arXiv Computation and Language

Ranking-Aware Prompt Optimization for Multimodal Clinical Diagnosis

arXiv Machine Learning
1d ago

OmniMed-Jev: Calibrating LVLM Confidence for Trustworthy Medical Multimodal Decisions via System One

OmniMed-Jev is a new medical multimodal model that represents each decision as a Choice, Noul, or Score over a runtime-supplied candidate set, returning a full probability distribution for each decision. By unifying diverse imaging modalities and prediction tasks into a single candidate-conditioned probability model, it makes heterogeneous outputs comparable probabilities rather than task-specific strings. In controlled comparisons against a generative baseline, OmniMed-Jev’s reported probabilities align more closely with observed correctness, reducing calibration error by up to an order of magnitude and reliability error by up to two, while maintaining comparable point-prediction performance.

By Luyao Tang, Cheng Chen
arXiv AI
Aug 12

RLMOpt: Adaptive Prompt Optimization via Recursive Language Models

arXiv:2608. 10471v1 Announce Type: new Abstract: Prompt optimizers automate the search for prompts that improve language-model performance, but existing methods rely on a predefined optimization procedure: the algorithm determines which candidates to explore and how the search progresses, while the language model generates or refines prompt proposals.

By Subhash Bangalore Satheesha, Nirvik Pande, Deepthi Duddempudi, Bharath Dandala
arXiv Computer Vision
Sep 17

Lumen: Parameter-Efficient Alignment of Pretrained Vision and Language Encoders for Zero-Shot Computational Pathology

Lumen is a pathology vision‑language model that aligns frozen unimodal foundation models (Virchow2 and BioMedBERT) using rank‑4 adapters and projection heads, training only 0.40% of the total parameters on the QUILT‑1M corpus. It achieves the highest mean chance‑corrected balanced accuracy (0.546) across nine zero‑shot patch benchmarks and demonstrates strong performance on lymph‑node metastasis detection, with AUROC scores of 0.964 internally and 0.955 externally. While it ranks third in cross‑modal retrieval, Lumen’s low‑parameter training yields competitive results at both patch and slide levels.

By Kiarash Tajbakhsh, Abdelrahman Faqieh, Michael Jopiti, Javier Garcia-Baroja, Philipp Zens, Branislav Zagrapan, Yuri Tolkach, Martin D. Berger, Aurel Perren, Bastian Dislich, Inti Zlobec, Amjad Khan
arXiv AI
Aug 12

CARE: Confidence-Aware Reasoning for Reliable Medical VQA

arXiv:2608. 10964v1 Announce Type: cross Abstract: Reinforcement Fine-Tuning (RFT) has enabled medical Multimodal Large Language Models (MLLMs) to produce Chain-of-Thought (CoT) reasoning for visual question answering, yet these models suffer from $\textit{confidence miscalibration}$---a systematic gap between expressed certainty and actual diagnostic accuracy that undermines clinical trust.

By Yuetian Du, Yucheng Wang, Zhenyuan Chen, Luyuan Chen, Rongyu Zhang, Jinjian Zhang, Wei Zhou, Zhijie Xu, Ming Kong, Zhan Zhou, Jie Liu, Qiang Zhu
arXiv AI
Aug 5

CARE-X: Towards Clinically Useful Radiology VLMs with Auxiliary Supervision, Reward-Aligned Learning, and Tool-Augmented Measurement

arXiv:2608. 03890v1 Announce Type: cross Abstract: A clinically useful chest X-ray system must go beyond fluent report generation: it should classify findings with tunable decision thresholds, localize them spatially, and derive the anatomical measurements upon which many diagnoses depend.

By Mercy Prasanna Ranjit, Anirban Porya, Sathvik Joel, Niharika Vadlamudi, Nikhilesh Chowdary Eathamukkala, Prasanth V V, Abhyuday Kumara Swamy, Pranay Narhari Umredkar, Pradeep Narayan, Vivek Rajagopal, Tanuja Ganu
arXiv Machine Learning
Jul 31

DS@GT ARC at ImageCLEFmedical 2026: Architectural Diversity for Concept Detection and Foundation-Model Scaling for Caption Prediction in Medical Image Analysis

arXiv:2607. 27763v1 Announce Type: cross Abstract: We describe the DS@GT submissions to the ImageCLEFmedical Caption 2026 challenge, which continues a long-running benchmark on the ROCOv2 dataset with two tracks: Concept Detection (Task 1), assigning UMLS Concept Unique Identifiers (CUIs) to radiology images, and Caption Prediction (Task 2), generating natural-language captions.

By Bowen Wang, Youwen Zhang, Ritesh Mehta
Hugging Face Trending Papers
Jul 30

DS@GT ARC at ImageCLEFmedical 2026: Architectural Diversity for Concept Detection and Foundation-Model Scaling for Caption Prediction in Medical Image Analysis

We describe the DS@GT submissions to the ImageCLEFmedical Caption 2026 challenge, which continues a long-running benchmark on the ROCOv2 dataset with two tracks: Concept Detection (Task 1), assigning UMLS Concept Unique Identifiers (CUIs) to radiology images, and Caption Prediction (Task 2), generating natural-language captions. For Task 1, our primary submission was a three-way late-fusion ensemble of ConvNeXt-V2, BiomedCLIP ViT-B/16, and DenseNet-169 with a regularized ''Honest Threshold Tuning'' procedure designed to avoid validation overfitting on rare concepts; this submission ranked first on the official submission with a primary $F_1$ of $0.

arXiv AI
Aug 26

OmniJudge or OmniBias? Diagnosing Multimodal Judges through Balanced, Decoupled Lenses

The paper introduces D3-Omni, a balanced and decoupled benchmark designed to diagnose fine‑grained multimodal understanding in OmniJudges that evaluate text‑to‑image, text‑to‑video, and text‑to‑speech generation. D3-Omni covers 53 orthogonal binary dimensions across 10,671 samples, using fixed positive seeds and controlled prompt rewriting to generate negatives, thereby ensuring each error can be attributed to a single capability. The benchmark’s dual‑balanced, decoupled, and dynamic design achieves near 1:1 per‑dimension parity and a uniform total‑score distribution, revealing that strong OmniJudges often miss modality‑related failures and treat distinct attributes as a single decision, masking systematic blind spots.

By Guangzheng Hu, Ziyue Jiang, Weixu Qiao, Lixin Zhang, Jianye Kang, Yuru Wu, Rong Bao, Niantong Li, Wei Wang, Ziyi Cheng, Xinfa Zhu, HangRui Hu, Ting He, Bing Zhao, Lin Qu, Hu Wei, Jin Xu
arXiv AI
Jun 11

Human-Guided Agentic AI for Multimodal Clinical Prediction: Lessons from the AgentDS Healthcare Benchmark

arXiv:2602. 19502v2 Announce Type: replace Abstract: Agentic AI systems are increasingly capable of autonomous data science workflows, yet clinical prediction tasks demand domain expertise that purely automated approaches struggle to provide.

By Lalitha Pranathi Pulavarthy, Raajitha Muthyala, Aravind V Kuruvikkattil, Zhenan Yin, Rashmita Kudamala, Saptarshi Purkayastha
arXiv AI
Jul 20

RLearner-LLM: Balancing Logical Grounding and Fluency in Large Language Models via Hybrid Direct Preference Optimization

arXiv:2605. 04539v4 Announce Type: replace-cross Abstract: Direct Preference Optimization (DPO), the efficient alternative to PPO-based RLHF, falls short on knowledge-intensive generation: standard preference signals from human annotators or LLM judges exhibit a systematic verbosity bias that rewards fluency over logical correctness.

By Qiming Bao, Juho Leinonen, Paul Denny, Michael J. Witbrock