHRs). Recent advancements in vision language models (VLMs) have shown great promise over traditional OCR tools. However, at this point, most clinical OCR studies were conducted on private, institutional data. To our knowledge, there are few publicly available datasets for evaluating OCR models in the clinical domain. Furthermore, common scanning artifacts that undermine OCR performance are not reflected in those datasets, leaving a systematic evaluation unfeasible. Therefore, we release a publicly available, realistic-looking OCR benchmark dataset, ClinOCR-Bench, with 384 scanned images across 6 subsets: Normal, Handwriting, Poor Quality, Rotation, Tables, and Mix-artifacts. ClinOCR-Bench features: 1) diverse document types and layouts, 2) full coverage of common EHR scan artifacts, 3) protected health information-free, 4) template-aware train/test split, and 5) adequate sample size for OCR benchmarking. Baseline OCR performance was evaluated using state-of-the-art open-weight and proprietary VLMs. The dataset and documentation are available on GitHub (https://github.com/ClinOCR-Bench/ClinOCR-Bench).

PubMed-OCR is an OCR-centric corpus of scientific articles derived from PubMed Central Open Access PDFs. Each page image is annotated with Google Cloud Vision and released in a compact JSON schema with word-, line-, and paragraph-level bounding boxes. The corpus spans 209.5K articles (1.5M pages; ~1.3B words) and supports layout-aware modeling, coordinate-grounded QA, and evaluation of OCR-dependent pipelines. We analyze corpus characteristics (e.g., journal coverage and detected layout features) and discuss limitations, including reliance on a single OCR engine and heuristic line reconstruction. We release the data and schema to facilitate downstream research and invite extensions.

Objective:Develop and validate an algorithm for analyzing the layout of PDF clinical documents to improve the performance of downstream natural language processing tasks. Materials and Methods: We designed an algorithm to process clinical PDF documents and extract only clinically relevant text. The algorithm consists of several steps: initial text extraction using a PDF parser, followed by classification into categories such as body text, left notes, and footers using a Transformer deep neural network architecture, and finally an aggregation step to compile the lines of a given label in the text. We evaluated the technical performance of the body text extraction algorithm by applying it to a random sample of documents that were annotated. Medical performance was evaluated by examining the extraction of medical concepts of interest from the text in their respective sections. Finally, we tested an end-to-end system on a medical use case of automatic detection of acute infection described in the hospital report. Results:Our algorithm achieved per-line precision, recall, and F1 score of 98.4, 97.0, and 97.7, respectively, for body line extraction. The precision, recall, and F1 score per document for the acute infection detection algorithm were 82.54 (95CI 72.86-91.60), 85.24 (95CI 76.61-93.70), 83.87 (95CI 76, 92-90.08) with exploitation of the results of the advanced body extraction algorithm, respectively. Conclusion:We have developed and validated a system for extracting body text from clinical documents in PDF format by identifying their layout. We were able to demonstrate that this preprocessing allowed us to obtain better performances for a common downstream task, i.e., the extraction of medical concepts in their respective sections, thus proving the interest of this method on a clinical use case.

Medical report interpretation plays a crucial role in healthcare, enabling both patient-facing explanations and effective information flow across clinical systems. While recent vision-language models (VLMs) and large language models (LLMs) have demonstrated general document understanding capabilities, there remains a lack of standardized benchmarks to assess structured interpretation quality in medical reports. We introduce MedRepBench, a comprehensive benchmark built from 1,900 de-identified real-world Chinese medical reports spanning diverse departments, patient demographics, and acquisition formats. The benchmark is designed primarily to evaluate end-to-end VLMs for structured medical report understanding. To enable controlled comparisons, we also include a text-only evaluation setting using high-quality OCR outputs combined with LLMs, allowing us to estimate the upper-bound performance when character recognition errors are minimized. Our evaluation framework supports two complementary protocols: (1) an objective evaluation measuring field-level recall of structured clinical items, and (2) an automated subjective evaluation using a powerful LLM as a scoring agent to assess factuality, interpretability, and reasoning quality. Based on the objective metric, we further design a reward function and apply Group Relative Policy Optimization (GRPO) to improve a mid-scale VLM, achieving up to 6% recall gain. We also observe that the OCR+LLM pipeline, despite strong performance, suffers from layout-blindness and latency issues, motivating further progress toward robust, fully vision-based report understanding.

Multimodal large language models (MLLMs) are increasingly used as OCR systems in document and knowledge-processing pipelines, but their ability to faithfully read real handwriting remains underexplored. Existing OCR benchmarks focus largely on printed text or clean single-line inputs, leaving limited coverage of realistic handwritten OCR scenarios such as multilingual handwriting, writer errors, and structurally complex mathematical expressions. We introduce OmniHandwritingOCR, a diagnostic benchmark for evaluating MLLMs and OCR systems on handwritten OCR. It covers handwritten text recognition and handwritten mathematical expression recognition across six subtasks and twelve subsets, totaling 77.57K labeled images from public datasets and newly collected student writings. A key component is a difficulty-stratified multi-line formula corpus designed to test robustness under increasing structural complexity. We evaluate thirteen open- and closed-source systems with five complementary metrics under a unified protocol. Results show that current systems remain far from faithful transcription: performance drops sharply on complex multi-line formulas, model rankings vary across language and formula settings, and several generative models hallucinate plausible but visually unsupported corrections. OmniHandwritingOCR provides a challenging testbed for diagnosing language, content, structural, and visual-grounding failure modes of multimodal models in handwritten OCR scenarios.

Hospitals in India still rely on handwritten medical records despite the availability of Electronic Medical Records (EMR), complicating statistical analysis and record retrieval. Handwritten records pose a unique challenge, requiring specialized data for training models to recognize medications and their recommendation patterns. While traditional handwriting recognition approaches employ 2-D LSTMs, recent studies have explored using Multimodal Large Language Models (MLLMs) for OCR tasks. Building on this approach, we focus on extracting medication names and dosages from simulated medical records. Our methodology MIRAGE (Multimodal Identification and Recognition of Annotations in indian GEneral prescriptions) involves fine-tuning the QWEN VL, LLaVA 1.6 and Idefics2 models on 743,118 high resolution simulated medical record images-fully annotated from 1,133 doctors across India. Our approach achieves 82% accuracy in extracting medication names and dosages.

Learning to represent free text is a core task in many clinical machine learning (ML) applications, as clinical text contains observations and plans not otherwise available for inference. State-of-the-art methods use large language models developed with immense computational resources and training data; however, applying these models is challenging because of the highly varying syntax and vocabulary in clinical free text. Structured information such as International Classification of Disease (ICD) codes often succinctly abstracts the most important facts of a clinical encounter and yields good performance, but is often not as available as clinical text in real-world scenarios. We propose a multi-view learning framework that jointly learns from codes and text to combine the availability and forward-looking nature of text and better performance of ICD codes. The learned text embeddings can be used as inputs to predictive algorithms independent of the ICD codes during inference. Our approach uses a Graph Neural Network (GNN) to process ICD codes, and Bi-LSTM to process text. We apply Deep Canonical Correlation Analysis (DCCA) to enforce the two views to learn a similar representation of each patient. In experiments using planned surgical procedure text, our model outperforms BERT models fine-tuned to clinical data, and in experiments using diverse text in MIMIC-III, our model is competitive to a fine-tuned BERT at a tiny fraction of its computational effort.

Skin carcinoma is the most prevalent form of cancer globally, accounting for over $8 billion in annual healthcare expenditures. In clinical settings, physicians document patient visits using detailed SOAP (Subjective, Objective, Assessment, and Plan) notes. However, manually generating these notes is labor-intensive and contributes to clinician burnout. In this work, we propose a weakly supervised multimodal framework to generate clinically structured SOAP notes from limited inputs, including lesion images and sparse clinical text. Our approach reduces reliance on manual annotations, enabling scalable, clinically grounded documentation while alleviating clinician burden and reducing the need for large annotated data. Our method achieves performance comparable to GPT-4o, Claude, and DeepSeek Janus Pro across key clinical relevance metrics. To evaluate clinical quality, we introduce two novel metrics MedConceptEval and Clinical Coherence Score (CCS) which assess semantic alignment with expert medical concepts and input features, respectively.

Sinhala is a morphologically rich abugida spoken by roughly 16 million people in Sri Lanka, and to date, there are no publicly available real-world datasets for page-level Sinhala OCR. All previous studies for assessing Sinhala OCR models have used artificially generated data. To bridge the gap, we introduce sinhala-ocr-lk-acts-1010, an annotated dataset of 1,010 page-level images and their transcriptions collected from Sri Lankan Legislative Acts published between 1981-1989 and 2000-2019, split into 707 training examples, 101 validation examples, and 202 testing examples. Three models based on deep learning-based visual language processing, namely DeepSeek-OCR V1, DeepSeek-OCR V2, and LightOnOCR-2-1B, are fine-tuned using QLoRA in 8 experiments conducted on consumer and cloud GPUs. LightOnOCR-2-1B is the top performer, achieving a CER of 1.05% across all test examples, outperforming state-of-the-art open-source OCR models such as Surya-OCR (8.84%) and Tesseract v5 (10.69%), as well as commercially available OCR models such as Google Document AI (2.06%). Our results suggest that LightOnOCR-2-1B outperforms other baselines on real-world OCR tasks and maintains consistent performance across all print periods, even when documents are severely degraded.

We present olmOCR 2, the latest in our family of powerful OCR systems for converting digitized print documents, like PDFs, into clean, naturally ordered plain text. olmOCR 2 is powered by olmOCR-2-7B-1025, a specialized, 7B vision language model (VLM) trained using reinforcement learning with verifiable rewards (RLVR), where our rewards are a diverse set of binary unit tests. To scale unit test creation, we develop a pipeline for generating synthetic documents with diverse and challenging layouts, known ground-truth HTML source code, and extracted test cases. We show that RL training on these test cases results in state-of-the-art performance on olmOCR-Bench, our English-language OCR benchmark, with the largest improvements in math formula conversion, table parsing, and multi-column layouts compared to previous versions. We release our model, data and code under permissive open licenses.

Although document OCR systems perform increasingly well on routine documents, complex formulas, structured text, and long-tail formats remain error-prone. OCR predictions may omit fine-grained content or hallucinate unsupported outputs, while equivalent encodings of the same visible content must be accommodated. Existing OCR evaluation methods mostly report aggregate metrics, offering limited support for analyzing case-level errors and improving OCR performance. We propose OCR-EDR (OCR Error Diagnosis and Repair), a rendering-aware framework that advances from fine-grained diagnosis to iterative repair. Given a source image, an editable OCR prediction, and its rendered image, OCR-EDR first jointly assesses whether the prediction and its rendering are consistent with the source, preserving valid predictions, including rendering-equivalent ones, while diagnosing and localizing genuine errors. It then applies executable edits and may request an updated rendering for iterative reassessment. We construct OCRErrBench from diverse real OCR predictions, covering text and formulas, exact and rendering-equivalent positives, and genuine errors, and develop the DocEDR model to execute the diagnosis--repair loop. On OCRErrBench, DocEDR achieves 94.78% diagnostic accuracy. It repairs 86.23% of erroneous inputs to visual consistency, raises formula Case-F1 by 30.99 percentage points over DOCR-Inspector-7B on DOCRcaseBench, and improves formula CDM by up to 4.62 percentage points on the identified Bad subsets of four OCR systems on UniMER-Test. These results show that OCR-EDR turns fine-grained OCR analysis into verified corrections and performance gains.

Pathology vision-language models (VLMs) have shown strong visual perception ability, but their robustness in the language domain remains poorly characterized. Existing pathology VLM benchmarks largely rely on canonical closed-set prompts or perturb only generic templates, treating language as a fixed evaluation component rather than a variable axis of model behavior. In clinical practice, however, diagnostic language varies across reports, institutions, and candidate diagnoses. We introduce PathLang, a language-centered and clinically grounded zero-shot benchmark. PathLang holds the underlying slides, ground-truth labels, and image-text evaluation direction fixed while systematically varying only the diagnostic language, so that performance differences reflect how a diagnosis is phrased rather than what is imaged. The language variation follows how pathologists actually rephrase diagnoses (terminology, specificity, and reporting style), and all prompts and candidate pools are validated by six board-certified pathologists. PathLang covers four task families: (1) zero-shot classification with image-text alignment analysis, (2) cross-modal retrieval, (3) paraphrase robustness, including semantic-equivalence paraphrases, length and reporting-style variation, and prompt ensembling, and (4) open-vocabulary diagnosis retrieval over four candidate pools with distinct forms of semantic competition. Across nine VLMs and five public datasets spanning four organs, we find that performance is highly sensitive to clinically equivalent paraphrases, varies substantially across forms of semantic competition, and that image-text alignment quality does not necessarily translate into inter-class separability. We release the prompt corpus, candidate pools, pre-computed text embeddings, and evaluation code at https://anonymous.4open.science/r/PathLang.

We present the results of HIPE-OCRepair-2026, an ICDAR competition on LLM-assisted OCR post-correction of historical documents. OCR post-correction remains a long-standing challenge in digital heritage: large-scale collections of digitized documents are affected by legacy OCR errors, while re-digitization at scale remains impractical. Large language models (LLMs) offers a major opportunity to revisit this challenge, yet their effectiveness across languages, document types, and noise conditions - and their tendency to hallucinate - remains insufficiently understood. HIPE-OCRepair-2026 pursues two objectives: (i) to evaluate the capabilities of modern OCR post-correction systems, and (ii) to provide a reproducible evaluation framework anchored in the HIPE-OCRepair-2026 dataset, a harmonized multilingual resource consolidating existing and newly curated historical datasets. Participants were tasked with correcting noisy OCR transcripts from historical newspapers and printed works in English, French, and German (17th-20th century), working at the level of coherent transcription units (paragraphs or articles) without access to source images. The evaluation adopts a retrieval-oriented rather than diplomatic scoring approach, reflecting the practical use case of search and access over digitized collections. Four teams submitted systems ranging from zero-shot prompting to continued pre-training and fine-tuning, offering insights into the merits of different adaptation strategies. Results show that modern LLM-assisted systems can significantly improve OCR quality, but performance varies across datasets, languages, and noise levels. Over-correction on low-noise inputs emerges as a recurring challenge, highlighting the importance of evaluation beyond character error reduction. The dataset, scorer, and evaluation pipeline are publicly released to support future research.

We introduce Biomed-Enriched, a biomedical text dataset constructed from PubMed via a two-stage annotation process. In the first stage, a large language model annotates 400K paragraphs from PubMed scientific articles, assigning scores for their type (review, study, clinical case, other), domain (clinical, biomedical, other), and educational quality. The educational quality score (rated 1 to 5) estimates how useful a paragraph is for college-level learning. These annotations are then used to fine-tune a small language model, which propagates the labels across the full PMC-OA corpus. The resulting metadata allows us to extract refined subsets, including 2M clinical case paragraphs with over 450K high-quality ones from articles with commercial-use licenses, and to construct several variants via quality filtering and domain upsampling. Clinical text is typically difficult to access due to privacy constraints, as hospital records cannot be publicly shared. Hence, our dataset provides an alternative large-scale, openly available collection of clinical cases from PubMed, making it a valuable resource for biomedical and clinical NLP. Preliminary continual-pretraining experiments with OLMo2 suggest these curated subsets enable targeted improvements, with clinical upsampling boosting performance by ~5% on MMLU ProfMed and educational quality filtering improving MedQA and MedMCQA by ~1%. Combinations of these techniques led to faster convergence, reaching same performance with a third of training tokens, indicating potential for more efficient and effective biomedical pretraining strategies.

In spite of the high accuracy of the existing optical mark reading (OMR) systems and devices, a few restrictions remain existent. In this work, we aim to reduce the restrictions of multiple choice questions (MCQ) within tests. We use an image registration technique to extract the answer boxes from answer sheets. Unlike other systems that rely on simple image processing steps to recognize the extracted answer boxes, we address the problem from another perspective by training a machine learning classifier to recognize the class of each answer box (i.e., confirmed, crossed out, or blank answer). This gives us the ability to deal with a variety of shading and mark patterns, and distinguish between chosen (i.e., confirmed) and canceled answers (i.e., crossed out). All existing machine learning techniques require a large number of examples in order to train a model for classification, therefore we present a dataset including six real MCQ assessments with different answer sheet templates. We evaluate two strategies of classification: a straight-forward approach and a two-stage classifier approach. We test two handcrafted feature methods and a convolutional neural network. In the end, we present an easy-to-use graphical user interface of the proposed system. Compared with existing OMR systems, the proposed system has the least constraints and achieves a high accuracy. We believe that the presented work will further direct the development of OMR systems towards reducing the restrictions of the MCQ tests.

Clinical Natural Language Processing (NLP) has become an emerging technology in healthcare that leverages a large amount of free-text data in electronic health records (EHRs) to improve patient care, support clinical decisions, and facilitate clinical and translational science research. Recently, deep learning has achieved state-of-the-art performance in many clinical NLP tasks. However, training deep learning models usually requires large annotated datasets, which are normally not publicly available and can be time-consuming to build in clinical domains. Working with smaller annotated datasets is typical in clinical NLP and therefore, ensuring that deep learning models perform well is crucial for the models to be used in real-world applications. A widely adopted approach is fine-tuning existing Pre-trained Language Models (PLMs), but these attempts fall short when the training dataset contains only a few annotated samples. Few-Shot Learning (FSL) has recently been investigated to tackle this problem. Siamese Neural Network (SNN) has been widely utilized as an FSL approach in computer vision, but has not been studied well in NLP. Furthermore, the literature on its applications in clinical domains is scarce. In this paper, we propose two SNN-based FSL approaches for clinical NLP, including Pre-Trained SNN (PT-SNN) and SNN with Second-Order Embeddings (SOE-SNN). We evaluated the proposed approaches on two clinical tasks, namely clinical text classification and clinical named entity recognition. We tested three few-shot settings including 4-shot, 8-shot, and 16-shot learning. Both clinical NLP tasks were benchmarked using three PLMs, including BERT,BioBERT, and BioClinicalBERT. The experimental results verified the effectiveness of the proposed SNN-based FSL approaches in both NLP tasks.

Teaching Computer Science (CS) by having students write programs by hand on paper has key pedagogical advantages: It allows focused learning and requires careful thinking compared to the use of Integrated Development Environments (IDEs) with intelligent support tools or "just trying things out". The familiar environment of pens and paper also lessens the cognitive load of students with no prior experience with computers, for whom the mere basic usage of computers can be intimidating. Finally, this teaching approach opens learning opportunities to students with limited access to computers. However, a key obstacle is the current lack of teaching methods and support software for working with and running handwritten programs. Optical character recognition (OCR) of handwritten code is challenging: Minor OCR errors, perhaps due to varied handwriting styles, easily make code not run, and recognizing indentation is crucial for languages like Python but is difficult to do due to inconsistent horizontal spacing in handwriting. Our approach integrates two innovative methods. The first combines OCR with an indentation recognition module and a language model designed for post-OCR error correction without introducing hallucinations. This method, to our knowledge, surpasses all existing systems in handwritten code recognition. It reduces error from 30\% in the state of the art to 5\% with minimal hallucination of logical fixes to student programs. The second method leverages a multimodal language model to recognize handwritten programs in an end-to-end fashion. We hope this contribution can stimulate further pedagogical research and contribute to the goal of making CS education universally accessible. We release a dataset of handwritten programs and code to support future research at https://github.com/mdoumbouya/codeocr

With the growing adoption of Retrieval-Augmented Generation (RAG) in document processing, robust text recognition has become increasingly critical for knowledge extraction. While OCR (Optical Character Recognition) for English and other languages benefits from large datasets and well-established benchmarks, Arabic OCR faces unique challenges due to its cursive script, right-to-left text flow, and complex typographic and calligraphic features. We present KITAB-Bench, a comprehensive Arabic OCR benchmark that fills the gaps in current evaluation systems. Our benchmark comprises 8,809 samples across 9 major domains and 36 sub-domains, encompassing diverse document types including handwritten text, structured tables, and specialized coverage of 21 chart types for business intelligence. Our findings show that modern vision-language models (such as GPT-4, Gemini, and Qwen) outperform traditional OCR approaches (like EasyOCR, PaddleOCR, and Surya) by an average of 60% in Character Error Rate (CER). Furthermore, we highlight significant limitations of current Arabic OCR models, particularly in PDF-to-Markdown conversion, where the best model Gemini-2.0-Flash achieves only 65% accuracy. This underscores the challenges in accurately recognizing Arabic text, including issues with complex fonts, numeral recognition errors, word elongation, and table structure detection. This work establishes a rigorous evaluation framework that can drive improvements in Arabic document analysis methods and bridge the performance gap with English OCR technologies.

As Vision-Language Models (VLMs) increasingly gain traction in medical applications, clinicians are progressively expecting AI systems not only to generate textual diagnoses but also to produce corresponding medical images that integrate seamlessly into authentic clinical workflows. Despite the growing interest, existing medical visual benchmarks present notable limitations. They often rely on ambiguous queries that lack sufficient relevance to image content, oversimplify complex diagnostic reasoning into closed-ended shortcuts, and adopt a text-centric evaluation paradigm that overlooks the importance of image generation capabilities. To address these challenges, we introduce MedGEN-Bench, a comprehensive multimodal benchmark designed to advance medical AI research. MedGEN-Bench comprises 6,422 expert-validated image-text pairs spanning six imaging modalities, 16 clinical tasks, and 28 subtasks. It is structured into three distinct formats: Visual Question Answering, Image Editing, and Contextual Multimodal Generation. What sets MedGEN-Bench apart is its focus on contextually intertwined instructions that necessitate sophisticated cross-modal reasoning and open-ended generative outputs, moving beyond the constraints of multiple-choice formats. To evaluate the performance of existing systems, we employ a novel three-tier assessment framework that integrates pixel-level metrics, semantic text analysis, and expert-guided clinical relevance scoring. Using this framework, we systematically assess 10 compositional frameworks, 3 unified models, and 5 VLMs.

The advancement of natural language processing (NLP) systems in healthcare hinges on language model ability to interpret the intricate information contained within clinical notes. This process often requires integrating information from various time points in a patient's medical history. However, most earlier clinical language models were pretrained with a context length limited to roughly one clinical document. In this study, We introduce ClinicalMamba, a specialized version of the Mamba language model, pretrained on a vast corpus of longitudinal clinical notes to address the unique linguistic characteristics and information processing needs of the medical domain. ClinicalMamba, with 130 million and 2.8 billion parameters, demonstrates a superior performance in modeling clinical language across extended text lengths compared to Mamba and clinical Llama. With few-shot learning, ClinicalMamba achieves notable benchmarks in speed and accuracy, outperforming existing clinical language models and general domain large models like GPT-4 in longitudinal clinical notes information extraction tasks.

Optical character recognition (OCR) has advanced rapidly with the rise of vision-language models, yet evaluation has remained concentrated on a small cluster of high- and mid-resource scripts. We introduce GlotOCR Bench, a comprehensive benchmark evaluating OCR generalization across 100+ Unicode scripts. Our benchmark comprises clean and degraded image variants rendered from real multilingual texts. Images are rendered using fonts from the Google Fonts repository, shaped with HarfBuzz and rasterized with FreeType, supporting both LTR and RTL scripts. Samples of rendered images were manually reviewed to verify correct rendering across all scripts. We evaluate a broad suite of open-weight and proprietary vision-language models and find that most perform well on fewer than ten scripts, and even the strongest frontier models fail to generalize beyond thirty scripts. Performance broadly tracks script-level pretraining coverage, suggesting that current OCR systems rely on language model pretraining as much as on visual recognition. Models confronted with unfamiliar scripts either produce random noise or hallucinate characters from similar scripts they already know. We release the benchmark and pipeline for reproducibility. Pipeline Code: https://github.com/cisnlp/glotocr-bench, Benchmark: https://hf.co/datasets/cis-lmu/glotocr-bench.

Accurate diagnostic coding of medical notes is crucial for enhancing patient care, medical research, and error-free billing in healthcare organizations. Manual coding is a time-consuming task for providers, and diagnostic codes often exhibit low sensitivity and specificity, whereas the free text in medical notes can be a more precise description of a patients status. Thus, accurate automated diagnostic coding of medical notes has become critical for a learning healthcare system. Recent developments in long-document transformer architectures have enabled attention-based deep-learning models to adjudicate medical notes. In addition, contrastive loss functions have been used to jointly pre-train large language and image models with noisy labels. To further improve the automated adjudication of medical notes, we developed an approach based on i) models for ICD-10 diagnostic code sequences using a large real-world data set, ii) large language models for medical notes, and iii) contrastive pre-training to build an integrated model of both ICD-10 diagnostic codes and corresponding medical text. We demonstrate that a contrastive approach for pre-training improves performance over prior state-of-the-art models for the MIMIC-III-50, MIMIC-III-rare50, and MIMIC-III-full diagnostic coding tasks.

Traditional OCR systems (OCR-1.0) are increasingly unable to meet people's usage due to the growing demand for intelligent processing of man-made optical characters. In this paper, we collectively refer to all artificial optical signals (e.g., plain texts, math/molecular formulas, tables, charts, sheet music, and even geometric shapes) as "characters" and propose the General OCR Theory along with an excellent model, namely GOT, to promote the arrival of OCR-2.0. The GOT, with 580M parameters, is a unified, elegant, and end-to-end model, consisting of a high-compression encoder and a long-contexts decoder. As an OCR-2.0 model, GOT can handle all the above "characters" under various OCR tasks. On the input side, the model supports commonly used scene- and document-style images in slice and whole-page styles. On the output side, GOT can generate plain or formatted results (markdown/tikz/smiles/kern) via an easy prompt. Besides, the model enjoys interactive OCR features, i.e., region-level recognition guided by coordinates or colors. Furthermore, we also adapt dynamic resolution and multi-page OCR technologies to GOT for better practicality. In experiments, we provide sufficient results to prove the superiority of our model.

Large Language Models (LLMs) hold great promise to revolutionize current clinical systems for their superior capacities on medical text processing tasks and medical licensing exams. Meanwhile, traditional ML models such as SVM and XGBoost have still been mainly adopted in clinical prediction tasks. An emerging question is Can LLMs beat traditional ML models in clinical prediction? Thus, we build a new benchmark ClinicalBench to comprehensively study the clinical predictive modeling capacities of both general-purpose and medical LLMs, and compare them with traditional ML models. ClinicalBench embraces three common clinical prediction tasks, two databases, 14 general-purpose LLMs, 8 medical LLMs, and 11 traditional ML models. Through extensive empirical investigation, we discover that both general-purpose and medical LLMs, even with different model scales, diverse prompting or fine-tuning strategies, still cannot beat traditional ML models in clinical prediction yet, shedding light on their potential deficiency in clinical reasoning and decision-making. We call for caution when practitioners adopt LLMs in clinical applications. ClinicalBench can be utilized to bridge the gap between LLMs' development for healthcare and real-world clinical practice.

Background: General-purpose large language models that utilize both text and images have not been evaluated on a diverse array of challenging medical cases. Methods: Using 934 cases from the NEJM Image Challenge published between 2005 and 2023, we evaluated the accuracy of the recently released Generative Pre-trained Transformer 4 with Vision model (GPT-4V) compared to human respondents overall and stratified by question difficulty, image type, and skin tone. We further conducted a physician evaluation of GPT-4V on 69 NEJM clinicopathological conferences (CPCs). Analyses were conducted for models utilizing text alone, images alone, and both text and images. Results: GPT-4V achieved an overall accuracy of 61% (95% CI, 58 to 64%) compared to 49% (95% CI, 49 to 50%) for humans. GPT-4V outperformed humans at all levels of difficulty and disagreement, skin tones, and image types; the exception was radiographic images, where performance was equivalent between GPT-4V and human respondents. Longer, more informative captions were associated with improved performance for GPT-4V but similar performance for human respondents. GPT-4V included the correct diagnosis in its differential for 80% (95% CI, 68 to 88%) of CPCs when using text alone, compared to 58% (95% CI, 45 to 70%) of CPCs when using both images and text. Conclusions: GPT-4V outperformed human respondents on challenging medical cases and was able to synthesize information from both images and text, but performance deteriorated when images were added to highly informative text. Overall, our results suggest that multimodal AI models may be useful in medical diagnostic reasoning but that their accuracy may depend heavily on context.

The advent of "OCR 2.0" and large-scale vision-language models (VLMs) has set new benchmarks in text recognition. However, these unified architectures often come with significant computational demands, challenges in precise text localization within complex layouts, and a propensity for textual hallucinations. Revisiting the prevailing notion that model scale is the sole path to high accuracy, this paper introduces PP-OCRv5, a meticulously optimized, lightweight OCR system with merely 5 million parameters. We demonstrate that PP-OCRv5 achieves performance competitive with many billion-parameter VLMs on standard OCR benchmarks, while offering superior localization precision and reduced hallucinations. The cornerstone of our success lies not in architectural expansion but in a data-centric investigation. We systematically dissect the role of training data by quantifying three critical dimensions: data difficulty, data accuracy, and data diversity. Our extensive experiments reveal that with a sufficient volume of high-quality, accurately labeled, and diverse data, the performance ceiling for traditional, efficient two-stage OCR pipelines is far higher than commonly assumed. This work provides compelling evidence for the viability of lightweight, specialized models in the large-model era and offers practical insights into data curation for OCR. The source code and models are publicly available at https://github.com/PaddlePaddle/PaddleOCR.

Multimodal large language models (MLLMs) have shown impressive capabilities across various domains, excelling in processing and understanding information from multiple modalities. Despite the rapid progress made previously, insufficient OCR ability hinders MLLMs from excelling in text-related tasks. In this paper, we present Ocean-OCR, a 3B MLLM with state-of-the-art performance on various OCR scenarios and comparable understanding ability on general tasks. We employ Native Resolution ViT to enable variable resolution input and utilize a substantial collection of high-quality OCR datasets to enhance the model performance. We demonstrate the superiority of Ocean-OCR through comprehensive experiments on open-source OCR benchmarks and across various OCR scenarios. These scenarios encompass document understanding, scene text recognition, and handwritten recognition, highlighting the robust OCR capabilities of Ocean-OCR. Note that Ocean-OCR is the first MLLM to outperform professional OCR models such as TextIn and PaddleOCR.

Medicine is inherently multimodal, requiring clinicians to synthesize information across diverse data streams. Yet the development of multimodal foundation models is constrained by limited access to large-scale, high-quality clinical data. Although PubMed Central (PMC) offers a complementary source of expert-authored image-text data, existing PMC-derived resources remain limited in fidelity, reproducibility, and clinical validation. We introduce MedPMC, an automated, continuously updatable framework that transforms permissively licensed literature into high-fidelity infrastructure for medical multimodal models. Applied to 6.1 million PMC articles, MedPMC curated 11 million medical image-text pairs. Component evaluations showed strong performance for initial screening (F1 = 93.2), multi-panel figure detection (F1 = 96.5), figure separation (mAP = 89.8), caption separation and alignment (F1 = 81.4; ROUGE-L = 85.3), and medical figure classification (F1 = 96.5). Manual review by five annotators, three with medical training, found 95.3% of MedPMC images medically relevant, versus 19.7% in a prior PMC-derived dataset. Across 26 benchmarks spanning 11 specialties, a MedPMC-trained CLIP-style model improved average zero-shot AUC by 7.1 percentage points over the strongest architecture-matched biomedical CLIP baseline despite using fewer than half as many image-text pairs. As the vision encoder in a multimodal large language model, it improved medical visual question-answering by 1.9 and 16.9 percentage points across two benchmarks. In 10,524 Yale New Haven Health System dermatology photographs, it improved morphology-to-image retrieval Recall@5 by 11.7 percentage points. These findings show that high-fidelity literature curation strengthens medical multimodal foundation models across benchmark and clinical settings. We publicly release the framework, corpus, benchmarks, and pretrained models.

Clinical machine learning research and AI driven clinical decision support models rely on clinically accurate labels. Manually extracting these labels with the help of clinical specialists is often time-consuming and expensive. This study tests the feasibility of automatic span- and document-level diagnosis extraction from unstructured Dutch echocardiogram reports. We included 115,692 unstructured echocardiogram reports from the UMCU a large university hospital in the Netherlands. A randomly selected subset was manually annotated for the occurrence and severity of eleven commonly described cardiac characteristics. We developed and tested several automatic labelling techniques at both span and document levels, using weighted and macro F1-score, precision, and recall for performance evaluation. We compared the performance of span labelling against document labelling methods, which included both direct document classifiers and indirect document classifiers that rely on span classification results. The SpanCategorizer and MedRoBERTa.nl models outperformed all other span and document classifiers, respectively. The weighted F1-score varied between characteristics, ranging from 0.60 to 0.93 in SpanCategorizer and 0.96 to 0.98 in MedRoBERTa.nl. Direct document classification was superior to indirect document classification using span classifiers. SetFit achieved competitive document classification performance using only 10\% of the training data. Utilizing a reduced label set yielded near-perfect document classification results. We recommend using our published SpanCategorizer and MedRoBERTa.nl models for span- and document-level diagnosis extraction from Dutch echocardiography reports. For settings with limited training data, SetFit may be a promising alternative for document classification.

Optical character recognition (OCR) is a widely used pattern recognition application in numerous domains. There are several feature-rich, general-purpose OCR solutions available for consumers, which can provide moderate to excellent accuracy levels. However, accuracy can diminish with difficult and uncommon document domains. Preprocessing of document images can be used to minimize the effect of domain shift. In this paper, a novel approach is presented for creating a customized preprocessor for a given OCR engine. Unlike the previous OCR agnostic preprocessing techniques, the proposed approach approximates the gradient of a particular OCR engine to train a preprocessor module. Experiments with two datasets and two OCR engines show that the presented preprocessor is able to improve the accuracy of the OCR up to 46% from the baseline by applying pixel-level manipulations to the document image. The implementation of the proposed method and the enhanced public datasets are available for download.

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.

Arabic Optical Character Recognition (OCR) is essential for converting vast amounts of Arabic print media into digital formats. However, training modern OCR models, especially powerful vision-language models, is hampered by the lack of large, diverse, and well-structured datasets that mimic real-world book layouts. Existing Arabic OCR datasets often focus on isolated words or lines or are limited in scale, typographic variety, or structural complexity found in books. To address this significant gap, we introduce SARD (Large-Scale Synthetic Arabic OCR Dataset). SARD is a massive, synthetically generated dataset specifically designed to simulate book-style documents. It comprises 843,622 document images containing 690 million words, rendered across ten distinct Arabic fonts to ensure broad typographic coverage. Unlike datasets derived from scanned documents, SARD is free from real-world noise and distortions, offering a clean and controlled environment for model training. Its synthetic nature provides unparalleled scalability and allows for precise control over layout and content variation. We detail the dataset's composition and generation process and provide benchmark results for several OCR models, including traditional and deep learning approaches, highlighting the challenges and opportunities presented by this dataset. SARD serves as a valuable resource for developing and evaluating robust OCR and vision-language models capable of processing diverse Arabic book-style texts.

Academic documents are packed with texts, equations, tables, and figures, requiring comprehensive understanding for accurate Optical Character Recognition (OCR). While end-to-end OCR methods offer improved accuracy over layout-based approaches, they often grapple with significant repetition issues, especially with complex layouts in Out-Of-Domain (OOD) documents.To tackle this issue, we propose LOCR, a model that integrates location guiding into the transformer architecture during autoregression. We train the model on a dataset comprising over 77M text-location pairs from 125K academic document pages, including bounding boxes for words, tables and mathematical symbols. LOCR adeptly handles various formatting elements and generates content in Markdown language. It outperforms all existing methods in our test set constructed from arXiv, as measured by edit distance, BLEU, METEOR and F-measure.LOCR also reduces repetition frequency from 4.4% of pages to 0.5% in the arXiv dataset, from 13.2% to 1.3% in OOD quantum physics documents and from 8.1% to 1.8% in OOD marketing documents. Additionally, LOCR features an interactive OCR mode, facilitating the generation of complex documents through a few location prompts from human.

Large Multimodal Models (LMMs) have demonstrated impressive performance on recognizing document images with natural language instructions. However, it remains unclear to what extent capabilities in literacy with rich structure and fine-grained visual challenges. The current landscape lacks a comprehensive benchmark to effectively measure the literate capabilities of LMMs. Existing benchmarks are often limited by narrow scenarios and specified tasks. To this end, we introduce CC-OCR, a comprehensive benchmark that possess a diverse range of scenarios, tasks, and challenges. CC-OCR comprises four OCR-centric tracks: multi-scene text reading, multilingual text reading, document parsing, and key information extraction. It includes 39 subsets with 7,058 full annotated images, of which 41% are sourced from real applications, being released for the first time. Furthermore, we evaluate nine prominent LMMs and reveal both the strengths and weaknesses of these models, particularly in text grounding, multi-orientation, and hallucination of repetition. CC-OCR aims to comprehensively evaluate the capabilities of LMMs on OCR-centered tasks, driving advancement in LMMs.

Automatic speech recognition (ASR) in non-English clinical settings is challenged by multiscript variability, where the same term may appear in multiple valid orthographic forms. Conventional string-matching evaluation metrics often underestimate ASR performance by treating orthographic variants as errors. To address this issue, we introduce MultiClin, a clinical ASR benchmark designed to evaluate robustness to multiscript variability. Experiments across diverse ASR models show that multiscript-aware evaluation provides a fairer assessment of recognition quality than conventional single-reference evaluation. We further investigate the impact of script consistency during training and find that inconsistent script mappings increase orthographic uncertainty and hinder model convergence, with a balanced 50% mapping ratio producing the highest entropy. In contrast, script unification consistently yields the best ASR performance. Our dataset and code are publicly available at: https://github.com/aitrics-ronaldo/Interspeech_MultiClin.

Optical Character Recognition (OCR) is crucial to the National Library of Norway's (NLN) digitisation process as it converts scanned documents into machine-readable text. However, for the S\'ami documents in NLN's collection, the OCR accuracy is insufficient. Given that OCR quality affects downstream processes, evaluating and improving OCR for text written in S\'ami languages is necessary to make these resources accessible. To address this need, this work fine-tunes and evaluates three established OCR approaches, Transkribus, Tesseract and TrOCR, for transcribing S\'ami texts from NLN's collection. Our results show that Transkribus and TrOCR outperform Tesseract on this task, while Tesseract achieves superior performance on an out-of-domain dataset. Furthermore, we show that fine-tuning pre-trained models and supplementing manual annotations with machine annotations and synthetic text images can yield accurate OCR for S\'ami languages, even with a moderate amount of manually annotated data.

The increasing use of tools and solutions based on Large Language Models (LLMs) for various tasks in the medical domain has become a prominent trend. Their use in this highly critical and sensitive domain has thus raised important questions about their robustness, especially in response to variations in input, and the reliability of the generated outputs. This study addresses these questions by constructing a textual dataset based on the ICD-10-CM code descriptions, widely used in US hospitals and containing many clinical terms, and their easily reproducible rephrasing. We then benchmarked existing embedding models, either generalist or specialized in the clinical domain, in a semantic search task where the goal was to correctly match the rephrased text to the original description. Our results showed that generalist models performed better than clinical models, suggesting that existing clinical specialized models are more sensitive to small changes in input that confuse them. The highlighted problem of specialized models may be due to the fact that they have not been trained on sufficient data, and in particular on datasets that are not diverse enough to have a reliable global language understanding, which is still necessary for accurate handling of medical documents.

Clinical natural language processing requires methods that can address domain-specific challenges, such as complex medical terminology and clinical contexts. Recently, large language models (LLMs) have shown promise in this domain. Yet, their direct deployment can lead to privacy issues and are constrained by resources. To address this challenge, we delve into synthetic clinical text generation using LLMs for clinical NLP tasks. We propose an innovative, resource-efficient approach, ClinGen, which infuses knowledge into the process. Our model involves clinical knowledge extraction and context-informed LLM prompting. Both clinical topics and writing styles are drawn from external domain-specific knowledge graphs and LLMs to guide data generation. Our extensive empirical study across 7 clinical NLP tasks and 16 datasets reveals that ClinGen consistently enhances performance across various tasks, effectively aligning the distribution of real datasets and significantly enriching the diversity of generated training instances. We will publish our code and all the generated data in https://github.com/ritaranx/ClinGen.

Clinical notes contain rich data, which is unexploited in predictive modeling compared to structured data. In this work, we developed a new text representation Clinical XLNet for clinical notes which also leverages the temporal information of the sequence of the notes. We evaluated our models on prolonged mechanical ventilation prediction problem and our experiments demonstrated that Clinical XLNet outperforms the best baselines consistently.

The growing use of Artificial Intelligence solutions has led to an explosion in image capture and its application in machine learning models. However, the lack of standardization in image quality generates inconsistencies in the results of these models. To mitigate this problem, Optical Character Recognition (OCR) is often used as a preprocessing technique, but it still faces challenges in scenarios with inadequate lighting, low resolution, and perspective distortions. This work aims to explore and evaluate various preprocessing techniques, such as grayscale conversion, CLAHE in RGB, and Bilateral Filter, applied to vehicle license plate recognition. Each technique is analyzed individually and in combination, using metrics such as accuracy, precision, recall, F1-score, ROC curve, AUC, and ANOVA, to identify the most effective method. The study uses a dataset of Brazilian vehicle license plates, widely used in OCR applications. The research provides a detailed analysis of best preprocessing practices, offering insights to optimize OCR performance in real-world scenarios.

Medical benchmark datasets significantly contribute to developing Large Language Models (LLMs) for medical knowledge extraction, diagnosis, summarization, and other uses. Yet, current benchmarks are mainly derived from exam questions given to medical students or cases described in the medical literature, lacking the complexity of real-world patient cases that deviate from classic textbook abstractions. These include rare diseases, uncommon presentations of common diseases, and unexpected treatment responses. Here, we construct Clinically Uncommon Patient Cases and Diagnosis Dataset (CUPCase) based on 3,562 real-world case reports from BMC, including diagnoses in open-ended textual format and as multiple-choice options with distractors. Using this dataset, we evaluate the ability of state-of-the-art LLMs, including both general-purpose and Clinical LLMs, to identify and correctly diagnose a patient case, and test models' performance when only partial information about cases is available. Our findings show that general-purpose GPT-4o attains the best performance in both the multiple-choice task (average accuracy of 87.9%) and the open-ended task (BERTScore F1 of 0.764), outperforming several LLMs with a focus on the medical domain such as Meditron-70B and MedLM-Large. Moreover, GPT-4o was able to maintain 87% and 88% of its performance with only the first 20% of tokens of the case presentation in multiple-choice and free text, respectively, highlighting the potential of LLMs to aid in early diagnosis in real-world cases. CUPCase expands our ability to evaluate LLMs for clinical decision support in an open and reproducible manner.

Large Multimodal Models (LMMs) have recently shown strong performance on Optical Character Recognition (OCR) tasks, demonstrating their promising capability in document literacy. However, their effectiveness in real-world applications remains underexplored, as existing benchmarks adopt task scopes misaligned with practical applications and assume homogeneous acquisition conditions. To address this gap, we introduce CC-OCR V2, a comprehensive and challenging OCR benchmark tailored to real-world document processing. CC-OCR V2 focuses on practical enterprise document processing tasks and incorporates hard and corner cases that are critical yet underrepresented in prior benchmarks, covering 5 major OCR-centric tracks: text recognition, document parsing, document grounding, key information extraction, and document question answering, comprising 7,093 high-difficulty samples. Extensive experiments on 14 advanced LMMs reveal that current models fall short of real-world application requirements. Even state-of-the-art LMMs exhibit substantial performance degradation across diverse tasks and scenarios. These findings reveal a significant gap between performance on current benchmarks and effectiveness in real-world applications. We release the full dataset and evaluation toolkit at https://github.com/eioss/CC-OCR-V2.

Doctors typically write in incomprehensible handwriting, making it difficult for both the general public and some pharmacists to understand the medications they have prescribed. It is not ideal for them to write the prescription quietly and methodically because they will be dealing with dozens of patients every day and will be swamped with work.As a result, their handwriting is illegible. This may result in reports or prescriptions consisting of short forms and cursive writing that a typical person or pharmacist won't be able to read properly, which will cause prescribed medications to be misspelled. However, some individuals are accustomed to writing prescriptions in regional languages because we all live in an area with a diversity of regional languages. It makes analyzing the content much more challenging. So, in this project, we'll use a recognition system to build a tool that can translate the handwriting of physicians in any language. This system will be made into an application which is fully autonomous in functioning. As the user uploads the prescription image the program will pre-process the image by performing image pre-processing, and word segmentations initially before processing the image for training. And it will be done for every language we require the model to detect. And as of the deduction model will be made using deep learning techniques including CNN, RNN, and LSTM, which are utilized to train the model. To match words from various languages that will be written in the system, Unicode will be used. Furthermore, fuzzy search and market basket analysis are employed to offer an end result that will be optimized from the pharmaceutical database and displayed to the user as a structured output.

Most clinical benchmarks evaluate language models (LMs) on diagnosis using complete case descriptions. In clinical practice, however, patients present information in different ways, and clinicians must obtain relevant history and determine which examinations are needed before reaching a diagnosis. Diagnostic accuracy alone therefore cannot establish whether an agent gathered essential information or conducted an appropriate clinical assessment. Furthermore, existing benchmarks lack professional clinicians' verification. To address this gap, we introduce KlinikeBench, a benchmark of 333 clinician-authored tasks, each providing an isolated sandbox environment with a virtual patient, clinical tools, and task-specific success criteria. More than 35 clinicians contributed to case authoring and benchmark evaluation. In an empirical study, clinicians gave simulated dialogues higher mean quality ratings than reference conversations, which is adapted from real conversation. In each task, an LM has a fixed budget of turns to communicate with the patient, ask about relevant history, request examinations, follow action constraints, and record a final diagnosis. We score these steps separately as well as together. Across 31 models and seven model families, the best-performing models (e.g., GPT-6-astra and Claude Opus 5) succeed on less than 30% of tasks, even though their diagnosis accuracy reaches 90.7%. Some models benefit from talking with the patient; others diagnose well from a complete chart but perform much worse in conversation. Overall, KlinikeBench provides a testbed for evaluating the full clinical encounter and reveals a substantial gap between diagnostic accuracy and performance in interactive clinical assessment.

We investigate what makes synthetic OCR supervision transfer to real Thai documents and use the resulting insights to build Wayu-Paxa-OCR-Zero, a Thai OCR model adapted without OCR labels from real Thai document pages. Synthetic data provide exact labels at scale, but "realism" conflates source domain, page context, typography, spatial structure, and glyph variation. We disentangle these factors with a controlled document-reconstruction pipeline and evaluate each variant under page- and crop-level training on printed and handwritten Thai documents. Non-text context has little consistent effect, whereas typeface diversity, two-dimensional structure, and real handwriting glyphs improve transfer; moreover, source-domain matching depends on training granularity, with in-domain reconstruction approaching real printed supervision under page-level training (1.82% versus 1.31% median character error rate) but underperforming out-of-domain reconstruction under crop-level training (15.59% versus 5.52%). Guided by these findings, we adapt the 0.9B-parameter PaddleOCR-VL-1.6 into Wayu-Paxa-OCR-Zero using 45,723 synthetic pages: relative to its base checkpoint, it reduces median character error rate from 6.64% to 1.24% on printed pages and from 74.87% to 20.55% on handwriting and outperforms Typhoon OCR v1 7B on all five evaluation sets, showing that synthetic-only training can be competitive.

Kazakh is a Turkic language using the Arabic, Cyrillic, and Latin scripts, making it unique in terms of optical character recognition (OCR). Work on OCR for low-resource Kazakh scripts is very scarce, and no OCR benchmarks or images exist for the Arabic and Latin scripts. We construct a synthetic OCR dataset of 7,219 images for all three scripts with font, color, and noise variations to imitate real OCR tasks. We evaluated three multimodal large language models (MLLMs) on a subset of the benchmark for OCR and language identification: Gemma-3-12B-it, Qwen2.5-VL-7B-Instruct, and Llama-3.2-11B-Vision-Instruct. All models are unsuccessful with Latin and Arabic script OCR, and fail to recognize the Arabic script as Kazakh text, misclassifying it as Arabic, Farsi, and Kurdish. We further compare MLLMs with a classical OCR baseline and find that while traditional OCR has lower character error rates, MLLMs fail to match this performance. These findings show significant gaps in current MLLM capabilities to process low-resource Abjad-based scripts and demonstrate the need for inclusive models and benchmarks supporting low-resource scripts and languages.

Vision-language models in pathology enable multimodal case retrieval and automated report generation. Many of the models developed so far, however, have been trained on pathology reports that include information which cannot be inferred from paired whole slide images (e.g., patient history), potentially leading to hallucinated sentences in generated reports. To this end, we investigate how the selection of information from pathology reports for vision-language modeling affects the quality of the multimodal representations and generated reports. More concretely, we compare a model trained on full reports against a model trained on preprocessed reports that only include sentences describing the cell and tissue appearances based on the H&E-stained slides. For the experiments, we built upon the BLIP-2 framework and used a cutaneous melanocytic lesion dataset of 42,433 H&E-stained whole slide images and 19,636 corresponding pathology reports. Model performance was assessed using image-to-text and text-to-image retrieval, as well as qualitative evaluation of the generated reports by an expert pathologist. Our results demonstrate that text preprocessing prevents hallucination in report generation. Despite the improvement in the quality of the generated reports, training the vision-language model on full reports showed better cross-modal retrieval performance.

Skin carcinoma is the most prevalent form of cancer globally, accounting for over $8 billion in annual healthcare expenditures. Early diagnosis, accurate and timely treatment are critical to improving patient survival rates. In clinical settings, physicians document patient visits using detailed SOAP (Subjective, Objective, Assessment, and Plan) notes. However, manually generating these notes is labor-intensive and contributes to clinician burnout. In this work, we propose skin-SOAP, a weakly supervised multimodal framework to generate clinically structured SOAP notes from limited inputs, including lesion images and sparse clinical text. Our approach reduces reliance on manual annotations, enabling scalable, clinically grounded documentation while alleviating clinician burden and reducing the need for large annotated data. Our method achieves performance comparable to GPT-4o, Claude, and DeepSeek Janus Pro across key clinical relevance metrics. To evaluate this clinical relevance, we introduce two novel metrics MedConceptEval and Clinical Coherence Score (CCS) which assess semantic alignment with expert medical concepts and input features, respectively.

Background: Recent advancements in large language models (LLMs) offer potential benefits in healthcare, particularly in processing extensive patient records. However, existing benchmarks do not fully assess LLMs' capability in handling real-world, lengthy clinical data. Methods: We present the LongHealth benchmark, comprising 20 detailed fictional patient cases across various diseases, with each case containing 5,090 to 6,754 words. The benchmark challenges LLMs with 400 multiple-choice questions in three categories: information extraction, negation, and sorting, challenging LLMs to extract and interpret information from large clinical documents. Results: We evaluated nine open-source LLMs with a minimum of 16,000 tokens and also included OpenAI's proprietary and cost-efficient GPT-3.5 Turbo for comparison. The highest accuracy was observed for Mixtral-8x7B-Instruct-v0.1, particularly in tasks focused on information retrieval from single and multiple patient documents. However, all models struggled significantly in tasks requiring the identification of missing information, highlighting a critical area for improvement in clinical data interpretation. Conclusion: While LLMs show considerable potential for processing long clinical documents, their current accuracy levels are insufficient for reliable clinical use, especially in scenarios requiring the identification of missing information. The LongHealth benchmark provides a more realistic assessment of LLMs in a healthcare setting and highlights the need for further model refinement for safe and effective clinical application. We make the benchmark and evaluation code publicly available.

This paper introduces a novel approach to post-Optical Character Recognition Correction (POC) for handwritten Cyrillic text, addressing a significant gap in current research methodologies. This gap is due to the lack of large text corporas that provide OCR errors for further training of language-based POC models, which are demanding in terms of corpora size. Our study primarily focuses on the development and application of a synthetic handwriting generation engine based on B\'ezier curves. Such an engine generates highly realistic handwritten text in any amounts, which we utilize to create a substantial dataset by transforming Russian text corpora sourced from the internet. We apply a Handwritten Text Recognition (HTR) model to this dataset to identify OCR errors, forming the basis for our POC model training. The correction model is trained on a 90-symbol input context, utilizing a pre-trained T5 architecture with a seq2seq correction task. We evaluate our approach on HWR200 and School_notebooks_RU datasets as they provide significant challenges in the HTR domain. Furthermore, POC can be used to highlight errors for teachers, evaluating student performance. This can be done simply by comparing sentences before and after correction, displaying differences in text. Our primary contribution lies in the innovative use of B\'ezier curves for Cyrillic text generation and subsequent error correction using a specialized POC model. We validate our approach by presenting Word Accuracy Rate (WAR) and Character Accuracy Rate (CAR) results, both with and without post-OCR correction, using real open corporas of handwritten Cyrillic text. These results, coupled with our methodology, are designed to be reproducible, paving the way for further advancements in the field of OCR and handwritten text analysis. Paper contributions can be found in https://github.com/dbrainio/CyrillicHandwritingPOC

Transformers-based models, such as BERT, have dramatically improved the performance for various natural language processing tasks. The clinical knowledge enriched model, namely ClinicalBERT, also achieved state-of-the-art results when performed on clinical named entity recognition and natural language inference tasks. One of the core limitations of these transformers is the substantial memory consumption due to their full self-attention mechanism. To overcome this, long sequence transformer models, e.g. Longformer and BigBird, were proposed with the idea of sparse attention mechanism to reduce the memory usage from quadratic to the sequence length to a linear scale. These models extended the maximum input sequence length from 512 to 4096, which enhanced the ability of modeling long-term dependency and consequently achieved optimal results in a variety of tasks. Inspired by the success of these long sequence transformer models, we introduce two domain enriched language models, namely Clinical-Longformer and Clinical-BigBird, which are pre-trained from large-scale clinical corpora. We evaluate both pre-trained models using 10 baseline tasks including named entity recognition, question answering, and document classification tasks. The results demonstrate that Clinical-Longformer and Clinical-BigBird consistently and significantly outperform ClinicalBERT as well as other short-sequence transformers in all downstream tasks. We have made our source code available at [https://github.com/luoyuanlab/Clinical-Longformer] the pre-trained models available for public download at: [https://huggingface.co/yikuan8/Clinical-Longformer].

The application of Large Language Models (LLMs) to diagnostic decision-making has garnered growing interest. However, existing benchmarks largely focus on textual reasoning or isolated visual question-answering (VQA) tasks, lacking holistic integration of clinical narratives and medical imaging, and thus failing to assess the multimodal diagnostic synthesis capability central to expert clinical judgment. To bridge this gap, we introduce MedReaMM, a benchmark specifically designed to evaluate models' ability to synthesize heterogeneous clinical evidence consisting of detailed patient histories alongside multiple medical images into accurate differential diagnoses under a complete-information paradigm. Constructed from case reports sourced from top-tier medical journals and curated clinical case databases, MedReaMM comprises 625 expert-validated cases with an average of 2.79 medical images per case and a total of 1,042 standardized diagnoses annotated with ICD-11 codes. These cases predominantly represent rare, atypical, or multi-system presentations that demand expert-level evidence integration beyond routine pattern recognition. We evaluate 23 Large Multimodal Models (LMMs) and find that most achieve diagnostic accuracy scores below 50%, underscoring a substantial gap in multimodal diagnostic synthesis capability. Further analysis reveals that medical knowledge proficiency, medical image understanding, and evidence integration are all highly correlated with diagnostic performance.

Objective: Data unavailability has been one of the biggest barriers in clinical natural language processing. This paper is aimed at providing a large-scale and publicly available patient note dataset, named PMC-Patients, with relevant articles and similar patients annotations. The ultimate goal of PMC-Patients is to facilitate the development of retrieval-based clinical decision support systems. Materials and Methods: To collect PMC-Patients, we extract patient notes from case reports in PubMed Central by recognizing certain section patterns. Patient-article relevance and patient-patient similarity are annotated by citation relationships in PubMed. In addition, we perform three tasks with PMC-Patients to demonstrate its utility in providing clinical decision support for a given patient, including (1) classifying whether another patient is similar, (2) retrieving similar patients in PMC-Patients, and (3) retrieving relevant articles in PubMed. Results: We collect and release PMC-Patients under the CC BY-NC-SA license, which becomes the largest publicly available patient note dataset so far. PMC-Patients contains 167k patient notes that are annotated with 3.1M relevant articles and 293k similar patients. Qualitative and quantitative analyses reveal the high quality and richness of our dataset. Experiments show that classifying the similarity of patient pairs is relatively easy, but it is hard to retrieve similar patients or relevant articles for a given patient from a large set of candidates. Conclusion: We present PMC-Patients, a large-scale dataset of patient notes with high quality, easy access, diverse conditions, and rich annotations. The proposed dataset can also serve as a hard benchmark for evaluating retrieval-based clinical decision support systems.

Clinical diagnosis of the eye is performed over multifarious data modalities including scalar clinical labels, vectorized biomarkers, two-dimensional fundus images, and three-dimensional Optical Coherence Tomography (OCT) scans. Clinical practitioners use all available data modalities for diagnosing and treating eye diseases like Diabetic Retinopathy (DR) or Diabetic Macular Edema (DME). Enabling usage of machine learning algorithms within the ophthalmic medical domain requires research into the relationships and interactions between all relevant data over a treatment period. Existing datasets are limited in that they neither provide data nor consider the explicit relationship modeling between the data modalities. In this paper, we introduce the Ophthalmic Labels for Investigating Visual Eye Semantics (OLIVES) dataset that addresses the above limitation. This is the first OCT and near-IR fundus dataset that includes clinical labels, biomarker labels, disease labels, and time-series patient treatment information from associated clinical trials. The dataset consists of 1268 near-IR fundus images each with at least 49 OCT scans, and 16 biomarkers, along with 4 clinical labels and a disease diagnosis of DR or DME. In total, there are 96 eyes' data averaged over a period of at least two years with each eye treated for an average of 66 weeks and 7 injections. We benchmark the utility of OLIVES dataset for ophthalmic data as well as provide benchmarks and concrete research directions for core and emerging machine learning paradigms within medical image analysis.

Industrial Retrieval-Augmented Generation (RAG) systems depend on optical character recognition (OCR) to transform visual documents into text. Existing OCR benchmarks rely on character-level metrics, which inadequately measure downstream RAG effectiveness under real-world conditions. We introduce an OCR benchmark for industrial RAG systems covering 11 challenging document types, including extreme layouts, high-resolution pages, complex or watermarked backgrounds, historical documents with non-standard reading orders, visually decorated text, and documents containing tables and mathematical formulas. Evaluating recent SOTA OCR models under a controlled OCR-first RAG pipeline shows clear performance degradation on realistic industrial documents despite strong conventional benchmark scores. We find that high OCR accuracy does not necessarily translate into strong downstream RAG performance: structural and semantic errors can cause substantial retrieval failures even when WER/CER remains low. Further analysis shows that this mismatch is category-dependent, arises through both retrieval-side and downstream generation-side failures, and remains stable across representative OCR-first pipeline choices. The benchmark is publicly available at https://github.com/Qihoo360/InduOCRBench.

Vision-language pretraining has advanced image-text alignment, yet progress in radiology remains constrained by the heterogeneity of clinical reports, including abbreviations, impression-only notes, and stylistic variability. Unlike general-domain settings where more data often leads to better performance, naively scaling to large collections of noisy reports can plateau or even degrade model learning. We ask whether large language model (LLM) encoders can provide robust clinical representations that transfer across diverse styles and better guide image-text alignment. We introduce LLM2VEC4CXR, a domain-adapted LLM encoder for chest X-ray reports, and LLM2CLIP4CXR, a dual-tower framework that couples this encoder with a vision backbone. LLM2VEC4CXR improves clinical text understanding over BERT-based baselines, handles abbreviations and style variation, and achieves strong clinical alignment on report-level metrics. LLM2CLIP4CXR leverages these embeddings to boost retrieval accuracy and clinically oriented scores, with stronger cross-dataset generalization than prior medical CLIP variants. Trained on 1.6M CXR studies from public and private sources with heterogeneous and noisy reports, our models demonstrate that robustness -- not scale alone -- is the key to effective multimodal learning. We release models to support further research in medical image-text representation learning.

Objective. Clinical AI documentation systems require evaluation methodologies that are clinically valid, economically viable, and sensitive to iterative changes. Methods requiring expert review per scoring instance are too slow and expensive for safe, iterative deployment. We present a case-specific, clinician-authored rubric methodology for clinical AI evaluation and examine whether LLM-generated rubrics can approximate clinician agreement. Materials and Methods. Twenty clinicians authored 1,646 rubrics for 823 clinical cases (736 real-world, 87 synthetic) across primary care, psychiatry, oncology, and behavioral health. Each rubric was validated by confirming that an LLM-based scoring agent consistently scored clinician-preferred outputs higher than rejected ones. Seven versions of an EHR-embedded AI agent for clinicians were evaluated across all cases. Results. Clinician-authored rubrics discriminated effectively between high- and low-quality outputs (median score gap: 82.9%) with high scoring stability (median range: 0.00%). Median scores improved from 84% to 95%. In later experiments, clinician-LLM ranking agreement (tau: 0.42-0.46) matched or exceeded clinician-clinician agreement (tau: 0.38-0.43), attributable to both ceiling compression and LLM rubric improvement. Discussion. This convergence supports incorporating LLM rubrics alongside clinician-authored ones. At roughly 1,000 times lower cost, LLM rubrics enable substantially greater evaluation coverage, while continued clinical authorship grounds evaluation in expert judgment. Ceiling compression poses a methodological challenge for future inter-rater agreement studies. Conclusion. Case-specific rubrics offer a path for clinical AI evaluation that preserves expert judgment while enabling automation at three orders lower cost. Clinician-authored rubrics establish the baseline against which LLM rubrics are validated.

Unstructured clinical notes contain essential patient information but are challenging for physicians to search and interpret efficiently. Although large language models (LLMs) have shown promise in question answering (QA), most existing systems lack transparency, usability, and alignment with clinical workflows. This work introduces an interactive QA system that enables physicians to query clinical notes via text or voice and receive extractive answers highlighted directly in the note for traceability. The system was built using OpenAI models with zero-shot prompting and evaluated across multiple metrics, including exact string match, word overlap, SentenceTransformer similarity, and BERTScore. Results show that while exact match scores ranged from 47 to 62 percent, semantic similarity scores exceeded 87 percent, indicating strong contextual alignment even when wording varied. To assess usability, the system was also evaluated using simulated clinical personas. Seven diverse physician and nurse personas interacted with the system across scenario-based tasks and provided structured feedback. The evaluations highlighted strengths in intuitive design and answer accessibility, alongside opportunities for enhancing explanation clarity.

Foundation models trained on large-scale dataset gain a recent surge in CV and NLP. In contrast, development in biomedical domain lags far behind due to data scarcity. To address this issue, we build and release PMC-OA, a biomedical dataset with 1.6M image-caption pairs collected from PubMedCentral's OpenAccess subset, which is 8 times larger than before. PMC-OA covers diverse modalities or diseases, with majority of the image-caption samples aligned at finer-grained level, i.e., subfigure and subcaption. While pretraining a CLIP-style model on PMC-OA, our model named PMC-CLIP achieves state-of-the-art results on various downstream tasks, including image-text retrieval on ROCO, MedMNIST image classification, Medical VQA, i.e. +8.1% R@10 on image-text retrieval, +3.9% accuracy on image classification.

Solving the problem of Optical Character Recognition (OCR) on printed text for Latin and its derivative scripts can now be considered settled due to the volumes of research done on English and other High-Resourced Languages (HRL). However, for Low-Resourced Languages (LRL) that use unique scripts, it remains an open problem. This study presents a comparative analysis of the zero-shot performance of six distinct OCR engines on two LRLs: Sinhala and Tamil. The selected engines include both commercial and open-source systems, aiming to evaluate the strengths of each category. The Cloud Vision API, Surya, Document AI, and Tesseract were evaluated for both Sinhala and Tamil, while Subasa OCR and EasyOCR were examined for only one language due to their limitations. The performance of these systems was rigorously analysed using five measurement techniques to assess accuracy at both the character and word levels. According to the findings, Surya delivered the best performance for Sinhala across all metrics, with a WER of 2.61%. Conversely, Document AI excelled across all metrics for Tamil, highlighted by a very low CER of 0.78%. In addition to the above analysis, we also introduce a novel synthetic Tamil OCR benchmarking dataset.

Medical vision-and-language models (MVLMs) have attracted substantial interest due to their capability to offer a natural language interface for interpreting complex medical data. Their applications are versatile and have the potential to improve diagnostic accuracy and decision-making for individual patients while also contributing to enhanced public health monitoring, disease surveillance, and policy-making through more efficient analysis of large data sets. MVLMS integrate natural language processing with medical images to enable a more comprehensive and contextual understanding of medical images alongside their corresponding textual information. Unlike general vision-and-language models trained on diverse, non-specialized datasets, MVLMs are purpose-built for the medical domain, automatically extracting and interpreting critical information from medical images and textual reports to support clinical decision-making. Popular clinical applications of MVLMs include automated medical report generation, medical visual question answering, medical multimodal segmentation, diagnosis and prognosis and medical image-text retrieval. Here, we provide a comprehensive overview of MVLMs and the various medical tasks to which they have been applied. We conduct a detailed analysis of various vision-and-language model architectures, focusing on their distinct strategies for cross-modal integration/exploitation of medical visual and textual features. We also examine the datasets used for these tasks and compare the performance of different models based on standardized evaluation metrics. Furthermore, we highlight potential challenges and summarize future research trends and directions. The full collection of papers and codes is available at: https://github.com/YtongXie/Medical-Vision-and-Language-Tasks-and-Methodologies-A-Survey.

Vision Language Models (VLMs) are increasingly used for tasks like medical report generation and visual question answering. However, fluent diagnostic text does not guarantee safe visual understanding. In clinical practice, interpretation begins with pre-diagnostic sanity checks: verifying that the input is valid to read (correct modality and anatomy, plausible viewpoint and orientation, and no obvious integrity violations). Existing benchmarks largely assume this step is solved, and therefore miss a critical failure mode: a model can produce plausible narratives even when the input is inconsistent or invalid. We introduce MedObvious, a 1,880-task benchmark that isolates input validation as a set-level consistency capability over small multi-panel image sets: the model must identify whether any panel violates expected coherence. MedObvious spans five progressive tiers, from basic orientation/modality mismatches to clinically motivated anatomy/viewpoint verification and triage-style cues, and includes five evaluation formats to test robustness across interfaces. Evaluating 17 different VLMs, we find that sanity checking remains unreliable: several models hallucinate anomalies on normal (negative-control) inputs, performance degrades when scaling to larger image sets, and measured accuracy varies substantially between multiple-choice and open-ended settings. These results show that pre-diagnostic verification remains unsolved for medical VLMs and should be treated as a distinct, safety-critical capability before deployment.

Medical coding is the task of assigning medical codes to clinical free-text documentation. Healthcare professionals manually assign such codes to track patient diagnoses and treatments. Automated medical coding can considerably alleviate this administrative burden. In this paper, we reproduce, compare, and analyze state-of-the-art automated medical coding machine learning models. We show that several models underperform due to weak configurations, poorly sampled train-test splits, and insufficient evaluation. In previous work, the macro F1 score has been calculated sub-optimally, and our correction doubles it. We contribute a revised model comparison using stratified sampling and identical experimental setups, including hyperparameters and decision boundary tuning. We analyze prediction errors to validate and falsify assumptions of previous works. The analysis confirms that all models struggle with rare codes, while long documents only have a negligible impact. Finally, we present the first comprehensive results on the newly released MIMIC-IV dataset using the reproduced models. We release our code, model parameters, and new MIMIC-III and MIMIC-IV training and evaluation pipelines to accommodate fair future comparisons.

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.

Optical Character Recognition (OCR) technology is widely used to extract text from images of documents, facilitating efficient digitization and data retrieval. However, merely extracting text is insufficient when dealing with complex documents. Fully comprehending such documents requires an understanding of their structure -- including formatting, formulas, tables, and the reading order of multiple blocks and columns across multiple pages -- as well as semantic information for detecting elements like footnotes and image captions. This comprehensive understanding is crucial for downstream tasks such as retrieval, document question answering, and data curation for training Large Language Models (LLMs) and Vision Language Models (VLMs). To address this, we introduce \'Eclair, a general-purpose text-extraction tool specifically designed to process a wide range of document types. Given an image, \'Eclair is able to extract formatted text in reading order, along with bounding boxes and their corresponding semantic classes. To thoroughly evaluate these novel capabilities, we introduce our diverse human-annotated benchmark for document-level OCR and semantic classification. \'Eclair achieves state-of-the-art accuracy on this benchmark, outperforming other methods across key metrics. Additionally, we evaluate \'Eclair on established benchmarks, demonstrating its versatility and strength across several evaluation standards.

We introduce Clinical ModernBERT, a transformer based encoder pretrained on large scale biomedical literature, clinical notes, and medical ontologies, incorporating PubMed abstracts, MIMIC IV clinical data, and medical codes with their textual descriptions. Building on ModernBERT the current state of the art natural language text encoder featuring architectural upgrades such as rotary positional embeddings (RoPE), Flash Attention, and extended context length up to 8,192 tokens our model adapts these innovations specifically for biomedical and clinical domains. Clinical ModernBERT excels at producing semantically rich representations tailored for long context tasks. We validate this both by analyzing its pretrained weights and through empirical evaluation on a comprehensive suite of clinical NLP benchmarks.

We introduce SoftTiger, a clinical large language model (CLaM) designed as a foundation model for healthcare workflows. The narrative and unstructured nature of clinical notes is a major obstacle for healthcare intelligentization. We address a critical problem of structuring clinical notes into clinical data, according to international interoperability standards. We collect and annotate data for three subtasks, namely, international patient summary, clinical impression and medical encounter. We then supervised fine-tuned a state-of-the-art LLM using public and credentialed clinical data. The training is orchestrated in a way that the target model can first support basic clinical tasks such as abbreviation expansion and temporal information extraction, and then learn to perform more complex downstream clinical tasks. Moreover, we address several modeling challenges in the healthcare context, e.g., extra long context window. Our blind pairwise evaluation shows that SoftTiger outperforms other popular open-source models and GPT-3.5, comparable to Gemini-pro, with a mild gap from GPT-4. We believe that LLMs may become a step-stone towards healthcare digitalization and democratization. Therefore, we publicly release SoftTiger models at scales of 13 billion and 70 billion parameters, as well as datasets and code for our innovative scalable evaluation, hopefully, making a significant contribution to the healthcare industry.

We introduce KorMedMCQA-V, a Korean medical licensing-exam-style multimodal multiple-choice question answering benchmark for evaluating vision-language models (VLMs). The dataset consists of 1,534 questions with 2,043 associated images from Korean Medical Licensing Examinations (2012-2023), with about 30% containing multiple images requiring cross-image evidence integration. Images cover clinical modalities including X-ray, computed tomography (CT), electrocardiography (ECG), ultrasound, endoscopy, and other medical visuals. We benchmark over 50 VLMs across proprietary and open-source categories-spanning general-purpose, medical-specialized, and Korean-specialized families-under a unified zero-shot evaluation protocol. The best proprietary model (Gemini-3.0-Pro) achieves 96.9% accuracy, the best open-source model (Qwen3-VL-32B-Thinking) 83.7%, and the best Korean-specialized model (VARCO-VISION-2.0-14B) only 43.2%. We further find that reasoning-oriented model variants gain up to +20 percentage points over instruction-tuned counterparts, medical domain specialization yields inconsistent gains over strong general-purpose baselines, all models degrade on multi-image questions, and performance varies notably across imaging modalities. By complementing the text-only KorMedMCQA benchmark, KorMedMCQA-V forms a unified evaluation suite for Korean medical reasoning across text-only and multimodal conditions. The dataset is available via Hugging Face Datasets: https://huggingface.co/datasets/seongsubae/KorMedMCQA-V.

In natural language processing applied to the clinical domain, utilizing large language models has emerged as a promising avenue for error detection and correction on clinical notes, a knowledge-intensive task for which annotated data is scarce. This paper presents MedReAct'N'MedReFlex, which leverages a suite of four LLM-based medical agents. The MedReAct agent initiates the process by observing, analyzing, and taking action, generating trajectories to guide the search to target a potential error in the clinical notes. Subsequently, the MedEval agent employs five evaluators to assess the targeted error and the proposed correction. In cases where MedReAct's actions prove insufficient, the MedReFlex agent intervenes, engaging in reflective analysis and proposing alternative strategies. Finally, the MedFinalParser agent formats the final output, preserving the original style while ensuring the integrity of the error correction process. One core component of our method is our RAG pipeline based on our ClinicalCorp corpora. Among other well-known sources containing clinical guidelines and information, we preprocess and release the open-source MedWiki dataset for clinical RAG application. Our results demonstrate the central role of our RAG approach with ClinicalCorp leveraged through the MedReAct'N'MedReFlex framework. It achieved the ninth rank on the MEDIQA-CORR 2024 final leaderboard.

The development of large language models tailored for handling patients' clinical notes is often hindered by the limited accessibility and usability of these notes due to strict privacy regulations. To address these challenges, we first create synthetic large-scale clinical notes using publicly available case reports extracted from biomedical literature. We then use these synthetic notes to train our specialized clinical large language model, Asclepius. While Asclepius is trained on synthetic data, we assess its potential performance in real-world applications by evaluating it using real clinical notes. We benchmark Asclepius against several other large language models, including GPT-3.5-turbo and other open-source alternatives. To further validate our approach using synthetic notes, we also compare Asclepius with its variants trained on real clinical notes. Our findings convincingly demonstrate that synthetic clinical notes can serve as viable substitutes for real ones when constructing high-performing clinical language models. This conclusion is supported by detailed evaluations conducted by both GPT-4 and medical professionals. All resources including weights, codes, and data used in the development of Asclepius are made publicly accessible for future research.

This technical report introduces a Named Clinical Entity Recognition Benchmark for evaluating language models in healthcare, addressing the crucial natural language processing (NLP) task of extracting structured information from clinical narratives to support applications like automated coding, clinical trial cohort identification, and clinical decision support. The leaderboard provides a standardized platform for assessing diverse language models, including encoder and decoder architectures, on their ability to identify and classify clinical entities across multiple medical domains. A curated collection of openly available clinical datasets is utilized, encompassing entities such as diseases, symptoms, medications, procedures, and laboratory measurements. Importantly, these entities are standardized according to the Observational Medical Outcomes Partnership (OMOP) Common Data Model, ensuring consistency and interoperability across different healthcare systems and datasets, and a comprehensive evaluation of model performance. Performance of models is primarily assessed using the F1-score, and it is complemented by various assessment modes to provide comprehensive insights into model performance. The report also includes a brief analysis of models evaluated to date, highlighting observed trends and limitations. By establishing this benchmarking framework, the leaderboard aims to promote transparency, facilitate comparative analyses, and drive innovation in clinical entity recognition tasks, addressing the need for robust evaluation methods in healthcare NLP.

Scoring the Optical Character Recognition (OCR) capabilities of Large Multimodal Models (LMMs) has witnessed growing interest recently. Existing benchmarks have highlighted the impressive performance of LMMs in text recognition; however, their abilities on certain challenging tasks, such as text localization, handwritten content extraction, and logical reasoning, remain underexplored. To bridge this gap, we introduce OCRBench v2, a large-scale bilingual text-centric benchmark with currently the most comprehensive set of tasks (4x more tasks than the previous multi-scene benchmark OCRBench), the widest coverage of scenarios (31 diverse scenarios including street scene, receipt, formula, diagram, and so on), and thorough evaluation metrics, with a total of 10,000 human-verified question-answering pairs and a high proportion of difficult samples. After carefully benchmarking state-of-the-art LMMs on OCRBench v2, we find that 20 out of 22 LMMs score below 50 (100 in total) and suffer from five-type limitations, including less frequently encountered text recognition, fine-grained perception, layout perception, complex element parsing, and logical reasoning. The benchmark and evaluation scripts are available at https://github.com/Yuliang-liu/MultimodalOCR.

Optical Character Recognition - Visual Question Answering (OCR-VQA) is the task of answering text information contained in images that have just been significantly developed in the English language in recent years. However, there are limited studies of this task in low-resource languages such as Vietnamese. To this end, we introduce a novel dataset, ViOCRVQA (Vietnamese Optical Character Recognition - Visual Question Answering dataset), consisting of 28,000+ images and 120,000+ question-answer pairs. In this dataset, all the images contain text and questions about the information relevant to the text in the images. We deploy ideas from state-of-the-art methods proposed for English to conduct experiments on our dataset, revealing the challenges and difficulties inherent in a Vietnamese dataset. Furthermore, we introduce a novel approach, called VisionReader, which achieved 0.4116 in EM and 0.6990 in the F1-score on the test set. Through the results, we found that the OCR system plays a very important role in VQA models on the ViOCRVQA dataset. In addition, the objects in the image also play a role in improving model performance. We open access to our dataset at link (https://github.com/qhnhynmm/ViOCRVQA.git) for further research in OCR-VQA task in Vietnamese.

Large vision-language models (VLMs) are increasingly deployed for optical character recognition (OCR) in healthcare settings, raising critical concerns about protected health information (PHI) exposure during document processing. This work presents the first systematic evaluation of inference-time vision token masking as a privacy-preserving mechanism for medical document OCR using DeepSeek-OCR. We introduce seven masking strategies (V3-V9) targeting different architectural layers (SAM encoder blocks, compression layers, dual vision encoders, projector fusion) and evaluate PHI reduction across HIPAA-defined categories using 100 synthetic medical billing statements (drawn from a corpus of 38,517 annotated documents) with perfect ground-truth annotations. All masking strategies converge to 42.9% PHI reduction, successfully suppressing long-form spatially-distributed identifiers (patient names, dates of birth, physical addresses at 100% effectiveness) while failing to prevent short structured identifiers (medical record numbers, social security numbers, email addresses, account numbers at 0% effectiveness). Ablation studies varying mask expansion radius (r=1,2,3) demonstrate that increased spatial coverage does not improve reduction beyond this ceiling, indicating that language model contextual inference - not insufficient visual masking - drives structured identifier leakage. A simulated hybrid architecture combining vision masking with NLP post-processing achieves 88.6% total PHI reduction (assuming 80% NLP accuracy on remaining identifiers). This negative result establishes boundaries for vision-only privacy interventions in VLMs, provides guidance distinguishing PHI types amenable to vision-level versus language-level redaction, and redirects future research toward decoder-level fine-tuning and hybrid defense-in-depth architectures for HIPAA-compliant medical document processing.

Digitization of scanned receipts aims to extract text from receipt images and save it into structured documents. This is usually split into two sub-tasks: text localization and optical character recognition (OCR). Most existing OCR models only focus on the cropped text instance images, which require the bounding box information provided by a text region detection model. Introducing an additional detector to identify the text instance images in advance adds complexity, however instance-level OCR models have very low accuracy when processing the whole image for the document-level OCR, such as receipt images containing multiple text lines arranged in various layouts. To this end, we propose a localization-free document-level OCR model for transcribing all the characters in a receipt image into an ordered sequence end-to-end. Specifically, we finetune the pretrained instance-level model TrOCR with randomly cropped image chunks, and gradually increase the image chunk size to generalize the recognition ability from instance images to full-page images. In our experiments on the SROIE receipt OCR dataset, the model finetuned with our strategy achieved 64.4 F1-score and a 22.8% character error rate (CER), respectively, which outperforms the baseline results with 48.5 F1-score and 50.6% CER. The best model, which splits the full image into 15 equally sized chunks, gives 87.8 F1-score and 4.98% CER with minimal additional pre or post-processing of the output. Moreover, the characters in the generated document-level sequences are arranged in the reading order, which is practical for real-world applications.

Document extraction is a core component of digital workflows, yet existing vision-language models (VLMs) predominantly favor high-resource languages. Thai presents additional challenges due to script complexity from non-latin letters, the absence of explicit word boundaries, and the prevalence of highly unstructured real-world documents, limiting the effectiveness of current open-source models. This paper presents Typhoon OCR, an open VLM for document extraction tailored for Thai and English. The model is fine-tuned from vision-language backbones using a Thai-focused training dataset. The dataset is developed using a multi-stage data construction pipeline that combines traditional OCR, VLM-based restructuring, and curated synthetic data. Typhoon OCR is a unified framework capable of text transcription, layout reconstruction, and document-level structural consistency. The latest iteration of our model, Typhoon OCR V1.5, is a compact and inference-efficient model designed to reduce reliance on metadata and simplify deployment. Comprehensive evaluations across diverse Thai document categories, including financial reports, government forms, books, infographics, and handwritten documents, show that Typhoon OCR achieves performance comparable to or exceeding larger frontier proprietary models, despite substantially lower computational cost. The results demonstrate that open vision-language OCR models can achieve accurate text extraction and layout reconstruction for Thai documents, reaching performance comparable to proprietary systems while remaining lightweight and deployable.

The Optical Character Recognition (OCR) task is important for evaluating Vision-Language Models (VLMs) and providing high-quality data sources for LLM training data. While state-of-the-art VLMs show improved average OCR accuracy, they still struggle with sample-level quality degradation and lack reliable automatic detection of low-quality outputs. We introduce Consensus Entropy (CE), a training-free post-inference method that quantifies OCR uncertainty by aggregating outputs from multiple VLMs. Our approach exploits a key insight: correct VLM OCR predictions converge in output space while errors diverge. We develop a lightweight multi-model framework that effectively identifies problematic samples, selects the best outputs and combines model strengths. Experiments across multiple OCR benchmarks and VLMs demonstrate that CE outperforms VLM-as-judge approaches and single-model baselines at the same cost and achieves state-of-the-art results across multiple metrics. For instance, our solution demonstrates: achieving 15.2% higher F1 scores than VLM-as-judge methods in quality verification, delivering 6.0% accuracy gains on mathematical calculation tasks, and requiring rephrasing only 7.3% of inputs while maintaining overall performance. Notably, the entire process requires neither training nor supervision while maintaining plug-and-play functionality throughout.

The burgeoning integration of 3D medical imaging into healthcare has led to a substantial increase in the workload of medical professionals. To assist clinicians in their diagnostic processes and alleviate their workload, the development of a robust system for retrieving similar case studies presents a viable solution. While the concept holds great promise, the field of 3D medical text-image retrieval is currently limited by the absence of robust evaluation benchmarks and curated datasets. To remedy this, our study presents a groundbreaking dataset, BIMCV-R (This dataset will be released upon acceptance.), which includes an extensive collection of 8,069 3D CT volumes, encompassing over 2 million slices, paired with their respective radiological reports. Expanding upon the foundational work of our dataset, we craft a retrieval strategy, MedFinder. This approach employs a dual-stream network architecture, harnessing the potential of large language models to advance the field of medical image retrieval beyond existing text-image retrieval solutions. It marks our preliminary step towards developing a system capable of facilitating text-to-image, image-to-text, and keyword-based retrieval tasks.

Multimodal language models (MLMs) show promise for clinical decision support and diagnostic reasoning, raising the prospect of end-to-end automated medical image interpretation. However, clinicians are highly selective in adopting AI tools; a model that makes errors on seemingly simple perception tasks such as determining image orientation or identifying whether a CT scan is contrast-enhance are unlikely to be adopted for clinical tasks. We introduce Medblink, a benchmark designed to probe these models for such perceptual abilities. Medblink spans eight clinically meaningful tasks across multiple imaging modalities and anatomical regions, totaling 1,429 multiple-choice questions over 1,605 images. We evaluate 19 state-of-the-art MLMs, including general purpose (GPT4o, Claude 3.5 Sonnet) and domain specific (Med Flamingo, LLaVA Med, RadFM) models. While human annotators achieve 96.4% accuracy, the best-performing model reaches only 65%. These results show that current MLMs frequently fail at routine perceptual checks, suggesting the need to strengthen their visual grounding to support clinical adoption. Data is available on our project page.

Longitudinal clinical notes contain rich evidence of how patients evolve over time, but converting this signal into training supervision for clinical prediction remains challenging. We extend Foresight Learning to clinical prediction by converting time-ordered MIMIC-III notes into examples consisting of past patient context, a natural-language question about a possible future event, and a label resolved from later documentation. This process yields 6,900 prediction examples from 702 admissions across medications, procedures, organ support, microbiology, and mortality. A small LoRA adapter trained on these examples improves over the prompted base model, reducing expected calibration error from 0.1269 to 0.0398 and Brier score from 0.199 to 0.145, while slightly outperforming GPT-5 point estimates on held-out questions. The approach enables reusable clinical prediction supervision from longitudinal notes without hand-engineered structured features or endpoint-specific classifiers.

Large Language Models (LLMs) are increasingly being explored for clinical question answering and decision support, yet safe deployment critically requires reliable handling of patient measurements in heterogeneous clinical notes. Existing evaluations of LLMs for clinical numerical reasoning provide limited operation-level coverage, restricted primarily to arithmetic computation, and rarely assess the robustness of numerical understanding across clinical note formats. We introduce ClinicNumRobBench, a benchmark of 1,624 context-question instances with ground-truth answers that evaluates four main types of clinical numeracy: value retrieval, arithmetic computation, relational comparison, and aggregation. To stress-test robustness, ClinicNumRobBench presents longitudinal MIMIC-IV vital-sign records in three semantically equivalent representations, including a real-world note-style variant derived from the Open Patients dataset, and instantiates queries using 42 question templates. Experiments on 14 LLMs show that value retrieval is generally strong, with most models exceeding 85% accuracy, while relational comparison and aggregation remain challenging, with some models scoring below 15%. Fine-tuning on medical data can reduce numeracy relative to base models by over 30%, and performance drops under note-style variation indicate LLM sensitivity to format. ClinicNumRobBench offers a rigorous testbed for clinically reliable numerical reasoning. Code and data URL are available on https://github.com/MinhVuong2000/ClinicNumRobBench.

Clinical decision-making relies heavily on understanding relative positions of anatomical structures and anomalies. Therefore, for Vision-Language Models (VLMs) to be applicable in clinical practice, the ability to accurately determine relative positions on medical images is a fundamental prerequisite. Despite its importance, this capability remains highly underexplored. To address this gap, we evaluate the ability of state-of-the-art VLMs, GPT-4o, Llama3.2, Pixtral, and JanusPro, and find that all models fail at this fundamental task. Inspired by successful approaches in computer vision, we investigate whether visual prompts, such as alphanumeric or colored markers placed on anatomical structures, can enhance performance. While these markers provide moderate improvements, results remain significantly lower on medical images compared to observations made on natural images. Our evaluations suggest that, in medical imaging, VLMs rely more on prior anatomical knowledge than on actual image content for answering relative position questions, often leading to incorrect conclusions. To facilitate further research in this area, we introduce the MIRP , Medical Imaging Relative Positioning, benchmark dataset, designed to systematically evaluate the capability to identify relative positions in medical images.

Classical OCR pipelines decompose document reading into detection, segmentation, and recognition stages, which makes them sensitive to localization errors and difficult to extend to interactive querying. This work investigates whether a single compact model can jointly perform text recognition and spatial grounding on both handwritten and printed documents. We introduce PILOT, a 155M-parameter prompt-conditioned generative model that formulates document OCR as unified sequence generation. A lightweight depthwise-separable CNN encodes the page, and a Transformer decoder autoregressively emits a single stream of subword and quantized absolute-coordinate tokens on a 10\,px grid, enabling full-page OCR, region-conditioned reading, and query-by-string spotting within the same architecture. A three-stage curriculum, progressing from plain transcription to joint text-and-box generation and finally to prompt-controlled extraction, stabilizes training and improves spatial grounding. Experiments on IAM, RIMES~2009, SROIE~2019, and the heterogeneous MAURDOR benchmark show that PILOT achieves competitive or superior performance in text recognition and line-level detection compared with traditional OCR systems, recent end-to-end HTR models, and compact vision--language models, while remaining substantially smaller than billion-scale multimodal models. Additional evaluations on fine-grained OCR and query-by-string spotting further confirm that a unified text--layout decoder can provide accurate and efficient promptable OCR in a compact setting. To support reproducibility, we release the synthetic SROIE generator, the 500k annotated IDL/PDFA pages, the harmonized line-level annotations for IAM, RIMES~2009, and MAURDOR, and the source code at https://github.com/hamdilaziz/PILOT.

Synthetic data is increasingly used to enable the development and evaluation of AI systems in domains where access to real-world data is restricted. In healthcare, clinical documentation presents particular challenges due to its sensitivity. This work introduces a synthetic clinical notes pipeline and dataset designed to support the development of clinical AI tools while avoiding the privacy risks associated with real patient data. The dataset is generated using a modular pipeline that combines structured patient generation, semi-structured patient journey simulation, and unstructured clinical note generation using large language models. The pipeline is designed to prioritise internal consistency across longitudinal patient records, while also capturing variation in writing style, note structure, and clinical detail. Additional mechanisms, including LLM-based validation and augmentation steps, are used to improve faithfulness, realism, and diversity of the generated notes. We release a dataset of 70 synthetic patients, each associated with 20-50 clinical notes spanning a full hospital journey. The dataset is provided at multiple levels of validation, enabling users to balance realism and scalability depending on their use case. This dataset supports the development, testing, and evaluation of clinical AI systems, including summarisation tools, coding models, and decision support systems, without reliance on real patient data.

In this work, we present MedImageInsight, an open-source medical imaging embedding model. MedImageInsight is trained on medical images with associated text and labels across a diverse collection of domains, including X-Ray, CT, MRI, dermoscopy, OCT, fundus photography, ultrasound, histopathology, and mammography. Rigorous evaluations demonstrate MedImageInsight's ability to achieve state-of-the-art (SOTA) or human expert level performance across classification, image-image search, and fine-tuning tasks. Specifically, on public datasets, MedImageInsight achieves SOTA in CT 3D medical image retrieval, as well as SOTA in disease classification and search for chest X-ray, dermatology, and OCT imaging. Furthermore, MedImageInsight achieves human expert performance in bone age estimation (on both public and partner data), as well as AUC above 0.9 in most other domains. When paired with a text decoder, MedImageInsight achieves near SOTA level single image report findings generation with less than 10\% the parameters of other models. Compared to fine-tuning GPT-4o with only MIMIC-CXR data for the same task, MedImageInsight outperforms in clinical metrics, but underperforms on lexical metrics where GPT-4o sets a new SOTA. Importantly for regulatory purposes, MedImageInsight can generate ROC curves, adjust sensitivity and specificity based on clinical need, and provide evidence-based decision support through image-image search (which can also enable retrieval augmented generation). In an independent clinical evaluation of image-image search in chest X-ray, MedImageInsight outperformed every other publicly available foundation model evaluated by large margins (over 6 points AUC), and significantly outperformed other models in terms of AI fairness (across age and gender). We hope releasing MedImageInsight will help enhance collective progress in medical imaging AI research and development.

While large language models (LLMs) achieve near-perfect scores on medical licensing exams, these evaluations inadequately reflect the complexity and diversity of real-world clinical practice. We introduce MedHELM, an extensible evaluation framework for assessing LLM performance for medical tasks with three key contributions. First, a clinician-validated taxonomy spanning 5 categories, 22 subcategories, and 121 tasks developed with 29 clinicians. Second, a comprehensive benchmark suite comprising 35 benchmarks (17 existing, 18 newly formulated) providing complete coverage of all categories and subcategories in the taxonomy. Third, a systematic comparison of LLMs with improved evaluation methods (using an LLM-jury) and a cost-performance analysis. Evaluation of 9 frontier LLMs, using the 35 benchmarks, revealed significant performance variation. Advanced reasoning models (DeepSeek R1: 66% win-rate; o3-mini: 64% win-rate) demonstrated superior performance, though Claude 3.5 Sonnet achieved comparable results at 40% lower estimated computational cost. On a normalized accuracy scale (0-1), most models performed strongly in Clinical Note Generation (0.73-0.85) and Patient Communication & Education (0.78-0.83), moderately in Medical Research Assistance (0.65-0.75), and generally lower in Clinical Decision Support (0.56-0.72) and Administration & Workflow (0.53-0.63). Our LLM-jury evaluation method achieved good agreement with clinician ratings (ICC = 0.47), surpassing both average clinician-clinician agreement (ICC = 0.43) and automated baselines including ROUGE-L (0.36) and BERTScore-F1 (0.44). Claude 3.5 Sonnet achieved comparable performance to top models at lower estimated cost. These findings highlight the importance of real-world, task-specific evaluation for medical use of LLMs and provides an open source framework to enable this.

Optical Character Recognition (OCR) for low-resource languages remains a significant challenge due to the scarcity of large-scale annotated training datasets. Languages such as Kashmiri, with approximately 7 million speakers and a complex Perso-Arabic script featuring unique diacritical marks, currently lack support in major OCR systems including Tesseract, TrOCR, and PaddleOCR. Manual dataset creation for such languages is prohibitively expensive, time-consuming, and error-prone, often requiring word by word transcription of printed or handwritten text. We present SynthOCR-Gen, an open-source synthetic OCR dataset generator specifically designed for low-resource languages. Our tool addresses the fundamental bottleneck in OCR development by transforming digital Unicode text corpora into ready-to-use training datasets. The system implements a comprehensive pipeline encompassing text segmentation (character, word, n-gram, sentence, and line levels), Unicode normalization with script purity enforcement, multi-font rendering with configurable distribution, and 25+ data augmentation techniques simulating real-world document degradations including rotation, blur, noise, and scanner artifacts. We demonstrate the efficacy of our approach by generating a 600,000-sample word-segmented Kashmiri OCR dataset, which we release publicly on HuggingFace. This work provides a practical pathway for bringing low-resource languages into the era of vision-language AI models, and the tool is openly available for researchers and practitioners working with underserved writing systems worldwide.

The development of large-scale image-text pair datasets has significantly advanced self-supervised learning in Vision-Language Processing (VLP). However, directly applying general-domain architectures such as CLIP to medical data presents challenges, particularly in handling negations and addressing the inherent data imbalance of medical datasets. To address these issues, we propose a novel approach that integrates clinically-enhanced dynamic soft labels and medical graphical alignment, thereby improving clinical comprehension and the applicability of contrastive loss in medical contexts. Furthermore, we introduce negation-based hard negatives to deepen the model's understanding of the complexities of clinical language. Our approach is easily integrated into the medical CLIP training pipeline and achieves state-of-the-art performance across multiple tasks, including zero-shot, fine-tuned classification, and report retrieval. To comprehensively evaluate our model's capacity for understanding clinical language, we introduce CXR-Align, a benchmark uniquely designed to evaluate the understanding of negation and clinical information within chest X-ray (CXR) datasets. Experimental results demonstrate that our proposed methods are straightforward to implement and generalize effectively across contrastive learning frameworks, enhancing medical VLP capabilities and advancing clinical language understanding in medical imaging.

Brief hospital course (BHC) summaries are common clinical documents generated by summarizing clinical notes. While large language models (LLMs) depict remarkable capabilities in automating real-world tasks, their capabilities for healthcare applications such as BHC synthesis have not been shown. To enable the adaptation of LLMs for BHC synthesis, we introduce a novel benchmark consisting of a pre-processed dataset extracted from MIMIC-IV notes, encapsulating clinical note, and brief hospital course (BHC) pairs. We assess the performance of two general-purpose LLMs and three healthcare-adapted LLMs to improve BHC synthesis from clinical notes. Using clinical notes as input for generating BHCs, we apply prompting-based (using in-context learning) and fine-tuning-based adaptation strategies to three open-source LLMs (Clinical-T5-Large, Llama2-13B, FLAN-UL2) and two proprietary LLMs (GPT-3.5, GPT-4). We quantitatively evaluate the performance of these LLMs across varying context-length inputs using conventional natural language similarity metrics. We further perform a qualitative study where five diverse clinicians blindly compare clinician-written BHCs and two LLM-generated BHCs for 30 samples across metrics of comprehensiveness, conciseness, factual correctness, and fluency. Overall, we present a new benchmark and pre-processed dataset for using LLMs in BHC synthesis from clinical notes. We observe high-quality summarization performance for both in-context proprietary and fine-tuned open-source LLMs using both quantitative metrics and a qualitative clinical reader study. We propose our work as a benchmark to motivate future works to adapt and assess the performance of LLMs in BHC synthesis.

High computation costs and latency of large language models such as GPT-4 have limited their deployment in clinical settings. Small language models (SLMs) offer a cost-effective alternative, but their limited capacity requires biomedical domain adaptation, which remains challenging. An additional bottleneck is the unavailability and high sensitivity of clinical data. To address these challenges, we propose a novel framework for adapting SLMs into high-performing clinical models. We introduce the MediPhi collection of 3.8B-parameter SLMs developed with our novel framework: pre-instruction tuning of experts on relevant medical and clinical corpora (PMC, Medical Guideline, MedWiki, etc.), model merging, and clinical-tasks alignment. To cover most clinical tasks, we extended the CLUE benchmark to CLUE+, doubling its size. Our expert models deliver relative improvements on this benchmark over the base model without any task-specific fine-tuning: 64.3% on medical entities, 49.5% on radiology reports, and 44% on ICD-10 coding (outperforming GPT-4-0125 by 14%). We unify the expert models into MediPhi via model merging, preserving gains across benchmarks. Furthermore, we built the MediFlow collection, a synthetic dataset of 2.5 million high-quality instructions on 14 medical NLP tasks, 98 fine-grained document types, and JSON format support. Alignment of MediPhi using supervised fine-tuning and direct preference optimization achieves further gains of 18.9% on average.

Optical character recognition (OCR) has advanced rapidly with deep learning and multimodal models, yet most methods focus on well-resourced scripts such as Latin and Chinese. Ethnic minority languages remain underexplored due to complex writing systems, scarce annotations, and diverse historical and modern forms, making generalization in low-resource or zero-shot settings challenging. To address these challenges, we present OmniOCR, a universal framework for ethnic minority scripts. OmniOCR introduces Dynamic Low-Rank Adaptation (Dynamic LoRA) to allocate model capacity across layers and scripts, enabling effective adaptation while preserving knowledge.A sparsity regularization prunes redundant updates, ensuring compact and efficient adaptation without extra inference cost. Evaluations on TibetanMNIST, Shui, ancient Yi, and Dongba show that OmniOCR outperforms zero-shot foundation models and standard post training, achieving state-of-the-art accuracy with superior parameter efficiency, and compared with the state-of-the-art baseline models, it improves accuracy by 39%-66% on these four datasets. Code: https://github.com/AIGeeksGroup/OmniOCR.

Handwritten text recognition (HTR) remains a challenging task, particularly for multi-page documents where pages share common formatting and contextual features. While modern optical character recognition (OCR) engines are proficient with printed text, their performance on handwriting is limited, often requiring costly labeled data for fine-tuning. In this paper, we explore the use of multi-modal large language models (MLLMs) for transcribing multi-page handwritten documents in a zero-shot setting. We investigate various configurations of commercial OCR engines and MLLMs, utilizing the latter both as end-to-end transcribers and as post-processors, with and without image components. We propose a novel method, '+first page', which enhances MLLM transcription by providing the OCR output of the entire document along with just the first page image. This approach leverages shared document features without incurring the high cost of processing all images. Experiments on a multi-page version of the IAM Handwriting Database demonstrate that '+first page' improves transcription accuracy, balances cost with performance, and even enhances results on out-of-sample text by extrapolating formatting and OCR error patterns from a single page.

Extracting patient information from unstructured text is a critical task in health decision-support and clinical research. Large language models (LLMs) have shown the potential to accelerate clinical curation via few-shot in-context learning, in contrast to supervised learning which requires much more costly human annotations. However, despite drastic advances in modern LLMs such as GPT-4, they still struggle with issues regarding accuracy and interpretability, especially in mission-critical domains such as health. Here, we explore a general mitigation framework using self-verification, which leverages the LLM to provide provenance for its own extraction and check its own outputs. This is made possible by the asymmetry between verification and generation, where the latter is often much easier than the former. Experimental results show that our method consistently improves accuracy for various LLMs in standard clinical information extraction tasks. Additionally, self-verification yields interpretations in the form of a short text span corresponding to each output, which makes it very efficient for human experts to audit the results, paving the way towards trustworthy extraction of clinical information in resource-constrained scenarios. To facilitate future research in this direction, we release our code and prompts.

Extracting Handwritten text is one of the most important components of digitizing information and making it available for large scale setting. Handwriting Optical Character Reader (OCR) is a research problem in computer vision and natural language processing computing, and a lot of work has been done for English, but unfortunately, very little work has been done for low resourced languages such as Urdu. Urdu language script is very difficult because of its cursive nature and change of shape of characters based on it's relative position, therefore, a need arises to propose a model which can understand complex features and generalize it for every kind of handwriting style. In this work, we propose a transformer based Urdu Handwritten text extraction model. As transformers have been very successful in Natural Language Understanding task, we explore them further to understand complex Urdu Handwriting.

Large Language Models (LLMs) have shown the potential to significantly contribute to patient care, diagnostics, and administrative processes. Emerging biomedical LLMs address healthcare-specific challenges, including privacy demands and computational constraints. However, evaluation of these models has primarily been limited to non-clinical tasks, which do not reflect the complexity of practical clinical applications. Additionally, there has been no thorough comparison between biomedical and general-domain LLMs for clinical tasks. To fill this gap, we present the Clinical Language Understanding Evaluation (CLUE), a benchmark tailored to evaluate LLMs on real-world clinical tasks. CLUE includes two novel datasets derived from MIMIC IV discharge letters and four existing tasks designed to test the practical applicability of LLMs in healthcare settings. Our evaluation covers several biomedical and general domain LLMs, providing insights into their clinical performance and applicability. CLUE represents a step towards a standardized approach to evaluating and developing LLMs in healthcare to align future model development with the real-world needs of clinical application. We publish our evaluation and data generation scripts: https://github.com/dadaamin/CLUE

Optical Character Recognition (OCR) plays a crucial role in digitizing historical and multilingual documents, yet OCR errors -- imperfect extraction of the text, including character insertion, deletion and permutation -- can significantly impact downstream tasks like question-answering (QA). In this work, we introduce a multilingual QA dataset MultiOCR-QA, designed to analyze the effects of OCR noise on QA systems' performance. The MultiOCR-QA dataset comprises 60K question-answer pairs covering three languages, English, French, and German. The dataset is curated from OCR-ed old documents, allowing for the evaluation of OCR-induced challenges on question answering. We evaluate MultiOCR-QA on various levels and types of OCR errors to access the robustness of LLMs in handling real-world digitization errors. Our findings show that QA systems are highly prone to OCR induced errors and exhibit performance degradation on noisy OCR text.

Clinical notes contain information about patients that goes beyond structured data like lab values and medications. However, clinical notes have been underused relative to structured data, because notes are high-dimensional and sparse. This work develops and evaluates representations of clinical notes using bidirectional transformers (ClinicalBERT). ClinicalBERT uncovers high-quality relationships between medical concepts as judged by humans. ClinicalBert outperforms baselines on 30-day hospital readmission prediction using both discharge summaries and the first few days of notes in the intensive care unit. Code and model parameters are available.

This technical report presents the 600K-KS-OCR Dataset, a large-scale synthetic corpus comprising approximately 602,000 word-level segmented images designed for training and evaluating optical character recognition systems targeting Kashmiri script. The dataset addresses a critical resource gap for Kashmiri, an endangered Dardic language utilizing a modified Perso-Arabic writing system spoken by approximately seven million people. Each image is rendered at 256x64 pixels with corresponding ground-truth transcriptions provided in multiple formats compatible with CRNN, TrOCR, and generalpurpose machine learning pipelines. The generation methodology incorporates three traditional Kashmiri typefaces, comprehensive data augmentation simulating real-world document degradation, and diverse background textures to enhance model robustness. The dataset is distributed across ten partitioned archives totaling approximately 10.6 GB and is released under the CC-BY-4.0 license to facilitate research in low-resource language optical character recognition.

Objective: Using natural language processing (NLP) to find sentences that state treatment plans in a clinical note, would automate plan extraction and would further enable their use in tools that help providers and care managers. However, as in the most NLP tasks on clinical text, creating gold standard to train and test NLP models is tedious and expensive. Fortuitously, sometimes but not always clinical notes contain sections with a heading that identifies the section as a plan. Leveraging contents of such labeled sections as a noisy training data, we assessed accuracy of NLP models trained with the data. Methods: We used common variations of plan headings and rule-based heuristics to find plan sections with headings in clinical notes, and we extracted sentences from them and formed a noisy training data of plan sentences. We trained Support Vector Machine (SVM) and Convolutional Neural Network (CNN) models with the data. We measured accuracy of the trained models on the noisy dataset using ten-fold cross validation and separately on a set-aside manually annotated dataset. Results: About 13% of 117,730 clinical notes contained treatment plans sections with recognizable headings in the 1001 longitudinal patient records that were obtained from Cleveland Clinic under an IRB approval. We were able to extract and create a noisy training data of 13,492 plan sentences from the clinical notes. CNN achieved best F measures, 0.91 and 0.97 in the cross-validation and set-aside evaluation experiments respectively. SVM slightly underperformed with F measures of 0.89 and 0.96 in the same experiments. Conclusion: Our study showed that the training supervised learning models using noisy plan sentences was effective in identifying them in all clinical notes. More broadly, sections with informal headings in clinical notes can be a good source for generating effective training data.

Multilingual dictionaries are among the most valuable documentary resources for low-resource and endangered languages, yet many remain available only as scans. For many decades, their digitization and conversion into a machine-readable format was nearly impossible due to language-specific scripts, complex multi-column layouts full of entries with abbreviations and cross-references. Recent vision-language models offer a promising solution, but it is unclear how well they preserve characters, markup, and process lexicographic structure. We introduce MUDIDI, a two-stage framework for multi-lingual dictionary digitization. Stage One evaluates the quality of character recognition and markup preservation; Stage Two focuses on dictionary entry segmentation with subsequent mapping into a machine-readable lexicographic schema, SIL's Multi-Dictionary Formatter. We also release a dataset that consists of human-annotated lexicographic entries collected from 30 public-domain dictionaries featuring diverse writing systems, language families, and formats. We benchmark OCR systems, general-purpose Large Language Models (LLMs), and Vision Language Models (VLMs) on the dataset, demonstrating superior performance of LLMs across most writing systems and languages in both stages, and provide practical guidelines on improving the results for more challenging scenarios. Finally, we show that supplementing additional information, such as dictionary introduction, to the LLMs can improve the quality of the digitized dictionary. Github: https://github.com/DavidSamuell/MUDIDI-Pipeline-for-Digitization-of-Multilingual-Dictionary/

This paper evaluates the performance of Large Multimodal Models (LMMs) on Optical Character Recognition (OCR) in the low-resource Pashto language. Natural Language Processing (NLP) in Pashto faces several challenges due to the cursive nature of its script and a scarcity of structured datasets. To address this, we developed a synthetic Pashto OCR dataset, PsOCR, consisting of one million images annotated with bounding boxes at word, line, and document levels, suitable for training and evaluating models based on different architectures, including Convolutional Neural Networks (CNNs) and Transformers. PsOCR covers variations across 1,000 unique font families, colors, image sizes, and layouts. A benchmark subset of 10K images was selected to evaluate the performance of several LMMs, including seven open-source models: DeepSeek's Janus, InternVL, MiniCPM, Florence, and Qwen (3B and 7B), and four closed-source models: GPT-4o, Gemini, Claude, and Grok. Experimental results demonstrate that Gemini achieves the best performance among all models, whereas among open-source models, Qwen-7B stands out. This work provides an insightful assessment of the capabilities and limitations of current LMMs for OCR tasks in Pashto and establishes a foundation for further research not only in Pashto OCR but also for other similar scripts such as Arabic, Persian, and Urdu. PsOCR is available at https://github.com/zirak-ai/PashtoOCR.

In an era where wearable technology is reshaping applications, Scene Text Detection and Recognition (STDR) becomes a straightforward choice through the lens of egocentric vision. Leveraging Meta's Project Aria smart glasses, this paper investigates how environmental variables, such as lighting, distance, and resolution, affect the performance of state-of-the-art STDR algorithms in real-world scenarios. We introduce a novel, custom-built dataset captured under controlled conditions and evaluate two OCR pipelines: EAST with CRNN, and EAST with PyTesseract. Our findings reveal that resolution and distance significantly influence recognition accuracy, while lighting plays a less predictable role. Notably, image upscaling emerged as a key pre-processing technique, reducing Character Error Rate (CER) from 0.65 to 0.48. We further demonstrate the potential of integrating eye-gaze tracking to optimise processing efficiency by focusing on user attention zones. This work not only benchmarks STDR performance under realistic conditions but also lays the groundwork for adaptive, user-aware AR systems. Our contributions aim to inspire future research in robust, context-sensitive text recognition for assistive and research-oriented applications, such as asset inspection and nutrition analysis. The code is available at https://github.com/josepDe/Project_Aria_STR.

This paper proposes a new method, OFA-OCR, to transfer multimodal pretrained models to text recognition. Specifically, we recast text recognition as image captioning and directly transfer a unified vision-language pretrained model to the end task. Without pretraining on large-scale annotated or synthetic text recognition data, OFA-OCR outperforms the baselines and achieves state-of-the-art performance in the Chinese text recognition benchmark. Additionally, we construct an OCR pipeline with OFA-OCR, and we demonstrate that it can achieve competitive performance with the product-level API. The code (https://github.com/OFA-Sys/OFA) and demo (https://modelscope.cn/studios/damo/ofa_ocr_pipeline/summary) are publicly available.

We investigate OCR-augmented generation with Vision Language Models (VLMs), exploring tasks in Korean and English toward multilingualism. To support research in this domain, we train and release KLOCR, a strong bilingual OCR baseline trained on 100M instances to augment VLMs with OCR ability. To complement existing VQA benchmarks, we curate KOCRBench for Korean VQA, and analyze different prompting methods. Extensive experiments show that OCR-extracted text significantly boosts performance across open source and commercial models. Our work offers new insights into OCR-augmented generation for bilingual VQA. Model, code, and data are available at https://github.com/JHLee0513/KLOCR.

GLM-OCR is an efficient 0.9B-parameter compact multimodal model designed for real-world document understanding. It combines a 0.4B-parameter CogViT visual encoder with a 0.5B-parameter GLM language decoder, achieving a strong balance between computational efficiency and recognition performance. To address the inefficiency of standard autoregressive decoding in deterministic OCR tasks, GLM-OCR introduces a Multi-Token Prediction (MTP) mechanism that predicts multiple tokens per step, significantly improving decoding throughput while keeping memory overhead low through shared parameters. At the system level, a two-stage pipeline is adopted: PP-DocLayout-V3 first performs layout analysis, followed by parallel region-level recognition. Extensive evaluations on public benchmarks and industrial scenarios show that GLM-OCR achieves competitive or state-of-the-art performance in document parsing, text and formula transcription, table structure recovery, and key information extraction. Its compact architecture and structured generation make it suitable for both resource-constrained edge deployment and large-scale production systems.

Medical vision-and-language pre-training (Med-VLP) has shown promising improvements on many downstream medical tasks owing to its applicability to extracting generic representations from medical images and texts. Practically, there exist two typical types, i.e., the fusion-encoder type and the dual-encoder type, depending on whether a heavy fusion module is used. The former is superior at multi-modal tasks owing to the sufficient interaction between modalities; the latter is good at uni-modal and cross-modal tasks due to the single-modality encoding ability. To take advantage of these two types, we propose an effective yet straightforward scheme named PTUnifier to unify the two types. We first unify the input format by introducing visual and textual prompts, which serve as a feature bank that stores the most representative images/texts. By doing so, a single model could serve as a foundation model that processes various tasks adopting different input formats (i.e., image-only, text-only, and image-text-pair). Furthermore, we construct a prompt pool (instead of static ones) to improve diversity and scalability. Experimental results show that our approach achieves state-of-the-art results on a broad range of tasks, spanning uni-modal tasks (i.e., image/text classification and text summarization), cross-modal tasks (i.e., image-to-text generation and image-text/text-image retrieval), and multi-modal tasks (i.e., visual question answering), demonstrating the effectiveness of our approach. Note that the adoption of prompts is orthogonal to most existing Med-VLP approaches and could be a beneficial and complementary extension to these approaches.

In recent years, text-image joint pre-training techniques have shown promising results in various tasks. However, in Optical Character Recognition (OCR) tasks, aligning text instances with their corresponding text regions in images poses a challenge, as it requires effective alignment between text and OCR-Text (referring to the text in images as OCR-Text to distinguish from the text in natural language) rather than a holistic understanding of the overall image content. In this paper, we propose a new pre-training method called OCR-Text Destylization Modeling (ODM) that transfers diverse styles of text found in images to a uniform style based on the text prompt. With ODM, we achieve better alignment between text and OCR-Text and enable pre-trained models to adapt to the complex and diverse styles of scene text detection and spotting tasks. Additionally, we have designed a new labeling generation method specifically for ODM and combined it with our proposed Text-Controller module to address the challenge of annotation costs in OCR tasks, allowing a larger amount of unlabeled data to participate in pre-training. Extensive experiments on multiple public datasets demonstrate that our method significantly improves performance and outperforms current pre-training methods in scene text detection and spotting tasks. Code is available at {https://github.com/PriNing/ODM}.

This short technical report demonstrates a simple technique that yields state of the art results in medical image-text matching tasks. We analyze the use of OpenAI's CLIP, a general image-text matching model, and observe that CLIP's limited textual input size has negative impact on downstream performance in the medical domain where encoding longer textual contexts is often required. We thus train and release ClipMD, which is trained with a simple sliding window technique to encode textual captions. ClipMD was tested on two medical image-text datasets and compared with other image-text matching models. The results show that ClipMD outperforms other models on both datasets by a large margin. We make our code and pretrained model publicly available.

A Kannada OCR, named Lipi Gnani, has been designed and developed from scratch, with the motivation of it being able to convert printed text or poetry in Kannada script, without any restriction on vocabulary. The training and test sets have been collected from over 35 books published between the period 1970 to 2002, and this includes books written in Halegannada and pages containing Sanskrit slokas written in Kannada script. The coverage of the OCR is nearly complete in the sense that it recognizes all the punctuation marks, special symbols, Indo-Arabic and Kannada numerals and also the interspersed English words. Several minor and major original contributions have been done in developing this OCR at the different processing stages such as binarization, line and character segmentation, recognition and Unicode mapping. This has created a Kannada OCR that performs as good as, and in some cases, better than the Google's Tesseract OCR, as shown by the results. To the knowledge of the authors, this is the maiden report of a complete Kannada OCR, handling all the issues involved. Currently, there is no dictionary based postprocessing, and the obtained results are due solely to the recognition process. Four benchmark test databases containing scanned pages from books in Kannada, Sanskrit, Konkani and Tulu languages, but all of them printed in Kannada script, have been created. The word level recognition accuracy of Lipi Gnani is 4% higher on the Kannada dataset than that of Google's Tesseract OCR, 8% higher on the datasets of Tulu and Sanskrit, and 25% higher on the Konkani dataset.

This paper introduces MedTrinity-25M, a comprehensive, large-scale multimodal dataset for medicine, covering over 25 million images across 10 modalities, with multigranular annotations for more than 65 diseases. These enriched annotations encompass both global textual information, such as disease/lesion type, modality, region-specific descriptions, and inter-regional relationships, as well as detailed local annotations for regions of interest (ROIs), including bounding boxes, segmentation masks. Unlike existing approach which is limited by the availability of image-text pairs, we have developed the first automated pipeline that scales up multimodal data by generating multigranular visual and texual annotations (in the form of image-ROI-description triplets) without the need for any paired text descriptions. Specifically, data from over 90 different sources have been collected, preprocessed, and grounded using domain-specific expert models to identify ROIs related to abnormal regions. We then build a comprehensive knowledge base and prompt multimodal large language models to perform retrieval-augmented generation with the identified ROIs as guidance, resulting in multigranular texual descriptions. Compared to existing datasets, MedTrinity-25M provides the most enriched annotations, supporting a comprehensive range of multimodal tasks such as captioning and report generation, as well as vision-centric tasks like classification and segmentation. Pretraining on MedTrinity-25M, our model achieves state-of-the-art performance on VQA-RAD and PathVQA, surpassing both multimodal large language models and other representative SoTA approaches. This dataset can also be utilized to support large-scale pre-training of multimodal medical AI models, contributing to the development of future foundation models in the medical domain.

Purpose: The capacity to isolate and recognize individual characters from facsimile images of papyrus manuscripts yields rich opportunities for digital analysis. For this reason the `ICDAR 2023 Competition on Detection and Recognition of Greek Letters on Papyri' was held as part of the 17th International Conference on Document Analysis and Recognition. This paper discusses our submission to the competition. Methods: We used an ensemble of YOLOv8 models to detect and classify individual characters and employed two different approaches for refining the character predictions, including a transformer based DeiT approach and a ResNet-50 model trained on a large corpus of unlabelled data using SimCLR, a self-supervised learning method. Results: Our submission won the recognition challenge with a mAP of 42.2%, and was runner-up in the detection challenge with a mean average precision (mAP) of 51.4%. At the more relaxed intersection over union threshold of 0.5, we achieved the highest mean average precision and mean average recall results for both detection and classification. Conclusion: The results demonstrate the potential for these techniques for automated character recognition on historical manuscripts. We ran the prediction pipeline on more than 4,500 images from the Oxyrhynchus Papyri to illustrate the utility of our approach, and we release the results publicly in multiple formats.

We report upon the results of a research and prototype building project Worldly~OCR dedicated to developing new, more accurate image-to-text conversion software for several languages and writing systems. These include the cursive scripts Farsi and Pashto, and Latin cursive scripts. We also describe approaches geared towards Traditional Chinese, which is non-cursive, but features an extremely large character set of 65,000 characters. Our methodology is based on Machine Learning, especially Deep Learning, and Data Science, and is directed towards vast quantities of original documents, exceeding a billion pages. The target audience of this paper is a general audience with interest in Digital Humanities or in retrieval of accurate full-text and metadata from digital images.

Text-rich image understanding requires multimodal large language models (MLLMs) to organize OCR (Optical Character Recognition)-grounded evidence across words, layout, fields, charts, and visual correspondences. Existing evaluations often conflate extraction with reasoning and rarely test whether models follow the required reasoning direction: applying visible rules, abstracting hidden regularities, or recovering missing premises. We introduce OCR-MetaReasoning, a controlled single-image benchmark that treats deduction, induction, and abduction as distinct directions and separates final-answer correctness from reasoning-process compliance. The benchmark contains 1,500 verified samples in a balanced \(3\times5\) taxonomy crossing three reasoning types with five OCR-object categories, along with reference reasoning steps, automatic answer scoring, the Meta-Reasoning Macro Score (MRMS), and the Reasoning Process Compliance Score (RPCS). Experiments with representative closed-source and open-source MLLMs show that OCR-grounded meta-reasoning remains far from saturated: models struggle with visible-rule application and layout-sensitive inference, while process-compliant rationales can accompany incorrect final answers under exact-match evaluation. The code is available at https://github.com/gengxuli/OCR-MetaReasoning.

Contextual word embedding models such as ELMo (Peters et al., 2018) and BERT (Devlin et al., 2018) have dramatically improved performance for many natural language processing (NLP) tasks in recent months. However, these models have been minimally explored on specialty corpora, such as clinical text; moreover, in the clinical domain, no publicly-available pre-trained BERT models yet exist. In this work, we address this need by exploring and releasing BERT models for clinical text: one for generic clinical text and another for discharge summaries specifically. We demonstrate that using a domain-specific model yields performance improvements on three common clinical NLP tasks as compared to nonspecific embeddings. These domain-specific models are not as performant on two clinical de-identification tasks, and argue that this is a natural consequence of the differences between de-identified source text and synthetically non de-identified task text.

Multimodal large language models (MLLMs) have made significant strides, yet they face challenges in the medical domain due to limited specialized knowledge. While recent medical MLLMs demonstrate strong performance in lab settings, they often struggle in real-world applications, highlighting a substantial gap between research and practice. In this paper, we seek to address this gap at various stages of the end-to-end learning pipeline, including data collection, model fine-tuning, and evaluation. At the data collection stage, we introduce SemiHVision, a dataset that combines human annotations with automated augmentation techniques to improve both medical knowledge representation and diagnostic reasoning. For model fine-tuning, we trained PMC-Cambrian-8B-AN over 2400 H100 GPU hours, resulting in performance that surpasses public medical models like HuatuoGPT-Vision-34B (79.0% vs. 66.7%) and private general models like Claude3-Opus (55.7%) on traditional benchmarks such as SLAKE and VQA-RAD. In the evaluation phase, we observed that traditional benchmarks cannot accurately reflect realistic clinical task capabilities. To overcome this limitation and provide more targeted guidance for model evaluation, we introduce the JAMA Clinical Challenge, a novel benchmark specifically designed to evaluate diagnostic reasoning. On this benchmark, PMC-Cambrian-AN achieves state-of-the-art performance with a GPT-4 score of 1.29, significantly outperforming HuatuoGPT-Vision-34B (1.13) and Claude3-Opus (1.17), demonstrating its superior diagnostic reasoning abilities.

Accurate transcription of handwritten mathematics is crucial for educational AI systems, yet current benchmarks fail to evaluate this capability properly. Most prior studies focus on single-line expressions and rely on lexical metrics such as BLEU, which fail to assess the semantic reasoning across multi-line student solutions. In this paper, we present the first systematic study of multi-line handwritten math Optical Character Recognition (OCR), revealing a critical failure mode of Vision-Language Models (VLMs): over-correction. Instead of faithfully transcribing a student's work, these models often "fix" errors, thereby hiding the very mistakes an educational assessment aims to detect. To address this, we propose PINK (Penalized INK-based score), a semantic evaluation metric that leverages a Large Language Model (LLM) for rubric-based grading and explicitly penalizes over-correction. Our comprehensive evaluation of 15 state-of-the-art VLMs on the FERMAT dataset reveals substantial ranking reversals compared to BLEU: models like GPT-4o are heavily penalized for aggressive over-correction, whereas Gemini 2.5 Flash emerges as the most faithful transcriber. Furthermore, human expert studies show that PINK aligns significantly better with human judgment (55.0% preference over BLEU's 39.5%), providing a more reliable evaluation framework for handwritten math OCR in educational settings.

Vision-language models hold considerable promise for ophthalmology, but their development depends on large-scale, high-quality image-text datasets that remain scarce. We present PubMed-Ophtha, a hierarchical dataset of 102,023 ophthalmological image-caption pairs extracted from 15,842 open-access articles in PubMed Central. Unlike existing datasets, figures are extracted directly from article PDFs at full resolution and decomposed into their constituent panels, panel identifiers, and individual images. Each image is annotated with its imaging modality -- color fundus photography, optical coherence tomography, retinal imaging, or other -- and a mark status indicating the presence of annotation marks such as arrows. Figure captions are split into panel-level subcaptions using a two-step LLM approach, achieving a mean average sentence BLEU score of 0.913 on human-annotated data. Panel and image detection models reach a mAP@0.50 of 0.909 and 0.892, respectively, and figure extraction achieves a median IoU of 0.997. To support reproducibility, we additionally release the human-annotated ground-truth data, all trained models, and the full dataset generation pipeline.

Designing Optical Character Recognition (OCR) systems for India requires balancing linguistic diversity, document heterogeneity, and deployment constraints. In this paper, we study two training strategies for building multilingual OCR systems with Vision-Language Models through the Chitrapathak series. We first follow a popular multimodal approach, pairing a generic vision encoder with a strong multilingual language model and training the system end-to-end for OCR. Alternatively, we explore fine-tuning an existing OCR model, despite not being trained for the target languages. Through extensive evaluation on multilingual Indic OCR benchmarks and deployment-oriented metrics, we find that the second strategy consistently achieves better accuracy-latency trade-offs. Chitrapathak-2 achieves 3-6x speedup over its predecessor with being state-of-the-art (SOTA) in Telugu (6.69 char ANLS) and second best in the rest. In addition, we present Parichay, an independent OCR model series designed specifically for 9 Indian government documents to extract structured key fields, achieving 89.8% Exact Match score with a faster inference. Together, these systems achieve SOTA performance and provide practical guidance for building production-scale OCR pipelines in the Indian context.

The development of clinical natural language processing (NLP) systems is severely hampered by the sensitive nature of medical records, which restricts data sharing under stringent privacy regulations, particularly in France and the broader European Union. To address this gap, we introduce PARHAF, a large open-source corpus of clinical documents in French. PARHAF comprises expert-authored clinical reports describing realistic yet entirely fictitious patient cases, making it anonymous and freely shareable by design. The corpus was developed using a structured protocol that combined clinician expertise with epidemiological guidance from the French National Health Data System (SNDS), ensuring broad clinical coverage. A total of 104 medical residents across 18 specialties authored and peer-reviewed the reports following predefined clinical scenarios and document templates. The corpus contains 7394 clinical reports covering 5009 patient cases across a wide range of medical and surgical specialties. It includes a general-purpose component designed to approximate real-world hospitalization distributions, and four specialized subsets that support information-extraction use cases in oncology, infectious diseases, and diagnostic coding. Documents are released under a CC-BY open license, with a portion temporarily embargoed to enable future benchmarking under controlled conditions. PARHAF provides a valuable resource for training and evaluating French clinical language models in a fully privacy-preserving setting, and establishes a replicable methodology for building shareable synthetic clinical corpora in other languages and health systems.

The development of large vision language models drives the demand for managing, and applying massive amounts of multimodal data, making OCR technology, which extracts information from visual images, increasingly popular. However, existing OCR methods primarily focus on recognizing text elements from images or scanned documents (Text-centric OCR), neglecting the identification of visual elements from visually information-dense image sources (Vision-centric OCR), such as charts, web pages and science plots. In reality, these visually information-dense images are widespread on the internet and have significant real-world application value, such as data visualization and web page analysis. In this technical report, we propose OCRVerse, the first holistic OCR method in end-to-end manner that enables unified text-centric OCR and vision-centric OCR. To this end, we constructe comprehensive data engineering to cover a wide range of text-centric documents, such as newspapers, magazines and books, as well as vision-centric rendered composites, including charts, web pages and scientific plots. Moreover, we propose a two-stage SFT-RL multi-domain training method for OCRVerse. SFT directly mixes cross-domain data to train and establish initial domain knowledge, while RL focuses on designing personalized reward strategies for the characteristics of each domain. Specifically, since different domains require various output formats and expected outputs, we provide sufficient flexibility in the RL stage to customize flexible reward signals for each domain, thereby improving cross-domain fusion and avoiding data conflicts. Experimental results demonstrate the effectiveness of OCRVerse, achieving competitive results across text-centric and vision-centric data types, even comparable to large-scale open-source and closed-source models.