Daily Papers

Alignment is no longer a luxury, it is a necessity. As large language models (LLMs) enter high-stakes domains like education, healthcare, governance, and law, their behavior must reliably reflect human-aligned values and safety constraints. Yet current evaluations rely heavily on behavioral proxies such as refusal rates, G-Eval scores, and toxicity classifiers, all of which have critical blind spots. Aligned models are often vulnerable to jailbreaking, stochasticity of generation, and alignment faking. To address this issue, we introduce the Alignment Quality Index (AQI). This novel geometric and prompt-invariant metric empirically assesses LLM alignment by analyzing the separation of safe and unsafe activations in latent space. By combining measures such as the Davies-Bouldin Score (DBS), Dunn Index (DI), Xie-Beni Index (XBI), and Calinski-Harabasz Index (CHI) across various formulations, AQI captures clustering quality to detect hidden misalignments and jailbreak risks, even when outputs appear compliant. AQI also serves as an early warning signal for alignment faking, offering a robust, decoding invariant tool for behavior agnostic safety auditing. Additionally, we propose the LITMUS dataset to facilitate robust evaluation under these challenging conditions. Empirical tests on LITMUS across different models trained under DPO, GRPO, and RLHF conditions demonstrate AQI's correlation with external judges and ability to reveal vulnerabilities missed by refusal metrics. We make our implementation publicly available to foster future research in this area.

For fair academic recruitment at universities and research institutions, determination of the right measure based on globally accepted academic quality features is a highly delicate, challenging, but quite important problem to be addressed. In a series of two papers, we consider the modeling part for academic quality quantification in the first paper, in this paper, and the case studies part in the second paper. For academic quality quantification modeling, we develop two computational frameworks which can be used to construct a decision-support tool: (i) an optimization-based framework and (ii) a Siamese network (a type of artificial neural network)-based framework. The output of both models is a single index called Academic Quality Index (AQI) which is a measure of the overall academic quality. The data of academics from first-class and average-class world universities, based on Times Higher Education World University Rankings and QS World University Rankings, are assumed as the reference data for tuning model parameters.

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

The rapid development of text-to-image (T2I) generation approaches has attracted extensive interest in evaluating the quality of generated images, leading to the development of various quality assessment methods for general-purpose T2I outputs. However, existing image quality assessment (IQA) methods are limited to providing global quality scores, failing to deliver fine-grained perceptual evaluations for structurally complex subjects like humans, which is a critical challenge considering the frequent anatomical and textural distortions in AI-generated human images (AGHIs). To address this gap, we introduce AGHI-QA, the first large-scale benchmark specifically designed for quality assessment of AGHIs. The dataset comprises 4,000 images generated from 400 carefully crafted text prompts using 10 state of-the-art T2I models. We conduct a systematic subjective study to collect multidimensional annotations, including perceptual quality scores, text-image correspondence scores, visible and distorted body part labels. Based on AGHI-QA, we evaluate the strengths and weaknesses of current T2I methods in generating human images from multiple dimensions. Furthermore, we propose AGHI-Assessor, a novel quality metric that integrates the large multimodal model (LMM) with domain-specific human features for precise quality prediction and identification of visible and distorted body parts in AGHIs. Extensive experimental results demonstrate that AGHI-Assessor showcases state-of-the-art performance, significantly outperforming existing IQA methods in multidimensional quality assessment and surpassing leading LMMs in detecting structural distortions in AGHIs.

Precise alignment in Text-to-Image (T2I) systems is crucial to ensure that generated visuals not only accurately encapsulate user intents but also conform to stringent ethical and aesthetic benchmarks. Incidents like the Google Gemini fiasco, where misaligned outputs triggered significant public backlash, underscore the critical need for robust alignment mechanisms. In contrast, Large Language Models (LLMs) have achieved notable success in alignment. Building on these advancements, researchers are eager to apply similar alignment techniques, such as Direct Preference Optimization (DPO), to T2I systems to enhance image generation fidelity and reliability. We present YinYangAlign, an advanced benchmarking framework that systematically quantifies the alignment fidelity of T2I systems, addressing six fundamental and inherently contradictory design objectives. Each pair represents fundamental tensions in image generation, such as balancing adherence to user prompts with creative modifications or maintaining diversity alongside visual coherence. YinYangAlign includes detailed axiom datasets featuring human prompts, aligned (chosen) responses, misaligned (rejected) AI-generated outputs, and explanations of the underlying contradictions.

The year 2024 marks the 10th anniversary of the Multidimensional Quality Metrics (MQM) framework for analytic translation quality evaluation. The MQM error typology has been widely used by practitioners in the translation and localization industry and has served as the basis for many derivative projects. The annual Conference on Machine Translation (WMT) shared tasks on both human and automatic translation quality evaluations used the MQM error typology. The metric stands on two pillars: error typology and the scoring model. The scoring model calculates the quality score from annotation data, detailing how to convert error type and severity counts into numeric scores to determine if the content meets specifications. Previously, only the raw scoring model had been published. This April, the MQM Council published the Linear Calibrated Scoring Model, officially presented herein, along with the Non-Linear Scoring Model, which had not been published before. This paper details the latest MQM developments and presents a universal approach to translation quality measurement across three sample size ranges. It also explains why Statistical Quality Control should be used for very small sample sizes, starting from a single sentence.

With the rapid advancements of the text-to-image generative model, AI-generated images (AGIs) have been widely applied to entertainment, education, social media, etc. However, considering the large quality variance among different AGIs, there is an urgent need for quality models that are consistent with human subjective ratings. To address this issue, we extensively consider various popular AGI models, generated AGI through different prompts and model parameters, and collected subjective scores at the perceptual quality and text-to-image alignment, thus building the most comprehensive AGI subjective quality database AGIQA-3K so far. Furthermore, we conduct a benchmark experiment on this database to evaluate the consistency between the current Image Quality Assessment (IQA) model and human perception, while proposing StairReward that significantly improves the assessment performance of subjective text-to-image alignment. We believe that the fine-grained subjective scores in AGIQA-3K will inspire subsequent AGI quality models to fit human subjective perception mechanisms at both perception and alignment levels and to optimize the generation result of future AGI models. The database is released on https://github.com/lcysyzxdxc/AGIQA-3k-Database.

Recently, Text-to-Image (T2I) generation models have achieved significant advancements. Correspondingly, many automated metrics have emerged to evaluate the image-text alignment capabilities of generative models. However, the performance comparison among these automated metrics is limited by existing small datasets. Additionally, these datasets lack the capacity to assess the performance of automated metrics at a fine-grained level. In this study, we contribute an EvalMuse-40K benchmark, gathering 40K image-text pairs with fine-grained human annotations for image-text alignment-related tasks. In the construction process, we employ various strategies such as balanced prompt sampling and data re-annotation to ensure the diversity and reliability of our benchmark. This allows us to comprehensively evaluate the effectiveness of image-text alignment metrics for T2I models. Meanwhile, we introduce two new methods to evaluate the image-text alignment capabilities of T2I models: FGA-BLIP2 which involves end-to-end fine-tuning of a vision-language model to produce fine-grained image-text alignment scores and PN-VQA which adopts a novel positive-negative VQA manner in VQA models for zero-shot fine-grained evaluation. Both methods achieve impressive performance in image-text alignment evaluations. We also use our methods to rank current AIGC models, in which the results can serve as a reference source for future study and promote the development of T2I generation. The data and code will be made publicly available.

Many text generation applications require the generated text to be factually consistent with input information. Automatic evaluation of factual consistency is challenging. Previous work has developed various metrics that often depend on specific functions, such as natural language inference (NLI) or question answering (QA), trained on limited data. Those metrics thus can hardly assess diverse factual inconsistencies (e.g., contradictions, hallucinations) that occur in varying inputs/outputs (e.g., sentences, documents) from different tasks. In this paper, we propose AlignScore, a new holistic metric that applies to a variety of factual inconsistency scenarios as above. AlignScore is based on a general function of information alignment between two arbitrary text pieces. Crucially, we develop a unified training framework of the alignment function by integrating a large diversity of data sources, resulting in 4.7M training examples from 7 well-established tasks (NLI, QA, paraphrasing, fact verification, information retrieval, semantic similarity, and summarization). We conduct extensive experiments on large-scale benchmarks including 22 evaluation datasets, where 19 of the datasets were never seen in the alignment training. AlignScore achieves substantial improvement over a wide range of previous metrics. Moreover, AlignScore (355M parameters) matches or even outperforms metrics based on ChatGPT and GPT-4 that are orders of magnitude larger.

Recently, both closed-source LLMs and open-source communities have made significant strides, outperforming humans in various general domains. However, their performance in specific professional fields such as medicine, especially within the open-source community, remains suboptimal due to the complexity of medical knowledge. We propose Aquila-Med, a bilingual medical LLM based on Aquila, addressing these challenges through continue pre-training, supervised fine-tuning (SFT), and reinforcement learning from human feedback (RLHF). We construct a large-scale Chinese and English medical dataset for continue pre-training and a high-quality SFT dataset, covering extensive medical specialties. Additionally, we develop a high-quality Direct Preference Optimization (DPO) dataset for further alignment. Aquila-Med achieves notable results across single-turn, multi-turn dialogues, and medical multiple-choice questions, demonstrating the effectiveness of our approach. We open-source the datasets and the entire training process, contributing valuable resources to the research community. Our models and datasets will released at https://huggingface.co/BAAI/AquilaMed-RL.

Radiologists play a crucial role by translating medical images into medical reports. However, the field faces staffing shortages and increasing workloads. While automated approaches using vision-language models (VLMs) show promise as assistants, they require exceptionally high accuracy. Most current VLMs in radiology rely solely on supervised fine-tuning (SFT). Meanwhile, in the general domain, additional preference fine-tuning has become standard practice. The challenge in radiology lies in the prohibitive cost of obtaining radiologist feedback. We propose a scalable automated preference alignment technique for VLMs in radiology, focusing on chest X-ray (CXR) report generation. Our method leverages publicly available datasets with an LLM-as-a-Judge mechanism, eliminating the need for additional expert radiologist feedback. We evaluate and benchmark five direct alignment algorithms (DAAs). Our results show up to a 57.4% improvement in average GREEN scores, a LLM-based metric for evaluating CXR reports, and a 9.2% increase in an average across six metrics (domain specific and general), compared to the SFT baseline. We study reward overoptimization via length exploitation, with reports lengthening by up to 3.2x. To assess a potential alignment tax, we benchmark on six additional diverse tasks, finding no significant degradations. A reader study involving four board-certified radiologists indicates win rates of up to 0.62 over the SFT baseline, while significantly penalizing verbosity. Our analysis provides actionable insights for the development of VLMs in high-stakes fields like radiology.

The quality of finetuning data is crucial for aligning large language models (LLMs) with human values. Current methods to improve data quality are either labor-intensive or prone to factual errors caused by LLM hallucinations. This paper explores elevating the quality of existing instruction data to better align with human values, introducing a simple and effective approach named ReAlign, which reformats the responses of instruction data into a format that better aligns with pre-established criteria and the collated evidence. This approach minimizes human annotation, hallucination, and the difficulty in scaling, remaining orthogonal to existing alignment techniques. Experimentally, ReAlign significantly boosts the general alignment ability, math reasoning, factuality, and readability of the LLMs. Encouragingly, without introducing any additional data or advanced training techniques, and merely by reformatting the response, LLaMA-2-13B's mathematical reasoning ability on GSM8K can be improved from 46.77% to 56.63% in accuracy. Additionally, a mere 5% of ReAlign data yields a 67% boost in general alignment ability measured by the Alpaca dataset. This work highlights the need for further research into the science and mechanistic interpretability of LLMs. We have made the associated code and data publicly accessible to support future studies at https://github.com/GAIR-NLP/ReAlign.

The explosion of visual content available online underscores the requirement for an accurate machine assessor to robustly evaluate scores across diverse types of visual contents. While recent studies have demonstrated the exceptional potentials of large multi-modality models (LMMs) on a wide range of related fields, in this work, we explore how to teach them for visual rating aligned with human opinions. Observing that human raters only learn and judge discrete text-defined levels in subjective studies, we propose to emulate this subjective process and teach LMMs with text-defined rating levels instead of scores. The proposed Q-Align achieves state-of-the-art performance on image quality assessment (IQA), image aesthetic assessment (IAA), as well as video quality assessment (VQA) tasks under the original LMM structure. With the syllabus, we further unify the three tasks into one model, termed the OneAlign. In our experiments, we demonstrate the advantage of the discrete-level-based syllabus over direct-score-based variants for LMMs. Our code and the pre-trained weights are released at https://github.com/Q-Future/Q-Align.

The burgeoning landscape of text-to-image models, exemplified by innovations such as Midjourney and DALLE 3, has revolutionized content creation across diverse sectors. However, these advancements bring forth critical ethical concerns, particularly with the misuse of open-source models to generate content that violates societal norms. Addressing this, we introduce Ethical-Lens, a framework designed to facilitate the value-aligned usage of text-to-image tools without necessitating internal model revision. Ethical-Lens ensures value alignment in text-to-image models across toxicity and bias dimensions by refining user commands and rectifying model outputs. Systematic evaluation metrics, combining GPT4-V, HEIM, and FairFace scores, assess alignment capability. Our experiments reveal that Ethical-Lens enhances alignment capabilities to levels comparable with or superior to commercial models like DALLE 3, ensuring user-generated content adheres to ethical standards while maintaining image quality. This study indicates the potential of Ethical-Lens to ensure the sustainable development of open-source text-to-image tools and their beneficial integration into society. Our code is available at https://github.com/yuzhu-cai/Ethical-Lens.

Evaluating text-to-vision content hinges on two crucial aspects: visual quality and alignment. While significant progress has been made in developing objective models to assess these dimensions, the performance of such models heavily relies on the scale and quality of human annotations. According to Scaling Law, increasing the number of human-labeled instances follows a predictable pattern that enhances the performance of evaluation models. Therefore, we introduce a comprehensive dataset designed to Evaluate Visual quality and Alignment Level for text-to-vision content (Q-EVAL-100K), featuring the largest collection of human-labeled Mean Opinion Scores (MOS) for the mentioned two aspects. The Q-EVAL-100K dataset encompasses both text-to-image and text-to-video models, with 960K human annotations specifically focused on visual quality and alignment for 100K instances (60K images and 40K videos). Leveraging this dataset with context prompt, we propose Q-Eval-Score, a unified model capable of evaluating both visual quality and alignment with special improvements for handling long-text prompt alignment. Experimental results indicate that the proposed Q-Eval-Score achieves superior performance on both visual quality and alignment, with strong generalization capabilities across other benchmarks. These findings highlight the significant value of the Q-EVAL-100K dataset. Data and codes will be available at https://github.com/zzc-1998/Q-Eval.

While text-to-image (T2I) generative models have become ubiquitous, they do not necessarily generate images that align with a given prompt. While previous work has evaluated T2I alignment by proposing metrics, benchmarks, and templates for collecting human judgements, the quality of these components is not systematically measured. Human-rated prompt sets are generally small and the reliability of the ratings -- and thereby the prompt set used to compare models -- is not evaluated. We address this gap by performing an extensive study evaluating auto-eval metrics and human templates. We provide three main contributions: (1) We introduce a comprehensive skills-based benchmark that can discriminate models across different human templates. This skills-based benchmark categorises prompts into sub-skills, allowing a practitioner to pinpoint not only which skills are challenging, but at what level of complexity a skill becomes challenging. (2) We gather human ratings across four templates and four T2I models for a total of >100K annotations. This allows us to understand where differences arise due to inherent ambiguity in the prompt and where they arise due to differences in metric and model quality. (3) Finally, we introduce a new QA-based auto-eval metric that is better correlated with human ratings than existing metrics for our new dataset, across different human templates, and on TIFA160.

With the rapid advancements in AI-Generated Content (AIGC), AI-Generated Images (AIGIs) have been widely applied in entertainment, education, and social media. However, due to the significant variance in quality among different AIGIs, there is an urgent need for models that consistently match human subjective ratings. To address this issue, we organized a challenge towards AIGC quality assessment on NTIRE 2024 that extensively considers 15 popular generative models, utilizing dynamic hyper-parameters (including classifier-free guidance, iteration epochs, and output image resolution), and gather subjective scores that consider perceptual quality and text-to-image alignment altogether comprehensively involving 21 subjects. This approach culminates in the creation of the largest fine-grained AIGI subjective quality database to date with 20,000 AIGIs and 420,000 subjective ratings, known as AIGIQA-20K. Furthermore, we conduct benchmark experiments on this database to assess the correspondence between 16 mainstream AIGI quality models and human perception. We anticipate that this large-scale quality database will inspire robust quality indicators for AIGIs and propel the evolution of AIGC for vision. The database is released on https://www.modelscope.cn/datasets/lcysyzxdxc/AIGCQA-30K-Image.

Medical quality control indicators are essential to assess the qualifications of healthcare institutions for medical services. With the impressive performance of large language models (LLMs) like GPT-4 in the medical field, leveraging these technologies for the Medical Quality Control Indicator Calculation (MQCIC) presents a promising approach. In this work, (1) we introduce a real-world task MQCIC and propose an open-source Chinese electronic medical records (EMRs)-based dataset (CMQCIC-Bench) comprising 785 instances and 76 indicators. (2) We propose a semi-automatic method to enhance the rule representation. Then we propose the Clinical Facts-based Inferential Rule (CF-IR) method that disentangles the clinical fact verification and inferential rule reasoning actions. (3) We conduct comprehensive experiments on 20 representative LLMs, covering general and medical models. Our findings reveal that CF-IR outperforms Chain-of-Thought methods in MQCIC tasks. (4) We conduct an error analysis and investigate the capabilities of clinical fact verification and inferential rule reasoning, providing insights to improve performance in the MQCIC further. The dataset and code is available in this repository https://github.com/YuY-2001/C-MQCIC.

Ensuring alignment, which refers to making models behave in accordance with human intentions [1,2], has become a critical task before deploying large language models (LLMs) in real-world applications. For instance, OpenAI devoted six months to iteratively aligning GPT-4 before its release [3]. However, a major challenge faced by practitioners is the lack of clear guidance on evaluating whether LLM outputs align with social norms, values, and regulations. This obstacle hinders systematic iteration and deployment of LLMs. To address this issue, this paper presents a comprehensive survey of key dimensions that are crucial to consider when assessing LLM trustworthiness. The survey covers seven major categories of LLM trustworthiness: reliability, safety, fairness, resistance to misuse, explainability and reasoning, adherence to social norms, and robustness. Each major category is further divided into several sub-categories, resulting in a total of 29 sub-categories. Additionally, a subset of 8 sub-categories is selected for further investigation, where corresponding measurement studies are designed and conducted on several widely-used LLMs. The measurement results indicate that, in general, more aligned models tend to perform better in terms of overall trustworthiness. However, the effectiveness of alignment varies across the different trustworthiness categories considered. This highlights the importance of conducting more fine-grained analyses, testing, and making continuous improvements on LLM alignment. By shedding light on these key dimensions of LLM trustworthiness, this paper aims to provide valuable insights and guidance to practitioners in the field. Understanding and addressing these concerns will be crucial in achieving reliable and ethically sound deployment of LLMs in various applications.

Image quality scoring and interpreting are two fundamental components of Image Quality Assessment (IQA). The former quantifies image quality, while the latter enables descriptive question answering about image quality. Traditionally, these two tasks have been addressed independently. However, from the perspective of the Human Visual System (HVS) and the Perception-Decision Integration Model, they are inherently interconnected: interpreting serves as the foundation for scoring, while scoring provides an abstract summary of interpreting. Thus, unifying these capabilities within a single model is both intuitive and logically coherent. In this paper, we propose Q-SiT (Quality Scoring and Interpreting joint Teaching), a unified framework that enables large multimodal models (LMMs) to learn both image quality scoring and interpreting simultaneously. We achieve this by transforming conventional IQA datasets into learnable question-answering datasets and incorporating human-annotated quality interpreting data for training. Furthermore, we introduce an efficient scoring & interpreting balance strategy, which first determines the optimal data mix ratio on lightweight LMMs and then maps this ratio to primary LMMs for fine-tuning adjustment. This strategy not only mitigates task interference and enhances cross-task knowledge transfer but also significantly reduces computational costs compared to direct optimization on full-scale LMMs. With this joint learning framework and corresponding training strategy, we develop Q-SiT, the first model capable of simultaneously performing image quality scoring and interpreting tasks, along with its lightweight variant, Q-SiT-mini. Experimental results demonstrate that Q-SiT achieves strong performance in both tasks with superior generalization IQA abilities.Project page at https://github.com/Q-Future/Q-SiT.

Action quality assessment (AQA) applies computer vision to quantitatively assess the performance or execution of a human action. Current AQA approaches are end-to-end neural models, which lack transparency and tend to be biased because they are trained on subjective human judgements as ground-truth. To address these issues, we introduce a neuro-symbolic paradigm for AQA, which uses neural networks to abstract interpretable symbols from video data and makes quality assessments by applying rules to those symbols. We take diving as the case study. We found that domain experts prefer our system and find it more informative than purely neural approaches to AQA in diving. Our system also achieves state-of-the-art action recognition and temporal segmentation, and automatically generates a detailed report that breaks the dive down into its elements and provides objective scoring with visual evidence. As verified by a group of domain experts, this report may be used to assist judges in scoring, help train judges, and provide feedback to divers. We will open-source all of our annotated training data and code for ease of reproducibility.

The rapid advancement of Large Language Models (LLMs) necessitates robust evaluation methodologies. Current benchmarking approaches often rely on comparing model outputs against predefined prompts and reference outputs. Relying on predefined reference outputs hinders flexible adaptation of benchmarks to the rapidly evolving capabilities of LLMs. This limitation necessitates periodic efforts to prepare new benchmarks. To keep pace with rapidly evolving LLM capabilities, we propose a more flexible benchmarking approach. Our method, \textbf{Varco Arena}, provides reference-free benchmarking of LLMs in tournament style. \textbf{Varco Arena} directly compares LLM outputs across a diverse set of prompts, determining model rankings through a single-elimination tournament structure. This direct pairwise comparison offers two key advantages: (1) Direct comparison, unmediated by reference text, more effectively orders competing LLMs, resulting in more reliable rankings, and (2) reference-free approach to benchmarking adds flexibility in updating benchmark prompts by eliminating the need for quality references. Our empirical results, supported by simulation experiments, demonstrate that the \textbf{Varco Arena} tournament approach aligns better with the current Elo model for benchmarking LLMs. The alignment is measured in terms of Spearman correlation, showing improvement over current practice of benchmarking that use reference outputs as comparison anchors.

The rapid advancement of text-to-image (T2I) diffusion models has enabled them to generate unprecedented results from given texts. However, as text inputs become longer, existing encoding methods like CLIP face limitations, and aligning the generated images with long texts becomes challenging. To tackle these issues, we propose LongAlign, which includes a segment-level encoding method for processing long texts and a decomposed preference optimization method for effective alignment training. For segment-level encoding, long texts are divided into multiple segments and processed separately. This method overcomes the maximum input length limits of pretrained encoding models. For preference optimization, we provide decomposed CLIP-based preference models to fine-tune diffusion models. Specifically, to utilize CLIP-based preference models for T2I alignment, we delve into their scoring mechanisms and find that the preference scores can be decomposed into two components: a text-relevant part that measures T2I alignment and a text-irrelevant part that assesses other visual aspects of human preference. Additionally, we find that the text-irrelevant part contributes to a common overfitting problem during fine-tuning. To address this, we propose a reweighting strategy that assigns different weights to these two components, thereby reducing overfitting and enhancing alignment. After fine-tuning 512 times 512 Stable Diffusion (SD) v1.5 for about 20 hours using our method, the fine-tuned SD outperforms stronger foundation models in T2I alignment, such as PixArt-alpha and Kandinsky v2.2. The code is available at https://github.com/luping-liu/LongAlign.

Trustworthiness is essential for the precise and interpretable application of artificial intelligence (AI) in medical imaging. Traditionally, precision and interpretability have been addressed as separate tasks, namely medical image analysis and explainable AI, each developing its own models independently. In this study, for the first time, we investigate the development of a unified medical vision-language pre-training model that can achieve both accurate analysis and interpretable understanding of medical images across various modalities. To build the model, we construct MedConcept-23M, a large-scale dataset comprising 23 million medical image-text pairs extracted from 6.2 million scientific articles, enriched with concepts from the Unified Medical Language System (UMLS). Based on MedConcept-23M, we introduce ConceptCLIP, a medical AI model utilizing concept-enhanced contrastive language-image pre-training. The pre-training of ConceptCLIP involves two primary components: image-text alignment learning (IT-Align) and patch-concept alignment learning (PC-Align). This dual alignment strategy enhances the model's capability to associate specific image regions with relevant concepts, thereby improving both the precision of analysis and the interpretability of the AI system. We conducted extensive experiments on 5 diverse types of medical image analysis tasks, spanning 51 subtasks across 10 image modalities, with the broadest range of downstream tasks. The results demonstrate the effectiveness of the proposed vision-language pre-training model. Further explainability analysis across 6 modalities reveals that ConceptCLIP achieves superior performance, underscoring its robust ability to advance explainable AI in medical imaging. These findings highlight ConceptCLIP's capability in promoting trustworthy AI in the field of medicine.

In recent years, artificial intelligence (AI) driven video generation has garnered significant attention due to advancements in stable diffusion and large language model techniques. Thus, there is a great demand for accurate video quality assessment (VQA) models to measure the perceptual quality of AI-generated content (AIGC) videos as well as optimize video generation techniques. However, assessing the quality of AIGC videos is quite challenging due to the highly complex distortions they exhibit (e.g., unnatural action, irrational objects, etc.). Therefore, in this paper, we try to systemically investigate the AIGC-VQA problem from both subjective and objective quality assessment perspectives. For the subjective perspective, we construct a Large-scale Generated Vdeo Quality assessment (LGVQ) dataset, consisting of 2,808 AIGC videos generated by 6 video generation models using 468 carefully selected text prompts. Unlike previous subjective VQA experiments, we evaluate the perceptual quality of AIGC videos from three dimensions: spatial quality, temporal quality, and text-to-video alignment, which hold utmost importance for current video generation techniques. For the objective perspective, we establish a benchmark for evaluating existing quality assessment metrics on the LGVQ dataset, which reveals that current metrics perform poorly on the LGVQ dataset. Thus, we propose a Unify Generated Video Quality assessment (UGVQ) model to comprehensively and accurately evaluate the quality of AIGC videos across three aspects using a unified model, which uses visual, textual and motion features of video and corresponding prompt, and integrates key features to enhance feature expression. We hope that our benchmark can promote the development of quality evaluation metrics for AIGC videos. The LGVQ dataset and the UGVQ metric will be publicly released.

The Test and Measurement domain, known for its strict requirements for accuracy and efficiency, is increasingly adopting Generative AI technologies to enhance the performance of data analysis, automation, and decision-making processes. Among these, Large Language Models (LLMs) show significant promise for advancing automation and precision in testing. However, the evaluation of LLMs in this specialized area remains insufficiently explored. To address this gap, we introduce the Test and Measurement Intelligence Quotient (TMIQ), a benchmark designed to quantitatively assess LLMs across a wide range of electronic engineering tasks. TMIQ offers a comprehensive set of scenarios and metrics for detailed evaluation, including SCPI command matching accuracy, ranked response evaluation, Chain-of-Thought Reasoning (CoT), and the impact of output formatting variations required by LLMs on performance. In testing various LLMs, our findings indicate varying levels of proficiency, with exact SCPI command match accuracy ranging from around 56% to 73%, and ranked matching first-position scores achieving around 33% for the best-performing model. We also assess token usage, cost-efficiency, and response times, identifying trade-offs between accuracy and operational efficiency. Additionally, we present a command-line interface (CLI) tool that enables users to generate datasets using the same methodology, allowing for tailored assessments of LLMs. TMIQ and the CLI tool provide a rigorous, reproducible means of evaluating LLMs for production environments, facilitating continuous monitoring and identifying strengths and areas for improvement, and driving innovation in their selections for applications within the Test and Measurement industry.

Text-driven video editing has recently experienced rapid development. Despite this, evaluating edited videos remains a considerable challenge. Current metrics tend to fail to align with human perceptions, and effective quantitative metrics for video editing are still notably absent. To address this, we introduce E-Bench, a benchmark suite tailored to the assessment of text-driven video editing. This suite includes E-Bench DB, a video quality assessment (VQA) database for video editing. E-Bench DB encompasses a diverse set of source videos featuring various motions and subjects, along with multiple distinct editing prompts, editing results from 8 different models, and the corresponding Mean Opinion Scores (MOS) from 24 human annotators. Based on E-Bench DB, we further propose E-Bench QA, a quantitative human-aligned measurement for the text-driven video editing task. In addition to the aesthetic, distortion, and other visual quality indicators that traditional VQA methods emphasize, E-Bench QA focuses on the text-video alignment and the relevance modeling between source and edited videos. It proposes a new assessment network for video editing that attains superior performance in alignment with human preferences. To the best of our knowledge, E-Bench introduces the first quality assessment dataset for video editing and an effective subjective-aligned quantitative metric for this domain. All data and code will be publicly available at https://github.com/littlespray/E-Bench.

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

AI alignment aims to make AI systems behave in line with human intentions and values. As AI systems grow more capable, so do risks from misalignment. To provide a comprehensive and up-to-date overview of the alignment field, in this survey, we delve into the core concepts, methodology, and practice of alignment. First, we identify four principles as the key objectives of AI alignment: Robustness, Interpretability, Controllability, and Ethicality (RICE). Guided by these four principles, we outline the landscape of current alignment research and decompose them into two key components: forward alignment and backward alignment. The former aims to make AI systems aligned via alignment training, while the latter aims to gain evidence about the systems' alignment and govern them appropriately to avoid exacerbating misalignment risks. On forward alignment, we discuss techniques for learning from feedback and learning under distribution shift. On backward alignment, we discuss assurance techniques and governance practices. We also release and continually update the website (www.alignmentsurvey.com) which features tutorials, collections of papers, blog posts, and other resources.

Recent advancements in large language model(LLM) performance on medical multiple choice question (MCQ) benchmarks have stimulated interest from healthcare providers and patients globally. Particularly in low-and middle-income countries (LMICs) facing acute physician shortages and lack of specialists, LLMs offer a potentially scalable pathway to enhance healthcare access and reduce costs. However, their effectiveness in the Global South, especially across the African continent, remains to be established. In this work, we introduce AfriMed-QA, the first large scale Pan-African English multi-specialty medical Question-Answering (QA) dataset, 15,000 questions (open and closed-ended) sourced from over 60 medical schools across 16 countries, covering 32 medical specialties. We further evaluate 30 LLMs across multiple axes including correctness and demographic bias. Our findings show significant performance variation across specialties and geographies, MCQ performance clearly lags USMLE (MedQA). We find that biomedical LLMs underperform general models and smaller edge-friendly LLMs struggle to achieve a passing score. Interestingly, human evaluations show a consistent consumer preference for LLM answers and explanations when compared with clinician answers.

Question answering (QA) can only make progress if we know if an answer is correct, but for many of the most challenging and interesting QA examples, current evaluation metrics to determine answer equivalence (AE) often do not align with human judgments, particularly more verbose, free-form answers from large language models (LLM). There are two challenges: a lack of data and that models are too big: LLM-based scorers can correlate better with human judges, but this task has only been tested on limited QA datasets, and even when available, update of the model is limited because LLMs are large and often expensive. We rectify both of these issues by providing clear and consistent guidelines for evaluating AE in machine QA adopted from professional human QA contests. We also introduce a combination of standard evaluation and a more efficient, robust, and lightweight discriminate AE classifier-based matching method (CFMatch, smaller than 1 MB), trained and validated to more accurately evaluate answer correctness in accordance with adopted expert AE rules that are more aligned with human judgments.

Machine Translation (MT) evaluation metrics assess translation quality automatically. Recently, researchers have employed MT metrics for various new use cases, such as data filtering and translation re-ranking. However, most MT metrics return assessments as scalar scores that are difficult to interpret, posing a challenge to making informed design choices. Moreover, MT metrics' capabilities have historically been evaluated using correlation with human judgment, which, despite its efficacy, falls short of providing intuitive insights into metric performance, especially in terms of new metric use cases. To address these issues, we introduce an interpretable evaluation framework for MT metrics. Within this framework, we evaluate metrics in two scenarios that serve as proxies for the data filtering and translation re-ranking use cases. Furthermore, by measuring the performance of MT metrics using Precision, Recall, and F-score, we offer clearer insights into their capabilities than correlation with human judgments. Finally, we raise concerns regarding the reliability of manually curated data following the Direct Assessments+Scalar Quality Metrics (DA+SQM) guidelines, reporting a notably low agreement with Multidimensional Quality Metrics (MQM) annotations.

Evaluating radiology reports is a challenging problem as factual correctness is extremely important due to the need for accurate medical communication about medical images. Existing automatic evaluation metrics either suffer from failing to consider factual correctness (e.g., BLEU and ROUGE) or are limited in their interpretability (e.g., F1CheXpert and F1RadGraph). In this paper, we introduce GREEN (Generative Radiology Report Evaluation and Error Notation), a radiology report generation metric that leverages the natural language understanding of language models to identify and explain clinically significant errors in candidate reports, both quantitatively and qualitatively. Compared to current metrics, GREEN offers: 1) a score aligned with expert preferences, 2) human interpretable explanations of clinically significant errors, enabling feedback loops with end-users, and 3) a lightweight open-source method that reaches the performance of commercial counterparts. We validate our GREEN metric by comparing it to GPT-4, as well as to error counts of 6 experts and preferences of 2 experts. Our method demonstrates not only higher correlation with expert error counts, but simultaneously higher alignment with expert preferences when compared to previous approaches."

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

Alignment has become a critical step for instruction-tuned Large Language Models (LLMs) to become helpful assistants. However, effective evaluation of alignment for emerging Chinese LLMs is still significantly lacking, calling for real-scenario grounded, open-ended, challenging and automatic evaluations tailored for alignment. To fill in this gap, we introduce AlignBench, a comprehensive multi-dimensional benchmark for evaluating LLMs' alignment in Chinese. Equipped with a human-in-the-loop data curation pipeline, our benchmark employs a rule-calibrated multi-dimensional LLM-as-Judge with Chain-of-Thought to generate explanations and final ratings as evaluations, ensuring high reliability and interpretability. Furthermore, we report AlignBench evaluated by CritiqueLLM, a dedicated Chinese evaluator LLM that recovers 95% of GPT-4's evaluation ability. We will provide public APIs for evaluating AlignBench with CritiqueLLM to facilitate the evaluation of LLMs' Chinese alignment. All evaluation codes, data, and LLM generations are available at https://github.com/THUDM/AlignBench.

Background: Clinical documentation represents a significant burden for healthcare providers, with physicians spending up to 2 hours daily on administrative tasks. Recent advances in large language models (LLMs) offer promising solutions, but privacy concerns and computational requirements limit their adoption in healthcare settings. Objective: To develop and evaluate a privacy-preserving, on-device medical transcription system using a fine-tuned Llama 3.2 1B model capable of generating structured medical notes from medical transcriptions while maintaining complete data sovereignty entirely in the browser. Methods: We fine-tuned a Llama 3.2 1B model using Parameter-Efficient Fine-Tuning (PEFT) with LoRA on 1,500 synthetic medical transcription-to-structured note pairs. The model was evaluated against the base Llama 3.2 1B on two datasets: 100 endocrinology transcripts and 140 modified ACI benchmark cases. Evaluation employed both statistical metrics (ROUGE, BERTScore, BLEURT) and LLM-as-judge assessments across multiple clinical quality dimensions. Results: The fine-tuned OnDevice model demonstrated substantial improvements over the base model. On the ACI benchmark, ROUGE-1 scores increased from 0.346 to 0.496, while BERTScore F1 improved from 0.832 to 0.866. Clinical quality assessments showed marked reduction in major hallucinations (from 85 to 35 cases) and enhanced factual correctness (2.81 to 3.54 on 5-point scale). Similar improvements were observed on the internal evaluation dataset, with composite scores increasing from 3.13 to 4.43 (+41.5%). Conclusions: Fine-tuning compact LLMs for medical transcription yields clinically meaningful improvements while enabling complete on-device browser deployment. This approach addresses key barriers to AI adoption in healthcare: privacy preservation, cost reduction, and accessibility for resource-constrained environments.

Automatic evaluation of machine translation (MT) is a critical tool driving the rapid iterative development of MT systems. While considerable progress has been made on estimating a single scalar quality score, current metrics lack the informativeness of more detailed schemes that annotate individual errors, such as Multidimensional Quality Metrics (MQM). In this paper, we help fill this gap by proposing AutoMQM, a prompting technique which leverages the reasoning and in-context learning capabilities of large language models (LLMs) and asks them to identify and categorize errors in translations. We start by evaluating recent LLMs, such as PaLM and PaLM-2, through simple score prediction prompting, and we study the impact of labeled data through in-context learning and finetuning. We then evaluate AutoMQM with PaLM-2 models, and we find that it improves performance compared to just prompting for scores (with particularly large gains for larger models) while providing interpretability through error spans that align with human annotations.

Recent progress in large language models (LLMs) has showcased impressive proficiency in numerous Arabic natural language processing (NLP) applications. Nevertheless, their effectiveness in Arabic medical NLP domains has received limited investigation. This research examines the degree to which state-of-the-art LLMs demonstrate and articulate healthcare knowledge in Arabic, assessing their capabilities across a varied array of Arabic medical tasks. We benchmark several LLMs using a medical dataset proposed in the Arabic NLP AraHealthQA challenge in MedArabiQ2025 track. Various base LLMs were assessed on their ability to accurately provide correct answers from existing choices in multiple-choice questions (MCQs) and fill-in-the-blank scenarios. Additionally, we evaluated the capacity of LLMs in answering open-ended questions aligned with expert answers. Our results reveal significant variations in correct answer prediction accuracy and low variations in semantic alignment of generated answers, highlighting both the potential and limitations of current LLMs in Arabic clinical contexts. Our analysis shows that for MCQs task, the proposed majority voting solution, leveraging three base models (Gemini Flash 2.5, Gemini Pro 2.5, and GPT o3), outperforms others, achieving up to 77% accuracy and securing first place overall in the Arahealthqa 2025 shared task-track 2 (sub-task 1) challenge. Moreover, for the open-ended questions task, several LLMs were able to demonstrate excellent performance in terms of semantic alignment and achieve a maximum BERTScore of 86.44%.

The growing awareness of safety concerns in large language models (LLMs) has sparked considerable interest in the evaluation of safety within current research endeavors. This study investigates an interesting issue pertaining to the evaluation of LLMs, namely the substantial discrepancy in performance between multiple-choice questions and open-ended questions. Inspired by research on jailbreak attack patterns, we argue this is caused by mismatched generalization. That is, the LLM does not have a comprehensive understanding of the complex concept of safety. Instead, it only remembers what to answer for open-ended safety questions, which makes it unable to solve other forms of safety tests. We refer to this phenomenon as fake alignment and construct a comparative benchmark to empirically verify its existence in LLMs. Such fake alignment renders previous evaluation protocols unreliable. To address this, we introduce the Fake alIgNment Evaluation (FINE) framework and two novel metrics--Consistency Score (CS) and Consistent Safety Score (CSS), which jointly assess two complementary forms of evaluation to quantify fake alignment and obtain corrected performance estimates. Applying FINE to 14 widely-used LLMs reveals several models with purported safety are poorly aligned in practice. Our work highlights potential limitations in prevailing alignment methodologies.

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.

The evaluation of Large Language Models (LLMs) in healthcare has been dominated by physician-centric, English-language benchmarks, creating a dangerous illusion of competence that ignores the interprofessional nature of patient care. To provide a more holistic and realistic assessment, we introduce HealthQA-BR, the first large-scale, system-wide benchmark for Portuguese-speaking healthcare. Comprising 5,632 questions from Brazil's national licensing and residency exams, it uniquely assesses knowledge not only in medicine and its specialties but also in nursing, dentistry, psychology, social work, and other allied health professions. We conducted a rigorous zero-shot evaluation of over 20 leading LLMs. Our results reveal that while state-of-the-art models like GPT 4.1 achieve high overall accuracy (86.6%), this top-line score masks alarming, previously unmeasured deficiencies. A granular analysis shows performance plummets from near-perfect in specialties like Ophthalmology (98.7%) to barely passing in Neurosurgery (60.0%) and, most notably, Social Work (68.4%). This "spiky" knowledge profile is a systemic issue observed across all models, demonstrating that high-level scores are insufficient for safety validation. By publicly releasing HealthQA-BR and our evaluation suite, we provide a crucial tool to move beyond single-score evaluations and toward a more honest, granular audit of AI readiness for the entire healthcare team.

This work presents the first quantitative study of alignment errors between small uncrewed aerial systems (sUAS) geospatial imagery and a priori building polygons and finds that alignment errors are non-uniform and irregular. The work also introduces a publicly available dataset of imagery, building polygons, and human-generated and curated adjustments that can be used to evaluate existing strategies for aligning building polygons with sUAS imagery. There are no efforts that have aligned pre-existing spatial data with sUAS imagery, and thus, there is no clear state of practice. However, this effort and analysis show that the translational alignment errors present in this type of data, averaging 82px and an intersection over the union of 0.65, which would induce further errors and biases in downstream machine learning systems unless addressed. This study identifies and analyzes the translational alignment errors of 21,619 building polygons in fifty-one orthomosaic images, covering 16787.2 Acres (26.23 square miles), constructed from sUAS raw imagery from nine wide-area disasters (Hurricane Ian, Hurricane Harvey, Hurricane Michael, Hurricane Ida, Hurricane Idalia, Hurricane Laura, the Mayfield Tornado, the Musset Bayou Fire, and the Kilauea Eruption). The analysis finds no uniformity among the angle and distance metrics of the building polygon alignments as they present an average degree variance of 0.4 and an average pixel distance variance of 0.45. This work alerts the sUAS community to the problem of spatial alignment and that a simple linear transform, often used to align satellite imagery, will not be sufficient to align spatial data in sUAS orthomosaic imagery.

Contemporary image generation systems have achieved high fidelity and superior aesthetic quality beyond basic text-image alignment. However, existing evaluation frameworks have failed to evolve in parallel. This study reveals that human preference reward models fine-tuned based on CLIP and BLIP architectures have inherent flaws: they inappropriately assign low scores to images with rich details and high aesthetic value, creating a significant discrepancy with actual human aesthetic preferences. To address this issue, we design a novel evaluation score, ICT (Image-Contained-Text) score, that achieves and surpasses the objectives of text-image alignment by assessing the degree to which images represent textual content. Building upon this foundation, we further train an HP (High-Preference) score model using solely the image modality to enhance image aesthetics and detail quality while maintaining text-image alignment. Experiments demonstrate that the proposed evaluation model improves scoring accuracy by over 10\% compared to existing methods, and achieves significant results in optimizing state-of-the-art text-to-image models. This research provides theoretical and empirical support for evolving image generation technology toward higher-order human aesthetic preferences. Code is available at https://github.com/BarretBa/ICTHP.

Despite significant progress in generative AI, comprehensive evaluation remains challenging because of the lack of effective metrics and standardized benchmarks. For instance, the widely-used CLIPScore measures the alignment between a (generated) image and text prompt, but it fails to produce reliable scores for complex prompts involving compositions of objects, attributes, and relations. One reason is that text encoders of CLIP can notoriously act as a "bag of words", conflating prompts such as "the horse is eating the grass" with "the grass is eating the horse". To address this, we introduce the VQAScore, which uses a visual-question-answering (VQA) model to produce an alignment score by computing the probability of a "Yes" answer to a simple "Does this figure show '{text}'?" question. Though simpler than prior art, VQAScore computed with off-the-shelf models produces state-of-the-art results across many (8) image-text alignment benchmarks. We also compute VQAScore with an in-house model that follows best practices in the literature. For example, we use a bidirectional image-question encoder that allows image embeddings to depend on the question being asked (and vice versa). Our in-house model, CLIP-FlanT5, outperforms even the strongest baselines that make use of the proprietary GPT-4V. Interestingly, although we train with only images, VQAScore can also align text with video and 3D models. VQAScore allows researchers to benchmark text-to-visual generation using complex texts that capture the compositional structure of real-world prompts. We introduce GenAI-Bench, a more challenging benchmark with 1,600 compositional text prompts that require parsing scenes, objects, attributes, relationships, and high-order reasoning like comparison and logic. GenAI-Bench also offers over 15,000 human ratings for leading image and video generation models such as Stable Diffusion, DALL-E 3, and Gen2.

We introduce Baichuan Alignment, a detailed analysis of the alignment techniques employed in the Baichuan series of models. This represents the industry's first comprehensive account of alignment methodologies, offering valuable insights for advancing AI research. We investigate the critical components that enhance model performance during the alignment process, including optimization methods, data strategies, capability enhancements, and evaluation processes. The process spans three key stages: Prompt Augmentation System (PAS), Supervised Fine-Tuning (SFT), and Preference Alignment. The problems encountered, the solutions applied, and the improvements made are thoroughly recorded. Through comparisons across well-established benchmarks, we highlight the technological advancements enabled by Baichuan Alignment. Baichuan-Instruct is an internal model, while Qwen2-Nova-72B and Llama3-PBM-Nova-70B are instruct versions of the Qwen2-72B and Llama-3-70B base models, optimized through Baichuan Alignment. Baichuan-Instruct demonstrates significant improvements in core capabilities, with user experience gains ranging from 17% to 28%, and performs exceptionally well on specialized benchmarks. In open-source benchmark evaluations, both Qwen2-Nova-72B and Llama3-PBM-Nova-70B consistently outperform their respective official instruct versions across nearly all datasets. This report aims to clarify the key technologies behind the alignment process, fostering a deeper understanding within the community. Llama3-PBM-Nova-70B model is available at https://huggingface.co/PKU-Baichuan-MLSystemLab/Llama3-PBM-Nova-70B.

There is a lack of benchmarks for evaluating large language models (LLMs) in long-form medical question answering (QA). Most existing medical QA evaluation benchmarks focus on automatic metrics and multiple-choice questions. While valuable, these benchmarks fail to fully capture or assess the complexities of real-world clinical applications where LLMs are being deployed. Furthermore, existing studies on evaluating long-form answer generation in medical QA are primarily closed-source, lacking access to human medical expert annotations, which makes it difficult to reproduce results and enhance existing baselines. In this work, we introduce a new publicly available benchmark featuring real-world consumer medical questions with long-form answer evaluations annotated by medical doctors. We performed pairwise comparisons of responses from various open and closed-source medical and general-purpose LLMs based on criteria such as correctness, helpfulness, harmfulness, and bias. Additionally, we performed a comprehensive LLM-as-a-judge analysis to study the alignment between human judgments and LLMs. Our preliminary results highlight the strong potential of open LLMs in medical QA compared to leading closed models. Code & Data: https://github.com/lavita-ai/medical-eval-sphere

LLMs are an integral part of retrieval-augmented generation (RAG) systems. While many studies focus on evaluating the quality of end-to-end RAG systems, there is a lack of research on understanding the appropriateness of an LLM for the RAG task. Thus, we introduce a new metric, Trust-Score, that provides a holistic evaluation of the trustworthiness of LLMs in an RAG framework. We show that various prompting methods, such as in-context learning, fail to adapt LLMs effectively to the RAG task. Thus, we propose Trust-Align, a framework to align LLMs for higher Trust-Score. LLaMA-3-8b, aligned with our method, significantly outperforms open-source LLMs of comparable sizes on ASQA (up 10.7), QAMPARI (up 29.2) and ELI5 (up 14.9). We release our code at: https://github.com/declare-lab/trust-align.

The release of ChatGPT in November 2022 sparked an explosion of interest in post-training and an avalanche of new preference optimization (PO) methods. These methods claim superior alignment by virtue of better correspondence with human pairwise preferences, often measured by LLM judges. In this work, we attempt to answer the following question -- do LLM-judge preferences translate to progress on other, more concrete metrics for alignment, and if not, why not? We define a concrete metric for alignment, and introduce SOS-Bench, the largest standardized, reproducible LLM meta-benchmark to date. We find that (1) LLM-judgments do not correlate with concrete measures of safety, world knowledge, and instruction following; (2) LLM judges have powerful implicit biases, prioritizing style over factuality and safety; and (3) the supervised fine-tuning (SFT) stage of post-training, and not the PO stage, has the greatest impact on alignment, with data scaling and prompt diversity as the driving factors. Our codebase and complete results can be found at https://github.com/penfever/sos-bench.

The ability of large language models (LLMs) to follow natural language instructions with human-level fluency suggests many opportunities in healthcare to reduce administrative burden and improve quality of care. However, evaluating LLMs on realistic text generation tasks for healthcare remains challenging. Existing question answering datasets for electronic health record (EHR) data fail to capture the complexity of information needs and documentation burdens experienced by clinicians. To address these challenges, we introduce MedAlign, a benchmark dataset of 983 natural language instructions for EHR data. MedAlign is curated by 15 clinicians (7 specialities), includes clinician-written reference responses for 303 instructions, and provides 276 longitudinal EHRs for grounding instruction-response pairs. We used MedAlign to evaluate 6 general domain LLMs, having clinicians rank the accuracy and quality of each LLM response. We found high error rates, ranging from 35% (GPT-4) to 68% (MPT-7B-Instruct), and an 8.3% drop in accuracy moving from 32k to 2k context lengths for GPT-4. Finally, we report correlations between clinician rankings and automated natural language generation metrics as a way to rank LLMs without human review. We make MedAlign available under a research data use agreement to enable LLM evaluations on tasks aligned with clinician needs and preferences.

Word-level quality estimation (WQE) aims to automatically identify fine-grained error spans in machine-translated outputs and has found many uses, including assisting translators during post-editing. Modern WQE techniques are often expensive, involving prompting of large language models or ad-hoc training on large amounts of human-labeled data. In this work, we investigate efficient alternatives exploiting recent advances in language model interpretability and uncertainty quantification to identify translation errors from the inner workings of translation models. In our evaluation spanning 14 metrics across 12 translation directions, we quantify the impact of human label variation on metric performance by using multiple sets of human labels. Our results highlight the untapped potential of unsupervised metrics, the shortcomings of supervised methods when faced with label uncertainty, and the brittleness of single-annotator evaluation practices.

We introduce a new, extensive multidimensional quality metrics (MQM) annotated dataset covering 11 language pairs in the biomedical domain. We use this dataset to investigate whether machine translation (MT) metrics which are fine-tuned on human-generated MT quality judgements are robust to domain shifts between training and inference. We find that fine-tuned metrics exhibit a substantial performance drop in the unseen domain scenario relative to metrics that rely on the surface form, as well as pre-trained metrics which are not fine-tuned on MT quality judgments.

Motion artefacts in magnetic resonance brain images can have a strong impact on diagnostic confidence. The assessment of MR image quality is fundamental before proceeding with the clinical diagnosis. Motion artefacts can alter the delineation of structures such as the brain, lesions or tumours and may require a repeat scan. Otherwise, an inaccurate (e.g. correct pathology but wrong severity) or incorrect diagnosis (e.g. wrong pathology) may occur. "Image quality assessment" as a fast, automated step right after scanning can assist in deciding if the acquired images are diagnostically sufficient. An automated image quality assessment based on the structural similarity index (SSIM) regression through a residual neural network is proposed in this work. Additionally, a classification into different groups - by subdividing with SSIM ranges - is evaluated. Importantly, this method predicts SSIM values of an input image in the absence of a reference ground truth image. The networks were able to detect motion artefacts, and the best performance for the regression and classification task has always been achieved with ResNet-18 with contrast augmentation. The mean and standard deviation of residuals' distribution were mu=-0.0009 and sigma=0.0139, respectively. Whilst for the classification task in 3, 5 and 10 classes, the best accuracies were 97, 95 and 89\%, respectively. The results show that the proposed method could be a tool for supporting neuro-radiologists and radiographers in evaluating image quality quickly.

Data catalogs play a crucial role in modern data-driven organizations by facilitating the discovery, understanding, and utilization of diverse data assets. However, ensuring their quality and reliability is complex, especially in open and large-scale data environments. This paper proposes a framework to automatically determine the quality of open data catalogs, addressing the need for efficient and reliable quality assessment mechanisms. Our framework can analyze various core quality dimensions, such as accuracy, completeness, consistency, scalability, and timeliness, offer several alternatives for the assessment of compatibility and similarity across such catalogs as well as the implementation of a set of non-core quality dimensions such as provenance, readability, and licensing. The goal is to empower data-driven organizations to make informed decisions based on trustworthy and well-curated data assets. The source code that illustrates our approach can be downloaded from https://www.github.com/jorge-martinez-gil/dataq/.

Big models, exemplified by Large Language Models (LLMs), are models typically pre-trained on massive data and comprised of enormous parameters, which not only obtain significantly improved performance across diverse tasks but also present emergent capabilities absent in smaller models. However, the growing intertwining of big models with everyday human lives poses potential risks and might cause serious social harm. Therefore, many efforts have been made to align LLMs with humans to make them better follow user instructions and satisfy human preferences. Nevertheless, `what to align with' has not been fully discussed, and inappropriate alignment goals might even backfire. In this paper, we conduct a comprehensive survey of different alignment goals in existing work and trace their evolution paths to help identify the most essential goal. Particularly, we investigate related works from two perspectives: the definition of alignment goals and alignment evaluation. Our analysis encompasses three distinct levels of alignment goals and reveals a goal transformation from fundamental abilities to value orientation, indicating the potential of intrinsic human values as the alignment goal for enhanced LLMs. Based on such results, we further discuss the challenges of achieving such intrinsic value alignment and provide a collection of available resources for future research on the alignment of big models.

The rapid advancements of Text-to-Image (T2I) models have ushered in a new phase of AI-generated content, marked by their growing ability to interpret and follow user instructions. However, existing T2I model evaluation benchmarks fall short in limited prompt diversity and complexity, as well as coarse evaluation metrics, making it difficult to evaluate the fine-grained alignment performance between textual instructions and generated images. In this paper, we present TIIF-Bench (Text-to-Image Instruction Following Benchmark), aiming to systematically assess T2I models' ability in interpreting and following intricate textual instructions. TIIF-Bench comprises a set of 5000 prompts organized along multiple dimensions, which are categorized into three levels of difficulties and complexities. To rigorously evaluate model robustness to varying prompt lengths, we provide a short and a long version for each prompt with identical core semantics. Two critical attributes, i.e., text rendering and style control, are introduced to evaluate the precision of text synthesis and the aesthetic coherence of T2I models. In addition, we collect 100 high-quality designer level prompts that encompass various scenarios to comprehensively assess model performance. Leveraging the world knowledge encoded in large vision language models, we propose a novel computable framework to discern subtle variations in T2I model outputs. Through meticulous benchmarking of mainstream T2I models on TIIF-Bench, we analyze the pros and cons of current T2I models and reveal the limitations of current T2I benchmarks. Project Page: https://a113n-w3i.github.io/TIIF_Bench/.

No-Reference Image Quality Assessment (NR-IQA) focuses on designing methods to measure image quality in alignment with human perception when a high-quality reference image is unavailable. Most state-of-the-art NR-IQA approaches are opinion-aware, i.e. they require human annotations for training. This dependency limits their scalability and broad applicability. To overcome this limitation, we propose QualiCLIP (Quality-aware CLIP), a CLIP-based self-supervised opinion-unaware approach that does not require human opinions. In particular, we introduce a quality-aware image-text alignment strategy to make CLIP generate quality-aware image representations. Starting from pristine images, we synthetically degrade them with increasing levels of intensity. Then, we train CLIP to rank these degraded images based on their similarity to quality-related antonym text prompts. At the same time, we force CLIP to generate consistent representations for images with similar content and the same level of degradation. Our experiments show that the proposed method improves over existing opinion-unaware approaches across multiple datasets with diverse distortion types. Moreover, despite not requiring human annotations, QualiCLIP achieves excellent performance against supervised opinion-aware methods in cross-dataset experiments, thus demonstrating remarkable generalization capabilities. The code and the model are publicly available at https://github.com/miccunifi/QualiCLIP.

Current Large Language Models (LLMs) benchmarks are often based on open-ended or close-ended QA evaluations, avoiding the requirement of human labor. Close-ended measurements evaluate the factuality of responses but lack expressiveness. Open-ended capture the model's capacity to produce discourse responses but are harder to assess for correctness. These two approaches are commonly used, either independently or together, though their relationship remains poorly understood. This work is focused on the healthcare domain, where both factuality and discourse matter greatly. It introduces a comprehensive, multi-axis suite for healthcare LLM evaluation, exploring correlations between open and close benchmarks and metrics. Findings include blind spots and overlaps in current methodologies. As an updated sanity check, we release a new medical benchmark--CareQA--, with both open and closed variants. Finally, we propose a novel metric for open-ended evaluations --Relaxed Perplexity-- to mitigate the identified limitations.

Predictive artificial intelligence (AI) offers an opportunity to improve clinical practice and patient outcomes, but risks perpetuating biases if fairness is inadequately addressed. However, the definition of "fairness" remains unclear. We conducted a scoping review to identify and critically appraise fairness metrics for clinical predictive AI. We defined a "fairness metric" as a measure quantifying whether a model discriminates (societally) against individuals or groups defined by sensitive attributes. We searched five databases (2014-2024), screening 820 records, to include 41 studies, and extracted 62 fairness metrics. Metrics were classified by performance-dependency, model output level, and base performance metric, revealing a fragmented landscape with limited clinical validation and overreliance on threshold-dependent measures. Eighteen metrics were explicitly developed for healthcare, including only one clinical utility metric. Our findings highlight conceptual challenges in defining and quantifying fairness and identify gaps in uncertainty quantification, intersectionality, and real-world applicability. Future work should prioritise clinically meaningful metrics.

The rapid advancement of AI-generated image (AGI) models has introduced significant challenges in evaluating their quality, which requires considering multiple dimensions such as perceptual quality, prompt correspondence, and authenticity. To address these challenges, we propose M3-AGIQA, a comprehensive framework for AGI quality assessment that is Multimodal, Multi-Round, and Multi-Aspect. Our approach leverages the capabilities of Multimodal Large Language Models (MLLMs) as joint text and image encoders and distills advanced captioning capabilities from online MLLMs into a local model via Low-Rank Adaptation (LoRA) fine-tuning. The framework includes a structured multi-round evaluation mechanism, where intermediate image descriptions are generated to provide deeper insights into the quality, correspondence, and authenticity aspects. To align predictions with human perceptual judgments, a predictor constructed by an xLSTM and a regression head is incorporated to process sequential logits and predict Mean Opinion Scores (MOSs). Extensive experiments conducted on multiple benchmark datasets demonstrate that M3-AGIQA achieves state-of-the-art performance, effectively capturing nuanced aspects of AGI quality. Furthermore, cross-dataset validation confirms its strong generalizability. The code is available at https://github.com/strawhatboy/M3-AGIQA.

With the rapid evolution of the Text-to-Image (T2I) model in recent years, their unsatisfactory generation result has become a challenge. However, uniformly refining AI-Generated Images (AIGIs) of different qualities not only limited optimization capabilities for low-quality AIGIs but also brought negative optimization to high-quality AIGIs. To address this issue, a quality-award refiner named Q-Refine is proposed. Based on the preference of the Human Visual System (HVS), Q-Refine uses the Image Quality Assessment (IQA) metric to guide the refining process for the first time, and modify images of different qualities through three adaptive pipelines. Experimental shows that for mainstream T2I models, Q-Refine can perform effective optimization to AIGIs of different qualities. It can be a general refiner to optimize AIGIs from both fidelity and aesthetic quality levels, thus expanding the application of the T2I generation models.

In this paper, in order to get a better understanding of the human visual preferences for AIGIs, a large-scale IQA database for AIGC is established, which is named as AIGCIQA2023. We first generate over 2000 images based on 6 state-of-the-art text-to-image generation models using 100 prompts. Based on these images, a well-organized subjective experiment is conducted to assess the human visual preferences for each image from three perspectives including quality, authenticity and correspondence. Finally, based on this large-scale database, we conduct a benchmark experiment to evaluate the performance of several state-of-the-art IQA metrics on our constructed database.

Ensuring the accuracy of responses provided by large language models (LLMs) is crucial, particularly in clinical settings where incorrect information may directly impact patient health. To address this challenge, we construct K-QA, a dataset containing 1,212 patient questions originating from real-world conversations held on K Health (an AI-driven clinical platform). We employ a panel of in-house physicians to answer and manually decompose a subset of K-QA into self-contained statements. Additionally, we formulate two NLI-based evaluation metrics approximating recall and precision: (1) comprehensiveness, measuring the percentage of essential clinical information in the generated answer and (2) hallucination rate, measuring the number of statements from the physician-curated response contradicted by the LLM answer. Finally, we use K-QA along with these metrics to evaluate several state-of-the-art models, as well as the effect of in-context learning and medically-oriented augmented retrieval schemes developed by the authors. Our findings indicate that in-context learning improves the comprehensiveness of the models, and augmented retrieval is effective in reducing hallucinations. We make K-QA available to to the community to spur research into medically accurate NLP applications.

Subject-driven text-to-image (T2I) generation aims to produce images that align with a given textual description, while preserving the visual identity from a referenced subject image. Despite its broad downstream applicability -- ranging from enhanced personalization in image generation to consistent character representation in video rendering -- progress in this field is limited by the lack of reliable automatic evaluation. Existing methods either assess only one aspect of the task (i.e., textual alignment or subject preservation), misalign with human judgments, or rely on costly API-based evaluation. To address this, we introduce RefVNLI, a cost-effective metric that evaluates both textual alignment and subject preservation in a single prediction. Trained on a large-scale dataset derived from video-reasoning benchmarks and image perturbations, RefVNLI outperforms or matches existing baselines across multiple benchmarks and subject categories (e.g., Animal, Object), achieving up to 6.4-point gains in textual alignment and 8.5-point gains in subject consistency. It also excels with lesser-known concepts, aligning with human preferences at over 87\% accuracy.

Clinical question answering systems have the potential to provide clinicians with relevant and timely answers to their questions. Nonetheless, despite the advances that have been made, adoption of these systems in clinical settings has been slow. One issue is a lack of question-answering datasets which reflect the real-world needs of health professionals. In this work, we present RealMedQA, a dataset of realistic clinical questions generated by humans and an LLM. We describe the process for generating and verifying the QA pairs and assess several QA models on BioASQ and RealMedQA to assess the relative difficulty of matching answers to questions. We show that the LLM is more cost-efficient for generating "ideal" QA pairs. Additionally, we achieve a lower lexical similarity between questions and answers than BioASQ which provides an additional challenge to the top two QA models, as per the results. We release our code and our dataset publicly to encourage further research.

Accelerating MRI scans is one of the principal outstanding problems in the MRI research community. Towards this goal, we hosted the second fastMRI competition targeted towards reconstructing MR images with subsampled k-space data. We provided participants with data from 7,299 clinical brain scans (de-identified via a HIPAA-compliant procedure by NYU Langone Health), holding back the fully-sampled data from 894 of these scans for challenge evaluation purposes. In contrast to the 2019 challenge, we focused our radiologist evaluations on pathological assessment in brain images. We also debuted a new Transfer track that required participants to submit models evaluated on MRI scanners from outside the training set. We received 19 submissions from eight different groups. Results showed one team scoring best in both SSIM scores and qualitative radiologist evaluations. We also performed analysis on alternative metrics to mitigate the effects of background noise and collected feedback from the participants to inform future challenges. Lastly, we identify common failure modes across the submissions, highlighting areas of need for future research in the MRI reconstruction community.

With the rapid advancement of Vision Language Models (VLMs), VLM-based Image Quality Assessment (IQA) seeks to describe image quality linguistically to align with human expression and capture the multifaceted nature of IQA tasks. However, current methods are still far from practical usage. First, prior works focus narrowly on specific sub-tasks or settings, which do not align with diverse real-world applications. Second, their performance is sub-optimal due to limitations in dataset coverage, scale, and quality. To overcome these challenges, we introduce Depicted image Quality Assessment in the Wild (DepictQA-Wild). Our method includes a multi-functional IQA task paradigm that encompasses both assessment and comparison tasks, brief and detailed responses, full-reference and non-reference scenarios. We introduce a ground-truth-informed dataset construction approach to enhance data quality, and scale up the dataset to 495K under the brief-detail joint framework. Consequently, we construct a comprehensive, large-scale, and high-quality dataset, named DQ-495K. We also retain image resolution during training to better handle resolution-related quality issues, and estimate a confidence score that is helpful to filter out low-quality responses. Experimental results demonstrate that DepictQA-Wild significantly outperforms traditional score-based methods, prior VLM-based IQA models, and proprietary GPT-4V in distortion identification, instant rating, and reasoning tasks. Our advantages are further confirmed by real-world applications including assessing the web-downloaded images and ranking model-processed images. Datasets and codes will be released in https://depictqa.github.io/depictqa-wild/.

As large language models (LLMs) continue to advance in linguistic capabilities, robust multilingual evaluation has become essential for promoting equitable technological progress. This position paper examines over 2,000 multilingual (non-English) benchmarks from 148 countries, published between 2021 and 2024, to evaluate past, present, and future practices in multilingual benchmarking. Our findings reveal that, despite significant investments amounting to tens of millions of dollars, English remains significantly overrepresented in these benchmarks. Additionally, most benchmarks rely on original language content rather than translations, with the majority sourced from high-resource countries such as China, India, Germany, the UK, and the USA. Furthermore, a comparison of benchmark performance with human judgments highlights notable disparities. STEM-related tasks exhibit strong correlations with human evaluations (0.70 to 0.85), while traditional NLP tasks like question answering (e.g., XQuAD) show much weaker correlations (0.11 to 0.30). Moreover, translating English benchmarks into other languages proves insufficient, as localized benchmarks demonstrate significantly higher alignment with local human judgments (0.68) than their translated counterparts (0.47). This underscores the importance of creating culturally and linguistically tailored benchmarks rather than relying solely on translations. Through this comprehensive analysis, we highlight six key limitations in current multilingual evaluation practices, propose the guiding principles accordingly for effective multilingual benchmarking, and outline five critical research directions to drive progress in the field. Finally, we call for a global collaborative effort to develop human-aligned benchmarks that prioritize real-world applications.

Neural abstractive summarization models are prone to generate content inconsistent with the source document, i.e. unfaithful. Existing automatic metrics do not capture such mistakes effectively. We tackle the problem of evaluating faithfulness of a generated summary given its source document. We first collected human annotations of faithfulness for outputs from numerous models on two datasets. We find that current models exhibit a trade-off between abstractiveness and faithfulness: outputs with less word overlap with the source document are more likely to be unfaithful. Next, we propose an automatic question answering (QA) based metric for faithfulness, FEQA, which leverages recent advances in reading comprehension. Given question-answer pairs generated from the summary, a QA model extracts answers from the document; non-matched answers indicate unfaithful information in the summary. Among metrics based on word overlap, embedding similarity, and learned language understanding models, our QA-based metric has significantly higher correlation with human faithfulness scores, especially on highly abstractive summaries.

The importance of qualitative parallel data in machine translation has long been determined but it has always been very difficult to obtain such in sufficient quantity for the majority of world languages, mainly because of the associated cost and also the lack of accessibility to these languages. Despite the potential for obtaining parallel datasets from online articles using automatic approaches, forensic investigations have found a lot of quality-related issues such as misalignment, and wrong language codes. In this work, we present a simple but qualitative parallel sentence aligner that carefully leveraged the closed-access Cohere multilingual embedding, a solution that ranked second in the just concluded #CoHereAIHack 2023 Challenge (see https://ai6lagos.devpost.com). The proposed approach achieved 94.96 and 54.83 f1 scores on FLORES and MAFAND-MT, compared to 3.64 and 0.64 of LASER respectively. Our method also achieved an improvement of more than 5 BLEU scores over LASER, when the resulting datasets were used with MAFAND-MT dataset to train translation models. Our code and data are available for research purposes here (https://github.com/abumafrim/Cohere-Align).

This paper presents a comprehensive evaluation of GPT-4V's capabilities across diverse medical imaging tasks, including Radiology Report Generation, Medical Visual Question Answering (VQA), and Visual Grounding. While prior efforts have explored GPT-4V's performance in medical image analysis, to the best of our knowledge, our study represents the first quantitative evaluation on publicly available benchmarks. Our findings highlight GPT-4V's potential in generating descriptive reports for chest X-ray images, particularly when guided by well-structured prompts. Meanwhile, its performance on the MIMIC-CXR dataset benchmark reveals areas for improvement in certain evaluation metrics, such as CIDEr. In the domain of Medical VQA, GPT-4V demonstrates proficiency in distinguishing between question types but falls short of the VQA-RAD benchmark in terms of accuracy. Furthermore, our analysis finds the limitations of conventional evaluation metrics like the BLEU scores, advocating for the development of more semantically robust assessment methods. In the field of Visual Grounding, GPT-4V exhibits preliminary promise in recognizing bounding boxes, but its precision is lacking, especially in identifying specific medical organs and signs. Our evaluation underscores the significant potential of GPT-4V in the medical imaging domain, while also emphasizing the need for targeted refinements to fully unlock its capabilities.

In this study, we aimed to determine if fine-tuned large language models (LLMs) can generate accurate, personalized impressions for whole-body PET reports. Twelve language models were trained on a corpus of PET reports using the teacher-forcing algorithm, with the report findings as input and the clinical impressions as reference. An extra input token encodes the reading physician's identity, allowing models to learn physician-specific reporting styles. Our corpus comprised 37,370 retrospective PET reports collected from our institution between 2010 and 2022. To identify the best LLM, 30 evaluation metrics were benchmarked against quality scores from two nuclear medicine (NM) physicians, with the most aligned metrics selecting the model for expert evaluation. In a subset of data, model-generated impressions and original clinical impressions were assessed by three NM physicians according to 6 quality dimensions (3-point scale) and an overall utility score (5-point scale). Each physician reviewed 12 of their own reports and 12 reports from other physicians. Bootstrap resampling was used for statistical analysis. Of all evaluation metrics, domain-adapted BARTScore and PEGASUSScore showed the highest Spearman's rank correlations (0.568 and 0.563) with physician preferences. Based on these metrics, the fine-tuned PEGASUS model was selected as the top LLM. When physicians reviewed PEGASUS-generated impressions in their own style, 89% were considered clinically acceptable, with a mean utility score of 4.08 out of 5. Physicians rated these personalized impressions as comparable in overall utility to the impressions dictated by other physicians (4.03, P=0.41). In conclusion, personalized impressions generated by PEGASUS were clinically useful, highlighting its potential to expedite PET reporting.

Text-to-image generation has advanced rapidly, yet aligning complex textual prompts with generated visuals remains challenging, especially with intricate object relationships and fine-grained details. This paper introduces Fast Prompt Alignment (FPA), a prompt optimization framework that leverages a one-pass approach, enhancing text-to-image alignment efficiency without the iterative overhead typical of current methods like OPT2I. FPA uses large language models (LLMs) for single-iteration prompt paraphrasing, followed by fine-tuning or in-context learning with optimized prompts to enable real-time inference, reducing computational demands while preserving alignment fidelity. Extensive evaluations on the COCO Captions and PartiPrompts datasets demonstrate that FPA achieves competitive text-image alignment scores at a fraction of the processing time, as validated through both automated metrics (TIFA, VQA) and human evaluation. A human study with expert annotators further reveals a strong correlation between human alignment judgments and automated scores, underscoring the robustness of FPA's improvements. The proposed method showcases a scalable, efficient alternative to iterative prompt optimization, enabling broader applicability in real-time, high-demand settings. The codebase is provided to facilitate further research: https://github.com/tiktok/fast_prompt_alignment

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.

Large language models (LLMs) often fail to ask effective questions under uncertainty, making them unreliable in domains where proactive information-gathering is essential for decisionmaking. We present ALFA, a framework that improves LLM question-asking by (i) decomposing the notion of a "good" question into a set of theory-grounded attributes (e.g., clarity, relevance), (ii) controllably synthesizing attribute-specific question variations, and (iii) aligning models via preference-based optimization to explicitly learn to ask better questions along these fine-grained attributes. Focusing on clinical reasoning as a case study, we introduce the MediQ-AskDocs dataset, composed of 17k real-world clinical interactions augmented with 80k attribute-specific preference pairs of follow-up questions, as well as a novel expert-annotated interactive healthcare QA task to evaluate question-asking abilities. Models aligned with ALFA reduce diagnostic errors by 56.6% on MediQ-AskDocs compared to SOTA instruction-tuned LLMs, with a question-level win-rate of 64.4% and strong generalizability. Our findings suggest that explicitly guiding question-asking with structured, fine-grained attributes offers a scalable path to improve LLMs, especially in expert application domains.

This research presents a novel framework for translating extractive question-answering datasets into low-resource languages, as demonstrated by the creation of the AmaSQuAD dataset, a translation of SQuAD 2.0 into Amharic. The methodology addresses challenges related to misalignment between translated questions and answers, as well as the presence of multiple answer instances in the translated context. For this purpose, we used cosine similarity utilizing embeddings from a fine-tuned BERT-based model for Amharic and Longest Common Subsequence (LCS). Additionally, we fine-tune the XLM-R model on the AmaSQuAD synthetic dataset for Amharic Question-Answering. The results show an improvement in baseline performance, with the fine-tuned model achieving an increase in the F1 score from 36.55% to 44.41% and 50.01% to 57.5% on the AmaSQuAD development dataset. Moreover, the model demonstrates improvement on the human-curated AmQA dataset, increasing the F1 score from 67.80% to 68.80% and the exact match score from 52.50% to 52.66%.The AmaSQuAD dataset is publicly available Datasets

Electronic Health Record (EHR) retrieval plays a pivotal role in various clinical tasks, but its development has been severely impeded by the lack of publicly available benchmarks. In this paper, we introduce a novel public EHR retrieval benchmark, CliniQ, to address this gap. We consider two retrieval settings: Single-Patient Retrieval and Multi-Patient Retrieval, reflecting various real-world scenarios. Single-Patient Retrieval focuses on finding relevant parts within a patient note, while Multi-Patient Retrieval involves retrieving EHRs from multiple patients. We build our benchmark upon 1,000 discharge summary notes along with the ICD codes and prescription labels from MIMIC-III, and collect 1,246 unique queries with 77,206 relevance judgments by further leveraging powerful LLMs as annotators. Additionally, we include a novel assessment of the semantic gap issue in EHR retrieval by categorizing matching types into string match and four types of semantic matches. On our proposed benchmark, we conduct a comprehensive evaluation of various retrieval methods, ranging from conventional exact match to popular dense retrievers. Our experiments find that BM25 sets a strong baseline and performs competitively to the dense retrievers, and general domain dense retrievers surprisingly outperform those designed for the medical domain. In-depth analyses on various matching types reveal the strengths and drawbacks of different methods, enlightening the potential for targeted improvement. We believe that our benchmark will stimulate the research communities to advance EHR retrieval systems.

DeepSeek-R1 has demonstrated remarkable effectiveness in incentivizing reasoning and generalization capabilities of large language models (LLMs) through reinforcement learning. Nevertheless, the potential of reasoning-induced computational modeling has not been thoroughly explored in the context of image quality assessment (IQA), a task critically dependent on visual reasoning. In this paper, we introduce VisualQuality-R1, a reasoning-induced no-reference IQA (NR-IQA) model, and we train it with reinforcement learning to rank, a learning algorithm tailored to the intrinsically relative nature of visual quality. Specifically, for a pair of images, we employ group relative policy optimization to generate multiple quality scores for each image. These estimates are then used to compute comparative probabilities of one image having higher quality than the other under the Thurstone model. Rewards for each quality estimate are defined using continuous fidelity measures rather than discretized binary labels. Extensive experiments show that the proposed VisualQuality-R1 consistently outperforms discriminative deep learning-based NR-IQA models as well as a recent reasoning-induced quality regression method. Moreover, VisualQuality-R1 is capable of generating contextually rich, human-aligned quality descriptions, and supports multi-dataset training without requiring perceptual scale realignment. These features make VisualQuality-R1 especially well-suited for reliably measuring progress in a wide range of image processing tasks like super-resolution and image generation.

Pathology Foundation Models (FMs) hold great promise for healthcare. Before they can be used in clinical practice, it is essential to ensure they are robust to variations between medical centers. We measure whether pathology FMs focus on biological features like tissue and cancer type, or on the well known confounding medical center signatures introduced by staining procedure and other differences. We introduce the Robustness Index. This novel robustness metric reflects to what degree biological features dominate confounding features. Ten current publicly available pathology FMs are evaluated. We find that all current pathology foundation models evaluated represent the medical center to a strong degree. Significant differences in the robustness index are observed. Only one model so far has a robustness index greater than one, meaning biological features dominate confounding features, but only slightly. A quantitative approach to measure the influence of medical center differences on FM-based prediction performance is described. We analyze the impact of unrobustness on classification performance of downstream models, and find that cancer-type classification errors are not random, but specifically attributable to same-center confounders: images of other classes from the same medical center. We visualize FM embedding spaces, and find these are more strongly organized by medical centers than by biological factors. As a consequence, the medical center of origin is predicted more accurately than the tissue source and cancer type. The robustness index introduced here is provided with the aim of advancing progress towards clinical adoption of robust and reliable pathology FMs.

Question answering (QA) can only make progress if we know if an answer is correct, but for many of the most challenging and interesting QA examples, current answer correctness (AC) metrics do not align with human judgments, particularly verbose, free form answers from large language models (LLM). There are two challenges: a lack of data and that models are too big. LLM based scorers correlate better with humans, but this expensive task has only been tested on limited QA datasets. We rectify these issues by providing clear guidelines for evaluating machine QA adopted from human QA contests. We also introduce Precise ANswer correctness Determination and Adjudication (PANDA), a small, efficient, deterministic AC classifier (812 KB) that more accurately evaluates answer correctness.

Radiology reports convey detailed clinical observations and capture diagnostic reasoning that evolves over time. However, existing evaluation methods are limited to single-report settings and rely on coarse metrics that fail to capture fine-grained clinical semantics and temporal dependencies. We introduce LUNGUAGE,a benchmark dataset for structured radiology report generation that supports both single-report evaluation and longitudinal patient-level assessment across multiple studies. It contains 1,473 annotated chest X-ray reports, each reviewed by experts, and 80 of them contain longitudinal annotations to capture disease progression and inter-study intervals, also reviewed by experts. Using this benchmark, we develop a two-stage framework that transforms generated reports into fine-grained, schema-aligned structured representations, enabling longitudinal interpretation. We also propose LUNGUAGESCORE, an interpretable metric that compares structured outputs at the entity, relation, and attribute level while modeling temporal consistency across patient timelines. These contributions establish the first benchmark dataset, structuring framework, and evaluation metric for sequential radiology reporting, with empirical results demonstrating that LUNGUAGESCORE effectively supports structured report evaluation. The code is available at: https://github.com/SuperSupermoon/Lunguage

This paper introduces a novel, entity-aware metric, termed as Radiological Report (Text) Evaluation (RaTEScore), to assess the quality of medical reports generated by AI models. RaTEScore emphasizes crucial medical entities such as diagnostic outcomes and anatomical details, and is robust against complex medical synonyms and sensitive to negation expressions. Technically, we developed a comprehensive medical NER dataset, RaTE-NER, and trained an NER model specifically for this purpose. This model enables the decomposition of complex radiological reports into constituent medical entities. The metric itself is derived by comparing the similarity of entity embeddings, obtained from a language model, based on their types and relevance to clinical significance. Our evaluations demonstrate that RaTEScore aligns more closely with human preference than existing metrics, validated both on established public benchmarks and our newly proposed RaTE-Eval benchmark.

Recent breakthroughs in Large Language Models (LLMs) have revolutionized natural language understanding and generation, igniting a surge of interest in leveraging these technologies in the field of scientific literature analysis. Existing benchmarks, however, inadequately evaluate the proficiency of LLMs in scientific literature analysis, especially in scenarios involving complex comprehension and multimodal data. In response, we introduced SciAssess, a benchmark tailored for the in-depth analysis of scientific literature, crafted to provide a thorough assessment of LLMs' efficacy. SciAssess focuses on evaluating LLMs' abilities in memorization, comprehension, and analysis within the context of scientific literature analysis. It includes representative tasks from diverse scientific fields, such as general chemistry, organic materials, and alloy materials. And rigorous quality control measures ensure its reliability in terms of correctness, anonymization, and copyright compliance. SciAssess evaluates leading LLMs, including GPT-4, GPT-3.5, and Gemini, identifying their strengths and aspects for improvement and supporting the ongoing development of LLM applications in scientific literature analysis. SciAssess and its resources are made available at https://sci-assess.github.io, offering a valuable tool for advancing LLM capabilities in scientific literature analysis.

Large Language Models (LLMs) need to be aligned with human expectations to ensure their safety and utility in most applications. Alignment is challenging, costly, and needs to be repeated for every LLM and alignment criterion. We propose to decouple LLMs and alignment by training aligner models that can be used to align any LLM for a given criteria on an as-needed basis, thus also reducing the potential negative impacts of alignment on performance. Our recipe for training the aligner models solely relies on synthetic data generated with a (prompted) LLM and can be easily adjusted for a variety of alignment criteria. We illustrate our method by training an "ethical" aligner and verify its efficacy empirically.

Magnetic resonance imaging (MRI) is a cornerstone of modern medical imaging. However, long image acquisition times, the need for qualitative expert analysis, and the lack of (and difficulty extracting) quantitative indicators that are sensitive to tissue health have curtailed widespread clinical and research studies. While recent machine learning methods for MRI reconstruction and analysis have shown promise for reducing this burden, these techniques are primarily validated with imperfect image quality metrics, which are discordant with clinically-relevant measures that ultimately hamper clinical deployment and clinician trust. To mitigate this challenge, we present the Stanford Knee MRI with Multi-Task Evaluation (SKM-TEA) dataset, a collection of quantitative knee MRI (qMRI) scans that enables end-to-end, clinically-relevant evaluation of MRI reconstruction and analysis tools. This 1.6TB dataset consists of raw-data measurements of ~25,000 slices (155 patients) of anonymized patient MRI scans, the corresponding scanner-generated DICOM images, manual segmentations of four tissues, and bounding box annotations for sixteen clinically relevant pathologies. We provide a framework for using qMRI parameter maps, along with image reconstructions and dense image labels, for measuring the quality of qMRI biomarker estimates extracted from MRI reconstruction, segmentation, and detection techniques. Finally, we use this framework to benchmark state-of-the-art baselines on this dataset. We hope our SKM-TEA dataset and code can enable a broad spectrum of research for modular image reconstruction and image analysis in a clinically informed manner. Dataset access, code, and benchmarks are available at https://github.com/StanfordMIMI/skm-tea.

8 years after the visual question answering (VQA) task was proposed, accuracy remains the primary metric for automatic evaluation. VQA Accuracy has been effective so far in the IID evaluation setting. However, our community is undergoing a shift towards open-ended generative models and OOD evaluation. In this new paradigm, the existing VQA Accuracy metric is overly stringent and underestimates the performance of VQA systems. Thus, there is a need to develop more robust automatic VQA metrics that serve as a proxy for human judgment. In this work, we propose to leverage the in-context learning capabilities of instruction-tuned large language models (LLMs) to build a better VQA metric. We formulate VQA evaluation as an answer-rating task where the LLM is instructed to score the accuracy of a candidate answer given a set of reference answers. We demonstrate the proposed metric better correlates with human judgment compared to existing metrics across several VQA models and benchmarks. We hope wide adoption of our metric will contribute to better estimating the research progress on the VQA task. We plan to release the evaluation code and collected human judgments.

The automated generation of imaging reports proves invaluable in alleviating the workload of radiologists. A clinically applicable reports generation algorithm should demonstrate its effectiveness in producing reports that accurately describe radiology findings and attend to patient-specific indications. In this paper, we introduce a novel method, Structural Entities extraction and patient indications Incorporation (SEI) for chest X-ray report generation. Specifically, we employ a structural entities extraction (SEE) approach to eliminate presentation-style vocabulary in reports and improve the quality of factual entity sequences. This reduces the noise in the following cross-modal alignment module by aligning X-ray images with factual entity sequences in reports, thereby enhancing the precision of cross-modal alignment and further aiding the model in gradient-free retrieval of similar historical cases. Subsequently, we propose a cross-modal fusion network to integrate information from X-ray images, similar historical cases, and patient-specific indications. This process allows the text decoder to attend to discriminative features of X-ray images, assimilate historical diagnostic information from similar cases, and understand the examination intention of patients. This, in turn, assists in triggering the text decoder to produce high-quality reports. Experiments conducted on MIMIC-CXR validate the superiority of SEI over state-of-the-art approaches on both natural language generation and clinical efficacy metrics.

The accelerating development of general medical artificial intelligence (GMAI), powered by multimodal large language models (MLLMs), offers transformative potential for addressing persistent healthcare challenges, including workforce deficits and escalating costs. The parallel development of systematic evaluation benchmarks emerges as a critical imperative to enable performance assessment and provide technological guidance. Meanwhile, as an invaluable knowledge source, the potential of medical textbooks for benchmark development remains underexploited. Here, we present MedBookVQA, a systematic and comprehensive multimodal benchmark derived from open-access medical textbooks. To curate this benchmark, we propose a standardized pipeline for automated extraction of medical figures while contextually aligning them with corresponding medical narratives. Based on this curated data, we generate 5,000 clinically relevant questions spanning modality recognition, disease classification, anatomical identification, symptom diagnosis, and surgical procedures. A multi-tier annotation system categorizes queries through hierarchical taxonomies encompassing medical imaging modalities (42 categories), body anatomies (125 structures), and clinical specialties (31 departments), enabling nuanced analysis across medical subdomains. We evaluate a wide array of MLLMs, including proprietary, open-sourced, medical, and reasoning models, revealing significant performance disparities across task types and model categories. Our findings highlight critical capability gaps in current GMAI systems while establishing textbook-derived multimodal benchmarks as essential evaluation tools. MedBookVQA establishes textbook-derived benchmarking as a critical paradigm for advancing clinical AI, exposing limitations in GMAI systems while providing anatomically structured performance metrics across specialties.

Alignment is the most critical step in building large language models (LLMs) that meet human needs. With the rapid development of LLMs gradually surpassing human capabilities, traditional alignment methods based on human-annotation are increasingly unable to meet the scalability demands. Therefore, there is an urgent need to explore new sources of automated alignment signals and technical approaches. In this paper, we systematically review the recently emerging methods of automated alignment, attempting to explore how to achieve effective, scalable, automated alignment once the capabilities of LLMs exceed those of humans. Specifically, we categorize existing automated alignment methods into 4 major categories based on the sources of alignment signals and discuss the current status and potential development of each category. Additionally, we explore the underlying mechanisms that enable automated alignment and discuss the essential factors that make automated alignment technologies feasible and effective from the fundamental role of alignment.

The swift progress and widespread acceptance of artificial intelligence (AI) systems highlight a pressing requirement to comprehend both the capabilities and potential risks associated with AI. Given the linguistic complexity, cultural richness, and underrepresented status of Arabic in AI research, there is a pressing need to focus on Large Language Models (LLMs) performance and safety for Arabic-related tasks. Despite some progress in their development, there is a lack of comprehensive trustworthiness evaluation benchmarks, which presents a major challenge in accurately assessing and improving the safety of LLMs when prompted in Arabic. In this paper, we introduce AraTrust, the first comprehensive trustworthiness benchmark for LLMs in Arabic. AraTrust comprises 522 human-written multiple-choice questions addressing diverse dimensions related to truthfulness, ethics, safety, physical health, mental health, unfairness, illegal activities, privacy, and offensive language. We evaluated a set of LLMs against our benchmark to assess their trustworthiness. GPT-4 was the most trustworthy LLM, while open-source models, particularly AceGPT 7B and Jais 13B, struggled to achieve a score of 60% in our benchmark.

The objective of Entity Alignment (EA) is to identify equivalent entity pairs from multiple Knowledge Graphs (KGs) and create a more comprehensive and unified KG. The majority of EA methods have primarily focused on the structural modality of KGs, lacking exploration of multi-modal information. A few multi-modal EA methods have made good attempts in this field. Still, they have two shortcomings: (1) inconsistent and inefficient modality modeling that designs complex and distinct models for each modality; (2) ineffective modality fusion due to the heterogeneous nature of modalities in EA. To tackle these challenges, we propose PathFusion, consisting of two main components: (1) MSP, a unified modeling approach that simplifies the alignment process by constructing paths connecting entities and modality nodes to represent multiple modalities; (2) IRF, an iterative fusion method that effectively combines information from different modalities using the path as an information carrier. Experimental results on real-world datasets demonstrate the superiority of PathFusion over state-of-the-art methods, with 22.4%-28.9% absolute improvement on Hits@1, and 0.194-0.245 absolute improvement on MRR.

While recent advancements in large multimodal models (LMMs) have significantly improved their abilities in image quality assessment (IQA) relying on absolute quality rating, how to transfer reliable relative quality comparison outputs to continuous perceptual quality scores remains largely unexplored. To address this gap, we introduce Compare2Score-an all-around LMM-based no-reference IQA (NR-IQA) model, which is capable of producing qualitatively comparative responses and effectively translating these discrete comparative levels into a continuous quality score. Specifically, during training, we present to generate scaled-up comparative instructions by comparing images from the same IQA dataset, allowing for more flexible integration of diverse IQA datasets. Utilizing the established large-scale training corpus, we develop a human-like visual quality comparator. During inference, moving beyond binary choices, we propose a soft comparison method that calculates the likelihood of the test image being preferred over multiple predefined anchor images. The quality score is further optimized by maximum a posteriori estimation with the resulting probability matrix. Extensive experiments on nine IQA datasets validate that the Compare2Score effectively bridges text-defined comparative levels during training with converted single image quality score for inference, surpassing state-of-the-art IQA models across diverse scenarios. Moreover, we verify that the probability-matrix-based inference conversion not only improves the rating accuracy of Compare2Score but also zero-shot general-purpose LMMs, suggesting its intrinsic effectiveness.

Recent breakthroughs in large multimodal models (LMMs) have significantly advanced both text-to-image (T2I) generation and image-to-text (I2T) interpretation. However, many generated images still suffer from issues related to perceptual quality and text-image alignment. Given the high cost and inefficiency of manual evaluation, an automatic metric that aligns with human preferences is desirable. To this end, we present EvalMi-50K, a comprehensive dataset and benchmark for evaluating large-multimodal image generation, which features (i) comprehensive tasks, encompassing 2,100 extensive prompts across 20 fine-grained task dimensions, and (ii) large-scale human-preference annotations, including 100K mean-opinion scores (MOSs) and 50K question-answering (QA) pairs annotated on 50,400 images generated from 24 T2I models. Based on EvalMi-50K, we propose LMM4LMM, an LMM-based metric for evaluating large multimodal T2I generation from multiple dimensions including perception, text-image correspondence, and task-specific accuracy. Extensive experimental results show that LMM4LMM achieves state-of-the-art performance on EvalMi-50K, and exhibits strong generalization ability on other AI-generated image evaluation benchmark datasets, manifesting the generality of both the EvalMi-50K dataset and LMM4LMM metric. Both EvalMi-50K and LMM4LMM will be released at https://github.com/IntMeGroup/LMM4LMM.

Previous research on radiology report generation has made significant progress in terms of increasing the clinical accuracy of generated reports. In this paper, we emphasize another crucial quality that it should possess, i.e., inter-report consistency, which refers to the capability of generating consistent reports for semantically equivalent radiographs. This quality is even of greater significance than the overall report accuracy in terms of ensuring the system's credibility, as a system prone to providing conflicting results would severely erode users' trust. Regrettably, existing approaches struggle to maintain inter-report consistency, exhibiting biases towards common patterns and susceptibility to lesion variants. To address this issue, we propose ICON, which improves the inter-report consistency of radiology report generation. Aiming at enhancing the system's ability to capture the similarities in semantically equivalent lesions, our approach involves first extracting lesions from input images and examining their characteristics. Then, we introduce a lesion-aware mix-up augmentation technique to ensure that the representations of the semantically equivalent lesions align with the same attributes, by linearly interpolating them during the training phase. Extensive experiments on three publicly available chest X-ray datasets verify the effectiveness of our approach, both in terms of improving the consistency and accuracy of the generated reports.

Image Quality Assessment (IQA) models aim to predict perceptual image quality in alignment with human judgments. No-Reference (NR) IQA remains particularly challenging due to the absence of a reference image. While deep learning has significantly advanced this field, a major hurdle in developing NR-IQA models is the limited availability of subjectively labeled data. Most existing deep learning-based NR-IQA approaches rely on pre-training on large-scale datasets before fine-tuning for IQA tasks. To further advance progress in this area, we propose a novel approach that constructs a custom dataset using a limited number of reference content images and introduces a no-reference IQA model that incorporates both content and quality features for perceptual quality prediction. Specifically, we train a quality-aware model using contrastive triplet-based learning, enabling efficient training with fewer samples while achieving strong generalization performance across publicly available datasets. Our repository is available at https://github.com/rajeshsureddi/triqa.

Large Language Models (LLMs) have made significant strides in mathematical reasoning, underscoring the need for a comprehensive and fair evaluation of their capabilities. However, existing benchmarks often fall short, either lacking extensive coverage of undergraduate-level mathematical problems or probably suffering from test-set contamination. To address these issues, we introduce UGMathBench, a diverse and dynamic benchmark specifically designed for evaluating undergraduate-level mathematical reasoning with LLMs. UGMathBench comprises 5,062 problems across 16 subjects and 111 topics, featuring 10 distinct answer types. Each problem includes three randomized versions, with additional versions planned for release as leading open-source LLMs become saturated in UGMathBench. Furthermore, we propose two key metrics: effective accuracy (EAcc), which measures the percentage of correctly solved problems across all three versions, and reasoning gap (Delta), which assesses reasoning robustness by calculating the difference between the average accuracy across all versions and EAcc. Our extensive evaluation of 23 leading LLMs reveals that the highest EAcc achieved is 56.3\% by OpenAI-o1-mini, with large Delta values observed across different models. This highlights the need for future research aimed at developing "large reasoning models" with high EAcc and Delta = 0. We anticipate that the release of UGMathBench, along with its detailed evaluation codes, will serve as a valuable resource to advance the development of LLMs in solving mathematical problems.

Evaluation of QA systems is very challenging and expensive, with the most reliable approach being human annotations of correctness of answers for questions. Recent works (AVA, BEM) have shown that transformer LM encoder based similarity metrics transfer well for QA evaluation, but they are limited by the usage of a single correct reference answer. We propose a new evaluation metric: SQuArE (Sentence-level QUestion AnsweRing Evaluation), using multiple reference answers (combining multiple correct and incorrect references) for sentence-form QA. We evaluate SQuArE on both sentence-level extractive (Answer Selection) and generative (GenQA) QA systems, across multiple academic and industrial datasets, and show that it outperforms previous baselines and obtains the highest correlation with human annotations.

Comparative settings (e.g. pairwise choice, listwise ranking) have been adopted by a wide range of subjective studies for image quality assessment (IQA), as it inherently standardizes the evaluation criteria across different observers and offer more clear-cut responses. In this work, we extend the edge of emerging large multi-modality models (LMMs) to further advance visual quality comparison into open-ended settings, that 1) can respond to open-range questions on quality comparison; 2) can provide detailed reasonings beyond direct answers. To this end, we propose the Co-Instruct. To train this first-of-its-kind open-source open-ended visual quality comparer, we collect the Co-Instruct-562K dataset, from two sources: (a) LMM-merged single image quality description, (b) GPT-4V "teacher" responses on unlabeled data. Furthermore, to better evaluate this setting, we propose the MICBench, the first benchmark on multi-image comparison for LMMs. We demonstrate that Co-Instruct not only achieves 30% higher superior accuracy than state-of-the-art open-source LMMs, but also outperforms GPT-4V (its teacher), on both existing related benchmarks and the proposed MICBench. Our model is published at https://huggingface.co/q-future/co-instruct.

Artificial intelligence (AI) technologies should adhere to human norms to better serve our society and avoid disseminating harmful or misleading information, particularly in Conversational Information Retrieval (CIR). Previous work, including approaches and datasets, has not always been successful or sufficiently robust in taking human norms into consideration. To this end, we introduce a workflow that integrates ethical alignment, with an initial ethical judgment stage for efficient data screening. To address the need for ethical judgment in CIR, we present the QA-ETHICS dataset, adapted from the ETHICS benchmark, which serves as an evaluation tool by unifying scenarios and label meanings. However, each scenario only considers one ethical concept. Therefore, we introduce the MP-ETHICS dataset to evaluate a scenario under multiple ethical concepts, such as justice and Deontology. In addition, we suggest a new approach that achieves top performance in both binary and multi-label ethical judgment tasks. Our research provides a practical method for introducing ethical alignment into the CIR workflow. The data and code are available at https://github.com/wanng-ide/ealm .

We present ReXVQA, the largest and most comprehensive benchmark for visual question answering (VQA) in chest radiology, comprising approximately 696,000 questions paired with 160,000 chest X-rays studies across training, validation, and test sets. Unlike prior efforts that rely heavily on template based queries, ReXVQA introduces a diverse and clinically authentic task suite reflecting five core radiological reasoning skills: presence assessment, location analysis, negation detection, differential diagnosis, and geometric reasoning. We evaluate eight state-of-the-art multimodal large language models, including MedGemma-4B-it, Qwen2.5-VL, Janus-Pro-7B, and Eagle2-9B. The best-performing model (MedGemma) achieves 83.24% overall accuracy. To bridge the gap between AI performance and clinical expertise, we conducted a comprehensive human reader study involving 3 radiology residents on 200 randomly sampled cases. Our evaluation demonstrates that MedGemma achieved superior performance (83.84% accuracy) compared to human readers (best radiology resident: 77.27%), representing a significant milestone where AI performance exceeds expert human evaluation on chest X-ray interpretation. The reader study reveals distinct performance patterns between AI models and human experts, with strong inter-reader agreement among radiologists while showing more variable agreement patterns between human readers and AI models. ReXVQA establishes a new standard for evaluating generalist radiological AI systems, offering public leaderboards, fine-grained evaluation splits, structured explanations, and category-level breakdowns. This benchmark lays the foundation for next-generation AI systems capable of mimicking expert-level clinical reasoning beyond narrow pathology classification. Our dataset will be open-sourced at https://huggingface.co/datasets/rajpurkarlab/ReXVQA

We introduce EQ-Bench, a novel benchmark designed to evaluate aspects of emotional intelligence in Large Language Models (LLMs). We assess the ability of LLMs to understand complex emotions and social interactions by asking them to predict the intensity of emotional states of characters in a dialogue. The benchmark is able to discriminate effectively between a wide range of models. We find that EQ-Bench correlates strongly with comprehensive multi-domain benchmarks like MMLU (Hendrycks et al., 2020) (r=0.97), indicating that we may be capturing similar aspects of broad intelligence. Our benchmark produces highly repeatable results using a set of 60 English-language questions. We also provide open-source code for an automated benchmarking pipeline at https://github.com/EQ-bench/EQ-Bench and a leaderboard at https://eqbench.com

Recent advancements in Large Language Models (LLMs) have demonstrated their potential in delivering accurate answers to questions about world knowledge. Despite this, existing benchmarks for evaluating LLMs in healthcare predominantly focus on medical doctors, leaving other critical healthcare professions underrepresented. To fill this research gap, we introduce the Examinations for Medical Personnel in Chinese (EMPEC), a pioneering large-scale healthcare knowledge benchmark in traditional Chinese. EMPEC consists of 157,803 exam questions across 124 subjects and 20 healthcare professions, including underrepresented occupations like Optometrists and Audiologists. Each question is tagged with its release time and source, ensuring relevance and authenticity. We conducted extensive experiments on 17 LLMs, including proprietary, open-source models, general domain models and medical specific models, evaluating their performance under various settings. Our findings reveal that while leading models like GPT-4 achieve over 75\% accuracy, they still struggle with specialized fields and alternative medicine. Surprisingly, general-purpose LLMs outperformed medical-specific models, and incorporating EMPEC's training data significantly enhanced performance. Additionally, the results on questions released after the models' training cutoff date were consistent with overall performance trends, suggesting that the models' performance on the test set can predict their effectiveness in addressing unseen healthcare-related queries. The transition from traditional to simplified Chinese characters had a negligible impact on model performance, indicating robust linguistic versatility. Our study underscores the importance of expanding benchmarks to cover a broader range of healthcare professions to better assess the applicability of LLMs in real-world healthcare scenarios.

Evaluating free-text explanations is a multifaceted, subjective, and labor-intensive task. Large language models (LLMs) present an appealing alternative due to their potential for consistency, scalability, and cost-efficiency. In this work, we present ACORN, a new dataset of 3,500 free-text explanations and aspect-wise quality ratings, and use it to gain insights into how LLMs evaluate explanations. We observed that replacing one of the human ratings sometimes maintained, but more often lowered the inter-annotator agreement across different settings and quality aspects, suggesting that their judgments are not always consistent with human raters. We further quantified this difference by comparing the correlation between LLM-generated ratings with majority-voted human ratings across different quality aspects. With the best system, Spearman's rank correlation ranged between 0.53 to 0.95, averaging 0.72 across aspects, indicating moderately high but imperfect alignment. Finally, we considered the alternative of using an LLM as an additional rater when human raters are scarce, and measured the correlation between majority-voted labels with a limited human pool and LLMs as an additional rater, compared to the original gold labels. While GPT-4 improved the outcome when there were only two human raters, in all other observed cases, LLMs were neutral to detrimental when there were three or more human raters. We publicly release the dataset to support future improvements in LLM-in-the-loop evaluation here: https://github.com/a-brassard/ACORN.

Multimodal/vision language models (VLMs) are increasingly being deployed in healthcare settings worldwide, necessitating robust benchmarks to ensure their safety, efficacy, and fairness. Multiple-choice question and answer (QA) datasets derived from national medical examinations have long served as valuable evaluation tools, but existing datasets are largely text-only and available in a limited subset of languages and countries. To address these challenges, we present WorldMedQA-V, an updated multilingual, multimodal benchmarking dataset designed to evaluate VLMs in healthcare. WorldMedQA-V includes 568 labeled multiple-choice QAs paired with 568 medical images from four countries (Brazil, Israel, Japan, and Spain), covering original languages and validated English translations by native clinicians, respectively. Baseline performance for common open- and closed-source models are provided in the local language and English translations, and with and without images provided to the model. The WorldMedQA-V benchmark aims to better match AI systems to the diverse healthcare environments in which they are deployed, fostering more equitable, effective, and representative applications.

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

The stunning qualitative improvement of recent text-to-image models has led to their widespread attention and adoption. However, we lack a comprehensive quantitative understanding of their capabilities and risks. To fill this gap, we introduce a new benchmark, Holistic Evaluation of Text-to-Image Models (HEIM). Whereas previous evaluations focus mostly on text-image alignment and image quality, we identify 12 aspects, including text-image alignment, image quality, aesthetics, originality, reasoning, knowledge, bias, toxicity, fairness, robustness, multilinguality, and efficiency. We curate 62 scenarios encompassing these aspects and evaluate 26 state-of-the-art text-to-image models on this benchmark. Our results reveal that no single model excels in all aspects, with different models demonstrating different strengths. We release the generated images and human evaluation results for full transparency at https://crfm.stanford.edu/heim/v1.1.0 and the code at https://github.com/stanford-crfm/helm, which is integrated with the HELM codebase.

Despite thousands of researchers, engineers, and artists actively working on improving text-to-image generation models, systems often fail to produce images that accurately align with the text inputs. We introduce TIFA (Text-to-Image Faithfulness evaluation with question Answering), an automatic evaluation metric that measures the faithfulness of a generated image to its text input via visual question answering (VQA). Specifically, given a text input, we automatically generate several question-answer pairs using a language model. We calculate image faithfulness by checking whether existing VQA models can answer these questions using the generated image. TIFA is a reference-free metric that allows for fine-grained and interpretable evaluations of generated images. TIFA also has better correlations with human judgments than existing metrics. Based on this approach, we introduce TIFA v1.0, a benchmark consisting of 4K diverse text inputs and 25K questions across 12 categories (object, counting, etc.). We present a comprehensive evaluation of existing text-to-image models using TIFA v1.0 and highlight the limitations and challenges of current models. For instance, we find that current text-to-image models, despite doing well on color and material, still struggle in counting, spatial relations, and composing multiple objects. We hope our benchmark will help carefully measure the research progress in text-to-image synthesis and provide valuable insights for further research.

Deep research systems represent an emerging class of agentic information retrieval methods that generate comprehensive and well-supported reports to complex queries. However, most existing frameworks rely on dynamic commercial search APIs, which pose reproducibility and transparency challenges in addition to their cost. To address these limitations, we introduce DeepResearchGym, an open-source sandbox that combines a reproducible search API with a rigorous evaluation protocol for benchmarking deep research systems. The API indexes large-scale public web corpora, namely ClueWeb22 and FineWeb, using a state-of-the-art dense retriever and approximate nearest neighbor search via DiskANN. It achieves lower latency than popular commercial APIs while ensuring stable document rankings across runs, and is freely available for research use. To evaluate deep research systems' outputs, we extend the Researchy Questions benchmark with automatic metrics through LLM-as-a-judge assessments to measure alignment with users' information needs, retrieval faithfulness, and report quality. Experimental results show that systems integrated with DeepResearchGym achieve performance comparable to those using commercial APIs, with performance rankings remaining consistent across evaluation metrics. A human evaluation study further confirms that our automatic protocol aligns with human preferences, validating the framework's ability to help support controlled assessment of deep research systems. Our code and API documentation are available at https://www.deepresearchgym.ai.

We introduce a Depicted image Quality Assessment method (DepictQA), overcoming the constraints of traditional score-based approaches. DepictQA leverages Multi-modal Large Language Models (MLLMs), allowing for detailed, language-based, human-like evaluation of image quality. Unlike conventional Image Quality Assessment (IQA) methods relying on scores, DepictQA interprets image content and distortions descriptively and comparatively, aligning closely with humans' reasoning process. To build the DepictQA model, we establish a hierarchical task framework, and collect a multi-modal IQA training dataset, named M-BAPPS. To navigate the challenges in limited training data and processing multiple images, we propose to use multi-source training data and specialized image tags. Our DepictQA demonstrates a better performance than score-based methods on the BAPPS benchmark. Moreover, compared with general MLLMs, our DepictQA can generate more accurate reasoning descriptive languages. Our research indicates that language-based IQA methods have the potential to be customized for individual preferences. Datasets and codes will be released publicly.

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

Understanding causal narratives communicated in clinical notes can help make strides towards personalized healthcare. Extracted causal information from clinical notes can be combined with structured EHR data such as patients' demographics, diagnoses, and medications. This will enhance healthcare providers' ability to identify aspects of a patient's story communicated in the clinical notes and help make more informed decisions. In this work, we propose annotation guidelines, develop an annotated corpus and provide baseline scores to identify types and direction of causal relations between a pair of biomedical concepts in clinical notes; communicated implicitly or explicitly, identified either in a single sentence or across multiple sentences. We annotate a total of 2714 de-identified examples sampled from the 2018 n2c2 shared task dataset and train four different language model based architectures. Annotation based on our guidelines achieved a high inter-annotator agreement i.e. Fleiss' kappa (kappa) score of 0.72, and our model for identification of causal relations achieved a macro F1 score of 0.56 on the test data. The high inter-annotator agreement for clinical text shows the quality of our annotation guidelines while the provided baseline F1 score sets the direction for future research towards understanding narratives in clinical texts.

Generative models have demonstrated remarkable capability in synthesizing high-quality text, images, and videos. For video generation, contemporary text-to-video models exhibit impressive capabilities, crafting visually stunning videos. Nonetheless, evaluating such videos poses significant challenges. Current research predominantly employs automated metrics such as FVD, IS, and CLIP Score. However, these metrics provide an incomplete analysis, particularly in the temporal assessment of video content, thus rendering them unreliable indicators of true video quality. Furthermore, while user studies have the potential to reflect human perception accurately, they are hampered by their time-intensive and laborious nature, with outcomes that are often tainted by subjective bias. In this paper, we investigate the limitations inherent in existing metrics and introduce a novel evaluation pipeline, the Text-to-Video Score (T2VScore). This metric integrates two pivotal criteria: (1) Text-Video Alignment, which scrutinizes the fidelity of the video in representing the given text description, and (2) Video Quality, which evaluates the video's overall production caliber with a mixture of experts. Moreover, to evaluate the proposed metrics and facilitate future improvements on them, we present the TVGE dataset, collecting human judgements of 2,543 text-to-video generated videos on the two criteria. Experiments on the TVGE dataset demonstrate the superiority of the proposed T2VScore on offering a better metric for text-to-video generation.

With the rapid advancement of large language models (LLMs), there is a pressing need for a comprehensive evaluation suite to assess their capabilities and limitations. Existing LLM leaderboards often reference scores reported in other papers without consistent settings and prompts, which may inadvertently encourage cherry-picking favored settings and prompts for better results. In this work, we introduce GPT-Fathom, an open-source and reproducible LLM evaluation suite built on top of OpenAI Evals. We systematically evaluate 10+ leading LLMs as well as OpenAI's legacy models on 20+ curated benchmarks across 7 capability categories, all under aligned settings. Our retrospective study on OpenAI's earlier models offers valuable insights into the evolutionary path from GPT-3 to GPT-4. Currently, the community is eager to know how GPT-3 progressively improves to GPT-4, including technical details like whether adding code data improves LLM's reasoning capability, which aspects of LLM capability can be improved by SFT and RLHF, how much is the alignment tax, etc. Our analysis sheds light on many of these questions, aiming to improve the transparency of advanced LLMs.

Medical report generation from X-ray images is a challenging task, particularly in an unpaired setting where paired image-report data is unavailable for training. To address this challenge, we propose a novel model that leverages the available information in two distinct datasets, one comprising reports and the other consisting of images. The core idea of our model revolves around the notion that combining auto-encoding report generation with multi-modal (report-image) alignment can offer a solution. However, the challenge persists regarding how to achieve this alignment when pair correspondence is absent. Our proposed solution involves the use of auxiliary tasks, particularly contrastive learning and classification, to position related images and reports in close proximity to each other. This approach differs from previous methods that rely on pre-processing steps, such as using external information stored in a knowledge graph. Our model, named MedRAT, surpasses previous state-of-the-art methods, demonstrating the feasibility of generating comprehensive medical reports without the need for paired data or external tools.

Recently, the application of the retrieval-augmented Large Language Models (LLMs) in specific domains has gained significant attention, especially in biopharmaceuticals. However, in this context, there is no benchmark specifically designed for biopharmaceuticals to evaluate LLMs. In this paper, we introduce the Biopharmaceuticals Retrieval-Augmented Generation Evaluation (BRAGE) , the first benchmark tailored for evaluating LLMs' Query and Reference Understanding Capability (QRUC) in the biopharmaceutical domain, available in English, French, German and Chinese. In addition, Traditional Question-Answering (QA) metrics like accuracy and exact match fall short in the open-ended retrieval-augmented QA scenarios. To address this, we propose a citation-based classification method to evaluate the QRUC of LLMs to understand the relationship between queries and references. We apply this method to evaluate the mainstream LLMs on BRAGE. Experimental results show that there is a significant gap in the biopharmaceutical QRUC of mainstream LLMs, and their QRUC needs to be improved.

To facilitate effective translation modeling and translation studies, one of the crucial questions to address is how to assess translation quality. From the perspectives of accuracy, reliability, repeatability and cost, translation quality assessment (TQA) itself is a rich and challenging task. In this work, we present a high-level and concise survey of TQA methods, including both manual judgement criteria and automated evaluation metrics, which we classify into further detailed sub-categories. We hope that this work will be an asset for both translation model researchers and quality assessment researchers. In addition, we hope that it will enable practitioners to quickly develop a better understanding of the conventional TQA field, and to find corresponding closely relevant evaluation solutions for their own needs. This work may also serve inspire further development of quality assessment and evaluation methodologies for other natural language processing (NLP) tasks in addition to machine translation (MT), such as automatic text summarization (ATS), natural language understanding (NLU) and natural language generation (NLG).

Recent advancements in large language models (LLMs) have transformed the field of question answering (QA). However, evaluating LLMs in the medical field is challenging due to the lack of standardized and comprehensive datasets. To address this gap, we introduce CMExam, sourced from the Chinese National Medical Licensing Examination. CMExam consists of 60K+ multiple-choice questions for standardized and objective evaluations, as well as solution explanations for model reasoning evaluation in an open-ended manner. For in-depth analyses of LLMs, we invited medical professionals to label five additional question-wise annotations, including disease groups, clinical departments, medical disciplines, areas of competency, and question difficulty levels. Alongside the dataset, we further conducted thorough experiments with representative LLMs and QA algorithms on CMExam. The results show that GPT-4 had the best accuracy of 61.6% and a weighted F1 score of 0.617. These results highlight a great disparity when compared to human accuracy, which stood at 71.6%. For explanation tasks, while LLMs could generate relevant reasoning and demonstrate improved performance after finetuning, they fall short of a desired standard, indicating ample room for improvement. To the best of our knowledge, CMExam is the first Chinese medical exam dataset to provide comprehensive medical annotations. The experiments and findings of LLM evaluation also provide valuable insights into the challenges and potential solutions in developing Chinese medical QA systems and LLM evaluation pipelines. The dataset and relevant code are available at https://github.com/williamliujl/CMExam.

We present TransEvalnia, a prompting-based translation evaluation and ranking system that uses reasoning in performing its evaluations and ranking. This system presents fine-grained evaluations based on a subset of the Multidimensional Quality Metrics (https://themqm.org/), returns an assessment of which translation it deems the best, and provides numerical scores for the various dimensions and for the overall translation. We show that TransEvalnia performs as well as or better than the state-of-the-art MT-Ranker (Moosa et al. 2024) on our own English-Japanese data as well as several language pairs from various WMT shared tasks. Using Anthropic's Claude-3.5-Sonnet and Qwen-2.5-72B-Instruct as the evaluation LLMs, we show that the evaluations returned are deemed highly acceptable to human raters, and that the scores assigned to the translations by Sonnet, as well as other LLMs, correlate well with scores assigned by the human raters. We also note the sensitivity of our system -- as well as MT-Ranker -- to the order in which the translations are presented, and we propose methods to address this position bias. All data, including the system's evaluation and reasoning, human assessments, as well as code is released.

Several studies showed that Large Language Models (LLMs) can answer medical questions correctly, even outperforming the average human score in some medical exams. However, to our knowledge, no study has been conducted to assess the ability of language models to validate existing or generated medical text for correctness and consistency. In this paper, we introduce MEDEC (https://github.com/abachaa/MEDEC), the first publicly available benchmark for medical error detection and correction in clinical notes, covering five types of errors (Diagnosis, Management, Treatment, Pharmacotherapy, and Causal Organism). MEDEC consists of 3,848 clinical texts, including 488 clinical notes from three US hospital systems that were not previously seen by any LLM. The dataset has been used for the MEDIQA-CORR shared task to evaluate seventeen participating systems [Ben Abacha et al., 2024]. In this paper, we describe the data creation methods and we evaluate recent LLMs (e.g., o1-preview, GPT-4, Claude 3.5 Sonnet, and Gemini 2.0 Flash) for the tasks of detecting and correcting medical errors requiring both medical knowledge and reasoning capabilities. We also conducted a comparative study where two medical doctors performed the same task on the MEDEC test set. The results showed that MEDEC is a sufficiently challenging benchmark to assess the ability of models to validate existing or generated notes and to correct medical errors. We also found that although recent LLMs have a good performance in error detection and correction, they are still outperformed by medical doctors in these tasks. We discuss the potential factors behind this gap, the insights from our experiments, the limitations of current evaluation metrics, and share potential pointers for future research.

Fairness in artificial intelligence models has gained significantly more attention in recent years, especially in the area of medicine, as fairness in medical models is critical to people's well-being and lives. High-quality medical fairness datasets are needed to promote fairness learning research. Existing medical fairness datasets are all for classification tasks, and no fairness datasets are available for medical segmentation, while medical segmentation is an equally important clinical task as classifications, which can provide detailed spatial information on organ abnormalities ready to be assessed by clinicians. In this paper, we propose the first fairness dataset for medical segmentation named Harvard-FairSeg with 10,000 subject samples. In addition, we propose a fair error-bound scaling approach to reweight the loss function with the upper error-bound in each identity group, using the segment anything model (SAM). We anticipate that the segmentation performance equity can be improved by explicitly tackling the hard cases with high training errors in each identity group. To facilitate fair comparisons, we utilize a novel equity-scaled segmentation performance metric to compare segmentation metrics in the context of fairness, such as the equity-scaled Dice coefficient. Through comprehensive experiments, we demonstrate that our fair error-bound scaling approach either has superior or comparable fairness performance to the state-of-the-art fairness learning models. The dataset and code are publicly accessible via https://ophai.hms.harvard.edu/datasets/harvard-fairseg10k.

We introduce MedXpertQA, a highly challenging and comprehensive benchmark to evaluate expert-level medical knowledge and advanced reasoning. MedXpertQA includes 4,460 questions spanning 17 specialties and 11 body systems. It includes two subsets, Text for text evaluation and MM for multimodal evaluation. Notably, MM introduces expert-level exam questions with diverse images and rich clinical information, including patient records and examination results, setting it apart from traditional medical multimodal benchmarks with simple QA pairs generated from image captions. MedXpertQA applies rigorous filtering and augmentation to address the insufficient difficulty of existing benchmarks like MedQA, and incorporates specialty board questions to improve clinical relevance and comprehensiveness. We perform data synthesis to mitigate data leakage risk and conduct multiple rounds of expert reviews to ensure accuracy and reliability. We evaluate 16 leading models on MedXpertQA. Moreover, medicine is deeply connected to real-world decision-making, providing a rich and representative setting for assessing reasoning abilities beyond mathematics and code. To this end, we develop a reasoning-oriented subset to facilitate the assessment of o1-like models.

The proliferation of large language models (LLMs) requires robust evaluation of their alignment with local values and ethical standards, especially as existing benchmarks often reflect the cultural, legal, and ideological values of their creators. LocalValueBench, introduced in this paper, is an extensible benchmark designed to assess LLMs' adherence to Australian values, and provides a framework for regulators worldwide to develop their own LLM benchmarks for local value alignment. Employing a novel typology for ethical reasoning and an interrogation approach, we curated comprehensive questions and utilized prompt engineering strategies to probe LLMs' value alignment. Our evaluation criteria quantified deviations from local values, ensuring a rigorous assessment process. Comparative analysis of three commercial LLMs by USA vendors revealed significant insights into their effectiveness and limitations, demonstrating the critical importance of value alignment. This study offers valuable tools and methodologies for regulators to create tailored benchmarks, highlighting avenues for future research to enhance ethical AI development.

Large Language Models (LLMs) exhibit impressive capabilities but also present risks such as biased content generation and privacy issues. One of the current alignment techniques includes principle-driven integration, but it faces challenges arising from the imprecision of manually crafted rules and inadequate risk perception in models without safety training. To address these, we introduce Guide-Align, a two-stage approach. Initially, a safety-trained model identifies potential risks and formulates specific guidelines for various inputs, establishing a comprehensive library of guidelines and a model for input-guidelines retrieval. Subsequently, the retrieval model correlates new inputs with relevant guidelines, which guide LLMs in response generation to ensure safe and high-quality outputs, thereby aligning with human values. An additional optional stage involves fine-tuning a model with well-aligned datasets generated through the process implemented in the second stage. Our method customizes guidelines to accommodate diverse inputs, thereby enhancing the fine-grainedness and comprehensiveness of the guideline library. Furthermore, it incorporates safety expertise from a safety-trained LLM through a lightweight retrieval model. We evaluate our approach on three benchmarks, demonstrating significant improvements in LLM security and quality. Notably, our fine-tuned model, Labrador, even at 13 billion parameters, outperforms GPT-3.5-turbo and surpasses GPT-4 in alignment capabilities.

Large language models (LLMs) have shown impressive success in various applications. However, these models are often not well aligned with human intents, which calls for additional treatments on them, that is, the alignment problem. To make LLMs better follow user instructions, existing alignment methods mostly focus on further training them. However, the extra training of LLMs are usually expensive in terms of GPU compute; worse still, LLMs of interest are oftentimes not accessible for user-demanded training, such as GPTs. In this work, we take a different perspective -- Black-Box Prompt Optimization (BPO) -- to perform alignments. The idea is to optimize user prompts to suit LLMs' input understanding, so as to best realize users' intents without updating LLMs' parameters. BPO is model-agnostic and the empirical results demonstrate that the BPO-aligned ChatGPT yields a 22% increase in the win rate against its original version, and 10% for GPT-4. Importantly, the BPO-aligned LLMs can outperform the same models aligned by PPO and DPO, and it also brings additional performance gains when combining BPO with PPO or DPO. Code and datasets are released at https://github.com/thu-coai/BPO.

Large Language Models (LLMs) exhibit remarkable fluency and competence across various natural language tasks. However, recent research has highlighted their sensitivity to variations in input prompts. To deploy LLMs in a safe and reliable manner, it is crucial for their outputs to be consistent when prompted with expressions that carry the same meaning or intent. While some existing work has explored how state-of-the-art LLMs address this issue, their evaluations have been confined to assessing lexical equality of single- or multi-word answers, overlooking the consistency of generative text sequences. For a more comprehensive understanding of the consistency of LLMs in open-ended text generation scenarios, we introduce a general measure of semantic consistency, and formulate multiple versions of this metric to evaluate the performance of various LLMs. Our proposal demonstrates significantly higher consistency and stronger correlation with human evaluations of output consistency than traditional metrics based on lexical consistency. Finally, we propose a novel prompting strategy, called Ask-to-Choose (A2C), to enhance semantic consistency. When evaluated for closed-book question answering based on answer variations from the TruthfulQA benchmark, A2C increases accuracy metrics for pretrained and finetuned LLMs by up to 47%, and semantic consistency metrics for instruction-tuned models by up to 7-fold.

The increasing ubiquity of text-to-image (T2I) models as tools for visual content generation raises concerns about their ability to accurately represent diverse cultural contexts. In this work, we present the first study to systematically quantify the alignment of T2I models and evaluation metrics with respect to both explicit as well as implicit cultural expectations. To this end, we introduce CulturalFrames, a novel benchmark designed for rigorous human evaluation of cultural representation in visual generations. Spanning 10 countries and 5 socio-cultural domains, CulturalFrames comprises 983 prompts, 3637 corresponding images generated by 4 state-of-the-art T2I models, and over 10k detailed human annotations. We find that T2I models not only fail to meet the more challenging implicit expectations but also the less challenging explicit expectations. Across models and countries, cultural expectations are missed an average of 44% of the time. Among these failures, explicit expectations are missed at a surprisingly high average rate of 68%, while implicit expectation failures are also significant, averaging 49%. Furthermore, we demonstrate that existing T2I evaluation metrics correlate poorly with human judgments of cultural alignment, irrespective of their internal reasoning. Collectively, our findings expose critical gaps, providing actionable directions for developing more culturally informed T2I models and evaluation methodologies.

Instruction-following made modern large language models (LLMs) helpful assistants. However, the key to taming LLMs on complex instructions remains mysterious, for that there are huge gaps between models trained by open-source community and those trained by leading companies. To bridge the gap, we propose a simple and scalable approach UltraIF for building LLMs that can follow complex instructions with open-source data. UltraIF first decomposes real-world user prompts into simpler queries, constraints, and corresponding evaluation questions for the constraints. Then, we train an UltraComposer to compose constraint-associated prompts with evaluation questions. This prompt composer allows us to synthesize complicated instructions as well as filter responses with evaluation questions. In our experiment, for the first time, we successfully align LLaMA-3.1-8B-Base to catch up with its instruct version on 5 instruction-following benchmarks without any benchmark information, using only 8B model as response generator and evaluator. The aligned model also achieved competitive scores on other benchmarks. Moreover, we also show that UltraIF could further improve LLaMA-3.1-8B-Instruct through self-alignment, motivating broader use cases for the method. Our code will be available at https://github.com/kkk-an/UltraIF.

This paper reports on the NTIRE 2025 XGC Quality Assessment Challenge, which will be held in conjunction with the New Trends in Image Restoration and Enhancement Workshop (NTIRE) at CVPR 2025. This challenge is to address a major challenge in the field of video and talking head processing. The challenge is divided into three tracks, including user generated video, AI generated video and talking head. The user-generated video track uses the FineVD-GC, which contains 6,284 user generated videos. The user-generated video track has a total of 125 registered participants. A total of 242 submissions are received in the development phase, and 136 submissions are received in the test phase. Finally, 5 participating teams submitted their models and fact sheets. The AI generated video track uses the Q-Eval-Video, which contains 34,029 AI-Generated Videos (AIGVs) generated by 11 popular Text-to-Video (T2V) models. A total of 133 participants have registered in this track. A total of 396 submissions are received in the development phase, and 226 submissions are received in the test phase. Finally, 6 participating teams submitted their models and fact sheets. The talking head track uses the THQA-NTIRE, which contains 12,247 2D and 3D talking heads. A total of 89 participants have registered in this track. A total of 225 submissions are received in the development phase, and 118 submissions are received in the test phase. Finally, 8 participating teams submitted their models and fact sheets. Each participating team in every track has proposed a method that outperforms the baseline, which has contributed to the development of fields in three tracks.

Large Language Models (LLMs) show potential in medicine, yet clinical adoption is hindered by concerns over factual accuracy, language-specific limitations (e.g., Japanese), and critically, their reliability when required to generate reasoning explanations -- a prerequisite for trust. This paper introduces Preferred-MedLLM-Qwen-72B, a 72B-parameter model optimized for the Japanese medical domain to achieve both high accuracy and stable reasoning. We employ a two-stage fine-tuning process on the Qwen2.5-72B base model: first, Continued Pretraining (CPT) on a comprehensive Japanese medical corpus instills deep domain knowledge. Second, Reasoning Preference Optimization (RPO), a preference-based method, enhances the generation of reliable reasoning pathways while preserving high answer accuracy. Evaluations on the Japanese Medical Licensing Exam benchmark (IgakuQA) show Preferred-MedLLM-Qwen-72B achieves state-of-the-art performance (0.868 accuracy), surpassing strong proprietary models like GPT-4o (0.866). Crucially, unlike baseline or CPT-only models which exhibit significant accuracy degradation (up to 11.5\% and 3.8\% respectively on IgakuQA) when prompted for explanations, our model maintains its high accuracy (0.868) under such conditions. This highlights RPO's effectiveness in stabilizing reasoning generation. This work underscores the importance of optimizing for reliable explanations alongside accuracy. We release the Preferred-MedLLM-Qwen-72B model weights to foster research into trustworthy LLMs for specialized, high-stakes applications.

While AI shows promise for enhancing the efficiency of qualitative analysis, the unique human-AI interaction resulting from varied coding strategies makes it challenging to develop a trustworthy AI-assisted qualitative coding system (AIQCs) that supports coding tasks effectively. We bridge this gap by exploring the impact of varying coding strategies on user trust and reliance on AI. We conducted a mixed-methods split-plot 3x3 study, involving 30 participants, and a follow-up study with 6 participants, exploring varying text selection and code length in the use of our AIQCs system for qualitative analysis. Our results indicate that qualitative open coding should be conceptualized as a series of distinct subtasks, each with differing levels of complexity, and therefore, should be given tailored design considerations. We further observed a discrepancy between perceived and behavioral measures, and emphasized the potential challenges of under- and over-reliance on AIQCs systems. Additional design implications were also proposed for consideration.

African agriculture is undergoing rapid transformation. Annual maps of crop fields are key to understanding the nature of this transformation, but such maps are currently lacking and must be developed using advanced machine learning models trained on high resolution remote sensing imagery. To enable the development of such models, we delineated field boundaries in 33,746 Planet images captured between 2017 and 2023 across the continent using a custom labeling platform with built-in procedures for assessing and mitigating label error. We collected 42,403 labels, including 7,204 labels arising from tasks dedicated to assessing label quality (Class 1 labels), 32,167 from sites mapped once by a single labeller (Class 2) and 3,032 labels from sites where 3 or more labellers were tasked to map the same location (Class 4). Class 1 labels were used to calculate labeller-specific quality scores, while Class 1 and 4 sites mapped by at least 3 labellers were used to further evaluate label uncertainty using a Bayesian risk metric. Quality metrics showed that label quality was moderately high (0.75) for measures of total field extent, but low regarding the number of individual fields delineated (0.33), and the position of field edges (0.05). These values are expected when delineating small-scale fields in 3-5 m resolution imagery, which can be too coarse to reliably distinguish smaller fields, particularly in dense croplands, and therefore requires substantial labeller judgement. Nevertheless, previous work shows that such labels can train effective field mapping models. Furthermore, this large, probabilistic sample on its own provides valuable insight into regional agricultural characteristics, highlighting variations in the median field size and density. The imagery and vectorized labels along with quality information is available for download from two public repositories.

In recent years, automated radiology report generation has experienced significant growth. This paper introduces MRScore, an automatic evaluation metric tailored for radiology report generation by leveraging Large Language Models (LLMs). Conventional NLG (natural language generation) metrics like BLEU are inadequate for accurately assessing the generated radiology reports, as systematically demonstrated by our observations within this paper. To address this challenge, we collaborated with radiologists to develop a framework that guides LLMs for radiology report evaluation, ensuring alignment with human analysis. Our framework includes two key components: i) utilizing GPT to generate large amounts of training data, i.e., reports with different qualities, and ii) pairing GPT-generated reports as accepted and rejected samples and training LLMs to produce MRScore as the model reward. Our experiments demonstrate MRScore's higher correlation with human judgments and superior performance in model selection compared to traditional metrics. Our code and datasets will be available on GitHub.

Recent advancements in text-to-image (T2I) generation have enabled models to produce high-quality images from textual descriptions. However, these models often struggle with complex instructions involving multiple objects, attributes, and spatial relationships. Existing benchmarks for evaluating T2I models primarily focus on general text-image alignment and fail to capture the nuanced requirements of complex, multi-faceted prompts. Given this gap, we introduce LongBench-T2I, a comprehensive benchmark specifically designed to evaluate T2I models under complex instructions. LongBench-T2I consists of 500 intricately designed prompts spanning nine diverse visual evaluation dimensions, enabling a thorough assessment of a model's ability to follow complex instructions. Beyond benchmarking, we propose an agent framework (Plan2Gen) that facilitates complex instruction-driven image generation without requiring additional model training. This framework integrates seamlessly with existing T2I models, using large language models to interpret and decompose complex prompts, thereby guiding the generation process more effectively. As existing evaluation metrics, such as CLIPScore, fail to adequately capture the nuances of complex instructions, we introduce an evaluation toolkit that automates the quality assessment of generated images using a set of multi-dimensional metrics. The data and code are released at https://github.com/yczhou001/LongBench-T2I.

Image quality assessment (IQA) focuses on the perceptual visual quality of images, playing a crucial role in downstream tasks such as image reconstruction, compression, and generation. The rapid advancement of multi-modal large language models (MLLMs) has significantly broadened the scope of IQA, moving toward comprehensive image quality understanding that incorporates content analysis, degradation perception, and comparison reasoning beyond mere numerical scoring. Previous MLLM-based methods typically either generate numerical scores lacking interpretability or heavily rely on supervised fine-tuning (SFT) using large-scale annotated datasets to provide descriptive assessments, limiting their flexibility and applicability. In this paper, we propose Q-Insight, a reinforcement learning-based model built upon group relative policy optimization (GRPO), which demonstrates strong visual reasoning capability for image quality understanding while requiring only a limited amount of rating scores and degradation labels. By jointly optimizing score regression and degradation perception tasks with carefully designed reward functions, our approach effectively exploits their mutual benefits for enhanced performance. Extensive experiments demonstrate that Q-Insight substantially outperforms existing state-of-the-art methods in both score regression and degradation perception tasks, while exhibiting impressive zero-shot generalization to comparison reasoning tasks. Code will be available at https://github.com/lwq20020127/Q-Insight.

An abundance of datasets and availability of reliable evaluation metrics have resulted in strong progress in factoid question answering (QA). This progress, however, does not easily transfer to the task of long-form QA, where the goal is to answer questions that require in-depth explanations. The hurdles include (i) a lack of high-quality data, and (ii) the absence of a well-defined notion of the answer's quality. In this work, we address these problems by (i) releasing a novel dataset and a task that we call ASQA (Answer Summaries for Questions which are Ambiguous); and (ii) proposing a reliable metric for measuring performance on ASQA. Our task focuses on factoid questions that are ambiguous, that is, have different correct answers depending on interpretation. Answers to ambiguous questions should synthesize factual information from multiple sources into a long-form summary that resolves the ambiguity. In contrast to existing long-form QA tasks (such as ELI5), ASQA admits a clear notion of correctness: a user faced with a good summary should be able to answer different interpretations of the original ambiguous question. We use this notion of correctness to define an automated metric of performance for ASQA. Our analysis demonstrates an agreement between this metric and human judgments, and reveals a considerable gap between human performance and strong baselines.

Chest X-rays (CXRs) are the most frequently performed imaging test in clinical practice. Recent advances in the development of vision-language foundation models (FMs) give rise to the possibility of performing automated CXR interpretation, which can assist physicians with clinical decision-making and improve patient outcomes. However, developing FMs that can accurately interpret CXRs is challenging due to the (1) limited availability of large-scale vision-language datasets in the medical image domain, (2) lack of vision and language encoders that can capture the complexities of medical data, and (3) absence of evaluation frameworks for benchmarking the abilities of FMs on CXR interpretation. In this work, we address these challenges by first introducing CheXinstruct - a large-scale instruction-tuning dataset curated from 28 publicly-available datasets. We then present CheXagent - an instruction-tuned FM capable of analyzing and summarizing CXRs. To build CheXagent, we design a clinical large language model (LLM) for parsing radiology reports, a vision encoder for representing CXR images, and a network to bridge the vision and language modalities. Finally, we introduce CheXbench - a novel benchmark designed to systematically evaluate FMs across 8 clinically-relevant CXR interpretation tasks. Extensive quantitative evaluations and qualitative reviews with five expert radiologists demonstrate that CheXagent outperforms previously-developed general- and medical-domain FMs on CheXbench tasks. Furthermore, in an effort to improve model transparency, we perform a fairness evaluation across factors of sex, race and age to highlight potential performance disparities. Our project is at https://stanford-aimi.github.io/chexagent.html.

This study investigates GPT-4's assessment of its performance in healthcare applications. A simple prompting technique was used to prompt the LLM with questions taken from the United States Medical Licensing Examination (USMLE) questionnaire and it was tasked to evaluate its confidence score before posing the question and after asking the question. The questionnaire was categorized into two groups-questions with feedback (WF) and questions with no feedback(NF) post-question. The model was asked to provide absolute and relative confidence scores before and after each question. The experimental findings were analyzed using statistical tools to study the variability of confidence in WF and NF groups. Additionally, a sequential analysis was conducted to observe the performance variation for the WF and NF groups. Results indicate that feedback influences relative confidence but doesn't consistently increase or decrease it. Understanding the performance of LLM is paramount in exploring its utility in sensitive areas like healthcare. This study contributes to the ongoing discourse on the reliability of AI, particularly of LLMs like GPT-4, within healthcare, offering insights into how feedback mechanisms might be optimized to enhance AI-assisted medical education and decision support.

Anomaly detection (AD) is a machine learning task that identifies anomalies by learning patterns from normal training data. In many real-world scenarios, anomalies vary in severity, from minor anomalies with little risk to severe abnormalities requiring immediate attention. However, existing models primarily operate in a binary setting, and the anomaly scores they produce are usually based on the deviation of data points from normal data, which may not accurately reflect practical severity. In this paper, we address this gap by making three key contributions. First, we propose a novel setting, Multilevel AD (MAD), in which the anomaly score represents the severity of anomalies in real-world applications, and we highlight its diverse applications across various domains. Second, we introduce a novel benchmark, MAD-Bench, that evaluates models not only on their ability to detect anomalies, but also on how effectively their anomaly scores reflect severity. This benchmark incorporates multiple types of baselines and real-world applications involving severity. Finally, we conduct a comprehensive performance analysis on MAD-Bench. We evaluate models on their ability to assign severity-aligned scores, investigate the correspondence between their performance on binary and multilevel detection, and study their robustness. This analysis offers key insights into improving AD models for practical severity alignment. The code framework and datasets used for the benchmark will be made publicly available.

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.

Automatic medical report generation supports clinical diagnosis, reduces the workload of radiologists, and holds the promise of improving diagnosis consistency. However, existing evaluation metrics primarily assess the accuracy of key medical information coverage in generated reports compared to human-written reports, while overlooking crucial details such as the location and certainty of reported abnormalities. These limitations hinder the comprehensive assessment of the reliability of generated reports and pose risks in their selection for clinical use. Therefore, we propose a Granular Explainable Multi-Agent Score (GEMA-Score) in this paper, which conducts both objective quantification and subjective evaluation through a large language model-based multi-agent workflow. Our GEMA-Score parses structured reports and employs NER-F1 calculations through interactive exchanges of information among agents to assess disease diagnosis, location, severity, and uncertainty. Additionally, an LLM-based scoring agent evaluates completeness, readability, and clinical terminology while providing explanatory feedback. Extensive experiments validate that GEMA-Score achieves the highest correlation with human expert evaluations on a public dataset, demonstrating its effectiveness in clinical scoring (Kendall coefficient = 0.70 for Rexval dataset and Kendall coefficient = 0.54 for RadEvalX dataset). The anonymous project demo is available at: https://github.com/Zhenxuan-Zhang/GEMA_score.

As the capabilities of Large Language Models (LLMs) in healthcare and medicine continue to advance, there is a growing need for competitive open-source models that can safeguard public interest. With the increasing availability of highly competitive open base models, the impact of continued pre-training is increasingly uncertain. In this work, we explore the role of instruct tuning, model merging, alignment, red teaming and advanced inference schemes, as means to improve current open models. To that end, we introduce the Aloe family, a set of open medical LLMs highly competitive within its scale range. Aloe models are trained on the current best base models (Mistral, LLaMA 3), using a new custom dataset which combines public data sources improved with synthetic Chain of Thought (CoT). Aloe models undergo an alignment phase, becoming one of the first few policy-aligned open healthcare LLM using Direct Preference Optimization, setting a new standard for ethical performance in healthcare LLMs. Model evaluation expands to include various bias and toxicity datasets, a dedicated red teaming effort, and a much-needed risk assessment for healthcare LLMs. Finally, to explore the limits of current LLMs in inference, we study several advanced prompt engineering strategies to boost performance across benchmarks, yielding state-of-the-art results for open healthcare 7B LLMs, unprecedented at this scale.

This work introduces the first benchmark for nursing value alignment, consisting of five core value dimensions distilled from international nursing codes: Altruism, Human Dignity, Integrity, Justice, and Professionalism. The benchmark comprises 1,100 real-world nursing behavior instances collected through a five-month longitudinal field study across three hospitals of varying tiers. These instances are annotated by five clinical nurses and then augmented with LLM-generated counterfactuals with reversed ethic polarity. Each original case is paired with a value-aligned and a value-violating version, resulting in 2,200 labeled instances that constitute the Easy-Level dataset. To increase adversarial complexity, each instance is further transformed into a dialogue-based format that embeds contextual cues and subtle misleading signals, yielding a Hard-Level dataset. We evaluate 23 state-of-the-art (SoTA) LLMs on their alignment with nursing values. Our findings reveal three key insights: (1) DeepSeek-V3 achieves the highest performance on the Easy-Level dataset (94.55), where Claude 3.5 Sonnet outperforms other models on the Hard-Level dataset (89.43), significantly surpassing the medical LLMs; (2) Justice is consistently the most difficult nursing value dimension to evaluate; and (3) in-context learning significantly improves alignment. This work aims to provide a foundation for value-sensitive LLMs development in clinical settings. The dataset and the code are available at https://huggingface.co/datasets/Ben012345/NurValues.

We introduce the AIM 2024 UHD-IQA Challenge, a competition to advance the No-Reference Image Quality Assessment (NR-IQA) task for modern, high-resolution photos. The challenge is based on the recently released UHD-IQA Benchmark Database, which comprises 6,073 UHD-1 (4K) images annotated with perceptual quality ratings from expert raters. Unlike previous NR-IQA datasets, UHD-IQA focuses on highly aesthetic photos of superior technical quality, reflecting the ever-increasing standards of digital photography. This challenge aims to develop efficient and effective NR-IQA models. Participants are tasked with creating novel architectures and training strategies to achieve high predictive performance on UHD-1 images within a computational budget of 50G MACs. This enables model deployment on edge devices and scalable processing of extensive image collections. Winners are determined based on a combination of performance metrics, including correlation measures (SRCC, PLCC, KRCC), absolute error metrics (MAE, RMSE), and computational efficiency (G MACs). To excel in this challenge, participants leverage techniques like knowledge distillation, low-precision inference, and multi-scale training. By pushing the boundaries of NR-IQA for high-resolution photos, the UHD-IQA Challenge aims to stimulate the development of practical models that can keep pace with the rapidly evolving landscape of digital photography. The innovative solutions emerging from this competition will have implications for various applications, from photo curation and enhancement to image compression.

This paper introduces GEMBA-MQM, a GPT-based evaluation metric designed to detect translation quality errors, specifically for the quality estimation setting without the need for human reference translations. Based on the power of large language models (LLM), GEMBA-MQM employs a fixed three-shot prompting technique, querying the GPT-4 model to mark error quality spans. Compared to previous works, our method has language-agnostic prompts, thus avoiding the need for manual prompt preparation for new languages. While preliminary results indicate that GEMBA-MQM achieves state-of-the-art accuracy for system ranking, we advise caution when using it in academic works to demonstrate improvements over other methods due to its dependence on the proprietary, black-box GPT model.

Large Language Models (LLMs) constitute a breakthrough state-of-the-art Artificial Intelligence (AI) technology which is rapidly evolving and promises to aid in medical diagnosis either by assisting doctors or by simulating a doctor's workflow in more advanced and complex implementations. In this technical paper, we outline Cognitive Network Evaluation Toolkit for Medical Domains (COGNET-MD), which constitutes a novel benchmark for LLM evaluation in the medical domain. Specifically, we propose a scoring-framework with increased difficulty to assess the ability of LLMs in interpreting medical text. The proposed framework is accompanied with a database of Multiple Choice Quizzes (MCQs). To ensure alignment with current medical trends and enhance safety, usefulness, and applicability, these MCQs have been constructed in collaboration with several associated medical experts in various medical domains and are characterized by varying degrees of difficulty. The current (first) version of the database includes the medical domains of Psychiatry, Dentistry, Pulmonology, Dermatology and Endocrinology, but it will be continuously extended and expanded to include additional medical domains.

Modern QA systems entail retrieval-augmented generation (RAG) for accurate and trustworthy responses. However, the inherent gap between user queries and relevant documents hinders precise matching. We introduce QAEncoder, a training-free approach to bridge this gap. Specifically, QAEncoder estimates the expectation of potential queries in the embedding space as a robust surrogate for the document embedding, and attaches document fingerprints to effectively distinguish these embeddings. Extensive experiments across diverse datasets, languages, and embedding models confirmed QAEncoder's alignment capability, which offers a simple-yet-effective solution with zero additional index storage, retrieval latency, training costs, or catastrophic forgetting and hallucination issues. The repository is publicly available at https://github.com/IAAR-Shanghai/QAEncoder.

This study presents a comparative analysis of 55 Wikipedia language editions employing a citation index alongside a synthetic quality measure. Specifically, we identified the most significant Wikipedia articles within distinct topical areas, selecting the top 10, top 25, and top 100 most cited articles in each topic and language version. This index was built on the basis of wikilinks between Wikipedia articles in each language version and in order to do that we processed 6.6 billion page-to-page link records. Next, we used a quality score for each Wikipedia article - a synthetic measure scaled from 0 to 100. This approach enabled quality comparison of Wikipedia articles even between language versions with different quality grading schemes. Our results highlight disparities among Wikipedia language editions, revealing strengths and gaps in content coverage and quality across topics.

Recent progress in Large Vision-Language Models (LVLMs) has enabled promising applications in medical tasks, such as report generation and visual question answering. However, existing benchmarks focus mainly on the final diagnostic answer, offering limited insight into whether models engage in clinically meaningful reasoning. To address this, we present CheXStruct and CXReasonBench, a structured pipeline and benchmark built on the publicly available MIMIC-CXR-JPG dataset. CheXStruct automatically derives a sequence of intermediate reasoning steps directly from chest X-rays, such as segmenting anatomical regions, deriving anatomical landmarks and diagnostic measurements, computing diagnostic indices, and applying clinical thresholds. CXReasonBench leverages this pipeline to evaluate whether models can perform clinically valid reasoning steps and to what extent they can learn from structured guidance, enabling fine-grained and transparent assessment of diagnostic reasoning. The benchmark comprises 18,988 QA pairs across 12 diagnostic tasks and 1,200 cases, each paired with up to 4 visual inputs, and supports multi-path, multi-stage evaluation including visual grounding via anatomical region selection and diagnostic measurements. Even the strongest of 10 evaluated LVLMs struggle with structured reasoning and generalization, often failing to link abstract knowledge with anatomically grounded visual interpretation. The code is available at https://github.com/ttumyche/CXReasonBench

Recent progress in large language models (LLMs) has focused on producing responses that meet human expectations and align with shared values - a process coined alignment. However, aligning LLMs remains challenging due to the inherent disconnect between the complexity of human values and the narrow nature of the technological approaches designed to address them. Current alignment methods often lead to misspecified objectives, reflecting the broader issue of incomplete contracts, the impracticality of specifying a contract between a model developer, and the model that accounts for every scenario in LLM alignment. In this paper, we argue that improving LLM alignment requires incorporating insights from societal alignment frameworks, including social, economic, and contractual alignment, and discuss potential solutions drawn from these domains. Given the role of uncertainty within societal alignment frameworks, we then investigate how it manifests in LLM alignment. We end our discussion by offering an alternative view on LLM alignment, framing the underspecified nature of its objectives as an opportunity rather than perfect their specification. Beyond technical improvements in LLM alignment, we discuss the need for participatory alignment interface designs.

Open domain question answering (OpenQA) tasks have been recently attracting more and more attention from the natural language processing (NLP) community. In this work, we present the first free-form multiple-choice OpenQA dataset for solving medical problems, MedQA, collected from the professional medical board exams. It covers three languages: English, simplified Chinese, and traditional Chinese, and contains 12,723, 34,251, and 14,123 questions for the three languages, respectively. We implement both rule-based and popular neural methods by sequentially combining a document retriever and a machine comprehension model. Through experiments, we find that even the current best method can only achieve 36.7\%, 42.0\%, and 70.1\% of test accuracy on the English, traditional Chinese, and simplified Chinese questions, respectively. We expect MedQA to present great challenges to existing OpenQA systems and hope that it can serve as a platform to promote much stronger OpenQA models from the NLP community in the future.

Medical imaging plays a significant role in clinical practice of medical diagnosis, where the text reports of the images are essential in understanding them and facilitating later treatments. By generating the reports automatically, it is beneficial to help lighten the burden of radiologists and significantly promote clinical automation, which already attracts much attention in applying artificial intelligence to medical domain. Previous studies mainly follow the encoder-decoder paradigm and focus on the aspect of text generation, with few studies considering the importance of cross-modal mappings and explicitly exploit such mappings to facilitate radiology report generation. In this paper, we propose a cross-modal memory networks (CMN) to enhance the encoder-decoder framework for radiology report generation, where a shared memory is designed to record the alignment between images and texts so as to facilitate the interaction and generation across modalities. Experimental results illustrate the effectiveness of our proposed model, where state-of-the-art performance is achieved on two widely used benchmark datasets, i.e., IU X-Ray and MIMIC-CXR. Further analyses also prove that our model is able to better align information from radiology images and texts so as to help generating more accurate reports in terms of clinical indicators.

Automated Essay Scoring (AES) holds significant promise in the field of education, helping educators to mark larger volumes of essays and provide timely feedback. However, Arabic AES research has been limited by the lack of publicly available essay data. This study introduces AR-AES, an Arabic AES benchmark dataset comprising 2046 undergraduate essays, including gender information, scores, and transparent rubric-based evaluation guidelines, providing comprehensive insights into the scoring process. These essays come from four diverse courses, covering both traditional and online exams. Additionally, we pioneer the use of AraBERT for AES, exploring its performance on different question types. We find encouraging results, particularly for Environmental Chemistry and source-dependent essay questions. For the first time, we examine the scale of errors made by a BERT-based AES system, observing that 96.15 percent of the errors are within one point of the first human marker's prediction, on a scale of one to five, with 79.49 percent of predictions matching exactly. In contrast, additional human markers did not exceed 30 percent exact matches with the first marker, with 62.9 percent within one mark. These findings highlight the subjectivity inherent in essay grading, and underscore the potential for current AES technology to assist human markers to grade consistently across large classes.

Before being deployed for user-facing applications, developers align Large Language Models (LLMs) to user preferences through a variety of procedures, such as Reinforcement Learning From Human Feedback (RLHF) and Direct Preference Optimization (DPO). Current evaluations of these procedures focus on benchmarks of instruction following, reasoning, and truthfulness. However, human preferences are not universal, and aligning to specific preference sets may have unintended effects. We explore how alignment impacts performance along three axes of global representation: English dialects, multilingualism, and opinions from and about countries worldwide. Our results show that current alignment procedures create disparities between English dialects and global opinions. We find alignment improves capabilities in several languages. We conclude by discussing design decisions that led to these unintended impacts and recommendations for more equitable preference tuning.

This paper introduces a novel double stimulus subjective assessment methodology for the evaluation of high quality images to address the limitations of existing protocols in detecting subtle perceptual differences. The In-place Double Stimulus Quality Scale (IDSQS) allows subjects to alternately view a reference and a distorted image at the same spatial location, facilitating a more intuitive detection of differences in quality, especially at high to visually lossless quality levels. A large-scale crowdsourcing study employing this methodology was conducted, generating a comprehensive public dataset to evaluate perceived image quality across several compression algorithms and distortion levels. An additional contribution is the modeling of quality scores using a Beta distribution, allowing for the assessment of variability and subject consistency. Our findings demonstrate the effectiveness of the IDSQS methodology in achieving high correlation with more precise subjective evaluation benchmarks. The dataset, subjective data, and graphical user interface developed for this study are publicly available at https://github.com/shimamohammadi/IDSQS

As large language models (LLMs) gain popularity among speakers of diverse languages, we believe that it is crucial to benchmark them to better understand model behaviors, failures, and limitations in languages beyond English. In this work, we evaluate LLM APIs (ChatGPT, GPT-3, and GPT-4) on the Japanese national medical licensing examinations from the past five years, including the current year. Our team comprises native Japanese-speaking NLP researchers and a practicing cardiologist based in Japan. Our experiments show that GPT-4 outperforms ChatGPT and GPT-3 and passes all six years of the exams, highlighting LLMs' potential in a language that is typologically distant from English. However, our evaluation also exposes critical limitations of the current LLM APIs. First, LLMs sometimes select prohibited choices that should be strictly avoided in medical practice in Japan, such as suggesting euthanasia. Further, our analysis shows that the API costs are generally higher and the maximum context size is smaller for Japanese because of the way non-Latin scripts are currently tokenized in the pipeline. We release our benchmark as Igaku QA as well as all model outputs and exam metadata. We hope that our results and benchmark will spur progress on more diverse applications of LLMs. Our benchmark is available at https://github.com/jungokasai/IgakuQA.

Large-scale multi-modal deep learning models have revolutionized domains such as healthcare, highlighting the importance of computational power. However, in resource-constrained regions like Low and Middle-Income Countries (LMICs), limited access to GPUs and data poses significant challenges, often leaving CPUs as the sole resource. To address this, we advocate for leveraging vector embeddings to enable flexible and efficient computational methodologies, democratizing multimodal deep learning across diverse contexts. Our paper investigates the efficiency and effectiveness of using vector embeddings from single-modal foundation models and multi-modal Vision-Language Models (VLMs) for multimodal deep learning in low-resource environments, particularly in healthcare. Additionally, we propose a simple yet effective inference-time method to enhance performance by aligning image-text embeddings. Comparing these approaches with traditional methods, we assess their impact on computational efficiency and model performance using metrics like accuracy, F1-score, inference time, training time, and memory usage across three medical modalities: BRSET (ophthalmology), HAM10000 (dermatology), and SatelliteBench (public health). Our findings show that embeddings reduce computational demands without compromising model performance. Furthermore, our alignment method improves performance in medical tasks. This research promotes sustainable AI practices by optimizing resources in constrained environments, highlighting the potential of embedding-based approaches for efficient multimodal learning. Vector embeddings democratize multimodal deep learning in LMICs, particularly in healthcare, enhancing AI adaptability in varied use cases.

Although recent text-to-image generative models have achieved impressive performance, they still often struggle with capturing the compositional complexities of prompts including attribute binding, and spatial relationships between different entities. This misalignment is not revealed by common evaluation metrics such as CLIPScore. Recent works have proposed evaluation metrics that utilize Visual Question Answering (VQA) by decomposing prompts into questions about the generated image for more robust compositional evaluation. Although these methods align better with human evaluations, they still fail to fully cover the compositionality within the image. To address this, we propose a novel metric that breaks down images into components, and texts into fine-grained questions about the generated image for evaluation. Our method outperforms previous state-of-the-art metrics, demonstrating its effectiveness in evaluating text-to-image generative models. Code is available at https://github.com/hadi-hosseini/ T2I-FineEval.

Question answering (QA) models have shown rapid progress enabled by the availability of large, high-quality benchmark datasets. Such annotated datasets are difficult and costly to collect, and rarely exist in languages other than English, making training QA systems in other languages challenging. An alternative to building large monolingual training datasets is to develop cross-lingual systems which can transfer to a target language without requiring training data in that language. In order to develop such systems, it is crucial to invest in high quality multilingual evaluation benchmarks to measure progress. We present MLQA, a multi-way aligned extractive QA evaluation benchmark intended to spur research in this area. MLQA contains QA instances in 7 languages, namely English, Arabic, German, Spanish, Hindi, Vietnamese and Simplified Chinese. It consists of over 12K QA instances in English and 5K in each other language, with each QA instance being parallel between 4 languages on average. MLQA is built using a novel alignment context strategy on Wikipedia articles, and serves as a cross-lingual extension to existing extractive QA datasets. We evaluate current state-of-the-art cross-lingual representations on MLQA, and also provide machine-translation-based baselines. In all cases, transfer results are shown to be significantly behind training-language performance.

Recent advancements in text-to-image (T2I) generation models have transformed the field. However, challenges persist in generating images that reflect demanding textual descriptions, especially for fine-grained details and unusual relationships. Existing evaluation metrics focus on text-image alignment but overlook the realism of the generated image, which can be crucial for downstream applications like data augmentation in machine learning. To address this gap, we propose REAL, an automatic evaluation framework that assesses realism of T2I outputs along three dimensions: fine-grained visual attributes, unusual visual relationships, and visual styles. REAL achieves a Spearman's rho score of up to 0.62 in alignment with human judgement and demonstrates utility in ranking and filtering augmented data for tasks like image captioning, classification, and visual relationship detection. Empirical results show that high-scoring images evaluated by our metrics improve F1 scores of image classification by up to 11.3%, while low-scoring ones degrade that by up to 4.95%. We benchmark four major T2I models across the realism dimensions, providing insights for future improvements in T2I output realism.

Short-form UGC video platforms, like Kwai and TikTok, have been an emerging and irreplaceable mainstream media form, thriving on user-friendly engagement, and kaleidoscope creation, etc. However, the advancing content-generation modes, e.g., special effects, and sophisticated processing workflows, e.g., de-artifacts, have introduced significant challenges to recent UGC video quality assessment: (i) the ambiguous contents hinder the identification of quality-determined regions. (ii) the diverse and complicated hybrid distortions are hard to distinguish. To tackle the above challenges and assist in the development of short-form videos, we establish the first large-scale Kaleidoscope short Video database for Quality assessment, termed KVQ, which comprises 600 user-uploaded short videos and 3600 processed videos through the diverse practical processing workflows, including pre-processing, transcoding, and enhancement. Among them, the absolute quality score of each video and partial ranking score among indistinguishable samples are provided by a team of professional researchers specializing in image processing. Based on this database, we propose the first short-form video quality evaluator, i.e., KSVQE, which enables the quality evaluator to identify the quality-determined semantics with the content understanding of large vision language models (i.e., CLIP) and distinguish the distortions with the distortion understanding module. Experimental results have shown the effectiveness of KSVQE on our KVQ database and popular VQA databases.

People increasingly search online for answers to their medical questions but the rate at which medical questions are asked online significantly exceeds the capacity of qualified people to answer them. This leaves many questions unanswered or inadequately answered. Many of these questions are not unique, and reliable identification of similar questions would enable more efficient and effective question answering schema. COVID-19 has only exacerbated this problem. Almost every government agency and healthcare organization has tried to meet the informational need of users by building online FAQs, but there is no way for people to ask their question and know if it is answered on one of these pages. While many research efforts have focused on the problem of general question similarity, these approaches do not generalize well to domains that require expert knowledge to determine semantic similarity, such as the medical domain. In this paper, we show how a double fine-tuning approach of pretraining a neural network on medical question-answer pairs followed by fine-tuning on medical question-question pairs is a particularly useful intermediate task for the ultimate goal of determining medical question similarity. While other pretraining tasks yield an accuracy below 78.7% on this task, our model achieves an accuracy of 82.6% with the same number of training examples, an accuracy of 80.0% with a much smaller training set, and an accuracy of 84.5% when the full corpus of medical question-answer data is used. We also describe a currently live system that uses the trained model to match user questions to COVID-related FAQs.

Neural metrics for machine translation (MT) evaluation have become increasingly prominent due to their superior correlation with human judgments compared to traditional lexical metrics. Researchers have therefore utilized neural metrics through quality-informed decoding strategies, achieving better results than likelihood-based methods. With the rise of Large Language Models (LLMs), preference-based alignment techniques have gained attention for their potential to enhance translation quality by optimizing model weights directly on preferences induced by quality estimators. This study focuses on Contrastive Preference Optimization (CPO) and conducts extensive experiments to evaluate the impact of preference-based alignment on translation quality. Our findings indicate that while CPO consistently outperforms Supervised Fine-Tuning (SFT) on high-quality data with regard to the alignment metric, it may lead to instability across downstream evaluation metrics, particularly between neural and lexical ones. Additionally, we demonstrate that relying solely on the base model for generating candidate translations achieves performance comparable to using multiple external systems, while ensuring better consistency across downstream metrics.

Multimodal large language models (MLLMs) have made significant strides by integrating visual and textual modalities. A critical factor in training MLLMs is the quality of image-text pairs within multimodal pretraining datasets. However, de facto filter-based data quality enhancement paradigms often discard a substantial portion of high-quality image data due to inadequate semantic alignment between images and texts, leading to inefficiencies in data utilization and scalability. In this paper, we propose the Adaptive Image-Text Quality Enhancer (AITQE), a model that dynamically assesses and enhances the quality of image-text pairs. AITQE employs a text rewriting mechanism for low-quality pairs and incorporates a negative sample learning strategy to improve evaluative capabilities by integrating deliberately selected low-quality samples during training. Unlike prior approaches that significantly alter text distributions, our method minimally adjusts text to preserve data volume while enhancing quality. Experimental results demonstrate that AITQE surpasses existing methods on various benchmark, effectively leveraging raw data and scaling efficiently with increasing data volumes. We hope our work will inspire future works. The code and model are available at: https://github.com/hanhuang22/AITQE.

The development of multimodal large language models (MLLMs) enables the evaluation of image quality through natural language descriptions. This advancement allows for more detailed assessments. However, these MLLM-based IQA methods primarily rely on general contextual descriptions, sometimes limiting fine-grained quality assessment. To address this limitation, we introduce a new image quality assessment (IQA) task paradigm, grounding-IQA. This paradigm integrates multimodal referring and grounding with IQA to realize more fine-grained quality perception. Specifically, grounding-IQA comprises two subtasks: grounding-IQA-description (GIQA-DES) and visual question answering (GIQA-VQA). GIQA-DES involves detailed descriptions with precise locations (e.g., bounding boxes), while GIQA-VQA focuses on quality QA for local regions. To realize grounding-IQA, we construct a corresponding dataset, GIQA-160K, through our proposed automated annotation pipeline. Furthermore, we develop a well-designed benchmark, GIQA-Bench. The benchmark comprehensively evaluates the model grounding-IQA performance from three perspectives: description quality, VQA accuracy, and grounding precision. Experiments demonstrate that our proposed task paradigm, dataset, and benchmark facilitate the more fine-grained IQA application. Code: https://github.com/zhengchen1999/Grounding-IQA.

Large Language Models (LLMs) like ChatGPT demonstrate significant potential in the medical field, often evaluated using multiple-choice questions (MCQs) similar to those found on the USMLE. Despite their prevalence in medical education, MCQs have limitations that might be exacerbated when assessing LLMs. To evaluate the effectiveness of MCQs in assessing the performance of LLMs, we developed a fictional medical benchmark focused on a non-existent gland, the Glianorex. This approach allowed us to isolate the knowledge of the LLM from its test-taking abilities. We used GPT-4 to generate a comprehensive textbook on the Glianorex in both English and French and developed corresponding multiple-choice questions in both languages. We evaluated various open-source, proprietary, and domain-specific LLMs using these questions in a zero-shot setting. The models achieved average scores around 67%, with minor performance differences between larger and smaller models. Performance was slightly higher in English than in French. Fine-tuned medical models showed some improvement over their base versions in English but not in French. The uniformly high performance across models suggests that traditional MCQ-based benchmarks may not accurately measure LLMs' clinical knowledge and reasoning abilities, instead highlighting their pattern recognition skills. This study underscores the need for more robust evaluation methods to better assess the true capabilities of LLMs in medical contexts.

New LLM evaluation benchmarks are important to align with the rapid development of Large Language Models (LLMs). In this work, we present Chinese SimpleQA, the first comprehensive Chinese benchmark to evaluate the factuality ability of language models to answer short questions, and Chinese SimpleQA mainly has five properties (i.e., Chinese, Diverse, High-quality, Static, Easy-to-evaluate). Specifically, first, we focus on the Chinese language over 6 major topics with 99 diverse subtopics. Second, we conduct a comprehensive quality control process to achieve high-quality questions and answers, where the reference answers are static and cannot be changed over time. Third, following SimpleQA, the questions and answers are very short, and the grading process is easy-to-evaluate based on OpenAI API. Based on Chinese SimpleQA, we perform a comprehensive evaluation on the factuality abilities of existing LLMs. Finally, we hope that Chinese SimpleQA could guide the developers to better understand the Chinese factuality abilities of their models and facilitate the growth of foundation models.

Radiologic diagnostic errors-under-reading errors, inattentional blindness, and communication failures-remain prevalent in clinical practice. These issues often stem from missed localized abnormalities, limited global context, and variability in report language. These challenges are amplified in 3D imaging, where clinicians must examine hundreds of slices per scan. Addressing them requires systems with precise localized detection, global volume-level reasoning, and semantically consistent natural language reporting. However, existing 3D vision-language models are unable to meet all three needs jointly, lacking local-global understanding for spatial reasoning and struggling with the variability and noise of uncurated radiology reports. We present MedVista3D, a multi-scale semantic-enriched vision-language pretraining framework for 3D CT analysis. To enable joint disease detection and holistic interpretation, MedVista3D performs local and global image-text alignment for fine-grained representation learning within full-volume context. To address report variability, we apply language model rewrites and introduce a Radiology Semantic Matching Bank for semantics-aware alignment. MedVista3D achieves state-of-the-art performance on zero-shot disease classification, report retrieval, and medical visual question answering, while transferring well to organ segmentation and prognosis prediction. Code and datasets will be released.

Recent advances of large multi-modality models (LMM) have greatly improved the ability of image quality assessment (IQA) method to evaluate and explain the quality of visual content. However, these advancements are mostly focused on overall quality assessment, and the detailed examination of local quality, which is crucial for comprehensive visual understanding, is still largely unexplored. In this work, we introduce Q-Ground, the first framework aimed at tackling fine-scale visual quality grounding by combining large multi-modality models with detailed visual quality analysis. Central to our contribution is the introduction of the QGround-100K dataset, a novel resource containing 100k triplets of (image, quality text, distortion segmentation) to facilitate deep investigations into visual quality. The dataset comprises two parts: one with human-labeled annotations for accurate quality assessment, and another labeled automatically by LMMs such as GPT4V, which helps improve the robustness of model training while also reducing the costs of data collection. With the QGround-100K dataset, we propose a LMM-based method equipped with multi-scale feature learning to learn models capable of performing both image quality answering and distortion segmentation based on text prompts. This dual-capability approach not only refines the model's understanding of region-aware image quality but also enables it to interactively respond to complex, text-based queries about image quality and specific distortions. Q-Ground takes a step towards sophisticated visual quality analysis in a finer scale, establishing a new benchmark for future research in the area. Codes and dataset are available at https://github.com/Q-Future/Q-Ground.

FinanceQA is a testing suite that evaluates LLMs' performance on complex numerical financial analysis tasks that mirror real-world investment work. Despite recent advances, current LLMs fail to meet the strict accuracy requirements of financial institutions, with models failing approximately 60% of realistic tasks that mimic on-the-job analyses at hedge funds, private equity firms, investment banks, and other financial institutions. The primary challenges include hand-spreading metrics, adhering to standard accounting and corporate valuation conventions, and performing analysis under incomplete information - particularly in multi-step tasks requiring assumption generation. This performance gap highlights the disconnect between existing LLM capabilities and the demands of professional financial analysis that are inadequately tested by current testing architectures. Results show that higher-quality training data is needed to support such tasks, which we experiment with using OpenAI's fine-tuning API. FinanceQA is publicly released at [this https URL](https://huggingface.co/datasets/AfterQuery/FinanceQA).

Large language models (LLMs) have demonstrated impressive capabilities in natural language understanding and generation, but the quality bar for medical and clinical applications is high. Today, attempts to assess models' clinical knowledge typically rely on automated evaluations on limited benchmarks. There is no standard to evaluate model predictions and reasoning across a breadth of tasks. To address this, we present MultiMedQA, a benchmark combining six existing open question answering datasets spanning professional medical exams, research, and consumer queries; and HealthSearchQA, a new free-response dataset of medical questions searched online. We propose a framework for human evaluation of model answers along multiple axes including factuality, precision, possible harm, and bias. In addition, we evaluate PaLM (a 540-billion parameter LLM) and its instruction-tuned variant, Flan-PaLM, on MultiMedQA. Using a combination of prompting strategies, Flan-PaLM achieves state-of-the-art accuracy on every MultiMedQA multiple-choice dataset (MedQA, MedMCQA, PubMedQA, MMLU clinical topics), including 67.6% accuracy on MedQA (US Medical License Exam questions), surpassing prior state-of-the-art by over 17%. However, human evaluation reveals key gaps in Flan-PaLM responses. To resolve this we introduce instruction prompt tuning, a parameter-efficient approach for aligning LLMs to new domains using a few exemplars. The resulting model, Med-PaLM, performs encouragingly, but remains inferior to clinicians. We show that comprehension, recall of knowledge, and medical reasoning improve with model scale and instruction prompt tuning, suggesting the potential utility of LLMs in medicine. Our human evaluations reveal important limitations of today's models, reinforcing the importance of both evaluation frameworks and method development in creating safe, helpful LLM models for clinical applications.

Text-to-Image (T2I) models are capable of generating high-quality artistic creations and visual content. However, existing research and evaluation standards predominantly focus on image realism and shallow text-image alignment, lacking a comprehensive assessment of complex semantic understanding and world knowledge integration in text to image generation. To address this challenge, we propose WISE, the first benchmark specifically designed for World Knowledge-Informed Semantic Evaluation. WISE moves beyond simple word-pixel mapping by challenging models with 1000 meticulously crafted prompts across 25 sub-domains in cultural common sense, spatio-temporal reasoning, and natural science. To overcome the limitations of traditional CLIP metric, we introduce WiScore, a novel quantitative metric for assessing knowledge-image alignment. Through comprehensive testing of 20 models (10 dedicated T2I models and 10 unified multimodal models) using 1,000 structured prompts spanning 25 subdomains, our findings reveal significant limitations in their ability to effectively integrate and apply world knowledge during image generation, highlighting critical pathways for enhancing knowledge incorporation and application in next-generation T2I models. Code and data are available at https://github.com/PKU-YuanGroup/WISE.

Despite their impressive capabilities, diffusion-based text-to-image (T2I) models can lack faithfulness to the text prompt, where generated images may not contain all the mentioned objects, attributes or relations. To alleviate these issues, recent works proposed post-hoc methods to improve model faithfulness without costly retraining, by modifying how the model utilizes the input prompt. In this work, we take a step back and show that large T2I diffusion models are more faithful than usually assumed, and can generate images faithful to even complex prompts without the need to manipulate the generative process. Based on that, we show how faithfulness can be simply treated as a candidate selection problem instead, and introduce a straightforward pipeline that generates candidate images for a text prompt and picks the best one according to an automatic scoring system that can leverage already existing T2I evaluation metrics. Quantitative comparisons alongside user studies on diverse benchmarks show consistently improved faithfulness over post-hoc enhancement methods, with comparable or lower computational cost. Code is available at https://github.com/ExplainableML/ImageSelect.

We present a Japanese domain-specific language model for the pharmaceutical field, developed through continual pretraining on 2 billion Japanese pharmaceutical tokens and 8 billion English biomedical tokens. To enable rigorous evaluation, we introduce three new benchmarks: YakugakuQA, based on national pharmacist licensing exams; NayoseQA, which tests cross-lingual synonym and terminology normalization; and SogoCheck, a novel task designed to assess consistency reasoning between paired statements. We evaluate our model against both open-source medical LLMs and commercial models, including GPT-4o. Results show that our domain-specific model outperforms existing open models and achieves competitive performance with commercial ones, particularly on terminology-heavy and knowledge-based tasks. Interestingly, even GPT-4o performs poorly on SogoCheck, suggesting that cross-sentence consistency reasoning remains an open challenge. Our benchmark suite offers a broader diagnostic lens for pharmaceutical NLP, covering factual recall, lexical variation, and logical consistency. This work demonstrates the feasibility of building practical, secure, and cost-effective language models for Japanese domain-specific applications, and provides reusable evaluation resources for future research in pharmaceutical and healthcare NLP. Our model, codes, and datasets are released at https://github.com/EQUES-Inc/pharma-LLM-eval.

We report the development of GPT-4, a large-scale, multimodal model which can accept image and text inputs and produce text outputs. While less capable than humans in many real-world scenarios, GPT-4 exhibits human-level performance on various professional and academic benchmarks, including passing a simulated bar exam with a score around the top 10% of test takers. GPT-4 is a Transformer-based model pre-trained to predict the next token in a document. The post-training alignment process results in improved performance on measures of factuality and adherence to desired behavior. A core component of this project was developing infrastructure and optimization methods that behave predictably across a wide range of scales. This allowed us to accurately predict some aspects of GPT-4's performance based on models trained with no more than 1/1,000th the compute of GPT-4.

With the rapid advancement of Multi-modal Large Language Models (MLLMs), MLLM-based Image Quality Assessment (IQA) methods have shown promising performance in linguistic quality description. However, current methods still fall short in accurately scoring image quality. In this work, we aim to leverage MLLMs to regress accurate quality scores. A key challenge is that the quality score is inherently continuous, typically modeled as a Gaussian distribution, whereas MLLMs generate discrete token outputs. This mismatch necessitates score discretization. Previous approaches discretize the mean score into a one-hot label, resulting in information loss and failing to capture inter-image relationships. We propose a distribution-based approach that discretizes the score distribution into a soft label. This method preserves the characteristics of the score distribution, achieving high accuracy and maintaining inter-image relationships. Moreover, to address dataset variation, where different IQA datasets exhibit various distributions, we introduce a fidelity loss based on Thurstone's model. This loss captures intra-dataset relationships, facilitating co-training across multiple IQA datasets. With these designs, we develop the distribution-based Depicted image Quality Assessment model for Score regression (DeQA-Score). Experiments across multiple benchmarks show that DeQA-Score stably outperforms baselines in score regression. Also, DeQA-Score can predict the score distribution that closely aligns with human annotations. Codes and model weights have been released in https://depictqa.github.io/deqa-score/.

Popular benchmarks (e.g., XNLI) used to evaluate cross-lingual language understanding consist of parallel versions of English evaluation sets in multiple target languages created with the help of professional translators. When creating such parallel data, it is critical to ensure high-quality translations for all target languages for an accurate characterization of cross-lingual transfer. In this work, we find that translation inconsistencies do exist and interestingly they disproportionally impact low-resource languages in XNLI. To identify such inconsistencies, we propose measuring the gap in performance between zero-shot evaluations on the human-translated and machine-translated target text across multiple target languages; relatively large gaps are indicative of translation errors. We also corroborate that translation errors exist for two target languages, namely Hindi and Urdu, by doing a manual reannotation of human-translated test instances in these two languages and finding poor agreement with the original English labels these instances were supposed to inherit.

Mental health remains a challenging problem all over the world, with issues like depression, anxiety becoming increasingly common. Large Language Models (LLMs) have seen a vast application in healthcare, specifically in answering medical questions. However, there is a lack of standard benchmarking datasets for question answering (QA) in mental health. Our work presents a novel multiple choice dataset, MHQA (Mental Health Question Answering), for benchmarking Language models (LMs). Previous mental health datasets have focused primarily on text classification into specific labels or disorders. MHQA, on the other hand, presents question-answering for mental health focused on four key domains: anxiety, depression, trauma, and obsessive/compulsive issues, with diverse question types, namely, factoid, diagnostic, prognostic, and preventive. We use PubMed abstracts as the primary source for QA. We develop a rigorous pipeline for LLM-based identification of information from abstracts based on various selection criteria and converting it into QA pairs. Further, valid QA pairs are extracted based on post-hoc validation criteria. Overall, our MHQA dataset consists of 2,475 expert-verified gold standard instances called MHQA-gold and ~56.1k pairs pseudo labeled using external medical references. We report F1 scores on different LLMs along with few-shot and supervised fine-tuning experiments, further discussing the insights for the scores.

Doctors and patients alike increasingly use Large Language Models (LLMs) to diagnose clinical cases. However, unlike domains such as math or coding, where correctness can be objectively defined by the final answer, medical diagnosis requires both the outcome and the reasoning process to be accurate. Currently, widely used medical benchmarks like MedQA and MMLU assess only accuracy in the final answer, overlooking the quality and faithfulness of the clinical reasoning process. To address this limitation, we introduce MedCaseReasoning, the first open-access dataset for evaluating LLMs on their ability to align with clinician-authored diagnostic reasoning. The dataset includes 14,489 diagnostic question-and-answer cases, each paired with detailed reasoning statements derived from open-access medical case reports. We evaluate state-of-the-art reasoning LLMs on MedCaseReasoning and find significant shortcomings in their diagnoses and reasoning: for instance, the top-performing open-source model, DeepSeek-R1, achieves only 48% 10-shot diagnostic accuracy and mentions only 64% of the clinician reasoning statements (recall). However, we demonstrate that fine-tuning LLMs on the reasoning traces derived from MedCaseReasoning significantly improves diagnostic accuracy and clinical reasoning recall by an average relative gain of 29% and 41%, respectively. The open-source dataset, code, and models are available at https://github.com/kevinwu23/Stanford-MedCaseReasoning.

Large language models (LLMs) are trained on web-scale corpora that inevitably include contradictory factual information from sources of varying reliability. In this paper, we propose measuring an LLM property called trusted source alignment (TSA): the model's propensity to align with content produced by trusted publishers in the face of uncertainty or controversy. We present FactCheckQA, a TSA evaluation dataset based on a corpus of fact checking articles. We describe a simple protocol for evaluating TSA and offer a detailed analysis of design considerations including response extraction, claim contextualization, and bias in prompt formulation. Applying the protocol to PaLM-2, we find that as we scale up the model size, the model performance on FactCheckQA improves from near-random to up to 80% balanced accuracy in aligning with trusted sources.

Image copy detection (ICD) aims to determine whether a query image is an edited copy of any image from a reference set. Currently, there are very limited public benchmarks for ICD, while all overlook a critical challenge in real-world applications, i.e., the distraction from hard negative queries. Specifically, some queries are not edited copies but are inherently similar to some reference images. These hard negative queries are easily false recognized as edited copies, significantly compromising the ICD accuracy. This observation motivates us to build the first ICD benchmark featuring this characteristic. Based on existing ICD datasets, this paper constructs a new dataset by additionally adding 100, 000 and 24, 252 hard negative pairs into the training and test set, respectively. Moreover, this paper further reveals a unique difficulty for solving the hard negative problem in ICD, i.e., there is a fundamental conflict between current metric learning and ICD. This conflict is: the metric learning adopts symmetric distance while the edited copy is an asymmetric (unidirectional) process, e.g., a partial crop is close to its holistic reference image and is an edited copy, while the latter cannot be the edited copy of the former (in spite the distance is equally small). This insight results in an Asymmetrical-Similarity Learning (ASL) method, which allows the similarity in two directions (the query <-> the reference image) to be different from each other. Experimental results show that ASL outperforms state-of-the-art methods by a clear margin, confirming that solving the symmetric-asymmetric conflict is critical for ICD. The NDEC dataset and code are available at https://github.com/WangWenhao0716/ASL.

Recent advances in generative artificial intelligence (AI) have shown promise in accurately grading open-ended student responses. However, few prior works have explored grading handwritten responses due to a lack of data and the challenge of combining visual and textual information. In this work, we leverage state-of-the-art multi-modal AI models, in particular GPT-4o, to automatically grade handwritten responses to college-level math exams. Using real student responses to questions in a probability theory exam, we evaluate GPT-4o's alignment with ground-truth scores from human graders using various prompting techniques. We find that while providing rubrics improves alignment, the model's overall accuracy is still too low for real-world settings, showing there is significant room for growth in this task.

We introduce ChatGLM, an evolving family of large language models that we have been developing over time. This report primarily focuses on the GLM-4 language series, which includes GLM-4, GLM-4-Air, and GLM-4-9B. They represent our most capable models that are trained with all the insights and lessons gained from the preceding three generations of ChatGLM. To date, the GLM-4 models are pre-trained on ten trillions of tokens mostly in Chinese and English, along with a small set of corpus from 24 languages, and aligned primarily for Chinese and English usage. The high-quality alignment is achieved via a multi-stage post-training process, which involves supervised fine-tuning and learning from human feedback. Evaluations show that GLM-4 1) closely rivals or outperforms GPT-4 in terms of general metrics such as MMLU, GSM8K, MATH, BBH, GPQA, and HumanEval, 2) gets close to GPT-4-Turbo in instruction following as measured by IFEval, 3) matches GPT-4 Turbo (128K) and Claude 3 for long context tasks, and 4) outperforms GPT-4 in Chinese alignments as measured by AlignBench. The GLM-4 All Tools model is further aligned to understand user intent and autonomously decide when and which tool(s) touse -- including web browser, Python interpreter, text-to-image model, and user-defined functions -- to effectively complete complex tasks. In practical applications, it matches and even surpasses GPT-4 All Tools in tasks like accessing online information via web browsing and solving math problems using Python interpreter. Over the course, we have open-sourced a series of models, including ChatGLM-6B (three generations), GLM-4-9B (128K, 1M), GLM-4V-9B, WebGLM, and CodeGeeX, attracting over 10 million downloads on Hugging face in the year 2023 alone. The open models can be accessed through https://github.com/THUDM and https://huggingface.co/THUDM.

This article presents an experiment in fine-tuning a pretrained causal language model (Meta's Llama 3.1 8B Instruct) for aiding in three fundamental tasks of philological research: chronological and geographic attribution as well as text restoration in ancient Greek inscriptions and documentary papyri. Using a prompt-based instruct approach, the fine-tuned models surpass the state of the art in key metrics. For inscriptions, the models achieve a lower average character error rate (CER) of 22.5% (vs. 26.3%), while closely matching top-1 accuracy (60.9% vs. 61.8%) and top-20 accuracy (77.5% vs. 78.3%) for sequences up to 10 characters. They also provide a practical advantage by ignoring spaces during reconstruction, aligning better with the scriptio continua typically used in ancient written artifacts. In geographic attribution, the model outperforms previous benchmarks with a top-1 accuracy of 75.0% (vs. 70.8%) and a top-3 accuracy of 83.7% (vs. 82.1%). For dating, it achieves an average deviation of 26.2 years (vs. 29.3) and a median deviation of 1 year (vs. 3) from the actual date range. The models also set new baselines for documentary papyri, with a CER of 16.3%, a top-1 accuracy of 71.3%, and top-20 of 85.0% in text reconstruction; a top-1 accuracy of 66.4% and top-3 of 79.9% in geographic attribution; and, in chronological attribution, a deviation of 21.7 years from the actual termini post/ante quem, with a median deviation of 0 years.

Large Language Models (LLMs) have the potential of facilitating the development of Artificial Intelligence technology to assist medical experts for interactive decision support, which has been demonstrated by their competitive performances in Medical QA. However, while impressive, the required quality bar for medical applications remains far from being achieved. Currently, LLMs remain challenged by outdated knowledge and by their tendency to generate hallucinated content. Furthermore, most benchmarks to assess medical knowledge lack reference gold explanations which means that it is not possible to evaluate the reasoning of LLMs predictions. Finally, the situation is particularly grim if we consider benchmarking LLMs for languages other than English which remains, as far as we know, a totally neglected topic. In order to address these shortcomings, in this paper we present MedExpQA, the first multilingual benchmark based on medical exams to evaluate LLMs in Medical Question Answering. To the best of our knowledge, MedExpQA includes for the first time reference gold explanations written by medical doctors which can be leveraged to establish various gold-based upper-bounds for comparison with LLMs performance. Comprehensive multilingual experimentation using both the gold reference explanations and Retrieval Augmented Generation (RAG) approaches show that performance of LLMs still has large room for improvement, especially for languages other than English. Furthermore, and despite using state-of-the-art RAG methods, our results also demonstrate the difficulty of obtaining and integrating readily available medical knowledge that may positively impact results on downstream evaluations for Medical Question Answering. So far the benchmark is available in four languages, but we hope that this work may encourage further development to other languages.

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

The progress in the generation of synthetic images has made it crucial to assess their quality. While several metrics have been proposed to assess the rendering of images, it is crucial for Text-to-Image (T2I) models, which generate images based on a prompt, to consider additional aspects such as to which extent the generated image matches the important content of the prompt. Moreover, although the generated images usually result from a random starting point, the influence of this one is generally not considered. In this article, we propose a new metric based on prompt templates to study the alignment between the content specified in the prompt and the corresponding generated images. It allows us to better characterize the alignment in terms of the type of the specified objects, their number, and their color. We conducted a study on several recent T2I models about various aspects. An additional interesting result we obtained with our approach is that image quality can vary drastically depending on the latent noise used as a seed for the images. We also quantify the influence of the number of concepts in the prompt, their order as well as their (color) attributes. Finally, our method allows us to identify some latent seeds that produce better images than others, opening novel directions of research on this understudied topic.

The problem of realistic VQA (RVQA), where a model has to reject unanswerable questions (UQs) and answer answerable ones (AQs), is studied. We first point out 2 drawbacks in current RVQA research, where (1) datasets contain too many unchallenging UQs and (2) a large number of annotated UQs are required for training. To resolve the first drawback, we propose a new testing dataset, RGQA, which combines AQs from an existing VQA dataset with around 29K human-annotated UQs. These UQs consist of both fine-grained and coarse-grained image-question pairs generated with 2 approaches: CLIP-based and Perturbation-based. To address the second drawback, we introduce an unsupervised training approach. This combines pseudo UQs obtained by randomly pairing images and questions, with an RoI Mixup procedure to generate more fine-grained pseudo UQs, and model ensembling to regularize model confidence. Experiments show that using pseudo UQs significantly outperforms RVQA baselines. RoI Mixup and model ensembling further increase the gain. Finally, human evaluation reveals a performance gap between humans and models, showing that more RVQA research is needed.