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Jan 8

Meta-information-aware Dual-path Transformer for Differential Diagnosis of Multi-type Pancreatic Lesions in Multi-phase CT

Pancreatic cancer is one of the leading causes of cancer-related death. Accurate detection, segmentation, and differential diagnosis of the full taxonomy of pancreatic lesions, i.e., normal, seven major types of lesions, and other lesions, is critical to aid the clinical decision-making of patient management and treatment. However, existing works focus on segmentation and classification for very specific lesion types (PDAC) or groups. Moreover, none of the previous work considers using lesion prevalence-related non-imaging patient information to assist the differential diagnosis. To this end, we develop a meta-information-aware dual-path transformer and exploit the feasibility of classification and segmentation of the full taxonomy of pancreatic lesions. Specifically, the proposed method consists of a CNN-based segmentation path (S-path) and a transformer-based classification path (C-path). The S-path focuses on initial feature extraction by semantic segmentation using a UNet-based network. The C-path utilizes both the extracted features and meta-information for patient-level classification based on stacks of dual-path transformer blocks that enhance the modeling of global contextual information. A large-scale multi-phase CT dataset of 3,096 patients with pathology-confirmed pancreatic lesion class labels, voxel-wise manual annotations of lesions from radiologists, and patient meta-information, was collected for training and evaluations. Our results show that our method can enable accurate classification and segmentation of the full taxonomy of pancreatic lesions, approaching the accuracy of the radiologist's report and significantly outperforming previous baselines. Results also show that adding the common meta-information, i.e., gender and age, can boost the model's performance, thus demonstrating the importance of meta-information for aiding pancreatic disease diagnosis.

  • 8 authors
·
Mar 1, 2023

SocraSynth: Multi-LLM Reasoning with Conditional Statistics

Large language models (LLMs), while promising, face criticisms for biases, hallucinations, and a lack of reasoning capability. This paper introduces SocraSynth, a multi-LLM agent reasoning platform developed to mitigate these issues. SocraSynth utilizes conditional statistics and systematic context enhancement through continuous arguments, alongside adjustable debate contentiousness levels. The platform typically involves a human moderator and two LLM agents representing opposing viewpoints on a given subject. SocraSynth operates in two main phases: knowledge generation and reasoning evaluation. In the knowledge generation phase, the moderator defines the debate topic and contentiousness level, prompting the agents to formulate supporting arguments for their respective stances. The reasoning evaluation phase then employs Socratic reasoning and formal logic principles to appraise the quality of the arguments presented. The dialogue concludes with the moderator adjusting the contentiousness from confrontational to collaborative, gathering final, conciliatory remarks to aid in human reasoning and decision-making. Through case studies in three distinct application domains, this paper showcases SocraSynth's effectiveness in fostering rigorous research, dynamic reasoning, comprehensive assessment, and enhanced collaboration. This underscores the value of multi-agent interactions in leveraging LLMs for advanced knowledge extraction and decision-making support.

  • 1 authors
·
Jan 19, 2024

Challenges in Multi-centric Generalization: Phase and Step Recognition in Roux-en-Y Gastric Bypass Surgery

Most studies on surgical activity recognition utilizing Artificial intelligence (AI) have focused mainly on recognizing one type of activity from small and mono-centric surgical video datasets. It remains speculative whether those models would generalize to other centers. In this work, we introduce a large multi-centric multi-activity dataset consisting of 140 videos (MultiBypass140) of laparoscopic Roux-en-Y gastric bypass (LRYGB) surgeries performed at two medical centers: the University Hospital of Strasbourg (StrasBypass70) and Inselspital, Bern University Hospital (BernBypass70). The dataset has been fully annotated with phases and steps. Furthermore, we assess the generalizability and benchmark different deep learning models in 7 experimental studies: 1) Training and evaluation on BernBypass70; 2) Training and evaluation on StrasBypass70; 3) Training and evaluation on the MultiBypass140; 4) Training on BernBypass70, evaluation on StrasBypass70; 5) Training on StrasBypass70, evaluation on BernBypass70; Training on MultiBypass140, evaluation 6) on BernBypass70 and 7) on StrasBypass70. The model's performance is markedly influenced by the training data. The worst results were obtained in experiments 4) and 5) confirming the limited generalization capabilities of models trained on mono-centric data. The use of multi-centric training data, experiments 6) and 7), improves the generalization capabilities of the models, bringing them beyond the level of independent mono-centric training and validation (experiments 1) and 2)). MultiBypass140 shows considerable variation in surgical technique and workflow of LRYGB procedures between centers. Therefore, generalization experiments demonstrate a remarkable difference in model performance. These results highlight the importance of multi-centric datasets for AI model generalization to account for variance in surgical technique and workflows.

  • 10 authors
·
Dec 18, 2023

Towards Holistic Visual Quality Assessment of AI-Generated Videos: A LLM-Based Multi-Dimensional Evaluation Model

The development of AI-Generated Video (AIGV) technology has been remarkable in recent years, significantly transforming the paradigm of video content production. However, AIGVs still suffer from noticeable visual quality defects, such as noise, blurriness, frame jitter and low dynamic degree, which severely impact the user's viewing experience. Therefore, an effective automatic visual quality assessment is of great importance for AIGV content regulation and generative model improvement. In this work, we decompose the visual quality of AIGVs into three dimensions: technical quality, motion quality, and video semantics. For each dimension, we design corresponding encoder to achieve effective feature representation. Moreover, considering the outstanding performance of large language models (LLMs) in various vision and language tasks, we introduce a LLM as the quality regression module. To better enable the LLM to establish reasoning associations between multi-dimensional features and visual quality, we propose a specially designed multi-modal prompt engineering framework. Additionally, we incorporate LoRA fine-tuning technology during the training phase, allowing the LLM to better adapt to specific tasks. Our proposed method achieved second place in the NTIRE 2025 Quality Assessment of AI-Generated Content Challenge: Track 2 AI Generated video, demonstrating its effectiveness. Codes can be obtained at https://github.com/QiZelu/AIGVEval.

  • 7 authors
·
Jun 5, 2025

CPKD: Clinical Prior Knowledge-Constrained Diffusion Models for Surgical Phase Recognition in Endoscopic Submucosal Dissection

Gastrointestinal malignancies constitute a leading cause of cancer-related mortality worldwide, with advanced-stage prognosis remaining particularly dismal. Originating as a groundbreaking technique for early gastric cancer treatment, Endoscopic Submucosal Dissection has evolved into a versatile intervention for diverse gastrointestinal lesions. While computer-assisted systems significantly enhance procedural precision and safety in ESD, their clinical adoption faces a critical bottleneck: reliable surgical phase recognition within complex endoscopic workflows. Current state-of-the-art approaches predominantly rely on multi-stage refinement architectures that iteratively optimize temporal predictions. In this paper, we present Clinical Prior Knowledge-Constrained Diffusion (CPKD), a novel generative framework that reimagines phase recognition through denoising diffusion principles while preserving the core iterative refinement philosophy. This architecture progressively reconstructs phase sequences starting from random noise and conditioned on visual-temporal features. To better capture three domain-specific characteristics, including positional priors, boundary ambiguity, and relation dependency, we design a conditional masking strategy. Furthermore, we incorporate clinical prior knowledge into the model training to improve its ability to correct phase logical errors. Comprehensive evaluations on ESD820, Cholec80, and external multi-center demonstrate that our proposed CPKD achieves superior or comparable performance to state-of-the-art approaches, validating the effectiveness of diffusion-based generative paradigms for surgical phase recognition.

  • 7 authors
·
Jul 4, 2025

OphCLIP: Hierarchical Retrieval-Augmented Learning for Ophthalmic Surgical Video-Language Pretraining

Surgical practice involves complex visual interpretation, procedural skills, and advanced medical knowledge, making surgical vision-language pretraining (VLP) particularly challenging due to this complexity and the limited availability of annotated data. To address the gap, we propose OphCLIP, a hierarchical retrieval-augmented vision-language pretraining framework specifically designed for ophthalmic surgical workflow understanding. OphCLIP leverages the OphVL dataset we constructed, a large-scale and comprehensive collection of over 375K hierarchically structured video-text pairs with tens of thousands of different combinations of attributes (surgeries, phases/operations/actions, instruments, medications, as well as more advanced aspects like the causes of eye diseases, surgical objectives, and postoperative recovery recommendations, etc). These hierarchical video-text correspondences enable OphCLIP to learn both fine-grained and long-term visual representations by aligning short video clips with detailed narrative descriptions and full videos with structured titles, capturing intricate surgical details and high-level procedural insights, respectively. Our OphCLIP also designs a retrieval-augmented pretraining framework to leverage the underexplored large-scale silent surgical procedure videos, automatically retrieving semantically relevant content to enhance the representation learning of narrative videos. Evaluation across 11 datasets for phase recognition and multi-instrument identification shows OphCLIP's robust generalization and superior performance.

  • 20 authors
·
Nov 22, 2024

FinReflectKG -- MultiHop: Financial QA Benchmark for Reasoning with Knowledge Graph Evidence

Multi-hop reasoning over financial disclosures is often a retrieval problem before it becomes a reasoning or generation problem: relevant facts are dispersed across sections, filings, companies, and years, and LLMs often expend excessive tokens navigating noisy context. Without precise Knowledge Graph (KG)-guided selection of relevant context, even strong reasoning models either fail to answer or consume excessive tokens, whereas KG-linked evidence enables models to focus their reasoning on composing already retrieved facts. We present FinReflectKG - MultiHop, a benchmark built on FinReflectKG, a temporally indexed financial KG that links audited triples to source chunks from S&P 100 filings (2022-2024). Mining frequent 2-3 hop subgraph patterns across sectors (via GICS taxonomy), we generate financial analyst style questions with exact supporting evidence from the KG. A two-phase pipeline first creates QA pairs via pattern-specific prompts, followed by a multi-criteria quality control evaluation to ensure QA validity. We then evaluate three controlled retrieval scenarios: (S1) precise KG-linked paths; (S2) text-only page windows centered on relevant text spans; and (S3) relevant page windows with randomizations and distractors. Across both reasoning and non-reasoning models, KG-guided precise retrieval yields substantial gains on the FinReflectKG - MultiHop QA benchmark dataset, boosting correctness scores by approximately 24 percent while reducing token utilization by approximately 84.5 percent compared to the page window setting, which reflects the traditional vector retrieval paradigm. Spanning intra-document, inter-year, and cross-company scopes, our work underscores the pivotal role of knowledge graphs in efficiently connecting evidence for multi-hop financial QA. We also release a curated subset of the benchmark (555 QA Pairs) to catalyze further research.

  • 4 authors
·
Oct 3, 2025

SAVANT: Semantic Analysis with Vision-Augmented Anomaly deTection

Autonomous driving systems remain critically vulnerable to the long-tail of rare, out-of-distribution scenarios with semantic anomalies. While Vision Language Models (VLMs) offer promising reasoning capabilities, naive prompting approaches yield unreliable performance and depend on expensive proprietary models, limiting practical deployment. We introduce SAVANT (Semantic Analysis with Vision-Augmented Anomaly deTection), a structured reasoning framework that achieves high accuracy and recall in detecting anomalous driving scenarios from input images through layered scene analysis and a two-phase pipeline: structured scene description extraction followed by multi-modal evaluation. Our approach transforms VLM reasoning from ad-hoc prompting to systematic analysis across four semantic layers: Street, Infrastructure, Movable Objects, and Environment. SAVANT achieves 89.6% recall and 88.0% accuracy on real-world driving scenarios, significantly outperforming unstructured baselines. More importantly, we demonstrate that our structured framework enables a fine-tuned 7B parameter open-source model (Qwen2.5VL) to achieve 90.8% recall and 93.8% accuracy - surpassing all models evaluated while enabling local deployment at near-zero cost. By automatically labeling over 9,640 real-world images with high accuracy, SAVANT addresses the critical data scarcity problem in anomaly detection and provides a practical path toward reliable, accessible semantic monitoring for autonomous systems.

  • 5 authors
·
Oct 20, 2025 2

MSRS: Evaluating Multi-Source Retrieval-Augmented Generation

Retrieval-augmented systems are typically evaluated in settings where information required to answer the query can be found within a single source or the answer is short-form or factoid-based. However, many real-world applications demand the ability to integrate and summarize information scattered across multiple sources, where no single source is sufficient to respond to the user's question. In such settings, the retrieval component of a RAG pipeline must recognize a variety of relevance signals, and the generation component must connect and synthesize information across multiple sources. We present a scalable framework for constructing evaluation benchmarks that challenge RAG systems to integrate information across distinct sources and generate long-form responses. Using our framework, we build two new benchmarks on Multi-Source Retrieval and Synthesis: MSRS-Story and MSRS-Meet, representing narrative synthesis and summarization tasks, respectively, that require retrieval from large collections. Our extensive experiments with various RAG pipelines -- including sparse and dense retrievers combined with frontier LLMs -- reveal that generation quality is highly dependent on retrieval effectiveness, which varies greatly by task. While multi-source synthesis proves challenging even in an oracle retrieval setting, we find that reasoning models significantly outperform standard LLMs at this distinct step.

  • 7 authors
·
Aug 28, 2025

CoFE-RAG: A Comprehensive Full-chain Evaluation Framework for Retrieval-Augmented Generation with Enhanced Data Diversity

Retrieval-Augmented Generation (RAG) aims to enhance large language models (LLMs) to generate more accurate and reliable answers with the help of the retrieved context from external knowledge sources, thereby reducing the incidence of hallucinations. Despite the advancements, evaluating these systems remains a crucial research area due to the following issues: (1) Limited data diversity: The insufficient diversity of knowledge sources and query types constrains the applicability of RAG systems; (2) Obscure problems location: Existing evaluation methods have difficulty in locating the stage of the RAG pipeline where problems occur; (3) Unstable retrieval evaluation: These methods often fail to effectively assess retrieval performance, particularly when the chunking strategy changes. To tackle these challenges, we propose a Comprehensive Full-chain Evaluation (CoFE-RAG) framework to facilitate thorough evaluation across the entire RAG pipeline, including chunking, retrieval, reranking, and generation. To effectively evaluate the first three phases, we introduce multi-granularity keywords, including coarse-grained and fine-grained keywords, to assess the retrieved context instead of relying on the annotation of golden chunks. Moreover, we release a holistic benchmark dataset tailored for diverse data scenarios covering a wide range of document formats and query types. We demonstrate the utility of the CoFE-RAG framework by conducting experiments to evaluate each stage of RAG systems. Our evaluation method provides unique insights into the effectiveness of RAG systems in handling diverse data scenarios, offering a more nuanced understanding of their capabilities and limitations.

  • 5 authors
·
Oct 16, 2024

Large Language Models for Oral History Understanding with Text Classification and Sentiment Analysis

Oral histories are vital records of lived experience, particularly within communities affected by systemic injustice and historical erasure. Effective and efficient analysis of their oral history archives can promote access and understanding of the oral histories. However, Large-scale analysis of these archives remains limited due to their unstructured format, emotional complexity, and high annotation costs. This paper presents a scalable framework to automate semantic and sentiment annotation for Japanese American Incarceration Oral History. Using LLMs, we construct a high-quality dataset, evaluate multiple models, and test prompt engineering strategies in historically sensitive contexts. Our multiphase approach combines expert annotation, prompt design, and LLM evaluation with ChatGPT, Llama, and Qwen. We labeled 558 sentences from 15 narrators for sentiment and semantic classification, then evaluated zero-shot, few-shot, and RAG strategies. For semantic classification, ChatGPT achieved the highest F1 score (88.71%), followed by Llama (84.99%) and Qwen (83.72%). For sentiment analysis, Llama slightly outperformed Qwen (82.66%) and ChatGPT (82.29%), with all models showing comparable results. The best prompt configurations were used to annotate 92,191 sentences from 1,002 interviews in the JAIOH collection. Our findings show that LLMs can effectively perform semantic and sentiment annotation across large oral history collections when guided by well-designed prompts. This study provides a reusable annotation pipeline and practical guidance for applying LLMs in culturally sensitive archival analysis. By bridging archival ethics with scalable NLP techniques, this work lays the groundwork for responsible use of artificial intelligence in digital humanities and preservation of collective memory. GitHub: https://github.com/kc6699c/LLM4OralHistoryAnalysis.

  • 5 authors
·
Aug 8, 2025

Towards a Unified Multi-Dimensional Evaluator for Text Generation

Multi-dimensional evaluation is the dominant paradigm for human evaluation in Natural Language Generation (NLG), i.e., evaluating the generated text from multiple explainable dimensions, such as coherence and fluency. However, automatic evaluation in NLG is still dominated by similarity-based metrics, and we lack a reliable framework for a more comprehensive evaluation of advanced models. In this paper, we propose a unified multi-dimensional evaluator UniEval for NLG. We re-frame NLG evaluation as a Boolean Question Answering (QA) task, and by guiding the model with different questions, we can use one evaluator to evaluate from multiple dimensions. Furthermore, thanks to the unified Boolean QA format, we are able to introduce an intermediate learning phase that enables UniEval to incorporate external knowledge from multiple related tasks and gain further improvement. Experiments on three typical NLG tasks show that UniEval correlates substantially better with human judgments than existing metrics. Specifically, compared to the top-performing unified evaluators, UniEval achieves a 23% higher correlation on text summarization, and over 43% on dialogue response generation. Also, UniEval demonstrates a strong zero-shot learning ability for unseen evaluation dimensions and tasks. Source code, data and all pre-trained evaluators are available on our GitHub repository (https://github.com/maszhongming/UniEval).

  • 9 authors
·
Oct 13, 2022