arXiv subjects

Guanghui Qin

Publications and source records attributed to Guanghui Qin.

At least 19 recordsLinked to original sources

arXiv2026

Scaling medical imaging report generation with multimodal reinforcement learning

Frontier models have demonstrated remarkable capabilities in understanding and reasoning with natural-language text, but they still exhibit major competency gaps in multimodal understanding and reasoning especially in high-value verticals such as biomedicine. Medical imaging report generation is a prominent example. Supervised fine-tuning can substantially improve performance, but they are prone to overfitting to superficial boilerplate patterns. In this paper, we introduce Universal Report Generation (UniRG) as a general framework for medical imaging report generation. By leveraging reinforcement learning as a unifying mechanism to directly optimize for evaluation metrics designed for end applications, UniRG can significantly improve upon supervised fine-tuning and attain durable generalization across diverse institutions and clinical practices. We trained UniRG-CXR on publicly available chest X-ray (CXR) data and conducted a thorough evaluation in CXR report generation with rigorous evaluation scenarios. On the authoritative ReXrank benchmark, UniRG-CXR sets new overall SOTA, outperforming prior state of the art by a wide margin. We release our model at https://huggingface.co/microsoft/UniRG-CXR.

cs.CV↗

arXiv2026

GigaPath-Flash and GigaTIME-Flash: Efficient Pathology Foundation Models for Whole-Slide and Tumor Microenvironment Analysis

Foundation models have emerged as a driving force in computational pathology, with the potential to transform cancer diagnosis, prognosis, and treatment selection by learning transferable representations from large-scale histopathology data. A growing landscape of pathology foundation models now spans diverse data sources, architectures, and downstream applications. However, most pretrained models operate only at the image-tile level, use restrictive licenses, and remain computationally expensive, limiting large-scale slide-level clinical and research use. Here, we introduce GigaPath-Flash and GigaTIME-Flash, efficient models for whole-slide pathology AI and spatial proteomics prediction. GigaPath-Flash combines a 22M-parameter ViT-S tile encoder with a 21M-parameter LongNet slide encoder, both pretrained on large-scale real-world histopathology data. Its compact tile encoder is distilled from the billion-parameter GigaPath (ViT-g) teacher and shared by both models. GigaPath-Flash retains 97% of GigaPath's average slide-level performance with 50x less compute. GigaTIME-Flash extends this backbone to predict the tumor immune microenvironment directly from routine H&E images. It surpasses the original CNN-based GigaTIME in prediction quality while running 6x faster and using 8x less GPU memory. Together with GigaPath and GigaTIME, these models form an open-weight, Apache-2.0-licensed family pretrained on large-scale real-world clinical data. By releasing all models and weights, we provide accessible building blocks for computational pathology, immuno-oncology, and precision health.

cs.CV↗

arXiv2026

HealthAgentBench: A Unified Benchmark Suite of Realistic Agentic Healthcare Environments for Challenging Frontier AI Agents

As AI agents become increasingly capable of complex, long-horizon reasoning, rigorous and holistic evaluation is essential for measuring progress toward real-world healthcare applications. We introduce HealthAgentBench, a suite of 54 agentic healthcare tasks across 7 categories each with its unique environment. The benchmark suite spans diverse workflows throughout the patient journey and a broad range of modalities. Each task is designed to replicate an end-to-end clinical workflow: given minimal instructions, an agent must explore raw healthcare data, operate within a complex environment, and execute multi-step solutions that go beyond naive prompting. A final task success rate is reported to provide a single, interpretable metric for HealthAgentBench overall performance for each agent. Evaluating frontier agents on HealthAgentBench, we find that overall task success rate remains low, underscoring the difficulty of the suite. The strongest and the most cost effective agent, Codex GPT-5.5, achieves only approximately 42% success rate. Beyond aggregate performance, HealthAgentBench reveals nuanced strengths and weaknesses across task categories. Frontier agents show promise in automatically developing research modeling pipelines over EHR data, but medical imaging remains especially challenging, particularly for Claude Code models, while Codex GPT-5.5 shows emerging capability. Tasks that combine large search spaces with compositional reasoning requirements remain difficult for all current agents. Together, these results suggest that HealthAgentBench provides a challenging and realistic benchmark with substantial room for future progress. We release our benchmark at https://github.com/microsoft/HealthAgentBench.

cs.AI↗

arXiv2025

The Illusion of Readiness in Health AI

Large language models have demonstrated remarkable performance in a wide range of medical benchmarks. Yet underneath the seemingly promising results lie salient growth areas, especially in cutting-edge frontiers such as multimodal reasoning. In this paper, we introduce a series of adversarial stress tests to systematically assess the robustness of flagship models and medical benchmarks. Our study reveals prevalent brittleness in the presence of simple adversarial transformations: leading systems can guess the right answer even with key inputs removed, yet may get confused by the slightest prompt alterations, while fabricating convincing yet flawed reasoning traces. Using clinician-guided rubrics, we demonstrate that popular medical benchmarks vary widely in what they truly measure. Our study reveals significant competency gaps of frontier AI in attaining real-world readiness for health applications. If we want AI to earn trust in healthcare, we must demand more than leaderboard wins and must hold AI systems accountable to ensure robustness, sound reasoning, and alignment with real medical demands.

cs.AI↗

arXiv2025

OctoMed: Data Recipes for State-of-the-Art Multimodal Medical Reasoning

High-quality and carefully curated data is a cornerstone of training medical large language models, as it directly impacts both generalization and robustness to unseen clinical tasks. We investigate strategies for training and data curation to develop a robust multimodal reasoning model in the medical domain. Our work focuses on supervised fine-tuning (SFT) and explores data recipes that leverage structured reasoning traces. Using our proposed data recipe, we scale experiments to a dataset of over 8 million examples and 6.8 billion response tokens, achieving state-of-the-art performance among open-source models across diverse out-of-distribution medical benchmark tasks. Our results further indicate that curating a high-quality, diverse training dataset with varying structured reasoning trace lengths enables the fine-tuned model to self-calibrate its reasoning trajectory lengths based on the downstream task, without explicit supervision. We present key insights, describe the data curation strategy, and outline next steps toward developing robust medical vision-language reasoning system.

cs.AI↗

arXiv2025

Be My Eyes: Extending Large Language Models to New Modalities Through Multi-Agent Collaboration

Large Language Models (LLMs) have demonstrated remarkable capabilities in challenging, knowledge-intensive reasoning tasks. However, extending LLMs to perceive and reason over a new modality (e.g., vision), often requires costly development of large-scale vision language models (VLMs) with LLMs as backbones. Smaller VLMs are more efficient and adaptable but often lack the broad knowledge and reasoning capabilities of frontier LLMs. In this work, we propose BeMyEyes, a modular, multi-agent framework for extending LLMs to multimodal reasoning by orchestrating collaboration between efficient, adaptable VLMs as perceivers and powerful LLMs as reasoners through conversations. We then introduce a data synthesis and supervised fine-tuning pipeline to train the perceiver agent to effectively collaborate with the reasoner agent. By combining the complementary strengths of perception and reasoning agents, BeMyEyes avoids the need for training large-scale multimodal models, preserves the generalization and reasoning capabilities of LLMs, and allows flexible extension to new domains and modalities. Experiments show that our framework unlocks the multimodal reasoning capabilities for LLMs, enabling a lightweight and fully open-source solution, i.e. equipping text-only DeepSeek-R1 with Qwen2.5-VL-7B perceiver, to outperform large-scale proprietary VLMs such as GPT-4o on a wide range of knowledge-intensive multimodal tasks. These results demonstrate the effectiveness, modularity, and scalability of our multi-agent approach for building future multimodal reasoning systems.

cs.CL↗

arXiv2025

Streaming Sequence Transduction through Dynamic Compression

We introduce STAR (Stream Transduction with Anchor Representations), a novel Transformer-based model designed for efficient sequence-to-sequence transduction over streams. STAR dynamically segments input streams to create compressed anchor representations, achieving nearly lossless compression (12x) in Automatic Speech Recognition (ASR) and outperforming existing methods. Moreover, STAR demonstrates superior segmentation and latency-quality trade-offs in simultaneous speech-to-text tasks, optimizing latency, memory footprint, and quality.

cs.CL↗

arXiv2025

X-Reasoner: Towards Generalizable Reasoning Across Modalities and Domains

Recent proprietary models (e.g., o3) have begun to demonstrate strong multimodal reasoning capabilities. Yet, most existing open-source research concentrates on training text-only reasoning models, with evaluations limited to mainly mathematical and general-domain tasks. Therefore, it remains unclear how to effectively extend reasoning capabilities beyond text input and general domains. This paper explores a fundamental research question: Is reasoning generalizable across modalities and domains? Our findings support an affirmative answer: General-domain text-based post-training can enable such strong generalizable reasoning. Leveraging this finding, we introduce X-Reasoner, a vision-language model post-trained solely on general-domain text for generalizable reasoning, using a two-stage approach: an initial supervised fine-tuning phase with distilled long chain-of-thoughts, followed by reinforcement learning with verifiable rewards. Experiments show that X-Reasoner successfully transfers reasoning capabilities to both multimodal and out-of-domain settings, outperforming existing state-of-the-art models trained with in-domain and multimodal data across various general and medical benchmarks (Figure 1). Additionally, we find that X-Reasoner's performance in specialized domains can be further enhanced through continued training on domain-specific text-only data. Building upon this, we introduce X-Reasoner-Med, a medical-specialized variant that achieves new state of the art on numerous text-only and multimodal medical benchmarks.

cs.AI↗

arXiv2025

KV-Distill: Nearly Lossless Learnable Context Compression for LLMs

Sequence-to-sequence tasks often benefit from long contexts, but the quadratic complexity of self-attention in standard Transformers renders this non-trivial. During generation, temporary representations -stored in the so-called KV cache-account for a large portion of GPU memory usage and scale linearly with context length. We introduce KV-Distill, a Transformer compression framework that distills long context KV caches into significantly shorter representations in a question-independent fashion. KV-Distill can be trained as a parameter-efficient adaptor for pretrained models, and enables the compression of arbitrary spans of a context while preserving pre-trained model capabilities. We treat a compressed-uncompressed cache as a student-teacher pairing and apply a KL-type divergence to match the generated outputs. KV-Distill outperforms other compression techniques in worst-case extractive tasks and approaches uncompressed performance in long context question answering and summarization, and it can be fine-tuned on domain-specific contexts to reduce lengths by up to 99% while preserving downstream performance. We demonstrate the generalizability of KV-Distill across various model sizes and architectures.

cs.CL↗

arXiv2025

Med-RLVR: Emerging Medical Reasoning from a 3B base model via reinforcement Learning

Reinforcement learning from verifiable rewards (RLVR) has recently gained attention for its ability to elicit self-evolved reasoning capabilitie from base language models without explicit reasoning supervisions, as demonstrated by DeepSeek-R1. While prior work on RLVR has primarily focused on mathematical and coding domains, its applicability to other tasks and domains remains unexplored. In this work, we investigate whether medical reasoning can emerge from RLVR. We introduce Med-RLVR as an initial study of RLVR in the medical domain leveraging medical multiple-choice question answering (MCQA) data as verifiable labels. Our results demonstrate that RLVR is not only effective for math and coding but also extends successfully to medical question answering. Notably, Med-RLVR achieves performance comparable to traditional supervised fine-tuning (SFT) on in-distribution tasks while significantly improving out-of-distribution generalization, with an 8-point accuracy gain. Further analysis of training dynamics reveals that, with no explicit reasoning supervision, reasoning emerges from the 3B-parameter base model. These findings underscore the potential of RLVR in domains beyond math and coding, opening new avenues for its application in knowledge-intensive fields such as medicine.

cs.CL↗

arXiv2024

CLERC: A Dataset for Legal Case Retrieval and Retrieval-Augmented Analysis Generation

Legal professionals need to write analyses that rely on citations to relevant precedents, i.e., previous case decisions. Intelligent systems assisting legal professionals in writing such documents provide great benefits but are challenging to design. Such systems need to help locate, summarize, and reason over salient precedents in order to be useful. To enable systems for such tasks, we work with legal professionals to transform a large open-source legal corpus into a dataset supporting two important backbone tasks: information retrieval (IR) and retrieval-augmented generation (RAG). This dataset CLERC (Case Law Evaluation Retrieval Corpus), is constructed for training and evaluating models on their ability to (1) find corresponding citations for a given piece of legal analysis and to (2) compile the text of these citations (as well as previous context) into a cogent analysis that supports a reasoning goal. We benchmark state-of-the-art models on CLERC, showing that current approaches still struggle: GPT-4o generates analyses with the highest ROUGE F-scores but hallucinates the most, while zero-shot IR models only achieve 48.3% recall@1000.

cs.CL↗

arXiv2024

Dodo: Dynamic Contextual Compression for Decoder-only LMs

Transformer-based language models (LMs) are inefficient in long contexts. We propose Dodo, a solution for context compression. Instead of one vector per token in a standard transformer model, Dodo represents text with a dynamic number of hidden states at each layer, reducing the cost of self-attention to a fraction of typical time and space. Moreover, off-the-shelf models such as LLaMA can be adapted to Dodo by efficient parameter tuning methods such as LoRA. In use, Dodo can act as either an autoregressive LM or a context compressor for downstream tasks. We demonstrate through experiments in language modeling, question answering, and summarization that Dodo retains capabilities in these tasks, while drastically reducing the overhead during decoding. For example, in the autoencoding task, Dodo shrinks context at a 20x compression ratio with a BLEU score of 98% for reconstruction, achieving nearly lossless encoding.

cs.CL↗

arXiv2024

Researchy Questions: A Dataset of Multi-Perspective, Decompositional Questions for LLM Web Agents

Existing question answering (QA) datasets are no longer challenging to most powerful Large Language Models (LLMs). Traditional QA benchmarks like TriviaQA, NaturalQuestions, ELI5 and HotpotQA mainly study ``known unknowns'' with clear indications of both what information is missing, and how to find it to answer the question. Hence, good performance on these benchmarks provides a false sense of security. A yet unmet need of the NLP community is a bank of non-factoid, multi-perspective questions involving a great deal of unclear information needs, i.e. ``unknown uknowns''. We claim we can find such questions in search engine logs, which is surprising because most question-intent queries are indeed factoid. We present Researchy Questions, a dataset of search engine queries tediously filtered to be non-factoid, ``decompositional'' and multi-perspective. We show that users spend a lot of ``effort'' on these questions in terms of signals like clicks and session length, and that they are also challenging for GPT-4. We also show that ``slow thinking'' answering techniques, like decomposition into sub-questions shows benefit over answering directly. We release $\sim$ 100k Researchy Questions, along with the Clueweb22 URLs that were clicked.

cs.CL↗

arXiv2023

Nugget: Neural Agglomerative Embeddings of Text

Embedding text sequences is a widespread requirement in modern language understanding. Existing approaches focus largely on constant-size representations. This is problematic, as the amount of information contained in text often varies with the length of the input. We propose a solution called Nugget, which encodes language into a representation based on a dynamically selected subset of input tokens. These nuggets are learned through tasks like autoencoding and machine translation, and intuitively segment language into meaningful units. We demonstrate Nugget outperforms related approaches in tasks involving semantic comparison. Finally, we illustrate these compact units allow for expanding the contextual window of a language model (LM), suggesting new future LMs that can condition on significantly larger amounts of content.

cs.CL↗

arXiv2023

The NLP Task Effectiveness of Long-Range Transformers

Transformer models cannot easily scale to long sequences due to their O(N^2) time and space complexity. This has led to Transformer variants seeking to lower computational complexity, such as Longformer and Performer. While such models have theoretically greater efficiency, their effectiveness on real NLP tasks has not been well studied. We benchmark 7 variants of Transformer models on 5 difficult NLP tasks and 7 datasets. We design experiments to isolate the effect of pretraining and hyperparameter settings, to focus on their capacity for long-range attention. Moreover, we present various methods to investigate attention behaviors to illuminate model details beyond metric scores. We find that the modified attention in long-range transformers has advantages on content selection and query-guided decoding, but they come with previously unrecognized drawbacks such as insufficient attention to distant tokens and accumulated approximation error.

cs.CL↗

arXiv2021

Everything Is All It Takes: A Multipronged Strategy for Zero-Shot Cross-Lingual Information Extraction

Zero-shot cross-lingual information extraction (IE) describes the construction of an IE model for some target language, given existing annotations exclusively in some other language, typically English. While the advance of pretrained multilingual encoders suggests an easy optimism of "train on English, run on any language", we find through a thorough exploration and extension of techniques that a combination of approaches, both new and old, leads to better performance than any one cross-lingual strategy in particular. We explore techniques including data projection and self-training, and how different pretrained encoders impact them. We use English-to-Arabic IE as our initial example, demonstrating strong performance in this setting for event extraction, named entity recognition, part-of-speech tagging, and dependency parsing. We then apply data projection and self-training to three tasks across eight target languages. Because no single set of techniques performs the best across all tasks, we encourage practitioners to explore various configurations of the techniques described in this work when seeking to improve on zero-shot training.

cs.CL↗

arXiv2021

Learning How to Ask: Querying LMs with Mixtures of Soft Prompts

Natural-language prompts have recently been used to coax pretrained language models into performing other AI tasks, using a fill-in-the-blank paradigm (Petroni et al., 2019) or a few-shot extrapolation paradigm (Brown et al., 2020). For example, language models retain factual knowledge from their training corpora that can be extracted by asking them to "fill in the blank" in a sentential prompt. However, where does this prompt come from? We explore the idea of learning prompts by gradient descent -- either fine-tuning prompts taken from previous work, or starting from random initialization. Our prompts consist of "soft words," i.e., continuous vectors that are not necessarily word type embeddings from the language model. Furthermore, for each task, we optimize a mixture of prompts, learning which prompts are most effective and how to ensemble them. Across multiple English LMs and tasks, our approach hugely outperforms previous methods, showing that the implicit factual knowledge in language models was previously underestimated. Moreover, this knowledge is cheap to elicit: random initialization is nearly as good as informed initialization.

cs.CL↗

arXiv2021

LOME: Large Ontology Multilingual Extraction

We present LOME, a system for performing multilingual information extraction. Given a text document as input, our core system identifies spans of textual entity and event mentions with a FrameNet (Baker et al., 1998) parser. It subsequently performs coreference resolution, fine-grained entity typing, and temporal relation prediction between events. By doing so, the system constructs an event and entity focused knowledge graph. We can further apply third-party modules for other types of annotation, like relation extraction. Our (multilingual) first-party modules either outperform or are competitive with the (monolingual) state-of-the-art. We achieve this through the use of multilingual encoders like XLM-R (Conneau et al., 2020) and leveraging multilingual training data. LOME is available as a Docker container on Docker Hub. In addition, a lightweight version of the system is accessible as a web demo.

cs.CL↗