Daily Papers

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.

Long-term conversational memory requires retrieving evidence scattered across multiple sessions, yet single-pass retrieval fails on temporal and multi-hop questions. Existing iterative methods refine queries via generated content or document-level signals, but none explicitly diagnoses the evidence gap, namely what is missing from the accumulated retrieval set, leaving query refinement untargeted. We present EviMem, combining IRIS (Iterative Retrieval via Insufficiency Signals), a closed-loop framework that detects evidence gaps through sufficiency evaluation, diagnoses what is missing, and drives targeted query refinement, with LaceMem (Layered Architecture for Conversational Evidence Memory), a coarse-to-fine memory hierarchy supporting fine-grained gap diagnosis. On LoCoMo, EviMem improves Judge Accuracy over MIRIX on temporal (73.3% to 81.6%) and multi-hop (65.9% to 85.2%) questions at 4.5x lower latency. Code: https://github.com/AIGeeksGroup/EviMem.

Document parsing and recognition are fundamental capabilities for vision-language models (VLMs) and document processing systems. However, existing Optical Character Recognition (OCR) and document parsing benchmarks are increasingly limited in coverage and difficulty: many focus on common document genres or uniformly sampled pages where modern parsers already perform strongly, while offering limited annotation for expert-domain structures such as chemical formula, music notation, complex tables, and cross-page layouts. We introduce Dr. DocBench, a difficulty-aware benchmark for expert-level document parsing. Built from a large-scale multilingual book corpus, Dr. DocBench spans 52 BISAC subject domains and selects challenging documents through parser-failure-based sampling, targeting cases where multiple state-of-the-art systems struggle. It contains 4,514 annotated pages from long documents averaging around 100 pages, with 65k high-quality page- and block-level annotations for layout, reading order, hierarchical relations, and domain-specific visual contents. Evaluations of pipeline-based parsers and general-purpose VLMs show that strong performance on existing benchmarks does not transfer to our expert-level document parsing. Our analysis reveals substantial failures across subjects, content types, and structural attributes, highlighting Dr. DocBench as a comprehensive testbed for diagnosing and advancing document intelligence.

A LaTeX manuscript that compiles without error is not necessarily publication-ready. The resulting PDFs frequently suffer from misplaced floats, overflowing equations, inconsistent table scaling, widow and orphan lines, and poor page balance, forcing authors into repetitive compile-inspect-edit cycles. Rule-based tools are blind to rendered visuals, operating only on source code and log files. Text-only LLMs perform open-loop text editing, unable to predict or verify the two-dimensional layout consequences of their changes. Reliable typesetting optimization therefore requires a visual closed loop with verification after every edit. We formalize this problem as Visual Typesetting Optimization (VTO), the task of transforming a compilable LaTeX paper into a visually polished, page-budget-compliant PDF through iterative visual verification and source-level revision, and introduce a five-category taxonomy of typesetting defects to guide diagnosis. We present PaperFit, a vision-in-the-loop agent that iteratively renders pages, diagnoses defects, and applies constrained repairs. To benchmark VTO, we construct PaperFit-Bench with 200 papers across 10 venue templates and 13 defect types at different difficulty. Extensive experiments show that PaperFit outperforms all baselines by a large margin, establishing that bridging the gap from compilable source to publication-ready PDF requires vision-in-the-loop optimization and that VTO constitutes a critical missing stage in the document automation pipeline.

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

Clinical diagnosis is critical in medical practice, typically requiring a continuous and evolving process that includes primary diagnosis, differential diagnosis, and final diagnosis. However, most existing clinical diagnostic tasks are single-step processes, which does not align with the complex multi-step diagnostic procedures found in real-world clinical settings. In this paper, we propose a multi-step diagnostic task and annotate a clinical diagnostic dataset (MSDiagnosis). This dataset includes primary diagnosis, differential diagnosis, and final diagnosis questions. Additionally, we propose a novel and effective framework. This framework combines forward inference, backward inference, reflection, and refinement, enabling the LLM to self-evaluate and adjust its diagnostic results. To assess the effectiveness of our proposed method, we design and conduct extensive experiments. The experimental results demonstrate the effectiveness of the proposed method. We also provide a comprehensive experimental analysis and suggest future research directions for this task.

Document structure analysis, aka document layout analysis, is crucial for understanding both the physical layout and logical structure of documents, serving information retrieval, document summarization, knowledge extraction, etc. Hierarchical Document Structure Analysis (HDSA) specifically aims to restore the hierarchical structure of documents created using authoring software with hierarchical schemas. Previous research has primarily followed two approaches: one focuses on tackling specific subtasks of HDSA in isolation, such as table detection or reading order prediction, while the other adopts a unified framework that uses multiple branches or modules, each designed to address a distinct task. In this work, we propose a unified relation prediction approach for HDSA, called UniHDSA, which treats various HDSA sub-tasks as relation prediction problems and consolidates relation prediction labels into a unified label space. This allows a single relation prediction module to handle multiple tasks simultaneously, whether at a page-level or document-level structure analysis. To validate the effectiveness of UniHDSA, we develop a multimodal end-to-end system based on Transformer architectures. Extensive experimental results demonstrate that our approach achieves state-of-the-art performance on a hierarchical document structure analysis benchmark, Comp-HRDoc, and competitive results on a large-scale document layout analysis dataset, DocLayNet, effectively illustrating the superiority of our method across all sub-tasks. The Comp-HRDoc benchmark and UniHDSA's configurations are publicly available at https://github.com/microsoft/CompHRDoc.

Document intelligence requires accurate text extraction and reliable reasoning over document content. We introduce DISCO, a Document Intelligence Suite for COmparative Evaluation, that evaluates optical character recognition (OCR) pipelines and vision-language models (VLMs) separately on parsing and question answering across diverse document types, including handwritten text, multilingual scripts, medical forms, infographics, and multi-page documents. Our evaluation shows that performance varies substantially across tasks and document characteristics, underscoring the need for complexity-aware approach selection. OCR pipelines are generally more reliable for handwriting and for long or multi-page documents, where explicit text grounding supports text-heavy reasoning, while VLMs perform better on multilingual text and visually rich layouts. Task-aware prompting yields mixed effects, improving performance on some document types while degrading it on others. These findings provide empirical guidance for selecting document processing strategies based on document structure and reasoning demands.

This paper highlights the need to bring document classification benchmarking closer to real-world applications, both in the nature of data tested (X: multi-channel, multi-paged, multi-industry; Y: class distributions and label set variety) and in classification tasks considered (f: multi-page document, page stream, and document bundle classification, ...). We identify the lack of public multi-page document classification datasets, formalize different classification tasks arising in application scenarios, and motivate the value of targeting efficient multi-page document representations. An experimental study on proposed multi-page document classification datasets demonstrates that current benchmarks have become irrelevant and need to be updated to evaluate complete documents, as they naturally occur in practice. This reality check also calls for more mature evaluation methodologies, covering calibration evaluation, inference complexity (time-memory), and a range of realistic distribution shifts (e.g., born-digital vs. scanning noise, shifting page order). Our study ends on a hopeful note by recommending concrete avenues for future improvements.}

Document question answering is a task of question answering on given documents such as reports, slides, pamphlets, and websites, and it is a truly demanding task as paper and electronic forms of documents are so common in our society. This is known as a quite challenging task because it requires not only text understanding but also understanding of figures and tables, and hence visual question answering (VQA) methods are often examined in addition to textual approaches. We introduce Japanese Document Question Answering (JDocQA), a large-scale document-based QA dataset, essentially requiring both visual and textual information to answer questions, which comprises 5,504 documents in PDF format and annotated 11,600 question-and-answer instances in Japanese. Each QA instance includes references to the document pages and bounding boxes for the answer clues. We incorporate multiple categories of questions and unanswerable questions from the document for realistic question-answering applications. We empirically evaluate the effectiveness of our dataset with text-based large language models (LLMs) and multimodal models. Incorporating unanswerable questions in finetuning may contribute to harnessing the so-called hallucination generation.

Document Question Answering (QA) presents a challenge in understanding visually-rich documents (VRD), particularly those dominated by lengthy textual content like research journal articles. Existing studies primarily focus on real-world documents with sparse text, while challenges persist in comprehending the hierarchical semantic relations among multiple pages to locate multimodal components. To address this gap, we propose PDF-MVQA, which is tailored for research journal articles, encompassing multiple pages and multimodal information retrieval. Unlike traditional machine reading comprehension (MRC) tasks, our approach aims to retrieve entire paragraphs containing answers or visually rich document entities like tables and figures. Our contributions include the introduction of a comprehensive PDF Document VQA dataset, allowing the examination of semantically hierarchical layout structures in text-dominant documents. We also present new VRD-QA frameworks designed to grasp textual contents and relations among document layouts simultaneously, extending page-level understanding to the entire multi-page document. Through this work, we aim to enhance the capabilities of existing vision-and-language models in handling challenges posed by text-dominant documents in VRD-QA.

Document parsing aims to transform unstructured PDF images into semi-structured data, facilitating the digitization and utilization of information in diverse domains. While vision language models (VLMs) have significantly advanced this task, achieving reliable, high-quality parsing in real-world scenarios remains challenging. Common practice often selects the top-performing model on standard benchmarks. However, these benchmarks may carry dataset-specific biases, leading to inconsistent model rankings and limited correlation with real-world performance. Moreover, benchmark metrics typically provide only overall scores, which can obscure distinct error patterns in output. This raises a key challenge: how can we reliably and comprehensively assess document parsing quality in the wild? We address this problem with DOCR-Inspector, which formalizes document parsing assessment as fine-grained error detection and analysis. Leveraging VLM-as-a-Judge, DOCR-Inspector analyzes a document image and its parsed output, identifies all errors, assigns them to one of 28 predefined types, and produces a comprehensive quality assessment. To enable this capability, we construct DOCRcase-200K for training and propose the Chain-of-Checklist reasoning paradigm to enable the hierarchical structure of parsing quality assessment. For empirical validation, we introduce DOCRcaseBench, a set of 882 real-world document parsing cases with manual annotations. On this benchmark, DOCR-Inspector-7B outperforms commercial models like Gemini 2.5 Pro, as well as leading open-source models. Further experiments demonstrate that its quality assessments provide valuable guidance for parsing results refinement, making DOCR-Inspector both a practical evaluator and a driver for advancing document parsing systems at scale. Model and code are released at: https://github.com/ZZZZZQT/DOCR-Inspector.

Documents serve as a crucial and indispensable medium for everyday workplace tasks. However, understanding, interacting and creating such documents on today's planar interfaces without any intelligent support are challenging due to our natural cognitive constraints on remembering, processing, understanding and interacting with these information. My doctorate research investigates how to bring 2D document interactions into immersive information experience using multiple of today's emergent technologies. With the examples of four specific types of documents -- medical scans, instruction document, self-report diary survey, and reference images for visual artists -- my research demonstrates how to transform such of today's 2D document interactions into an immersive information experience, by augmenting content with virtual reality, spatializing document placements with mixed reality, enriching long-term and continuous interactions with voice assistants, and simplify document creation workflow with generative AI.

As large language models and AI agents become the primary consumers of search results, document set quality determines the upper bound of downstream generation. Yet existing evaluation systems remain confined to scoring documents independently and aggregating via nDCG, ignoring inter-document interactions (redundancy, conflict, complementarity) and unable to answer what makes one document set better than another. To address these issues, we propose a complete evaluate-diagnose-optimize framework. We design SetwiseEvalKit, a three-level, nine-dimension document set evaluation benchmark covering both short-form and long-form scenarios, comprising approximately 28K high-quality evaluation rubrics. We systematically evaluate 12 rerankers: even the best method achieves no more than 45% coverage, cross-document coordination dimensions are universally weak, and no single method maintains top performance across both settings. Building on this, we propose Rubric4Setwise, a training-free method that converts rubric-based evaluation criteria into document set selection signals, achieving the best downstream generation performance with fewer documents and search rounds. It is the only method that maintains state-of-the-art results across both scenarios, validating the effectiveness of closing the loop from evaluation to optimization.

International Classification of Diseases (ICD) coding assigns diagnosis codes to clinical documents and is essential for healthcare billing and clinical analysis. Reliable coding requires that each predicted code be supported by explicit textual evidence. However, existing public datasets provide only code labels, without evidence annotations, limiting models' ability to learn evidence-grounded predictions. In this work, we argue that dense, document-level evidence annotation is not always necessary for learning evidence-based coding. Instead, models can learn code-specific evidence patterns from local spans and use these patterns to support document-level evidence-based coding. Based on this insight, we propose Span-Centric Learning (SCL), a training framework that strengthens LLMs' coding ability at the span level and transfers this capability to full clinical documents. Specifically, we use a small set of annotated documents to supervise evidence recognition, aggregation, and code assignment, while leveraging a large collection of lightweight evidence spans to reinforce span-level reasoning. Due to their compactness, span annotations are scalable and can be further augmented through synthesis. Under the same Llama3.1-8B backbone, our approach achieves an 8.2-point improvement in macro-F1 at only 20% of the training cost of standard SFT, and provides explicit supporting evidence for each predicted code, enabling human auditing and revision.

Document structure analysis (aka document layout analysis) is crucial for understanding the physical layout and logical structure of documents, with applications in information retrieval, document summarization, knowledge extraction, etc. In this paper, we concentrate on Hierarchical Document Structure Analysis (HDSA) to explore hierarchical relationships within structured documents created using authoring software employing hierarchical schemas, such as LaTeX, Microsoft Word, and HTML. To comprehensively analyze hierarchical document structures, we propose a tree construction based approach that addresses multiple subtasks concurrently, including page object detection (Detect), reading order prediction of identified objects (Order), and the construction of intended hierarchical structure (Construct). We present an effective end-to-end solution based on this framework to demonstrate its performance. To assess our approach, we develop a comprehensive benchmark called Comp-HRDoc, which evaluates the above subtasks simultaneously. Our end-to-end system achieves state-of-the-art performance on two large-scale document layout analysis datasets (PubLayNet and DocLayNet), a high-quality hierarchical document structure reconstruction dataset (HRDoc), and our Comp-HRDoc benchmark. The Comp-HRDoc benchmark will be released to facilitate further research in this field.

Scientific documents record research findings and valuable human knowledge, comprising a vast corpus of high-quality data. Leveraging multi-modality data extracted from these documents and assessing large models' abilities to handle scientific document-oriented tasks is therefore meaningful. Despite promising advancements, large models still perform poorly on multi-page scientific document extraction and understanding tasks, and their capacity to process within-document data formats such as charts and equations remains under-explored. To address these issues, we present DocGenome, a structured document benchmark constructed by annotating 500K scientific documents from 153 disciplines in the arXiv open-access community, using our custom auto-labeling pipeline. DocGenome features four key characteristics: 1) Completeness: It is the first dataset to structure data from all modalities including 13 layout attributes along with their LaTeX source codes. 2) Logicality: It provides 6 logical relationships between different entities within each scientific document. 3) Diversity: It covers various document-oriented tasks, including document classification, visual grounding, document layout detection, document transformation, open-ended single-page QA and multi-page QA. 4) Correctness: It undergoes rigorous quality control checks conducted by a specialized team. We conduct extensive experiments to demonstrate the advantages of DocGenome and objectively evaluate the performance of large models on our benchmark.

With large language models (LLMs) poised to become embedded in our daily lives, questions are starting to be raised about the data they learned from. These questions range from potential bias or misinformation LLMs could retain from their training data to questions of copyright and fair use of human-generated text. However, while these questions emerge, developers of the recent state-of-the-art LLMs become increasingly reluctant to disclose details on their training corpus. We here introduce the task of document-level membership inference for real-world LLMs, i.e. inferring whether the LLM has seen a given document during training or not. First, we propose a procedure for the development and evaluation of document-level membership inference for LLMs by leveraging commonly used data sources for training and the model release date. We then propose a practical, black-box method to predict document-level membership and instantiate it on OpenLLaMA-7B with both books and academic papers. We show our methodology to perform very well, reaching an AUC of 0.856 for books and 0.678 for papers. We then show our approach to outperform the sentence-level membership inference attacks used in the privacy literature for the document-level membership task. We further evaluate whether smaller models might be less sensitive to document-level inference and show OpenLLaMA-3B to be approximately as sensitive as OpenLLaMA-7B to our approach. Finally, we consider two mitigation strategies and find the AUC to slowly decrease when only partial documents are considered but to remain fairly high when the model precision is reduced. Taken together, our results show that accurate document-level membership can be inferred for LLMs, increasing the transparency of technology poised to change our lives.

Identifying disease phenotypes from electronic health records (EHRs) is critical for numerous secondary uses. Manually encoding physician knowledge into rules is particularly challenging for rare diseases due to inadequate EHR coding, necessitating review of clinical notes. Large language models (LLMs) offer promise in text understanding but may not efficiently handle real-world clinical documentation. We propose a zero-shot LLM-based method enriched by retrieval-augmented generation and MapReduce, which pre-identifies disease-related text snippets to be used in parallel as queries for the LLM to establish diagnosis. We show that this method as applied to pulmonary hypertension (PH), a rare disease characterized by elevated arterial pressures in the lungs, significantly outperforms physician logic rules (F_1 score of 0.62 vs. 0.75). This method has the potential to enhance rare disease cohort identification, expanding the scope of robust clinical research and care gap identification.

The adoption of Deep Neural Networks (DNNs) has greatly benefited Natural Language Processing (NLP) during the past decade. However, the demands of long document analysis are quite different from those of shorter texts, while the ever increasing size of documents uploaded on-line renders automated understanding of lengthy texts a critical issue. Relevant applications include automated Web mining, legal document review, medical records analysis, financial reports analysis, contract management, environmental impact assessment, news aggregation, etc. Despite the relatively recent development of efficient algorithms for analyzing long documents, practical tools in this field are currently flourishing. This article serves as an entry point into this dynamic domain and aims to achieve two objectives. Firstly, it provides an overview of the relevant neural building blocks, serving as a concise tutorial for the field. Secondly, it offers a brief examination of the current state-of-the-art in long document NLP, with a primary focus on two key tasks: document classification and document summarization. Sentiment analysis for long texts is also covered, since it is typically treated as a particular case of document classification. Consequently, this article presents an introductory exploration of document-level analysis, addressing the primary challenges, concerns, and existing solutions. Finally, the article presents publicly available annotated datasets that can facilitate further research in this area.

The opioid crisis represents a significant moment in public health that reveals systemic shortcomings across regulatory systems, healthcare practices, corporate governance, and public policy. Analyzing how these interconnected systems simultaneously failed to protect public health requires innovative analytic approaches for exploring the vast amounts of data and documents disclosed in the UCSF-JHU Opioid Industry Documents Archive (OIDA). The complexity, multimodal nature, and specialized characteristics of these healthcare-related legal and corporate documents necessitate more advanced methods and models tailored to specific data types and detailed annotations, ensuring the precision and professionalism in the analysis. In this paper, we tackle this challenge by organizing the original dataset according to document attributes and constructing a benchmark with 400k training documents and 10k for testing. From each document, we extract rich multimodal information-including textual content, visual elements, and layout structures-to capture a comprehensive range of features. Using multiple AI models, we then generate a large-scale dataset comprising 360k training QA pairs and 10k testing QA pairs. Building on this foundation, we develop domain-specific multimodal Large Language Models (LLMs) and explore the impact of multimodal inputs on task performance. To further enhance response accuracy, we incorporate historical QA pairs as contextual grounding for answering current queries. Additionally, we incorporate page references within the answers and introduce an importance-based page classifier, further improving the precision and relevance of the information provided. Preliminary results indicate the improvements with our AI assistant in document information extraction and question-answering tasks. The dataset is available at: https://huggingface.co/datasets/opioidarchive/oida-qa

Current tasks and methods in Document Understanding aims to process documents as single elements. However, documents are usually organized in collections (historical records, purchase invoices), that provide context useful for their interpretation. To address this problem, we introduce Document Collection Visual Question Answering (DocCVQA) a new dataset and related task, where questions are posed over a whole collection of document images and the goal is not only to provide the answer to the given question, but also to retrieve the set of documents that contain the information needed to infer the answer. Along with the dataset we propose a new evaluation metric and baselines which provide further insights to the new dataset and task.

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.

We propose V-Doc, a question-answering tool using document images and PDF, mainly for researchers and general non-deep learning experts looking to generate, process, and understand the document visual question answering tasks. The V-Doc supports generating and using both extractive and abstractive question-answer pairs using documents images. The extractive QA selects a subset of tokens or phrases from the document contents to predict the answers, while the abstractive QA recognises the language in the content and generates the answer based on the trained model. Both aspects are crucial to understanding the documents, especially in an image format. We include a detailed scenario of question generation for the abstractive QA task. V-Doc supports a wide range of datasets and models, and is highly extensible through a declarative, framework-agnostic platform.

Classification of document images is a critical step for archival of old manuscripts, online subscription and administrative procedures. Computer vision and deep learning have been suggested as a first solution to classify documents based on their visual appearance. However, achieving the fine-grained classification that is required in real-world setting cannot be achieved by visual analysis alone. Often, the relevant information is in the actual text content of the document. We design a multimodal neural network that is able to learn from word embeddings, computed on text extracted by OCR, and from the image. We show that this approach boosts pure image accuracy by 3% on Tobacco3482 and RVL-CDIP augmented by our new QS-OCR text dataset (https://github.com/Quicksign/ocrized-text-dataset), even without clean text information.

Document layout analysis is a critical preprocessing step in document intelligence, enabling the detection and localization of structural elements such as titles, text blocks, tables, and formulas. Despite its importance, existing layout detection models face significant challenges in generalizing across diverse document types, handling complex layouts, and achieving real-time performance for large-scale data processing. To address these limitations, we present PP-DocLayout, which achieves high precision and efficiency in recognizing 23 types of layout regions across diverse document formats. To meet different needs, we offer three models of varying scales. PP-DocLayout-L is a high-precision model based on the RT-DETR-L detector, achieving 90.4% mAP@0.5 and an end-to-end inference time of 13.4 ms per page on a T4 GPU. PP-DocLayout-M is a balanced model, offering 75.2% mAP@0.5 with an inference time of 12.7 ms per page on a T4 GPU. PP-DocLayout-S is a high-efficiency model designed for resource-constrained environments and real-time applications, with an inference time of 8.1 ms per page on a T4 GPU and 14.5 ms on a CPU. This work not only advances the state of the art in document layout analysis but also provides a robust solution for constructing high-quality training data, enabling advancements in document intelligence and multimodal AI systems. Code and models are available at https://github.com/PaddlePaddle/PaddleX .

Document quality assessment is critical for a wide range of applications including document digitization, OCR, and archival. However, existing approaches often struggle to provide accurate and robust quality scores, limiting their applicability in practical scenarios. With the rapid progress in Multi-modal Large Language Models (MLLMs), recent MLLM-based methods have achieved remarkable performance in image quality assessment. In this work, we extend this success to the document domain by adapting DeQA-Score, a state-of-the-art MLLM-based image quality scorer, for document quality assessment. We propose DeQA-Doc, a framework that leverages the visual language capabilities of MLLMs and a soft label strategy to regress continuous document quality scores. To adapt DeQA-Score to DeQA-Doc, we adopt two complementary solutions to construct soft labels without the variance information. Also, we relax the resolution constrains to support the large resolution of document images. Finally, we introduce ensemble methods to further enhance the performance. Extensive experiments demonstrate that DeQA-Doc significantly outperforms existing baselines, offering accurate and generalizable document quality assessment across diverse degradation types. Codes and model weights are available in https://github.com/Junjie-Gao19/DeQA-Doc.

Documents are visually rich structures that convey information through text, as well as tables, figures, page layouts, or fonts. While modern document retrieval systems exhibit strong performance on query-to-text matching, they struggle to exploit visual cues efficiently, hindering their performance on practical document retrieval applications such as Retrieval Augmented Generation. To benchmark current systems on visually rich document retrieval, we introduce the Visual Document Retrieval Benchmark ViDoRe, composed of various page-level retrieving tasks spanning multiple domains, languages, and settings. The inherent shortcomings of modern systems motivate the introduction of a new retrieval model architecture, ColPali, which leverages the document understanding capabilities of recent Vision Language Models to produce high-quality contextualized embeddings solely from images of document pages. Combined with a late interaction matching mechanism, ColPali largely outperforms modern document retrieval pipelines while being drastically faster and end-to-end trainable.

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.

Rare diseases, including Inborn Errors of Metabolism (IEM), pose significant diagnostic challenges. Case reports serve as key but computationally underutilized resources to inform diagnosis. Clinical dense information extraction refers to organizing medical information into structured predefined categories. Large Language Models (LLMs) may enable scalable information extraction from case reports but are rarely evaluated for this task. We introduce CaseReportBench, an expert-annotated dataset for dense information extraction of case reports, focusing on IEMs. Using this dataset, we assess various models and prompting strategies, introducing novel approaches such as category-specific prompting and subheading-filtered data integration. Zero-shot chain-of-thought prompting offers little advantage over standard zero-shot prompting. Category-specific prompting improves alignment with the benchmark. The open-source model Qwen2.5-7B outperforms GPT-4o for this task. Our clinician evaluations show that LLMs can extract clinically relevant details from case reports, supporting rare disease diagnosis and management. We also highlight areas for improvement, such as LLMs' limitations in recognizing negative findings important for differential diagnosis. This work advances LLM-driven clinical natural language processing and paves the way for scalable medical AI applications.

Current medical retrieval benchmarks primarily emphasize lexical or shallow semantic similarity, overlooking the reasoning-intensive demands that are central to clinical decision-making. In practice, physicians often retrieve authoritative medical evidence to support diagnostic hypotheses. Such evidence typically aligns with an inferred diagnosis rather than the surface form of a patient's symptoms, leading to low lexical or semantic overlap between queries and relevant documents. To address this gap, we introduce R2MED, the first benchmark explicitly designed for reasoning-driven medical retrieval. It comprises 876 queries spanning three tasks: Q&A reference retrieval, clinical evidence retrieval, and clinical case retrieval. These tasks are drawn from five representative medical scenarios and twelve body systems, capturing the complexity and diversity of real-world medical information needs. We evaluate 15 widely-used retrieval systems on R2MED and find that even the best model achieves only 31.4 nDCG@10, demonstrating the benchmark's difficulty. Classical re-ranking and generation-augmented retrieval methods offer only modest improvements. Although large reasoning models improve performance via intermediate inference generation, the best results still peak at 41.4 nDCG@10. These findings underscore a substantial gap between current retrieval techniques and the reasoning demands of real clinical tasks. We release R2MED as a challenging benchmark to foster the development of next-generation medical retrieval systems with enhanced reasoning capabilities. Data and code are available at https://github.com/R2MED/R2MED

Document-level Relation Extraction (RE) is a more challenging task than sentence RE as it often requires reasoning over multiple sentences. Yet, human annotators usually use a small number of sentences to identify the relationship between a given entity pair. In this paper, we present an embarrassingly simple but effective method to heuristically select evidence sentences for document-level RE, which can be easily combined with BiLSTM to achieve good performance on benchmark datasets, even better than fancy graph neural network based methods. We have released our code at https://github.com/AndrewZhe/Three-Sentences-Are-All-You-Need.

In this paper we present a hybrid method for the automatic detection of dermatological pathologies in medical reports. We use a large language model combined with medical ontologies to predict, given a first appointment or follow-up medical report, the pathology a person may suffer from. The results show that teaching the model to learn the type, severity and location on the body of a dermatological pathology, as well as in which order it has to learn these three features, significantly increases its accuracy. The article presents the demonstration of state-of-the-art results for classification of medical texts with a precision of 0.84, micro and macro F1-score of 0.82 and 0.75, and makes both the method and the data set used available to the community.

Document Layout Analysis, which is the task of identifying different semantic regions inside of a document page, is a subject of great interest for both computer scientists and humanities scholars as it represents a fundamental step towards further analysis tasks for the former and a powerful tool to improve and facilitate the study of the documents for the latter. However, many of the works currently present in the literature, especially when it comes to the available datasets, fail to meet the needs of both worlds and, in particular, tend to lean towards the needs and common practices of the computer science side, leading to resources that are not representative of the humanities real needs. For this reason, the present paper introduces U-DIADS-Bib, a novel, pixel-precise, non-overlapping and noiseless document layout analysis dataset developed in close collaboration between specialists in the fields of computer vision and humanities. Furthermore, we propose a novel, computer-aided, segmentation pipeline in order to alleviate the burden represented by the time-consuming process of manual annotation, necessary for the generation of the ground truth segmentation maps. Finally, we present a standardized few-shot version of the dataset (U-DIADS-BibFS), with the aim of encouraging the development of models and solutions able to address this task with as few samples as possible, which would allow for more effective use in a real-world scenario, where collecting a large number of segmentations is not always feasible.

The RVL-CDIP benchmark is widely used for measuring performance on the task of document classification. Despite its widespread use, we reveal several undesirable characteristics of the RVL-CDIP benchmark. These include (1) substantial amounts of label noise, which we estimate to be 8.1% (ranging between 1.6% to 16.9% per document category); (2) presence of many ambiguous or multi-label documents; (3) a large overlap between test and train splits, which can inflate model performance metrics; and (4) presence of sensitive personally-identifiable information like US Social Security numbers (SSNs). We argue that there is a risk in using RVL-CDIP for benchmarking document classifiers, as its limited scope, presence of errors (state-of-the-art models now achieve accuracy error rates that are within our estimated label error rate), and lack of diversity make it less than ideal for benchmarking. We further advocate for the creation of a new document classification benchmark, and provide recommendations for what characteristics such a resource should include.

We apply category theory to extract multimodal document structure which leads us to develop information theoretic measures, content summarization and extension, and self-supervised improvement of large pretrained models. We first develop a mathematical representation of a document as a category of question-answer pairs. Second, we develop an orthogonalization procedure to divide the information contained in one or more documents into non-overlapping pieces. The structures extracted in the first and second steps lead us to develop methods to measure and enumerate the information contained in a document. We also build on those steps to develop new summarization techniques, as well as to develop a solution to a new problem viz. exegesis resulting in an extension of the original document. Our question-answer pair methodology enables a novel rate distortion analysis of summarization techniques. We implement our techniques using large pretrained models, and we propose a multimodal extension of our overall mathematical framework. Finally, we develop a novel self-supervised method using RLVR to improve large pretrained models using consistency constraints such as composability and closure under certain operations that stem naturally from our category theoretic framework.

When reading a document, glancing at the spatial layout of a document is an initial step to understand it roughly. Traditional document layout analysis (DLA) methods, however, offer only a superficial parsing of documents, focusing on basic instance detection and often failing to capture the nuanced spatial and logical relations between instances. These limitations hinder DLA-based models from achieving a gradually deeper comprehension akin to human reading. In this work, we propose a novel graph-based Document Structure Analysis (gDSA) task. This task requires that model not only detects document elements but also generates spatial and logical relations in form of a graph structure, allowing to understand documents in a holistic and intuitive manner. For this new task, we construct a relation graph-based document structure analysis dataset (GraphDoc) with 80K document images and 4.13M relation annotations, enabling training models to complete multiple tasks like reading order, hierarchical structures analysis, and complex inter-element relation inference. Furthermore, a document relation graph generator (DRGG) is proposed to address the gDSA task, which achieves performance with 57.6% at mAP_g@0.5 for a strong benchmark baseline on this novel task and dataset. We hope this graphical representation of document structure can mark an innovative advancement in document structure analysis and understanding. The new dataset and code will be made publicly available at https://yufanchen96.github.io/projects/GraphDoc.

Despite the strong research interest in document-level Machine Translation (MT), the test sets dedicated to this task are still scarce. The existing test sets mainly cover topics from the general domain and fall short on specialised domains, such as legal and financial. Also, in spite of their document-level aspect, they still follow a sentence-level logic that does not allow for including certain linguistic phenomena such as information reorganisation. In this work, we aim to fill this gap by proposing a novel test set: DOLFIN. The dataset is built from specialised financial documents, and it makes a step towards true document-level MT by abandoning the paradigm of perfectly aligned sentences, presenting data in units of sections rather than sentences. The test set consists of an average of 1950 aligned sections for five language pairs. We present a detailed data collection pipeline that can serve as inspiration for aligning new document-level datasets. We demonstrate the usefulness and quality of this test set by evaluating a number of models. Our results show that the test set is able to discriminate between context-sensitive and context-agnostic models and shows the weaknesses when models fail to accurately translate financial texts. The test set is made public for the community.

Document understanding and analysis have received a lot of attention due to their widespread application. However, existing document analysis solutions, such as document layout analysis and key information extraction, are only suitable for fixed category definitions and granularities, and cannot achieve flexible applications customized by users. Therefore, this paper defines a new task named ``Class-Agnostic Region-of-Interest Matching'' (``RoI-Matching'' for short), which aims to match the customized regions in a flexible, efficient, multi-granularity, and open-set manner. The visual prompt of the reference document and target document images are fed into our model, while the output is the corresponding bounding boxes in the target document images. To meet the above requirements, we construct a benchmark RoI-Matching-Bench, which sets three levels of difficulties following real-world conditions, and propose the macro and micro metrics to evaluate. Furthermore, we also propose a new framework RoI-Matcher, which employs a siamese network to extract multi-level features both in the reference and target domains, and cross-attention layers to integrate and align similar semantics in different domains. Experiments show that our method with a simple procedure is effective on RoI-Matching-Bench, and serves as the baseline for further research. The code is available at https://github.com/pd162/RoI-Matching.

The growing complexity of legal cases has lead to an increasing interest in legal information retrieval systems that can effectively satisfy user-specific information needs. However, such downstream systems typically require documents to be properly formatted and segmented, which is often done with relatively simple pre-processing steps, disregarding topical coherence of segments. Systems generally rely on representations of individual sentences or paragraphs, which may lack crucial context, or document-level representations, which are too long for meaningful search results. To address this issue, we propose a segmentation system that can predict topical coherence of sequential text segments spanning several paragraphs, effectively segmenting a document and providing a more balanced representation for downstream applications. We build our model on top of popular transformer networks and formulate structural text segmentation as topical change detection, by performing a series of independent classifications that allow for efficient fine-tuning on task-specific data. We crawl a novel dataset consisting of roughly 74,000 online Terms-of-Service documents, including hierarchical topic annotations, which we use for training. Results show that our proposed system significantly outperforms baselines, and adapts well to structural peculiarities of legal documents. We release both data and trained models to the research community for future work.https://github.com/dennlinger/TopicalChange

Script identification plays a vital role in applications that involve handwriting and document analysis within a multi-script and multi-lingual environment. Moreover, it exhibits a profound connection with human cognition. This paper provides a new database for benchmarking script identification algorithms, which contains both printed and handwritten documents collected from a wide variety of scripts, such as Arabic, Bengali (Bangla), Gujarati, Gurmukhi, Devanagari, Japanese, Kannada, Malayalam, Oriya, Roman, Tamil, Telugu, and Thai. The dataset consists of 1,135 documents scanned from local newspaper and handwritten letters as well as notes from different native writers. Further, these documents are segmented into lines and words, comprising a total of 13,979 and 86,655 lines and words, respectively, in the dataset. Easy-to-go benchmarks are proposed with handcrafted and deep learning methods. The benchmark includes results at the document, line, and word levels with printed and handwritten documents. Results of script identification independent of the document/line/word level and independent of the printed/handwritten letters are also given. The new multi-lingual database is expected to create new script identifiers, present various challenges, including identifying handwritten and printed samples and serve as a foundation for future research in script identification based on the reported results of the three benchmarks.

Documents are a core part of many businesses in many fields such as law, finance, and technology among others. Automatic understanding of documents such as invoices, contracts, and resumes is lucrative, opening up many new avenues of business. The fields of natural language processing and computer vision have seen tremendous progress through the development of deep learning such that these methods have started to become infused in contemporary document understanding systems. In this survey paper, we review different techniques for document understanding for documents written in English and consolidate methodologies present in literature to act as a jumping-off point for researchers exploring this area.

The emergence of groundbreaking large language models capable of performing complex reasoning tasks holds significant promise for addressing various scientific challenges, including those arising in complex clinical scenarios. To enable their safe and effective deployment in real-world healthcare settings, it is urgently necessary to benchmark the diagnostic capabilities of current models systematically. Given the limitations of existing medical benchmarks in evaluating advanced diagnostic reasoning, we present DiagnosisArena, a comprehensive and challenging benchmark designed to rigorously assess professional-level diagnostic competence. DiagnosisArena consists of 1,113 pairs of segmented patient cases and corresponding diagnoses, spanning 28 medical specialties, deriving from clinical case reports published in 10 top-tier medical journals. The benchmark is developed through a meticulous construction pipeline, involving multiple rounds of screening and review by both AI systems and human experts, with thorough checks conducted to prevent data leakage. Our study reveals that even the most advanced reasoning models, o3-mini, o1, and DeepSeek-R1, achieve only 45.82%, 31.09%, and 17.79% accuracy, respectively. This finding highlights a significant generalization bottleneck in current large language models when faced with clinical diagnostic reasoning challenges. Through DiagnosisArena, we aim to drive further advancements in AIs diagnostic reasoning capabilities, enabling more effective solutions for real-world clinical diagnostic challenges. We provide the benchmark and evaluation tools for further research and development https://github.com/SPIRAL-MED/DiagnosisArena.

Digitization projects in humanities often generate vast quantities of page images from historical documents, presenting significant challenges for manual sorting and analysis. These archives contain diverse content, including various text types (handwritten, typed, printed), graphical elements (drawings, maps, photos), and layouts (plain text, tables, forms). Efficiently processing this heterogeneous data requires automated methods to categorize pages based on their content, enabling tailored downstream analysis pipelines. This project addresses this need by developing and evaluating an image classification system specifically designed for historical document pages, leveraging advancements in artificial intelligence and machine learning. The set of categories was chosen to facilitate content-specific processing workflows, separating pages requiring different analysis techniques (e.g., OCR for text, image analysis for graphics)

Clinical diagnosis is a highly specialized discipline requiring both domain expertise and strict adherence to rigorous guidelines. While current AI-driven medical research predominantly focuses on knowledge graphs or natural text pretraining paradigms to incorporate medical knowledge, these approaches primarily rely on implicitly encoded knowledge within model parameters, neglecting task-specific knowledge required by diverse downstream tasks. To address this limitation, we propose Retrieval-Augmented Diagnosis (RAD), a novel framework that explicitly injects external knowledge into multimodal models directly on downstream tasks. Specifically, RAD operates through three key mechanisms: retrieval and refinement of disease-centered knowledge from multiple medical sources, a guideline-enhanced contrastive loss that constrains the latent distance between multi-modal features and guideline knowledge, and the dual transformer decoder that employs guidelines as queries to steer cross-modal fusion, aligning the models with clinical diagnostic workflows from guideline acquisition to feature extraction and decision-making. Moreover, recognizing the lack of quantitative evaluation of interpretability for multimodal diagnostic models, we introduce a set of criteria to assess the interpretability from both image and text perspectives. Extensive evaluations across four datasets with different anatomies demonstrate RAD's generalizability, achieving state-of-the-art performance. Furthermore, RAD enables the model to concentrate more precisely on abnormal regions and critical indicators, ensuring evidence-based, trustworthy diagnosis. Our code is available at https://github.com/tdlhl/RAD.

Daily progress notes are common types in the electronic health record (EHR) where healthcare providers document the patient's daily progress and treatment plans. The EHR is designed to document all the care provided to patients, but it also enables note bloat with extraneous information that distracts from the diagnoses and treatment plans. Applications of natural language processing (NLP) in the EHR is a growing field with the majority of methods in information extraction. Few tasks use NLP methods for downstream diagnostic decision support. We introduced the 2022 National NLP Clinical Challenge (N2C2) Track 3: Progress Note Understanding - Assessment and Plan Reasoning as one step towards a new suite of tasks. The Assessment and Plan Reasoning task focuses on the most critical components of progress notes, Assessment and Plan subsections where health problems and diagnoses are contained. The goal of the task was to develop and evaluate NLP systems that automatically predict causal relations between the overall status of the patient contained in the Assessment section and its relation to each component of the Plan section which contains the diagnoses and treatment plans. The goal of the task was to identify and prioritize diagnoses as the first steps in diagnostic decision support to find the most relevant information in long documents like daily progress notes. We present the results of 2022 n2c2 Track 3 and provide a description of the data, evaluation, participation and system performance.

Automatic disease diagnosis has become increasingly valuable in clinical practice. The advent of large language models (LLMs) has catalyzed a paradigm shift in artificial intelligence, with growing evidence supporting the efficacy of LLMs in diagnostic tasks. Despite the increasing attention in this field, a holistic view is still lacking. Many critical aspects remain unclear, such as the diseases and clinical data to which LLMs have been applied, the LLM techniques employed, and the evaluation methods used. In this article, we perform a comprehensive review of LLM-based methods for disease diagnosis. Our review examines the existing literature across various dimensions, including disease types and associated clinical specialties, clinical data, LLM techniques, and evaluation methods. Additionally, we offer recommendations for applying and evaluating LLMs for diagnostic tasks. Furthermore, we assess the limitations of current research and discuss future directions. To our knowledge, this is the first comprehensive review for LLM-based disease diagnosis.

We call on the Document AI (DocAI) community to reevaluate current methodologies and embrace the challenge of creating more practically-oriented benchmarks. Document Understanding Dataset and Evaluation (DUDE) seeks to remediate the halted research progress in understanding visually-rich documents (VRDs). We present a new dataset with novelties related to types of questions, answers, and document layouts based on multi-industry, multi-domain, and multi-page VRDs of various origins, and dates. Moreover, we are pushing the boundaries of current methods by creating multi-task and multi-domain evaluation setups that more accurately simulate real-world situations where powerful generalization and adaptation under low-resource settings are desired. DUDE aims to set a new standard as a more practical, long-standing benchmark for the community, and we hope that it will lead to future extensions and contributions that address real-world challenges. Finally, our work illustrates the importance of finding more efficient ways to model language, images, and layout in DocAI.

Recent research advances achieve human-level accuracy for de-identifying free-text clinical notes on research datasets, but gaps remain in reproducing this in large real-world settings. This paper summarizes lessons learned from building a system used to de-identify over one billion real clinical notes, in a fully automated way, that was independently certified by multiple organizations for production use. A fully automated solution requires a very high level of accuracy that does not require manual review. A hybrid context-based model architecture is described, which outperforms a Named Entity Recogniton (NER) - only model by 10% on the i2b2-2014 benchmark. The proposed system makes 50%, 475%, and 575% fewer errors than the comparable AWS, Azure, and GCP services respectively while also outperforming ChatGPT by 33%. It exceeds 98% coverage of sensitive data across 7 European languages, without a need for fine tuning. A second set of described models enable data obfuscation -- replacing sensitive data with random surrogates -- while retaining name, date, gender, clinical, and format consistency. Both the practical need and the solution architecture that provides for reliable & linked anonymized documents are described.

The continually increasing number of documents produced each year necessitates ever improving information processing methods for searching, retrieving, and organizing text. Central to these information processing methods is document classification, which has become an important application for supervised learning. Recently the performance of these traditional classifiers has degraded as the number of documents has increased. This is because along with this growth in the number of documents has come an increase in the number of categories. This paper approaches this problem differently from current document classification methods that view the problem as multi-class classification. Instead we perform hierarchical classification using an approach we call Hierarchical Deep Learning for Text classification (HDLTex). HDLTex employs stacks of deep learning architectures to provide specialized understanding at each level of the document hierarchy.

Document understanding is critical for applications from financial analysis to scientific discovery. Current approaches, whether OCR-based pipelines feeding Large Language Models (LLMs) or native Multimodal LLMs (MLLMs), face key limitations: the former loses structural detail, while the latter struggles with context modeling. Retrieval-Augmented Generation (RAG) helps ground models in external data, but documents' multimodal nature, i.e., combining text, tables, charts, and layout, demands a more advanced paradigm: Multimodal RAG. This approach enables holistic retrieval and reasoning across all modalities, unlocking comprehensive document intelligence. Recognizing its importance, this paper presents a systematic survey of Multimodal RAG for document understanding. We propose a taxonomy based on domain, retrieval modality, and granularity, and review advances involving graph structures and agentic frameworks. We also summarize key datasets, benchmarks, and applications, and highlight open challenges in efficiency, fine-grained representation, and robustness, providing a roadmap for future progress in document AI.

We present the contribution of the Unbabel team to the WMT 2020 Shared Task on Metrics. We intend to participate on the segment-level, document-level and system-level tracks on all language pairs, as well as the 'QE as a Metric' track. Accordingly, we illustrate results of our models in these tracks with reference to test sets from the previous year. Our submissions build upon the recently proposed COMET framework: We train several estimator models to regress on different human-generated quality scores and a novel ranking model trained on relative ranks obtained from Direct Assessments. We also propose a simple technique for converting segment-level predictions into a document-level score. Overall, our systems achieve strong results for all language pairs on previous test sets and in many cases set a new state-of-the-art.

Automatic coding of International Classification of Diseases (ICD) is a multi-label text categorization task that involves extracting disease or procedure codes from clinical notes. Despite the application of state-of-the-art natural language processing (NLP) techniques, there are still challenges including limited availability of data due to privacy constraints and the high variability of clinical notes caused by different writing habits of medical professionals and various pathological features of patients. In this work, we investigate the semi-structured nature of clinical notes and propose an automatic algorithm to segment them into sections. To address the variability issues in existing ICD coding models with limited data, we introduce a contrastive pre-training approach on sections using a soft multi-label similarity metric based on tree edit distance. Additionally, we design a masked section training strategy to enable ICD coding models to locate sections related to ICD codes. Extensive experimental results demonstrate that our proposed training strategies effectively enhance the performance of existing ICD coding methods.

The adoption of Large Language Models (LLMs) in scientific writing promises efficiency but risks introducing informational entropy. While "hallucinated papers" are a known artifact, the systematic degradation of valid citation chains remains unquantified. We conducted a forensic audit of 50 recent survey papers in Artificial Intelligence (N=5,514 citations) published between September 2024 and January 2026. We utilized a hybrid verification pipeline combining DOI resolution, Crossref metadata analysis, Semantic Scholar queries, and fuzzy text matching to distinguish between formatting errors ("Sloppiness") and verifiable non-existence ("Phantoms). We detect a persistent 17.0% Phantom Rate -- citations that cannot be resolved to any digital object despite aggressive forensic recovery. Diagnostic categorization reveals three distinct failure modes: pure hallucinations (5.1%), hallucinated identifiers with valid titles (16.4%), and parsing-induced matching failures (78.5%). Longitudinal analysis reveals a flat trend (+0.07 pp/month), suggesting that high-entropy citation practices have stabilized as an endemic feature of the field. The scientific citation graph in AI survey literature exhibits "link rot" at scale. This suggests a mechanism where AI tools act as "lazy research assistants," retrieving correct titles but hallucinating metadata, thereby severing the digital chain of custody required for reproducible science.

Generalist Large Language Models (LLMs), such as GPT-4, have shown considerable promise in various domains, including medical diagnosis. Rare diseases, affecting approximately 300 million people worldwide, often have unsatisfactory clinical diagnosis rates primarily due to a lack of experienced physicians and the complexity of differentiating among many rare diseases. In this context, recent news such as "ChatGPT correctly diagnosed a 4-year-old's rare disease after 17 doctors failed" underscore LLMs' potential, yet underexplored, role in clinically diagnosing rare diseases. To bridge this research gap, we introduce RareBench, a pioneering benchmark designed to systematically evaluate the capabilities of LLMs on 4 critical dimensions within the realm of rare diseases. Meanwhile, we have compiled the largest open-source dataset on rare disease patients, establishing a benchmark for future studies in this domain. To facilitate differential diagnosis of rare diseases, we develop a dynamic few-shot prompt methodology, leveraging a comprehensive rare disease knowledge graph synthesized from multiple knowledge bases, significantly enhancing LLMs' diagnostic performance. Moreover, we present an exhaustive comparative study of GPT-4's diagnostic capabilities against those of specialist physicians. Our experimental findings underscore the promising potential of integrating LLMs into the clinical diagnostic process for rare diseases. This paves the way for exciting possibilities in future advancements in this field.

Document visual question answering (DocVQA) pipelines that answer questions from documents have broad applications. Existing methods focus on handling single-page documents with multi-modal language models (MLMs), or rely on text-based retrieval-augmented generation (RAG) that uses text extraction tools such as optical character recognition (OCR). However, there are difficulties in applying these methods in real-world scenarios: (a) questions often require information across different pages or documents, where MLMs cannot handle many long documents; (b) documents often have important information in visual elements such as figures, but text extraction tools ignore them. We introduce M3DocRAG, a novel multi-modal RAG framework that flexibly accommodates various document contexts (closed-domain and open-domain), question hops (single-hop and multi-hop), and evidence modalities (text, chart, figure, etc.). M3DocRAG finds relevant documents and answers questions using a multi-modal retriever and an MLM, so that it can efficiently handle single or many documents while preserving visual information. Since previous DocVQA datasets ask questions in the context of a specific document, we also present M3DocVQA, a new benchmark for evaluating open-domain DocVQA over 3,000+ PDF documents with 40,000+ pages. In three benchmarks (M3DocVQA/MMLongBench-Doc/MP-DocVQA), empirical results show that M3DocRAG with ColPali and Qwen2-VL 7B achieves superior performance than many strong baselines, including state-of-the-art performance in MP-DocVQA. We provide comprehensive analyses of different indexing, MLMs, and retrieval models. Lastly, we qualitatively show that M3DocRAG can successfully handle various scenarios, such as when relevant information exists across multiple pages and when answer evidence only exists in images.

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.

Professional-document review is a constraint-checking problem in which decisions depend on relations among text, geometry, pages, and document revisions. We present an evidence-grounded pipeline that normalizes extracted facts, executes four-state rules deterministically, retains source spans, and escalates unresolved cases. We evaluate its PDF evidence allocator on 160 reference-based tasks from 29 construction projects using a repeated four-system test and a disjoint two-system breadth extension. In the repeated test, reallocating a four-image budget from retrieved page overviews to one overview and three overlapping tiles improves project-family standardized decision accuracy by 10.6 percentage points (95% project-cluster bootstrap CI: 4.3 to 18.0; exact p = 0.031). This effect does not persist in the broader block: Region-RAG changes accuracy by -4.1 points (95% CI: -10.2 to 1.9; exact p = 0.209), while an equal-image sensitivity favors page breadth. Exact finding-set recovery remains low, false passes remain common, and repeated-run agreement is poorly calibrated. The results identify a resolution-breadth trade-off rather than a universal advantage for region-focused evidence, motivating rule-aware evidence routing and expert review.

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.

Retrieval-Augmented Generation (RAG) systems using Multimodal Large Language Models (MLLMs) show great promise for complex document understanding, yet their development is critically hampered by inadequate evaluation. Current benchmarks often focus on specific part of document RAG system and use synthetic data with incomplete ground truth and evidence labels, therefore failing to reflect real-world bottlenecks and challenges. To overcome these limitations, we introduce Double-Bench: a new large-scale, multilingual, and multimodal evaluation system that is able to produce fine-grained assessment to each component within document RAG systems. It comprises 3,276 documents (72,880 pages) and 5,168 single- and multi-hop queries across 6 languages and 4 document types with streamlined dynamic update support for potential data contamination issues. Queries are grounded in exhaustively scanned evidence pages and verified by human experts to ensure maximum quality and completeness. Our comprehensive experiments across 9 state-of-the-art embedding models, 4 MLLMs and 4 end-to-end document RAG frameworks demonstrate the gap between text and visual embedding models is narrowing, highlighting the need in building stronger document retrieval models. Our findings also reveal the over-confidence dilemma within current document RAG frameworks that tend to provide answer even without evidence support. We hope our fully open-source Double-Bench provide a rigorous foundation for future research in advanced document RAG systems. We plan to retrieve timely corpus and release new benchmarks on an annual basis.

The field of medical diagnosis has undergone a significant transformation with the advent of large language models (LLMs), yet the challenges of interpretability within these models remain largely unaddressed. This study introduces Chain-of-Diagnosis (CoD) to enhance the interpretability of LLM-based medical diagnostics. CoD transforms the diagnostic process into a diagnostic chain that mirrors a physician's thought process, providing a transparent reasoning pathway. Additionally, CoD outputs the disease confidence distribution to ensure transparency in decision-making. This interpretability makes model diagnostics controllable and aids in identifying critical symptoms for inquiry through the entropy reduction of confidences. With CoD, we developed DiagnosisGPT, capable of diagnosing 9604 diseases. Experimental results demonstrate that DiagnosisGPT outperforms other LLMs on diagnostic benchmarks. Moreover, DiagnosisGPT provides interpretability while ensuring controllability in diagnostic rigor.

In this paper, we propose the Hierarchical Document Transformer (HDT), a novel sparse Transformer architecture tailored for structured hierarchical documents. Such documents are extremely important in numerous domains, including science, law or medicine. However, most existing solutions are inefficient and fail to make use of the structure inherent to documents. HDT exploits document structure by introducing auxiliary anchor tokens and redesigning the attention mechanism into a sparse multi-level hierarchy. This approach facilitates information exchange between tokens at different levels while maintaining sparsity, thereby enhancing computational and memory efficiency while exploiting the document structure as an inductive bias. We address the technical challenge of implementing HDT's sample-dependent hierarchical attention pattern by developing a novel sparse attention kernel that considers the hierarchical structure of documents. As demonstrated by our experiments, utilizing structural information present in documents leads to faster convergence, higher sample efficiency and better performance on downstream tasks.

We propose a novel end-to-end document understanding model called SeRum (SElective Region Understanding Model) for extracting meaningful information from document images, including document analysis, retrieval, and office automation. Unlike state-of-the-art approaches that rely on multi-stage technical schemes and are computationally expensive, SeRum converts document image understanding and recognition tasks into a local decoding process of the visual tokens of interest, using a content-aware token merge module. This mechanism enables the model to pay more attention to regions of interest generated by the query decoder, improving the model's effectiveness and speeding up the decoding speed of the generative scheme. We also designed several pre-training tasks to enhance the understanding and local awareness of the model. Experimental results demonstrate that SeRum achieves state-of-the-art performance on document understanding tasks and competitive results on text spotting tasks. SeRum represents a substantial advancement towards enabling efficient and effective end-to-end document understanding.

Long-context LLM agents must access the right evidence from large environments and use it faithfully. However, the popular Needle-in-a-Haystack (NIAH) evaluation mostly measures benign span localization. The needle is near-unique, and the haystack is largely irrelevant. We introduce EverMemBench-S (EMB-S), an adversarial NIAH-style benchmark built on a 326M-token MemoryBank. While the full MemoryBank spans 326M tokens for retrieval-based (RAG) evaluation, we evaluate native long-context models only at scales that fit within each model's context window (up to 1M tokens in this work) to ensure a fair comparison. EMB-S pairs queries with collision-tested near-miss hard negatives and gold evidence sets spanning one or more documents, validated via human screening and LLM verification. We also propose a decoupled diagnostic protocol that reports evidence access (document-ID localization) separately from end-to-end QA quality under full-context prompting. This enables consistent diagnosis for both native long-context prompting and retrieval pipelines. Across a reference-corpus ladder from domain-isolated 64K contexts to a globally shared 326M-token environment, we observe a clear reality gap. Systems that saturate benign NIAH degrade sharply in evidence access under semantic interference. These results indicate that semantic discrimination, not context length alone, is the dominant bottleneck for long-context memory at scale.

The field of visually rich document understanding (VRDU) aims to solve a multitude of well-researched NLP tasks in a multi-modal domain. Several datasets exist for research on specific tasks of VRDU such as document classification (DC), key entity extraction (KEE), entity linking, visual question answering (VQA), inter alia. These datasets cover documents like invoices and receipts with sparse annotations such that they support one or two co-related tasks (e.g., entity extraction and entity linking). Unfortunately, only focusing on a single specific of documents or task is not representative of how documents often need to be processed in the wild - where variety in style and requirements is expected. In this paper, we introduce BuDDIE (Business Document Dataset for Information Extraction), the first multi-task dataset of 1,665 real-world business documents that contains rich and dense annotations for DC, KEE, and VQA. Our dataset consists of publicly available business entity documents from US state government websites. The documents are structured and vary in their style and layout across states and types (e.g., forms, certificates, reports, etc.). We provide data variety and quality metrics for BuDDIE as well as a series of baselines for each task. Our baselines cover traditional textual, multi-modal, and large language model approaches to VRDU.

Large language models (LLMs) have recently showcased remarkable capabilities, spanning a wide range of tasks and applications, including those in the medical domain. Models like GPT-4 excel in medical question answering but may face challenges in the lack of interpretability when handling complex tasks in real clinical settings. We thus introduce the diagnostic reasoning dataset for clinical notes (DiReCT), aiming at evaluating the reasoning ability and interpretability of LLMs compared to human doctors. It contains 511 clinical notes, each meticulously annotated by physicians, detailing the diagnostic reasoning process from observations in a clinical note to the final diagnosis. Additionally, a diagnostic knowledge graph is provided to offer essential knowledge for reasoning, which may not be covered in the training data of existing LLMs. Evaluations of leading LLMs on DiReCT bring out a significant gap between their reasoning ability and that of human doctors, highlighting the critical need for models that can reason effectively in real-world clinical scenarios.

Text-rich document understanding (TDU) refers to analyzing and comprehending documents containing substantial textual content. With the rapid evolution of large language models (LLMs), they have been widely leveraged for TDU due to their remarkable versatility and generalization. In this paper, we introduce DocLayLLM, an efficient and effective multi-modal extension of LLMs specifically designed for TDU. By integrating visual patch tokens and 2D positional tokens into LLMs and encoding the document content using the LLMs themselves, we fully take advantage of the document comprehension capability of LLMs and enhance their perception of OCR information. We have also deeply considered the role of the chain-of-thought (CoT) and innovatively proposed the techniques of CoT Pre-training and CoT Annealing. Our DocLayLLM can achieve remarkable performances with lightweight training settings, showcasing its efficiency and effectiveness. Experimental results demonstrate that our DocLayLLM surpasses existing OCR-dependent methods and also outperforms OCR-free competitors.

Multi-modal document retrieval is designed to identify and retrieve various forms of multi-modal content, such as figures, tables, charts, and layout information from extensive documents. Despite its significance, there is a notable lack of a robust benchmark to effectively evaluate the performance of systems in multi-modal document retrieval. To address this gap, this work introduces a new benchmark, named as MMDocIR, encompassing two distinct tasks: page-level and layout-level retrieval. The former focuses on localizing the most relevant pages within a long document, while the latter targets the detection of specific layouts, offering a more fine-grained granularity than whole-page analysis. A layout can refer to a variety of elements such as textual paragraphs, equations, figures, tables, or charts. The MMDocIR benchmark comprises a rich dataset featuring expertly annotated labels for 1,685 questions and bootstrapped labels for 173,843 questions, making it a pivotal resource for advancing multi-modal document retrieval for both training and evaluation. Through rigorous experiments, we reveal that (i) visual retrievers significantly outperform their text counterparts, (ii) MMDocIR train set can effectively benefit the training process of multi-modal document retrieval and (iii) text retrievers leveraging on VLM-text perform much better than those using OCR-text. These findings underscores the potential advantages of integrating visual elements for multi-modal document retrieval.

Vision language models (VLMs) have achieved strong performance on visual document understanding benchmarks such as DocVQA, ChartQA, and MMLongBench-Doc. However, real-world documents combine multiple factors such as length, layout complexity, modality, and question difficulty, which makes it difficult to attribute model failures to specific causes. We introduce SynthDocBench, a fully synthetic benchmark for long-context visual document understanding that systematically controls factors including document length, layout structure, modality composition, and question type. The benchmark is constructed using a combinatorial design, each factor is varied independently across generated documents, enabling controlled analysis of model behavior. Documents are generated end to end using an LLM pipeline across six layout archetypes, with a 40 percent random override to prevent models from exploiting spurious correlations. Additionally, SynthDocBench spans long-context documents with substantially greater length and structural diversity than existing benchmarks. Evaluating seven frontier VLMs, we uncover three failure modes that existing benchmarks cannot surface: sharp degradation with document length, a systematic positional sensitivity in which the middle third of a document is hardest for five of six models and five of six models show a negative Early-to-Late trend (steepest decline: 8.3 percentage points), and breakdown of chart comprehension in long-document settings. These results suggest that current models may be overfitting to benchmark artifacts rather than achieving robust long-context visual document understanding.

Medical systematic reviews typically require assessing all the documents retrieved by a search. The reason is two-fold: the task aims for ``total recall''; and documents retrieved using Boolean search are an unordered set, and thus it is unclear how an assessor could examine only a subset. Screening prioritisation is the process of ranking the (unordered) set of retrieved documents, allowing assessors to begin the downstream processes of the systematic review creation earlier, leading to earlier completion of the review, or even avoiding screening documents ranked least relevant. Screening prioritisation requires highly effective ranking methods. Pre-trained language models are state-of-the-art on many IR tasks but have yet to be applied to systematic review screening prioritisation. In this paper, we apply several pre-trained language models to the systematic review document ranking task, both directly and fine-tuned. An empirical analysis compares how effective neural methods compare to traditional methods for this task. We also investigate different types of document representations for neural methods and their impact on ranking performance. Our results show that BERT-based rankers outperform the current state-of-the-art screening prioritisation methods. However, BERT rankers and existing methods can actually be complementary, and thus, further improvements may be achieved if used in conjunction.

The meaningful use of electronic health records (EHR) continues to progress in the digital era with clinical decision support systems augmented by artificial intelligence. A priority in improving provider experience is to overcome information overload and reduce the cognitive burden so fewer medical errors and cognitive biases are introduced during patient care. One major type of medical error is diagnostic error due to systematic or predictable errors in judgment that rely on heuristics. The potential for clinical natural language processing (cNLP) to model diagnostic reasoning in humans with forward reasoning from data to diagnosis and potentially reduce the cognitive burden and medical error has not been investigated. Existing tasks to advance the science in cNLP have largely focused on information extraction and named entity recognition through classification tasks. We introduce a novel suite of tasks coined as Diagnostic Reasoning Benchmarks, DR.BENCH, as a new benchmark for developing and evaluating cNLP models with clinical diagnostic reasoning ability. The suite includes six tasks from ten publicly available datasets addressing clinical text understanding, medical knowledge reasoning, and diagnosis generation. DR.BENCH is the first clinical suite of tasks designed to be a natural language generation framework to evaluate pre-trained language models. Experiments with state-of-the-art pre-trained generative language models using large general domain models and models that were continually trained on a medical corpus demonstrate opportunities for improvement when evaluated in DR. BENCH. We share DR. BENCH as a publicly available GitLab repository with a systematic approach to load and evaluate models for the cNLP community.

Long-document multimodal question answering requires a system to locate sparse evidence in long PDFs and integrate clues from text, tables, images, charts, and complex layouts. Existing RAG methods mostly rely on fixed Top-k retrieval over text chunks or pages. Text retrieval can compress the context but often loses visual and layout information; page-level visual retrieval preserves the original page, yet it also sends large irrelevant regions to the reader, leading to a static trade-off among evidence coverage, noise, and inference cost. This paper proposes MAGE-RAG, a multigranular adaptive graph evidence framework for long-document multimodal QA. MAGE-RAG uses page retrieval as the entry point for query-time evidence construction. Offline, it builds an evidence graph with page nodes and element nodes, encoding containment, reading order, layout adjacency, section hierarchy, and semantic-neighbor relations. At query time, an online evidence controller iteratively activates, opens, searches, and prunes evidence under explicit budgets. The resulting evidence subgraph is then rendered into structured multimodal reader input, allowing the LVLM to consume compact and relevant evidence within a limited context. On LongDocURL and MMLongBench-Doc, we establish a unified comparison and analysis protocol covering Direct MLLM, Text RAG, Page-level Visual RAG, and Graph/Agentic RAG. Experiments show that MAGE-RAG achieves 52.75 overall accuracy on LongDocURL, and 53.26 accuracy with 51.19 F1 on MMLongBench-Doc. Fine-grained breakdowns, budget-performance curves, ablations, and trace-based analysis further show that query-time evidence subgraph construction can balance dispersed evidence coverage with context-noise control. Our code is available at https://github.com/laonuo2004/MAGE-RAG.git.

Widely applied large language models (LLMs) can generate human-like content, raising concerns about the abuse of LLMs. Therefore, it is important to build strong AI-generated text (AIGT) detectors. Current works only consider document-level AIGT detection, therefore, in this paper, we first introduce a sentence-level detection challenge by synthesizing a dataset that contains documents that are polished with LLMs, that is, the documents contain sentences written by humans and sentences modified by LLMs. Then we propose Sequence X (Check) GPT, a novel method that utilizes log probability lists from white-box LLMs as features for sentence-level AIGT detection. These features are composed like waves in speech processing and cannot be studied by LLMs. Therefore, we build SeqXGPT based on convolution and self-attention networks. We test it in both sentence and document-level detection challenges. Experimental results show that previous methods struggle in solving sentence-level AIGT detection, while our method not only significantly surpasses baseline methods in both sentence and document-level detection challenges but also exhibits strong generalization capabilities.

Document Understanding is a foundational AI capability with broad applications, and Document Question Answering (DocQA) is a key evaluation task. Traditional methods convert the document into text for processing by Large Language Models (LLMs), but this process strips away critical multi-modal information like figures. While Large Vision-Language Models (LVLMs) address this limitation, their constrained input size makes multi-page document comprehension infeasible. Retrieval-augmented generation (RAG) methods mitigate this by selecting relevant pages, but they rely solely on semantic relevance, ignoring logical connections between pages and the query, which is essential for reasoning. To this end, we propose MoLoRAG, a logic-aware retrieval framework for multi-modal, multi-page document understanding. By constructing a page graph that captures contextual relationships between pages, a lightweight VLM performs graph traversal to retrieve relevant pages, including those with logical connections often overlooked. This approach combines semantic and logical relevance to deliver more accurate retrieval. After retrieval, the top-K pages are fed into arbitrary LVLMs for question answering. To enhance flexibility, MoLoRAG offers two variants: a training-free solution for easy deployment and a fine-tuned version to improve logical relevance checking. Experiments on four DocQA datasets demonstrate average improvements of 9.68% in accuracy over LVLM direct inference and 7.44% in retrieval precision over baselines. Codes and datasets are released at https://github.com/WxxShirley/MoLoRAG.

Current evaluation protocols for Vision-Language Models (VLMs) in Radiology Report Generation (RRG) rely on report-level metrics that measure lexical overlap or aggregate clinical correctness. However, such metrics do not test whether individual diagnostic statements stem from the actual pathological evidence visible in the image. This allows models to achieve competitive scores by exploiting learned priors or spurious correlations, a failure mode we refer to as vision shortcut. We introduce SHOVIR, a benchmark for evaluating vision shortcut behavior in RRG. SHOVIR extends two spatially annotated chest X-ray datasets, MIMIC-CXR and PadChest-GR, with per-box CheXpert labels, and defines image-level and disease-level occlusion experiments that contrast baseline performance on clean images against localized, region-specific perturbations. Comparing predictions across these conditions isolates two failure modes at the disease-class level: direct shortcuts, where a finding persists after its visual evidence is removed, and contextual shortcuts, where detection degrades once co-occurring pathologies are occluded despite the target region remaining intact. Benchmarking eight state-of-the-art VLMs, we find that shortcut behavior varies substantially across architectures and datasets. Models achieving the highest baseline report quality do not necessarily rank highest in spatial grounding, revealing that clinically fluent generation can coexist with shallow reliance on visual evidence. These findings expose a blind spot in current RRG evaluation and motivate region-aware assessment protocols.

Instance level detection of thoracic diseases or abnormalities are crucial for automatic diagnosis in chest X-ray images. Most existing works on chest X-rays focus on disease classification and weakly supervised localization. In order to push forward the research on disease classification and localization on chest X-rays. We provide a new benchmark called ChestX-Det10, including box-level annotations of 10 categories of disease/abnormality of sim 3,500 images. The annotations are located at https://github.com/Deepwise-AILab/ChestX-Det10-Dataset.

We perform a missing, reproducible evaluation of all publicly available GPT-4 family models concerning the Document Understanding field, where it is frequently required to comprehend text spacial arrangement and visual clues in addition to textual semantics. Benchmark results indicate that though it is hard to achieve satisfactory results with text-only models, GPT-4 Vision Turbo performs well when one provides both text recognized by an external OCR engine and document images on the input. Evaluation is followed by analyses that suggest possible contamination of textual GPT-4 models and indicate the significant performance drop for lengthy documents.

Document AI aims to automatically analyze documents by leveraging natural language processing and computer vision techniques. One of the major tasks of Document AI is document layout analysis, which structures document pages by interpreting the content and spatial relationships of layout, image, and text. This task can be image-centric, wherein the aim is to identify and label various regions such as authors and paragraphs, or text-centric, where the focus is on classifying individual words in a document. Although there are increasingly sophisticated methods for improving layout analysis, doubts remain about the extent to which their findings can be generalized to a broader context. Specifically, prior work developed systems based on very different architectures, such as transformer-based, graph-based, and CNNs. However, no work has mentioned the effectiveness of these models in a comparative analysis. Moreover, while language-independent Document AI models capable of knowledge transfer have been developed, it remains to be investigated to what degree they can effectively transfer knowledge. In this study, we aim to fill these gaps by conducting a comparative evaluation of state-of-the-art models in document layout analysis and investigating the potential of cross-lingual layout analysis by utilizing machine translation techniques.

We present SymbioticRAG, a novel framework that fundamentally reimagines Retrieval-Augmented Generation~(RAG) systems by establishing a bidirectional learning relationship between humans and machines. Our approach addresses two critical challenges in current RAG systems: the inherently human-centered nature of relevance determination and users' progression from "unconscious incompetence" in query formulation. SymbioticRAG introduces a two-tier solution where Level 1 enables direct human curation of retrieved content through interactive source document exploration, while Level 2 aims to build personalized retrieval models based on captured user interactions. We implement Level 1 through three key components: (1)~a comprehensive document processing pipeline with specialized models for layout detection, OCR, and extraction of tables, formulas, and figures; (2)~an extensible retriever module supporting multiple retrieval strategies; and (3)~an interactive interface that facilitates both user engagement and interaction data logging. We experiment Level 2 implementation via a retriever strategy incorporated LLM summarized user intention from user interaction logs. To maintain high-quality data preparation, we develop a human-on-the-loop validation interface that improves pipeline output while advancing research in specialized extraction tasks. Evaluation across three scenarios (literature review, geological exploration, and education) demonstrates significant improvements in retrieval relevance and user satisfaction compared to traditional RAG approaches. To facilitate broader research and further advancement of SymbioticRAG Level 2 implementation, we will make our system openly accessible to the research community.

Reviewing contracts is a time-consuming procedure that incurs large expenses to companies and social inequality to those who cannot afford it. In this work, we propose "document-level natural language inference (NLI) for contracts", a novel, real-world application of NLI that addresses such problems. In this task, a system is given a set of hypotheses (such as "Some obligations of Agreement may survive termination.") and a contract, and it is asked to classify whether each hypothesis is "entailed by", "contradicting to" or "not mentioned by" (neutral to) the contract as well as identifying "evidence" for the decision as spans in the contract. We annotated and release the largest corpus to date consisting of 607 annotated contracts. We then show that existing models fail badly on our task and introduce a strong baseline, which (1) models evidence identification as multi-label classification over spans instead of trying to predict start and end tokens, and (2) employs more sophisticated context segmentation for dealing with long documents. We also show that linguistic characteristics of contracts, such as negations by exceptions, are contributing to the difficulty of this task and that there is much room for improvement.

Large Language Models (LLMs) have issues with document question answering (QA) in situations where the document is unable to fit in the small context length of an LLM. To overcome this issue, most existing works focus on retrieving the relevant context from the document, representing them as plain text. However, documents such as PDFs, web pages, and presentations are naturally structured with different pages, tables, sections, and so on. Representing such structured documents as plain text is incongruous with the user's mental model of these documents with rich structure. When a system has to query the document for context, this incongruity is brought to the fore, and seemingly trivial questions can trip up the QA system. To bridge this fundamental gap in handling structured documents, we propose an approach called PDFTriage that enables models to retrieve the context based on either structure or content. Our experiments demonstrate the effectiveness of the proposed PDFTriage-augmented models across several classes of questions where existing retrieval-augmented LLMs fail. To facilitate further research on this fundamental problem, we release our benchmark dataset consisting of 900+ human-generated questions over 80 structured documents from 10 different categories of question types for document QA.

Document digitization is vital for preserving historical records, efficient document management, and advancing OCR (Optical Character Recognition) research. Document Layout Analysis (DLA) involves segmenting documents into meaningful units like text boxes, paragraphs, images, and tables. Challenges arise when dealing with diverse layouts, historical documents, and unique scripts like Bengali, hindered by the lack of comprehensive Bengali DLA datasets. We improved the accuracy of the DLA model for Bengali documents by utilizing advanced Mask R-CNN models available in the Detectron2 library. Our evaluation involved three variants: Mask R-CNN R-50, R-101, and X-101, both with and without pretrained weights from PubLayNet, on the BaDLAD dataset, which contains human-annotated Bengali documents in four categories: text boxes, paragraphs, images, and tables. Results show the effectiveness of these models in accurately segmenting Bengali documents. We discuss speed-accuracy tradeoffs and underscore the significance of pretrained weights. Our findings expand the applicability of Mask R-CNN in document layout analysis, efficient document management, and OCR research while suggesting future avenues for fine-tuning and data augmentation.

With the rapid progress of multimodal large language models (MLLMs), AI already performs well at literature retrieval and certain reasoning tasks, serving as a capable assistant to human researchers, yet it remains far from autonomous research. The fundamental reason is that current work on academic paper reasoning is largely confined to a search-oriented paradigm centered on pre-specified targets, with reasoning grounded in relevance retrieval, which struggles to support researcher-style full-document understanding, reasoning, and verification. To bridge this gap, we propose ScholScan, a new benchmark for academic paper reasoning. ScholScan introduces a scan-oriented task setting that asks models to read and cross-check entire papers like human researchers, scanning the document to identify consistency issues. The benchmark comprises 1,800 carefully annotated questions drawn from nine error categories across 13 natural-science domains and 715 papers, and provides detailed annotations for evidence localization and reasoning traces, together with a unified evaluation protocol. We assessed 15 models across 24 input configurations and conducted a fine-grained analysis of MLLM capabilities for all error categories. Across the board, retrieval-augmented generation (RAG) methods yield no significant improvements, revealing systematic deficiencies of current MLLMs on scan-oriented tasks and underscoring the challenge posed by ScholScan. We expect ScholScan to be the leading and representative work of the scan-oriented task paradigm.

Following the global COVID-19 pandemic, the number of scientific papers studying the virus has grown massively, leading to increased interest in automated literate review. We present a clinical text mining system that improves on previous efforts in three ways. First, it can recognize over 100 different entity types including social determinants of health, anatomy, risk factors, and adverse events in addition to other commonly used clinical and biomedical entities. Second, the text processing pipeline includes assertion status detection, to distinguish between clinical facts that are present, absent, conditional, or about someone other than the patient. Third, the deep learning models used are more accurate than previously available, leveraging an integrated pipeline of state-of-the-art pretrained named entity recognition models, and improving on the previous best performing benchmarks for assertion status detection. We illustrate extracting trends and insights, e.g. most frequent disorders and symptoms, and most common vital signs and EKG findings, from the COVID-19 Open Research Dataset (CORD-19). The system is built using the Spark NLP library which natively supports scaling to use distributed clusters, leveraging GPUs, configurable and reusable NLP pipelines, healthcare specific embeddings, and the ability to train models to support new entity types or human languages with no code changes.

Medical report generation has achieved remarkable advancements yet has still been faced with several challenges. First, the inherent imbalance in the distribution of normal and abnormal cases may lead models to exhibit a biased focus on normal samples, resulting in unreliable diagnoses. Second, the frequent occurrence of common template sentences in the reports may overwhelm the critical abnormal information. Moreover, existing works focus on 2D chest X-rays, leaving CT report generation underexplored due to the high-dimensional nature of CT images and the limited availability of CT-report pairs. Recently, LLM has shown a great ability to generate reliable answers with appropriate prompts, which shed light on addressing the aforementioned challenges. In this paper, we propose Dia-LLaMA, a framework to adapt the LLaMA2-7B for CT report generation by incorporating diagnostic information as guidance prompts. Considering the high dimension of CT, we leverage a pre-trained ViT3D with perceiver to extract the visual information. To tailor the LLM for report generation and emphasize abnormality, we extract additional diagnostic information by referring to a disease prototype memory bank, which is updated during training to capture common disease representations. Furthermore, we introduce disease-aware attention to enable the model to adjust attention for different diseases. Experiments on the chest CT dataset demonstrated that our proposed method outperformed previous methods and achieved state-of-the-art on both clinical efficacy performance and natural language generation metrics. The code will be made publically available.

Medical imaging is widely used in clinical practice for diagnosis and treatment. Report-writing can be error-prone for unexperienced physicians, and time- consuming and tedious for experienced physicians. To address these issues, we study the automatic generation of medical imaging reports. This task presents several challenges. First, a complete report contains multiple heterogeneous forms of information, including findings and tags. Second, abnormal regions in medical images are difficult to identify. Third, the re- ports are typically long, containing multiple sentences. To cope with these challenges, we (1) build a multi-task learning framework which jointly performs the pre- diction of tags and the generation of para- graphs, (2) propose a co-attention mechanism to localize regions containing abnormalities and generate narrations for them, (3) develop a hierarchical LSTM model to generate long paragraphs. We demonstrate the effectiveness of the proposed methods on two publicly available datasets.

In computational pathology, understanding and generation have evolved along disparate paths: advanced understanding models already exhibit diagnostic-level competence, whereas generative models largely simulate pixels. Progress remains hindered by three coupled factors: the scarcity of large, high-quality image-text corpora; the lack of precise, fine-grained semantic control, which forces reliance on non-semantic cues; and terminological heterogeneity, where diverse phrasings for the same diagnostic concept impede reliable text conditioning. We introduce UniPath, a semantics-driven pathology image generation framework that leverages mature diagnostic understanding to enable controllable generation. UniPath implements Multi-Stream Control: a Raw-Text stream; a High-Level Semantics stream that uses learnable queries to a frozen pathology MLLM to distill paraphrase-robust Diagnostic Semantic Tokens and to expand prompts into diagnosis-aware attribute bundles; and a Prototype stream that affords component-level morphological control via a prototype bank. On the data front, we curate a 2.65M image-text corpus and a finely annotated, high-quality 68K subset to alleviate data scarcity. For a comprehensive assessment, we establish a four-tier evaluation hierarchy tailored to pathology. Extensive experiments demonstrate UniPath's SOTA performance, including a Patho-FID of 80.9 (51% better than the second-best) and fine-grained semantic control achieving 98.7% of the real-image. The meticulously curated datasets, complete source code, and pre-trained model weights developed in this study will be made openly accessible to the public.

Document layout analysis usually relies on computer vision models to understand documents while ignoring textual information that is vital to capture. Meanwhile, high quality labeled datasets with both visual and textual information are still insufficient. In this paper, we present DocBank, a benchmark dataset that contains 500K document pages with fine-grained token-level annotations for document layout analysis. DocBank is constructed using a simple yet effective way with weak supervision from the documents available on the arXiv.com. With DocBank, models from different modalities can be compared fairly and multi-modal approaches will be further investigated and boost the performance of document layout analysis. We build several strong baselines and manually split train/dev/test sets for evaluation. Experiment results show that models trained on DocBank accurately recognize the layout information for a variety of documents. The DocBank dataset is publicly available at https://github.com/doc-analysis/DocBank.

Invoices and receipts submitted by employees are visually rich documents (VRDs) with textual, visual and layout information. To protect against the risk of fraud and abuse, it is crucial for organizations to efficiently extract desired information from submitted receipts. This helps in the assessment of key factors such as appropriateness of the expense claim, adherence to spending and transaction policies, the validity of the receipt, as well as downstream anomaly detection at various levels. These documents are heterogeneous, with multiple formats and languages, uploaded with different image qualities, and often do not contain ground truth labels for the efficient training of models. In this paper we propose Task Aware Instruction-based Labelling (TAIL), a method for synthetic label generation in VRD corpuses without labels, and fine-tune a multimodal Visually Rich Document Understanding Model (VRDU) on TAIL labels using response-based knowledge distillation without using the teacher model's weights or training dataset to conditionally generate annotations in the appropriate format. Using a benchmark external dataset where ground truth labels are available, we demonstrate conditions under which our approach performs at par with Claude 3 Sonnet through empirical studies. We then show that the resulting model performs at par or better on the internal expense documents of a large multinational organization than state-of-the-art LMM (large multimodal model) Claude 3 Sonnet while being 85% less costly and ~5X faster, and outperforms layout-aware baselines by more than 10% in Average Normalized Levenshtein Similarity (ANLS) scores due to its ability to reason and extract information from rare formats. Finally, we illustrate the usage of our approach in overpayment prevention.

Document Visual Question Answering (VQA) aims to understand visually-rich documents to answer questions in natural language, which is an emerging research topic for both Natural Language Processing and Computer Vision. In this work, we introduce a new Document VQA dataset, named TAT-DQA, which consists of 3,067 document pages comprising semi-structured table(s) and unstructured text as well as 16,558 question-answer pairs by extending the TAT-QA dataset. These documents are sampled from real-world financial reports and contain lots of numbers, which means discrete reasoning capability is demanded to answer questions on this dataset. Based on TAT-DQA, we further develop a novel model named MHST that takes into account the information in multi-modalities, including text, layout and visual image, to intelligently address different types of questions with corresponding strategies, i.e., extraction or reasoning. Extensive experiments show that the MHST model significantly outperforms the baseline methods, demonstrating its effectiveness. However, the performance still lags far behind that of expert humans. We expect that our new TAT-DQA dataset would facilitate the research on deep understanding of visually-rich documents combining vision and language, especially for scenarios that require discrete reasoning. Also, we hope the proposed model would inspire researchers to design more advanced Document VQA models in future. Our dataset will be publicly available for non-commercial use at https://nextplusplus.github.io/TAT-DQA/.

Identity documents recognition is an important sub-field of document analysis, which deals with tasks of robust document detection, type identification, text fields recognition, as well as identity fraud prevention and document authenticity validation given photos, scans, or video frames of an identity document capture. Significant amount of research has been published on this topic in recent years, however a chief difficulty for such research is scarcity of datasets, due to the subject matter being protected by security requirements. A few datasets of identity documents which are available lack diversity of document types, capturing conditions, or variability of document field values. In addition, the published datasets were typically designed only for a subset of document recognition problems, not for a complex identity document analysis. In this paper, we present a dataset MIDV-2020 which consists of 1000 video clips, 2000 scanned images, and 1000 photos of 1000 unique mock identity documents, each with unique text field values and unique artificially generated faces, with rich annotation. For the presented benchmark dataset baselines are provided for such tasks as document location and identification, text fields recognition, and face detection. With 72409 annotated images in total, to the date of publication the proposed dataset is the largest publicly available identity documents dataset with variable artificially generated data, and we believe that it will prove invaluable for advancement of the field of document analysis and recognition. The dataset is available for download at ftp://smartengines.com/midv-2020 and http://l3i-share.univ-lr.fr .

Information in industry, research, and the public sector is widely stored as rendered documents (e.g., PDF files, scans). Hence, to enable downstream tasks, systems are needed that map rendered documents onto a structured hierarchical format. However, existing systems for this task are limited by heuristics and are not end-to-end trainable. In this work, we introduce the Document Structure Generator (DSG), a novel system for document parsing that is fully end-to-end trainable. DSG combines a deep neural network for parsing (i) entities in documents (e.g., figures, text blocks, headers, etc.) and (ii) relations that capture the sequence and nested structure between entities. Unlike existing systems that rely on heuristics, our DSG is trained end-to-end, making it effective and flexible for real-world applications. We further contribute a new, large-scale dataset called E-Periodica comprising real-world magazines with complex document structures for evaluation. Our results demonstrate that our DSG outperforms commercial OCR tools and, on top of that, achieves state-of-the-art performance. To the best of our knowledge, our DSG system is the first end-to-end trainable system for hierarchical document parsing.

Multi-modal generative document parsing systems challenge traditional evaluation: unlike deterministic OCR or layout models, they often produce semantically correct yet structurally divergent outputs. Conventional metrics-CER, WER, IoU, or TEDS-misclassify such diversity as error, penalizing valid interpretations and obscuring system behavior. We introduce SCORE (Structural and COntent Robust Evaluation), an interpretation-agnostic framework that integrates (i) adjusted edit distance for robust content fidelity, (ii) token-level diagnostics to distinguish hallucinations from omissions, (iii) table evaluation with spatial tolerance and semantic alignment, and (iv) hierarchy-aware consistency checks. Together, these dimensions enable evaluation that embraces representational diversity while enforcing semantic rigor. Across 1,114 pages spanning a holistic benchmark and a field dataset, SCORE consistently revealed cross-dataset performance patterns missed by standard metrics. In 2-5% of pages with ambiguous table structures, traditional metrics penalized systems by 12-25% on average, leading to distorted rankings. SCORE corrected these cases, recovering equivalence between alternative but valid interpretations. Moreover, by normalizing generative outputs into a format-agnostic representation, SCORE reproduces traditional scores (e.g., table F1 up to 0.93) without requiring object-detection pipelines, demonstrating that generative parsing alone suffices for comprehensive evaluation. By exposing how interpretive diversity impacts evaluation outcomes and providing multi-dimensional, interpretable diagnostics, SCORE establishes foundational principles for semantically grounded, fair, and practical benchmarking of modern document parsing systems.

The rapid advancement of large-scale vision-language models has showcased remarkable capabilities across various tasks. However, the lack of extensive and high-quality image-text data in medicine has greatly hindered the development of large-scale medical vision-language models. In this work, we present a diagnosis-guided bootstrapping strategy that exploits both image and label information to construct vision-language datasets. Based on the constructed dataset, we developed MedDr, a generalist foundation model for healthcare capable of handling diverse medical data modalities, including radiology, pathology, dermatology, retinography, and endoscopy. Moreover, during inference, we propose a simple but effective retrieval-augmented medical diagnosis strategy, which enhances the model's generalization ability. Extensive experiments on visual question answering, medical report generation, and medical image diagnosis demonstrate the superiority of our method.

Information Retrieval (IR) methods aim to identify relevant documents in response to a given query, which have gained remarkable attention due to their successful application in various natural language tasks. However, existing approaches typically consider only the textual information within the documents, which overlooks the fact that documents can contain multiple modalities, including texts, images, and tables. Further, they often segment each long document into multiple discrete passages for embedding, preventing them from capturing the overall document context and interactions between paragraphs. We argue that these two limitations lead to suboptimal document representations for retrieval. In this work, to address them, we aim to produce more comprehensive and nuanced document representations by holistically embedding documents interleaved with different modalities. Specifically, we achieve this by leveraging the capability of recent vision-language models that enable the processing and integration of text, images, and tables into a unified format and representation. Moreover, to mitigate the information loss from segmenting documents into passages, instead of representing and retrieving passages individually, we further merge the representations of segmented passages into one single document representation, while we additionally introduce a reranking strategy to decouple and identify the relevant passage within the document if necessary. Then, through extensive experiments on diverse information retrieval scenarios considering both the textual and multimodal queries, we show that our approach substantially outperforms relevant baselines, thanks to the consideration of the multimodal information interleaved within the documents in a unified way.

This paper presents a new state-of-the-art for document image classification and retrieval, using features learned by deep convolutional neural networks (CNNs). In object and scene analysis, deep neural nets are capable of learning a hierarchical chain of abstraction from pixel inputs to concise and descriptive representations. The current work explores this capacity in the realm of document analysis, and confirms that this representation strategy is superior to a variety of popular hand-crafted alternatives. Experiments also show that (i) features extracted from CNNs are robust to compression, (ii) CNNs trained on non-document images transfer well to document analysis tasks, and (iii) enforcing region-specific feature-learning is unnecessary given sufficient training data. This work also makes available a new labelled subset of the IIT-CDIP collection, containing 400,000 document images across 16 categories, useful for training new CNNs for document analysis.

Logical page segmentation is an important step in document analysis, enabling better semantic representations, information retrieval, and text understanding. Previous approaches define logical segmentation either through text or geometric objects, relying on OCR or precise geometry. To avoid the need for OCR, we define the task purely as segmentation in the image domain. Furthermore, to ensure the evaluation remains unaffected by geometrical variations that do not impact text segmentation, we propose to use only foreground text pixels in the evaluation metric and disregard all background pixels. To support research in logical document segmentation, we introduce TextBite, a dataset of historical Czech documents spanning the 18th to 20th centuries, featuring diverse layouts from newspapers, dictionaries, and handwritten records. The dataset comprises 8,449 page images with 78,863 annotated segments of logically and thematically coherent text. We propose a set of baseline methods combining text region detection and relation prediction. The dataset, baselines and evaluation framework can be accessed at https://github.com/DCGM/textbite-dataset.

Authors seeking to communicate with broader audiences often share their ideas in various document formats, such as slide decks, newsletters, reports, and posters. Prior work on document generation has generally tackled the creation of each separate format to be a different task, leading to fragmented learning processes, redundancy in models and methods, and disjointed evaluation. We consider each of these documents as templatic views of the same underlying knowledge/content, and we aim to unify the generation and evaluation of these templatic views. We begin by showing that current LLMs are capable of generating various document formats with little to no supervision. Further, a simple augmentation involving a structured intermediate representation can improve performance, especially for smaller models. We then introduce a novel unified evaluation framework that can be adapted to measuring the quality of document generators for heterogeneous downstream applications. This evaluation is adaptable to a range of user defined criteria and application scenarios, obviating the need for task specific evaluation metrics. Finally, we conduct a human evaluation, which shows that people prefer 82% of the documents generated with our method, while correlating more highly with our unified evaluation framework than prior metrics in the literature.

Multimodal Sarcasm Understanding (MSU) has a wide range of applications in the news field such as public opinion analysis and forgery detection. However, existing MSU benchmarks and approaches usually focus on sentence-level MSU. In document-level news, sarcasm clues are sparse or small and are often concealed in long text. Moreover, compared to sentence-level comments like tweets, which mainly focus on only a few trends or hot topics (e.g., sports events), content in the news is considerably diverse. Models created for sentence-level MSU may fail to capture sarcasm clues in document-level news. To fill this gap, we present a comprehensive benchmark for Document-level Multimodal Sarcasm Understanding (DocMSU). Our dataset contains 102,588 pieces of news with text-image pairs, covering 9 diverse topics such as health, business, etc. The proposed large-scale and diverse DocMSU significantly facilitates the research of document-level MSU in real-world scenarios. To take on the new challenges posed by DocMSU, we introduce a fine-grained sarcasm comprehension method to properly align the pixel-level image features with word-level textual features in documents. Experiments demonstrate the effectiveness of our method, showing that it can serve as a baseline approach to the challenging DocMSU. Our code and dataset are available at https://github.com/Dulpy/DocMSU.

Hierarchical Text Classification (HTC) is a natural language processing task with the objective to classify text documents into a set of classes from a structured class hierarchy. Many HTC approaches have been proposed which attempt to leverage the class hierarchy information in various ways to improve classification performance. Machine learning-based classification approaches require large amounts of training data and are most-commonly compared through three established benchmark datasets, which include the Web Of Science (WOS), Reuters Corpus Volume 1 Version 2 (RCV1-V2) and New York Times (NYT) datasets. However, apart from the RCV1-V2 dataset which is well-documented, these datasets are not accompanied with detailed description methodologies. In this paper, we introduce three new HTC benchmark datasets in the domain of research publications which comprise the titles and abstracts of papers from the Web of Science publication database. We first create two baseline datasets which use existing journal-and citation-based classification schemas. Due to the respective shortcomings of these two existing schemas, we propose an approach which combines their classifications to improve the reliability and robustness of the dataset. We evaluate the three created datasets with a clustering-based analysis and show that our proposed approach results in a higher quality dataset where documents that belong to the same class are semantically more similar compared to the other datasets. Finally, we provide the classification performance of four state-of-the-art HTC approaches on these three new datasets to provide baselines for future studies on machine learning-based techniques for scientific publication classification.

The proliferation of multimodal Large Language Models has significantly advanced the ability to analyze and understand complex data inputs from different modalities. However, the processing of long documents remains under-explored, largely due to a lack of suitable benchmarks. To address this, we introduce Document Haystack, a comprehensive benchmark designed to evaluate the performance of Vision Language Models (VLMs) on long, visually complex documents. Document Haystack features documents ranging from 5 to 200 pages and strategically inserts pure text or multimodal text+image "needles" at various depths within the documents to challenge VLMs' retrieval capabilities. Comprising 400 document variants and a total of 8,250 questions, it is supported by an objective, automated evaluation framework. We detail the construction and characteristics of the Document Haystack dataset, present results from prominent VLMs and discuss potential research avenues in this area.

The Know Your Customer (KYC) and Anti Money Laundering (AML) are worldwide practices to online customer identification based on personal identification documents, similarity and liveness checking, and proof of address. To answer the basic regulation question: are you whom you say you are? The customer needs to upload valid identification documents (ID). This task imposes some computational challenges since these documents are diverse, may present different and complex backgrounds, some occlusion, partial rotation, poor quality, or damage. Advanced text and document segmentation algorithms were used to process the ID images. In this context, we investigated a method based on U-Net to detect the document edges and text regions in ID images. Besides the promising results on image segmentation, the U-Net based approach is computationally expensive for a real application, since the image segmentation is a customer device task. We propose a model optimization based on Octave Convolutions to qualify the method to situations where storage, processing, and time resources are limited, such as in mobile and robotic applications. We conducted the evaluation experiments in two new datasets CDPhotoDataset and DTDDataset, which are composed of real ID images of Brazilian documents. Our results showed that the proposed models are efficient to document segmentation tasks and portable.

The current digital environment is characterized by the widespread presence of data, particularly unstructured data, which poses many issues in sectors including finance, healthcare, and education. Conventional techniques for data extraction encounter difficulties in dealing with the inherent variety and complexity of unstructured data, hence requiring the adoption of more efficient methodologies. This research investigates the utilization of YOLOv5, a cutting-edge computer vision model, for the purpose of rapidly identifying document layouts and extracting unstructured data. The present study establishes a conceptual framework for delineating the notion of "objects" as they pertain to documents, incorporating various elements such as paragraphs, tables, photos, and other constituent parts. The main objective is to create an autonomous system that can effectively recognize document layouts and extract unstructured data, hence improving the effectiveness of data extraction. In the conducted examination, the YOLOv5 model exhibits notable effectiveness in the task of document layout identification, attaining a high accuracy rate along with a precision value of 0.91, a recall value of 0.971, an F1-score of 0.939, and an area under the receiver operating characteristic curve (AUC-ROC) of 0.975. The remarkable performance of this system optimizes the process of extracting textual and tabular data from document images. Its prospective applications are not limited to document analysis but can encompass unstructured data from diverse sources, such as audio data. This study lays the foundation for future investigations into the wider applicability of YOLOv5 in managing various types of unstructured data, offering potential for novel applications across multiple domains.

With the increasing adoption of Large Language Models (LLMs) and Vision-Language Models (VLMs), rich document analysis technologies for applications like Retrieval-Augmented Generation (RAG) and visual RAG are gaining significant attention. Recent research indicates that using VLMs can achieve better RAG performance, but processing rich documents still remains a challenge since a single page contains large amounts of information. In this paper, we present SCAN (SemantiC Document Layout ANalysis), a novel approach enhancing both textual and visual Retrieval-Augmented Generation (RAG) systems working with visually rich documents. It is a VLM-friendly approach that identifies document components with appropriate semantic granularity, balancing context preservation with processing efficiency. SCAN uses a coarse-grained semantic approach that divides documents into coherent regions covering continuous components. We trained the SCAN model by fine-tuning object detection models with sophisticated annotation datasets. Our experimental results across English and Japanese datasets demonstrate that applying SCAN improves end-to-end textual RAG performance by up to 9.0\% and visual RAG performance by up to 6.4\%, outperforming conventional approaches and even commercial document processing solutions.

The rapid advancements in Multimodal Large Language Models (MLLMs) have significantly enhanced capabilities in Document Understanding. However, prevailing benchmarks like DocVQA and ChartQA predominantly comprise scanned or digital documents, inadequately reflecting the intricate challenges posed by diverse real-world scenarios, such as variable illumination and physical distortions. This paper introduces WildDoc, the inaugural benchmark designed specifically for assessing document understanding in natural environments. WildDoc incorporates a diverse set of manually captured document images reflecting real-world conditions and leverages document sources from established benchmarks to facilitate comprehensive comparisons with digital or scanned documents. Further, to rigorously evaluate model robustness, each document is captured four times under different conditions. Evaluations of state-of-the-art MLLMs on WildDoc expose substantial performance declines and underscore the models' inadequate robustness compared to traditional benchmarks, highlighting the unique challenges posed by real-world document understanding. Our project homepage is available at https://bytedance.github.io/WildDoc.

Natural language inference (NLI) is formulated as a unified framework for solving various NLP problems such as relation extraction, question answering, summarization, etc. It has been studied intensively in the past few years thanks to the availability of large-scale labeled datasets. However, most existing studies focus on merely sentence-level inference, which limits the scope of NLI's application in downstream NLP problems. This work presents DocNLI -- a newly-constructed large-scale dataset for document-level NLI. DocNLI is transformed from a broad range of NLP problems and covers multiple genres of text. The premises always stay in the document granularity, whereas the hypotheses vary in length from single sentences to passages with hundreds of words. Additionally, DocNLI has pretty limited artifacts which unfortunately widely exist in some popular sentence-level NLI datasets. Our experiments demonstrate that, even without fine-tuning, a model pretrained on DocNLI shows promising performance on popular sentence-level benchmarks, and generalizes well to out-of-domain NLP tasks that rely on inference at document granularity. Task-specific fine-tuning can bring further improvements. Data, code, and pretrained models can be found at https://github.com/salesforce/DocNLI.

Finding relevant literature underpins the practice of evidence-based medicine. From 2014 to 2016, TREC conducted a clinical decision support track, wherein participants were tasked with finding articles relevant to clinical questions posed by physicians. In total, 87 teams have participated over the past three years, generating 395 runs. During this period, each team has trialled a variety of methods. While there was significant overlap in the methods employed by different teams, the results were varied. Due to the diversity of the platforms used, the results arising from the different techniques are not directly comparable, reducing the ability to build on previous work. By using a stable platform, we have been able to compare different document and query processing techniques, allowing us to experiment with different search parameters. We have used our system to reproduce leading teams runs, and compare the results obtained. By benchmarking our indexing and search techniques, we can statistically test a variety of hypotheses, paving the way for further research.

Despite significant progress in multimodal large language models (MLLMs), their performance on complex, multi-page document comprehension remains inadequate, largely due to the lack of high-quality, document-level datasets. While current retrieval-augmented generation (RAG) methods offer partial solutions, they suffer from issues, such as fragmented retrieval contexts, multi-stage error accumulation, and extra time costs of retrieval. In this work, we present a high-quality document-level dataset, Doc-750K, designed to support in-depth understanding of multimodal documents. This dataset includes diverse document structures, extensive cross-page dependencies, and real question-answer pairs derived from the original documents. Building on the dataset, we develop a native multimodal model, Docopilot, which can accurately handle document-level dependencies without relying on RAG. Experiments demonstrate that Docopilot achieves superior coherence, accuracy, and efficiency in document understanding tasks and multi-turn interactions, setting a new baseline for document-level multimodal understanding. Data, code, and models are released at https://github.com/OpenGVLab/Docopilot

The overwhelming volume of data generated and indexed by search engines poses a significant challenge in retrieving documents from the index efficiently and effectively. Even with a well-crafted query, several relevant documents often get buried among a multitude of competing documents, resulting in reduced accessibility or `findability' of the desired document. Consequently, it is crucial to develop a robust methodology for assessing this dimension of Information Retrieval (IR) system performance. While previous studies have focused on measuring document accessibility disregarding user queries and document relevance, there exists no metric to quantify the findability of a document within a given IR system without resorting to manual labor. This paper aims to address this gap by defining and deriving a metric to evaluate the findability of documents as perceived by end-users. Through experiments, we demonstrate the varying impact of different retrieval models and collections on the findability of documents. Furthermore, we establish the findability measure as an independent metric distinct from retrievability, an accessibility measure introduced in prior literature.

Scientific knowledge is growing rapidly, making it challenging to track progress and high-level conceptual links across broad disciplines. While existing tools like citation networks and search engines make it easy to access a few related papers, they fundamentally lack the flexible abstraction needed to represent the density of activity in various scientific subfields. We motivate SCIENCE HIERARCHOGRAPHY, the goal of organizing scientific literature into a high-quality hierarchical structure that allows for the categorization of scientific work across varying levels of abstraction, from very broad fields to very specific studies. Such a representation can provide insights into which fields are well-explored and which are under-explored. To achieve the goals of SCIENCE HIERARCHOGRAPHY, we develop a range of algorithms. Our primary approach combines fast embedding-based clustering with LLM-based prompting to balance the computational efficiency of embedding methods with the semantic precision offered by LLM prompting. We demonstrate that this approach offers the best trade-off between quality and speed compared to methods that heavily rely on LLM prompting, such as iterative tree construction with LLMs. To better reflect the interdisciplinary and multifaceted nature of research papers, our hierarchy captures multiple dimensions of categorization beyond simple topic labels. We evaluate the utility of our framework by assessing how effectively an LLM-based agent can locate target papers using the hierarchy. Results show that this structured approach enhances interpretability, supports trend discovery, and offers an alternative pathway for exploring scientific literature beyond traditional search methods. Code, data and demo: https://github.com/JHU-CLSP/science-hierarchography{https://github.com/JHU-CLSP/science-hierarchography}

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.

Document clustering is a text mining technique used to provide better document search and browsing in digital libraries or online corpora. A lot of research has been done on biomedical document clustering that is based on using existing ontology. But, associations and co-occurrences of the medical concepts are not well represented by using ontology. In this research, a vector representation of concepts of diseases and similarity measurement between concepts are proposed. They identify the closest concepts of diseases in the context of a corpus. Each document is represented by using the vector space model. A weight scheme is proposed to consider both local content and associations between concepts. A Self-Organizing Map is used as document clustering algorithm. The vector projection and visualization features of SOM enable visualization and analysis of the clusters distributions and relationships on the two dimensional space. The experimental results show that the proposed document clustering framework generates meaningful clusters and facilitate visualization of the clusters based on the concepts of diseases.

This paper proposes LayoutLLM, a more flexible document analysis method for understanding imaged documents. Visually Rich Document Understanding tasks, such as document image classification and information extraction, have gained significant attention due to their importance. Existing methods have been developed to enhance document comprehension by incorporating pre-training awareness of images, text, and layout structure. However, these methods require fine-tuning for each task and dataset, and the models are expensive to train and operate. To overcome this limitation, we propose a new LayoutLLM that integrates these with large-scale language models (LLMs). By leveraging the strengths of existing research in document image understanding and LLMs' superior language understanding capabilities, the proposed model, fine-tuned with multimodal instruction datasets, performs an understanding of document images in a single model. Our experiments demonstrate improvement over the baseline model in various document analysis tasks.

The use of visually-rich documents (VRDs) in various fields has created a demand for Document AI models that can read and comprehend documents like humans, which requires the overcoming of technical, linguistic, and cognitive barriers. Unfortunately, the lack of appropriate datasets has significantly hindered advancements in the field. To address this issue, we introduce DocTrack, a VRD dataset really aligned with human eye-movement information using eye-tracking technology. This dataset can be used to investigate the challenges mentioned above. Additionally, we explore the impact of human reading order on document understanding tasks and examine what would happen if a machine reads in the same order as a human. Our results suggest that although Document AI models have made significant progress, they still have a long way to go before they can read VRDs as accurately, continuously, and flexibly as humans do. These findings have potential implications for future research and development of Document AI models. The data is available at https://github.com/hint-lab/doctrack.

Document parsing converts visually rich documents into machine-readable structured representations, forming a crucial foundation for information systems. Although many benchmarks have been proposed for document parsing, they remain inadequate for realistic scenarios. Existing benchmarks either focus on specific tasks or assess only single-page, text-centric settings, making them insufficient for practical multi-page parsing. Moreover, they lack fine-grained evaluation of semantic continuity, hierarchical structure recovery, and visual content preservation. To address these gaps, we propose MPDocBench-Parse, a benchmark for multi-page document parsing in real-world applications. It contains 433 manually annotated documents with 3,246 pages, covering 15 document types in English and Chinese, with diverse layout styles, and supports document-level end-to-end evaluation. We further design a comprehensive protocol for content fidelity and logical structure, covering text, table, and formula recognition, truncated text and table merging, figure extraction, reading order, and heading hierarchy recovery. Experiments show that, while existing models perform well on basic text extraction, they still suffer clear limitations in semantic continuity integration, visual content parsing, and hierarchical structure recovery. MPDocBench-Parse provides a unified foundation for advancing document parsing toward more realistic scenarios.

Medical phrase grounding is crucial for identifying relevant regions in medical images based on phrase queries, facilitating accurate image analysis and diagnosis. However, current methods rely on manual extraction of key phrases from medical reports, reducing efficiency and increasing the workload for clinicians. Additionally, the lack of model confidence estimation limits clinical trust and usability. In this paper, we introduce a novel task called Medical Report Grounding (MRG), which aims to directly identify diagnostic phrases and their corresponding grounding boxes from medical reports in an end-to-end manner. To address this challenge, we propose uMedGround, a robust and reliable framework that leverages a multimodal large language model to predict diagnostic phrases by embedding a unique token, <BOX>, into the vocabulary to enhance detection capabilities. A vision encoder-decoder processes the embedded token and input image to generate grounding boxes. Critically, uMedGround incorporates an uncertainty-aware prediction model, significantly improving the robustness and reliability of grounding predictions. Experimental results demonstrate that uMedGround outperforms state-of-the-art medical phrase grounding methods and fine-tuned large visual-language models, validating its effectiveness and reliability. This study represents a pioneering exploration of the MRG task, marking the first-ever endeavor in this domain. Additionally, we demonstrate the applicability of uMedGround in medical visual question answering and class-based localization tasks, where it highlights visual evidence aligned with key diagnostic phrases, supporting clinicians in interpreting various types of textual inputs, including free-text reports, visual question answering queries, and class labels.

Chinese ancient documents, invaluable carriers of millennia of Chinese history and culture, hold rich knowledge across diverse fields but face challenges in digitization and understanding, i.e., traditional methods only scan images, while current Vision-Language Models (VLMs) struggle with their visual and linguistic complexity. Existing document benchmarks focus on English printed texts or simplified Chinese, leaving a gap for evaluating VLMs on ancient Chinese documents. To address this, we present AncientDoc, the first benchmark for Chinese ancient documents, designed to assess VLMs from OCR to knowledge reasoning. AncientDoc includes five tasks (page-level OCR, vernacular translation, reasoning-based QA, knowledge-based QA, linguistic variant QA) and covers 14 document types, over 100 books, and about 3,000 pages. Based on AncientDoc, we evaluate mainstream VLMs using multiple metrics, supplemented by a human-aligned large language model for scoring.

Does personalizing what a reader sees pay off, and where does it stop? Using a social web highlighter and a co-readership identity control (the same document highlighted by many users, which holds document and topic fixed and asks whether a person's own history predicts their marks better than another reader's does), we map the shape and limits of personalization across reading altitudes. At the document altitude we give the clean, leakage-free, identity-controlled measurement that prior next-document evaluations could only upper-bound: a person's history identifies which documents in a co-reading neighborhood are theirs, with an own-versus-other gap of +0.169 against community negatives and +0.119 against topic-matched hard negatives (both highly significant); a content-based arm suggests the signal is not purely title-driven but is largely thematic. This is comparable to the span-level selection signal (+0.14) from our prior work: the selection signal is of comparable magnitude across altitudes (+0.12 to +0.17), most of it stable topic preference. At the sentence altitude, a two-stage personalized auto-highlight (an impersonal model proposes candidates, a personal model re-ranks them) does not improve on its impersonal baseline: two off-the-shelf zero-shot LLMs, including a frontier model, predict highlight locations worse than a lead baseline, and personal re-ranking is beaten by the salience order even on the highest-recall candidate pool, so the null is not merely a Stage-1 ceiling artifact. Measurable personalization appears primarily at the selection layer: modest (~+0.13), topic-dominated, with no reliable gain at the salience layer. We also surface a control-in-negatives bias that inflated our document gap to a spurious +0.227 until audited. Going beyond the shared salience layer may be better approached by aggregating individuals than by personalizing them harder.

We present a novel method for hierarchical topic detection where topics are obtained by clustering documents in multiple ways. Specifically, we model document collections using a class of graphical models called hierarchical latent tree models (HLTMs). The variables at the bottom level of an HLTM are observed binary variables that represent the presence/absence of words in a document. The variables at other levels are binary latent variables, with those at the lowest latent level representing word co-occurrence patterns and those at higher levels representing co-occurrence of patterns at the level below. Each latent variable gives a soft partition of the documents, and document clusters in the partitions are interpreted as topics. Latent variables at high levels of the hierarchy capture long-range word co-occurrence patterns and hence give thematically more general topics, while those at low levels of the hierarchy capture short-range word co-occurrence patterns and give thematically more specific topics. Unlike LDA-based topic models, HLTMs do not refer to a document generation process and use word variables instead of token variables. They use a tree structure to model the relationships between topics and words, which is conducive to the discovery of meaningful topics and topic hierarchies.

Millions of melanocytic skin lesions are examined by pathologists each year, the majority of which concern common nevi (i.e., ordinary moles). While most of these lesions can be diagnosed in seconds, writing the corresponding pathology report is much more time-consuming. Automating part of the report writing could, therefore, alleviate the increasing workload of pathologists. In this work, we develop a vision-language model specifically for the pathology domain of cutaneous melanocytic lesions. The model follows the Contrastive Captioner framework and was trained and evaluated using a melanocytic lesion dataset of 42,512 H&E-stained whole slide images and 19,645 corresponding pathology reports. Our results show that the quality scores of model-generated reports were on par with pathologist-written reports for common nevi, assessed by an expert pathologist in a reader study. While report generation revealed to be more difficult for rare melanocytic lesion subtypes, the cross-modal retrieval performance for these cases was considerably better.