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AMRG: Extend Vision Language Models for Automatic Mammography Report Generation

Nak-Jun Sung, Donghyun Lee, Bo Hwa Choi, Chae Jung Park

Mammography report generation is a critical yet underexplored task in medical AI, characterized by challenges such as multiview image reasoning, high-resolution visual cues, and unstructured radiologic language. In this work, we introduce AMRG (Automatic Mammography Report Generation), the first end-to-end framework for generating narrative mammography reports using large vision-language models (VLMs). Building upon MedGemma-4B-it-a domain-specialized, instruction-tuned VLM-we employ a parameter-efficient fine-tuning (PEFT) strategy via Low-Rank Adaptation (LoRA), enabling lightweight adaptation with minimal computational overhead. We train and evaluate AMRG on DMID, a publicly available dataset of paired high-resolution mammograms and diagnostic reports. This work establishes the first reproducible benchmark for mammography report generation, addressing a longstanding gap in multimodal clinical AI. We systematically explore LoRA hyperparameter configurations and conduct comparative experiments across multiple VLM backbones, including both domain-specific and general-purpose models under a unified tuning protocol. Our framework demonstrates strong performance across both language generation and clinical metrics, achieving a ROUGE-L score of 0.5691, METEOR of 0.6152, CIDEr of 0.5818, and BI-RADS accuracy of 0.5582. Qualitative analysis further highlights improved diagnostic consistency and reduced hallucinations. AMRG offers a scalable and adaptable foundation for radiology report generation and paves the way for future research in multimodal medical AI.

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BABILong：用长上下文“草堆寻针”测试大语言模型的推理极限

BABILong: Testing the Limits of LLMs with Long Context Reasoning-in-a-Haystack

Yuri Kuratov, Aydar Bulatov, Petr Anokhin, Ivan Rodkin, Dmitry Sorokin, Artyom Sorokin, Mikhail Burtsev

AI 速览：提出 BABILong 基准，用 20 类推理任务检验大语言模型在超长文档中跨分散事实进行推理的能力。登录阅读完整解读 →

In recent years, the input context sizes of large language models (LLMs) have increased dramatically. However, existing evaluation methods have not kept pace, failing to comprehensively assess the efficiency of models in handling long contexts. To bridge this gap, we introduce the BABILong benchmark, designed to test language models' ability to reason across facts distributed in extremely long documents. BABILong includes a diverse set of 20 reasoning tasks, including fact chaining, simple induction, deduction, counting, and handling lists/sets. These tasks are challenging on their own, and even more demanding when the required facts are scattered across long natural text. Our evaluations show that popular LLMs effectively utilize only 10-20\% of the context and their performance declines sharply with increased reasoning complexity. Among alternatives to in-context reasoning, Retrieval-Augmented Generation methods achieve a modest 60\% accuracy on single-fact question answering, independent of context length. Among context extension methods, the highest performance is demonstrated by recurrent memory transformers after fine-tuning, enabling the processing of lengths up to 50 million tokens. The BABILong benchmark is extendable to any length to support the evaluation of new upcoming models with increased capabilities, and we provide splits up to 10 million token lengths.