Reasoning-Enhanced Healthcare Predictions with Knowledge Graph Community Retrieval

Large language models (LLMs) have demonstrated significant potential in clinical decision support. Yet LLMs still suffer from hallucinations and lack fine-grained contextual medical knowledge, limiting their high-stake healthcare applications such as clinical diagnosis. Traditional retrieval-augmented generation (RAG) methods attempt to address these limitations but frequently retrieve sparse or irrelevant information, undermining prediction accuracy. We introduce KARE, a novel framework that integrates knowledge graph (KG) community-level retrieval with LLM reasoning to enhance healthcare predictions. KARE constructs a comprehensive multi-source KG by integrating biomedical databases, clinical literature, and LLM-generated insights, and organizes it using hierarchical graph community detection and summarization for precise and contextually relevant information retrieval. Our key innovations include: (1) a dense medical knowledge structuring approach enabling accurate retrieval of relevant information; (2) a dynamic knowledge retrieval mechanism that enriches patient contexts with focused, multi-faceted medical insights; and (3) a reasoning-enhanced prediction framework that leverages these enriched contexts to produce both accurate and interpretable clinical predictions. Extensive experiments demonstrate that KARE outperforms leading models by up to 10.8-15.0% on MIMIC-III and 12.6-12.7% on MIMIC-IV for mortality and readmission predictions. In addition to its impressive prediction accuracy, our framework leverages the reasoning capabilities of LLMs, enhancing the trustworthiness of clinical predictions.

BIPEFT: Budget-Guided Iterative Search for Parameter Efficient Fine-Tuning of Large Pretrained Language Models

Parameter Efficient Fine-Tuning (PEFT) offers an efficient solution for fine-tuning large pretrained language models for downstream tasks. However, most PEFT strategies are manually designed, often resulting in suboptimal performance. Recent automatic PEFT approaches aim to address this but face challenges such as search space entanglement, inefficiency, and lack of integration between parameter budgets and search processes. To overcome these issues, we introduce a novel Budget-guided Iterative search strategy for automatic PEFT (BIPEFT), significantly enhancing search efficiency. BIPEFT employs a new iterative search strategy to disentangle the binary module and rank dimension search spaces. Additionally, we design early selection strategies based on parameter budgets, accelerating the learning process by gradually removing unimportant modules and fixing rank dimensions. Extensive experiments on public benchmarks demonstrate the superior performance of BIPEFT in achieving efficient and effective PEFT for downstream tasks with a low parameter budget.

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.

KG-FIT: Knowledge Graph Fine-Tuning Upon Open-World Knowledge

Knowledge Graph Embedding (KGE) techniques are crucial in learning compact representations of entities and relations within a knowledge graph, facilitating efficient reasoning and knowledge discovery. While existing methods typically focus either on training KGE models solely based on graph structure or fine-tuning pre-trained language models with classification data in KG, KG-FIT leverages LLM-guided refinement to construct a semantically coherent hierarchical structure of entity clusters. By incorporating this hierarchical knowledge along with textual information during the fine-tuning process, KG-FIT effectively captures both global semantics from the LLM and local semantics from the KG. Extensive experiments on the benchmark datasets FB15K-237, YAGO3-10, and PrimeKG demonstrate the superiority of KG-FIT over state-of-the-art pre-trained language model-based methods, achieving improvements of 14.4%, 13.5%, and 11.9% in the Hits@10 metric for the link prediction task, respectively. Furthermore, KG-FIT yields substantial performance gains of 12.6%, 6.7%, and 17.7% compared to the structure-based base models upon which it is built. These results highlight the effectiveness of KG-FIT in incorporating open-world knowledge from LLMs to significantly enhance the expressiveness and informativeness of KG embeddings.

TriSum: Learning Summarization Ability from Large Language Models with Structured Rationale

The advent of large language models (LLMs) has significantly advanced natural language processing tasks like text summarization. However, their large size and computational demands, coupled with privacy concerns in data transmission, limit their use in resource-constrained and privacy-centric settings. To overcome this, we introduce TriSum, a framework for distilling LLMs' text summarization abilities into a compact, local model. Initially, LLMs extract a set of aspect-triple rationales and summaries, which are refined using a dual-scoring method for quality. Next, a smaller local model is trained with these tasks, employing a curriculum learning strategy that evolves from simple to complex tasks. Our method enhances local model performance on various benchmarks (CNN/DailyMail, XSum, and ClinicalTrial), outperforming baselines by 4.5%, 8.5%, and 7.4%, respectively. It also improves interpretability by providing insights into the summarization rationale.

Bifurcated Attention for Single-Context Large-Batch Sampling

In our study, we present bifurcated attention, a method developed for language model inference in single-context batch sampling contexts. This approach aims to reduce redundant memory IO costs, a significant factor in latency for high batch sizes and long context lengths. Bifurcated attention achieves this by dividing the attention mechanism during incremental decoding into two distinct GEMM operations, focusing on the KV cache from prefill and the decoding process. This method ensures precise computation and maintains the usual computational load (FLOPs) of standard attention mechanisms, but with reduced memory IO. Bifurcated attention is also compatible with multi-query attention mechanism known for reduced memory IO for KV cache, further enabling higher batch size and context length. The resulting efficiency leads to lower latency, improving suitability for real-time applications, e.g., enabling massively-parallel answer generation without substantially increasing latency, enhancing performance when integrated with postprocessing techniques such as reranking.

SonoSAMTrack -- Segment and Track Anything on Ultrasound Images

In this paper, we present SonoSAM - a promptable foundational model for segmenting objects of interest on ultrasound images, followed by state of the art tracking model to perform segmentations on 2D+t and 3D ultrasound datasets. Fine-tuned exclusively on a rich, diverse set of objects from $\approx200$k ultrasound image-mask pairs, SonoSAM demonstrates state-of-the-art performance on $8$ unseen ultrasound data-sets, outperforming competing methods by a significant margin on all metrics of interest. SonoSAM achieves average dice similarity score of $>90\%$ on almost all test data-sets within 2-6 clicks on an average, making it a valuable tool for annotating ultrasound images. We also extend SonoSAM to 3-D (2-D +t) applications and demonstrate superior performance making it a valuable tool for generating dense annotations from ultrasound cine-loops. Further, to increase practical utility of SonoSAM, we propose a two-step process of fine-tuning followed by knowledge distillation to a smaller footprint model without comprising the performance. We present detailed qualitative and quantitative comparisons of SonoSAM with state-of-the-art methods showcasing efficacy of SonoSAM as one of the first reliable, generic foundational model for ultrasound.

One-shot Localization and Segmentation of Medical Images with Foundation Models

Recent advances in Vision Transformers (ViT) and Stable Diffusion (SD) models with their ability to capture rich semantic features of the image have been used for image correspondence tasks on natural images. In this paper, we examine the ability of a variety of pre-trained ViT (DINO, DINOv2, SAM, CLIP) and SD models, trained exclusively on natural images, for solving the correspondence problems on medical images. While many works have made a case for in-domain training, we show that the models trained on natural images can offer good performance on medical images across different modalities (CT,MR,Ultrasound) sourced from various manufacturers, over multiple anatomical regions (brain, thorax, abdomen, extremities), and on wide variety of tasks. Further, we leverage the correspondence with respect to a template image to prompt a Segment Anything (SAM) model to arrive at single shot segmentation, achieving dice range of 62%-90% across tasks, using just one image as reference. We also show that our single-shot method outperforms the recently proposed few-shot segmentation method - UniverSeg (Dice range 47%-80%) on most of the semantic segmentation tasks(six out of seven) across medical imaging modalities.

CrossCodeEval: A Diverse and Multilingual Benchmark for Cross-File Code Completion

Code completion models have made significant progress in recent years, yet current popular evaluation datasets, such as HumanEval and MBPP, predominantly focus on code completion tasks within a single file. This over-simplified setting falls short of representing the real-world software development scenario where repositories span multiple files with numerous cross-file dependencies, and accessing and understanding cross-file context is often required to complete the code correctly. To fill in this gap, we propose CrossCodeEval, a diverse and multilingual code completion benchmark that necessitates an in-depth cross-file contextual understanding to complete the code accurately. CrossCodeEval is built on a diverse set of real-world, open-sourced, permissively-licensed repositories in four popular programming languages: Python, Java, TypeScript, and C#. To create examples that strictly require cross-file context for accurate completion, we propose a straightforward yet efficient static-analysis-based approach to pinpoint the use of cross-file context within the current file. Extensive experiments on state-of-the-art code language models like CodeGen and StarCoder demonstrate that CrossCodeEval is extremely challenging when the relevant cross-file context is absent, and we see clear improvements when adding these context into the prompt. However, despite such improvements, the pinnacle of performance remains notably unattained even with the highest-performing model, indicating that CrossCodeEval is also capable of assessing model's capability in leveraging extensive context to make better code completion. Finally, we benchmarked various methods in retrieving cross-file context, and show that CrossCodeEval can also be used to measure the capability of code retrievers.

Exploring Continual Learning for Code Generation Models

Large-scale code generation models such as Codex and CodeT5 have achieved impressive performance. However, libraries are upgraded or deprecated very frequently and re-training large-scale language models is computationally expensive. Therefore, Continual Learning (CL) is an important aspect that remains underexplored in the code domain. In this paper, we introduce a benchmark called CodeTask-CL that covers a wide range of tasks, including code generation, translation, summarization, and refinement, with different input and output programming languages. Next, on our CodeTask-CL benchmark, we compare popular CL techniques from NLP and Vision domains. We find that effective methods like Prompt Pooling (PP) suffer from catastrophic forgetting due to the unstable training of the prompt selection mechanism caused by stark distribution shifts in coding tasks. We address this issue with our proposed method, Prompt Pooling with Teacher Forcing (PP-TF), that stabilizes training by enforcing constraints on the prompt selection mechanism and leads to a 21.54% improvement over Prompt Pooling. Along with the benchmark, we establish a training pipeline that can be used for CL on code models, which we believe can motivate further development of CL methods for code models. Our code is available at https://github.com/amazon-science/codetaskcl-pptf