Daily Papers

BACKGROUND: Radiology reports are typically written in a free-text format, making clinical information difficult to extract and use. Recently the adoption of structured reporting (SR) has been recommended by various medical societies thanks to the advantages it offers, e.g. standardization, completeness and information retrieval. We propose a pipeline to extract information from free-text radiology reports, that fits with the items of the reference SR registry proposed by a national society of interventional and medical radiology, focusing on CT staging of patients with lymphoma. METHODS: Our work aims to leverage the potential of Natural Language Processing (NLP) and Transformer-based models to deal with automatic SR registry filling. With the availability of 174 radiology reports, we investigate a rule-free generative Question Answering approach based on a domain-specific version of T5 (IT5). Two strategies (batch-truncation and ex-post combination) are implemented to comply with the model's context length limitations. Performance is evaluated in terms of strict accuracy, F1, and format accuracy, and compared with the widely used GPT-3.5 Large Language Model. A 5-point Likert scale questionnaire is used to collect human-expert feedback on the similarity between medical annotations and generated answers. RESULTS: The combination of fine-tuning and batch splitting allows IT5 to achieve notable results; it performs on par with GPT-3.5 albeit its size being a thousand times smaller in terms of parameters. Human-based assessment scores show a high correlation (Spearman's correlation coefficients>0.88, p-values<0.001) with AI performance metrics (F1) and confirm the superior ability of LLMs (i.e., GPT-3.5, 175B of parameters) in generating plausible human-like statements.

Reasoning language models such as OpenAI-o1, DeepSeek-R1, and Qwen achieve strong performance via extended chains of thought but often generate unnecessarily long outputs. Maximizing intelligence per token--accuracy relative to response length--remains an open problem. We revisit reinforcement learning (RL) with the simplest length penalty--truncation--and show that accuracy degradation arises not from the lack of sophisticated penalties but from inadequate RL optimization. We identify three key challenges: (i) large bias in advantage estimation, (ii) entropy collapse, and (iii) sparse reward signal. We address them with Doing Length pEnalty Right (DLER), a training recipe combining batch-wise reward normalization, higher clipping, dynamic sampling, and a simple truncation length penalty. DLER achieves state-of-the-art accuracy--efficiency trade-offs, cutting output length by over 70 percent while surpassing all previous baseline accuracy. It also improves test-time scaling: compared to DeepSeek-R1-7B, DLER-7B generates multiple concise responses in parallel with 28 percent higher accuracy and lower latency. We further introduce Difficulty-Aware DLER, which adaptively tightens truncation on easier questions for additional efficiency gains. We also propose an update-selective merging method that preserves baseline accuracy while retaining the concise reasoning ability of the DLER model, which is useful for scenarios where RL training data is scarce.

Reduced numerical precision is a common technique to reduce computational cost in many Deep Neural Networks (DNNs). While it has been observed that DNNs are resilient to small errors and noise, no general result exists that is capable of predicting a given DNN system architecture's sensitivity to reduced precision. In this project, we emulate arbitrary bit-width using a specified floating-point representation with a truncation method, which is applied to the neural network after each batch. We explore the impact of several model parameters on the network's training accuracy and show results on the MNIST dataset. We then present a preliminary theoretical investigation of the error scaling in both forward and backward propagations. We end with a discussion of the implications of these results as well as the potential for generalization to other network architectures.