CoD, Towards an Interpretable Medical Agent using Chain of Diagnosis

The field of medical diagnosis has undergone a significant transformation with the advent of large language models (LLMs), yet the challenges of interpretability within these models remain largely unaddressed. This study introduces Chain-of-Diagnosis (CoD) to enhance the interpretability of LLM-based medical diagnostics. CoD transforms the diagnostic process into a diagnostic chain that mirrors a physician's thought process, providing a transparent reasoning pathway. Additionally, CoD outputs the disease confidence distribution to ensure transparency in decision-making. This interpretability makes model diagnostics controllable and aids in identifying critical symptoms for inquiry through the entropy reduction of confidences. With CoD, we developed DiagnosisGPT, capable of diagnosing 9604 diseases. Experimental results demonstrate that DiagnosisGPT outperforms other LLMs on diagnostic benchmarks. Moreover, DiagnosisGPT provides interpretability while ensuring controllability in diagnostic rigor.

HuatuoGPT-Vision, Towards Injecting Medical Visual Knowledge into Multimodal LLMs at Scale

The rapid development of multimodal large language models (MLLMs), such as GPT-4V, has led to significant advancements. However, these models still face challenges in medical multimodal capabilities due to limitations in the quantity and quality of medical vision-text data, stemming from data privacy concerns and high annotation costs. While pioneering approaches utilize PubMed's large-scale, de-identified medical image-text pairs to address these limitations, they still fall short due to inherent data noise. To tackle this, we refined medical image-text pairs from PubMed and employed MLLMs (GPT-4V) in an 'unblinded' capacity to denoise and reformat the data, resulting in the creation of the PubMedVision dataset with 1.3 million medical VQA samples. Our validation demonstrates that: (1) PubMedVision can significantly enhance the medical multimodal capabilities of current MLLMs, showing significant improvement in benchmarks including the MMMU Health & Medicine track; (2) manual checks by medical experts and empirical results validate the superior data quality of our dataset compared to other data construction methods. Using PubMedVision, we train a 34B medical MLLM HuatuoGPT-Vision, which shows superior performance in medical multimodal scenarios among open-source MLLMs.

LLMs for Doctors: Leveraging Medical LLMs to Assist Doctors, Not Replace Them

The recent success of Large Language Models (LLMs) has had a significant impact on the healthcare field, providing patients with medical advice, diagnostic information, and more. However, due to a lack of professional medical knowledge, patients are easily misled by generated erroneous information from LLMs, which may result in serious medical problems. To address this issue, we focus on tuning the LLMs to be medical assistants who collaborate with more experienced doctors. We first conduct a two-stage survey by inspiration-feedback to gain a broad understanding of the real needs of doctors for medical assistants. Based on this, we construct a Chinese medical dataset called DoctorFLAN to support the entire workflow of doctors, which includes 92K Q\&A samples from 22 tasks and 27 specialists. Moreover, we evaluate LLMs in doctor-oriented scenarios by constructing the DoctorFLAN-\textit{test} containing 550 single-turn Q\&A and DotaBench containing 74 multi-turn conversations. The evaluation results indicate that being a medical assistant still poses challenges for existing open-source models, but DoctorFLAN can help them significantly. It demonstrates that the doctor-oriented dataset and benchmarks we construct can complement existing patient-oriented work and better promote medical LLMs research.

LLMs Could Autonomously Learn Without External Supervision

In the quest for super-human performance, Large Language Models (LLMs) have traditionally been tethered to human-annotated datasets and predefined training objectives-a process that is both labor-intensive and inherently limited. This paper presents a transformative approach: Autonomous Learning for LLMs, a self-sufficient learning paradigm that frees models from the constraints of human supervision. This method endows LLMs with the ability to self-educate through direct interaction with text, akin to a human reading and comprehending literature. Our approach eliminates the reliance on annotated data, fostering an Autonomous Learning environment where the model independently identifies and reinforces its knowledge gaps. Empirical results from our comprehensive experiments, which utilized a diverse array of learning materials and were evaluated against standard public quizzes, reveal that Autonomous Learning outstrips the performance of both Pre-training and Supervised Fine-Tuning (SFT), as well as retrieval-augmented methods. These findings underscore the potential of Autonomous Learning to not only enhance the efficiency and effectiveness of LLM training but also to pave the way for the development of more advanced, self-reliant AI systems.

ALLaVA: Harnessing GPT4V-synthesized Data for A Lite Vision-Language Model

Recent advancements in Large Vision-Language Models (LVLMs) have enabled processing of multimodal inputs in language models but require significant computational resources for deployment, especially in edge devices. This study aims to bridge the performance gap between traditional-scale LVLMs and resource-friendly lite versions by adopting high-quality training data. To do this, a synthetic dataset is created by leveraging GPT-4V's ability to generate detailed captions, complex reasoning instructions and detailed answers from images. The resulted model trained with our data, ALLaVA, achieves competitive performance on 12 benchmarks up to 3B LVLMs. This work highlights the feasibility of adopting high-quality data in crafting more efficient LVLMs. Our online demo is available at \url{https://allava.freedomai.cn}.

MLLM-Bench, Evaluating Multi-modal LLMs using GPT-4V

In the pursuit of Artificial General Intelligence (AGI), the integration of vision in language models has marked a significant milestone. The advent of vision-language models (MLLMs) like GPT-4V have expanded AI applications, aligning with the multi-modal capabilities of the human brain. However, evaluating the efficacy of MLLMs poses a substantial challenge due to the subjective nature of tasks that lack definitive answers. Existing automatic evaluation methodologies on multi-modal large language models rely on objective queries that have standard answers, inadequately addressing the nuances of creative and associative multi-modal tasks. To address this, we introduce MLLM-Bench, an innovative benchmark inspired by Vicuna, spanning a diverse array of scenarios, including Perception, Understanding, Applying, Analyzing, Evaluating, and Creation along with the ethical consideration. MLLM-Bench is designed to reflect user experience more accurately and provide a more holistic assessment of model performance. Comparative evaluations indicate a significant performance gap between existing open-source models and GPT-4V. We posit that MLLM-Bench will catalyze progress in the open-source community towards developing user-centric vision-language models that meet a broad spectrum of real-world applications. See online leaderboard in \url{https://mllm-bench.llmzoo.com}.

HuatuoGPT-II, One-stage Training for Medical Adaption of LLMs

Adapting a language model into a specific domain, a.k.a `domain adaption', is a common practice when specialized knowledge, e.g. medicine, is not encapsulated in a general language model like Llama2. The challenge lies in the heterogeneity of data across the two training stages, as it varies in languages, genres, or formats. To tackle this and simplify the learning protocol, we propose to transform heterogeneous data, from the both pre-training and supervised stages, into a unified, simple input-output pair format. We validate the new protocol in the domains where proprietary LLMs like ChatGPT perform relatively poorly, such as Traditional Chinese Medicine. The developed model, HuatuoGPT-II, has shown state-of-the-art performance in Chinese medicine domain on a number of benchmarks, e.g. medical licensing exams. It even outperforms proprietary models like ChatGPT and GPT-4 in some aspects, especially in Traditional Chinese Medicine. Expert manual evaluations further validate HuatuoGPT-II's advantages over existing LLMs. Notably, HuatuoGPT-II was benchmarked in a fresh Chinese National Medical Licensing Examination where it achieved the best performance, showcasing not only its effectiveness but also its generalization capabilities.

AceGPT, Localizing Large Language Models in Arabic

This paper explores the imperative need and methodology for developing a localized Large Language Model (LLM) tailored for Arabic, a language with unique cultural characteristics that are not adequately addressed by current mainstream models like ChatGPT. Key concerns additionally arise when considering cultural sensitivity and local values. To this end, the paper outlines a packaged solution, including further pre-training with Arabic texts, supervised fine-tuning (SFT) using native Arabic instructions and GPT-4 responses in Arabic, and reinforcement learning with AI feedback (RLAIF) using a reward model that is sensitive to local culture and values. The objective is to train culturally aware and value-aligned Arabic LLMs that can serve the diverse application-specific needs of Arabic-speaking communities. Extensive evaluations demonstrated that the resulting LLM called `AceGPT' is the SOTA open Arabic LLM in various benchmarks, including instruction-following benchmark (i.e., Arabic Vicuna-80 and Arabic AlpacaEval), knowledge benchmark (i.e., Arabic MMLU and EXAMs), as well as the newly-proposed Arabic cultural \& value alignment benchmark. Notably, AceGPT outperforms ChatGPT in the popular Vicuna-80 benchmark when evaluated with GPT-4, despite the benchmark's limited scale. % Natural Language Understanding (NLU) benchmark (i.e., ALUE) Codes, data, and models are in https://github.com/FreedomIntelligence/AceGPT.

Enhancing Open-Domain Table Question Answering via Syntax- and Structure-aware Dense Retrieval

Open-domain table question answering aims to provide answers to a question by retrieving and extracting information from a large collection of tables. Existing studies of open-domain table QA either directly adopt text retrieval methods or consider the table structure only in the encoding layer for table retrieval, which may cause syntactical and structural information loss during table scoring. To address this issue, we propose a syntax- and structure-aware retrieval method for the open-domain table QA task. It provides syntactical representations for the question and uses the structural header and value representations for the tables to avoid the loss of fine-grained syntactical and structural information. Then, a syntactical-to-structural aggregator is used to obtain the matching score between the question and a candidate table by mimicking the human retrieval process. Experimental results show that our method achieves the state-of-the-art on the NQ-tables dataset and overwhelms strong baselines on a newly curated open-domain Text-to-SQL dataset.

Spinal nerve segmentation method and dataset construction in endoscopic surgical scenarios

Endoscopic surgery is currently an important treatment method in the field of spinal surgery and avoiding damage to the spinal nerves through video guidance is a key challenge. This paper presents the first real-time segmentation method for spinal nerves in endoscopic surgery, which provides crucial navigational information for surgeons. A finely annotated segmentation dataset of approximately 10,000 consec-utive frames recorded during surgery is constructed for the first time for this field, addressing the problem of semantic segmentation. Based on this dataset, we propose FUnet (Frame-Unet), which achieves state-of-the-art performance by utilizing inter-frame information and self-attention mechanisms. We also conduct extended exper-iments on a similar polyp endoscopy video dataset and show that the model has good generalization ability with advantageous performance. The dataset and code of this work are presented at: https://github.com/zzzzzzpc/FUnet .