RULE: Reliable Multimodal RAG for Factuality in Medical Vision Language Models

The recent emergence of Medical Large Vision Language Models (Med-LVLMs) has enhanced medical diagnosis. However, current Med-LVLMs frequently encounter factual issues, often generating responses that do not align with established medical facts. Retrieval-Augmented Generation (RAG), which utilizes external knowledge, can improve the factual accuracy of these models but introduces two major challenges. First, limited retrieved contexts might not cover all necessary information, while excessive retrieval can introduce irrelevant and inaccurate references, interfering with the model's generation. Second, in cases where the model originally responds correctly, applying RAG can lead to an over-reliance on retrieved contexts, resulting in incorrect answers. To address these issues, we propose RULE, which consists of two components. First, we introduce a provably effective strategy for controlling factuality risk through the calibrated selection of the number of retrieved contexts. Second, based on samples where over-reliance on retrieved contexts led to errors, we curate a preference dataset to fine-tune the model, balancing its dependence on inherent knowledge and retrieved contexts for generation. We demonstrate the effectiveness of RULE on three medical VQA datasets, achieving an average improvement of 20.8% in factual accuracy. We publicly release our benchmark and code in https://github.com/richard-peng-xia/RULE.

MJ-Bench: Is Your Multimodal Reward Model Really a Good Judge for Text-to-Image Generation?

While text-to-image models like DALLE-3 and Stable Diffusion are rapidly proliferating, they often encounter challenges such as hallucination, bias, and the production of unsafe, low-quality output. To effectively address these issues, it is crucial to align these models with desired behaviors based on feedback from a multimodal judge. Despite their significance, current multimodal judges frequently undergo inadequate evaluation of their capabilities and limitations, potentially leading to misalignment and unsafe fine-tuning outcomes. To address this issue, we introduce MJ-Bench, a novel benchmark which incorporates a comprehensive preference dataset to evaluate multimodal judges in providing feedback for image generation models across four key perspectives: alignment, safety, image quality, and bias. Specifically, we evaluate a large variety of multimodal judges including smaller-sized CLIP-based scoring models, open-source VLMs (e.g. LLaVA family), and close-source VLMs (e.g. GPT-4o, Claude 3) on each decomposed subcategory of our preference dataset. Experiments reveal that close-source VLMs generally provide better feedback, with GPT-4o outperforming other judges in average. Compared with open-source VLMs, smaller-sized scoring models can provide better feedback regarding text-image alignment and image quality, while VLMs provide more accurate feedback regarding safety and generation bias due to their stronger reasoning capabilities. Further studies in feedback scale reveal that VLM judges can generally provide more accurate and stable feedback in natural language (Likert-scale) than numerical scales. Notably, human evaluations on end-to-end fine-tuned models using separate feedback from these multimodal judges provide similar conclusions, further confirming the effectiveness of MJ-Bench. All data, code, models are available at https://huggingface.co/MJ-Bench.

CAT: Interpretable Concept-based Taylor Additive Models

As an emerging interpretable technique, Generalized Additive Models (GAMs) adopt neural networks to individually learn non-linear functions for each feature, which are then combined through a linear model for final predictions. Although GAMs can explain deep neural networks (DNNs) at the feature level, they require large numbers of model parameters and are prone to overfitting, making them hard to train and scale. Additionally, in real-world datasets with many features, the interpretability of feature-based explanations diminishes for humans. To tackle these issues, recent research has shifted towards concept-based interpretable methods. These approaches try to integrate concept learning as an intermediate step before making predictions, explaining the predictions in terms of human-understandable concepts. However, these methods require domain experts to extensively label concepts with relevant names and their ground-truth values. In response, we propose CAT, a novel interpretable Concept-bAsed Taylor additive model to simply this process. CAT does not have to require domain experts to annotate concepts and their ground-truth values. Instead, it only requires users to simply categorize input features into broad groups, which can be easily accomplished through a quick metadata review. Specifically, CAT first embeds each group of input features into one-dimensional high-level concept representation, and then feeds the concept representations into a new white-box Taylor Neural Network (TaylorNet). The TaylorNet aims to learn the non-linear relationship between the inputs and outputs using polynomials. Evaluation results across multiple benchmarks demonstrate that CAT can outperform or compete with the baselines while reducing the need of extensive model parameters. Importantly, it can explain model predictions through high-level concepts that human can understand.

It Takes Two: On the Seamlessness between Reward and Policy Model in RLHF

Reinforcement Learning from Human Feedback (RLHF) involves training policy models (PMs) and reward models (RMs) to align language models with human preferences. Instead of focusing solely on PMs and RMs independently, we propose to examine their interactions during fine-tuning, introducing the concept of seamlessness. Our study starts with observing the saturation phenomenon, where continual improvements in RM and PM do not translate into RLHF progress. Our analysis shows that RMs fail to assign proper scores to PM responses, resulting in a 35% mismatch rate with human preferences, highlighting a significant discrepancy between PM and RM. To measure seamlessness between PM and RM without human effort, we propose an automatic metric, SEAM. SEAM quantifies the discrepancies between PM and RM judgments induced by data samples. We validate the effectiveness of SEAM in data selection and model augmentation. Our experiments demonstrate that (1) using SEAM-filtered data for RL training improves RLHF performance by 4.5%, and (2) SEAM-guided model augmentation results in a 4% performance improvement over standard augmentation methods.

CARES: A Comprehensive Benchmark of Trustworthiness in Medical Vision Language Models

Artificial intelligence has significantly impacted medical applications, particularly with the advent of Medical Large Vision Language Models (Med-LVLMs), sparking optimism for the future of automated and personalized healthcare. However, the trustworthiness of Med-LVLMs remains unverified, posing significant risks for future model deployment. In this paper, we introduce CARES and aim to comprehensively evaluate the Trustworthiness of Med-LVLMs across the medical domain. We assess the trustworthiness of Med-LVLMs across five dimensions, including trustfulness, fairness, safety, privacy, and robustness. CARES comprises about 41K question-answer pairs in both closed and open-ended formats, covering 16 medical image modalities and 27 anatomical regions. Our analysis reveals that the models consistently exhibit concerns regarding trustworthiness, often displaying factual inaccuracies and failing to maintain fairness across different demographic groups. Furthermore, they are vulnerable to attacks and demonstrate a lack of privacy awareness. We publicly release our benchmark and code in https://github.com/richard-peng-xia/CARES.

Enhancing Visual-Language Modality Alignment in Large Vision Language Models via Self-Improvement

Large vision-language models (LVLMs) have achieved impressive results in various visual question-answering and reasoning tasks through vision instruction tuning on specific datasets. However, there is still significant room for improvement in the alignment between visual and language modalities. Previous methods to enhance this alignment typically require external models or data, heavily depending on their capabilities and quality, which inevitably sets an upper bound on performance. In this paper, we propose SIMA, a framework that enhances visual and language modality alignment through self-improvement, eliminating the needs for external models or data. SIMA leverages prompts from existing vision instruction tuning datasets to self-generate responses and employs an in-context self-critic mechanism to select response pairs for preference tuning. The key innovation is the introduction of three vision metrics during the in-context self-critic process, which can guide the LVLM in selecting responses that enhance image comprehension. Through experiments across 14 hallucination and comprehensive benchmarks, we demonstrate that SIMA not only improves model performance across all benchmarks but also achieves superior modality alignment, outperforming previous approaches.

Calibrated Self-Rewarding Vision Language Models

Large Vision-Language Models (LVLMs) have made substantial progress by integrating pre-trained large language models (LLMs) and vision models through instruction tuning. Despite these advancements, LVLMs often exhibit the hallucination phenomenon, where generated text responses appear linguistically plausible but contradict the input image, indicating a misalignment between image and text pairs. This misalignment arises because the model tends to prioritize textual information over visual input, even when both the language model and visual representations are of high quality. Existing methods leverage additional models or human annotations to curate preference data and enhance modality alignment through preference optimization. These approaches may not effectively reflect the target LVLM's preferences, making the curated preferences easily distinguishable. Our work addresses these challenges by proposing the Calibrated Self-Rewarding (CSR) approach, which enables the model to self-improve by iteratively generating candidate responses, evaluating the reward for each response, and curating preference data for fine-tuning. In the reward modeling, we employ a step-wise strategy and incorporate visual constraints into the self-rewarding process to place greater emphasis on visual input. Empirical results demonstrate that CSR enhances performance and reduces hallucinations across ten benchmarks and tasks, achieving substantial improvements over existing methods by 7.62%. Our empirical results are further supported by rigorous theoretical analysis, under mild assumptions, verifying the effectiveness of introducing visual constraints into the self-rewarding paradigm. Additionally, CSR shows compatibility with different vision-language models and the ability to incrementally improve performance through iterative fine-tuning. Our data and code are available at https://github.com/YiyangZhou/CSR.

LITE: Modeling Environmental Ecosystems with Multimodal Large Language Models

The modeling of environmental ecosystems plays a pivotal role in the sustainable management of our planet. Accurate prediction of key environmental variables over space and time can aid in informed policy and decision-making, thus improving people's livelihood. Recently, deep learning-based methods have shown promise in modeling the spatial-temporal relationships for predicting environmental variables. However, these approaches often fall short in handling incomplete features and distribution shifts, which are commonly observed in environmental data due to the substantial cost of data collection and malfunctions in measuring instruments. To address these issues, we propose LITE -- a multimodal large language model for environmental ecosystems modeling. Specifically, LITE unifies different environmental variables by transforming them into natural language descriptions and line graph images. Then, LITE utilizes unified encoders to capture spatial-temporal dynamics and correlations in different modalities. During this step, the incomplete features are imputed by a sparse Mixture-of-Experts framework, and the distribution shift is handled by incorporating multi-granularity information from past observations. Finally, guided by domain instructions, a language model is employed to fuse the multimodal representations for the prediction. Our experiments demonstrate that LITE significantly enhances performance in environmental spatial-temporal prediction across different domains compared to the best baseline, with a 41.25% reduction in prediction error. This justifies its effectiveness. Our data and code are available at https://github.com/hrlics/LITE.

Electrocardiogram Instruction Tuning for Report Generation

Electrocardiogram (ECG) serves as the primary non-invasive diagnostic tool for cardiac conditions monitoring, are crucial in assisting clinicians. Recent studies have concentrated on classifying cardiac conditions using ECG data but have overlooked ECG report generation, which is not only time-consuming but also requires clinical expertise. To automate ECG report generation and ensure its versatility, we propose the Multimodal ECG Instruction Tuning (MEIT) framework, the \textit{first} attempt to tackle ECG report generation with LLMs and multimodal instructions. To facilitate future research, we establish a benchmark to evaluate MEIT with various LLMs backbones across two large-scale ECG datasets. Our approach uniquely aligns the representations of the ECG signal and the report, and we conduct extensive experiments to benchmark MEIT with nine open source LLMs, using more than 800,000 ECG reports. MEIT's results underscore the superior performance of instruction-tuned LLMs, showcasing their proficiency in quality report generation, zero-shot capabilities, and resilience to signal perturbation. These findings emphasize the efficacy of our MEIT framework and its potential for real-world clinical application.

HALC: Object Hallucination Reduction via Adaptive Focal-Contrast Decoding

While large vision-language models (LVLMs) have demonstrated impressive capabilities in interpreting multi-modal contexts, they invariably suffer from object hallucinations (OH). We introduce HALC, a novel decoding algorithm designed to mitigate OH in LVLMs. HALC leverages distinct fine-grained optimal visual information in vision-language tasks and operates on both local and global contexts simultaneously. Specifically, HALC integrates a robust auto-focal grounding mechanism (locally) to correct hallucinated tokens on the fly, and a specialized beam search algorithm (globally) to significantly reduce OH while preserving text generation quality. Additionally, HALC can be integrated into any LVLMs as a plug-and-play module without extra training. Extensive experimental studies demonstrate the effectiveness of HALC in reducing OH, outperforming state-of-the-arts across four benchmarks.