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Feb 6

Deep Learning Segmentation of Ascites on Abdominal CT Scans for Automatic Volume Quantification

Purpose: To evaluate the performance of an automated deep learning method in detecting ascites and subsequently quantifying its volume in patients with liver cirrhosis and ovarian cancer. Materials and Methods: This retrospective study included contrast-enhanced and non-contrast abdominal-pelvic CT scans of patients with cirrhotic ascites and patients with ovarian cancer from two institutions, National Institutes of Health (NIH) and University of Wisconsin (UofW). The model, trained on The Cancer Genome Atlas Ovarian Cancer dataset (mean age, 60 years +/- 11 [s.d.]; 143 female), was tested on two internal (NIH-LC and NIH-OV) and one external dataset (UofW-LC). Its performance was measured by the Dice coefficient, standard deviations, and 95% confidence intervals, focusing on ascites volume in the peritoneal cavity. Results: On NIH-LC (25 patients; mean age, 59 years +/- 14 [s.d.]; 14 male) and NIH-OV (166 patients; mean age, 65 years +/- 9 [s.d.]; all female), the model achieved Dice scores of 0.855 +/- 0.061 (CI: 0.831-0.878) and 0.826 +/- 0.153 (CI: 0.764-0.887), with median volume estimation errors of 19.6% (IQR: 13.2-29.0) and 5.3% (IQR: 2.4-9.7) respectively. On UofW-LC (124 patients; mean age, 46 years +/- 12 [s.d.]; 73 female), the model had a Dice score of 0.830 +/- 0.107 (CI: 0.798-0.863) and median volume estimation error of 9.7% (IQR: 4.5-15.1). The model showed strong agreement with expert assessments, with r^2 values of 0.79, 0.98, and 0.97 across the test sets. Conclusion: The proposed deep learning method performed well in segmenting and quantifying the volume of ascites in concordance with expert radiologist assessments.

  • 7 authors
·
Jun 22, 2024

Comparison of Unsupervised Metrics for Evaluating Judicial Decision Extraction

The rapid advancement of artificial intelligence in legal natural language processing demands scalable methods for evaluating text extraction from judicial decisions. This study evaluates 16 unsupervised metrics, including novel formulations, to assess the quality of extracting seven semantic blocks from 1,000 anonymized Russian judicial decisions, validated against 7,168 expert reviews on a 1--5 Likert scale. These metrics, spanning document-based, semantic, structural, pseudo-ground truth, and legal-specific categories, operate without pre-annotated ground truth. Bootstrapped correlations, Lin's concordance correlation coefficient (CCC), and mean absolute error (MAE) reveal that Term Frequency Coherence (Pearson r = 0.540, Lin CCC = 0.512, MAE = 0.127) and Coverage Ratio/Block Completeness (Pearson r = 0.513, Lin CCC = 0.443, MAE = 0.139) best align with expert ratings, while Legal Term Density (Pearson r = -0.479, Lin CCC = -0.079, MAE = 0.394) show strong negative correlations. The LLM Evaluation Score (mean = 0.849, Pearson r = 0.382, Lin CCC = 0.325, MAE = 0.197) showed moderate alignment, but its performance, using gpt-4.1-mini via g4f, suggests limited specialization for legal textse. These findings highlight that unsupervised metrics, including LLM-based approaches, enable scalable screening but, with moderate correlations and low CCC values, cannot fully replace human judgment in high-stakes legal contexts. This work advances legal NLP by providing annotation-free evaluation tools, with implications for judicial analytics and ethical AI deployment.

  • 5 authors
·
Oct 2, 2025

Challenges and Considerations in Annotating Legal Data: A Comprehensive Overview

The process of annotating data within the legal sector is filled with distinct challenges that differ from other fields, primarily due to the inherent complexities of legal language and documentation. The initial task usually involves selecting an appropriate raw dataset that captures the intricate aspects of legal texts. Following this, extracting text becomes a complicated task, as legal documents often have complex structures, footnotes, references, and unique terminology. The importance of data cleaning is magnified in this context, ensuring that redundant information is eliminated while maintaining crucial legal details and context. Creating comprehensive yet straightforward annotation guidelines is imperative, as these guidelines serve as the road map for maintaining uniformity and addressing the subtle nuances of legal terminology. Another critical aspect is the involvement of legal professionals in the annotation process. Their expertise is valuable in ensuring that the data not only remains contextually accurate but also adheres to prevailing legal standards and interpretations. This paper provides an expanded view of these challenges and aims to offer a foundational understanding and guidance for researchers and professionals engaged in legal data annotation projects. In addition, we provide links to our created and fine-tuned datasets and language models. These resources are outcomes of our discussed projects and solutions to challenges faced while working on them.

  • 3 authors
·
Jul 5, 2024

Evaluation of GPT-3.5 and GPT-4 for supporting real-world information needs in healthcare delivery

Despite growing interest in using large language models (LLMs) in healthcare, current explorations do not assess the real-world utility and safety of LLMs in clinical settings. Our objective was to determine whether two LLMs can serve information needs submitted by physicians as questions to an informatics consultation service in a safe and concordant manner. Sixty six questions from an informatics consult service were submitted to GPT-3.5 and GPT-4 via simple prompts. 12 physicians assessed the LLM responses' possibility of patient harm and concordance with existing reports from an informatics consultation service. Physician assessments were summarized based on majority vote. For no questions did a majority of physicians deem either LLM response as harmful. For GPT-3.5, responses to 8 questions were concordant with the informatics consult report, 20 discordant, and 9 were unable to be assessed. There were 29 responses with no majority on "Agree", "Disagree", and "Unable to assess". For GPT-4, responses to 13 questions were concordant, 15 discordant, and 3 were unable to be assessed. There were 35 responses with no majority. Responses from both LLMs were largely devoid of overt harm, but less than 20% of the responses agreed with an answer from an informatics consultation service, responses contained hallucinated references, and physicians were divided on what constitutes harm. These results suggest that while general purpose LLMs are able to provide safe and credible responses, they often do not meet the specific information need of a given question. A definitive evaluation of the usefulness of LLMs in healthcare settings will likely require additional research on prompt engineering, calibration, and custom-tailoring of general purpose models.

  • 18 authors
·
Apr 26, 2023

ResearchQA: Evaluating Scholarly Question Answering at Scale Across 75 Fields with Survey-Mined Questions and Rubrics

Evaluating long-form responses to research queries heavily relies on expert annotators, restricting attention to areas like AI where researchers can conveniently enlist colleagues. Yet, research expertise is widespread: survey articles synthesize knowledge distributed across the literature. We introduce ResearchQA, a resource for evaluating LLM systems by distilling survey articles from 75 research fields into 21K queries and 160K rubric items. Each rubric, derived jointly with queries from survey sections, lists query-specific answer evaluation criteria, i.e., citing papers, making explanations, and describing limitations. Assessments by 31 Ph.D. annotators in 8 fields indicate 96% of queries support Ph.D. information needs and 87% of rubric items should be addressed in system responses by a sentence or more. Using our rubrics, we are able to construct an automatic pairwise judge obtaining 74% agreement with expert judgments. We leverage ResearchQA to analyze competency gaps in 18 systems in over 7.6K pairwise evaluations. No parametric or retrieval-augmented system we evaluate exceeds 70% on covering rubric items, and the highest-ranking agentic system shows 75% coverage. Error analysis reveals that the highest-ranking system fully addresses less than 11% of citation rubric items, 48% of limitation items, and 49% of comparison items. We release our data to facilitate more comprehensive multi-field evaluations.

  • 4 authors
·
Aug 30, 2025

Sub-MoE: Efficient Mixture-of-Expert LLMs Compression via Subspace Expert Merging

Mixture of Experts (MoE) LLMs face significant obstacles due to their massive parameter scale, which imposes memory, storage, and deployment challenges. Although recent expert merging methods promise greater efficiency by consolidating multiple experts, they are fundamentally hindered by parameter conflicts arising from expert specialization. In this paper, we present Sub-MoE, a novel MoE compression framework via Subspace Expert Merging. Our key insight is to perform joint Singular Value Decomposition (SVD) on concatenated expert weights, reducing conflicting parameters by extracting shared U-matrices while enabling effective merging of the expert-specific V components. Specifically, Sub-MoE consists of two innovative phases: (1) Adaptive Expert Clustering, which groups functionally coherent experts via K-means clustering based on cosine similarity of expert outputs; and (2) Subspace Expert Merging, which first enforces Experts Union Decomposition to derive the shared U-matrix across experts in the same group, then pursues frequency-based merging for individual V-matrices, and finalizes expert reconstruction using the merged V-matrix. In this way, we align and fuse experts in a shared subspace, and can be extended with intra-expert compression for further inference optimization. Extensive experiments on Mixtral, DeepSeek, and Qwen-1.5|3 MoE LLMs demonstrate that our Sub-MoE significantly outperforms existing expert pruning and merging methods. Notably, our Sub-MoE maintains 96\%|86\% of original performance with 25\%|50\% expert reduction on Mixtral-8x7B in zero-shot benchmarks. Code will be released at https://github.com/lliai/MoERazor.

  • 7 authors
·
Jun 29, 2025

Debate Helps Supervise Unreliable Experts

As AI systems are used to answer more difficult questions and potentially help create new knowledge, judging the truthfulness of their outputs becomes more difficult and more important. How can we supervise unreliable experts, which have access to the truth but may not accurately report it, to give answers that are systematically true and don't just superficially seem true, when the supervisor can't tell the difference between the two on their own? In this work, we show that debate between two unreliable experts can help a non-expert judge more reliably identify the truth. We collect a dataset of human-written debates on hard reading comprehension questions where the judge has not read the source passage, only ever seeing expert arguments and short quotes selectively revealed by 'expert' debaters who have access to the passage. In our debates, one expert argues for the correct answer, and the other for an incorrect answer. Comparing debate to a baseline we call consultancy, where a single expert argues for only one answer which is correct half of the time, we find that debate performs significantly better, with 84% judge accuracy compared to consultancy's 74%. Debates are also more efficient, being 68% of the length of consultancies. By comparing human to AI debaters, we find evidence that with more skilled (in this case, human) debaters, the performance of debate goes up but the performance of consultancy goes down. Our error analysis also supports this trend, with 46% of errors in human debate attributable to mistakes by the honest debater (which should go away with increased skill); whereas 52% of errors in human consultancy are due to debaters obfuscating the relevant evidence from the judge (which should become worse with increased skill). Overall, these results show that debate is a promising approach for supervising increasingly capable but potentially unreliable AI systems.

  • 7 authors
·
Nov 15, 2023

ExpertRAG: Efficient RAG with Mixture of Experts -- Optimizing Context Retrieval for Adaptive LLM Responses

ExpertRAG is a novel theoretical framework that integrates Mixture-of-Experts (MoE) architectures with Retrieval Augmented Generation (RAG) to advance the efficiency and accuracy of knowledge-intensive language modeling. We propose a dynamic retrieval gating mechanism coupled with expert routing, enabling the model to selectively consult an external knowledge store or rely on specialized internal experts based on the query's needs. The paper lays out the theoretical foundations of ExpertRAG, including a probabilistic formulation that treats retrieval and expert selection as latent decisions, and mathematical justifications for its efficiency in both computation and knowledge utilization. We derive formulae to quantify the expected computational cost savings from selective retrieval and the capacity gains from sparse expert utilization. A comparative analysis positions ExpertRAG against standard RAG (with always-on retrieval) and pure MoE models (e.g., Switch Transformer, Mixtral) to highlight its unique balance between parametric knowledge and non-parametric retrieval. We also outline an experimental validation strategy, proposing benchmarks and evaluation protocols to test ExpertRAG's performance on factual recall, generalization, and inference efficiency. The proposed framework, although presented theoretically, is supported by insights from prior work in RAG and MoE, and is poised to provide more factual, efficient, and adaptive generation by leveraging the best of both paradigms. In summary, ExpertRAG contributes a new perspective on scaling and augmenting language models, backed by a thorough analysis and a roadmap for empirical validation.

  • 1 authors
·
Mar 23, 2025

Towards Accurate Differential Diagnosis with Large Language Models

An accurate differential diagnosis (DDx) is a cornerstone of medical care, often reached through an iterative process of interpretation that combines clinical history, physical examination, investigations and procedures. Interactive interfaces powered by Large Language Models (LLMs) present new opportunities to both assist and automate aspects of this process. In this study, we introduce an LLM optimized for diagnostic reasoning, and evaluate its ability to generate a DDx alone or as an aid to clinicians. 20 clinicians evaluated 302 challenging, real-world medical cases sourced from the New England Journal of Medicine (NEJM) case reports. Each case report was read by two clinicians, who were randomized to one of two assistive conditions: either assistance from search engines and standard medical resources, or LLM assistance in addition to these tools. All clinicians provided a baseline, unassisted DDx prior to using the respective assistive tools. Our LLM for DDx exhibited standalone performance that exceeded that of unassisted clinicians (top-10 accuracy 59.1% vs 33.6%, [p = 0.04]). Comparing the two assisted study arms, the DDx quality score was higher for clinicians assisted by our LLM (top-10 accuracy 51.7%) compared to clinicians without its assistance (36.1%) (McNemar's Test: 45.7, p < 0.01) and clinicians with search (44.4%) (4.75, p = 0.03). Further, clinicians assisted by our LLM arrived at more comprehensive differential lists than those without its assistance. Our study suggests that our LLM for DDx has potential to improve clinicians' diagnostic reasoning and accuracy in challenging cases, meriting further real-world evaluation for its ability to empower physicians and widen patients' access to specialist-level expertise.

  • 28 authors
·
Nov 30, 2023 1

DeepSeekMoE: Towards Ultimate Expert Specialization in Mixture-of-Experts Language Models

In the era of large language models, Mixture-of-Experts (MoE) is a promising architecture for managing computational costs when scaling up model parameters. However, conventional MoE architectures like GShard, which activate the top-K out of N experts, face challenges in ensuring expert specialization, i.e. each expert acquires non-overlapping and focused knowledge. In response, we propose the DeepSeekMoE architecture towards ultimate expert specialization. It involves two principal strategies: (1) finely segmenting the experts into mN ones and activating mK from them, allowing for a more flexible combination of activated experts; (2) isolating K_s experts as shared ones, aiming at capturing common knowledge and mitigating redundancy in routed experts. Starting from a modest scale with 2B parameters, we demonstrate that DeepSeekMoE 2B achieves comparable performance with GShard 2.9B, which has 1.5 times the expert parameters and computation. In addition, DeepSeekMoE 2B nearly approaches the performance of its dense counterpart with the same number of total parameters, which set the upper bound of MoE models. Subsequently, we scale up DeepSeekMoE to 16B parameters and show that it achieves comparable performance with LLaMA2 7B, with only about 40% of computations. Further, our preliminary efforts to scale up DeepSeekMoE to 145B parameters consistently validate its substantial advantages over the GShard architecture, and show its performance comparable with DeepSeek 67B, using only 28.5% (maybe even 18.2%) of computations.

deepseek-ai DeepSeek
·
Jan 11, 2024 2

Augmenting Chest X-ray Datasets with Non-Expert Annotations

The advancement of machine learning algorithms in medical image analysis requires the expansion of training datasets. A popular and cost-effective approach is automated annotation extraction from free-text medical reports, primarily due to the high costs associated with expert clinicians annotating medical images, such as chest X-rays. However, it has been shown that the resulting datasets are susceptible to biases and shortcuts. Another strategy to increase the size of a dataset is crowdsourcing, a widely adopted practice in general computer vision with some success in medical image analysis. In a similar vein to crowdsourcing, we enhance two publicly available chest X-ray datasets by incorporating non-expert annotations. However, instead of using diagnostic labels, we annotate shortcuts in the form of tubes. We collect 3.5k chest drain annotations for NIH-CXR14, and 1k annotations for four different tube types in PadChest, and create the Non-Expert Annotations of Tubes in X-rays (NEATX) dataset. We train a chest drain detector with the non-expert annotations that generalizes well to expert labels. Moreover, we compare our annotations to those provided by experts and show "moderate" to "almost perfect" agreement. Finally, we present a pathology agreement study to raise awareness about the quality of ground truth annotations. We make our dataset available on Zenodo at https://zenodo.org/records/14944064 and our code available at https://github.com/purrlab/chestxr-label-reliability.

  • 5 authors
·
Sep 5, 2023

A Zero-shot Explainable Doctor Ranking Framework with Large Language Models

Online medical service provides patients convenient access to doctors, but effectively ranking doctors based on specific medical needs remains challenging. Current ranking approaches typically lack the interpretability crucial for patient trust and informed decision-making. Additionally, the scarcity of standardized benchmarks and labeled data for supervised learning impedes progress in expertise-aware doctor ranking. To address these challenges, we propose an explainable ranking framework for doctor ranking powered by large language models in a zero-shot setting. Our framework dynamically generates disease-specific ranking criteria to guide the large language model in assessing doctor relevance with transparency and consistency. It further enhances interpretability by generating step-by-step rationales for its ranking decisions, improving the overall explainability of the information retrieval process. To support rigorous evaluation, we built and released DrRank, a novel expertise-driven dataset comprising 38 disease-treatment pairs and 4,325 doctor profiles. On this benchmark, our framework significantly outperforms the strongest baseline by +6.45 NDCG@10. Comprehensive analyses also show our framework is fair across disease types, patient gender, and geographic regions. Furthermore, verification by medical experts confirms the reliability and interpretability of our approach, reinforcing its potential for trustworthy, real-world doctor recommendation. To demonstrate its broader applicability, we validate our framework on two datasets from BEIR benchmark, where it again achieves superior performance. The code and associated data are available at: https://github.com/YangLab-BUPT/DrRank.

  • 3 authors
·
Mar 4, 2025

MedKGent: A Large Language Model Agent Framework for Constructing Temporally Evolving Medical Knowledge Graph

The rapid expansion of medical literature presents growing challenges for structuring and integrating domain knowledge at scale. Knowledge Graphs (KGs) offer a promising solution by enabling efficient retrieval, automated reasoning, and knowledge discovery. However, current KG construction methods often rely on supervised pipelines with limited generalizability or naively aggregate outputs from Large Language Models (LLMs), treating biomedical corpora as static and ignoring the temporal dynamics and contextual uncertainty of evolving knowledge. To address these limitations, we introduce MedKGent, a LLM agent framework for constructing temporally evolving medical KGs. Leveraging over 10 million PubMed abstracts published between 1975 and 2023, we simulate the emergence of biomedical knowledge via a fine-grained daily time series. MedKGent incrementally builds the KG in a day-by-day manner using two specialized agents powered by the Qwen2.5-32B-Instruct model. The Extractor Agent identifies knowledge triples and assigns confidence scores via sampling-based estimation, which are used to filter low-confidence extractions and inform downstream processing. The Constructor Agent incrementally integrates the retained triples into a temporally evolving graph, guided by confidence scores and timestamps to reinforce recurring knowledge and resolve conflicts. The resulting KG contains 156,275 entities and 2,971,384 relational triples. Quality assessments by two SOTA LLMs and three domain experts demonstrate an accuracy approaching 90%, with strong inter-rater agreement. To evaluate downstream utility, we conduct RAG across seven medical question answering benchmarks using five leading LLMs, consistently observing significant improvements over non-augmented baselines. Case studies further demonstrate the KG's value in literature-based drug repurposing via confidence-aware causal inference.

  • 13 authors
·
Aug 17, 2025

Susu Box or Piggy Bank: Assessing Cultural Commonsense Knowledge between Ghana and the U.S

Recent work has highlighted the culturally-contingent nature of commonsense knowledge. We introduce AMAMMER{epsilon}, a test set of 525 multiple-choice questions designed to evaluate the commonsense knowledge of English LLMs, relative to the cultural contexts of Ghana and the United States. To create AMAMMER{epsilon}, we select a set of multiple-choice questions (MCQs) from existing commonsense datasets and rewrite them in a multi-stage process involving surveys of Ghanaian and U.S. participants. In three rounds of surveys, participants from both pools are solicited to (1) write correct and incorrect answer choices, (2) rate individual answer choices on a 5-point Likert scale, and (3) select the best answer choice from the newly-constructed MCQ items, in a final validation step. By engaging participants at multiple stages, our procedure ensures that participant perspectives are incorporated both in the creation and validation of test items, resulting in high levels of agreement within each pool. We evaluate several off-the-shelf English LLMs on AMAMMER{epsilon}. Uniformly, models prefer answers choices that align with the preferences of U.S. annotators over Ghanaian annotators. Additionally, when test items specify a cultural context (Ghana or the U.S.), models exhibit some ability to adapt, but performance is consistently better in U.S. contexts than Ghanaian. As large resources are devoted to the advancement of English LLMs, our findings underscore the need for culturally adaptable models and evaluations to meet the needs of diverse English-speaking populations around the world.

  • 3 authors
·
Oct 21, 2024

SimSUM: Simulated Benchmark with Structured and Unstructured Medical Records

Clinical information extraction, which involves structuring clinical concepts from unstructured medical text, remains a challenging problem that could benefit from the inclusion of tabular background information available in electronic health records. Existing open-source datasets lack explicit links between structured features and clinical concepts in the text, motivating the need for a new research dataset. We introduce SimSUM, a benchmark dataset of 10,000 simulated patient records that link unstructured clinical notes with structured background variables. Each record simulates a patient encounter in the domain of respiratory diseases and includes tabular data (e.g., symptoms, diagnoses, underlying conditions) generated from a Bayesian network whose structure and parameters are defined by domain experts. A large language model (GPT-4o) is prompted to generate a clinical note describing the encounter, including symptoms and relevant context. These notes are annotated with span-level symptom mentions. We conduct an expert evaluation to assess note quality and run baseline predictive models on both the tabular and textual data. The SimSUM dataset is primarily designed to support research on clinical information extraction in the presence of tabular background variables, which can be linked through domain knowledge to concepts of interest to be extracted from the text -- namely, symptoms in the case of SimSUM. Secondary uses include research on the automation of clinical reasoning over both tabular data and text, causal effect estimation in the presence of tabular and/or textual confounders, and multi-modal synthetic data generation. SimSUM is not intended for training clinical decision support systems or production-grade models, but rather to facilitate reproducible research in a simplified and controlled setting.

  • 3 authors
·
Sep 13, 2024

Unveiling Super Experts in Mixture-of-Experts Large Language Models

Sparsely activated Mixture-of-Experts (MoE) models have shown promise in enhancing the learning capacity of large language models (LLMs). Leveraging the intrinsic importance differences among experts, recent research has explored expert-level compression techniques to improve the efficiency of MoE LLMs. However, existing approaches often rely on empirical criteria to identify critical experts, lacking a deeper exploration and understanding of the heterogeneous importance of experts. In this study, we present the first discovery and investigation of a distinct subset of experts that play a crucial role in the underlying mechanisms during the model's forward inference. These experts are prevalent in open-source MoE LLMs, and despite their limited number, pruning them leads to a significant decline in model performance (e.g., pruning three causes Qwen3-30B-A3B to produce repetitive and uninformative outputs). We refer to these experts as Super Experts (SEs). Our comprehensive analysis provides progressively deeper insights into SEs. (i) SEs are characterized by rare but extreme activation outliers in the output of the down_proj, which give rise to massive activations in the hidden states between decoder layers. Moreover, the distribution of SEs remains model-specific and is unaffected by post-training processes. (ii) By pruning SEs, we assess their significance across a variety of tasks, revealing their considerable impact on the model's overall performance, particularly in mathematical reasoning. (iii) We further enhance our understanding of the influence of SEs compression. Our findings confirm that MoE LLMs rely on SEs to induce attention sinks, which are crucial for the distribution of attention scores but are significantly disrupted by SE pruning. The code is available at https://github.com/ZunhaiSu/Super-Experts-Profilling.

  • 6 authors
·
Jul 31, 2025

RJUA-QA: A Comprehensive QA Dataset for Urology

We introduce RJUA-QA, a novel medical dataset for question answering (QA) and reasoning with clinical evidence, contributing to bridge the gap between general large language models (LLMs) and medical-specific LLM applications. RJUA-QA is derived from realistic clinical scenarios and aims to facilitate LLMs in generating reliable diagnostic and advice. The dataset contains 2,132 curated Question-Context-Answer pairs, corresponding about 25,000 diagnostic records and clinical cases. The dataset covers 67 common urological disease categories, where the disease coverage exceeds 97.6\% of the population seeking medical services in urology. Each data instance in RJUA-QA comprises: (1) a question mirroring real patient to inquiry about clinical symptoms and medical conditions, (2) a context including comprehensive expert knowledge, serving as a reference for medical examination and diagnosis, (3) a doctor response offering the diagnostic conclusion and suggested examination guidance, (4) a diagnosed clinical disease as the recommended diagnostic outcome, and (5) clinical advice providing recommendations for medical examination. RJUA-QA is the first medical QA dataset for clinical reasoning over the patient inquiries, where expert-level knowledge and experience are required for yielding diagnostic conclusions and medical examination advice. A comprehensive evaluation is conducted to evaluate the performance of both medical-specific and general LLMs on the RJUA-QA dataset.

  • 17 authors
·
Dec 15, 2023

ExpertWeave: Efficiently Serving Expert-Specialized Fine-Tuned Adapters at Scale

Expert-Specialized Fine-Tuning (ESFT) adapts Mixture-of-Experts (MoE) large language models to enhance their task-specific performance by selectively tuning the top-activated experts for the task. Serving these fine-tuned models at scale is challenging: deploying merged models in isolation is prohibitively resource-hungry, while existing multi-adapter serving systems with LoRA-style additive updates are incompatible with ESFT's expert-oriented paradigm. We present ExpertWeave, a system that serves multiple ESFT adapters concurrently over a single shared MoE base model, drastically reducing the memory footprint and improving resource utilization. To seamlessly integrate into existing inference pipelines for MoE models with non-intrusive modifications and minimal latency overhead, ExpertWeave introduces a virtual-memory-assisted expert weight manager that co-locates base-model and adapter experts without incurring memory overhead from fragmentation, and a fused kernel for batched rerouting to enable lightweight redirection of tokens to the appropriate experts at runtime. Our evaluations show that ExpertWeave can simultaneously serve multiple adapters of a 16B MoE model on a single accelerator where the baseline runs out of memory, or provides up to 94x more KV cache capacity and achieves up to 18% higher throughput while using comparable resources, all without compromising model accuracy. ExpertWeave maintains low overhead even when scaling to 20 adapters, with a 4-11% latency increase compared with serving the base model alone. Source code will be released soon.

  • 7 authors
·
Aug 24, 2025

Contrastive Learning and Mixture of Experts Enables Precise Vector Embeddings

The advancement of transformer neural networks has significantly elevated the capabilities of sentence similarity models, particularly in creating effective vector representations of natural language inputs. However, these models face notable challenges in domain-specific contexts, especially in highly specialized scientific sub-fields. Traditional methods often struggle in this regime, either overgeneralizing similarities within a niche or being overly sensitive to minor differences, resulting in inaccurate text classification and subpar vector representation. In an era where retrieval augmentation and search are increasingly crucial, precise and concise numerical representations are essential. In this paper, we target this issue by assembling niche datasets using co-citations as a similarity metric, focusing on biomedical domains. We employ two key strategies for fine-tuning state-of-the-art models: 1. Domain-specific Fine-Tuning, which tailors pretrained models to a single domain, and 2. Universal Applicability with Mixture of Experts (MoE), adapting pretrained models with enforced routing for multiple domains simultaneously. Our training approach emphasizes the use of abstracts for faster training, incorporating Multiple Negative Rankings loss for efficient contrastive learning. Notably, our MoE variants, equipped with N experts, achieve the efficacy of N individual models, heralding a new era of versatile, One-Size-Fits-All transformer networks for various tasks. This methodology marks significant advancements in scientific text classification metrics and holds promise for enhancing vector database search and compilation.

  • 4 authors
·
Jan 28, 2024

Astrea: A MOE-based Visual Understanding Model with Progressive Alignment

Vision-Language Models (VLMs) based on Mixture-of-Experts (MoE) architectures have emerged as a pivotal paradigm in multimodal understanding, offering a powerful framework for integrating visual and linguistic information. However, the increasing complexity and diversity of tasks present significant challenges in coordinating load balancing across heterogeneous visual experts, where optimizing one specialist's performance often compromises others' capabilities. To address task heterogeneity and expert load imbalance, we propose Astrea, a novel multi-expert collaborative VLM architecture based on progressive pre-alignment. Astrea introduces three key innovations: 1) A heterogeneous expert coordination mechanism that integrates four specialized models (detection, segmentation, classification, captioning) into a comprehensive expert matrix covering essential visual comprehension elements; 2) A dynamic knowledge fusion strategy featuring progressive pre-alignment to harmonize experts within the VLM latent space through contrastive learning, complemented by probabilistically activated stochastic residual connections to preserve knowledge continuity; 3) An enhanced optimization framework utilizing momentum contrastive learning for long-range dependency modeling and adaptive weight allocators for real-time expert contribution calibration. Extensive evaluations across 12 benchmark tasks spanning VQA, image captioning, and cross-modal retrieval demonstrate Astrea's superiority over state-of-the-art models, achieving an average performance gain of +4.7\%. This study provides the first empirical demonstration that progressive pre-alignment strategies enable VLMs to overcome task heterogeneity limitations, establishing new methodological foundations for developing general-purpose multimodal agents.

  • 15 authors
·
Mar 12, 2025

Automatically Generating Numerous Context-Driven SFT Data for LLMs across Diverse Granularity

Constructing high-quality query-response pairs from custom corpus is crucial for supervised fine-tuning (SFT) large language models (LLMs) in many applications, like creating domain-specific AI assistants or roleplaying agents. However, sourcing this data through human annotation is costly, and existing automated methods often fail to capture the diverse range of contextual granularity and tend to produce homogeneous data. To tackle these issues, we introduce a novel method named AugCon, capable of automatically generating context-driven SFT data across multiple levels of granularity with high diversity, quality and fidelity. AugCon begins by generating queries using the Context-Split-Tree (CST), an innovative approach for recursively deriving queries and splitting context to cover full granularity. Then, we train a scorer through contrastive learning to collaborate with CST to rank and refine queries. Finally, a synergistic integration of self-alignment and self-improving is introduced to obtain high-fidelity responses. Extensive experiments are conducted incorporating both human and automatic evaluations, encompassing a test scenario and four widely-used benchmarks in English and Chinese. The results highlight the significant advantages of AugCon in producing high diversity, quality, and fidelity SFT data against several state-of-the-art methods. All of our code, dataset, and fine-tuned model will be available at: https://github.com/quanshr/AugCon.

  • 1 authors
·
May 26, 2024 2

Syllabification of the Divine Comedy

We provide a syllabification algorithm for the Divine Comedy using techniques from probabilistic and constraint programming. We particularly focus on the synalephe, addressed in terms of the "propensity" of a word to take part in a synalephe with adjacent words. We jointly provide an online vocabulary containing, for each word, information about its syllabification, the location of the tonic accent, and the aforementioned synalephe propensity, on the left and right sides. The algorithm is intrinsically nondeterministic, producing different possible syllabifications for each verse, with different likelihoods; metric constraints relative to accents on the 10th, 4th and 6th syllables are used to further reduce the solution space. The most likely syllabification is hence returned as output. We believe that this work could be a major milestone for a lot of different investigations. From the point of view of digital humanities it opens new perspectives on computer assisted analysis of digital sources, comprising automated detection of anomalous and problematic cases, metric clustering of verses and their categorization, or more foundational investigations addressing e.g. the phonetic roles of consonants and vowels. From the point of view of text processing and deep learning, information about syllabification and the location of accents opens a wide range of exciting perspectives, from the possibility of automatic learning syllabification of words and verses, to the improvement of generative models, aware of metric issues, and more respectful of the expected musicality.

  • 2 authors
·
Oct 26, 2020

Self-Specialization: Uncovering Latent Expertise within Large Language Models

Recent works have demonstrated the effectiveness of self-alignment in which a large language model is, by itself, aligned to follow general instructions through the automatic generation of instructional data using a handful of human-written seeds. Instead of general alignment, in this work, we focus on self-alignment for expert domain specialization (e.g., biomedicine), discovering it to be very effective for improving zero-shot and few-shot performance in target domains of interest. As a preliminary, we first present the benchmark results of existing aligned models within a specialized domain, which reveals the marginal effect that "generic" instruction-following training has on downstream expert domains' performance. To remedy this, we explore self-specialization that leverages domain-specific unlabelled data and a few labeled seeds for the self-alignment process. When augmented with retrieval to reduce hallucination and enhance concurrency of the alignment, self-specialization offers an effective (and efficient) way of "carving out" an expert model out of a "generalist", pre-trained LLM where different domains of expertise are originally combined in a form of "superposition". Our experimental results on a biomedical domain show that our self-specialized model (30B) outperforms its base model, MPT-30B by a large margin and even surpasses larger popular models based on LLaMA-65B, highlighting its potential and practicality for specialization, especially considering its efficiency in terms of data and parameters.

  • 8 authors
·
Sep 29, 2023

Not All Models Suit Expert Offloading: On Local Routing Consistency of Mixture-of-Expert Models

Mixture-of-Experts (MoE) enables efficient scaling of large language models (LLMs) with sparsely activated experts during inference. To effectively deploy large MoE models on memory-constrained devices, many systems introduce *expert offloading* that caches a subset of experts in fast memory, leaving others on slow memory to run on CPU or load on demand. While some research has exploited the locality of expert activations, where consecutive tokens activate similar experts, the degree of this **local routing consistency** varies across models and remains understudied. In this paper, we propose two metrics to measure local routing consistency of MoE models: (1) **Segment Routing Best Performance (SRP)**, which evaluates how well a fixed group of experts can cover the needs of a segment of tokens, and (2) **Segment Cache Best Hit Rate (SCH)**, which measures the optimal segment-level cache hit rate under a given cache size limit. We analyzed 20 MoE LLMs with diverse sizes and architectures and found that models that apply MoE on every layer and do not use shared experts exhibit the highest local routing consistency. We further showed that domain-specialized experts contribute more to routing consistency than vocabulary-specialized ones, and that most models can balance between cache effectiveness and efficiency with cache sizes approximately 2x the active experts. These findings pave the way for memory-efficient MoE design and deployment without compromising inference speed. We publish the code for replicating experiments at https://github.com/ljcleo/moe-lrc .

  • 6 authors
·
May 21, 2025 2

Evidence Inference 2.0: More Data, Better Models

How do we most effectively treat a disease or condition? Ideally, we could consult a database of evidence gleaned from clinical trials to answer such questions. Unfortunately, no such database exists; clinical trial results are instead disseminated primarily via lengthy natural language articles. Perusing all such articles would be prohibitively time-consuming for healthcare practitioners; they instead tend to depend on manually compiled systematic reviews of medical literature to inform care. NLP may speed this process up, and eventually facilitate immediate consult of published evidence. The Evidence Inference dataset was recently released to facilitate research toward this end. This task entails inferring the comparative performance of two treatments, with respect to a given outcome, from a particular article (describing a clinical trial) and identifying supporting evidence. For instance: Does this article report that chemotherapy performed better than surgery for five-year survival rates of operable cancers? In this paper, we collect additional annotations to expand the Evidence Inference dataset by 25\%, provide stronger baseline models, systematically inspect the errors that these make, and probe dataset quality. We also release an abstract only (as opposed to full-texts) version of the task for rapid model prototyping. The updated corpus, documentation, and code for new baselines and evaluations are available at http://evidence-inference.ebm-nlp.com/.

  • 5 authors
·
May 8, 2020

A Benchmark Dataset with Larger Context for Non-Factoid Question Answering over Islamic Text

Accessing and comprehending religious texts, particularly the Quran (the sacred scripture of Islam) and Ahadith (the corpus of the sayings or traditions of the Prophet Muhammad), in today's digital era necessitates efficient and accurate Question-Answering (QA) systems. Yet, the scarcity of QA systems tailored specifically to the detailed nature of inquiries about the Quranic Tafsir (explanation, interpretation, context of Quran for clarity) and Ahadith poses significant challenges. To address this gap, we introduce a comprehensive dataset meticulously crafted for QA purposes within the domain of Quranic Tafsir and Ahadith. This dataset comprises a robust collection of over 73,000 question-answer pairs, standing as the largest reported dataset in this specialized domain. Importantly, both questions and answers within the dataset are meticulously enriched with contextual information, serving as invaluable resources for training and evaluating tailored QA systems. However, while this paper highlights the dataset's contributions and establishes a benchmark for evaluating QA performance in the Quran and Ahadith domains, our subsequent human evaluation uncovered critical insights regarding the limitations of existing automatic evaluation techniques. The discrepancy between automatic evaluation metrics, such as ROUGE scores, and human assessments became apparent. The human evaluation indicated significant disparities: the model's verdict consistency with expert scholars ranged between 11% to 20%, while its contextual understanding spanned a broader spectrum of 50% to 90%. These findings underscore the necessity for evaluation techniques that capture the nuances and complexities inherent in understanding religious texts, surpassing the limitations of traditional automatic metrics.

  • 3 authors
·
Sep 15, 2024

T2Ranking: A large-scale Chinese Benchmark for Passage Ranking

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

  • 11 authors
·
Apr 7, 2023

MedExpQA: Multilingual Benchmarking of Large Language Models for Medical Question Answering

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.

  • 3 authors
·
Apr 8, 2024

RAD: Towards Trustworthy Retrieval-Augmented Multi-modal Clinical Diagnosis

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

Fudan-University Fudan University
·
Sep 24, 2025

Refine Medical Diagnosis Using Generation Augmented Retrieval and Clinical Practice Guidelines

Current medical language models, adapted from large language models (LLMs), typically predict ICD code-based diagnosis from electronic health records (EHRs) because these labels are readily available. However, ICD codes do not capture the nuanced, context-rich reasoning clinicians use for diagnosis. Clinicians synthesize diverse patient data and reference clinical practice guidelines (CPGs) to make evidence-based decisions. This misalignment limits the clinical utility of existing models. We introduce GARMLE-G, a Generation-Augmented Retrieval framework that grounds medical language model outputs in authoritative CPGs. Unlike conventional Retrieval-Augmented Generation based approaches, GARMLE-G enables hallucination-free outputs by directly retrieving authoritative guideline content without relying on model-generated text. It (1) integrates LLM predictions with EHR data to create semantically rich queries, (2) retrieves relevant CPG knowledge snippets via embedding similarity, and (3) fuses guideline content with model output to generate clinically aligned recommendations. A prototype system for hypertension diagnosis was developed and evaluated on multiple metrics, demonstrating superior retrieval precision, semantic relevance, and clinical guideline adherence compared to RAG-based baselines, while maintaining a lightweight architecture suitable for localized healthcare deployment. This work provides a scalable, low-cost, and hallucination-free method for grounding medical language models in evidence-based clinical practice, with strong potential for broader clinical deployment.

  • 8 authors
·
Jun 22, 2025

SYNFAC-EDIT: Synthetic Imitation Edit Feedback for Factual Alignment in Clinical Summarization

Large Language Models (LLMs) such as GPT & Llama have demonstrated significant achievements in summarization tasks but struggle with factual inaccuracies, a critical issue in clinical NLP applications where errors could lead to serious consequences. To counter the high costs and limited availability of expert-annotated data for factual alignment, this study introduces an innovative pipeline that utilizes >100B parameter GPT variants like GPT-3.5 & GPT-4 to act as synthetic experts to generate high-quality synthetics feedback aimed at enhancing factual consistency in clinical note summarization. Our research primarily focuses on edit feedback generated by these synthetic feedback experts without additional human annotations, mirroring and optimizing the practical scenario in which medical professionals refine AI system outputs. Although such 100B+ parameter GPT variants have proven to demonstrate expertise in various clinical NLP tasks, such as the Medical Licensing Examination, there is scant research on their capacity to act as synthetic feedback experts and deliver expert-level edit feedback for improving the generation quality of weaker (<10B parameter) LLMs like GPT-2 (1.5B) & Llama 2 (7B) in clinical domain. So in this work, we leverage 100B+ GPT variants to act as synthetic feedback experts offering expert-level edit feedback, that is used to reduce hallucinations and align weaker (<10B parameter) LLMs with medical facts using two distinct alignment algorithms (DPO & SALT), endeavoring to narrow the divide between AI-generated content and factual accuracy. This highlights the substantial potential of LLM-based synthetic edits in enhancing the alignment of clinical factuality.

umassnlp UMass NLP
·
Feb 21, 2024

Domain-Specific Pruning of Large Mixture-of-Experts Models with Few-shot Demonstrations

Mixture-of-Experts (MoE) models achieve a favorable trade-off between performance and inference efficiency by activating only a subset of experts. However, the memory overhead of storing all experts remains a major limitation, especially in large-scale MoE models such as DeepSeek-R1(671B). In this study, we investigate domain specialization and expert redundancy in large-scale MoE models and uncover a consistent behavior we term few-shot expert localization, with only a few in-domain demonstrations, the model consistently activates a sparse and stable subset of experts on tasks within the same domain. Building on this observation, we propose a simple yet effective pruning framework, EASY-EP, that leverages a few domain-specific demonstrations to identify and retain only the most relevant experts. EASY-EP comprises two key components: output-aware expert importance assessment and expert-level token contribution estimation. The former evaluates the importance of each expert for the current token by considering the gating scores and L2 norm of the outputs of activated experts, while the latter assesses the contribution of tokens based on representation similarities before and after routed experts. Experiments on DeepSeek-R1 and DeepSeek-V3-0324 show that our method can achieve comparable performances and 2.99times throughput under the same memory budget with full model with only half the experts.

  • 7 authors
·
Apr 9, 2025

Graphusion: A RAG Framework for Knowledge Graph Construction with a Global Perspective

Knowledge Graphs (KGs) are crucial in the field of artificial intelligence and are widely used in downstream tasks, such as question-answering (QA). The construction of KGs typically requires significant effort from domain experts. Large Language Models (LLMs) have recently been used for Knowledge Graph Construction (KGC). However, most existing approaches focus on a local perspective, extracting knowledge triplets from individual sentences or documents, missing a fusion process to combine the knowledge in a global KG. This work introduces Graphusion, a zero-shot KGC framework from free text. It contains three steps: in Step 1, we extract a list of seed entities using topic modeling to guide the final KG includes the most relevant entities; in Step 2, we conduct candidate triplet extraction using LLMs; in Step 3, we design the novel fusion module that provides a global view of the extracted knowledge, incorporating entity merging, conflict resolution, and novel triplet discovery. Results show that Graphusion achieves scores of 2.92 and 2.37 out of 3 for entity extraction and relation recognition, respectively. Moreover, we showcase how Graphusion could be applied to the Natural Language Processing (NLP) domain and validate it in an educational scenario. Specifically, we introduce TutorQA, a new expert-verified benchmark for QA, comprising six tasks and a total of 1,200 QA pairs. Using the Graphusion-constructed KG, we achieve a significant improvement on the benchmark, for example, a 9.2% accuracy improvement on sub-graph completion.

  • 10 authors
·
Oct 23, 2024

Low-Resource Court Judgment Summarization for Common Law Systems

Common law courts need to refer to similar precedents' judgments to inform their current decisions. Generating high-quality summaries of court judgment documents can facilitate legal practitioners to efficiently review previous cases and assist the general public in accessing how the courts operate and how the law is applied. Previous court judgment summarization research focuses on civil law or a particular jurisdiction's judgments. However, judges can refer to the judgments from all common law jurisdictions. Current summarization datasets are insufficient to satisfy the demands of summarizing precedents across multiple jurisdictions, especially when labeled data are scarce for many jurisdictions. To address the lack of datasets, we present CLSum, the first dataset for summarizing multi-jurisdictional common law court judgment documents. Besides, this is the first court judgment summarization work adopting large language models (LLMs) in data augmentation, summary generation, and evaluation. Specifically, we design an LLM-based data augmentation method incorporating legal knowledge. We also propose a legal knowledge enhanced evaluation metric based on LLM to assess the quality of generated judgment summaries. Our experimental results verify that the LLM-based summarization methods can perform well in the few-shot and zero-shot settings. Our LLM-based data augmentation method can mitigate the impact of low data resources. Furthermore, we carry out comprehensive comparative experiments to find essential model components and settings that are capable of enhancing summarization performance.

  • 5 authors
·
Mar 7, 2024

Union of Experts: Adapting Hierarchical Routing to Equivalently Decomposed Transformer

Mixture-of-Experts (MoE) enhances model performance while maintaining computational efficiency, making it well-suited for large-scale applications. However, expert in exist MoE paradigm works as an individual, thereby lacking high-quality expert interactions. Moreover, they have not been effectively extended to attention block, which constrains further efficiency improvements. To tackle these issues, we propose Union-of-Experts (UoE), which decomposes transformer into an equitant group of experts, and then implement dynamic routing on input data and experts. Our approach advances MoE design with three key innovations: (1) We conducted equitant expert decomposition on both MLP blocks and attention blocks based on matrix partition in tensor parallelism. (2) We developed two routing paradigms: patch wise data selection and expert selection, to apply routing across different levels. (3) We design the architecture of UoE model, including Selective Multi-Head Attention (SMHA) and Union-of-MLP-Experts (UoME). (4) We develop parallel implementation of UoE's routing and computation operation, and optimize efficiency based on the hardware processing analysis. The experiments demonstrate that the model employed with UoE surpass Full Attention, state-of-art MoEs and efficient transformers in several tasks across image and natural language domains. The source codes are available at https://github.com/YujiaoYang-work/UoE.

  • 3 authors
·
Mar 4, 2025 4

A Foundation LAnguage-Image model of the Retina (FLAIR): Encoding expert knowledge in text supervision

Foundation vision-language models are currently transforming computer vision, and are on the rise in medical imaging fueled by their very promising generalization capabilities. However, the initial attempts to transfer this new paradigm to medical imaging have shown less impressive performances than those observed in other domains, due to the significant domain shift and the complex, expert domain knowledge inherent to medical-imaging tasks. Motivated by the need for domain-expert foundation models, we present FLAIR, a pre-trained vision-language model for universal retinal fundus image understanding. To this end, we compiled 37 open-access, mostly categorical fundus imaging datasets from various sources, with up to 97 different target conditions and 284,660 images. We integrate the expert's domain knowledge in the form of descriptive textual prompts, during both pre-training and zero-shot inference, enhancing the less-informative categorical supervision of the data. Such a textual expert's knowledge, which we compiled from the relevant clinical literature and community standards, describes the fine-grained features of the pathologies as well as the hierarchies and dependencies between them. We report comprehensive evaluations, which illustrate the benefit of integrating expert knowledge and the strong generalization capabilities of FLAIR under difficult scenarios with domain shifts or unseen categories. When adapted with a lightweight linear probe, FLAIR outperforms fully-trained, dataset-focused models, more so in the few-shot regimes. Interestingly, FLAIR outperforms by a large margin more generalist, larger-scale image-language models, which emphasizes the potential of embedding experts' domain knowledge and the limitations of generalist models in medical imaging.

  • 5 authors
·
Aug 15, 2023

Efficiently Editing Mixture-of-Experts Models with Compressed Experts

Mixture-of-Experts (MoE) models have become a key approach for scaling large language models efficiently by activating only a subset of experts during training and inference. Typically, the number of activated experts presents a trade-off: fewer experts reduce computational costs, while more experts improve performance. Recent studies reveal that not all activated experts contribute equally to model performance, with some providing minimal utility, particularly when finetuning pretrained MoE models for specialized downstream tasks. The co-existence of significant and redundant parameters in experts provides us an opportunity to reduce the number of activated experts while maintaining model performance. In this work, we propose the concept of compressed experts, lightweight modules that serve as compact representations of full experts. Our approach preserves the most important experts while replacing other auxiliary activated experts with compressed experts. The reduction of active parameters significantly lowers inference costs while achieving comparable performance. Extensive experiments on models including Phi-MoE and OLMoE demonstrate that compressed experts recover over 90% of full expert performance across various tasks while reducing more than 30% active parameters and saving 20% in inference costs. This approach enables efficient deployment of MoE models in resource-constrained settings and facilitates scaling to larger models with manageable overhead. Our code is available at https://github.com/yifei-he/Compressed-Experts.

  • 4 authors
·
Mar 1, 2025

QuantMoE-Bench: Examining Post-Training Quantization for Mixture-of-Experts

Mixture-of-Experts (MoE) is a promising way to scale up the learning capacity of large language models. It increases the number of parameters while keeping FLOPs nearly constant during inference through sparse activation. Yet, it still suffers from significant memory overheads due to the vast parameter size, necessitating model compression techniques. Post-training quantization offers a powerful approach for model compression. Existing methods adopt a fixed quantization precision for the entire MoE model. This rigid setup can lead to suboptimal performance, without considering the inherent sparse structure. For example, MoE's sparse routing mechanism leads to different activation patterns, where shared experts are accessed by all tokens while token-conditioned experts are selectively activated. This activation disparity suggests different quantization requirements, with consistently activated shared experts potentially needing higher precision to maintain model quality. In this paper, we study a fine-grained precision setup for MoE quantization. We explore MoE structure-aware quantization heuristics, ranging from coarse (e.g., MoE layers) to fine granularity (e.g., linear layers). Our investigations reveal critical principles, where different MoE structures require varying numbers of bits for effective quantization. Conclusions are supported by extensive benchmarking across two representative MoE models and six tasks including commonsense reasoning and natural language understanding. We further show that an MoE quantized in a fined-grained mixed precision achieved state-of-the-art 65.35% performance on average compared to the baseline 64.30% (i.e., GPTQ). Moreover, based on the findings, we introduce novel data-driven techniques for optimizing bit allocation in MoE quantization, including the outlier-aware linear layer scorer and MoE block importance predictor.

  • 5 authors
·
Jun 12, 2024

A Japanese Language Model and Three New Evaluation Benchmarks for Pharmaceutical NLP

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.

  • 5 authors
·
May 22, 2025

EHRNoteQA: An LLM Benchmark for Real-World Clinical Practice Using Discharge Summaries

Discharge summaries in Electronic Health Records (EHRs) are crucial for clinical decision-making, but their length and complexity make information extraction challenging, especially when dealing with accumulated summaries across multiple patient admissions. Large Language Models (LLMs) show promise in addressing this challenge by efficiently analyzing vast and complex data. Existing benchmarks, however, fall short in properly evaluating LLMs' capabilities in this context, as they typically focus on single-note information or limited topics, failing to reflect the real-world inquiries required by clinicians. To bridge this gap, we introduce EHRNoteQA, a novel benchmark built on the MIMIC-IV EHR, comprising 962 different QA pairs each linked to distinct patients' discharge summaries. Every QA pair is initially generated using GPT-4 and then manually reviewed and refined by three clinicians to ensure clinical relevance. EHRNoteQA includes questions that require information across multiple discharge summaries and covers eight diverse topics, mirroring the complexity and diversity of real clinical inquiries. We offer EHRNoteQA in two formats: open-ended and multi-choice question answering, and propose a reliable evaluation method for each. We evaluate 27 LLMs using EHRNoteQA and examine various factors affecting the model performance (e.g., the length and number of discharge summaries). Furthermore, to validate EHRNoteQA as a reliable proxy for expert evaluations in clinical practice, we measure the correlation between the LLM performance on EHRNoteQA, and the LLM performance manually evaluated by clinicians. Results show that LLM performance on EHRNoteQA have higher correlation with clinician-evaluated performance (Spearman: 0.78, Kendall: 0.62) compared to other benchmarks, demonstrating its practical relevance in evaluating LLMs in clinical settings.

  • 9 authors
·
Feb 25, 2024

Towards Conversational Diagnostic AI

At the heart of medicine lies the physician-patient dialogue, where skillful history-taking paves the way for accurate diagnosis, effective management, and enduring trust. Artificial Intelligence (AI) systems capable of diagnostic dialogue could increase accessibility, consistency, and quality of care. However, approximating clinicians' expertise is an outstanding grand challenge. Here, we introduce AMIE (Articulate Medical Intelligence Explorer), a Large Language Model (LLM) based AI system optimized for diagnostic dialogue. AMIE uses a novel self-play based simulated environment with automated feedback mechanisms for scaling learning across diverse disease conditions, specialties, and contexts. We designed a framework for evaluating clinically-meaningful axes of performance including history-taking, diagnostic accuracy, management reasoning, communication skills, and empathy. We compared AMIE's performance to that of primary care physicians (PCPs) in a randomized, double-blind crossover study of text-based consultations with validated patient actors in the style of an Objective Structured Clinical Examination (OSCE). The study included 149 case scenarios from clinical providers in Canada, the UK, and India, 20 PCPs for comparison with AMIE, and evaluations by specialist physicians and patient actors. AMIE demonstrated greater diagnostic accuracy and superior performance on 28 of 32 axes according to specialist physicians and 24 of 26 axes according to patient actors. Our research has several limitations and should be interpreted with appropriate caution. Clinicians were limited to unfamiliar synchronous text-chat which permits large-scale LLM-patient interactions but is not representative of usual clinical practice. While further research is required before AMIE could be translated to real-world settings, the results represent a milestone towards conversational diagnostic AI.

  • 25 authors
·
Jan 10, 2024

AdaMoE: Token-Adaptive Routing with Null Experts for Mixture-of-Experts Language Models

Mixture of experts (MoE) has become the standard for constructing production-level large language models (LLMs) due to its promise to boost model capacity without causing significant overheads. Nevertheless, existing MoE methods usually enforce a constant top-k routing for all tokens, which is arguably restrictive because various tokens (e.g., "<EOS>" vs. "apple") may require various numbers of experts for feature abstraction. Lifting such a constraint can help make the most of limited resources and unleash the potential of the model for downstream tasks. In this sense, we introduce AdaMoE to realize token-adaptive routing for MoE, where different tokens are permitted to select a various number of experts. AdaMoE makes minimal modifications to the vanilla MoE with top-k routing -- it simply introduces a fixed number of null experts, which do not consume any FLOPs, to the expert set and increases the value of k. AdaMoE does not force each token to occupy a fixed number of null experts but ensures the average usage of the null experts with a load-balancing loss, leading to an adaptive number of null/true experts used by each token. AdaMoE exhibits a strong resemblance to MoEs with expert choice routing while allowing for trivial auto-regressive modeling. AdaMoE is easy to implement and can be effectively applied to pre-trained (MoE-)LLMs. Extensive studies show that AdaMoE can reduce average expert load (FLOPs) while achieving superior performance. For example, on the ARC-C dataset, applying our method to fine-tuning Mixtral-8x7B can reduce FLOPs by 14.5% while increasing accuracy by 1.69%.

  • 5 authors
·
Jun 19, 2024

Judging the Judges: Evaluating Alignment and Vulnerabilities in LLMs-as-Judges

Offering a promising solution to the scalability challenges associated with human evaluation, the LLM-as-a-judge paradigm is rapidly gaining traction as an approach to evaluating large language models (LLMs). However, there are still many open questions about the strengths and weaknesses of this paradigm, and what potential biases it may hold. In this paper, we present a comprehensive study of the performance of various LLMs acting as judges. We leverage TriviaQA as a benchmark for assessing objective knowledge reasoning of LLMs and evaluate them alongside human annotations which we found to have a high inter-annotator agreement. Our study includes 9 judge models and 9 exam taker models -- both base and instruction-tuned. We assess the judge model's alignment across different model sizes, families, and judge prompts. Among other results, our research rediscovers the importance of using Cohen's kappa as a metric of alignment as opposed to simple percent agreement, showing that judges with high percent agreement can still assign vastly different scores. We find that both Llama-3 70B and GPT-4 Turbo have an excellent alignment with humans, but in terms of ranking exam taker models, they are outperformed by both JudgeLM-7B and the lexical judge Contains, which have up to 34 points lower human alignment. Through error analysis and various other studies, including the effects of instruction length and leniency bias, we hope to provide valuable lessons for using LLMs as judges in the future.

  • 5 authors
·
Jun 18, 2024 5

A Survey on Mixture of Experts

Large language models (LLMs) have garnered unprecedented advancements across diverse fields, ranging from natural language processing to computer vision and beyond. The prowess of LLMs is underpinned by their substantial model size, extensive and diverse datasets, and the vast computational power harnessed during training, all of which contribute to the emergent abilities of LLMs (e.g., in-context learning) that are not present in small models. Within this context, the mixture of experts (MoE) has emerged as an effective method for substantially scaling up model capacity with minimal computation overhead, gaining significant attention from academia and industry. Despite its growing prevalence, there lacks a systematic and comprehensive review of the literature on MoE. This survey seeks to bridge that gap, serving as an essential resource for researchers delving into the intricacies of MoE. We first briefly introduce the structure of the MoE layer, followed by proposing a new taxonomy of MoE. Next, we overview the core designs for various MoE models including both algorithmic and systemic aspects, alongside collections of available open-source implementations, hyperparameter configurations and empirical evaluations. Furthermore, we delineate the multifaceted applications of MoE in practice, and outline some potential directions for future research. To facilitate ongoing updates and the sharing of cutting-edge developments in MoE research, we have established a resource repository accessible at https://github.com/withinmiaov/A-Survey-on-Mixture-of-Experts.

  • 6 authors
·
Jun 26, 2024

Taming Sparsely Activated Transformer with Stochastic Experts

Sparsely activated models (SAMs), such as Mixture-of-Experts (MoE), can easily scale to have outrageously large amounts of parameters without significant increase in computational cost. However, SAMs are reported to be parameter inefficient such that larger models do not always lead to better performance. While most on-going research focuses on improving SAMs models by exploring methods of routing inputs to experts, our analysis reveals that such research might not lead to the solution we expect, i.e., the commonly-used routing methods based on gating mechanisms do not work better than randomly routing inputs to experts. In this paper, we propose a new expert-based model, THOR (Transformer witH StOchastic ExpeRts). Unlike classic expert-based models, such as the Switch Transformer, experts in THOR are randomly activated for each input during training and inference. THOR models are trained using a consistency regularized loss, where experts learn not only from training data but also from other experts as teachers, such that all the experts make consistent predictions. We validate the effectiveness of THOR on machine translation tasks. Results show that THOR models are more parameter efficient in that they significantly outperform the Transformer and MoE models across various settings. For example, in multilingual translation, THOR outperforms the Switch Transformer by 2 BLEU scores, and obtains the same BLEU score as that of a state-of-the-art MoE model that is 18 times larger. Our code is publicly available at: https://github.com/microsoft/Stochastic-Mixture-of-Experts.

  • 8 authors
·
Oct 8, 2021

MedScore: Generalizable Factuality Evaluation of Free-Form Medical Answers by Domain-adapted Claim Decomposition and Verification

While Large Language Models (LLMs) can generate fluent and convincing responses, they are not necessarily correct. This is especially apparent in the popular decompose-then-verify factuality evaluation pipeline, where LLMs evaluate generations by decomposing the generations into individual, valid claims. Factuality evaluation is especially important for medical answers, since incorrect medical information could seriously harm the patient. However, existing factuality systems are a poor match for the medical domain, as they are typically only evaluated on objective, entity-centric, formulaic texts such as biographies and historical topics. This differs from condition-dependent, conversational, hypothetical, sentence-structure diverse, and subjective medical answers, which makes decomposition into valid facts challenging. We propose MedScore, a new pipeline to decompose medical answers into condition-aware valid facts and verify against in-domain corpora. Our method extracts up to three times more valid facts than existing methods, reducing hallucination and vague references, and retaining condition-dependency in facts. The resulting factuality score substantially varies by decomposition method, verification corpus, and used backbone LLM, highlighting the importance of customizing each step for reliable factuality evaluation by using our generalizable and modularized pipeline for domain adaptation.

CREAK: A Dataset for Commonsense Reasoning over Entity Knowledge

Most benchmark datasets targeting commonsense reasoning focus on everyday scenarios: physical knowledge like knowing that you could fill a cup under a waterfall [Talmor et al., 2019], social knowledge like bumping into someone is awkward [Sap et al., 2019], and other generic situations. However, there is a rich space of commonsense inferences anchored to knowledge about specific entities: for example, deciding the truthfulness of a claim "Harry Potter can teach classes on how to fly on a broomstick." Can models learn to combine entity knowledge with commonsense reasoning in this fashion? We introduce CREAK, a testbed for commonsense reasoning about entity knowledge, bridging fact-checking about entities (Harry Potter is a wizard and is skilled at riding a broomstick) with commonsense inferences (if you're good at a skill you can teach others how to do it). Our dataset consists of 13k human-authored English claims about entities that are either true or false, in addition to a small contrast set. Crowdworkers can easily come up with these statements and human performance on the dataset is high (high 90s); we argue that models should be able to blend entity knowledge and commonsense reasoning to do well here. In our experiments, we focus on the closed-book setting and observe that a baseline model finetuned on existing fact verification benchmark struggles on CREAK. Training a model on CREAK improves accuracy by a substantial margin, but still falls short of human performance. Our benchmark provides a unique probe into natural language understanding models, testing both its ability to retrieve facts (e.g., who teaches at the University of Chicago?) and unstated commonsense knowledge (e.g., butlers do not yell at guests).

  • 4 authors
·
Sep 3, 2021

VILA-M3: Enhancing Vision-Language Models with Medical Expert Knowledge

Generalist vision language models (VLMs) have made significant strides in computer vision, but they fall short in specialized fields like healthcare, where expert knowledge is essential. In traditional computer vision tasks, creative or approximate answers may be acceptable, but in healthcare, precision is paramount.Current large multimodal models like Gemini and GPT-4o are insufficient for medical tasks due to their reliance on memorized internet knowledge rather than the nuanced expertise required in healthcare. VLMs are usually trained in three stages: vision pre-training, vision-language pre-training, and instruction fine-tuning (IFT). IFT has been typically applied using a mixture of generic and healthcare data. In contrast, we propose that for medical VLMs, a fourth stage of specialized IFT is necessary, which focuses on medical data and includes information from domain expert models. Domain expert models developed for medical use are crucial because they are specifically trained for certain clinical tasks, e.g. to detect tumors and classify abnormalities through segmentation and classification, which learn fine-grained features of medical data-features that are often too intricate for a VLM to capture effectively especially in radiology. This paper introduces a new framework, VILA-M3, for medical VLMs that utilizes domain knowledge via expert models. Through our experiments, we show an improved state-of-the-art (SOTA) performance with an average improvement of ~9% over the prior SOTA model Med-Gemini and ~6% over models trained on the specific tasks. Our approach emphasizes the importance of domain expertise in creating precise, reliable VLMs for medical applications.

  • 22 authors
·
Nov 19, 2024