arXiv Computation and Language

Evidence-Bounded Mental Health Reasoning from Heterogeneous Speech Protocols

The paper introduces Evidence-Bounded Mental Health Reasoning, addressing the problem that current multimodal mental health screening models treat all clinical speech protocols as equally evidential. It presents the Evidence Package Benchmark, comprising 1,870 annotated packages from six diverse protocols, and proposes EviBound, a protocol-aware framework that limits reasoning to valid evidence using a planner, acoustic consensus, and a boundary critic. EviBound outperforms existing omni-modal baselines, achieving a Depression AUROC of 0.8658 with no claim violations.

arXiv AI
Aug 28

When Text Misleads: Inconsistent-Aware Reasoning for Audio-Grounded Dialogue

The paper introduces ContraTalk, a benchmark that tests whether dialogue models truly use acoustic cues or rely on transcript shortcuts. It formalizes cross‑modal disagreement, creates conflict and consistent QA examples, and proposes an Audio Twin representation to expose acoustic evidence to models. Experiments show that while text‑only LLMs perform well on consistent cases, they falter on conflict cases, and AudioLLMs only partially mitigate this issue.

By Yen-Ju Lu, Yuzhe Wang, Yaohan Guan, Xiluo He, Jiarui Hai, Mingrui Liang, Kaavya Chaparala, Thomas Thebaud, Laureano Moro-Velazquez, Najim Dehak, Jesus Villalba
arXiv AI
Aug 5

HERO: Hierarchical Evidential Reasoning Optimization for Radiology Report Generation via Reason-then-Summarize

arXiv:2601. 03321v3 Announce Type: replace-cross Abstract: Multimodal Large Language Models (MLLMs) have substantially advanced Radiology Report Generation (RRG), yet aligning them through reinforcement learning (RL) remains challenging due to heterogeneous medical supervision.

By Kun Zhao, Guodong Liu, Hui Ji, Siyuan Dai, Pan Wang, Jifeng Song, Chenghua Lin, Liang Zhan, Haoteng Tang
arXiv Machine Learning
Oct 2

Role-guided Speaker Deletion Verification in Clinical Psychiatry Speech Recordings with Audio Language Models

arXiv:2609.38491v1 Announce Type: new Abstract: Clinical research in psychiatry increasingly relies on large scale collection of spoken language data to identify acoustic and linguistic biomarkers. Y...

By Joseph T Colonel, Daniel Katzman, Kelsey Kirker, Adam N Davidson, Shalaila S Haas, Cheryl Corcoran, Ren\'{e} S Kahn, Guillermo Checci, Baihan Lin
arXiv AI
Oct 7

PsyCIDRA: A Dual-Agent Framework for Psychiatric Interviewing and Diagnostic Reasoning

PsyCIDRA is a dual‑agent framework that couples a free‑form psychiatric interviewer with a diagnostic reasoning agent to support expert review. The interviewer agent uses tools to keep working notes, load expert skills, and pull ICD‑11 references, while the diagnostic agent receives the interview transcript and generates hypotheses with supporting, conflicting, and missing evidence, withholding a final hypothesis if insufficient support exists. In simulations and a blinded human study, PsyCIDRA achieved higher diagnostic agreement and rank‑1 accuracy than direct prompting, indicating its promise for assisting psychiatric assessment through interactive dialogue.

By Milad Mohammadi, Fatemeh Akrami Shamsabadi, Zahra Mohseni, Amirhossein Safdarian, Malekfarhad Malek, Hadi Moradi, Hesham Faili
arXiv Computation and Language
Sep 1

CARE: Privacy-Compliant Agentic Reasoning with Evidence Discordance

The paper introduces MIMIC-DOS, a dataset derived from MIMIC-IV that focuses on ICU cases where patient symptoms and medical signs are discordant. It presents CARE, a privacy‑compliant multi‑stage agentic reasoning framework that uses a proprietary LLM to generate structured categories and transitions, while a local LLM performs evidence acquisition and decision‑making. In retrospective evaluations on MIMIC‑DOS, CARE outperforms other LLMs and agentic workflows, demonstrating stronger handling of conflicting clinical evidence while preserving patient privacy.

By Haochen Liu, Weien Li, Rui Song, Zeyu Li, Chun Jason Xue, Xiao-Yang Liu, Sam Nallaperuma-Herzberg, Xue Liu, Ye Yuan
arXiv Computation and Language
Aug 21

Explainable Multimodal Depression Recognition in Clinical Interviews via PHQ-Aligned Symptom Summarization

arXiv:2501. 16106v2 Announce Type: replace Abstract: Recent advances in multimodal depression recognition for clinical interviews (MDRC) have demonstrated the potential of AI systems by integrating textual, acoustic, and facial cues.

By Wenjie Zheng, Qiming Xie, Jianfei Yu, Yang Wang, Lei Cao, Fei Wang, Shijin Wang, Rui Xia, Chengqing Zong
arXiv AI
Jun 9

PathoSage: Towards Multi-Source Evidence Adjudication in Pathology via Experience-Aware Agentic Workflow

arXiv:2606. 07549v1 Announce Type: new Abstract: Recent advances in Multimodal Large Language Models (MLLMs) and agent workflows have shown strong promise for computational pathology, yet reliable patch-level reasoning remains challenging.

By Chengyang Zhang, Wenchuan Zhang, Bo Li, Mengran Li, Bob Zhang, Yuhao Yi, Hong Bu, Jiancheng Lv
arXiv AI
Aug 18

DiagnosisArena: Benchmarking Diagnostic Reasoning for Large Language Models

arXiv:2505. 14107v5 Announce Type: replace-cross Abstract: The emergence of groundbreaking large language models capable of performing complex reasoning tasks holds significant promise for addressing various scientific challenges, including those arising in complex clinical scenarios.

By Yakun Zhu, Zhongzhen Huang, Linjie Mu, Yutong Huang, Wei Nie, Jiaji Liu, Shaoting Zhang, Pengfei Liu, Xiaofan Zhang
arXiv Computation and Language
Aug 25

Checkup2Action: A Multimodal Clinical Check-up Report Dataset for Patient-Oriented Action Card Generation

arXiv:2605.11533v4 Announce Type: replace Abstract: Routine clinical check-up reports combine laboratory measurements, physiological assessments, imaging findings and visually structured information,...

By Sike Xiang, Shuang Chen, Kevin Qinghong Lin, Jialin Yu, Yijia Sun, Philip Torr, Amir Atapour-Abarghouei