Daily Papers

When navigating in urban environments, many of the objects that need to be tracked and avoided are heavily occluded. Planning and tracking using these partial scans can be challenging. The aim of this work is to learn to complete these partial point clouds, giving us a full understanding of the object's geometry using only partial observations. Previous methods achieve this with the help of complete, ground-truth annotations of the target objects, which are available only for simulated datasets. However, such ground truth is unavailable for real-world LiDAR data. In this work, we present a self-supervised point cloud completion algorithm, PointPnCNet, which is trained only on partial scans without assuming access to complete, ground-truth annotations. Our method achieves this via inpainting. We remove a portion of the input data and train the network to complete the missing region. As it is difficult to determine which regions were occluded in the initial cloud and which were synthetically removed, our network learns to complete the full cloud, including the missing regions in the initial partial cloud. We show that our method outperforms previous unsupervised and weakly-supervised methods on both the synthetic dataset, ShapeNet, and real-world LiDAR dataset, Semantic KITTI.

3D reconstruction techniques have widely been used for digital documentation of archaeological fragments. However, efficient digital capture of fragments remains as a challenge. In this work, we aim to develop a portable, high-throughput, and accurate reconstruction system for efficient digitization of fragments excavated in archaeological sites. To realize high-throughput digitization of large numbers of objects, an effective strategy is to perform scanning and reconstruction in batches. However, effective batch-based scanning and reconstruction face two key challenges: 1) how to correlate partial scans of the same object from multiple batch scans, and 2) how to register and reconstruct complete models from partial scans that exhibit only small overlaps. To tackle these two challenges, we develop a new batch-based matching algorithm that pairs the front and back sides of the fragments, and a new Bilateral Boundary ICP algorithm that can register partial scans sharing very narrow overlapping regions. Extensive validation in labs and testing in excavation sites demonstrate that these designs enable efficient batch-based scanning for fragments. We show that such a batch-based scanning and reconstruction pipeline can have immediate applications on digitizing sherds in archaeological excavations. Our project page: https://jiepengwang.github.io/FIRES/.

A key step in any scanning-based asset creation workflow is to convert unordered point clouds to a surface. Classical methods (e.g., Poisson reconstruction) start to degrade in the presence of noisy and partial scans. Hence, deep learning based methods have recently been proposed to produce complete surfaces, even from partial scans. However, such data-driven methods struggle to generalize to new shapes with large geometric and topological variations. We present Points2Surf, a novel patch-based learning framework that produces accurate surfaces directly from raw scans without normals. Learning a prior over a combination of detailed local patches and coarse global information improves generalization performance and reconstruction accuracy. Our extensive comparison on both synthetic and real data demonstrates a clear advantage of our method over state-of-the-art alternatives on previously unseen classes (on average, Points2Surf brings down reconstruction error by 30\% over SPR and by 270\%+ over deep learning based SotA methods) at the cost of longer computation times and a slight increase in small-scale topological noise in some cases. Our source code, pre-trained model, and dataset are available on: https://github.com/ErlerPhilipp/points2surf

In this paper, we propose U-RED, an Unsupervised shape REtrieval and Deformation pipeline that takes an arbitrary object observation as input, typically captured by RGB images or scans, and jointly retrieves and deforms the geometrically similar CAD models from a pre-established database to tightly match the target. Considering existing methods typically fail to handle noisy partial observations, U-RED is designed to address this issue from two aspects. First, since one partial shape may correspond to multiple potential full shapes, the retrieval method must allow such an ambiguous one-to-many relationship. Thereby U-RED learns to project all possible full shapes of a partial target onto the surface of a unit sphere. Then during inference, each sampling on the sphere will yield a feasible retrieval. Second, since real-world partial observations usually contain noticeable noise, a reliable learned metric that measures the similarity between shapes is necessary for stable retrieval. In U-RED, we design a novel point-wise residual-guided metric that allows noise-robust comparison. Extensive experiments on the synthetic datasets PartNet, ComplementMe and the real-world dataset Scan2CAD demonstrate that U-RED surpasses existing state-of-the-art approaches by 47.3%, 16.7% and 31.6% respectively under Chamfer Distance.

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.

Reconstructing medical images from partial measurements is an important inverse problem in Computed Tomography (CT) and Magnetic Resonance Imaging (MRI). Existing solutions based on machine learning typically train a model to directly map measurements to medical images, leveraging a training dataset of paired images and measurements. These measurements are typically synthesized from images using a fixed physical model of the measurement process, which hinders the generalization capability of models to unknown measurement processes. To address this issue, we propose a fully unsupervised technique for inverse problem solving, leveraging the recently introduced score-based generative models. Specifically, we first train a score-based generative model on medical images to capture their prior distribution. Given measurements and a physical model of the measurement process at test time, we introduce a sampling method to reconstruct an image consistent with both the prior and the observed measurements. Our method does not assume a fixed measurement process during training, and can thus be flexibly adapted to different measurement processes at test time. Empirically, we observe comparable or better performance to supervised learning techniques in several medical imaging tasks in CT and MRI, while demonstrating significantly better generalization to unknown measurement processes.

Precision medicine, such as patient-adaptive treatments assisted by medical image analysis, poses new challenges for segmentation algorithms in adapting to new patients, due to the large variability across different patients and the limited availability of annotated data for each patient. In this work, we propose a data-efficient segmentation algorithm, namely Part-aware Prompted Segment Anything Model (P^2SAM). Without any model fine-tuning, P^2SAM enables seamless adaptation to any new patients relying only on one-shot patient-specific data. We introduce a novel part-aware prompt mechanism to select multiple-point prompts based on the part-level features of the one-shot data, which can be extensively integrated into different promptable segmentation models, such as SAM and SAM 2. Moreover, to determine the optimal number of parts for each specific case, we propose a distribution-guided retrieval approach that further enhances the robustness of the part-aware prompt mechanism. P^2SAM improves the performance by +8.0% and +2.0% mean Dice score for two different patient-adaptive segmentation applications, respectively. In addition, P^2SAM also exhibits impressive generalizability in other adaptive segmentation tasks in the natural image domain, e.g., +6.4% mIoU within personalized object segmentation task. The code is available at: https://github.com/Zch0414/p2sam

In recent years, visually-rich document understanding has attracted increasing attention. Transformer-based pre-trained models have become the mainstream approach, yielding significant performance gains in this field. However, the self-attention mechanism's quadratic computational complexity hinders their efficiency and ability to process long documents. In this paper, we present DocMamba, a novel framework based on the state space model. It is designed to reduce computational complexity to linear while preserving global modeling capabilities. To further enhance its effectiveness in document processing, we introduce the Segment-First Bidirectional Scan (SFBS) to capture contiguous semantic information. Experimental results demonstrate that DocMamba achieves new state-of-the-art results on downstream datasets such as FUNSD, CORD, and SORIE, while significantly improving speed and reducing memory usage. Notably, experiments on the HRDoc confirm DocMamba's potential for length extrapolation. The code will be available online.

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

The field of medical image segmentation is hindered by the scarcity of large, publicly available annotated datasets. Not all datasets are made public for privacy reasons, and creating annotations for a large dataset is time-consuming and expensive, as it requires specialized expertise to accurately identify regions of interest (ROIs) within the images. To address these challenges, we evaluate the performance of the Segment Anything Model (SAM) as an annotation tool for medical data by using it to produce so-called "pseudo labels" on the Medical Segmentation Decathlon (MSD) computed tomography (CT) tasks. The pseudo labels are then used in place of ground truth labels to train a UNet model in a weakly-supervised manner. We experiment with different prompt types on SAM and find that the bounding box prompt is a simple yet effective method for generating pseudo labels. This method allows us to develop a weakly-supervised model that performs comparably to a fully supervised model.

PanTS is a large-scale, multi-institutional dataset curated to advance research in pancreatic CT analysis. It contains 36,390 CT scans from 145 medical centers, with expert-validated, voxel-wise annotations of over 993,000 anatomical structures, covering pancreatic tumors, pancreas head, body, and tail, and 24 surrounding anatomical structures such as vascular/skeletal structures and abdominal/thoracic organs. Each scan includes metadata such as patient age, sex, diagnosis, contrast phase, in-plane spacing, slice thickness, etc. AI models trained on PanTS achieve significantly better performance in pancreatic tumor detection, localization, and segmentation compared to those trained on existing public datasets. Our analysis indicates that these gains are directly attributable to the 16x larger-scale tumor annotations and indirectly supported by the 24 additional surrounding anatomical structures. As the largest and most comprehensive resource of its kind, PanTS offers a new benchmark for developing and evaluating AI models in pancreatic CT analysis.

Scientific paper retrieval, particularly framed as document-to-document retrieval, aims to identify relevant papers in response to a long-form query paper, rather than a short query string. Previous approaches to this task have focused on abstracts, embedding them into dense vectors as surrogates for full documents and calculating similarity across them, although abstracts provide only sparse and high-level summaries. To address this, we propose PRISM, a novel document-to-document retrieval method that introduces multiple, fine-grained representations for both the query and candidate papers. In particular, each query paper is decomposed into multiple aspect-specific views and individually embedded, which are then matched against candidate papers similarity segmented to consider their multifaceted dimensions. Moreover, we present SciFullBench, a novel benchmark in which the complete and segmented context of full papers for both queries and candidates is available. Then, experimental results show that PRISM improves performance by an average of 4.3% over existing retrieval baselines.

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

The rapid increase of computed tomography (CT) scans and their time-consuming manual analysis have created an urgent need for robust automated analysis techniques in clinical settings. These aim to assist radiologists and help them managing their growing workload. Existing methods typically generate entire reports directly from 3D CT images, without explicitly focusing on observed abnormalities. This unguided approach often results in repetitive content or incomplete reports, failing to prioritize anomaly-specific descriptions. We propose a new anomaly-guided report generation model, which first predicts abnormalities and then generates targeted descriptions for each. Evaluation on a public dataset demonstrates significant improvements in report quality and clinical relevance. We extend our work by conducting an ablation study to demonstrate its effectiveness.

Retrieval models are often evaluated on partially-annotated datasets. Each query is mapped to a few relevant texts and the remaining corpus is assumed to be irrelevant. As a result, models that successfully retrieve false negatives are punished in evaluation. Unfortunately, completely annotating all texts for every query is not resource efficient. In this work, we show that using partially-annotated datasets in evaluation can paint a distorted picture. We curate D-MERIT, a passage retrieval evaluation set from Wikipedia, aspiring to contain all relevant passages for each query. Queries describe a group (e.g., ``journals about linguistics'') and relevant passages are evidence that entities belong to the group (e.g., a passage indicating that Language is a journal about linguistics). We show that evaluating on a dataset containing annotations for only a subset of the relevant passages might result in misleading ranking of the retrieval systems and that as more relevant texts are included in the evaluation set, the rankings converge. We propose our dataset as a resource for evaluation and our study as a recommendation for balance between resource-efficiency and reliable evaluation when annotating evaluation sets for text retrieval.

Large language models (LLMs) inevitably exhibit hallucinations since the accuracy of generated texts cannot be secured solely by the parametric knowledge they encapsulate. Although retrieval-augmented generation (RAG) is a practicable complement to LLMs, it relies heavily on the relevance of retrieved documents, raising concerns about how the model behaves if retrieval goes wrong. To this end, we propose the Corrective Retrieval Augmented Generation (CRAG) to improve the robustness of generation. Specifically, a lightweight retrieval evaluator is designed to assess the overall quality of retrieved documents for a query, returning a confidence degree based on which different knowledge retrieval actions can be triggered. Since retrieval from static and limited corpora can only return sub-optimal documents, large-scale web searches are utilized as an extension for augmenting the retrieval results. Besides, a decompose-then-recompose algorithm is designed for retrieved documents to selectively focus on key information and filter out irrelevant information in them. CRAG is plug-and-play and can be seamlessly coupled with various RAG-based approaches. Experiments on four datasets covering short- and long-form generation tasks show that CRAG can significantly improve the performance of RAG-based approaches.

This paper studies fast fusion of dense retrieval and sparse lexical retrieval, and proposes a cluster-based selective dense retrieval method called CluSD guided by sparse lexical retrieval. CluSD takes a lightweight cluster-based approach and exploits the overlap of sparse retrieval results and embedding clusters in a two-stage selection process with an LSTM model to quickly identify relevant clusters while incurring limited extra memory space overhead. CluSD triggers partial dense retrieval and performs cluster-based block disk I/O if needed. This paper evaluates CluSD and compares it with several baselines for searching in-memory and on-disk MS MARCO and BEIR datasets.

Retrieval-augmented generation (RAG) has become a transformative approach for enhancing large language models (LLMs) by grounding their outputs in external knowledge sources. Yet, a critical question persists: how can vast volumes of external knowledge be managed effectively within the input constraints of LLMs? Traditional methods address this by chunking external documents into smaller, fixed-size segments. While this approach alleviates input limitations, it often fragments context, resulting in incomplete retrieval and diminished coherence in generation. To overcome these shortcomings, two advanced techniques, late chunking and contextual retrieval, have been introduced, both aiming to preserve global context. Despite their potential, their comparative strengths and limitations remain unclear. This study presents a rigorous analysis of late chunking and contextual retrieval, evaluating their effectiveness and efficiency in optimizing RAG systems. Our results indicate that contextual retrieval preserves semantic coherence more effectively but requires greater computational resources. In contrast, late chunking offers higher efficiency but tends to sacrifice relevance and completeness.

Augmenting LLMs with context leads to improved performance across many applications. Despite much research on Retrieval Augmented Generation (RAG) systems, an open question is whether errors arise because LLMs fail to utilize the context from retrieval or the context itself is insufficient to answer the query. To shed light on this, we develop a new notion of sufficient context, along with a way to classify instances that have enough information to answer the query. We then use sufficient context to analyze several models and datasets. By stratifying errors based on context sufficiency, we find that proprietary LLMs (Gemini, GPT, Claude) excel at answering queries when the context is sufficient, but often output incorrect answers instead of abstaining when the context is not. On the other hand, open-source LLMs (Llama, Mistral, Gemma) hallucinate or abstain often, even with sufficient context. We further categorize cases when the context is useful, and improves accuracy, even though it does not fully answer the query and the model errs without the context. Building on our findings, we explore ways to reduce hallucinations in RAG systems, including a new selective generation method that leverages sufficient context information for guided abstention. Our method improves the fraction of correct answers among times where the model responds by 2-10% for Gemini, GPT, and Gemma.

Endorectal ultrasound (ERUS) is an important imaging modality that provides high reliability for diagnosing the depth and boundary of invasion in colorectal cancer. However, the lack of a large-scale ERUS dataset with high-quality annotations hinders the development of automatic ultrasound diagnostics. In this paper, we collected and annotated the first benchmark dataset that covers diverse ERUS scenarios, i.e. colorectal cancer segmentation, detection, and infiltration depth staging. Our ERUS-10K dataset comprises 77 videos and 10,000 high-resolution annotated frames. Based on this dataset, we further introduce a benchmark model for colorectal cancer segmentation, named the Adaptive Sparse-context TRansformer (ASTR). ASTR is designed based on three considerations: scanning mode discrepancy, temporal information, and low computational complexity. For generalizing to different scanning modes, the adaptive scanning-mode augmentation is proposed to convert between raw sector images and linear scan ones. For mining temporal information, the sparse-context transformer is incorporated to integrate inter-frame local and global features. For reducing computational complexity, the sparse-context block is introduced to extract contextual features from auxiliary frames. Finally, on the benchmark dataset, the proposed ASTR model achieves a 77.6% Dice score in rectal cancer segmentation, largely outperforming previous state-of-the-art methods.

Retrieval-Augmented Generation (RAG) enhances language models by retrieving and incorporating relevant external knowledge. However, traditional retrieve-and-generate processes may not be optimized for real-world scenarios, where queries might require multiple retrieval steps or none at all. In this paper, we propose a Probing-RAG, which utilizes the hidden state representations from the intermediate layers of language models to adaptively determine the necessity of additional retrievals for a given query. By employing a pre-trained prober, Probing-RAG effectively captures the model's internal cognition, enabling reliable decision-making about retrieving external documents. Experimental results across five open-domain QA datasets demonstrate that Probing-RAG outperforms previous methods while reducing the number of redundant retrieval steps.

We focus on electronic theses and dissertations (ETDs), aiming to improve access and expand their utility, since more than 6 million are publicly available, and they constitute an important corpus to aid research and education across disciplines. The corpus is growing as new born-digital documents are included, and since millions of older theses and dissertations have been converted to digital form to be disseminated electronically in institutional repositories. In ETDs, as with other scholarly works, figures and tables can communicate a large amount of information in a concise way. Although methods have been proposed for extracting figures and tables from born-digital PDFs, they do not work well with scanned ETDs. Considering this problem, our assessment of state-of-the-art figure extraction systems is that the reason they do not function well on scanned PDFs is that they have only been trained on born-digital documents. To address this limitation, we present ScanBank, a new dataset containing 10 thousand scanned page images, manually labeled by humans as to the presence of the 3.3 thousand figures or tables found therein. We use this dataset to train a deep neural network model based on YOLOv5 to accurately extract figures and tables from scanned ETDs. We pose and answer important research questions aimed at finding better methods for figure extraction from scanned documents. One of those concerns the value for training, of data augmentation techniques applied to born-digital documents which are used to train models better suited for figure extraction from scanned documents. To the best of our knowledge, ScanBank is the first manually annotated dataset for figure and table extraction for scanned ETDs. A YOLOv5-based model, trained on ScanBank, outperforms existing comparable open-source and freely available baseline methods by a considerable margin.

Retrieval-augmented Generation (RAG) has primarily been studied in limited settings, such as factoid question answering; more challenging, reasoning-intensive benchmarks have seen limited success from minimal RAG. In this work, we challenge this prevailing view on established, reasoning-intensive benchmarks: MMLU, MMLU Pro, AGI Eval, GPQA, and MATH. We identify a key missing component in prior work: a usable, web-scale datastore aligned with the breadth of pretraining data. To this end, we introduce CompactDS: a diverse, high-quality, web-scale datastore that achieves high retrieval accuracy and subsecond latency on a single-node. The key insights are (1) most web content can be filtered out without sacrificing coverage, and a compact, high-quality subset is sufficient; and (2) combining in-memory approximate nearest neighbor (ANN) retrieval and on-disk exact search balances speed and recall. Using CompactDS, we show that a minimal RAG pipeline achieves consistent accuracy improvements across all benchmarks and model sizes (8B--70B), with relative gains of 10% on MMLU, 33% on MMLU Pro, 14% on GPQA, and 19% on MATH. No single data source suffices alone, highlighting the importance of diversity of sources (web crawls, curated math, academic papers, textbooks). Finally, we show that our carefully designed in-house datastore matches or outperforms web search engines such as Google Search, as well as recently proposed, complex agent-based RAG systems--all while maintaining simplicity, reproducibility, and self-containment. We release CompactDS and our retrieval pipeline, supporting future research exploring retrieval-based AI systems.

In this study, we aim to build up a model that can Segment Anything in radiology scans, driven by medical terminologies as Text prompts, termed as SAT. Our main contributions are three folds: (i) for dataset construction, we construct the first multi-modal knowledge tree on human anatomy, including 6502 anatomical terminologies; Then, we build up the largest and most comprehensive segmentation dataset for training, by collecting over 22K 3D medical image scans from72 segmentation datasets, across 497 classes, with careful standardization on both image scans and label space; (ii) for architecture design, we propose to inject medical knowledge into a text encoder via contrastive learning, and then formulate a universal segmentation model, that can be prompted by feeding in medical terminologies in text form; (iii) As a result, we have trained SAT-Nano (110M parameters) and SAT-Pro (447M parameters), demonstrating superior or comparable performance to 72 specialist models, i.e., nnU-Nets, U-Mamba or SwinUNETR, trained on each dataset/subsets. We validate SAT as a foundational segmentation model, with better generalization on external (cross-center) datasets, and can be further improved on specific tasks after fine-tuning adaptation. Comparing with state-of-the-art interactive segmentation model MedSAM, SAT demonstrate superior performance, scalability and robustness. We further compare SAT with BiomedParse, and observe SAT is significantly superior in both internal and external evaluation. Through extensive ablation study, we validate the benefit of domain knowledge on universal segmentation, especially on tail categories. As a use case, we demonstrate that SAT can act as a powerful out-of-the-box agent for large language models, enabling visual grounding in versatile application scenarios. All the data, codes, and models in this work have been released.

We have created a dataset of more than ten thousand 3D scans of real objects. To create the dataset, we recruited 70 operators, equipped them with consumer-grade mobile 3D scanning setups, and paid them to scan objects in their environments. The operators scanned objects of their choosing, outside the laboratory and without direct supervision by computer vision professionals. The result is a large and diverse collection of object scans: from shoes, mugs, and toys to grand pianos, construction vehicles, and large outdoor sculptures. We worked with an attorney to ensure that data acquisition did not violate privacy constraints. The acquired data was irrevocably placed in the public domain and is available freely at http://redwood-data.org/3dscan .

Retrieval-Augmented Generation (RAG) systems using large language models (LLMs) often generate inaccurate responses due to the retrieval of irrelevant or loosely related information. Existing methods, which operate at the document level, fail to effectively filter out such content. We propose LLM-driven chunk filtering, ChunkRAG, a framework that enhances RAG systems by evaluating and filtering retrieved information at the chunk level. Our approach employs semantic chunking to divide documents into coherent sections and utilizes LLM-based relevance scoring to assess each chunk's alignment with the user's query. By filtering out less pertinent chunks before the generation phase, we significantly reduce hallucinations and improve factual accuracy. Experiments show that our method outperforms existing RAG models, achieving higher accuracy on tasks requiring precise information retrieval. This advancement enhances the reliability of RAG systems, making them particularly beneficial for applications like fact-checking and multi-hop reasoning.

Tasking machines with understanding receipts can have important applications such as enabling detailed analytics on purchases, enforcing expense policies, and inferring patterns of purchase behavior on large collections of receipts. In this paper, we focus on the task of Named Entity Linking (NEL) of scanned receipt line items; specifically, the task entails associating shorthand text from OCR'd receipts with a knowledge base (KB) of grocery products. For example, the scanned item "STO BABY SPINACH" should be linked to the catalog item labeled "Simple Truth Organic Baby Spinach". Experiments that employ a variety of Information Retrieval techniques in combination with statistical phrase detection shows promise for effective understanding of scanned receipt data.

The performance of Retrieval Augmented Generation (RAG) systems relies heavily on the retriever quality and the size of the retrieved context. A large enough context ensures that the relevant information is present in the input context for the LLM, but also incorporates irrelevant content that has been shown to confuse the models. On the other hand, a smaller context reduces the irrelevant information, but it often comes at the risk of losing important information necessary to answer the input question. This duality is especially challenging to manage for complex queries that contain little information to retrieve the relevant chunks from the full context. To address this, we present a novel framework, called FB-RAG, which enhances the RAG pipeline by relying on a combination of backward lookup (overlap with the query) and forward lookup (overlap with candidate reasons and answers) to retrieve specific context chunks that are the most relevant for answering the input query. Our evaluations on 9 datasets from two leading benchmarks show that FB-RAG consistently outperforms RAG and Long Context baselines developed recently for these benchmarks. We further show that FB-RAG can improve performance while reducing latency. We perform qualitative analysis of the strengths and shortcomings of our approach, providing specific insights to guide future work.

Retrieval-Augmented Generation (RAG) has been shown to improve knowledge capabilities and alleviate the hallucination problem of LLMs. The Web is a major source of external knowledge used in RAG systems, and many commercial systems such as ChatGPT and Perplexity have used Web search engines as their major retrieval systems. Typically, such RAG systems retrieve search results, download HTML sources of the results, and then extract plain texts from the HTML sources. Plain text documents or chunks are fed into the LLMs to augment the generation. However, much of the structural and semantic information inherent in HTML, such as headings and table structures, is lost during this plain-text-based RAG process. To alleviate this problem, we propose HtmlRAG, which uses HTML instead of plain text as the format of retrieved knowledge in RAG. We believe HTML is better than plain text in modeling knowledge in external documents, and most LLMs possess robust capacities to understand HTML. However, utilizing HTML presents new challenges. HTML contains additional content such as tags, JavaScript, and CSS specifications, which bring extra input tokens and noise to the RAG system. To address this issue, we propose HTML cleaning, compression, and pruning strategies, to shorten the HTML while minimizing the loss of information. Specifically, we design a two-step block-tree-based pruning method that prunes useless HTML blocks and keeps only the relevant part of the HTML. Experiments on six QA datasets confirm the superiority of using HTML in RAG systems.

BACKGROUND: Radiology reports are typically written in a free-text format, making clinical information difficult to extract and use. Recently the adoption of structured reporting (SR) has been recommended by various medical societies thanks to the advantages it offers, e.g. standardization, completeness and information retrieval. We propose a pipeline to extract information from free-text radiology reports, that fits with the items of the reference SR registry proposed by a national society of interventional and medical radiology, focusing on CT staging of patients with lymphoma. METHODS: Our work aims to leverage the potential of Natural Language Processing (NLP) and Transformer-based models to deal with automatic SR registry filling. With the availability of 174 radiology reports, we investigate a rule-free generative Question Answering approach based on a domain-specific version of T5 (IT5). Two strategies (batch-truncation and ex-post combination) are implemented to comply with the model's context length limitations. Performance is evaluated in terms of strict accuracy, F1, and format accuracy, and compared with the widely used GPT-3.5 Large Language Model. A 5-point Likert scale questionnaire is used to collect human-expert feedback on the similarity between medical annotations and generated answers. RESULTS: The combination of fine-tuning and batch splitting allows IT5 to achieve notable results; it performs on par with GPT-3.5 albeit its size being a thousand times smaller in terms of parameters. Human-based assessment scores show a high correlation (Spearman's correlation coefficients>0.88, p-values<0.001) with AI performance metrics (F1) and confirm the superior ability of LLMs (i.e., GPT-3.5, 175B of parameters) in generating plausible human-like statements.

Large Language Models (LLMs) have demonstrated remarkable generation capabilities but often struggle to access up-to-date information, which can lead to hallucinations. Retrieval-Augmented Generation (RAG) addresses this issue by incorporating knowledge from external databases, enabling more accurate and relevant responses. Due to the context window constraints of LLMs, it is impractical to input the entire external database context directly into the model. Instead, only the most relevant information, referred to as chunks, is selectively retrieved. However, current RAG research faces three key challenges. First, existing solutions often select each chunk independently, overlooking potential correlations among them. Second, in practice the utility of chunks is non-monotonic, meaning that adding more chunks can decrease overall utility. Traditional methods emphasize maximizing the number of included chunks, which can inadvertently compromise performance. Third, each type of user query possesses unique characteristics that require tailored handling, an aspect that current approaches do not fully consider. To overcome these challenges, we propose a cost constrained retrieval optimization system CORAG for retrieval-augmented generation. We employ a Monte Carlo Tree Search (MCTS) based policy framework to find optimal chunk combinations sequentially, allowing for a comprehensive consideration of correlations among chunks. Additionally, rather than viewing budget exhaustion as a termination condition, we integrate budget constraints into the optimization of chunk combinations, effectively addressing the non-monotonicity of chunk utility.

Large language models (LLMs) have demonstrated remarkable capabilities in various domains, including radiology report generation. Previous approaches have attempted to utilize multimodal LLMs for this task, enhancing their performance through the integration of domain-specific knowledge retrieval. However, these approaches often overlook the knowledge already embedded within the LLMs, leading to redundant information integration and inefficient utilization of learned representations. To address this limitation, we propose RADAR, a framework for enhancing radiology report generation with supplementary knowledge injection. RADAR improves report generation by systematically leveraging both the internal knowledge of an LLM and externally retrieved information. Specifically, it first extracts the model's acquired knowledge that aligns with expert image-based classification outputs. It then retrieves relevant supplementary knowledge to further enrich this information. Finally, by aggregating both sources, RADAR generates more accurate and informative radiology reports. Extensive experiments on MIMIC-CXR, CheXpert-Plus, and IU X-ray demonstrate that our model outperforms state-of-the-art LLMs in both language quality and clinical accuracy

The rapid advancement of Artificial Intelligence (AI) in biomedical imaging and radiotherapy is hindered by the limited availability of large imaging data repositories. With recent research and improvements in denoising diffusion probabilistic models (DDPM), high quality synthetic medical scans are now possible. Despite this, there is currently no way of generating multiple related images, such as a corresponding ground truth which can be used to train models, so synthetic scans are often manually annotated before use. This research introduces a novel architecture that is able to generate multiple, related PET-CT-tumour mask pairs using paired networks and conditional encoders. Our approach includes innovative, time step-controlled mechanisms and a `noise-seeding' strategy to improve DDPM sampling consistency. While our model requires a modified perceptual loss function to ensure accurate feature alignment we show generation of clearly aligned synthetic images and improvement in segmentation accuracy with generated images.

Automated interpretation of CT images-particularly localizing and describing abnormal findings across multi-plane and whole-body scans-remains a significant challenge in clinical radiology. This work aims to address this challenge through four key contributions: (i) On taxonomy, we collaborate with senior radiologists to propose a comprehensive hierarchical classification system, with 404 representative abnormal findings across all body regions; (ii) On data, we contribute a dataset containing over 14.5K CT images from multiple planes and all human body regions, and meticulously provide grounding annotations for over 19K abnormalities, each linked to the detailed description and cast into the taxonomy; (iii) On model development, we propose OminiAbnorm-CT, which can automatically ground and describe abnormal findings on multi-plane and whole-body CT images based on text queries, while also allowing flexible interaction through visual prompts; (iv) On benchmarks, we establish three representative evaluation tasks based on real clinical scenarios. Through extensive experiments, we show that OminiAbnorm-CT can significantly outperform existing methods on all the tasks and metrics.

Automated radiology report generation offers an effective solution to alleviate radiologists' workload. However, most existing methods focus primarily on single or fixed-view images to model current disease conditions, which limits diagnostic accuracy and overlooks disease progression. Although some approaches utilize longitudinal data to track disease progression, they still rely on single images to analyze current visits. To address these issues, we propose enhanced contrastive learning with Multi-view Longitudinal data to facilitate chest X-ray Report Generation, named MLRG. Specifically, we introduce a multi-view longitudinal contrastive learning method that integrates spatial information from current multi-view images and temporal information from longitudinal data. This method also utilizes the inherent spatiotemporal information of radiology reports to supervise the pre-training of visual and textual representations. Subsequently, we present a tokenized absence encoding technique to flexibly handle missing patient-specific prior knowledge, allowing the model to produce more accurate radiology reports based on available prior knowledge. Extensive experiments on MIMIC-CXR, MIMIC-ABN, and Two-view CXR datasets demonstrate that our MLRG outperforms recent state-of-the-art methods, achieving a 2.3% BLEU-4 improvement on MIMIC-CXR, a 5.5% F1 score improvement on MIMIC-ABN, and a 2.7% F1 RadGraph improvement on Two-view CXR.

With over 85 million CT scans performed annually in the United States, creating tumor-related reports is a challenging and time-consuming task for radiologists. To address this need, we present RadGPT, an Anatomy-Aware Vision-Language AI Agent for generating detailed reports from CT scans. RadGPT first segments tumors, including benign cysts and malignant tumors, and their surrounding anatomical structures, then transforms this information into both structured reports and narrative reports. These reports provide tumor size, shape, location, attenuation, volume, and interactions with surrounding blood vessels and organs. Extensive evaluation on unseen hospitals shows that RadGPT can produce accurate reports, with high sensitivity/specificity for small tumor (<2 cm) detection: 80/73% for liver tumors, 92/78% for kidney tumors, and 77/77% for pancreatic tumors. For large tumors, sensitivity ranges from 89% to 97%. The results significantly surpass the state-of-the-art in abdominal CT report generation. RadGPT generated reports for 17 public datasets. Through radiologist review and refinement, we have ensured the reports' accuracy, and created the first publicly available image-text 3D medical dataset, comprising over 1.8 million text tokens and 2.7 million images from 9,262 CT scans, including 2,947 tumor scans/reports of 8,562 tumor instances. Our reports can: (1) localize tumors in eight liver sub-segments and three pancreatic sub-segments annotated per-voxel; (2) determine pancreatic tumor stage (T1-T4) in 260 reports; and (3) present individual analyses of multiple tumors--rare in human-made reports. Importantly, 948 of the reports are for early-stage tumors.

Efficient, reliable and reproducible target volume delineation is a key step in the effective planning of breast radiotherapy. However, post-operative breast target delineation is challenging as the contrast between the tumor bed volume (TBV) and normal breast tissue is relatively low in CT images. In this study, we propose to mimic the marker-guidance procedure in manual target delineation. We developed a saliency-based deep learning segmentation (SDL-Seg) algorithm for accurate TBV segmentation in post-operative breast irradiation. The SDL-Seg algorithm incorporates saliency information in the form of markers' location cues into a U-Net model. The design forces the model to encode the location-related features, which underscores regions with high saliency levels and suppresses low saliency regions. The saliency maps were generated by identifying markers on CT images. Markers' locations were then converted to probability maps using a distance-transformation coupled with a Gaussian filter. Subsequently, the CT images and the corresponding saliency maps formed a multi-channel input for the SDL-Seg network. Our in-house dataset was comprised of 145 prone CT images from 29 post-operative breast cancer patients, who received 5-fraction partial breast irradiation (PBI) regimen on GammaPod. The performance of the proposed method was compared against basic U-Net. Our model achieved mean (standard deviation) of 76.4 %, 6.76 mm, and 1.9 mm for DSC, HD95, and ASD respectively on the test set with computation time of below 11 seconds per one CT volume. SDL-Seg showed superior performance relative to basic U-Net for all the evaluation metrics while preserving low computation cost. The findings demonstrate that SDL-Seg is a promising approach for improving the efficiency and accuracy of the on-line treatment planning procedure of PBI, such as GammaPod based PBI.

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.

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.

Retrieval-augmented generation (RAG) effectively addresses issues of static knowledge and hallucination in large language models. Existing studies mostly focus on question scenarios with clear user intents and concise answers. However, it is prevalent that users issue broad, open-ended queries with diverse sub-intents, for which they desire rich and long-form answers covering multiple relevant aspects. To tackle this important yet underexplored problem, we propose a novel RAG framework, namely RichRAG. It includes a sub-aspect explorer to identify potential sub-aspects of input questions, a multi-faceted retriever to build a candidate pool of diverse external documents related to these sub-aspects, and a generative list-wise ranker, which is a key module to provide the top-k most valuable documents for the final generator. These ranked documents sufficiently cover various query aspects and are aware of the generator's preferences, hence incentivizing it to produce rich and comprehensive responses for users. The training of our ranker involves a supervised fine-tuning stage to ensure the basic coverage of documents, and a reinforcement learning stage to align downstream LLM's preferences to the ranking of documents. Experimental results on two publicly available datasets prove that our framework effectively and efficiently provides comprehensive and satisfying responses to users.

The emergent abilities of large language models (LLMs) have demonstrated great potential in solving medical questions. They can possess considerable medical knowledge, but may still hallucinate and are inflexible in the knowledge updates. While Retrieval-Augmented Generation (RAG) has been proposed to enhance the medical question-answering capabilities of LLMs with external knowledge bases, it may still fail in complex cases where multiple rounds of information-seeking are required. To address such an issue, we propose iterative RAG for medicine (i-MedRAG), where LLMs can iteratively ask follow-up queries based on previous information-seeking attempts. In each iteration of i-MedRAG, the follow-up queries will be answered by a vanilla RAG system and they will be further used to guide the query generation in the next iteration. Our experiments show the improved performance of various LLMs brought by i-MedRAG compared with vanilla RAG on complex questions from clinical vignettes in the United States Medical Licensing Examination (USMLE), as well as various knowledge tests in the Massive Multitask Language Understanding (MMLU) dataset. Notably, our zero-shot i-MedRAG outperforms all existing prompt engineering and fine-tuning methods on GPT-3.5, achieving an accuracy of 69.68\% on the MedQA dataset. In addition, we characterize the scaling properties of i-MedRAG with different iterations of follow-up queries and different numbers of queries per iteration. Our case studies show that i-MedRAG can flexibly ask follow-up queries to form reasoning chains, providing an in-depth analysis of medical questions. To the best of our knowledge, this is the first-of-its-kind study on incorporating follow-up queries into medical RAG.

Information Retrieval using dense low-dimensional representations recently became popular and showed out-performance to traditional sparse-representations like BM25. However, no previous work investigated how dense representations perform with large index sizes. We show theoretically and empirically that the performance for dense representations decreases quicker than sparse representations for increasing index sizes. In extreme cases, this can even lead to a tipping point where at a certain index size sparse representations outperform dense representations. We show that this behavior is tightly connected to the number of dimensions of the representations: The lower the dimension, the higher the chance for false positives, i.e. returning irrelevant documents.

Recent neural retrieval mainly focuses on ranking short texts and is challenged with long documents. Existing work mainly evaluates either ranking passages or whole documents. However, there are many cases where the users want to find a relevant passage within a long document from a huge corpus, e.g. legal cases, research papers, etc. In this scenario, the passage often provides little document context and thus challenges the current approaches to finding the correct document and returning accurate results. To fill this gap, we propose and name this task Document-Aware Passage Retrieval (DAPR) and build a benchmark including multiple datasets from various domains, covering both DAPR and whole-document retrieval. In experiments, we extend the state-of-the-art neural passage retrievers with document-level context via different approaches including prepending document summary, pooling over passage representations, and hybrid retrieval with BM25. The hybrid-retrieval systems, the overall best, can only improve on the DAPR tasks marginally while significantly improving on the document-retrieval tasks. This motivates further research in developing better retrieval systems for the new task. The code and the data are available at https://github.com/kwang2049/dapr

Large Language Models (LLMs) have shown remarkable capabilities in general domains but often struggle with tasks requiring specialized knowledge. Conventional Retrieval-Augmented Generation (RAG) techniques typically retrieve external information from static knowledge bases, which can be outdated or incomplete, missing fine-grained clinical details essential for accurate medical question answering. In this work, we propose SearchRAG, a novel framework that overcomes these limitations by leveraging real-time search engines. Our method employs synthetic query generation to convert complex medical questions into search-engine-friendly queries and utilizes uncertainty-based knowledge selection to filter and incorporate the most relevant and informative medical knowledge into the LLM's input. Experimental results demonstrate that our method significantly improves response accuracy in medical question answering tasks, particularly for complex questions requiring detailed and up-to-date knowledge.

Radiology reports are one of the main forms of communication between radiologists and other clinicians and contain important information for patient care. In order to use this information for research and automated patient care programs, it is necessary to convert the raw text into structured data suitable for analysis. State-of-the-art natural language processing (NLP) domain-specific contextual word embeddings have been shown to achieve impressive accuracy for these tasks in medicine, but have yet to be utilized for section structure segmentation. In this work, we pre-trained a contextual embedding BERT model using breast radiology reports and developed a classifier that incorporated the embedding with auxiliary global textual features in order to perform section segmentation. This model achieved a 98% accuracy at segregating free text reports sentence by sentence into sections of information outlined in the Breast Imaging Reporting and Data System (BI-RADS) lexicon, a significant improvement over the Classic BERT model without auxiliary information. We then evaluated whether using section segmentation improved the downstream extraction of clinically relevant information such as modality/procedure, previous cancer, menopausal status, the purpose of the exam, breast density, and breast MRI background parenchymal enhancement. Using the BERT model pre-trained on breast radiology reports combined with section segmentation resulted in an overall accuracy of 95.9% in the field extraction tasks. This is a 17% improvement compared to an overall accuracy of 78.9% for field extraction with models using Classic BERT embeddings and not using section segmentation. Our work shows the strength of using BERT in radiology report analysis and the advantages of section segmentation in identifying key features of patient factors recorded in breast radiology reports.

Retrieval Augmented Generation (RAG) represents a significant advancement in artificial intelligence combining a retrieval phase with a generative phase, with the latter typically being powered by large language models (LLMs). The current common practices in RAG involve using "instructed" LLMs, which are fine-tuned with supervised training to enhance their ability to follow instructions and are aligned with human preferences using state-of-the-art techniques. Contrary to popular belief, our study demonstrates that base models outperform their instructed counterparts in RAG tasks by 20% on average under our experimental settings. This finding challenges the prevailing assumptions about the superiority of instructed LLMs in RAG applications. Further investigations reveal a more nuanced situation, questioning fundamental aspects of RAG and suggesting the need for broader discussions on the topic; or, as Fromm would have it, "Seldom is a glance at the statistics enough to understand the meaning of the figures".

This paper presents EasyRAG, a simple, lightweight, and efficient retrieval-augmented generation framework for automated network operations. Our framework has three advantages. The first is accurate question answering. We designed a straightforward RAG scheme based on (1) a specific data processing workflow (2) dual-route sparse retrieval for coarse ranking (3) LLM Reranker for reranking (4) LLM answer generation and optimization. This approach achieved first place in the GLM4 track in the preliminary round and second place in the GLM4 track in the semifinals. The second is simple deployment. Our method primarily consists of BM25 retrieval and BGE-reranker reranking, requiring no fine-tuning of any models, occupying minimal VRAM, easy to deploy, and highly scalable; we provide a flexible code library with various search and generation strategies, facilitating custom process implementation. The last one is efficient inference. We designed an efficient inference acceleration scheme for the entire coarse ranking, reranking, and generation process that significantly reduces the inference latency of RAG while maintaining a good level of accuracy; each acceleration scheme can be plug-and-play into any component of the RAG process, consistently enhancing the efficiency of the RAG system. Our code and data are released at https://github.com/BUAADreamer/EasyRAG.

Image segmentation plays an essential role in medicine for both diagnostic and interventional tasks. Segmentation approaches are either manual, semi-automated or fully-automated. Manual segmentation offers full control over the quality of the results, but is tedious, time consuming and prone to operator bias. Fully automated methods require no human effort, but often deliver sub-optimal results without providing users with the means to make corrections. Semi-automated approaches keep users in control of the results by providing means for interaction, but the main challenge is to offer a good trade-off between precision and required interaction. In this paper we present a deep learning (DL) based semi-automated segmentation approach that aims to be a "smart" interactive tool for region of interest delineation in medical images. We demonstrate its use for segmenting multiple organs on computed tomography (CT) of the abdomen. Our approach solves some of the most pressing clinical challenges: (i) it requires only one to a few user clicks to deliver excellent 2D segmentations in a fast and reliable fashion; (ii) it can generalize to previously unseen structures and "corner cases"; (iii) it delivers results that can be corrected quickly in a smart and intuitive way up to an arbitrary degree of precision chosen by the user and (iv) ensures high accuracy. We present our approach and compare it to other techniques and previous work to show the advantages brought by our method.

A well-known issue with Retrieval Augmented Generation (RAG) is that retrieved passages that are irrelevant to the query sometimes distract the answer-generating LLM, causing it to provide an incorrect response. In this paper, we shed light on this core issue and formulate the distracting effect of a passage w.r.t. a query (and an LLM). We provide a quantifiable measure of the distracting effect of a passage and demonstrate its robustness across LLMs. Our research introduces novel methods for identifying and using hard distracting passages to improve RAG systems. By fine-tuning LLMs with these carefully selected distracting passages, we achieve up to a 7.5% increase in answering accuracy compared to counterparts fine-tuned on conventional RAG datasets. Our contribution is two-fold: first, we move beyond the simple binary classification of irrelevant passages as either completely unrelated vs. distracting, and second, we develop and analyze multiple methods for finding hard distracting passages. To our knowledge, no other research has provided such a comprehensive framework for identifying and utilizing hard distracting passages.

While holding great promise for improving and facilitating healthcare, large language models (LLMs) struggle to produce up-to-date responses on evolving topics due to outdated knowledge or hallucination. Retrieval-augmented generation (RAG) is a pivotal innovation that improves the accuracy and relevance of LLM responses by integrating LLMs with a search engine and external sources of knowledge. However, the quality of RAG responses can be largely impacted by the rank and density of key information in the retrieval results, such as the "lost-in-the-middle" problem. In this work, we aim to improve the robustness and reliability of the RAG workflow in the medical domain. Specifically, we propose a map-reduce strategy, BriefContext, to combat the "lost-in-the-middle" issue without modifying the model weights. We demonstrated the advantage of the workflow with various LLM backbones and on multiple QA datasets. This method promises to improve the safety and reliability of LLMs deployed in healthcare domains.

Retrieval-Augmented Generation (RAG) has shown substantial promise in improving factual accuracy by grounding model responses with external knowledge relevant to queries. However, most existing RAG approaches are limited to a text-only corpus, and while recent efforts have extended RAG to other modalities such as images and videos, they typically operate over a single modality-specific corpus. In contrast, real-world queries vary widely in the type of knowledge they require, which a single type of knowledge source cannot address. To address this, we introduce UniversalRAG, a novel RAG framework designed to retrieve and integrate knowledge from heterogeneous sources with diverse modalities and granularities. Specifically, motivated by the observation that forcing all modalities into a unified representation space derived from a single combined corpus causes a modality gap, where the retrieval tends to favor items from the same modality as the query, we propose a modality-aware routing mechanism that dynamically identifies the most appropriate modality-specific corpus and performs targeted retrieval within it. Also, beyond modality, we organize each modality into multiple granularity levels, enabling fine-tuned retrieval tailored to the complexity and scope of the query. We validate UniversalRAG on 8 benchmarks spanning multiple modalities, showing its superiority over modality-specific and unified baselines.

Regesta are catalogs of summaries of other documents and, in some cases, are the only source of information about the content of such full-length documents. For this reason, they are of great interest to scholars in many social and humanities fields. In this work, we focus on Regesta Pontificum Romanum, a large collection of papal registers. Regesta are visually rich documents, where the layout is as important as the text content to convey the contained information through the structure, and are inherently multi-page documents. Among Digital Humanities techniques that can help scholars efficiently exploit regesta and other documental sources in the form of scanned documents, Document Parsing has emerged as a task to process document images and convert them into machine-readable structured representations, usually markup language. However, current models focus on scientific and business documents, and most of them consider only single-paged documents. To overcome this limitation, in this work, we propose {\mu}gat, an extension of the recently proposed Document parsing Nougat architecture, which can handle elements spanning over the single page limits. Specifically, we adapt Nougat to process a larger, multi-page context, consisting of the previous and the following page, while parsing the current page. Experimental results, both qualitative and quantitative, demonstrate the effectiveness of our proposed approach also in the case of the challenging Regesta Pontificum Romanorum.

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.

We present FOMO60K, a large-scale, heterogeneous dataset of 60,529 brain Magnetic Resonance Imaging (MRI) scans from 13,900 sessions and 11,187 subjects, aggregated from 16 publicly available sources. The dataset includes both clinical- and research-grade images, multiple MRI sequences, and a wide range of anatomical and pathological variability, including scans with large brain anomalies. Minimal preprocessing was applied to preserve the original image characteristics while reducing barriers to entry for new users. Accompanying code for self-supervised pretraining and finetuning is provided. FOMO60K is intended to support the development and benchmarking of self-supervised learning methods in medical imaging at scale.

Background: Recent advances in large language models highlight the need for high-quality multilingual medical datasets. While Japan leads globally in CT scanner deployment and utilization, the lack of large-scale Japanese radiology datasets has hindered the development of specialized language models for medical imaging analysis. Objective: To develop a comprehensive Japanese CT report dataset through machine translation and establish a specialized language model for structured finding classification. Additionally, to create a rigorously validated evaluation dataset through expert radiologist review. Methods: We translated the CT-RATE dataset (24,283 CT reports from 21,304 patients) into Japanese using GPT-4o mini. The training dataset consisted of 22,778 machine-translated reports, while the validation dataset included 150 radiologist-revised reports. We developed CT-BERT-JPN based on "tohoku-nlp/bert-base-japanese-v3" architecture for extracting 18 structured findings from Japanese radiology reports. Results: Translation metrics showed strong performance with BLEU scores of 0.731 and 0.690, and ROUGE scores ranging from 0.770 to 0.876 for Findings and from 0.748 to 0.857 for Impression sections. CT-BERT-JPN demonstrated superior performance compared to GPT-4o in 11 out of 18 conditions, including lymphadenopathy (+14.2%), interlobular septal thickening (+10.9%), and atelectasis (+7.4%). The model maintained F1 scores exceeding 0.95 in 14 out of 18 conditions and achieved perfect scores in four conditions. Conclusions: Our study establishes a robust Japanese CT report dataset and demonstrates the effectiveness of a specialized language model for structured finding classification. The hybrid approach of machine translation and expert validation enables the creation of large-scale medical datasets while maintaining high quality.

Recent advances in multi-modal algorithms have driven and been driven by the increasing availability of large image-text datasets, leading to significant strides in various fields, including computational pathology. However, in most existing medical image-text datasets, the text typically provides high-level summaries that may not sufficiently describe sub-tile regions within a large pathology image. For example, an image might cover an extensive tissue area containing cancerous and healthy regions, but the accompanying text might only specify that this image is a cancer slide, lacking the nuanced details needed for in-depth analysis. In this study, we introduce STimage-1K4M, a novel dataset designed to bridge this gap by providing genomic features for sub-tile images. STimage-1K4M contains 1,149 images derived from spatial transcriptomics data, which captures gene expression information at the level of individual spatial spots within a pathology image. Specifically, each image in the dataset is broken down into smaller sub-image tiles, with each tile paired with 15,000-30,000 dimensional gene expressions. With 4,293,195 pairs of sub-tile images and gene expressions, STimage-1K4M offers unprecedented granularity, paving the way for a wide range of advanced research in multi-modal data analysis an innovative applications in computational pathology, and beyond.

Diffusion-weighted magnetic resonance imaging (DW-MRI) can be used to characterise the microstructure of the nervous tissue, e.g. to delineate brain white matter connections in a non-invasive manner via fibre tracking. Magnetic Resonance Imaging (MRI) in high spatial resolution would play an important role in visualising such fibre tracts in a superior manner. However, obtaining an image of such resolution comes at the expense of longer scan time. Longer scan time can be associated with the increase of motion artefacts, due to the patient's psychological and physical conditions. Single Image Super-Resolution (SISR), a technique aimed to obtain high-resolution (HR) details from one single low-resolution (LR) input image, achieved with Deep Learning, is the focus of this study. Compared to interpolation techniques or sparse-coding algorithms, deep learning extracts prior knowledge from big datasets and produces superior MRI images from the low-resolution counterparts. In this research, a deep learning based super-resolution technique is proposed and has been applied for DW-MRI. Images from the IXI dataset have been used as the ground-truth and were artificially downsampled to simulate the low-resolution images. The proposed method has shown statistically significant improvement over the baselines and achieved an SSIM of 0.913pm0.045.

In medical vision, different imaging modalities provide complementary information. However, in practice, not all modalities may be available during inference or even training. Previous approaches, e.g., knowledge distillation or image synthesis, often assume the availability of full modalities for all patients during training; this is unrealistic and impractical due to the variability in data collection across sites. We propose a novel approach to learn enhanced modality-agnostic representations by employing a meta-learning strategy in training, even when only limited full modality samples are available. Meta-learning enhances partial modality representations to full modality representations by meta-training on partial modality data and meta-testing on limited full modality samples. Additionally, we co-supervise this feature enrichment by introducing an auxiliary adversarial learning branch. More specifically, a missing modality detector is used as a discriminator to mimic the full modality setting. Our segmentation framework significantly outperforms state-of-the-art brain tumor segmentation techniques in missing modality scenarios.

Magnetic resonance imaging (MRI) is a common and life-saving medical imaging technique. However, acquiring high signal-to-noise ratio MRI scans requires long scan times, resulting in increased costs and patient discomfort, and decreased throughput. Thus, there is great interest in denoising MRI scans, especially for the subtype of diffusion MRI scans that are severely SNR-limited. While most prior MRI denoising methods are supervised in nature, acquiring supervised training datasets for the multitude of anatomies, MRI scanners, and scan parameters proves impractical. Here, we propose Denoising Diffusion Models for Denoising Diffusion MRI (DDM^2), a self-supervised denoising method for MRI denoising using diffusion denoising generative models. Our three-stage framework integrates statistic-based denoising theory into diffusion models and performs denoising through conditional generation. During inference, we represent input noisy measurements as a sample from an intermediate posterior distribution within the diffusion Markov chain. We conduct experiments on 4 real-world in-vivo diffusion MRI datasets and show that our DDM^2 demonstrates superior denoising performances ascertained with clinically-relevant visual qualitative and quantitative metrics.

Retrieval Augmented Generation (RAG) has greatly improved the performance of Large Language Model (LLM) responses by grounding generation with context from existing documents. These systems work well when documents are clearly relevant to a question context. But what about when a document has partial information, or less obvious connections to the context? And how should we reason about connections between documents? In this work, we seek to answer these two core questions about RAG generation. We introduce G-RAG, a reranker based on graph neural networks (GNNs) between the retriever and reader in RAG. Our method combines both connections between documents and semantic information (via Abstract Meaning Representation graphs) to provide a context-informed ranker for RAG. G-RAG outperforms state-of-the-art approaches while having smaller computational footprint. Additionally, we assess the performance of PaLM 2 as a reranker and find it to significantly underperform G-RAG. This result emphasizes the importance of reranking for RAG even when using Large Language Models.

Providing external knowledge to Large Language Models (LLMs) is a key point for using these models in real-world applications for several reasons, such as incorporating up-to-date content in a real-time manner, providing access to domain-specific knowledge, and contributing to hallucination prevention. The vector database-based Retrieval Augmented Generation (RAG) approach has been widely adopted to this end. Thus, any part of external knowledge can be retrieved and provided to some LLM as the input context. Despite RAG approach's success, it still might be unfeasible for some applications, because the context retrieved can demand a longer context window than the size supported by LLM. Even when the context retrieved fits into the context window size, the number of tokens might be expressive and, consequently, impact costs and processing time, becoming impractical for most applications. To address these, we propose CRAG, a novel approach able to effectively reduce the number of prompting tokens without degrading the quality of the response generated compared to a solution using RAG. Through our experiments, we show that CRAG can reduce the number of tokens by at least 46\%, achieving more than 90\% in some cases, compared to RAG. Moreover, the number of tokens with CRAG does not increase considerably when the number of reviews analyzed is higher, unlike RAG, where the number of tokens is almost 9x higher when there are 75 reviews compared to 4 reviews.

The rapid increase in the number of Computed Tomography (CT) scan examinations has created an urgent need for automated tools, such as organ segmentation, anomaly classification, and report generation, to assist radiologists with their growing workload. Multi-label classification of Three-Dimensional (3D) CT scans is a challenging task due to the volumetric nature of the data and the variety of anomalies to be detected. Existing deep learning methods based on Convolutional Neural Networks (CNNs) struggle to capture long-range dependencies effectively, while Vision Transformers require extensive pre-training, posing challenges for practical use. Additionally, these existing methods do not explicitly model the radiologist's navigational behavior while scrolling through CT scan slices, which requires both global context understanding and local detail awareness. In this study, we present CT-Scroll, a novel global-local attention model specifically designed to emulate the scrolling behavior of radiologists during the analysis of 3D CT scans. Our approach is evaluated on two public datasets, demonstrating its efficacy through comprehensive experiments and an ablation study that highlights the contribution of each model component.

Radiography imaging protocols focus on particular body regions, therefore producing images of great similarity and yielding recurrent anatomical structures across patients. To exploit this structured information, we propose the use of Space-aware Memory Queues for In-painting and Detecting anomalies from radiography images (abbreviated as SQUID). We show that SQUID can taxonomize the ingrained anatomical structures into recurrent patterns; and in the inference, it can identify anomalies (unseen/modified patterns) in the image. SQUID surpasses 13 state-of-the-art methods in unsupervised anomaly detection by at least 5 points on two chest X-ray benchmark datasets measured by the Area Under the Curve (AUC). Additionally, we have created a new dataset (DigitAnatomy), which synthesizes the spatial correlation and consistent shape in chest anatomy. We hope DigitAnatomy can prompt the development, evaluation, and interpretability of anomaly detection methods.

Multi-hop reasoning (i.e., reasoning across two or more documents) is a key ingredient for NLP models that leverage large corpora to exhibit broad knowledge. To retrieve evidence passages, multi-hop models must contend with a fast-growing search space across the hops, represent complex queries that combine multiple information needs, and resolve ambiguity about the best order in which to hop between training passages. We tackle these problems via Baleen, a system that improves the accuracy of multi-hop retrieval while learning robustly from weak training signals in the many-hop setting. To tame the search space, we propose condensed retrieval, a pipeline that summarizes the retrieved passages after each hop into a single compact context. To model complex queries, we introduce a focused late interaction retriever that allows different parts of the same query representation to match disparate relevant passages. Lastly, to infer the hopping dependencies among unordered training passages, we devise latent hop ordering, a weak-supervision strategy in which the trained retriever itself selects the sequence of hops. We evaluate Baleen on retrieval for two-hop question answering and many-hop claim verification, establishing state-of-the-art performance.

Since the introduction of TotalSegmentator CT, there is demand for a similar robust automated MRI segmentation tool that can be applied across all MRI sequences and anatomic structures. In this retrospective study, a nnU-Net model (TotalSegmentator) was trained on MRI and CT examinations to segment 80 anatomic structures relevant for use cases such as organ volumetry, disease characterization, surgical planning and opportunistic screening. Examinations were randomly sampled from routine clinical studies to represent real-world examples. Dice scores were calculated between the predicted segmentations and expert radiologist reference standard segmentations to evaluate model performance on an internal test set, two external test sets and against two publicly available models, and TotalSegmentator CT. The model was applied to an internal dataset containing abdominal MRIs to investigate age-dependent volume changes. A total of 1143 examinations (616 MRIs, 527 CTs) (median age 61 years, IQR 50-72) were split into training (n=1088, CT and MRI) and an internal test set (n=55; only MRI), two external test sets (AMOS, n=20; CHAOS, n=20; only MRI), and an internal aging-study dataset of 8672 abdominal MRIs (median age 59 years, IQR 45-70) were included. The model showed a Dice Score of 0.839 on the internal test set and outperformed two other models (Dice Score, 0.862 versus 0.759; and 0.838 versus 0.560; p<.001 for both). The proposed open-source, easy-to-use model allows for automatic, robust segmentation of 80 structures, extending the capabilities of TotalSegmentator to MRIs of any sequence. The ready-to-use online tool is available at https://totalsegmentator.com, the model at https://github.com/wasserth/TotalSegmentator, and the dataset at https://zenodo.org/records/14710732.

In clinical radiology reports, doctors capture important information about the patient's health status. They convey their observations from raw medical imaging data about the inner structures of a patient. As such, formulating reports requires medical experts to possess wide-ranging knowledge about anatomical regions with their normal, healthy appearance as well as the ability to recognize abnormalities. This explicit grasp on both the patient's anatomy and their appearance is missing in current medical image-processing systems as annotations are especially difficult to gather. This renders the models to be narrow experts e.g. for identifying specific diseases. In this work, we recover this missing link by adding human anatomy into the mix and enable the association of content in medical reports to their occurrence in associated imagery (medical phrase grounding). To exploit anatomical structures in this scenario, we present a sophisticated automatic pipeline to gather and integrate human bodily structures from computed tomography datasets, which we incorporate in our PAXRay: A Projected dataset for the segmentation of Anatomical structures in X-Ray data. Our evaluation shows that methods that take advantage of anatomical information benefit heavily in visually grounding radiologists' findings, as our anatomical segmentations allow for up to absolute 50% better grounding results on the OpenI dataset as compared to commonly used region proposals. The PAXRay dataset is available at https://constantinseibold.github.io/paxray/.

Multimodal large language models (MLLMs) have achieved significant success in the general field of image processing. Their emerging task generalization and freeform conversational capabilities can greatly facilitate medical diagnostic assistance, helping patients better understand their conditions and enhancing doctor-patient trust. Computed Tomography (CT) is a non-invasive imaging technique used to capture the internal mechanisms of a patient's condition and is widely utilized. However, in past research, the complex textural features of this imaging data have made accurate interpretation by algorithms challenging, impeding the performance of general LLMs in diagnostic assistance. To address this, we developed OrthoDoc, a MLLM designed for CT diagnostics. OrthoDoc is trained on 120,000 CT images and diagnostic reports and includes a Retrieval-Augmented Generation (RAG) module capable of effectively mitigating model hallucinations. This module is informed by extensive medical literature, textbooks, and explanatory data. Thus, OrthoDoc not only processes complex CT images but also stores, understands, and reasons over medical knowledge and language. In extensive experiments, OrthoDoc outperforms commercial models led by GPT-4, demonstrating superior diagnostic capabilities and accuracy. Specifically, OrthoDoc significantly surpasses existing models in the diagnosis of common orthopedic conditions such as fractures, arthritis, and tumors. Additionally, OrthoDoc exhibits robust generalization and stability when handling rare and complex cases.

Several medical Multimodal Large Languange Models (MLLMs) have been developed to address tasks involving visual images with textual instructions across various medical modalities, achieving impressive results. Most current medical generalist models are region-agnostic, treating the entire image as a holistic representation. However, they struggle to identify which specific regions they are focusing on when generating a sentence. To mimic the behavior of doctors, who typically begin by reviewing the entire image before concentrating on specific regions for a thorough evaluation, we aim to enhance the capability of medical MLLMs in understanding anatomical regions within entire medical scans. To achieve it, we first formulate Region-Centric tasks and construct a large-scale dataset, MedRegInstruct, to incorporate regional information into training. Combining our collected dataset with other medical multimodal corpora for training, we propose a Region-Aware medical MLLM, MedRegA, which is the first bilingual generalist medical AI system to simultaneously handle image-level and region-level medical vision-language tasks across a broad range of modalities. Our MedRegA not only enables three region-centric tasks, but also achieves the best performance for visual question answering, report generation and medical image classification over 8 modalities, showcasing significant versatility. Experiments demonstrate that our model can not only accomplish powerful performance across various medical vision-language tasks in bilingual settings, but also recognize and detect structures in multimodal medical scans, boosting the interpretability and user interactivity of medical MLLMs. Our project page is https://medrega.github.io.

Segment Anything Model (SAM) has gained significant attention because of its ability to segment a variety of objects in images given a prompt. The recently developed SAM 2 has extended this ability to video inputs. This opens an opportunity to apply SAM to 3D images, one of the fundamental tasks in the medical imaging field. In this paper, we provide an extensive evaluation of SAM 2's ability to segment both 2D and 3D medical images. We collect 18 medical imaging datasets, including common 3D modalities such as computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) as well as 2D modalities such as X-ray and ultrasound. We consider two evaluation pipelines of SAM 2: (1) multi-frame 3D segmentation, where prompts are provided to one or multiple slice(s) selected from the volume, and (2) single-frame 2D segmentation, where prompts are provided to each slice. The former is only applicable to 3D modalities, while the latter applies to both 2D and 3D modalities. We learn that SAM 2 exhibits similar performance as SAM under single-frame 2D segmentation, and has variable performance under multi-frame 3D segmentation depending on the choices of slices to annotate, the direction of the propagation, the predictions utilized during the propagation, etc.

The digitisation of historical documents has provided historians with unprecedented research opportunities. Yet, the conventional approach to analysing historical documents involves converting them from images to text using OCR, a process that overlooks the potential benefits of treating them as images and introduces high levels of noise. To bridge this gap, we take advantage of recent advancements in pixel-based language models trained to reconstruct masked patches of pixels instead of predicting token distributions. Due to the scarcity of real historical scans, we propose a novel method for generating synthetic scans to resemble real historical documents. We then pre-train our model, PHD, on a combination of synthetic scans and real historical newspapers from the 1700-1900 period. Through our experiments, we demonstrate that PHD exhibits high proficiency in reconstructing masked image patches and provide evidence of our model's noteworthy language understanding capabilities. Notably, we successfully apply our model to a historical QA task, highlighting its usefulness in this domain.

Retrieval-augmented generation (RAG) has demonstrated significant proficiency in conducting question-answering (QA) tasks within a specified corpus. Nonetheless, numerous failure instances of RAG in QA still exist. These failures are not solely attributable to the limitations of Large Language Models (LLMs); instead, they predominantly arise from the retrieval of inaccurate information for LLMs due to two limitations: (1) Current RAG methods segment the corpus without considering semantics, making it difficult to find relevant context due to impaired correlation between questions and the segments. (2) There is a trade-off between missing essential context with fewer context retrieved and getting irrelevant context with more context retrieved. In this paper, we introduce a RAG framework (SAGE), to overcome these limitations. First, to address the segmentation issue without considering semantics, we propose to train a semantic segmentation model. This model is trained to segment the corpus into semantically complete chunks. Second, to ensure that only the most relevant chunks are retrieved while the irrelevant ones are ignored, we design a chunk selection algorithm to dynamically select chunks based on the decreasing speed of the relevance score, leading to a more relevant selection. Third, to further ensure the precision of the retrieved chunks, we propose letting LLMs assess whether retrieved chunks are excessive or lacking and then adjust the amount of context accordingly. Experiments show that SAGE outperforms baselines by 61.25% in the quality of QA on average. Moreover, by avoiding retrieving noisy context, SAGE lowers the cost of the tokens consumed in LLM inference and achieves a 49.41% enhancement in cost efficiency on average. Additionally, our work offers valuable insights for boosting RAG.

Diffusion models enable high-quality and diverse visual content synthesis. However, they struggle to generate rare or unseen concepts. To address this challenge, we explore the usage of Retrieval-Augmented Generation (RAG) with image generation models. We propose ImageRAG, a method that dynamically retrieves relevant images based on a given text prompt, and uses them as context to guide the generation process. Prior approaches that used retrieved images to improve generation, trained models specifically for retrieval-based generation. In contrast, ImageRAG leverages the capabilities of existing image conditioning models, and does not require RAG-specific training. Our approach is highly adaptable and can be applied across different model types, showing significant improvement in generating rare and fine-grained concepts using different base models. Our project page is available at: https://rotem-shalev.github.io/ImageRAG

Query expansion, pivotal in search engines, enhances the representation of user information needs with additional terms. While existing methods expand queries using retrieved or generated contextual documents, each approach has notable limitations. Retrieval-based methods often fail to accurately capture search intent, particularly with brief or ambiguous queries. Generation-based methods, utilizing large language models (LLMs), generally lack corpus-specific knowledge and entail high fine-tuning costs. To address these gaps, we propose a novel zero-shot query expansion framework utilizing LLMs for mutual verification. Specifically, we first design a query-query-document generation method, leveraging LLMs' zero-shot reasoning ability to produce diverse sub-queries and corresponding documents. Then, a mutual verification process synergizes generated and retrieved documents for optimal expansion. Our proposed method is fully zero-shot, and extensive experiments on three public benchmark datasets are conducted to demonstrate its effectiveness over existing methods. Our code is available online at https://github.com/Applied-Machine-Learning-Lab/MILL to ease reproduction.

The vast portion of workloads employing LLMs involves answering questions grounded on PDF or scan content. We introduce the Arctic-TILT achieving accuracy on par with models 1000times its size on these use cases. It can be fine-tuned and deployed on a single 24GB GPU, lowering operational costs while processing Visually Rich Documents with up to 400k tokens. The model establishes state-of-the-art results on seven diverse Document Understanding benchmarks, as well as provides reliable confidence scores and quick inference, which are essential for processing files in large-scale or time-sensitive enterprise environments.

Dynamic imaging addresses the recovery of a time-varying 2D or 3D object at each time instant using its undersampled measurements. In particular, in the case of dynamic tomography, only a single projection at a single view angle may be available at a time, making the problem severely ill-posed. In this work, we propose an approach, RED-PSM, which combines for the first time two powerful techniques to address this challenging imaging problem. The first, are partially separable models, which have been used to efficiently introduce a low-rank prior for the spatio-temporal object. The second is the recent Regularization by Denoising (RED), which provides a flexible framework to exploit the impressive performance of state-of-the-art image denoising algorithms, for various inverse problems. We propose a partially separable objective with RED and a computationally efficient and scalable optimization scheme with variable splitting and ADMM. Theoretical analysis proves the convergence of our objective to a value corresponding to a stationary point satisfying the first-order optimality conditions. Convergence is accelerated by a particular projection-domain-based initialization. We demonstrate the performance and computational improvements of our proposed RED-PSM with a learned image denoiser by comparing it to a recent deep-prior-based method known as TD-DIP. Although the main focus is on dynamic tomography, we also show the performance advantages of RED-PSM in a cardiac dynamic MRI setting.

Large language models (LLMs) exhibit remarkable generative capabilities but often suffer from hallucinations. Retrieval-augmented generation (RAG) offers an effective solution by incorporating external knowledge, but existing methods still face several limitations: additional deployment costs of separate retrievers, redundant input tokens from retrieved text chunks, and the lack of joint optimization of retrieval and generation. To address these issues, we propose RetroLLM, a unified framework that integrates retrieval and generation into a single, cohesive process, enabling LLMs to directly generate fine-grained evidence from the corpus with constrained decoding. Moreover, to mitigate false pruning in the process of constrained evidence generation, we introduce (1) hierarchical FM-Index constraints, which generate corpus-constrained clues to identify a subset of relevant documents before evidence generation, reducing irrelevant decoding space; and (2) a forward-looking constrained decoding strategy, which considers the relevance of future sequences to improve evidence accuracy. Extensive experiments on five open-domain QA datasets demonstrate RetroLLM's superior performance across both in-domain and out-of-domain tasks. The code is available at https://github.com/sunnynexus/RetroLLM.

Generation with source attribution is important for enhancing the verifiability of retrieval-augmented generation (RAG) systems. However, existing approaches in RAG primarily link generated content to document-level references, making it challenging for users to locate evidence among multiple content-rich retrieved documents. To address this challenge, we propose Retrieval-Augmented Generation with Visual Source Attribution (VISA), a novel approach that combines answer generation with visual source attribution. Leveraging large vision-language models (VLMs), VISA identifies the evidence and highlights the exact regions that support the generated answers with bounding boxes in the retrieved document screenshots. To evaluate its effectiveness, we curated two datasets: Wiki-VISA, based on crawled Wikipedia webpage screenshots, and Paper-VISA, derived from PubLayNet and tailored to the medical domain. Experimental results demonstrate the effectiveness of VISA for visual source attribution on documents' original look, as well as highlighting the challenges for improvement. Code, data, and model checkpoints will be released.

While large language models (LLMs) have achieved state-of-the-art performance on a wide range of medical question answering (QA) tasks, they still face challenges with hallucinations and outdated knowledge. Retrieval-augmented generation (RAG) is a promising solution and has been widely adopted. However, a RAG system can involve multiple flexible components, and there is a lack of best practices regarding the optimal RAG setting for various medical purposes. To systematically evaluate such systems, we propose the Medical Information Retrieval-Augmented Generation Evaluation (MIRAGE), a first-of-its-kind benchmark including 7,663 questions from five medical QA datasets. Using MIRAGE, we conducted large-scale experiments with over 1.8 trillion prompt tokens on 41 combinations of different corpora, retrievers, and backbone LLMs through the MedRAG toolkit introduced in this work. Overall, MedRAG improves the accuracy of six different LLMs by up to 18% over chain-of-thought prompting, elevating the performance of GPT-3.5 and Mixtral to GPT-4-level. Our results show that the combination of various medical corpora and retrievers achieves the best performance. In addition, we discovered a log-linear scaling property and the "lost-in-the-middle" effects in medical RAG. We believe our comprehensive evaluations can serve as practical guidelines for implementing RAG systems for medicine.

We consider a scenario where we have access to the target domain, but cannot afford on-the-fly training data annotation, and instead would like to construct an alternative training set from a large-scale data pool such that a competitive model can be obtained. We propose a search and pruning (SnP) solution to this training data search problem, tailored to object re-identification (re-ID), an application aiming to match the same object captured by different cameras. Specifically, the search stage identifies and merges clusters of source identities which exhibit similar distributions with the target domain. The second stage, subject to a budget, then selects identities and their images from the Stage I output, to control the size of the resulting training set for efficient training. The two steps provide us with training sets 80\% smaller than the source pool while achieving a similar or even higher re-ID accuracy. These training sets are also shown to be superior to a few existing search methods such as random sampling and greedy sampling under the same budget on training data size. If we release the budget, training sets resulting from the first stage alone allow even higher re-ID accuracy. We provide interesting discussions on the specificity of our method to the re-ID problem and particularly its role in bridging the re-ID domain gap. The code is available at https://github.com/yorkeyao/SnP.

Accelerated magnetic resonance (MR) imaging attempts to reduce acquisition time by collecting data below the Nyquist rate. As an ill-posed inverse problem, many plausible solutions exist, yet the majority of deep learning approaches generate only a single solution. We instead focus on sampling from the posterior distribution, which provides more comprehensive information for downstream inference tasks. To do this, we design a novel conditional normalizing flow (CNF) that infers the signal component in the measurement operator's nullspace, which is later combined with measured data to form complete images. Using fastMRI brain and knee data, we demonstrate fast inference and accuracy that surpasses recent posterior sampling techniques for MRI. Code is available at https://github.com/jwen307/mri_cnf/

Developing advanced medical imaging retrieval systems is challenging due to the varying definitions of `similar images' across different medical contexts. This challenge is compounded by the lack of large-scale, high-quality medical imaging retrieval datasets and benchmarks. In this paper, we propose a novel methodology that leverages dense radiology reports to define image-wise similarity ordering at multiple granularities in a scalable and fully automatic manner. Using this approach, we construct two comprehensive medical imaging retrieval datasets: MIMIC-IR for Chest X-rays and CTRATE-IR for CT scans, providing detailed image-image ranking annotations conditioned on diverse anatomical structures. Furthermore, we develop two retrieval systems, RadIR-CXR and model-ChestCT, which demonstrate superior performance in traditional image-image and image-report retrieval tasks. These systems also enable flexible, effective image retrieval conditioned on specific anatomical structures described in text, achieving state-of-the-art results on 77 out of 78 metrics.

Using LLMs (Large Language Models) in conjunction with external documents has made RAG (Retrieval-Augmented Generation) an essential technology. Numerous techniques and modules for RAG are being researched, but their performance can vary across different datasets. Finding RAG modules that perform well on specific datasets is challenging. In this paper, we propose the AutoRAG framework, which automatically identifies suitable RAG modules for a given dataset. AutoRAG explores and approximates the optimal combination of RAG modules for the dataset. Additionally, we share the results of optimizing a dataset using AutoRAG. All experimental results and data are publicly available and can be accessed through our GitHub repository https://github.com/Marker-Inc-Korea/AutoRAG_ARAGOG_Paper .

We introduce ART, a new corpus-level autoencoding approach for training dense retrieval models that does not require any labeled training data. Dense retrieval is a central challenge for open-domain tasks, such as Open QA, where state-of-the-art methods typically require large supervised datasets with custom hard-negative mining and denoising of positive examples. ART, in contrast, only requires access to unpaired inputs and outputs (e.g. questions and potential answer documents). It uses a new document-retrieval autoencoding scheme, where (1) an input question is used to retrieve a set of evidence documents, and (2) the documents are then used to compute the probability of reconstructing the original question. Training for retrieval based on question reconstruction enables effective unsupervised learning of both document and question encoders, which can be later incorporated into complete Open QA systems without any further finetuning. Extensive experiments demonstrate that ART obtains state-of-the-art results on multiple QA retrieval benchmarks with only generic initialization from a pre-trained language model, removing the need for labeled data and task-specific losses.

Detecting breast cancer early is of the utmost importance to effectively treat the millions of women afflicted by breast cancer worldwide every year. Although mammography is the primary imaging modality for screening breast cancer, there is an increasing interest in adding magnetic resonance imaging (MRI) to screening programmes, particularly for women at high risk. Recent guidelines by the European Society of Breast Imaging (EUSOBI) recommended breast MRI as a supplemental screening tool for women with dense breast tissue. However, acquiring and reading MRI scans requires significantly more time from expert radiologists. This highlights the need to develop new automated methods to detect cancer accurately using MRI and Artificial Intelligence (AI), which have the potential to support radiologists in breast MRI interpretation and classification and help detect cancer earlier. For this reason, the ODELIA consortium has made this multi-centre dataset publicly available to assist in developing AI tools for the detection of breast cancer on MRI.

The recent emergence of Medical Large Vision Language Models (Med-LVLMs) has enhanced medical diagnosis. However, current Med-LVLMs frequently encounter factual issues, often generating responses that do not align with established medical facts. Retrieval-Augmented Generation (RAG), which utilizes external knowledge, can improve the factual accuracy of these models but introduces two major challenges. First, limited retrieved contexts might not cover all necessary information, while excessive retrieval can introduce irrelevant and inaccurate references, interfering with the model's generation. Second, in cases where the model originally responds correctly, applying RAG can lead to an over-reliance on retrieved contexts, resulting in incorrect answers. To address these issues, we propose RULE, which consists of two components. First, we introduce a provably effective strategy for controlling factuality risk through the calibrated selection of the number of retrieved contexts. Second, based on samples where over-reliance on retrieved contexts led to errors, we curate a preference dataset to fine-tune the model, balancing its dependence on inherent knowledge and retrieved contexts for generation. We demonstrate the effectiveness of RULE on three medical VQA datasets, achieving an average improvement of 20.8% in factual accuracy. We publicly release our benchmark and code in https://github.com/richard-peng-xia/RULE.

Retrieval-augmented generation (RAG) provides LLMs with relevant documents. Although previous studies noted that retrieving many documents can degrade performance, they did not isolate how the quantity of documents affects performance while controlling for context length. We evaluate various language models on custom datasets derived from a multi-hop QA task. We keep the context length and position of relevant information constant while varying the number of documents, and find that increasing the document count in RAG settings poses significant challenges for LLMs. Additionally, our results indicate that processing multiple documents is a separate challenge from handling long contexts. We also make the datasets and code available: https://github.com/shaharl6000/MoreDocsSameLen .

Despite well-documented consequences of the U.S. government's 1930s housing policies on racial wealth disparities, scholars have struggled to quantify its precise financial effects due to the inaccessibility of historical property appraisal records. Many counties still store these records in physical formats, making large-scale quantitative analysis difficult. We present an approach scholars can use to digitize historical housing assessment data, applying it to build and release a dataset for one county. Starting from publicly available scanned documents, we manually annotated property cards for over 12,000 properties to train and validate our methods. We use OCR to label data for an additional 50,000 properties, based on our two-stage approach combining classical computer vision techniques with deep learning-based OCR. For cases where OCR cannot be applied, such as when scanned documents are not available, we show how a regression model based on building feature data can estimate the historical values, and test the generalizability of this model to other counties. With these cost-effective tools, scholars, community activists, and policy makers can better analyze and understand the historical impacts of redlining.

Neural networks -- especially those that use large, pre-trained language models -- have improved search engines in various ways. Most prominently, they can estimate the relevance of a passage or document to a user's query. In this work, we depart from this direction by exploring whether neural networks can effectively predict which of a document's passages are unlikely to be relevant to any query submitted to the search engine. We refer to this query-agnostic estimation of passage relevance as a passage's quality. We find that our novel methods for estimating passage quality allow passage corpora to be pruned considerably while maintaining statistically equivalent effectiveness; our best methods can consistently prune >25% of passages in a corpora, across various retrieval pipelines. Such substantial pruning reduces the operating costs of neural search engines in terms of computing resources, power usage, and carbon footprint -- both when processing queries (thanks to a smaller index size) and when indexing (lightweight models can prune low-quality passages prior to the costly dense or learned sparse encoding step). This work sets the stage for developing more advanced neural "learning-what-to-index" methods.

Retrieval-augmented generation (RAG) grounds large language model (LLM) output by leveraging external knowledge sources to reduce factual hallucinations. However, prior works lack a comprehensive evaluation of different language families, making it challenging to evaluate LLM robustness against errors in external retrieved knowledge. To overcome this, we establish NoMIRACL, a human-annotated dataset for evaluating LLM robustness in RAG across 18 typologically diverse languages. NoMIRACL includes both a non-relevant and a relevant subset. Queries in the non-relevant subset contain passages manually judged as non-relevant or noisy, whereas queries in the relevant subset include at least a single judged relevant passage. We measure LLM robustness using two metrics: (i) hallucination rate, measuring model tendency to hallucinate an answer, when the answer is not present in passages in the non-relevant subset, and (ii) error rate, measuring model inaccuracy to recognize relevant passages in the relevant subset. We build a GPT-4 baseline which achieves a 33.2% hallucination rate on the non-relevant and a 14.9% error rate on the relevant subset on average. Our evaluation reveals that GPT-4 hallucinates frequently in high-resource languages, such as French or English. This work highlights an important avenue for future research to improve LLM robustness to learn how to better reject non-relevant information in RAG.

Retrieval-augmented generation (RAG) faces challenges related to factual correctness, source attribution, and response completeness. The LiveRAG Challenge hosted at SIGIR'25 aims to advance RAG research using a fixed corpus and a shared, open-source LLM. We propose a modular pipeline that operates on information nuggets-minimal, atomic units of relevant information extracted from retrieved documents. This multistage pipeline encompasses query rewriting, passage retrieval and reranking, nugget detection and clustering, cluster ranking and summarization, and response fluency enhancement. This design inherently promotes grounding in specific facts, facilitates source attribution, and ensures maximum information inclusion within length constraints. In this challenge, we extend our focus to also address the retrieval component of RAG, building upon our prior work on multi-faceted query rewriting. Furthermore, for augmented generation, we concentrate on improving context curation capabilities, maximizing the breadth of information covered in the response while ensuring pipeline efficiency. Our results show that combining original queries with a few sub-query rewrites boosts recall, while increasing the number of documents used for reranking and generation beyond a certain point reduces effectiveness, without improving response quality.

We propose a new approach to extracting data items or field values from semi-structured documents. Examples of such problems include extracting passenger name, departure time and departure airport from a travel itinerary, or extracting price of an item from a purchase receipt. Traditional approaches to data extraction use machine learning or program synthesis to process the whole document to extract the desired fields. Such approaches are not robust to format changes in the document, and the extraction process typically fails even if changes are made to parts of the document that are unrelated to the desired fields of interest. We propose a new approach to data extraction based on the concepts of landmarks and regions. Humans routinely use landmarks in manual processing of documents to zoom in and focus their attention on small regions of interest in the document. Inspired by this human intuition, we use the notion of landmarks in program synthesis to automatically synthesize extraction programs that first extract a small region of interest, and then automatically extract the desired value from the region in a subsequent step. We have implemented our landmark-based extraction approach in a tool LRSyn, and show extensive evaluation on documents in HTML as well as scanned images of invoices and receipts. Our results show that our approach is robust to various types of format changes that routinely happen in real-world settings.

Retrieval-augmented generation (RAG) has shown impressive capability in providing reliable answer predictions and addressing hallucination problems. A typical RAG implementation uses powerful retrieval models to extract external information and large language models (LLMs) to generate answers. In contrast, recent LLM-based retrieval has gained attention for its substantial improvements in information retrieval (IR) due to the LLMs' semantic understanding capability. However, directly applying LLM to RAG systems presents challenges. This may cause feature locality problems as massive parametric knowledge can hinder effective usage of global information across the corpus; for example, an LLM-based retriever often inputs document summaries instead of full documents. Moreover, various pre-trained tasks in LLMs introduce variance, further weakening performance as a retriever. To address these issues, we propose a novel two-stage fine-tuning architecture called Invar-RAG. In the retrieval stage, an LLM-based retriever is constructed by integrating LoRA-based representation learning to tackle feature locality issues. To enhance retrieval performance, we develop two patterns (invariant and variant patterns) and an invariance loss to reduce LLM variance. In the generation stage, a refined fine-tuning method is employed to improve LLM accuracy in generating answers based on retrieved information. Experimental results show that Invar-RAG significantly outperforms existing baselines across three open-domain question answering (ODQA) datasets. Code is available in the Supplementary Material for reproducibility.

Retrieval-augmented generation (RAG) enhances large language models (LLMs) by retrieving relevant documents from external sources and incorporating them into the context. While it improves reliability by providing factual texts, it significantly increases inference costs as context length grows and introduces challenging issue of RAG hallucination, primarily caused by the lack of corresponding parametric knowledge in LLMs. An efficient solution is to enhance the knowledge of LLMs at test-time. Parametric RAG (PRAG) addresses this by embedding document into LLMs parameters to perform test-time knowledge enhancement, effectively reducing inference costs through offline training. However, its high training and storage costs, along with limited generalization ability, significantly restrict its practical adoption. To address these challenges, we propose Dynamic Parametric RAG (DyPRAG), a novel framework that leverages a lightweight parameter translator model to efficiently convert documents into parametric knowledge. DyPRAG not only reduces inference, training, and storage costs but also dynamically generates parametric knowledge, seamlessly enhancing the knowledge of LLMs and resolving knowledge conflicts in a plug-and-play manner at test-time. Extensive experiments on multiple datasets demonstrate the effectiveness and generalization capabilities of DyPRAG, offering a powerful and practical RAG paradigm which enables superior knowledge fusion and mitigates RAG hallucination in real-world applications. Our code is available at https://github.com/Trae1ounG/DyPRAG.

We combine beam search with the probabilistic pruning technique of nucleus sampling to create two deterministic nucleus search algorithms for natural language generation. The first algorithm, p-exact search, locally prunes the next-token distribution and performs an exact search over the remaining space. The second algorithm, dynamic beam search, shrinks and expands the beam size according to the entropy of the candidate's probability distribution. Despite the probabilistic intuition behind nucleus search, experiments on machine translation and summarization benchmarks show that both algorithms reach the same performance levels as standard beam search.

Large Language Models (LLMs) have shown remarkable performance in Open-Domain Question Answering (ODQA) by leveraging external documents through Retrieval-Augmented Generation (RAG). To reduce RAG overhead, from longer context, context compression is necessary. However, prior compression methods do not focus on filtering out non-evidential information, which limit the performance in LLM-based RAG. We thus propose Evidentiality-guided RAG, or ECoRAG framework. ECoRAG improves LLM performance by compressing retrieved documents based on evidentiality, ensuring whether answer generation is supported by the correct evidence. As an additional step, ECoRAG reflects whether the compressed content provides sufficient evidence, and if not, retrieves more until sufficient. Experiments show that ECoRAG improves LLM performance on ODQA tasks, outperforming existing compression methods. Furthermore, ECoRAG is highly cost-efficient, as it not only reduces latency but also minimizes token usage by retaining only the necessary information to generate the correct answer. Code is available at https://github.com/ldilab/ECoRAG.

In this paper, we introduce Medical SAM 2 (MedSAM-2), an advanced segmentation model that utilizes the SAM 2 framework to address both 2D and 3D medical image segmentation tasks. By adopting the philosophy of taking medical images as videos, MedSAM-2 not only applies to 3D medical images but also unlocks new One-prompt Segmentation capability. That allows users to provide a prompt for just one or a specific image targeting an object, after which the model can autonomously segment the same type of object in all subsequent images, regardless of temporal relationships between the images. We evaluated MedSAM-2 across a variety of medical imaging modalities, including abdominal organs, optic discs, brain tumors, thyroid nodules, and skin lesions, comparing it against state-of-the-art models in both traditional and interactive segmentation settings. Our findings show that MedSAM-2 not only surpasses existing models in performance but also exhibits superior generalization across a range of medical image segmentation tasks. Our code will be released at: https://github.com/MedicineToken/Medical-SAM2

Precise lesion resection depends on accurately identifying fine-grained anatomical structures. While many coarse-grained segmentation (CGS) methods have been successful in large-scale segmentation (e.g., organs), they fall short in clinical scenarios requiring fine-grained segmentation (FGS), which remains challenging due to frequent individual variations in small-scale anatomical structures. Although recent Mamba-based models have advanced medical image segmentation, they often rely on fixed manually-defined scanning orders, which limit their adaptability to individual variations in FGS. To address this, we propose ASM-UNet, a novel Mamba-based architecture for FGS. It introduces adaptive scan scores to dynamically guide the scanning order, generated by combining group-level commonalities and individual-level variations. Experiments on two public datasets (ACDC and Synapse) and a newly proposed challenging biliary tract FGS dataset, namely BTMS, demonstrate that ASM-UNet achieves superior performance in both CGS and FGS tasks. Our code and dataset are available at https://github.com/YqunYang/ASM-UNet.

We present a novel approach for generating minority samples that live on low-density regions of a data manifold. Our framework is built upon diffusion models, leveraging the principle of guided sampling that incorporates an arbitrary energy-based guidance during inference time. The key defining feature of our sampler lies in its self-contained nature, \ie, implementable solely with a pretrained model. This distinguishes our sampler from existing techniques that require expensive additional components (like external classifiers) for minority generation. Specifically, we first estimate the likelihood of features within an intermediate latent sample by evaluating a reconstruction loss w.r.t. its posterior mean. The generation then proceeds with the minimization of the estimated likelihood, thereby encouraging the emergence of minority features in the latent samples of subsequent timesteps. To further improve the performance of our sampler, we provide several time-scheduling techniques that properly manage the influence of guidance over inference steps. Experiments on benchmark real datasets demonstrate that our approach can greatly improve the capability of creating realistic low-likelihood minority instances over the existing techniques without the reliance on costly additional elements. Code is available at https://github.com/soobin-um/sg-minority.

We present an accelerated algorithm for hierarchical density based clustering. Our new algorithm improves upon HDBSCAN*, which itself provided a significant qualitative improvement over the popular DBSCAN algorithm. The accelerated HDBSCAN* algorithm provides comparable performance to DBSCAN, while supporting variable density clusters, and eliminating the need for the difficult to tune distance scale parameter. This makes accelerated HDBSCAN* the default choice for density based clustering. Library available at: https://github.com/scikit-learn-contrib/hdbscan

A dense passage retrieval system can serve as the initial stages of information retrieval, selecting the most relevant text passages for downstream tasks. In this work we conducted experiments with the goal of finding how much the quality of a multilingual retrieval could be degraded if the query part of a dual encoder is tuned on an English-only dataset (assuming scarcity of cross-lingual samples for the targeted domain or task). Specifically, starting with a high quality multilingual embedding model, we observe that an English-only tuning may not only preserve the original quality of the multilingual retrieval, but even improve it.

Medical eye-tracking data is an important information source for understanding how radiologists visually interpret medical images. This information not only improves the accuracy of deep learning models for X-ray analysis but also their interpretability, enhancing transparency in decision-making. However, the current eye-tracking data is dispersed, unprocessed, and ambiguous, making it difficult to derive meaningful insights. Therefore, there is a need to create a new dataset with more focus and purposeful eyetracking data, improving its utility for diagnostic applications. In this work, we propose a refinement method inspired by the target-present visual search challenge: there is a specific finding and fixations are guided to locate it. After refining the existing eye-tracking datasets, we transform them into a curated visual search dataset, called GazeSearch, specifically for radiology findings, where each fixation sequence is purposefully aligned to the task of locating a particular finding. Subsequently, we introduce a scan path prediction baseline, called ChestSearch, specifically tailored to GazeSearch. Finally, we employ the newly introduced GazeSearch as a benchmark to evaluate the performance of current state-of-the-art methods, offering a comprehensive assessment for visual search in the medical imaging domain. Code is available at https://github.com/UARK-AICV/GazeSearch.

Complex dialog systems often use retrieved evidence to facilitate factual responses. Such RAG (Retrieval Augmented Generation) systems retrieve from massive heterogeneous data stores that are usually architected as multiple indexes or APIs instead of a single monolithic source. For a given query, relevant evidence needs to be retrieved from one or a small subset of possible retrieval sources. Complex queries can even require multi-step retrieval. For example, a conversational agent on a retail site answering customer questions about past orders will need to retrieve the appropriate customer order first and then the evidence relevant to the customer's question in the context of the ordered product. Most RAG Agents handle such Chain-of-Thought (CoT) tasks by interleaving reasoning and retrieval steps. However, each reasoning step directly adds to the latency of the system. For large models (>100B parameters) this latency cost is significant -- in the order of multiple seconds. Multi-agent systems may classify the query to a single Agent associated with a retrieval source, though this means that a (small) classification model dictates the performance of a large language model. In this work we present REAPER (REAsoning-based PlannER) - an LLM based planner to generate retrieval plans in conversational systems. We show significant gains in latency over Agent-based systems and are able to scale easily to new and unseen use cases as compared to classification-based planning. Though our method can be applied to any RAG system, we show our results in the context of Rufus -- Amazon's conversational shopping assistant.

The Segment Anything Model (SAM) has demonstrated outstanding adaptation to medical image segmentation but still faces three major challenges. Firstly, the huge computational costs of SAM limit its real-world applicability. Secondly, SAM depends on manual annotations (e.g., points, boxes) as prompts, which are laborious and impractical in clinical scenarios. Thirdly, SAM handles all segmentation targets equally, which is suboptimal for diverse medical modalities with inherent heterogeneity. To address these issues, we propose an Efficient Self-Prompting SAM for universal medical image segmentation, named ESP-MedSAM. We devise a Multi-Modal Decoupled Knowledge Distillation (MMDKD) strategy to distil common image knowledge and domain-specific medical knowledge from the foundation model to train a lightweight image encoder and a modality controller. Further, they combine with the additionally introduced Self-Patch Prompt Generator (SPPG) and Query-Decoupled Modality Decoder (QDMD) to construct ESP-MedSAM. Specifically, SPPG aims to generate a set of patch prompts automatically and QDMD leverages a one-to-one strategy to provide an independent decoding channel for every modality. Extensive experiments indicate that ESP-MedSAM outperforms state-of-the-arts in diverse medical imaging segmentation takes, displaying superior zero-shot learning and modality transfer ability. Especially, our framework uses only 31.4% parameters compared to SAM-Base.

Masked diffusion models (MDM) are powerful generative models for discrete data that generate samples by progressively unmasking tokens in a sequence. Each token can take one of two states: masked or unmasked. We observe that token sequences often remain unchanged between consecutive sampling steps; consequently, the model repeatedly processes identical inputs, leading to redundant computation. To address this inefficiency, we propose the Partial masking scheme (Prime), which augments MDM by allowing tokens to take intermediate states interpolated between the masked and unmasked states. This design enables the model to make predictions based on partially observed token information, and facilitates a fine-grained denoising process. We derive a variational training objective and introduce a simple architectural design to accommodate intermediate-state inputs. Our method demonstrates superior performance across a diverse set of generative modeling tasks. On text data, it achieves a perplexity of 15.36 on OpenWebText, outperforming previous MDM (21.52), autoregressive models (17.54), and their hybrid variants (17.58), without relying on an autoregressive formulation. On image data, it attains competitive FID scores of 3.26 on CIFAR-10 and 6.98 on ImageNet-32, comparable to leading continuous generative models.

Organ at risk (OAR) segmentation is a critical process in radiotherapy treatment planning such as head and neck tumors. Nevertheless, in clinical practice, radiation oncologists predominantly perform OAR segmentations manually on CT scans. This manual process is highly time-consuming and expensive, limiting the number of patients who can receive timely radiotherapy. Additionally, CT scans offer lower soft-tissue contrast compared to MRI. Despite MRI providing superior soft-tissue visualization, its time-consuming nature makes it infeasible for real-time treatment planning. To address these challenges, we propose a method called SegReg, which utilizes Elastic Symmetric Normalization for registering MRI to perform OAR segmentation. SegReg outperforms the CT-only baseline by 16.78% in mDSC and 18.77% in mIoU, showing that it effectively combines the geometric accuracy of CT with the superior soft-tissue contrast of MRI, making accurate automated OAR segmentation for clinical practice become possible. See project website https://steve-zeyu-zhang.github.io/SegReg

Learned sparse retrieval systems aim to combine the effectiveness of contextualized language models with the scalability of conventional data structures such as inverted indexes. Nevertheless, the indexes generated by these systems exhibit significant deviations from the ones that use traditional retrieval models, leading to a discrepancy in the performance of existing query optimizations that were specifically developed for traditional structures. These disparities arise from structural variations in query and document statistics, including sub-word tokenization, leading to longer queries, smaller vocabularies, and different score distributions within posting lists. This paper introduces Block-Max Pruning (BMP), an innovative dynamic pruning strategy tailored for indexes arising in learned sparse retrieval environments. BMP employs a block filtering mechanism to divide the document space into small, consecutive document ranges, which are then aggregated and sorted on the fly, and fully processed only as necessary, guided by a defined safe early termination criterion or based on approximate retrieval requirements. Through rigorous experimentation, we show that BMP substantially outperforms existing dynamic pruning strategies, offering unparalleled efficiency in safe retrieval contexts and improved tradeoffs between precision and efficiency in approximate retrieval tasks.

Ultra High Resolution (UHR) remote sensing imagery (RSI) (e.g. 100,000 times 100,000 pixels or more) poses a significant challenge for current Remote Sensing Multimodal Large Language Models (RSMLLMs). If choose to resize the UHR image to standard input image size, the extensive spatial and contextual information that UHR images contain will be neglected. Otherwise, the original size of these images often exceeds the token limits of standard RSMLLMs, making it difficult to process the entire image and capture long-range dependencies to answer the query based on the abundant visual context. In this paper, we introduce ImageRAG for RS, a training-free framework to address the complexities of analyzing UHR remote sensing imagery. By transforming UHR remote sensing image analysis task to image's long context selection task, we design an innovative image contextual retrieval mechanism based on the Retrieval-Augmented Generation (RAG) technique, denoted as ImageRAG. ImageRAG's core innovation lies in its ability to selectively retrieve and focus on the most relevant portions of the UHR image as visual contexts that pertain to a given query. Fast path and slow path are proposed in this framework to handle this task efficiently and effectively. ImageRAG allows RSMLLMs to manage extensive context and spatial information from UHR RSI, ensuring the analysis is both accurate and efficient. Codebase will be released in https://github.com/om-ai-lab/ImageRAG

We introduce a novel graph-based Retrieval-Augmented Generation (RAG) framework specifically designed for the medical domain, called MedGraphRAG, aimed at enhancing Large Language Model (LLM) capabilities and generating evidence-based results, thereby improving safety and reliability when handling private medical data. Our comprehensive pipeline begins with a hybrid static-semantic approach to document chunking, significantly improving context capture over traditional methods. Extracted entities are used to create a three-tier hierarchical graph structure, linking entities to foundational medical knowledge sourced from medical papers and dictionaries. These entities are then interconnected to form meta-graphs, which are merged based on semantic similarities to develop a comprehensive global graph. This structure supports precise information retrieval and response generation. The retrieval process employs a U-retrieve method to balance global awareness and indexing efficiency of the LLM. Our approach is validated through a comprehensive ablation study comparing various methods for document chunking, graph construction, and information retrieval. The results not only demonstrate that our hierarchical graph construction method consistently outperforms state-of-the-art models on multiple medical Q\&A benchmarks, but also confirms that the responses generated include source documentation, significantly enhancing the reliability of medical LLMs in practical applications. Code will be at: https://github.com/MedicineToken/Medical-Graph-RAG/tree/main

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

In this study, we evaluate the performance of the Segment Anything Model (SAM) in clinical radiotherapy. Our results indicate that SAM's 'segment anything' mode can achieve clinically acceptable segmentation results in most organs-at-risk (OARs) with Dice scores higher than 0.7. SAM's 'box prompt' mode further improves the Dice scores by 0.1 to 0.5. Considering the size of the organ and the clarity of its boundary, SAM displays better performance for large organs with clear boundaries but performs worse for smaller organs with unclear boundaries. Given that SAM, a model pre-trained purely on natural images, can handle the delineation of OARs from medical images with clinically acceptable accuracy, these results highlight SAM's robust generalization capabilities with consistent accuracy in automatic segmentation for radiotherapy. In other words, SAM can achieve delineation of different OARs at different sites using a generic automatic segmentation model. SAM's generalization capabilities across different disease sites suggest that it is technically feasible to develop a generic model for automatic segmentation in radiotherapy.

Passage ranking involves two stages: passage retrieval and passage re-ranking, which are important and challenging topics for both academics and industries in the area of Information Retrieval (IR). However, the commonly-used datasets for passage ranking usually focus on the English language. For non-English scenarios, such as Chinese, the existing datasets are limited in terms of data scale, fine-grained relevance annotation and false negative issues. To address this problem, we introduce T2Ranking, a large-scale Chinese benchmark for passage ranking. T2Ranking comprises more than 300K queries and over 2M unique passages from real-world search engines. Expert annotators are recruited to provide 4-level graded relevance scores (fine-grained) for query-passage pairs instead of binary relevance judgments (coarse-grained). To ease the false negative issues, more passages with higher diversities are considered when performing relevance annotations, especially in the test set, to ensure a more accurate evaluation. Apart from the textual query and passage data, other auxiliary resources are also provided, such as query types and XML files of documents which passages are generated from, to facilitate further studies. To evaluate the dataset, commonly used ranking models are implemented and tested on T2Ranking as baselines. The experimental results show that T2Ranking is challenging and there is still scope for improvement. The full data and all codes are available at https://github.com/THUIR/T2Ranking/

Recent advancements in Large Language Models have transformed ML/AI development, necessitating a reevaluation of AutoML principles for the Retrieval-Augmented Generation (RAG) systems. To address the challenges of hyper-parameter optimization and online adaptation in RAG, we propose the AutoRAG-HP framework, which formulates the hyper-parameter tuning as an online multi-armed bandit (MAB) problem and introduces a novel two-level Hierarchical MAB (Hier-MAB) method for efficient exploration of large search spaces. We conduct extensive experiments on tuning hyper-parameters, such as top-k retrieved documents, prompt compression ratio, and embedding methods, using the ALCE-ASQA and Natural Questions datasets. Our evaluation from jointly optimization all three hyper-parameters demonstrate that MAB-based online learning methods can achieve Recall@5 approx 0.8 for scenarios with prominent gradients in search space, using only sim20% of the LLM API calls required by the Grid Search approach. Additionally, the proposed Hier-MAB approach outperforms other baselines in more challenging optimization scenarios. The code will be made available at https://aka.ms/autorag.

Retrieval-augmented generation has gained significant attention due to its ability to integrate relevant external knowledge, enhancing the accuracy and reliability of the LLMs' responses. Most of the existing methods apply a dynamic multiple retrieval-generating process, to address multi-hop complex questions by decomposing them into sub-problems. However, these methods rely on an unidirectional forward reasoning paradigm, where errors from insufficient reasoning steps or inherent flaws in current retrieval systems are irreversible, potentially derailing the entire reasoning chain. For the first time, this work introduces Retroactive Retrieval-Augmented Generation (RetroRAG), a novel framework to build a retroactive reasoning paradigm. RetroRAG revises and updates the evidence, redirecting the reasoning chain to the correct direction. RetroRAG constructs an evidence-collation-discovery framework to search, generate, and refine credible evidence. It synthesizes inferential evidence related to the key entities in the question from the existing source knowledge and formulates search queries to uncover additional information. As new evidence is found, RetroRAG continually updates and organizes this information, enhancing its ability to locate further necessary evidence. Paired with an Answerer to generate and evaluate outputs, RetroRAG is capable of refining its reasoning process iteratively until a reliable answer is obtained. Empirical evaluations show that RetroRAG significantly outperforms existing methods.

Bearing in mind the limited parametric knowledge of Large Language Models (LLMs), retrieval-augmented generation (RAG) which supplies them with the relevant external knowledge has served as an approach to mitigate the issue of hallucinations to a certain extent. However, uniformly retrieving supporting context makes response generation source-inefficient, as triggering the retriever is not always necessary, or even inaccurate, when a model gets distracted by noisy retrieved content and produces an unhelpful answer. Motivated by these issues, we introduce Semantic Uncertainty Guided Adaptive Retrieval (SUGAR), where we leverage context-based entropy to actively decide whether to retrieve and to further determine between single-step and multi-step retrieval. Our empirical results show that selective retrieval guided by semantic uncertainty estimation improves the performance across diverse question answering tasks, as well as achieves a more efficient inference.

This paper describes gaps in acquisition of drone imagery that impair the use with computer vision/machine learning (CV/ML) models and makes five recommendations to maximize image suitability for CV/ML post-processing. It describes a notional work process for the use of drones in wilderness search and rescue incidents. The large volume of data from the wide area search phase offers the greatest opportunity for CV/ML techniques because of the large number of images that would otherwise have to be manually inspected. The 2023 Wu-Murad search in Japan, one of the largest missing person searches conducted in that area, serves as a case study. Although drone teams conducting wide area searches may not know in advance if the data they collect is going to be used for CV/ML post-processing, there are data collection procedures that can improve the search in general with automated collection software. If the drone teams do expect to use CV/ML, then they can exploit knowledge about the model to further optimize flights.

Given only a few observed entries from a low-rank matrix X, matrix completion is the problem of imputing the missing entries, and it formalizes a wide range of real-world settings that involve estimating missing data. However, when there are too few observed entries to complete the matrix, what other aspects of the underlying matrix can be reliably recovered? We study one such problem setting, that of "one-sided" matrix completion, where our goal is to recover the right singular vectors of X, even in the regime where recovering the left singular vectors is impossible, which arises when there are more rows than columns and very few observations. We propose a natural algorithm that involves imputing the missing values of the matrix X^TX and show that even with only two observations per row in X, we can provably recover X^TX as long as we have at least Omega(r^2 d log d) rows, where r is the rank and d is the number of columns. We evaluate our algorithm on one-sided recovery of synthetic data and low-coverage genome sequencing. In these settings, our algorithm substantially outperforms standard matrix completion and a variety of direct factorization methods.

In common law jurisdictions, legal practitioners rely on precedents to construct arguments, in line with the doctrine of stare decisis. As the number of cases grow over the years, prior case retrieval (PCR) has garnered significant attention. Besides lacking real-world scale, existing PCR datasets do not simulate a realistic setting, because their queries use complete case documents while only masking references to prior cases. The query is thereby exposed to legal reasoning not yet available when constructing an argument for an undecided case as well as spurious patterns left behind by citation masks, potentially short-circuiting a comprehensive understanding of case facts and legal principles. To address these limitations, we introduce a PCR dataset based on judgements from the European Court of Human Rights (ECtHR), which explicitly separate facts from arguments and exhibit precedential practices, aiding us to develop this PCR dataset to foster systems' comprehensive understanding. We benchmark different lexical and dense retrieval approaches with various negative sampling strategies, adapting them to deal with long text sequences using hierarchical variants. We found that difficulty-based negative sampling strategies were not effective for the PCR task, highlighting the need for investigation into domain-specific difficulty criteria. Furthermore, we observe performance of the dense models degrade with time and calls for further research into temporal adaptation of retrieval models. Additionally, we assess the influence of different views , Halsbury's and Goodhart's, in practice in ECtHR jurisdiction using PCR task.

Retrieval-augmented generation (RAG) and long-context language models (LCLMs) both address context limitations of LLMs in open-domain question answering (QA). However, optimal external context to retrieve remains an open problem: fixing the retrieval size risks either wasting tokens or omitting key evidence. Existing adaptive methods like Self-RAG and Self-Route rely on iterative LLM prompting and perform well on factoid QA, but struggle with aggregation QA, where the optimal context size is both unknown and variable. We present Adaptive-k retrieval, a simple and effective single-pass method that adaptively selects the number of passages based on the distribution of the similarity scores between the query and the candidate passages. It does not require model fine-tuning, extra LLM inferences or changes to existing retriever-reader pipelines. On both factoid and aggregation QA benchmarks, Adaptive-k matches or outperforms fixed-k baselines while using up to 10x fewer tokens than full-context input, yet still retrieves 70% of relevant passages. It improves accuracy across five LCLMs and two embedding models, highlighting that dynamically adjusting context size leads to more efficient and accurate QA.

Computed Tomography (CT) scan, which produces 3D volumetric medical data that can be viewed as hundreds of cross-sectional images (a.k.a. slices), provides detailed anatomical information for diagnosis. For radiologists, creating CT radiology reports is time-consuming and error-prone. A visual question answering (VQA) system that can answer radiologists' questions about some anatomical regions on the CT scan and even automatically generate a radiology report is urgently needed. However, existing VQA systems cannot adequately handle the CT radiology question answering (CTQA) task for: (1) anatomic complexity makes CT images difficult to understand; (2) spatial relationship across hundreds slices is difficult to capture. To address these issues, this paper proposes CT-Agent, a multimodal agentic framework for CTQA. CT-Agent adopts anatomically independent tools to break down the anatomic complexity; furthermore, it efficiently captures the across-slice spatial relationship with a global-local token compression strategy. Experimental results on two 3D chest CT datasets, CT-RATE and RadGenome-ChestCT, verify the superior performance of CT-Agent.

Retrieval-Augmented Generation (RAG) systems have revolutionized information retrieval and question answering, but traditional text-based chunking methods struggle with complex document structures, multi-page tables, embedded figures, and contextual dependencies across page boundaries. We present a novel multimodal document chunking approach that leverages Large Multimodal Models (LMMs) to process PDF documents in batches while maintaining semantic coherence and structural integrity. Our method processes documents in configurable page batches with cross-batch context preservation, enabling accurate handling of tables spanning multiple pages, embedded visual elements, and procedural content. We evaluate our approach on a curated dataset of PDF documents with manually crafted queries, demonstrating improvements in chunk quality and downstream RAG performance. Our vision-guided approach achieves better accuracy compared to traditional vanilla RAG systems, with qualitative analysis showing superior preservation of document structure and semantic coherence.

This work introduces a new framework, ProtoSAM, for one-shot medical image segmentation. It combines the use of prototypical networks, known for few-shot segmentation, with SAM - a natural image foundation model. The method proposed creates an initial coarse segmentation mask using the ALPnet prototypical network, augmented with a DINOv2 encoder. Following the extraction of an initial mask, prompts are extracted, such as points and bounding boxes, which are then input into the Segment Anything Model (SAM). State-of-the-art results are shown on several medical image datasets and demonstrate automated segmentation capabilities using a single image example (one shot) with no need for fine-tuning of the foundation model. Our code is available at: https://github.com/levayz/ProtoSAM

Retrieval-Augmented Generation (RAG) significantly improves the performance of Large Language Models (LLMs) on knowledge-intensive tasks. However, varying response quality across LLMs under RAG necessitates intelligent routing mechanisms, which select the most suitable model for each query from multiple retrieval-augmented LLMs via a dedicated router model. We observe that external documents dynamically affect LLMs' ability to answer queries, while existing routing methods, which rely on static parametric knowledge representations, exhibit suboptimal performance in RAG scenarios. To address this, we formally define the new retrieval-augmented LLM routing problem, incorporating the influence of retrieved documents into the routing framework. We propose RAGRouter, a RAG-aware routing design, which leverages document embeddings and RAG capability embeddings with contrastive learning to capture knowledge representation shifts and enable informed routing decisions. Extensive experiments on diverse knowledge-intensive tasks and retrieval settings show that RAGRouter outperforms the best individual LLM by 3.61% on average and existing routing methods by 3.29%-9.33%. With an extended score-threshold-based mechanism, it also achieves strong performance-efficiency trade-offs under low-latency constraints.

This paper presents the submission of the UDInfo team to the SIGIR 2025 LiveRAG Challenge. We introduce PreQRAG, a Retrieval Augmented Generation (RAG) architecture designed to improve retrieval and generation quality through targeted question preprocessing. PreQRAG incorporates a pipeline that first classifies each input question as either single-document or multi-document type. For single-document questions, we employ question rewriting techniques to improve retrieval precision and generation relevance. For multi-document questions, we decompose complex queries into focused sub-questions that can be processed more effectively by downstream components. This classification and rewriting strategy improves the RAG performance. Experimental evaluation of the LiveRAG Challenge dataset demonstrates the effectiveness of our question-type-aware architecture, with PreQRAG achieving the preliminary second place in Session 2 of the LiveRAG challenge.

Paper search is an important activity for researchers, typically involving using a query with description of a topic to find relevant papers. As research deepens, paper search requirements may become more flexible, sometimes involving specific details such as module configuration rather than being limited to coarse-grained topics. However, previous paper search systems are unable to meet these flexible-grained requirements, as these systems mainly collect paper abstracts to construct index of corpus, which lack detailed information to support retrieval by finer-grained queries. In this work, we propose PaperRegister, consisted of offline hierarchical indexing and online adaptive retrieval, transforming traditional abstract-based index into hierarchical index tree for paper search, thereby supporting queries at flexible granularity. Experiments on paper search tasks across a range of granularity demonstrate that PaperRegister achieves the state-of-the-art performance, and particularly excels in fine-grained scenarios, highlighting the good potential as an effective solution for flexible-grained paper search in real-world applications. Code for this work is in https://github.com/Li-Z-Q/PaperRegister.

Large Language Models (LLMs) excel in various language tasks but they often generate incorrect information, a phenomenon known as "hallucinations". Retrieval-Augmented Generation (RAG) aims to mitigate this by using document retrieval for accurate responses. However, RAG still faces hallucinations due to vague queries. This study aims to improve RAG by optimizing query generation with a query-document alignment score, refining queries using LLMs for better precision and efficiency of document retrieval. Experiments have shown that our approach improves document retrieval, resulting in an average accuracy gain of 1.6%.

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.}

Tumor documentation in Germany is largely done manually, requiring reading patient records and entering data into structured databases. Large language models (LLMs) could potentially enhance this process by improving efficiency and reliability. This evaluation tests eleven different open source LLMs with sizes ranging from 1-70 billion model parameters on three basic tasks of the tumor documentation process: identifying tumor diagnoses, assigning ICD-10 codes, and extracting the date of first diagnosis. For evaluating the LLMs on these tasks, a dataset of annotated text snippets based on anonymized doctors' notes from urology was prepared. Different prompting strategies were used to investigate the effect of the number of examples in few-shot prompting and to explore the capabilities of the LLMs in general. The models Llama 3.1 8B, Mistral 7B, and Mistral NeMo 12 B performed comparably well in the tasks. Models with less extensive training data or having fewer than 7 billion parameters showed notably lower performance, while larger models did not display performance gains. Examples from a different medical domain than urology could also improve the outcome in few-shot prompting, which demonstrates the ability of LLMs to handle tasks needed for tumor documentation. Open source LLMs show a strong potential for automating tumor documentation. Models from 7-12 billion parameters could offer an optimal balance between performance and resource efficiency. With tailored fine-tuning and well-designed prompting, these models might become important tools for clinical documentation in the future. The code for the evaluation is available from https://github.com/stefan-m-lenz/UroLlmEval. We also release the dataset as a new valuable resource that addresses the shortage of authentic and easily accessible benchmarks in German-language medical NLP.

In this work, we introduce Brain Latent Progression (BrLP), a novel spatiotemporal disease progression model based on latent diffusion. BrLP is designed to predict the evolution of diseases at the individual level on 3D brain MRIs. Existing deep generative models developed for this task are primarily data-driven and face challenges in learning disease progressions. BrLP addresses these challenges by incorporating prior knowledge from disease models to enhance the accuracy of predictions. To implement this, we propose to integrate an auxiliary model that infers volumetric changes in various brain regions. Additionally, we introduce Latent Average Stabilization (LAS), a novel technique to improve spatiotemporal consistency of the predicted progression. BrLP is trained and evaluated on a large dataset comprising 11,730 T1-weighted brain MRIs from 2,805 subjects, collected from three publicly available, longitudinal Alzheimer's Disease (AD) studies. In our experiments, we compare the MRI scans generated by BrLP with the actual follow-up MRIs available from the subjects, in both cross-sectional and longitudinal settings. BrLP demonstrates significant improvements over existing methods, with an increase of 22% in volumetric accuracy across AD-related brain regions and 43% in image similarity to the ground-truth scans. The ability of BrLP to generate conditioned 3D scans at the subject level, along with the novelty of integrating prior knowledge to enhance accuracy, represents a significant advancement in disease progression modeling, opening new avenues for precision medicine. The code of BrLP is available at the following link: https://github.com/LemuelPuglisi/BrLP.

Large Multimodal Models (LMMs) have shown remarkable progress in the field of medical Visual Question Answering (Med-VQA), achieving high accuracy on existing benchmarks. However, their reliability under robust evaluation is questionable. This study reveals that state-of-the-art models, when subjected to simple probing evaluation, perform worse than random guessing on medical diagnosis questions. To address this critical evaluation problem, we introduce the Probing Evaluation for Medical Diagnosis (ProbMed) dataset to rigorously assess LMM performance in medical imaging through probing evaluation and procedural diagnosis. Particularly, probing evaluation features pairing original questions with negation questions with hallucinated attributes, while procedural diagnosis requires reasoning across various diagnostic dimensions for each image, including modality recognition, organ identification, clinical findings, abnormalities, and positional grounding. Our evaluation reveals that top-performing models like GPT-4V and Gemini Pro perform worse than random guessing on specialized diagnostic questions, indicating significant limitations in handling fine-grained medical inquiries. Besides, models like LLaVA-Med struggle even with more general questions, and results from CheXagent demonstrate the transferability of expertise across different modalities of the same organ, showing that specialized domain knowledge is still crucial for improving performance. This study underscores the urgent need for more robust evaluation to ensure the reliability of LMMs in critical fields like medical diagnosis, and current LMMs are still far from applicable to those fields.

Limited-Angle Computed Tomography (LACT) is a non-destructive evaluation technique used in a variety of applications ranging from security to medicine. The limited angle coverage in LACT is often a dominant source of severe artifacts in the reconstructed images, making it a challenging inverse problem. We present DOLCE, a new deep model-based framework for LACT that uses a conditional diffusion model as an image prior. Diffusion models are a recent class of deep generative models that are relatively easy to train due to their implementation as image denoisers. DOLCE can form high-quality images from severely under-sampled data by integrating data-consistency updates with the sampling updates of a diffusion model, which is conditioned on the transformed limited-angle data. We show through extensive experimentation on several challenging real LACT datasets that, the same pre-trained DOLCE model achieves the SOTA performance on drastically different types of images. Additionally, we show that, unlike standard LACT reconstruction methods, DOLCE naturally enables the quantification of the reconstruction uncertainty by generating multiple samples consistent with the measured data.

Text-Video Retrieval aims to find the most relevant text (or video) candidate given a video (or text) query from large-scale online databases. Recent work leverages multi-modal large language models (MLLMs) to improve retrieval, especially for long or complex query-candidate pairs. However, we observe that the naive application of MLLMs, i.e., retrieval based on candidate likelihood, introduces candidate prior bias, favoring candidates with inherently higher priors over those more relevant to the query. To this end, we propose a novel retrieval framework, Bidirectional Likelihood Estimation with MLLM (BLiM), which leverages both query and candidate likelihoods by training the model to generate text from a given video as well as video features from a given text. Furthermore, we introduce Candidate Prior Normalization (CPN), a simple yet effective training-free score calibration module designed to mitigate candidate prior bias in candidate likelihood. On four Text-Video Retrieval benchmarks, our BLiM equipped with CPN outperforms previous state-of-the-art models by 6.4 R@1 on average, effectively alleviating candidate prior bias and emphasizing query-candidate relevance. Our in-depth analysis across various multi-modal tasks beyond retrieval highlights the broad applicability of CPN which enhances visual understanding by reducing reliance on textual priors. Code is available at https://github.com/mlvlab/BLiM.

Deep learning presents novel opportunities for the auto-segmentation of gross tumor volume (GTV) in head and neck cancer (HNC), yet fully automatic methods usually necessitate significant manual refinement. This study investigates the Segment Anything Model (SAM), recognized for requiring minimal human prompting and its zero-shot generalization ability across natural images. We specifically examine MedSAM, a version of SAM fine-tuned with large-scale public medical images. Despite its progress, the integration of multi-modality images (CT, PET, MRI) for effective GTV delineation remains a challenge. Focusing on SAM's application in HNC GTV segmentation, we assess its performance in both zero-shot and fine-tuned scenarios using single (CT-only) and fused multi-modality images. Our study demonstrates that fine-tuning SAM significantly enhances its segmentation accuracy, building upon the already effective zero-shot results achieved with bounding box prompts. These findings open a promising avenue for semi-automatic HNC GTV segmentation.

Chest X-rays (CXRs) are commonly utilized as a low-dose modality for lung screening. Nonetheless, the efficacy of CXRs is somewhat impeded, given that approximately 75% of the lung area overlaps with bone, which in turn hampers the detection and diagnosis of diseases. As a remedial measure, bone suppression techniques have been introduced. The current dual-energy subtraction imaging technique in the clinic requires costly equipment and subjects being exposed to high radiation. To circumvent these issues, deep learning-based image generation algorithms have been proposed. However, existing methods fall short in terms of producing high-quality images and capturing texture details, particularly with pulmonary vessels. To address these issues, this paper proposes a new bone suppression framework, termed BS-Diff, that comprises a conditional diffusion model equipped with a U-Net architecture and a simple enhancement module to incorporate an autoencoder. Our proposed network cannot only generate soft tissue images with a high bone suppression rate but also possesses the capability to capture fine image details. Additionally, we compiled the largest dataset since 2010, including data from 120 patients with high-definition, high-resolution paired CXRs and soft tissue images collected by our affiliated hospital. Extensive experiments, comparative analyses, ablation studies, and clinical evaluations indicate that the proposed BS-Diff outperforms several bone-suppression models across multiple metrics. Our code can be accessed at https://github.com/Benny0323/BS-Diff.