arXiv subjects

Irene Li

Publications and source records attributed to Irene Li.

At least 19 recordsLinked to original sources

arXiv2026

HealMed: Multilingual Evaluation of Large Language Models in Medicine

We present HealMed, an expert-reviewed benchmark for multilingual evaluation of large language models in medicine. HealMed contains 1,000 examples in each of nine languages, drawn from nine datasets and covering three task formats: MCQA, NLI and open-ended QA. The benchmark was developed over two years by 23 physicians and medical experts based across nine countries and regions. Each translation was evaluated and revised by two experts fluent in English and the corresponding target language. On HealMed, performance declined most in low-resource languages, although the size of the gap varied markedly across languages and models. The strongest proprietary models were the most stable across languages, whereas many open-source and medically specialized models showed larger and less consistent gaps. Medical specialization alone did not ensure multilingual robustness. Furthermore, expert revision could either raise or lower measured performance, indicating that translation quality materially affects cross-language evaluation results.

cs.CL↗

arXiv2026

Deep Label-Wise Attentive Temporal Convolutional Networks Improve Medical Coding

Medical coding is the task of assigning a set of diagnosis and procedure codes for a hospitalization using recorded notes. It requires aggregating information from different parts of the text and focus to different sections for each individual code, making it a very difficult problem even for professional human coders. We model the task as a multi-label text classification problem. To overcome the mentioned difficulties, we propose a deep neural model consisting of a multi-layer temporal convolution network (TCN) followed by label-wise attention. While multi-layer TCN helps extract a global document representation with the ability to learn relations over very long sequences, label-specific attention mechanism allows the model to focus on different aspects of the same document for each individual label. Our method achieves significantly better F-1 scores (9% increase) compared to the previous state-of-the-art model, with a remarkable increase in recall score (28% increase), which we believe is the more important metric for a clinical decision support setting.

cs.CL↗

arXiv2026

SMC-ITA: Sequential Monte Carlo Inference-Time Alignment for Video-to-Audio Generation

Video-to-audio (V2A) generation must jointly satisfy audiovisual alignment, semantic consistency, temporal synchronization, and perceptual quality. While prior work has mainly focused on model architecture, multimodal conditioning, and training objectives, inference-time alignment for V2A remains underexplored. In this paper, we study inference-time alignment for flow-matching-based V2A generation and formulate it as a search problem. We propose Sequential Monte Carlo Inference-Time Alignment (SMC-ITA), which combines lookahead-based reward estimation and sequential Monte Carlo resampling to reallocate computation adaptively using multi-dimensional cross-modal rewards. SMC-ITA improves over naive single-trajectory sampling, achieving a 55.67% relative reduction in DeSync, a 20.23% improvement in IB-score, and a 15.44% improvement in Audio Quality. Under matched NFE budgets, it also achieves the best overall trade-off among the compared search baselines, outperforming Best-of-N and Beam Search. Ablation studies further show that lookahead improves the reliability of intermediate reward estimates and that systematic resampling is a strong practical default for V2A inference-time alignment.

eess.AS↗

arXiv2026

JMed48k: A Multi-Profession Japanese Medical Licensing Benchmark for Vision-Language Model Evaluation

We introduce JMed48k, a multi-profession Japanese healthcare licensing benchmark for evaluating vision-language models. Built from official PDF materials released by the Japanese Ministry of Health, Labour and Welfare, JMed48k contains 48,862 exam questions and 20,142 images from 11 national licensing examinations between 2005 and 2025, with visual content annotated under an 8-type taxonomy. From this corpus, we derive JMed48k-Eval, a recent five-year evaluation subset with 12,484 scored questions, including 9,905 text-only questions and 2,579 questions with images. We evaluate 21 proprietary, open-source, and medical-specific models, reporting text-only and with-image performance separately. Because these subsets contain different questions, we further introduce a paired image-removal audit that evaluates questions with images before and after removing visual content to explore four answer-transition states. The audit shows that proprietary and open source models gain substantially from images, whereas medical-specific systems show limited observable use of visual evidence, with many correct answers persisting after image removal. Even among proprietary models, the net image-removal effect varies sevenfold across professions, from +5.7 points on Physician questions to +39.8 points on Public Health Nurse questions. We release JMed48k to support reproducible, profession-stratified evaluation of vision-language models in medical licensing settings.

cs.CV↗

arXiv2026

Omanic: Towards Step-wise Evaluation of Multi-hop Reasoning in Large Language Models

Evaluating the reasoning abilities of large language models (LLMs) solely from final answers can obscure failures in intermediate steps, especially in multi-hop QA benchmarks without step-level annotations. To address this gap, we introduce Omanic, an open-domain 4-hop QA benchmark designed not only to measure final-answer accuracy but also to diagnose where reasoning breaks down. Omanic contains 10,296 machine-generated training examples (OmanicSynth) and 967 expert-reviewed human-annotated evaluation examples (OmanicBench), with each evaluation question decomposed into single-hop sub-questions, intermediate answers, and structured graph topologies. Experiments with proprietary and open-source LLMs show that Omanic is challenging, while step-wise analysis reveals a later-hop bottleneck, factual knowledge floor, and error propagation along reasoning chains. Fine-tuning on OmanicSynth transfers to six reasoning and mathematics benchmarks, yielding a 7.41-point average gain and validating its effectiveness as supervision for reasoning-capability transfer. We release the data at https://huggingface.co/datasets/li-lab/Omanic and the code at https://github.com/XiaojieGu/Omanic.

cs.CL↗

arXiv2026

Med-CoReasoner: Reducing Language Disparities in Medical Reasoning via Language-Informed Co-Reasoning

While reasoning-enhanced large language models perform strongly on English medical tasks, a persistent multilingual gap remains, with substantially weaker reasoning in local languages, limiting equitable global medical deployment. To bridge this gap, we introduce Med-CoReasoner, a language-informed co-reasoning framework that elicits parallel English and local-language reasoning, abstracts them into structured concepts, and integrates local clinical knowledge into an English logical scaffold via concept-level alignment and retrieval. This design combines the structural robustness of English reasoning with the practice-grounded expertise encoded in local languages. To evaluate multilingual medical reasoning beyond multiple-choice settings, we construct MultiMed-X, a benchmark covering seven languages with expert-annotated long-form question answering and natural language inference tasks, comprising 350 instances per language. Experiments across three benchmarks show that Med-CoReasoner improves multilingual reasoning performance by an average of 5%, with particularly substantial gains in low-resource languages. Moreover, model distillation and expert evaluation analysis further confirm that Med-CoReasoner produces clinically sound and culturally grounded reasoning traces.

cs.CL↗

arXiv2026

From Chains to Graphs: Self-Structured Reasoning for General-Domain LLMs

Large Language Models (LLMs) show strong reasoning ability in open-domain question answering, yet their reasoning processes are typically linear and often logically inconsistent. In contrast, real-world reasoning requires integrating multiple premises and solving subproblems in parallel. Existing methods, such as Chain-of-Thought (CoT), express reasoning in a linear textual form, which may appear coherent but frequently leads to inconsistent conclusions. Recent approaches rely on externally provided graphs and do not explore how LLMs can construct and use their own graph-structured reasoning, particularly in open-domain QA. To fill this gap, we novelly explore graph-structured reasoning of LLMs in general-domain question answering. We propose Self-Graph Reasoning (SGR), a framework that enables LLMs to explicitly represent their reasoning process as a structured graph before producing the final answer. We further construct a graph-structured reasoning dataset that merges multiple candidate reasoning graphs into refined graph structures for model training. Experiments on five QA benchmarks across both general and specialized domains show that SGR consistently improves reasoning consistency and yields a 17.74% gain over the base model. The LLaMA-3.3-70B model fine-tuned with SGR performs comparably to GPT-4o and surpasses Claude-3.5-Haiku, demonstrating the effectiveness of graph-structured reasoning.

cs.CL↗

arXiv2026

Toward Global Large Language Models in Medicine

Despite continuous advances in medical technology, the global distribution of health care resources remains uneven. The development of large language models (LLMs) has transformed the landscape of medicine and holds promise for improving health care quality and expanding access to medical information globally. However, existing LLMs are primarily trained on high-resource languages, limiting their applicability in global medical scenarios. To address this gap, we constructed GlobMed, a large multilingual medical dataset, containing over 500,000 entries spanning 12 languages, including four low-resource languages. Building on this, we established GlobMed-Bench, which systematically assesses 56 state-of-the-art proprietary and open-weight LLMs across multiple multilingual medical tasks, revealing significant performance disparities across languages, particularly for low-resource languages. Additionally, we introduced GlobMed-LLMs, a suite of multilingual medical LLMs trained on GlobMed, with parameters ranging from 1.7B to 8B. GlobMed-LLMs achieved an average performance improvement of over 40% relative to baseline models, with a more than threefold increase in performance on low-resource languages. Together, these resources provide an important foundation for advancing the equitable development and application of LLMs globally, enabling broader language communities to benefit from technological advances.

cs.CL↗

arXiv2026

Investigating the Multilingual Calibration Effects of Language Model Instruction-Tuning

Ensuring that deep learning models are well-calibrated in terms of their predictive uncertainty is essential in maintaining their trustworthiness and reliability, yet despite increasing advances in foundation model research, the relationship between such large language models (LLMs) and their calibration remains an open area of research. In this work, we look at a critical gap in the calibration of LLMs within multilingual settings, in an attempt to better understand how the data scarcity can potentially lead to different calibration effects and how commonly used techniques can apply in these settings. Our analysis on two multilingual benchmarks, over 29 and 42 languages respectively, reveals that even in low-resource languages, model confidence can increase significantly after instruction-tuning on high-resource language SFT datasets. However, improvements in accuracy are marginal or non-existent, resulting in mis-calibration, highlighting a critical shortcoming of standard SFT for multilingual languages. Furthermore, we observe that the use of label smoothing to be a reasonable method alleviate this concern, again without any need for low-resource SFT data, maintaining better calibration across all languages. Overall, this highlights the importance of multilingual considerations for both training and tuning LLMs in order to improve their reliability and fairness in downstream use.

cs.CL↗

arXiv2025

TeamPath: Building MultiModal Pathology Experts with Reasoning AI Copilots

Advances in AI have introduced several strong models in computational pathology to usher it into the era of multi-modal diagnosis, analysis, and interpretation. However, the current pathology-specific visual language models still lack capacities in making the diagnosis with rigorous reasoning paths as well as handling divergent tasks, and thus, challenges of building AI Copilots for real scenarios still exist. Here we introduce TeamPath, an AI system powered by reinforcement learning and router-enhanced solutions based on large-scale histopathology multimodal datasets, to work as a virtual assistant for expert-level disease diagnosis, patch-level information summarization, and cross-modality generation to integrate transcriptomic information for clinical usage. We also collaborate with pathologists from Yale School of Medicine to demonstrate that TeamPath can assist them in working more efficiently by identifying and correcting expert conclusions and reasoning paths. We also discuss the human evaluation results to support the reasoning quality from TeamPath. Overall, TeamPath can flexibly choose the best settings according to the needs, and serve as an innovative and reliable system for information communication across different modalities and experts.

q-bio.QM↗

arXiv2025

MEML-GRPO: Heterogeneous Multi-Expert Mutual Learning for RLVR Advancement

Recent advances demonstrate that reinforcement learning with verifiable rewards (RLVR) significantly enhances the reasoning capabilities of large language models (LLMs). However, standard RLVR faces challenges with reward sparsity, where zero rewards from consistently incorrect candidate answers provide no learning signal, particularly in challenging tasks. To address this, we propose Multi-Expert Mutual Learning GRPO (MEML-GRPO), an innovative framework that utilizes diverse expert prompts as system prompts to generate a broader range of responses, substantially increasing the likelihood of identifying correct solutions. Additionally, we introduce an inter-expert mutual learning mechanism that facilitates knowledge sharing and transfer among experts, further boosting the model's performance through RLVR. Extensive experiments across multiple reasoning benchmarks show that MEML-GRPO delivers significant improvements, achieving an average performance gain of 4.89% with Qwen and 11.33% with Llama, effectively overcoming the core limitations of traditional RLVR methods.

cs.AI↗

arXiv2025

AGENTiGraph: A Multi-Agent Knowledge Graph Framework for Interactive, Domain-Specific LLM Chatbots

AGENTiGraph is a user-friendly, agent-driven system that enables intuitive interaction and management of domain-specific data through the manipulation of knowledge graphs in natural language. It gives non-technical users a complete, visual solution to incrementally build and refine their knowledge bases, allowing multi-round dialogues and dynamic updates without specialized query languages. The flexible design of AGENTiGraph, including intent classification, task planning, and automatic knowledge integration, ensures seamless reasoning between diverse tasks. Evaluated on a 3,500-query benchmark within an educational scenario, the system outperforms strong zero-shot baselines (achieving 95.12% classification accuracy, 90.45% execution success), indicating potential scalability to compliance-critical or multi-step queries in legal and medical domains, e.g., incorporating new statutes or research on the fly. Our open-source demo offers a powerful new paradigm for multi-turn enterprise knowledge management that bridges LLMs and structured graphs.

cs.AI↗

arXiv2025

Benchmarking Foundation Models with Multimodal Public Electronic Health Records

Foundation models have emerged as a powerful approach for processing electronic health records (EHRs), offering flexibility to handle diverse medical data modalities. In this study, we present a comprehensive benchmark that evaluates the performance, fairness, and interpretability of foundation models, both as unimodal encoders and as multimodal learners, using the publicly available MIMIC-IV database. To support consistent and reproducible evaluation, we developed a standardized data processing pipeline that harmonizes heterogeneous clinical records into an analysis-ready format. We systematically compared eight foundation models, encompassing both unimodal and multimodal models, as well as domain-specific and general-purpose variants. Our findings demonstrate that incorporating multiple data modalities leads to consistent improvements in predictive performance without introducing additional bias. Through this benchmark, we aim to support the development of effective and trustworthy multimodal artificial intelligence (AI) systems for real-world clinical applications. Our code is available at https://github.com/nliulab/MIMIC-Multimodal.

cs.LG↗

arXiv2025

The Evolving Landscape of Generative Large Language Models and Traditional Natural Language Processing in Medicine

Natural language processing (NLP) has been traditionally applied to medicine, and generative large language models (LLMs) have become prominent recently. However, the differences between them across different medical tasks remain underexplored. We analyzed 19,123 studies, finding that generative LLMs demonstrate advantages in open-ended tasks, while traditional NLP dominates in information extraction and analysis tasks. As these technologies advance, ethical use of them is essential to ensure their potential in medical applications.

cs.CL↗

arXiv2025

HealthGenie: Empowering Users with Healthy Dietary Guidance through Knowledge Graph and Large Language Models

Seeking dietary guidance often requires navigating complex professional knowledge while accommodating individual health conditions. Knowledge Graphs (KGs) offer structured and interpretable nutritional information, whereas Large Language Models (LLMs) naturally facilitate conversational recommendation delivery. In this paper, we present HealthGenie, an interactive system that combines the strengths of LLMs and KGs to provide personalized dietary recommendations along with hierarchical information visualization for a quick and intuitive overview. Upon receiving a user query, HealthGenie performs query refinement and retrieves relevant information from a pre-built KG. The system then visualizes and highlights pertinent information, organized by defined categories, while offering detailed, explainable recommendation rationales. Users can further tailor these recommendations by adjusting preferences interactively. Our evaluation, comprising a within-subject comparative experiment and an open-ended discussion, demonstrates that HealthGenie effectively supports users in obtaining personalized dietary guidance based on their health conditions while reducing interaction effort and cognitive load. These findings highlight the potential of LLM-KG integration in supporting decision-making through explainable and visualized information. We examine the system's usefulness and effectiveness with an N=12 within-subject study and provide design considerations for future systems that integrate conversational LLM and KG.

cs.HC↗

arXiv2025

Exploring the Role of Knowledge Graph-Based RAG in Japanese Medical Question Answering with Small-Scale LLMs

Large language models (LLMs) perform well in medical QA, but their effectiveness in Japanese contexts is limited due to privacy constraints that prevent the use of commercial models like GPT-4 in clinical settings. As a result, recent efforts focus on instruction-tuning open-source LLMs, though the potential of combining them with retrieval-augmented generation (RAG) remains underexplored. To bridge this gap, we are the first to explore a knowledge graph-based (KG) RAG framework for Japanese medical QA small-scale open-source LLMs. Experimental results show that KG-based RAG has only a limited impact on Japanese medical QA using small-scale open-source LLMs. Further case studies reveal that the effectiveness of the RAG is sensitive to the quality and relevance of the external retrieved content. These findings offer valuable insights into the challenges and potential of applying RAG in Japanese medical QA, while also serving as a reference for other low-resource languages.

cs.CL↗

arXiv2025

JiraiBench: A Bilingual Benchmark for Evaluating Large Language Models' Detection of Human Self-Destructive Behavior Content in Jirai Community

This paper introduces JiraiBench, the first bilingual benchmark for evaluating large language models' effectiveness in detecting self-destructive content across Chinese and Japanese social media communities. Focusing on the transnational "Jirai" (landmine) online subculture that encompasses multiple forms of self-destructive behaviors including drug overdose, eating disorders, and self-harm, we present a comprehensive evaluation framework incorporating both linguistic and cultural dimensions. Our dataset comprises 10,419 Chinese posts and 5,000 Japanese posts with multidimensional annotation along three behavioral categories, achieving substantial inter-annotator agreement. Experimental evaluations across four state-of-the-art models reveal significant performance variations based on instructional language, with Japanese prompts unexpectedly outperforming Chinese prompts when processing Chinese content. This emergent cross-cultural transfer suggests that cultural proximity can sometimes outweigh linguistic similarity in detection tasks. Cross-lingual transfer experiments with fine-tuned models further demonstrate the potential for knowledge transfer between these language systems without explicit target language training. These findings highlight the need for culturally-informed approaches to multilingual content moderation and provide empirical evidence for the importance of cultural context in developing more effective detection systems for vulnerable online communities.

cs.CL↗

arXiv2025

MKG-Rank: Enhancing Large Language Models with Knowledge Graph for Multilingual Medical Question Answering

Large Language Models (LLMs) have shown remarkable progress in medical question answering (QA), yet their effectiveness remains predominantly limited to English due to imbalanced multilingual training data and scarce medical resources for low-resource languages. To address this critical language gap in medical QA, we propose Multilingual Knowledge Graph-based Retrieval Ranking (MKG-Rank), a knowledge graph-enhanced framework that enables English-centric LLMs to perform multilingual medical QA. Through a word-level translation mechanism, our framework efficiently integrates comprehensive English-centric medical knowledge graphs into LLM reasoning at a low cost, mitigating cross-lingual semantic distortion and achieving precise medical QA across language barriers. To enhance efficiency, we introduce caching and multi-angle ranking strategies to optimize the retrieval process, significantly reducing response times and prioritizing relevant medical knowledge. Extensive evaluations on multilingual medical QA benchmarks across Chinese, Japanese, Korean, and Swahili demonstrate that MKG-Rank consistently outperforms zero-shot LLMs, achieving maximum 35.03% increase in accuracy, while maintaining an average retrieval time of only 0.0009 seconds.

cs.CL↗