A Multi-Stage Large Language Model Framework for Extracting Suicide-Related Social Determinants of Health

Background: Understanding social determinants of health (SDoH) factors contributing to suicide incidents is crucial for early intervention and prevention. However, data-driven approaches to this goal face challenges such as long-tailed factor distributions, analyzing pivotal stressors preceding suicide incidents, and limited model explainability. Methods: We present a multi-stage large language model framework to enhance SDoH factor extraction from unstructured text. Our approach was compared to other state-of-the-art language models (i.e., pre-trained BioBERT and GPT-3.5-turbo) and reasoning models (i.e., DeepSeek-R1). We also evaluated how the model's explanations help people annotate SDoH factors more quickly and accurately. The analysis included both automated comparisons and a pilot user study. Results: We show that our proposed framework demonstrated performance boosts in the overarching task of extracting SDoH factors and in the finer-grained tasks of retrieving relevant context. Additionally, we show that fine-tuning a smaller, task-specific model achieves comparable or better performance with reduced inference costs. The multi-stage design not only enhances extraction but also provides intermediate explanations, improving model explainability. Conclusions: Our approach improves both the accuracy and transparency of extracting suicide-related SDoH from unstructured texts. These advancements have the potential to support early identification of individuals at risk and inform more effective prevention strategies.

Enhanced Velocity Field Modeling for Gaussian Video Reconstruction

High-fidelity 3D video reconstruction is essential for enabling real-time rendering of dynamic scenes with realistic motion in virtual and augmented reality (VR/AR). The deformation field paradigm of 3D Gaussian splatting has achieved near-photorealistic results in video reconstruction due to the great representation capability of deep deformation networks. However, in videos with complex motion and significant scale variations, deformation networks often overfit to irregular Gaussian trajectories, leading to suboptimal visual quality. Moreover, the gradient-based densification strategy designed for static scene reconstruction proves inadequate to address the absence of dynamic content. In light of these challenges, we propose a flow-empowered velocity field modeling scheme tailored for Gaussian video reconstruction, dubbed FlowGaussian-VR. It consists of two core components: a velocity field rendering (VFR) pipeline which enables optical flow-based optimization, and a flow-assisted adaptive densification (FAD) strategy that adjusts the number and size of Gaussians in dynamic regions. We validate our model's effectiveness on multi-view dynamic reconstruction and novel view synthesis with multiple real-world datasets containing challenging motion scenarios, demonstrating not only notable visual improvements (over 2.5 dB gain in PSNR) and less blurry artifacts in dynamic textures, but also regularized and trackable per-Gaussian trajectories.

Learned Off-aperture Encoding for Wide Field-of-view RGBD Imaging

End-to-end (E2E) designed imaging systems integrate coded optical designs with decoding algorithms to enhance imaging fidelity for diverse visual tasks. However, existing E2E designs encounter significant challenges in maintaining high image fidelity at wide fields of view, due to high computational complexity, as well as difficulties in modeling off-axis wave propagation while accounting for off-axis aberrations. In particular, the common approach of placing the encoding element into the aperture or pupil plane results in only a global control of the wavefront. To overcome these limitations, this work explores an additional design choice by positioning a DOE off-aperture, enabling a spatial unmixing of the degrees of freedom and providing local control over the wavefront over the image plane. Our approach further leverages hybrid refractive-diffractive optical systems by linking differentiable ray and wave optics modeling, thereby optimizing depth imaging quality and demonstrating system versatility. Experimental results reveal that the off-aperture DOE enhances the imaging quality by over 5 dB in PSNR at a FoV of approximately $45^\circ$ when paired with a simple thin lens, outperforming traditional on-aperture systems. Furthermore, we successfully recover color and depth information at nearly $28^\circ$ FoV using off-aperture DOE configurations with compound optics. Physical prototypes for both applications validate the effectiveness and versatility of the proposed method.

CXR-LT 2024: A MICCAI challenge on long-tailed, multi-label, and zero-shot disease classification from chest X-ray

The CXR-LT series is a community-driven initiative designed to enhance lung disease classification using chest X-rays (CXR). It tackles challenges in open long-tailed lung disease classification and enhances the measurability of state-of-the-art techniques. The first event, CXR-LT 2023, aimed to achieve these goals by providing high-quality benchmark CXR data for model development and conducting comprehensive evaluations to identify ongoing issues impacting lung disease classification performance. Building on the success of CXR-LT 2023, the CXR-LT 2024 expands the dataset to 377,110 chest X-rays (CXRs) and 45 disease labels, including 19 new rare disease findings. It also introduces a new focus on zero-shot learning to address limitations identified in the previous event. Specifically, CXR-LT 2024 features three tasks: (i) long-tailed classification on a large, noisy test set, (ii) long-tailed classification on a manually annotated "gold standard" subset, and (iii) zero-shot generalization to five previously unseen disease findings. This paper provides an overview of CXR-LT 2024, detailing the data curation process and consolidating state-of-the-art solutions, including the use of multimodal models for rare disease detection, advanced generative approaches to handle noisy labels, and zero-shot learning strategies for unseen diseases. Additionally, the expanded dataset enhances disease coverage to better represent real-world clinical settings, offering a valuable resource for future research. By synthesizing the insights and innovations of participating teams, we aim to advance the development of clinically realistic and generalizable diagnostic models for chest radiography.

Improving Multilingual Speech Models on ML-SUPERB 2.0: Fine-tuning with Data Augmentation and LID-Aware CTC

Multilingual speech processing with self-supervised or supervised pre-trained Speech Foundation Models (SFM) has achieved strong performance on tasks like Language Identification (LID) and Automatic Speech Recognition (ASR). However, these models struggle with limited resources during fine-tuning. This paper enhances multilingual LID and ASR on ML-SUPERB 2.0 by exploring multiple strategies for adapting SFMs, including frozen upstream training, partial fine-tuning, and low-rank adaptation. Furthermore, we employ data augmentation to mitigate performance gaps in few-shot settings and introduce LID Connectionist Temporal Classification (CTC) loss for regularization. Our approach achieves a 14% relative improvement in LID accuracy and a 30% relative reduction in ASR CER over the baseline on ML-SUPERB 2.0, securing second place in the Interspeech 2025 ML-SUPERB 2.0 Challenge.

Optimization-Free Diffusion Model -- A Perturbation Theory Approach

Diffusion models have emerged as a powerful framework in generative modeling, typically relying on optimizing neural networks to estimate the score function via forward SDE simulations. In this work, we propose an alternative method that is both optimization-free and forward SDE-free. By expanding the score function in a sparse set of eigenbasis of the backward Kolmogorov operator associated with the diffusion process, we reformulate score estimation as the solution to a linear system, avoiding iterative optimization and time-dependent sample generation. We analyze the approximation error using perturbation theory and demonstrate the effectiveness of our method on high-dimensional Boltzmann distributions and real-world datasets.

Natural Language Processing in Support of Evidence-based Medicine: A Scoping Review

Evidence-based medicine (EBM) is at the forefront of modern healthcare, emphasizing the use of the best available scientific evidence to guide clinical decisions. Due to the sheer volume and rapid growth of medical literature and the high cost of curation, there is a critical need to investigate Natural Language Processing (NLP) methods to identify, appraise, synthesize, summarize, and disseminate evidence in EBM. This survey presents an in-depth review of 129 research studies on leveraging NLP for EBM, illustrating its pivotal role in enhancing clinical decision-making processes. The paper systematically explores how NLP supports the five fundamental steps of EBM -- Ask, Acquire, Appraise, Apply, and Assess. The review not only identifies current limitations within the field but also proposes directions for future research, emphasizing the potential for NLP to revolutionize EBM by refining evidence extraction, evidence synthesis, appraisal, summarization, enhancing data comprehensibility, and facilitating a more efficient clinical workflow.

Seeing Far and Clearly: Mitigating Hallucinations in MLLMs with Attention Causal Decoding

Recent advancements in multimodal large language models (MLLMs) have significantly improved performance in visual question answering. However, they often suffer from hallucinations. In this work, hallucinations are categorized into two main types: initial hallucinations and snowball hallucinations. We argue that adequate contextual information can be extracted directly from the token interaction process. Inspired by causal inference in the decoding strategy, we propose to leverage causal masks to establish information propagation between multimodal tokens. The hypothesis is that insufficient interaction between those tokens may lead the model to rely on outlier tokens, overlooking dense and rich contextual cues. Therefore, we propose to intervene in the propagation process by tackling outlier tokens to enhance in-context inference. With this goal, we present FarSight, a versatile plug-and-play decoding strategy to reduce attention interference from outlier tokens merely by optimizing the causal mask. The heart of our method is effective token propagation. We design an attention register structure within the upper triangular matrix of the causal mask, dynamically allocating attention to capture attention diverted to outlier tokens. Moreover, a positional awareness encoding method with a diminishing masking rate is proposed, allowing the model to attend to further preceding tokens, especially for video sequence tasks. With extensive experiments, FarSight demonstrates significant hallucination-mitigating performance across different MLLMs on both image and video benchmarks, proving its effectiveness.

Granary: Speech Recognition and Translation Dataset in 25 European Languages

Multi-task and multilingual approaches benefit large models, yet speech processing for low-resource languages remains underexplored due to data scarcity. To address this, we present Granary, a large-scale collection of speech datasets for recognition and translation across 25 European languages. This is the first open-source effort at this scale for both transcription and translation. We enhance data quality using a pseudo-labeling pipeline with segmentation, two-pass inference, hallucination filtering, and punctuation restoration. We further generate translation pairs from pseudo-labeled transcriptions using EuroLLM, followed by a data filtration pipeline. Designed for efficiency, our pipeline processes vast amount of data within hours. We assess models trained on processed data by comparing their performance on previously curated datasets for both high- and low-resource languages. Our findings show that these models achieve similar performance using approx. 50% less data. Dataset will be made available at https://hf.co/datasets/nvidia/Granary

Machine Learning Applications Related to Suicide in Military and Veterans: A Scoping Literature Review

Suicide remains one of the main preventable causes of death among active service members and veterans. Early detection and prediction are crucial in suicide prevention. Machine learning techniques have yielded promising results in this area recently. This study aims to assess and summarize current research and provides a comprehensive review regarding the application of machine learning techniques in assessing and predicting suicidal ideation, attempts, and mortality among members of military and veteran populations. A keyword search using PubMed, IEEE, ACM, and Google Scholar was conducted, and the PRISMA protocol was adopted for relevant study selection. Thirty-two articles met the inclusion criteria. These studies consistently identified risk factors relevant to mental health issues such as depression, post-traumatic stress disorder (PTSD), suicidal ideation, prior attempts, physical health problems, and demographic characteristics. Machine learning models applied in this area have demonstrated reasonable predictive accuracy. However, additional research gaps still exist. First, many studies have overlooked metrics that distinguish between false positives and negatives, such as positive predictive value and negative predictive value, which are crucial in the context of suicide prevention policies. Second, more dedicated approaches to handling survival and longitudinal data should be explored. Lastly, most studies focused on machine learning methods, with limited discussion of their connection to clinical rationales. In summary, machine learning analyses have identified a wide range of risk factors associated with suicide in military populations. The diversity and complexity of these factors also demonstrates that effective prevention strategies must be comprehensive and flexible.