Jialin Zhang, Lakshya A Agrawal, Shangyin Tan, Donghyun Lee, Lutfi Eren Erdogan, Dan Klein, Koushik Sen, Alex Dimakis 等 9 位作者
Reflective text optimization makes agentic systems better, but the optimization loop is itself a resource-hungry workload whose sequential structure leaves parallel evaluation capacity idle. We extend the open-source GEPA optimizer to propose and evaluate a batch of candidates on each optimization step instead of one candidate at a time. In our sweep on two tasks, most batched runs finished in half the wall-clock time or less, and the fastest in about a quarter to a third. Batched settings also achieved higher held-out test scores, from 68.9% to 72.1% on LiveBench-Math (with $2\times2$) and from 49.0% to 60.0% on HoVer (with $8\times1$). A simple runtime model explains the measured speedups under a finite worker pool, and batched settings also spend their metric-call and dollar budgets more efficiently. We frame the axes along which a reflective optimization step can scale in parallel, a first look at allocating a fixed optimization budget across them.
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.