Beyond Single Frames: Can LMMs Comprehend Temporal and Contextual Narratives in Image Sequences?

Large Multimodal Models (LMMs) have achieved remarkable success across various visual-language tasks. However, existing benchmarks predominantly focus on single-image understanding, leaving the analysis of image sequences largely unexplored. To address this limitation, we introduce StripCipher, a comprehensive benchmark designed to evaluate capabilities of LMMs to comprehend and reason over sequential images. StripCipher comprises a human-annotated dataset and three challenging subtasks: visual narrative comprehension, contextual frame prediction, and temporal narrative reordering. Our evaluation of $16$ state-of-the-art LMMs, including GPT-4o and Qwen2.5VL, reveals a significant performance gap compared to human capabilities, particularly in tasks that require reordering shuffled sequential images. For instance, GPT-4o achieves only 23.93% accuracy in the reordering subtask, which is 56.07% lower than human performance. Further quantitative analysis discuss several factors, such as input format of images, affecting the performance of LLMs in sequential understanding, underscoring the fundamental challenges that remain in the development of LMMs.

SG-FSM: A Self-Guiding Zero-Shot Prompting Paradigm for Multi-Hop Question Answering Based on Finite State Machine

Large Language Models with chain-of-thought prompting, such as OpenAI-o1, have shown impressive capabilities in natural language inference tasks. However, Multi-hop Question Answering (MHQA) remains challenging for many existing models due to issues like hallucination, error propagation, and limited context length. To address these challenges and enhance LLMs' performance on MHQA, we propose the Self-Guiding prompting Finite State Machine (SG-FSM), designed to strengthen multi-hop reasoning abilities. Unlike traditional chain-of-thought methods, SG-FSM tackles MHQA by iteratively breaking down complex questions into sub-questions, correcting itself to improve accuracy. It processes one sub-question at a time, dynamically deciding the next step based on the current context and results, functioning much like an automaton. Experiments across various benchmarks demonstrate the effectiveness of our approach, outperforming strong baselines on challenging datasets such as Musique. SG-FSM reduces hallucination, enabling recovery of the correct final answer despite intermediate errors. It also improves adherence to specified output formats, simplifying evaluation significantly.

FEDKIM: Adaptive Federated Knowledge Injection into Medical Foundation Models

Foundation models have demonstrated remarkable capabilities in handling diverse modalities and tasks, outperforming conventional artificial intelligence (AI) approaches that are highly task-specific and modality-reliant. In the medical domain, however, the development of comprehensive foundation models is constrained by limited access to diverse modalities and stringent privacy regulations. To address these constraints, this study introduces a novel knowledge injection approach, FedKIM, designed to scale the medical foundation model within a federated learning framework. FedKIM leverages lightweight local models to extract healthcare knowledge from private data and integrates this knowledge into a centralized foundation model using a designed adaptive Multitask Multimodal Mixture Of Experts (M3OE) module. This method not only preserves privacy but also enhances the model's ability to handle complex medical tasks involving multiple modalities. Our extensive experiments across twelve tasks in seven modalities demonstrate the effectiveness of FedKIM in various settings, highlighting its potential to scale medical foundation models without direct access to sensitive data.

FEDMEKI: A Benchmark for Scaling Medical Foundation Models via Federated Knowledge Injection

This study introduces the Federated Medical Knowledge Injection (FEDMEKI) platform, a new benchmark designed to address the unique challenges of integrating medical knowledge into foundation models under privacy constraints. By leveraging a cross-silo federated learning approach, FEDMEKI circumvents the issues associated with centralized data collection, which is often prohibited under health regulations like the Health Insurance Portability and Accountability Act (HIPAA) in the USA. The platform is meticulously designed to handle multi-site, multi-modal, and multi-task medical data, which includes 7 medical modalities, including images, signals, texts, laboratory test results, vital signs, input variables, and output variables. The curated dataset to validate FEDMEKI covers 8 medical tasks, including 6 classification tasks (lung opacity detection, COVID-19 detection, electrocardiogram (ECG) abnormal detection, mortality prediction, sepsis prediction, and enlarged cardiomediastinum detection) and 2 generation tasks (medical visual question answering (MedVQA) and ECG noise clarification). This comprehensive dataset is partitioned across several clients to facilitate the decentralized training process under 16 benchmark approaches. FEDMEKI not only preserves data privacy but also enhances the capability of medical foundation models by allowing them to learn from a broader spectrum of medical knowledge without direct data exposure, thereby setting a new benchmark in the application of foundation models within the healthcare sector.

FSM: A Finite State Machine Based Zero-Shot Prompting Paradigm for Multi-Hop Question Answering

Large Language Models (LLMs) with chain-of-thought (COT) prompting have demonstrated impressive abilities on simple nature language inference tasks. However, they tend to perform poorly on Multi-hop Question Answering (MHQA) tasks due to several challenges, including hallucination, error propagation and limited context length. We propose a prompting method, Finite State Machine (FSM) to enhance the reasoning capabilities of LLM for complex tasks in addition to improved effectiveness and trustworthiness. Different from COT methods, FSM addresses MHQA by iteratively decomposing a question into multi-turn sub-questions, and self-correcting in time, improving the accuracy of answers in each step. Specifically, FSM addresses one sub-question at a time and decides on the next step based on its current result and state, in an automaton-like format. Experiments on benchmarks show the effectiveness of our method. Although our method performs on par with the baseline on relatively simpler datasets, it excels on challenging datasets like Musique. Moreover, this approach mitigates the hallucination phenomenon, wherein the correct final answer can be recovered despite errors in intermediate reasoning. Furthermore, our method improves LLMs' ability to follow specified output format requirements, significantly reducing the difficulty of answer interpretation and the need for reformatting.

Synthesizing Multimodal Electronic Health Records via Predictive Diffusion Models

Synthesizing electronic health records (EHR) data has become a preferred strategy to address data scarcity, improve data quality, and model fairness in healthcare. However, existing approaches for EHR data generation predominantly rely on state-of-the-art generative techniques like generative adversarial networks, variational autoencoders, and language models. These methods typically replicate input visits, resulting in inadequate modeling of temporal dependencies between visits and overlooking the generation of time information, a crucial element in EHR data. Moreover, their ability to learn visit representations is limited due to simple linear mapping functions, thus compromising generation quality. To address these limitations, we propose a novel EHR data generation model called EHRPD. It is a diffusion-based model designed to predict the next visit based on the current one while also incorporating time interval estimation. To enhance generation quality and diversity, we introduce a novel time-aware visit embedding module and a pioneering predictive denoising diffusion probabilistic model (PDDPM). Additionally, we devise a predictive U-Net (PU-Net) to optimize P-DDPM.We conduct experiments on two public datasets and evaluate EHRPD from fidelity, privacy, and utility perspectives. The experimental results demonstrate the efficacy and utility of the proposed EHRPD in addressing the aforementioned limitations and advancing EHR data generation.

Disentangling ID and Modality Effects for Session-based Recommendation

Session-based recommendation aims to predict intents of anonymous users based on their limited behaviors. Modeling user behaviors involves two distinct rationales: co-occurrence patterns reflected by item IDs, and fine-grained preferences represented by item modalities (e.g., text and images). However, existing methods typically entangle these causes, leading to their failure in achieving accurate and explainable recommendations. To this end, we propose a novel framework DIMO to disentangle the effects of ID and modality in the task. At the item level, we introduce a co-occurrence representation schema to explicitly incorporate cooccurrence patterns into ID representations. Simultaneously, DIMO aligns different modalities into a unified semantic space to represent them uniformly. At the session level, we present a multi-view self-supervised disentanglement, including proxy mechanism and counterfactual inference, to disentangle ID and modality effects without supervised signals. Leveraging these disentangled causes, DIMO provides recommendations via causal inference and further creates two templates for generating explanations. Extensive experiments on multiple real-world datasets demonstrate the consistent superiority of DIMO over existing methods. Further analysis also confirms DIMO's effectiveness in generating explanations.

PeriodicLoRA: Breaking the Low-Rank Bottleneck in LoRA Optimization

Supervised fine-tuning is the most common method to adapt large language models (LLMs) to downstream tasks, but full fine-tuning LLMs requires massive computational resources. Recently, parameter-efficient fine-tuning (PEFT) methods have been widely studied due to its cost-effectiveness. LoRA is one of the most widely used methods, which assumes that the optimization process is essentially low-dimensional. Although LoRA fine-tuning is effective, there is still a performance gap compared to full fine-tuning, since its weight update is limited to low-rank matrices. In order to break the low-rank bottleneck in LoRA Optimization, we propose PeriodicLoRA (PLoRA), which accumulates low-rank update matrices multiple times to achieve a higher update rank. PLoRA has multiple training stages. During each stage, we still update only the LoRA weights. However, at the end of each stage, we unload the LoRA weights into the backbone parameters and then reinitialize the LoRA states. Experimental results show that PLoRA has stronger learning ability, approximately 1.8 times that of LoRA's learning ability at most, but it does not increase memory usage. Further, we introduce a momentum-based unloading strategy for PLoRA to mitigate the training instability.

CoRelation: Boosting Automatic ICD Coding Through Contextualized Code Relation Learning

Automatic International Classification of Diseases (ICD) coding plays a crucial role in the extraction of relevant information from clinical notes for proper recording and billing. One of the most important directions for boosting the performance of automatic ICD coding is modeling ICD code relations. However, current methods insufficiently model the intricate relationships among ICD codes and often overlook the importance of context in clinical notes. In this paper, we propose a novel approach, a contextualized and flexible framework, to enhance the learning of ICD code representations. Our approach, unlike existing methods, employs a dependent learning paradigm that considers the context of clinical notes in modeling all possible code relations. We evaluate our approach on six public ICD coding datasets and the experimental results demonstrate the effectiveness of our approach compared to state-of-the-art baselines.

Recent Advances in Predictive Modeling with Electronic Health Records

The development of electronic health records (EHR) systems has enabled the collection of a vast amount of digitized patient data. However, utilizing EHR data for predictive modeling presents several challenges due to its unique characteristics. With the advancements in machine learning techniques, deep learning has demonstrated its superiority in various applications, including healthcare. This survey systematically reviews recent advances in deep learning-based predictive models using EHR data. Specifically, we begin by introducing the background of EHR data and providing a mathematical definition of the predictive modeling task. We then categorize and summarize predictive deep models from multiple perspectives. Furthermore, we present benchmarks and toolkits relevant to predictive modeling in healthcare. Finally, we conclude this survey by discussing open challenges and suggesting promising directions for future research.