Towards Scalable and Cross-Lingual Specialist Language Models for Oncology

Clinical oncology generates vast, unstructured data that often contain inconsistencies, missing information, and ambiguities, making it difficult to extract reliable insights for data-driven decision-making. General-purpose large language models (LLMs) struggle with these challenges due to their lack of domain-specific reasoning, including specialized clinical terminology, context-dependent interpretations, and multi-modal data integration. We address these issues with an oncology-specialized, efficient, and adaptable NLP framework that combines instruction tuning, retrieval-augmented generation (RAG), and graph-based knowledge integration. Our lightweight models prove effective at oncology-specific tasks, such as named entity recognition (e.g., identifying cancer diagnoses), entity linking (e.g., linking entities to standardized ontologies), TNM staging, document classification (e.g., cancer subtype classification from pathology reports), and treatment response prediction. Our framework emphasizes adaptability and resource efficiency. We include minimal German instructions, collected at the University Hospital Zurich (USZ), to test whether small amounts of non-English language data can effectively transfer knowledge across languages. This approach mirrors our motivation for lightweight models, which balance strong performance with reduced computational costs, making them suitable for resource-limited healthcare settings. We validated our models on oncology datasets, demonstrating strong results in named entity recognition, relation extraction, and document classification.

Uncertainty Modeling in Multimodal Speech Analysis Across the Psychosis Spectrum

Capturing subtle speech disruptions across the psychosis spectrum is challenging because of the inherent variability in speech patterns. This variability reflects individual differences and the fluctuating nature of symptoms in both clinical and non-clinical populations. Accounting for uncertainty in speech data is essential for predicting symptom severity and improving diagnostic precision. Speech disruptions characteristic of psychosis appear across the spectrum, including in non-clinical individuals. We develop an uncertainty-aware model integrating acoustic and linguistic features to predict symptom severity and psychosis-related traits. Quantifying uncertainty in specific modalities allows the model to address speech variability, improving prediction accuracy. We analyzed speech data from 114 participants, including 32 individuals with early psychosis and 82 with low or high schizotypy, collected through structured interviews, semi-structured autobiographical tasks, and narrative-driven interactions in German. The model improved prediction accuracy, reducing RMSE and achieving an F1-score of 83% with ECE = 4.5e-2, showing robust performance across different interaction contexts. Uncertainty estimation improved model interpretability by identifying reliability differences in speech markers such as pitch variability, fluency disruptions, and spectral instability. The model dynamically adjusted to task structures, weighting acoustic features more in structured settings and linguistic features in unstructured contexts. This approach strengthens early detection, personalized assessment, and clinical decision-making in psychosis-spectrum research.

RadVLM: A Multitask Conversational Vision-Language Model for Radiology

The widespread use of chest X-rays (CXRs), coupled with a shortage of radiologists, has driven growing interest in automated CXR analysis and AI-assisted reporting. While existing vision-language models (VLMs) show promise in specific tasks such as report generation or abnormality detection, they often lack support for interactive diagnostic capabilities. In this work we present RadVLM, a compact, multitask conversational foundation model designed for CXR interpretation. To this end, we curate a large-scale instruction dataset comprising over 1 million image-instruction pairs containing both single-turn tasks -- such as report generation, abnormality classification, and visual grounding -- and multi-turn, multi-task conversational interactions. After fine-tuning RadVLM on this instruction dataset, we evaluate it across different tasks along with re-implemented baseline VLMs. Our results show that RadVLM achieves state-of-the-art performance in conversational capabilities and visual grounding while remaining competitive in other radiology tasks. Ablation studies further highlight the benefit of joint training across multiple tasks, particularly for scenarios with limited annotated data. Together, these findings highlight the potential of RadVLM as a clinically relevant AI assistant, providing structured CXR interpretation and conversational capabilities to support more effective and accessible diagnostic workflows.

Explainable Multi-Modal Data Exploration in Natural Language via LLM Agent

International enterprises, organizations, or hospitals collect large amounts of multi-modal data stored in databases, text documents, images, and videos. While there has been recent progress in the separate fields of multi-modal data exploration as well as in database systems that automatically translate natural language questions to database query languages, the research challenge of querying database systems combined with other unstructured modalities such as images in natural language is widely unexplored. In this paper, we propose XMODE - a system that enables explainable, multi-modal data exploration in natural language. Our approach is based on the following research contributions: (1) Our system is inspired by a real-world use case that enables users to explore multi-modal information systems. (2) XMODE leverages a LLM-based agentic AI framework to decompose a natural language question into subtasks such as text-to-SQL generation and image analysis. (3) Experimental results on multi-modal datasets over relational data and images demonstrate that our system outperforms state-of-the-art multi-modal exploration systems, excelling not only in accuracy but also in various performance metrics such as query latency, API costs, planning efficiency, and explanation quality, thanks to the more effective utilization of the reasoning capabilities of LLMs.

StatBot.Swiss: Bilingual Open Data Exploration in Natural Language

The potential for improvements brought by Large Language Models (LLMs) in Text-to-SQL systems is mostly assessed on monolingual English datasets. However, LLMs' performance for other languages remains vastly unexplored. In this work, we release the StatBot.Swiss dataset, the first bilingual benchmark for evaluating Text-to-SQL systems based on real-world applications. The StatBot.Swiss dataset contains 455 natural language/SQL-pairs over 35 big databases with varying level of complexity for both English and German. We evaluate the performance of state-of-the-art LLMs such as GPT-3.5-Turbo and mixtral-8x7b-instruct for the Text-to-SQL translation task using an in-context learning approach. Our experimental analysis illustrates that current LLMs struggle to generalize well in generating SQL queries on our novel bilingual dataset.

Radiology-Aware Model-Based Evaluation Metric for Report Generation

We propose a new automated evaluation metric for machine-generated radiology reports using the successful COMET architecture adapted for the radiology domain. We train and publish four medically-oriented model checkpoints, including one trained on RadGraph, a radiology knowledge graph. Our results show that our metric correlates moderately to high with established metrics such as BERTscore, BLEU, and CheXbert scores. Furthermore, we demonstrate that one of our checkpoints exhibits a high correlation with human judgment, as assessed using the publicly available annotations of six board-certified radiologists, using a set of 200 reports. We also performed our own analysis gathering annotations with two radiologists on a collection of 100 reports. The results indicate the potential effectiveness of our method as a radiology-specific evaluation metric. The code, data, and model checkpoints to reproduce our findings will be publicly available.

Boosting Radiology Report Generation by Infusing Comparison Prior

Current transformer-based models achieved great success in generating radiology reports from chest X-ray images. Nonetheless, one of the major issues is the model's lack of prior knowledge, which frequently leads to false references to non-existent prior exams in synthetic reports. This is mainly due to the knowledge gap between radiologists and the generation models: radiologists are aware of the prior information of patients to write a medical report, while models only receive X-ray images at a specific time. To address this issue, we propose a novel approach that employs a labeler to extract comparison prior information from radiology reports in the IU X-ray and MIMIC-CXR datasets. This comparison prior is then incorporated into state-of-the-art transformer-based models, allowing them to generate more realistic and comprehensive reports. We test our method on the IU X-ray and MIMIC-CXR datasets and find that it outperforms previous state-of-the-art models in terms of both automatic and human evaluation metrics. In addition, unlike previous models, our model generates reports that do not contain false references to non-existent prior exams. Our approach provides a promising direction for bridging the gap between radiologists and generation models in medical report generation.

Exploratory Analysis of Federated Learning Methods with Differential Privacy on MIMIC-III

Background: Federated learning methods offer the possibility of training machine learning models on privacy-sensitive data sets, which cannot be easily shared. Multiple regulations pose strict requirements on the storage and usage of healthcare data, leading to data being in silos (i.e. locked-in at healthcare facilities). The application of federated algorithms on these datasets could accelerate disease diagnostic, drug development, as well as improve patient care. Methods: We present an extensive evaluation of the impact of different federation and differential privacy techniques when training models on the open-source MIMIC-III dataset. We analyze a set of parameters influencing a federated model performance, namely data distribution (homogeneous and heterogeneous), communication strategies (communication rounds vs. local training epochs), federation strategies (FedAvg vs. FedProx). Furthermore, we assess and compare two differential privacy (DP) techniques during model training: a stochastic gradient descent-based differential privacy algorithm (DP-SGD), and a sparse vector differential privacy technique (DP-SVT). Results: Our experiments show that extreme data distributions across sites (imbalance either in the number of patients or the positive label ratios between sites) lead to a deterioration of model performance when trained using the FedAvg strategy. This issue is resolved when using FedProx with the use of appropriate hyperparameter tuning. Furthermore, the results show that both differential privacy techniques can reach model performances similar to those of models trained without DP, however at the expense of a large quantifiable privacy leakage. Conclusions: We evaluate empirically the benefits of two federation strategies and propose optimal strategies for the choice of parameters when using differential privacy techniques.

Improving the Cross-Lingual Generalisation in Visual Question Answering

While several benefits were realized for multilingual vision-language pretrained models, recent benchmarks across various tasks and languages showed poor cross-lingual generalisation when multilingually pre-trained vision-language models are applied to non-English data, with a large gap between (supervised) English performance and (zero-shot) cross-lingual transfer. In this work, we explore the poor performance of these models on a zero-shot cross-lingual visual question answering (VQA) task, where models are fine-tuned on English visual-question data and evaluated on 7 typologically diverse languages. We improve cross-lingual transfer with three strategies: (1) we introduce a linguistic prior objective to augment the cross-entropy loss with a similarity-based loss to guide the model during training, (2) we learn a task-specific subnetwork that improves cross-lingual generalisation and reduces variance without model modification, (3) we augment training examples using synthetic code-mixing to promote alignment of embeddings between source and target languages. Our experiments on xGQA using the pretrained multilingual multimodal transformers UC2 and M3P demonstrate the consistent effectiveness of the proposed fine-tuning strategy for 7 languages, outperforming existing transfer methods with sparse models. Code and data to reproduce our findings are publicly available.

Progressive Transformer-Based Generation of Radiology Reports

Inspired by Curriculum Learning, we propose a consecutive (i.e. image-to-text-to-text) generation framework where we divide the problem of radiology report generation into two steps. Contrary to generating the full radiology report from the image at once, the model generates global concepts from the image in the first step and then reforms them into finer and coherent texts using transformer-based architecture. We follow the transformer-based sequence-to-sequence paradigm at each step. We improve upon the state-of-the-art on two benchmark datasets.