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Jan 1

Reshaping Free-Text Radiology Notes Into Structured Reports With Generative Transformers

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.

  • 8 authors
·
Mar 27, 2024

Trained Rank Pruning for Efficient Deep Neural Networks

The performance of Deep Neural Networks (DNNs) keeps elevating in recent years with increasing network depth and width. To enable DNNs on edge devices like mobile phones, researchers proposed several network compression methods including pruning, quantization and factorization. Among the factorization-based approaches, low-rank approximation has been widely adopted because of its solid theoretical rationale and efficient implementations. Several previous works attempted to directly approximate a pre-trained model by low-rank decomposition; however, small approximation errors in parameters can ripple a large prediction loss. As a result, performance usually drops significantly and a sophisticated fine-tuning is required to recover accuracy. We argue that it is not optimal to separate low-rank approximation from training. Unlike previous works, this paper integrates low rank approximation and regularization into the training. We propose Trained Rank Pruning (TRP), which iterates low rank approximation and training. TRP maintains the capacity of original network while imposes low-rank constraints during training. A stochastic sub-gradient descent optimized nuclear regularization is utilized to further encourage low rank in TRP. The TRP trained network has low-rank structure in nature, and can be approximated with negligible performance loss, eliminating fine-tuning after low rank approximation. The methods are comprehensively evaluated on CIFAR-10 and ImageNet, outperforming previous compression methods using low rank approximation. Code is available: https://github.com/yuhuixu1993/Trained-Rank-Pruning

  • 9 authors
·
Dec 6, 2018

Explainable AI for Accelerated Microstructure Imaging: A SHAP-Guided Protocol on the Connectome 2.0 scanner

The diffusion MRI Neurite Exchange Imaging model offers a promising framework for probing gray matter microstructure by estimating parameters such as compartment sizes, diffusivities, and inter-compartmental water exchange time. However, existing protocols require long scan times. This study proposes a reduced acquisition scheme for the Connectome 2.0 scanner that preserves model accuracy while substantially shortening scan duration. We developed a data-driven framework using explainable artificial intelligence with a guided recursive feature elimination strategy to identify an optimal 8-feature subset from a 15-feature protocol. The performance of this optimized protocol was validated in vivo and benchmarked against the full acquisition and alternative reduction strategies. Parameter accuracy, preservation of anatomical contrast, and test-retest reproducibility were assessed. The reduced protocol yielded parameter estimates and cortical maps comparable to the full protocol, with low estimation errors in synthetic data and minimal impact on test-retest variability. Compared to theory-driven and heuristic reduction schemes, the optimized protocol demonstrated superior robustness, reducing the deviation in water exchange time estimates by over two-fold. In conclusion, this hybrid optimization framework enables viable imaging of neurite exchange in 14 minutes without loss of parameter fidelity. This approach supports the broader application of exchange-sensitive diffusion magnetic resonance imaging in neuroscience and clinical research, and offers a generalizable method for designing efficient acquisition protocols in biophysical parameter mapping.

  • 13 authors
·
Sep 11, 2025

DRPO: Efficient Reasoning via Decoupled Reward Policy Optimization

Recent large reasoning models (LRMs) driven by reinforcement learning algorithms (e.g., GRPO) have achieved remarkable performance on challenging reasoning tasks. However, these models suffer from overthinking, generating unnecessarily long and redundant reasoning even for simple questions, which substantially increases computational cost and response latency. While existing methods incorporate length rewards to GRPO to promote concise reasoning, they incur significant performance degradation. We identify the root cause: when rewards for correct but long rollouts are penalized, GRPO's group-relative advantage function can assign them negative advantages, actively discouraging valid reasoning. To overcome this, we propose Decoupled Reward Policy Optimization (DRPO), a novel framework that decouples the length-based learning signal of correct rollouts from incorrect ones. DRPO ensures that reward signals for correct rollouts are normalized solely within the positive group, shielding them from interference by negative samples. The DRPO's objective is grounded in integrating an optimized positive data distribution, which maximizes length-based rewards under a KL regularization, into a discriminative objective. We derive a closed-form solution for this distribution, enabling efficient computation of the objective and its gradients using only on-policy data and importance weighting. Of independent interest, this formulation is general and can incorporate other preference rewards of positive data beyond length. Experiments on mathematical reasoning tasks demonstrate DRPO's significant superiority over six efficient reasoning baselines. Notably, with a 1.5B model, our method achieves 77\% length reduction with only 1.1\% performance loss on simple questions like GSM8k dataset, while the follow-up baseline sacrifices 4.3\% for 68\% length reduction.

  • 4 authors
·
Oct 6, 2025

DLER: Doing Length pEnalty Right - Incentivizing More Intelligence per Token via Reinforcement Learning

Reasoning language models such as OpenAI-o1, DeepSeek-R1, and Qwen achieve strong performance via extended chains of thought but often generate unnecessarily long outputs. Maximizing intelligence per token--accuracy relative to response length--remains an open problem. We revisit reinforcement learning (RL) with the simplest length penalty--truncation--and show that accuracy degradation arises not from the lack of sophisticated penalties but from inadequate RL optimization. We identify three key challenges: (i) large bias in advantage estimation, (ii) entropy collapse, and (iii) sparse reward signal. We address them with Doing Length pEnalty Right (DLER), a training recipe combining batch-wise reward normalization, higher clipping, dynamic sampling, and a simple truncation length penalty. DLER achieves state-of-the-art accuracy--efficiency trade-offs, cutting output length by over 70 percent while surpassing all previous baseline accuracy. It also improves test-time scaling: compared to DeepSeek-R1-7B, DLER-7B generates multiple concise responses in parallel with 28 percent higher accuracy and lower latency. We further introduce Difficulty-Aware DLER, which adaptively tightens truncation on easier questions for additional efficiency gains. We also propose an update-selective merging method that preserves baseline accuracy while retaining the concise reasoning ability of the DLER model, which is useful for scenarios where RL training data is scarce.

nvidia NVIDIA
·
Oct 16, 2025 3