Xuanren Chen Beijing University of Aeronautics and Astronautics, Chongyang Tao Beihang University, Tao Shen Oracle, Shuai Ma Beihang University
Patient–trial retrieval is a challenging problem that requires nuanced clinical reasoning beyond surface-level semantic similarity. However, scarce and costly relevance annotations force existing approaches to rely on very limited supervision or zero-shot transfer, reducing the task to generic semantic matching and failing to capture multi-factor eligibility reasoning. To this end, we propose FACTrial, a factorized contrastive training framework that leverages LLMs to synthesize diagnosis-aware supervision for scalable patient–trial retrieval. FACTrial decomposes each patient note into a primary diagnosis and a set of concomitant, eligibility-triggering conditions, and constructs complementary contrastive signals through structured trial augmentation. Specifically, we generate primary-target and concomitant-target positives, together with clinically confusable near-miss negatives, to enforce diagnostic specificity under contrastive learning. Two specialized bi-encoder experts are trained to balance primary-diagnosis prioritization and concomitant-driven recall, and fused into a single deployable retriever. Experiments on three public benchmarks demonstrate that FACTrial achieves state-of-the-art performance, improving both top-ranked quality and high-recall coverage.
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cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Shun Zou, Yong Wang, Zehui Chen, Lin Chen University of Science and Technology of China, Chongyang Tao Beihang University, Feng Zhao University of Science and Technology of China, Xiangxiang Chu Alibaba Group
Diffusion Large Language Models (dLLMs) have recently become a promising alternative to autoregressive large language models (ARMs). Semi-autoregressive (Semi-AR) decoding is widely employed in base dLLMs and advanced decoding strategies due to its superior performance. However, our observations reveal that Semi-AR decoding suffers from inherent block constraints, which cause the decoding of many cross-block stable tokens to be unnecessarily delayed. To address this challenge, we systematically investigate the identification of stable tokens and present three key findings: (1) naive lookahead decoding is unreliable, (2) token stability closely correlates with convergence trend, and (3) historical information is isolated. Building on these insights, we propose Anchor-based History-stable Decoding (AHD), a training-free, plug-and-play dynamic decoding strategy. Specifically, AHD monitors the stability trend of tokens in real time through dynamic anchors. Once a token reaches stability, it initiates early cross-block decoding to enhance efficiency and performance. Extensive experiments across language, vision-language, and audio-language domains demonstrate that AHD simultaneously improves both performance and inference efficiency. Notably, AHD effectively reverses the performance degradation typically observed in existing advanced decoding acceleration strategies. For instance, on the BBH benchmark, our approach reduces decoding steps by 80% while improving performance by 3.67%.
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cs.CL · cs.CV
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表