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Visual Question Answering (VQA) models aim to answer natural language questions about given images. Due to its ability to ask questions that differ from those used when training the model, medical VQA has received substantial attention in recent years. However, existing medical VQA models typically focus on answering questions that refer to an entire image rather than where the relevant content may be located in the image. Consequently, VQA models are limited in their interpretability power and the possibility to probe the model about specific image regions. This paper proposes a novel approach for medical VQA that addresses this limitation by developing a model that can answer questions about image regions while considering the context necessary to answer the questions. Our experimental results demonstrate the effectiveness of our proposed model, outperforming existing methods on three datasets. Our code and data are available at //github.com/sergiotasconmorales/locvqa.

Many anomaly detection approaches, especially deep learning methods, have been recently developed to identify abnormal image morphology by only employing normal images during training. Unfortunately, many prior anomaly detection methods were optimized for a specific "known" abnormality (e.g., brain tumor, bone fraction, cell types). Moreover, even though only the normal images were used in the training process, the abnormal images were oftenly employed during the validation process (e.g., epoch selection, hyper-parameter tuning), which might leak the supposed ``unknown" abnormality unintentionally. In this study, we investigated these two essential aspects regarding universal anomaly detection in medical images by (1) comparing various anomaly detection methods across four medical datasets, (2) investigating the inevitable but often neglected issues on how to unbiasedly select the optimal anomaly detection model during the validation phase using only normal images, and (3) proposing a simple decision-level ensemble method to leverage the advantage of different kinds of anomaly detection without knowing the abnormality. The results of our experiments indicate that none of the evaluated methods consistently achieved the best performance across all datasets. Our proposed method enhanced the robustness of performance in general (average AUC 0.956).

As LLMs become commonplace, machine-generated text has the potential to flood the internet with spam, social media bots, and valueless content. Watermarking is a simple and effective strategy for mitigating such harms by enabling the detection and documentation of LLM-generated text. Yet a crucial question remains: How reliable is watermarking in realistic settings in the wild? There, watermarked text may be modified to suit a user's needs, or entirely rewritten to avoid detection. We study the robustness of watermarked text after it is re-written by humans, paraphrased by a non-watermarked LLM, or mixed into a longer hand-written document. We find that watermarks remain detectable even after human and machine paraphrasing. While these attacks dilute the strength of the watermark, paraphrases are statistically likely to leak n-grams or even longer fragments of the original text, resulting in high-confidence detections when enough tokens are observed. For example, after strong human paraphrasing the watermark is detectable after observing 800 tokens on average, when setting a 1e-5 false positive rate. We also consider a range of new detection schemes that are sensitive to short spans of watermarked text embedded inside a large document, and we compare the robustness of watermarking to other kinds of detectors.

We focus on the task of approximating the optimal value function in deep reinforcement learning. This iterative process is comprised of approximately solving a sequence of optimization problems where the objective function can change per iteration. The common approach to solving the problem is to employ modern variants of the stochastic gradient descent algorithm such as Adam. These optimizers maintain their own internal parameters such as estimates of the first and the second moment of the gradient, and update these parameters over time. Therefore, information obtained in previous iterations is being used to solve the optimization problem in the current iteration. We hypothesize that this can contaminate the internal parameters of the employed optimizer in situations where the optimization landscape of the previous iterations is quite different from the current iteration. To hedge against this effect, a simple idea is to reset the internal parameters of the optimizer when starting a new iteration. We empirically investigate this resetting strategy by employing various optimizers in conjunction with the Rainbow algorithm. We demonstrate that this simple modification unleashes the true potential of modern optimizers, and significantly improves the performance of deep RL on the Atari benchmark.

Recent years have witnessed impressive results of pre-trained vision-language models on knowledge-intensive tasks such as visual question answering (VQA). Despite the recent advances in VQA, existing methods mainly adopt a discriminative formulation that predicts answers within a pre-defined label set, leading to easy overfitting on low-resource domains with limited labeled data (e.g., medicine) and poor generalization under domain shift to another dataset. To tackle this limitation, we propose a novel generative model enhanced by multimodal prompt retrieval (MPR) that integrates retrieved prompts and multimodal features to generate answers in free text. Our generative model enables rapid zero-shot dataset adaptation to unseen data distributions and open-set answer labels across datasets. Our experiments on medical VQA tasks show that MPR outperforms its non-retrieval counterpart by up to 30% accuracy points in a few-shot domain adaptation setting.

We investigate how to enhance answer precision in frequently asked questions posed by distributed users using cloud-based Large Language Models (LLMs). Our study focuses on a typical situations where users ask similar queries that involve identical mathematical reasoning steps and problem-solving procedures. Due to the unsatisfactory accuracy of LLMs' zero-shot prompting with standalone questions, we propose to improve the distributed synonymous questions using Self-Consistency (SC) and Chain-of-Thought (CoT) techniques. Specifically, we first retrieve synonymous questions from a crowd-sourced database and create a federated question pool. We call these federated synonymous questions with the same or different parameters SP-questions or DP-questions, respectively. We refer to our methods as Fed-SP-SC and Fed-DP-CoT, which can generate significantly more accurate answers for all user queries without requiring sophisticated model-tuning. Through extensive experiments, we demonstrate that our proposed methods can significantly enhance question accuracy by fully exploring the synonymous nature of the questions and the consistency of the answers.

Recent artificial intelligence (AI) systems have reached milestones in "grand challenges" ranging from Go to protein-folding. The capability to retrieve medical knowledge, reason over it, and answer medical questions comparably to physicians has long been viewed as one such grand challenge. Large language models (LLMs) have catalyzed significant progress in medical question answering; Med-PaLM was the first model to exceed a "passing" score in US Medical Licensing Examination (USMLE) style questions with a score of 67.2% on the MedQA dataset. However, this and other prior work suggested significant room for improvement, especially when models' answers were compared to clinicians' answers. Here we present Med-PaLM 2, which bridges these gaps by leveraging a combination of base LLM improvements (PaLM 2), medical domain finetuning, and prompting strategies including a novel ensemble refinement approach. Med-PaLM 2 scored up to 86.5% on the MedQA dataset, improving upon Med-PaLM by over 19% and setting a new state-of-the-art. We also observed performance approaching or exceeding state-of-the-art across MedMCQA, PubMedQA, and MMLU clinical topics datasets. We performed detailed human evaluations on long-form questions along multiple axes relevant to clinical applications. In pairwise comparative ranking of 1066 consumer medical questions, physicians preferred Med-PaLM 2 answers to those produced by physicians on eight of nine axes pertaining to clinical utility (p < 0.001). We also observed significant improvements compared to Med-PaLM on every evaluation axis (p < 0.001) on newly introduced datasets of 240 long-form "adversarial" questions to probe LLM limitations. While further studies are necessary to validate the efficacy of these models in real-world settings, these results highlight rapid progress towards physician-level performance in medical question answering.

In this paper, we tackle two challenges in multimodal learning for visual recognition: 1) when missing-modality occurs either during training or testing in real-world situations; and 2) when the computation resources are not available to finetune on heavy transformer models. To this end, we propose to utilize prompt learning and mitigate the above two challenges together. Specifically, our modality-missing-aware prompts can be plugged into multimodal transformers to handle general missing-modality cases, while only requiring less than 1% learnable parameters compared to training the entire model. We further explore the effect of different prompt configurations and analyze the robustness to missing modality. Extensive experiments are conducted to show the effectiveness of our prompt learning framework that improves the performance under various missing-modality cases, while alleviating the requirement of heavy model re-training. Code is available.

We propose UniViLM: a Unified Video and Language pre-training Model for multimodal understanding and generation. Motivated by the recent success of BERT based pre-training technique for NLP and image-language tasks, VideoBERT and CBT are proposed to exploit BERT model for video and language pre-training using narrated instructional videos. Different from their works which only pre-train understanding task, we propose a unified video-language pre-training model for both understanding and generation tasks. Our model comprises of 4 components including two single-modal encoders, a cross encoder and a decoder with the Transformer backbone. We first pre-train our model to learn the universal representation for both video and language on a large instructional video dataset. Then we fine-tune the model on two multimodal tasks including understanding task (text-based video retrieval) and generation task (multimodal video captioning). Our extensive experiments show that our method can improve the performance of both understanding and generation tasks and achieves the state-of-the art results.

Language model pre-training, such as BERT, has significantly improved the performances of many natural language processing tasks. However, pre-trained language models are usually computationally expensive and memory intensive, so it is difficult to effectively execute them on some resource-restricted devices. To accelerate inference and reduce model size while maintaining accuracy, we firstly propose a novel transformer distillation method that is a specially designed knowledge distillation (KD) method for transformer-based models. By leveraging this new KD method, the plenty of knowledge encoded in a large teacher BERT can be well transferred to a small student TinyBERT. Moreover, we introduce a new two-stage learning framework for TinyBERT, which performs transformer distillation at both the pre-training and task-specific learning stages. This framework ensures that TinyBERT can capture both the general-domain and task-specific knowledge of the teacher BERT. TinyBERT is empirically effective and achieves comparable results with BERT in GLUE datasets, while being 7.5x smaller and 9.4x faster on inference. TinyBERT is also significantly better than state-of-the-art baselines, even with only about 28% parameters and 31% inference time of baselines.