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版本更新 · v4arXiv:2607.24743

ClinFusion: A Vision-Centric Multimodal LLM System for Holistic Medical Understanding

Hangjie Yuan, Yichen Qian, Zhiwei Tang, Xianzhe Xu, Sicheng Yang, Lirong Wu, Jinwang Wang, Pengju Wang 等 25 位作者

原文摘要

Multimodal large language models (MLLMs) hold immense potential to revolutionize clinical practice, yet deploying them in the medical domain is fundamentally a vision-centric challenge: models must absorb knowledge from heterogeneous 2D and 3D medical images, and evaluation protocols must align with radiologists' clinical practice and provide an accurate, fine-grained and factualness-driven assessment. In this paper, we introduce ClinFusion, a vision-centric MLLM designed for holistic medical understanding that systematically addresses these limitations. We propose a compositional and cascaded vision encoder architecture featuring a Cascade Spatial-Aware Locality Fusion operator that unifies diverse 2D and native 3D medical image understanding within a fused encoder. We further introduce a vision-grounded evaluation framework, including MedIF-Bench for instruction-following assessment and a region-of-interest-grounded method for clinically aligned and factualness-driven report generation evaluation. We show that ClinFusion sets a new state-of-the-art across a comprehensive suite of 2D and 3D multimodal medical benchmarks---spanning visual question answering, report generation, and instruction following---as well as textual medical tasks, outperforming leading open-source medical MLLMs (\textit{e.g.}, Hulu-Med, Lingshu) on 20 out of 24 benchmarks and demonstrating multimodal capabilities better than powerful proprietary models such as GPT-5.2 and Gemini-3-Flash on 13 out of 16 benchmarks, and can be further augmented with agentic tool use for retrieval-augmented and tool-assisted clinical workflows. A blinded evaluation by board-certified radiologists confirms that ClinFusion produces the highest-ranked reports, and validates our RoI-grounded metric as achieving the strongest correlation with expert judgment among all automatic evaluation metrics examined.

cs.CV · cs.AI · cs.CL

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arXiv ↗PDF ↗
版本更新 · v2arXiv:2608.07525

Unified Hallucination Fuzzing for Multimodal Large Language Models

Pengfei Zhou, Jiajun Song, Zhiwei Tang, Yixing Ma, Donghui Si, Yuhang Xu, Huiqi Song, Yiyuan Miao 等 14 位作者

原文摘要

Hallucination remains a persistent challenge for Multimodal Large Language Models (MLLMs), severely limiting their reliability in high-stakes applications. Existing evaluations, predominantly based on static benchmarks, suffer from narrow taxonomical coverage and rapid performance saturation, failing to reflect model robustness in evolving real-world scenarios. To bridge this gap, we present a systematic evaluation framework integrating a comprehensive benchmark with self-evolving stress testing. First, we introduce UniHall, a fine-grained dataset grounded in a unified taxonomy spanning Object, Instruction, and Knowledge dimensions. Second, to address benchmark saturation, we propose Self-Adaptive Multimodal Fuzzing (SAMF), a self-adaptive framework that employs evolutionary mutation strategies to explore the boundaries of model hallucinations. Crucially, to ensure reliable assessment of dynamic inputs, SAMF incorporates a structured metric suite driven by an ensemble of multi-modal oracles. Our extensive experiments reveal that state-of-the-art MLLMs exhibit significant performance degradation under fuzzing compared to conventional settings, exposing a dissociation between reasoning capabilities and factual grounding. Furthermore, we identify a helpfulness-hallucination trade-off, where reinforcement learning alignment inadvertently exacerbates sycophancy in instruction-following tasks. The framework, code and benchmark are available at https://github.com/LanceZPF/EvalHall.

cs.CL · cs.AI

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arXiv ↗PDF ↗
首次观测 · 记录 #1ACL Anthology · ACL 2026:acl:2026.acl-long.1309ACL Anthology · ACL 2026

Read As Human: Compressing Context via Parallelizable Close Reading and Skimming

Jiwei Tang, Shilei Liu, Zhicheng Zhang, Qingsong Lv, Runsong Zhao, Tingwei Lu, Langming Liu Alibaba Group, Haibin Chen 等 12 位作者

原文摘要

Large Language Models (LLMs) demonstrate exceptional capability across diverse tasks. However, their deployment in long-context scenarios is hindered by two challenges: computational inefficiency and redundant information. We propose RAM (Read As HuMan), a context compression framework that adopts an adaptive hybrid reading strategy, to address these challenges. Inspired by human reading behavior (i.e., close reading important content while skimming less relevant content), RAM partitions the context into segments and encodes them with the input query in parallel. High-relevance segments are fully retained (close reading), while low-relevance ones are query-guided compressed into compact summary vectors (skimming). Both explicit textual segments and implicit summary vectors are concatenated and fed into decoder to achieve both superior performance and natural language format interpretability. To refine the decision boundary between close reading and skimming, we further introduce a contrastive learning objective based on positive and negative query–segment pairs. Experiments demonstrate that RAM outperforms existing baselines on multiple question answering and summarization benchmarks across two backbones, while delivering up to a 12x end-to-end speedup on long inputs (average length 16K; maximum length 32K).

cs.CL

Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表

首次观测 · 记录 #1ACL Anthology · ACL 2026:acl:2026.acl-long.1324ACL Anthology · ACL 2026

GMSA: Enhancing Context Compression via Group Merging and Layer Semantic Alignment

Jiwei Tang, Zhicheng Zhang, Shunlong Wu, Jingheng Ye Northeastern University, Lichen Bai, Zitai Wang, Tingwei Lu, Lin Hai Tsinghua University, Tsinghua University 等 11 位作者

原文摘要

Large Language Models (LLMs) have achieved remarkable performance across a wide range of Natural Language Processing (NLP) tasks. However, in long-context scenarios, they face two challenges: high computational cost and information redundancy. To address these challenges, we propose GMSA, an encoder-decoder context compression framework that generates a compact sequence of soft tokens for downstream tasks. GMSA introduces Group Merging to achieve more uniform aggregation, mitigating semantic dominance during autoencoder pretraining, and Layer Semantic Alignment (LSA) to bridge the semantic gap between high-level abstract semantics and low-level input semantics. We first pretrain GMSA as an autoencoder and then fine-tune it for downstream tasks. Experiments demonstrate that GMSA improves context reconstruction compared to existing soft prompt compression paradigm and outperforms baselines on multiple long-context question answering and summarization benchmarks across two backbone models, while maintaining low end-to-end latency.

cs.CL

Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表

首次观测 · 记录 #1ACL Anthology · ACL 2026:acl:2026.acl-long.1779ACL Anthology · ACL 2026

CoMeT: Collaborative Memory Transformer for Efficient Long Context Modeling

Runsong Zhao, Shilei Liu, Jiwei Tang, Langming Liu Alibaba Group, Haibin Chen, Weidong Zhang Alibaba Group, Yujin Yuan, Tong Xiao Northeastern University 等 11 位作者

原文摘要

The quadratic complexity and indefinitely growing key-value (KV) cache of standard Transformers pose a major barrier to long-context processing. To overcome this, we introduce the Collaborative Memory Transformer (CoMeT), a novel architecture that enables LLMs to handle arbitrarily long sequences with constant memory usage and linear time complexity. Designed as an efficient, plug-in module, CoMeT can be integrated into pre-trained models with only minimal fine-tuning. It operates on sequential data chunks, using a dual-memory system to manage context: a temporary memory on a FIFO queue for recent events, and a global memory with a gated update rule for long-range dependencies. These memories then act as a dynamic soft prompt for the next chunk. The effectiveness of our approach is remarkable: a model equipped with CoMeT and fine-tuned on 32k contexts can accurately retrieve a passkey from any position within a 1M token sequence. On the SCROLLS benchmark, CoMeT surpasses other efficient methods and achieves performance comparable to a full-attention baseline on summarization tasks. Its practical effectiveness is further validated on real-world agent and user behavior QA tasks, supported by a novel layer-level pipeline parallel training strategy that enables fine-tuning on extremely long contexts. The code is available at: https://github.com/LivingFutureLab/Comet

cs.CL

Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表

首次观测 · 记录 #1ACL Anthology · ACL 2026:acl:2026.acl-long.1844ACL Anthology · ACL 2026

LLM Safety From Within: Detecting Harmful Content with Internal Representations

Difan Jiao Department of Computer Science, University of Toronto, Yilun Liu Ludwig-Maximilians-Universität München, Ye Yuan McGill University, McGill University and Mila - Quebec Artificial Intelligence Institute, Zhenwei Tang University of Toronto, Linfeng Du, Haolun Wu, Ashton Anderson Department of Computer Science, University of Toronto

原文摘要

Guard models are widely used to detect harmful content in user prompts and LLM responses. However, state-of-the-art guard models rely solely on terminal-layer representations and overlook the rich safety-relevant features distributed across internal layers. We present SIREN, a lightweight guard model that harnesses these internal features. By identifying safety neurons via linear probing and combining them through an adaptive layer-weighted strategy, SIREN builds a harmfulness detector from LLM internals without modifying the underlying model. Our comprehensive evaluation shows that SIREN substantially outperforms state-of-the-art open-source guard models across multiple benchmarks while using 250\times fewer trainable parameters. Moreover, SIREN exhibits superior generalization to unseen benchmarks, naturally enables real-time streaming detection, and significantly improves inference efficiency compared to generative guard models. Overall, our results highlight LLM internal states as a promising foundation for practical, high-performance harmfulness detection.

cs.CL

Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表