Evaluating the Challenges of LLMs in Real-world Medical Follow-up: A Comparative Study and An Optimized Framework

When applied directly in an end-to-end manner to medical follow-up tasks, Large Language Models (LLMs) often suffer from uncontrolled dialog flow and inaccurate information extraction due to the complexity of follow-up forms. To address this limitation, we designed and compared two follow-up chatbot systems: an end-to-end LLM-based system (control group) and a modular pipeline with structured process control (experimental group). Experimental results show that while the end-to-end approach frequently fails on lengthy and complex forms, our modular method-built on task decomposition, semantic clustering, and flow management-substantially improves dialog stability and extraction accuracy. Moreover, it reduces the number of dialogue turns by 46.73% and lowers token consumption by 80% to 87.5%. These findings highlight the necessity of integrating external control mechanisms when deploying LLMs in high-stakes medical follow-up scenarios.

Improving vision-language alignment with graph spiking hybrid Networks

To bridge the semantic gap between vision and language (VL), it is necessary to develop a good alignment strategy, which includes handling semantic diversity, abstract representation of visual information, and generalization ability of models. Recent works use detector-based bounding boxes or patches with regular partitions to represent visual semantics. While current paradigms have made strides, they are still insufficient for fully capturing the nuanced contextual relations among various objects. This paper proposes a comprehensive visual semantic representation module, necessitating the utilization of panoptic segmentation to generate coherent fine-grained semantic features. Furthermore, we propose a novel Graph Spiking Hybrid Network (GSHN) that integrates the complementary advantages of Spiking Neural Networks (SNNs) and Graph Attention Networks (GATs) to encode visual semantic information. Intriguingly, the model not only encodes the discrete and continuous latent variables of instances but also adeptly captures both local and global contextual features, thereby significantly enhancing the richness and diversity of semantic representations. Leveraging the spatiotemporal properties inherent in SNNs, we employ contrastive learning (CL) to enhance the similarity-based representation of embeddings. This strategy alleviates the computational overhead of the model and enriches meaningful visual representations by constructing positive and negative sample pairs. We design an innovative pre-training method, Spiked Text Learning (STL), which uses text features to improve the encoding ability of discrete semantics. Experiments show that the proposed GSHN exhibits promising results on multiple VL downstream tasks.