Daily Papers

Large language models (LLMs) have demonstrated impressive capabilities in natural language understanding and generation, but the quality bar for medical and clinical applications is high. Today, attempts to assess models' clinical knowledge typically rely on automated evaluations on limited benchmarks. There is no standard to evaluate model predictions and reasoning across a breadth of tasks. To address this, we present MultiMedQA, a benchmark combining six existing open question answering datasets spanning professional medical exams, research, and consumer queries; and HealthSearchQA, a new free-response dataset of medical questions searched online. We propose a framework for human evaluation of model answers along multiple axes including factuality, precision, possible harm, and bias. In addition, we evaluate PaLM (a 540-billion parameter LLM) and its instruction-tuned variant, Flan-PaLM, on MultiMedQA. Using a combination of prompting strategies, Flan-PaLM achieves state-of-the-art accuracy on every MultiMedQA multiple-choice dataset (MedQA, MedMCQA, PubMedQA, MMLU clinical topics), including 67.6% accuracy on MedQA (US Medical License Exam questions), surpassing prior state-of-the-art by over 17%. However, human evaluation reveals key gaps in Flan-PaLM responses. To resolve this we introduce instruction prompt tuning, a parameter-efficient approach for aligning LLMs to new domains using a few exemplars. The resulting model, Med-PaLM, performs encouragingly, but remains inferior to clinicians. We show that comprehension, recall of knowledge, and medical reasoning improve with model scale and instruction prompt tuning, suggesting the potential utility of LLMs in medicine. Our human evaluations reveal important limitations of today's models, reinforcing the importance of both evaluation frameworks and method development in creating safe, helpful LLM models for clinical applications.

Large language models (LLMs) have demonstrated remarkable capabilities in natural language understanding and generation across various domains, including medicine. We present a comprehensive evaluation of GPT-4, a state-of-the-art LLM, on medical competency examinations and benchmark datasets. GPT-4 is a general-purpose model that is not specialized for medical problems through training or engineered to solve clinical tasks. Our analysis covers two sets of official practice materials for the USMLE, a three-step examination program used to assess clinical competency and grant licensure in the United States. We also evaluate performance on the MultiMedQA suite of benchmark datasets. Beyond measuring model performance, experiments were conducted to investigate the influence of test questions containing both text and images on model performance, probe for memorization of content during training, and study probability calibration, which is of critical importance in high-stakes applications like medicine. Our results show that GPT-4, without any specialized prompt crafting, exceeds the passing score on USMLE by over 20 points and outperforms earlier general-purpose models (GPT-3.5) as well as models specifically fine-tuned on medical knowledge (Med-PaLM, a prompt-tuned version of Flan-PaLM 540B). In addition, GPT-4 is significantly better calibrated than GPT-3.5, demonstrating a much-improved ability to predict the likelihood that its answers are correct. We also explore the behavior of the model qualitatively through a case study that shows the ability of GPT-4 to explain medical reasoning, personalize explanations to students, and interactively craft new counterfactual scenarios around a medical case. Implications of the findings are discussed for potential uses of GPT-4 in medical education, assessment, and clinical practice, with appropriate attention to challenges of accuracy and safety.

Generalist foundation models such as GPT-4 have displayed surprising capabilities in a wide variety of domains and tasks. Yet, there is a prevalent assumption that they cannot match specialist capabilities of fine-tuned models. For example, most explorations to date on medical competency benchmarks have leveraged domain-specific training, as exemplified by efforts on BioGPT and Med-PaLM. We build on a prior study of GPT-4's capabilities on medical challenge benchmarks in the absence of special training. Rather than using simple prompting to highlight the model's out-of-the-box capabilities, we perform a systematic exploration of prompt engineering. We find that prompting innovation can unlock deeper specialist capabilities and show that GPT-4 easily tops prior leading results for medical benchmarks. The prompting methods we explore are general purpose, and make no specific use of domain expertise, removing the need for expert-curated content. Our experimental design carefully controls for overfitting during the prompt engineering process. We introduce Medprompt, based on a composition of several prompting strategies. With Medprompt, GPT-4 achieves state-of-the-art results on all nine of the benchmark datasets in the MultiMedQA suite. The method outperforms leading specialist models such as Med-PaLM 2 by a significant margin with an order of magnitude fewer calls to the model. Steering GPT-4 with Medprompt achieves a 27% reduction in error rate on the MedQA dataset over the best methods to date achieved with specialist models and surpasses a score of 90% for the first time. Beyond medical problems, we show the power of Medprompt to generalize to other domains and provide evidence for the broad applicability of the approach via studies of the strategy on exams in electrical engineering, machine learning, philosophy, accounting, law, nursing, and clinical psychology.

Goal-oriented generative script learning aims to generate subsequent steps to reach a particular goal, which is an essential task to assist robots or humans in performing stereotypical activities. An important aspect of this process is the ability to capture historical states visually, which provides detailed information that is not covered by text and will guide subsequent steps. Therefore, we propose a new task, Multimedia Generative Script Learning, to generate subsequent steps by tracking historical states in both text and vision modalities, as well as presenting the first benchmark containing 5,652 tasks and 79,089 multimedia steps. This task is challenging in three aspects: the multimedia challenge of capturing the visual states in images, the induction challenge of performing unseen tasks, and the diversity challenge of covering different information in individual steps. We propose to encode visual state changes through a selective multimedia encoder to address the multimedia challenge, transfer knowledge from previously observed tasks using a retrieval-augmented decoder to overcome the induction challenge, and further present distinct information at each step by optimizing a diversity-oriented contrastive learning objective. We define metrics to evaluate both generation and inductive quality. Experiment results demonstrate that our approach significantly outperforms strong baselines.

Multimedia summarization with multimodal output can play an essential role in real-world applications, i.e., automatically generating cover images and titles for news articles or providing introductions to online videos. In this work, we propose a multimodal hierarchical multimedia summarization (MHMS) framework by interacting visual and language domains to generate both video and textual summaries. Our MHMS method contains video and textual segmentation and summarization module, respectively. It formulates a cross-domain alignment objective with optimal transport distance which leverages cross-domain interaction to generate the representative keyframe and textual summary. We evaluated MHMS on three recent multimodal datasets and demonstrated the effectiveness of our method in producing high-quality multimodal summaries.

In the last few years, the Internet throughput, usage and reliability have increased almost exponentially. The introduction of broadband wireless mobile ad hoc networks (MANETs) and cellular networks together with increased computational power have opened the door for a new breed of applications to be created, namely real-time multimedia applications. Delivering real-time multimedia traffic over a complex network like the Internet is a particularly challenging task since these applications have strict quality-of-service (QoS) requirements on bandwidth, delay, and delay jitter. Traditional Internet protocol (IP)-based best effort service is not able to meet these stringent requirements. The time-varying nature of wireless channels and resource constrained wireless devices make the problem even more difficult. To improve perceived media quality by end users over wireless Internet, QoS supports can be addressed in different layers, including application layer, transport layer and link layer. Cross layer design is a well-known approach to achieve this adaptation. In cross-layer design, the challenges from the physical wireless medium and the QoS-demands from the applications are taken into account so that the rate, power, and coding at the physical (PHY) layer can adapted to meet the requirements of the applications given the current channel and network conditions. A number of propositions for cross-layer designs exist in the literature. In this chapter, an extensive review has been made on these cross-layer architectures that combine the application-layer, transport layer and the link layer controls. Particularly, the issues like channel estimation techniques, adaptive controls at the application and link layers for energy efficiency, priority based scheduling, transmission rate control at the transport layer, and adaptive automatic repeat request (ARQ) are discussed in detail.

Online resources such as WikiHow compile a wide range of scripts for performing everyday tasks, which can assist models in learning to reason about procedures. However, the scripts are always presented in a linear manner, which does not reflect the flexibility displayed by people executing tasks in real life. For example, in the CrossTask Dataset, 64.5% of consecutive step pairs are also observed in the reverse order, suggesting their ordering is not fixed. In addition, each step has an average of 2.56 frequent next steps, demonstrating "branching". In this paper, we propose the new challenging task of non-sequential graph script induction, aiming to capture optional and interchangeable steps in procedural planning. To automate the induction of such graph scripts for given tasks, we propose to take advantage of loosely aligned videos of people performing the tasks. In particular, we design a multimodal framework to ground procedural videos to WikiHow textual steps and thus transform each video into an observed step path on the latent ground truth graph script. This key transformation enables us to train a script knowledge model capable of both generating explicit graph scripts for learnt tasks and predicting future steps given a partial step sequence. Our best model outperforms the strongest pure text/vision baselines by 17.52% absolute gains on F1@3 for next step prediction and 13.8% absolute gains on Acc@1 for partial sequence completion. Human evaluation shows our model outperforming the WikiHow linear baseline by 48.76% absolute gains in capturing sequential and non-sequential step relationships.

We present the Yahoo Flickr Creative Commons 100 Million Dataset (YFCC100M), the largest public multimedia collection that has ever been released. The dataset contains a total of 100 million media objects, of which approximately 99.2 million are photos and 0.8 million are videos, all of which carry a Creative Commons license. Each media object in the dataset is represented by several pieces of metadata, e.g. Flickr identifier, owner name, camera, title, tags, geo, media source. The collection provides a comprehensive snapshot of how photos and videos were taken, described, and shared over the years, from the inception of Flickr in 2004 until early 2014. In this article we explain the rationale behind its creation, as well as the implications the dataset has for science, research, engineering, and development. We further present several new challenges in multimedia research that can now be expanded upon with our dataset.

In recent times, the detection of hate-speech, offensive, or abusive language in online media has become an important topic in NLP research due to the exponential growth of social media and the propagation of such messages, as well as their impact. Misogyny detection, even though it plays an important part in hate-speech detection, has not received the same attention. In this paper, we describe our classification systems submitted to the SemEval-2022 Task 5: MAMI - Multimedia Automatic Misogyny Identification. The shared task aimed to identify misogynous content in a multi-modal setting by analysing meme images together with their textual captions. To this end, we propose two models based on the pre-trained UNITER model, one enhanced with an image sentiment classifier, whereas the second leverages a Vocabulary Graph Convolutional Network (VGCN). Additionally, we explore an ensemble using the aforementioned models. Our best model reaches an F1-score of 71.4% in Sub-task A and 67.3% for Sub-task B positioning our team in the upper third of the leaderboard. We release the code and experiments for our models on GitHub