Bridged Semantic Alignment for Zero-shot 3D Medical Image Diagnosis

3D medical images such as Computed tomography (CT) are widely used in clinical practice, offering a great potential for automatic diagnosis. Supervised learning-based approaches have achieved significant progress but rely heavily on extensive manual annotations, limited by the availability of training data and the diversity of abnormality types. Vision-language alignment (VLA) offers a promising alternative by enabling zero-shot learning without additional annotations. However, we empirically discover that the visual and textural embeddings after alignment endeavors from existing VLA methods form two well-separated clusters, presenting a wide gap to be bridged. To bridge this gap, we propose a Bridged Semantic Alignment (BrgSA) framework. First, we utilize a large language model to perform semantic summarization of reports, extracting high-level semantic information. Second, we design a Cross-Modal Knowledge Interaction (CMKI) module that leverages a cross-modal knowledge bank as a semantic bridge, facilitating interaction between the two modalities, narrowing the gap, and improving their alignment. To comprehensively evaluate our method, we construct a benchmark dataset that includes 15 underrepresented abnormalities as well as utilize two existing benchmark datasets. Experimental results demonstrate that BrgSA achieves state-of-the-art performances on both public benchmark datasets and our custom-labeled dataset, with significant improvements in zero-shot diagnosis of underrepresented abnormalities.

On the Compositional Generalization of Multimodal LLMs for Medical Imaging

Multimodal large language models (MLLMs) hold significant potential in the medical field, but their capabilities are often limited by insufficient data in certain medical domains, highlighting the need for understanding what kinds of images can be used by MLLMs for generalization. Current research suggests that multi-task training outperforms single-task as different tasks can benefit each other, but they often overlook the internal relationships within these tasks, providing limited guidance on selecting datasets to enhance specific tasks. To analyze this phenomenon, we attempted to employ compositional generalization (CG)-the ability of models to understand novel combinations by recombining learned elements-as a guiding framework. Since medical images can be precisely defined by Modality, Anatomical area, and Task, naturally providing an environment for exploring CG. Therefore, we assembled 106 medical datasets to create Med-MAT for comprehensive experiments. The experiments confirmed that MLLMs can use CG to understand unseen medical images and identified CG as one of the main drivers of the generalization observed in multi-task training. Additionally, further studies demonstrated that CG effectively supports datasets with limited data and delivers consistent performance across different backbones, highlighting its versatility and broad applicability. Med-MAT is publicly available at https://github.com/FreedomIntelligence/Med-MAT.

HuatuoGPT-o1, Towards Medical Complex Reasoning with LLMs

The breakthrough of OpenAI o1 highlights the potential of enhancing reasoning to improve LLM. Yet, most research in reasoning has focused on mathematical tasks, leaving domains like medicine underexplored. The medical domain, though distinct from mathematics, also demands robust reasoning to provide reliable answers, given the high standards of healthcare. However, verifying medical reasoning is challenging, unlike those in mathematics. To address this, we propose verifiable medical problems with a medical verifier to check the correctness of model outputs. This verifiable nature enables advancements in medical reasoning through a two-stage approach: (1) using the verifier to guide the search for a complex reasoning trajectory for fine-tuning LLMs, (2) applying reinforcement learning (RL) with verifier-based rewards to enhance complex reasoning further. Finally, we introduce HuatuoGPT-o1, a medical LLM capable of complex reasoning, which outperforms general and medical-specific baselines using only 40K verifiable problems. Experiments show complex reasoning improves medical problem-solving and benefits more from RL. We hope our approach inspires advancements in reasoning across medical and other specialized domains.

E3D-GPT: Enhanced 3D Visual Foundation for Medical Vision-Language Model

The development of 3D medical vision-language models holds significant potential for disease diagnosis and patient treatment. However, compared to 2D medical images, 3D medical images, such as CT scans, face challenges related to limited training data and high dimension, which severely restrict the progress of 3D medical vision-language models. To address these issues, we collect a large amount of unlabeled 3D CT data and utilize self-supervised learning to construct a 3D visual foundation model for extracting 3D visual features. Then, we apply 3D spatial convolutions to aggregate and project high-level image features, reducing computational complexity while preserving spatial information. We also construct two instruction-tuning datasets based on BIMCV-R and CT-RATE to fine-tune the 3D vision-language model. Our model demonstrates superior performance compared to existing methods in report generation, visual question answering, and disease diagnosis. Code and data will be made publicly available soon.

Fine-Tuning Medical Language Models for Enhanced Long-Contextual Understanding and Domain Expertise

Large Language Models (LLMs) have been widely applied in various professional fields. By fine-tuning the models using domain specific question and answer datasets, the professional domain knowledge and Q\&A abilities of these models have significantly improved, for example, medical professional LLMs that use fine-tuning of doctor-patient Q\&A data exhibit extraordinary disease diagnostic abilities. However, we observed that despite improvements in specific domain knowledge, the performance of medical LLM in long-context understanding has significantly declined, especially compared to general language models with similar parameters. The purpose of this study is to investigate the phenomenon of reduced performance in understanding long-context in medical LLM. We designed a series of experiments to conduct open-book professional knowledge exams on all models to evaluate their ability to read long-context. By adjusting the proportion and quantity of general data and medical data in the process of fine-tuning, we can determine the best data composition to optimize the professional model and achieve a balance between long-context performance and specific domain knowledge.

AnyTaskTune: Advanced Domain-Specific Solutions through Task-Fine-Tuning

The pervasive deployment of Large Language Models-LLMs in various sectors often neglects the nuanced requirements of individuals and small organizations, who benefit more from models precisely tailored to their specific business contexts rather than those with broadly superior general capabilities. This work introduces \textbf{AnyTaskTune}, a novel fine-tuning methodology coined as \textbf{Task-Fine-Tune}, specifically developed to elevate model performance on a diverse array of domain-specific tasks. This method involves a meticulous process to identify and define targeted sub-tasks within a domain, followed by the creation of specialized enhancement datasets for fine-tuning, thereby optimizing task-specific model performance. We conducted comprehensive fine-tuning experiments not only in the legal domain for tasks such as keyword extraction and sentence prediction but across over twenty different sub-tasks derived from the domains of finance, healthcare, law, psychology, consumer services, and human resources. To substantiate our approach and facilitate community engagement, we will open-source these bilingual task datasets. Our findings demonstrate that models fine-tuned using the \textbf{Task-Fine-Tune} methodology not only achieve superior performance on these specific tasks but also significantly outperform models with higher general capabilities in their respective domains. Our work is publicly available at \url{https://github.com/PandaVT/DataTager}.

CARZero: Cross-Attention Alignment for Radiology Zero-Shot Classification

The advancement of Zero-Shot Learning in the medical domain has been driven forward by using pre-trained models on large-scale image-text pairs, focusing on image-text alignment. However, existing methods primarily rely on cosine similarity for alignment, which may not fully capture the complex relationship between medical images and reports. To address this gap, we introduce a novel approach called Cross-Attention Alignment for Radiology Zero-Shot Classification (CARZero). Our approach innovatively leverages cross-attention mechanisms to process image and report features, creating a Similarity Representation that more accurately reflects the intricate relationships in medical semantics. This representation is then linearly projected to form an image-text similarity matrix for cross-modality alignment. Additionally, recognizing the pivotal role of prompt selection in zero-shot learning, CARZero incorporates a Large Language Model-based prompt alignment strategy. This strategy standardizes diverse diagnostic expressions into a unified format for both training and inference phases, overcoming the challenges of manual prompt design. Our approach is simple yet effective, demonstrating state-of-the-art performance in zero-shot classification on five official chest radiograph diagnostic test sets, including remarkable results on datasets with long-tail distributions of rare diseases. This achievement is attributed to our new image-text alignment strategy, which effectively addresses the complex relationship between medical images and reports.

LLM-Detector: Improving AI-Generated Chinese Text Detection with Open-Source LLM Instruction Tuning

ChatGPT and other general large language models (LLMs) have achieved remarkable success, but they have also raised concerns about the misuse of AI-generated texts. Existing AI-generated text detection models, such as based on BERT and RoBERTa, are prone to in-domain over-fitting, leading to poor out-of-domain (OOD) detection performance. In this paper, we first collected Chinese text responses generated by human experts and 9 types of LLMs, for which to multiple domains questions, and further created a dataset that mixed human-written sentences and sentences polished by LLMs. We then proposed LLM-Detector, a novel method for both document-level and sentence-level text detection through Instruction Tuning of LLMs. Our method leverages the wealth of knowledge LLMs acquire during pre-training, enabling them to detect the text they generate. Instruction tuning aligns the model's responses with the user's expected text detection tasks. Experimental results show that previous methods struggle with sentence-level AI-generated text detection and OOD detection. In contrast, our proposed method not only significantly outperforms baseline methods in both sentence-level and document-level text detection but also demonstrates strong generalization capabilities. Furthermore, since LLM-Detector is trained based on open-source LLMs, it is easy to customize for deployment.

Aurora:Activating Chinese chat capability for Mixtral-8x7B sparse Mixture-of-Experts through Instruction-Tuning

Existing research has demonstrated that refining large language models (LLMs) through the utilization of machine-generated instruction-following data empowers these models to exhibit impressive zero-shot capabilities for novel tasks, without requiring human-authored instructions. In this paper, we systematically investigate, preprocess, and integrate three Chinese instruction-following datasets with the aim of enhancing the Chinese conversational capabilities of Mixtral-8x7B sparse Mixture-of-Experts model. Through instruction fine-tuning on this carefully processed dataset, we successfully construct the Mixtral-8x7B sparse Mixture-of-Experts model named "Aurora." To assess the performance of Aurora, we utilize three widely recognized benchmark tests: C-Eval, MMLU, and CMMLU. Empirical studies validate the effectiveness of instruction fine-tuning applied to Mixtral-8x7B sparse Mixture-of-Experts model. This work is pioneering in the execution of instruction fine-tuning on a sparse expert-mixed model, marking a significant breakthrough in enhancing the capabilities of this model architecture. Our code, data and model are publicly available at https://github.com/WangRongsheng/Aurora

Machine Mindset: An MBTI Exploration of Large Language Models

We present a novel approach for integrating Myers-Briggs Type Indicator (MBTI) personality traits into large language models (LLMs), addressing the challenges of personality consistency in personalized AI. Our method, "Machine Mindset," involves a two-phase fine-tuning and Direct Preference Optimization (DPO) to embed MBTI traits into LLMs. This approach ensures that models internalize these traits, offering a stable and consistent personality profile. We demonstrate the effectiveness of our models across various domains, showing alignment between model performance and their respective MBTI traits. The paper highlights significant contributions in the development of personality datasets and a new training methodology for personality integration in LLMs, enhancing the potential for personalized AI applications. We also open-sourced our model and part of the data at \url{https://github.com/PKU-YuanGroup/Machine-Mindset}.