Tree-based RAG-Agent Recommendation System: A Case Study in Medical Test Data

We present HiRMed (Hierarchical RAG-enhanced Medical Test Recommendation), a novel tree-structured recommendation system that leverages Retrieval-Augmented Generation (RAG) for intelligent medical test recommendations. Unlike traditional vector similarity-based approaches, our system performs medical reasoning at each tree node through a specialized RAG process. Starting from the root node with initial symptoms, the system conducts step-wise medical analysis to identify potential underlying conditions and their corresponding diagnostic requirements. At each level, instead of simple matching, our RAG-enhanced nodes analyze retrieved medical knowledge to understand symptom-disease relationships and determine the most appropriate diagnostic path. The system dynamically adjusts its recommendation strategy based on medical reasoning results, considering factors such as urgency levels and diagnostic uncertainty. Experimental results demonstrate that our approach achieves superior performance in terms of coverage rate, accuracy, and miss rate compared to conventional retrieval-based methods. This work represents a significant advance in medical test recommendation by introducing medical reasoning capabilities into the traditional tree-based retrieval structure.

Comprehensive Evaluation of Multimodal AI Models in Medical Imaging Diagnosis: From Data Augmentation to Preference-Based Comparison

This study introduces an evaluation framework for multimodal models in medical imaging diagnostics. We developed a pipeline incorporating data preprocessing, model inference, and preference-based evaluation, expanding an initial set of 500 clinical cases to 3,000 through controlled augmentation. Our method combined medical images with clinical observations to generate assessments, using Claude 3.5 Sonnet for independent evaluation against physician-authored diagnoses. The results indicated varying performance across models, with Llama 3.2-90B outperforming human diagnoses in 85.27% of cases. In contrast, specialized vision models like BLIP2 and Llava showed preferences in 41.36% and 46.77% of cases, respectively. This framework highlights the potential of large multimodal models to outperform human diagnostics in certain tasks.

Rethinking Weight Decay for Robust Fine-Tuning of Foundation Models

Modern optimizers such as AdamW, equipped with momentum and adaptive learning rate, are designed to escape local minima and explore the vast parameter space. This exploration is beneficial for finding good loss basins when training from scratch. It is not necessarily ideal when resuming from a powerful foundation model because it can lead to large deviations from the pre-trained initialization and, consequently, worse robustness and generalization. At the same time, strong regularization on all parameters can lead to under-fitting. We hypothesize that selectively regularizing the parameter space is the key to fitting and retraining the pre-trained knowledge. This paper proposes a new weight decay technique, Selective Projection Decay (SPD), that selectively imposes a strong penalty on certain layers while allowing others to change freely. Intuitively, SPD expands and contracts the parameter search space for layers with consistent and inconsistent loss reduction, respectively. Experimentally, when equipped with SPD, Adam consistently provides better in-distribution generalization and out-of-distribution robustness performance on multiple popular vision and language benchmarks. Code available at~\url{https://github.com/GT-RIPL/Selective-Projection-Decay.git}

Instance Needs More Care: Rewriting Prompts for Instances Yields Better Zero-Shot Performance

Enabling large language models (LLMs) to perform tasks in zero-shot has been an appealing goal owing to its labor-saving (i.e., requiring no task-specific annotations); as such, zero-shot prompting approaches also enjoy better task generalizability. To improve LLMs' zero-shot performance, prior work has focused on devising more effective task instructions (e.g., ``let's think step by step'' ). However, we argue that, in order for an LLM to solve them correctly in zero-shot, individual test instances need more carefully designed and customized instructions. To this end, we propose PRoMPTd, an approach that rewrites the task prompt for each individual test input to be more specific, unambiguous, and complete, so as to provide better guidance to the task LLM. We evaluated PRoMPTd on eight datasets covering tasks including arithmetics, logical reasoning, and code generation, using GPT-4 as the task LLM. Notably, PRoMPTd achieves an absolute improvement of around 10% on the complex MATH dataset and 5% on the code generation task on HumanEval, outperforming conventional zero-shot methods. In addition, we also showed that the rewritten prompt can provide better interpretability of how the LLM resolves each test instance, which can potentially be leveraged as a defense mechanism against adversarial prompting. The source code and dataset can be obtained from https://github.com/salokr/PRoMPTd

From Local to Global: Spectral-Inspired Graph Neural Networks

Graph Neural Networks (GNNs) are powerful deep learning methods for Non-Euclidean data. Popular GNNs are message-passing algorithms (MPNNs) that aggregate and combine signals in a local graph neighborhood. However, shallow MPNNs tend to miss long-range signals and perform poorly on some heterophilous graphs, while deep MPNNs can suffer from issues like over-smoothing or over-squashing. To mitigate such issues, existing works typically borrow normalization techniques from training neural networks on Euclidean data or modify the graph structures. Yet these approaches are not well-understood theoretically and could increase the overall computational complexity. In this work, we draw inspirations from spectral graph embedding and propose $\texttt{PowerEmbed}$ -- a simple layer-wise normalization technique to boost MPNNs. We show $\texttt{PowerEmbed}$ can provably express the top-$k$ leading eigenvectors of the graph operator, which prevents over-smoothing and is agnostic to the graph topology; meanwhile, it produces a list of representations ranging from local features to global signals, which avoids over-squashing. We apply $\texttt{PowerEmbed}$ in a wide range of simulated and real graphs and demonstrate its competitive performance, particularly for heterophilous graphs.