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Mar 11

MedHalu: Hallucinations in Responses to Healthcare Queries by Large Language Models

The remarkable capabilities of large language models (LLMs) in language understanding and generation have not rendered them immune to hallucinations. LLMs can still generate plausible-sounding but factually incorrect or fabricated information. As LLM-empowered chatbots become popular, laypeople may frequently ask health-related queries and risk falling victim to these LLM hallucinations, resulting in various societal and healthcare implications. In this work, we conduct a pioneering study of hallucinations in LLM-generated responses to real-world healthcare queries from patients. We propose MedHalu, a carefully crafted first-of-its-kind medical hallucination dataset with a diverse range of health-related topics and the corresponding hallucinated responses from LLMs with labeled hallucination types and hallucinated text spans. We also introduce MedHaluDetect framework to evaluate capabilities of various LLMs in detecting hallucinations. We also employ three groups of evaluators -- medical experts, LLMs, and laypeople -- to study who are more vulnerable to these medical hallucinations. We find that LLMs are much worse than the experts. They also perform no better than laypeople and even worse in few cases in detecting hallucinations. To fill this gap, we propose expert-in-the-loop approach to improve hallucination detection through LLMs by infusing expert reasoning. We observe significant performance gains for all the LLMs with an average macro-F1 improvement of 6.3 percentage points for GPT-4.

Hallucination Detox: Sensitive Neuron Dropout (SeND) for Large Language Model Training

As large language models (LLMs) become increasingly deployed across various industries, concerns regarding their reliability, particularly due to hallucinations-outputs that are factually inaccurate or irrelevant to user input-have grown. Our research investigates the relationship between the training process and the emergence of hallucinations to address a key gap in existing research that focuses primarily on post hoc detection and mitigation strategies. Using models from the Pythia suite (70M-12B parameters) and several hallucination detection metrics, we analyze hallucination trends throughout training and explore LLM internal dynamics. We introduce SEnsitive Neuron Dropout (SeND), a novel training protocol designed to mitigate hallucinations by reducing variance during training. SeND achieves this by deterministically dropping neurons with significant variability on a dataset, referred to as Sensitive Neurons. In addition, we develop an unsupervised hallucination detection metric, Efficient EigenScore (EES), which approximates the traditional EigenScore in 2x speed. This efficient metric is integrated into our protocol, allowing SeND to be both computationally scalable and effective at reducing hallucinations. Our empirical evaluation demonstrates that our approach improves LLM reliability at test time by up to 40% compared to normal training while also providing an efficient method to improve factual accuracy when adapting LLMs to domains such as Wikipedia and Medical datasets.

The HalluRAG Dataset: Detecting Closed-Domain Hallucinations in RAG Applications Using an LLM's Internal States

Detecting hallucinations in large language models (LLMs) is critical for enhancing their reliability and trustworthiness. Most research focuses on hallucinations as deviations from information seen during training. However, the opaque nature of an LLM's parametric knowledge complicates the understanding of why generated texts appear ungrounded: The LLM might not have picked up the necessary knowledge from large and often inaccessible datasets, or the information might have been changed or contradicted during further training. Our focus is on hallucinations involving information not used in training, which we determine by using recency to ensure the information emerged after a cut-off date. This study investigates these hallucinations by detecting them at sentence level using different internal states of various LLMs. We present HalluRAG, a dataset designed to train classifiers on these hallucinations. Depending on the model and quantization, MLPs trained on HalluRAG detect hallucinations with test accuracies ranging up to 75 %, with Mistral-7B-Instruct-v0.1 achieving the highest test accuracies. Our results show that IAVs detect hallucinations as effectively as CEVs and reveal that answerable and unanswerable prompts are encoded differently as separate classifiers for these categories improved accuracy. However, HalluRAG showed some limited generalizability, advocating for more diversity in datasets on hallucinations.

HalluciDoctor: Mitigating Hallucinatory Toxicity in Visual Instruction Data

Multi-modal Large Language Models (MLLMs) tuned on machine-generated instruction-following data have demonstrated remarkable performance in various multi-modal understanding and generation tasks. However, the hallucinations inherent in machine-generated data, which could lead to hallucinatory outputs in MLLMs, remain under-explored. This work aims to investigate various hallucinations (i.e., object, relation, attribute hallucinations) and mitigate those hallucinatory toxicities in large-scale machine-generated visual instruction datasets. Drawing on the human ability to identify factual errors, we present a novel hallucination detection and elimination framework, HalluciDoctor, based on the cross-checking paradigm. We use our framework to identify and eliminate hallucinations in the training data automatically. Interestingly, HalluciDoctor also indicates that spurious correlations arising from long-tail object co-occurrences contribute to hallucinations. Based on that, we execute counterfactual visual instruction expansion to balance data distribution, thereby enhancing MLLMs' resistance to hallucinations. Comprehensive experiments on hallucination evaluation benchmarks show that our method successfully mitigates 44.6% hallucinations relatively and maintains competitive performance compared to LLaVA.The source code will be released at https://github.com/Yuqifan1117/HalluciDoctor.

ImageInWords: Unlocking Hyper-Detailed Image Descriptions

Despite the longstanding adage "an image is worth a thousand words," creating accurate and hyper-detailed image descriptions for training Vision-Language models remains challenging. Current datasets typically have web-scraped descriptions that are short, low-granularity, and often contain details unrelated to the visual content. As a result, models trained on such data generate descriptions replete with missing information, visual inconsistencies, and hallucinations. To address these issues, we introduce ImageInWords (IIW), a carefully designed human-in-the-loop annotation framework for curating hyper-detailed image descriptions and a new dataset resulting from this process. We validate the framework through evaluations focused on the quality of the dataset and its utility for fine-tuning with considerations for readability, comprehensiveness, specificity, hallucinations, and human-likeness. Our dataset significantly improves across these dimensions compared to recently released datasets (+66%) and GPT-4V outputs (+48%). Furthermore, models fine-tuned with IIW data excel by +31% against prior work along the same human evaluation dimensions. Given our fine-tuned models, we also evaluate text-to-image generation and vision-language reasoning. Our model's descriptions can generate images closest to the original, as judged by both automated and human metrics. We also find our model produces more compositionally rich descriptions, outperforming the best baseline by up to 6% on ARO, SVO-Probes, and Winoground datasets.

The Troubling Emergence of Hallucination in Large Language Models -- An Extensive Definition, Quantification, and Prescriptive Remediations

The recent advancements in Large Language Models (LLMs) have garnered widespread acclaim for their remarkable emerging capabilities. However, the issue of hallucination has parallelly emerged as a by-product, posing significant concerns. While some recent endeavors have been made to identify and mitigate different types of hallucination, there has been a limited emphasis on the nuanced categorization of hallucination and associated mitigation methods. To address this gap, we offer a fine-grained discourse on profiling hallucination based on its degree, orientation, and category, along with offering strategies for alleviation. As such, we define two overarching orientations of hallucination: (i) factual mirage (FM) and (ii) silver lining (SL). To provide a more comprehensive understanding, both orientations are further sub-categorized into intrinsic and extrinsic, with three degrees of severity - (i) mild, (ii) moderate, and (iii) alarming. We also meticulously categorize hallucination into six types: (i) acronym ambiguity, (ii) numeric nuisance, (iii) generated golem, (iv) virtual voice, (v) geographic erratum, and (vi) time wrap. Furthermore, we curate HallucInation eLiciTation (HILT), a publicly available dataset comprising of 75,000 samples generated using 15 contemporary LLMs along with human annotations for the aforementioned categories. Finally, to establish a method for quantifying and to offer a comparative spectrum that allows us to evaluate and rank LLMs based on their vulnerability to producing hallucinations, we propose Hallucination Vulnerability Index (HVI). We firmly believe that HVI holds significant value as a tool for the wider NLP community, with the potential to serve as a rubric in AI-related policy-making. In conclusion, we propose two solution strategies for mitigating hallucinations.

HaloQuest: A Visual Hallucination Dataset for Advancing Multimodal Reasoning

Hallucination has been a major problem for large language models and remains a critical challenge when it comes to multimodality in which vision-language models (VLMs) have to deal with not just textual but also visual inputs. Despite rapid progress in VLMs, resources for evaluating and addressing multimodal hallucination are limited and mostly focused on evaluation. This work introduces HaloQuest, a novel visual question answering dataset that captures various aspects of multimodal hallucination such as false premises, insufficient contexts, and visual challenges. A novel idea from HaloQuest is to leverage synthetic images, apart from real ones, to enable dataset creation at scale. With over 7.7K examples spanning across a wide variety of categories, HaloQuest was designed to be both a challenging benchmark for VLMs and a fine-tuning dataset for advancing multimodal reasoning. Our experiments reveal that current models struggle with HaloQuest, with all open-source VLMs achieving below 36% accuracy. On the other hand, fine-tuning on HaloQuest significantly reduces hallucination rates while preserving performance on standard reasoning tasks. Our results discover that benchmarking with generated images is highly correlated (r=0.97) with real images. Last but not least, we propose a novel Auto-Eval mechanism that is highly correlated with human raters (r=0.99) for evaluating VLMs. In sum, this work makes concrete strides towards understanding, evaluating, and mitigating hallucination in VLMs, serving as an important step towards more reliable multimodal AI systems in the future.

How Much Do LLMs Hallucinate across Languages? On Multilingual Estimation of LLM Hallucination in the Wild

In the age of misinformation, hallucination -- the tendency of Large Language Models (LLMs) to generate non-factual or unfaithful responses -- represents the main risk for their global utility. Despite LLMs becoming increasingly multilingual, the vast majority of research on detecting and quantifying LLM hallucination are (a) English-centric and (b) focus on machine translation (MT) and summarization, tasks that are less common ``in the wild'' than open information seeking. In contrast, we aim to quantify the extent of LLM hallucination across languages in knowledge-intensive long-form question answering. To this end, we train a multilingual hallucination detection model and conduct a large-scale study across 30 languages and 6 open-source LLM families. We start from an English hallucination detection dataset and rely on MT to generate (noisy) training data in other languages. We also manually annotate gold data for five high-resource languages; we then demonstrate, for these languages, that the estimates of hallucination rates are similar between silver (LLM-generated) and gold test sets, validating the use of silver data for estimating hallucination rates for other languages. For the final rates estimation, we build a knowledge-intensive QA dataset for 30 languages with LLM-generated prompts and Wikipedia articles as references. We find that, while LLMs generate longer responses with more hallucinated tokens for higher-resource languages, there is no correlation between length-normalized hallucination rates of languages and their digital representation. Further, we find that smaller LLMs exhibit larger hallucination rates than larger models.

Distinguishing Ignorance from Error in LLM Hallucinations

Large language models (LLMs) are susceptible to hallucinations-outputs that are ungrounded, factually incorrect, or inconsistent with prior generations. We focus on close-book Question Answering (CBQA), where previous work has not fully addressed the distinction between two possible kinds of hallucinations, namely, whether the model (1) does not hold the correct answer in its parameters or (2) answers incorrectly despite having the required knowledge. We argue that distinguishing these cases is crucial for detecting and mitigating hallucinations. Specifically, case (2) may be mitigated by intervening in the model's internal computation, as the knowledge resides within the model's parameters. In contrast, in case (1) there is no parametric knowledge to leverage for mitigation, so it should be addressed by resorting to an external knowledge source or abstaining. To help distinguish between the two cases, we introduce Wrong Answer despite having Correct Knowledge (WACK), an approach for constructing model-specific datasets for the second hallucination type. Our probing experiments indicate that the two kinds of hallucinations are represented differently in the model's inner states. Next, we show that datasets constructed using WACK exhibit variations across models, demonstrating that even when models share knowledge of certain facts, they still vary in the specific examples that lead to hallucinations. Finally, we show that training a probe on our WACK datasets leads to better hallucination detection of case (2) hallucinations than using the common generic one-size-fits-all datasets. The code is available at https://github.com/technion-cs-nlp/hallucination-mitigation .

DefAn: Definitive Answer Dataset for LLMs Hallucination Evaluation

Large Language Models (LLMs) have demonstrated remarkable capabilities, revolutionizing the integration of AI in daily life applications. However, they are prone to hallucinations, generating claims that contradict established facts, deviating from prompts, and producing inconsistent responses when the same prompt is presented multiple times. Addressing these issues is challenging due to the lack of comprehensive and easily assessable benchmark datasets. Most existing datasets are small and rely on multiple-choice questions, which are inadequate for evaluating the generative prowess of LLMs. To measure hallucination in LLMs, this paper introduces a comprehensive benchmark dataset comprising over 75,000 prompts across eight domains. These prompts are designed to elicit definitive, concise, and informative answers. The dataset is divided into two segments: one publicly available for testing and assessing LLM performance and a hidden segment for benchmarking various LLMs. In our experiments, we tested six LLMs-GPT-3.5, LLama 2, LLama 3, Gemini, Mixtral, and Zephyr-revealing that overall factual hallucination ranges from 59% to 82% on the public dataset and 57% to 76% in the hidden benchmark. Prompt misalignment hallucination ranges from 6% to 95% in the public dataset and 17% to 94% in the hidden counterpart. Average consistency ranges from 21% to 61% and 22% to 63%, respectively. Domain-wise analysis shows that LLM performance significantly deteriorates when asked for specific numeric information while performing moderately with person, location, and date queries. Our dataset demonstrates its efficacy and serves as a comprehensive benchmark for LLM performance evaluation. Our dataset and LLMs responses are available at https://github.com/ashikiut/DefAn{https://github.com/ashikiut/DefAn}.

BEAF: Observing BEfore-AFter Changes to Evaluate Hallucination in Vision-language Models

Vision language models (VLMs) perceive the world through a combination of a visual encoder and a large language model (LLM). The visual encoder, pre-trained on large-scale vision-text datasets, provides zero-shot generalization to visual data, and the LLM endows its high reasoning ability to VLMs. It leads VLMs to achieve high performance on wide benchmarks without fine-tuning, exhibiting zero or few-shot capability. However, recent studies show that VLMs are vulnerable to hallucination. This undesirable behavior degrades reliability and credibility, thereby making users unable to fully trust the output from VLMs. To enhance trustworthiness and better tackle the hallucination of VLMs, we curate a new evaluation dataset, called the BEfore-AFter hallucination dataset (BEAF), and introduce new metrics: True Understanding (TU), IGnorance (IG), StuBbornness (SB), and InDecision (ID). Unlike prior works that focus only on constructing questions and answers, the key idea of our benchmark is to manipulate visual scene information by image editing models and to design the metrics based on scene changes. This allows us to clearly assess whether VLMs correctly understand a given scene by observing the ability to perceive changes. We also visualize image-wise object relationship by virtue of our two-axis view: vision and text. Upon evaluating VLMs with our dataset, we observed that our metrics reveal different aspects of VLM hallucination that have not been reported before. Project page: https://beafbench.github.io/

CrossCheckGPT: Universal Hallucination Ranking for Multimodal Foundation Models

Multimodal foundation models are prone to hallucination, generating outputs that either contradict the input or are not grounded by factual information. Given the diversity in architectures, training data and instruction tuning techniques, there can be large variations in systems' susceptibility to hallucinations. To assess system hallucination robustness, hallucination ranking approaches have been developed for specific tasks such as image captioning, question answering, summarization, or biography generation. However, these approaches typically compare model outputs to gold-standard references or labels, limiting hallucination benchmarking for new domains. This work proposes "CrossCheckGPT", a reference-free universal hallucination ranking for multimodal foundation models. The core idea of CrossCheckGPT is that the same hallucinated content is unlikely to be generated by different independent systems, hence cross-system consistency can provide meaningful and accurate hallucination assessment scores. CrossCheckGPT can be applied to any model or task, provided that the information consistency between outputs can be measured through an appropriate distance metric. Focusing on multimodal large language models that generate text, we explore two information consistency measures: CrossCheck-explicit and CrossCheck-implicit. We showcase the applicability of our method for hallucination ranking across various modalities, namely the text, image, and audio-visual domains. Further, we propose the first audio-visual hallucination benchmark, "AVHalluBench", and illustrate the effectiveness of CrossCheckGPT, achieving correlations of 98% and 89% with human judgements on MHaluBench and AVHalluBench, respectively.

HalluDial: A Large-Scale Benchmark for Automatic Dialogue-Level Hallucination Evaluation

Large Language Models (LLMs) have significantly advanced the field of Natural Language Processing (NLP), achieving remarkable performance across diverse tasks and enabling widespread real-world applications. However, LLMs are prone to hallucination, generating content that either conflicts with established knowledge or is unfaithful to the original sources. Existing hallucination benchmarks primarily focus on sentence- or passage-level hallucination detection, neglecting dialogue-level evaluation, hallucination localization, and rationale provision. They also predominantly target factuality hallucinations while underestimating faithfulness hallucinations, often relying on labor-intensive or non-specialized evaluators. To address these limitations, we propose HalluDial, the first comprehensive large-scale benchmark for automatic dialogue-level hallucination evaluation. HalluDial encompasses both spontaneous and induced hallucination scenarios, covering factuality and faithfulness hallucinations. The benchmark includes 4,094 dialogues with a total of 146,856 samples. Leveraging HalluDial, we conduct a comprehensive meta-evaluation of LLMs' hallucination evaluation capabilities in information-seeking dialogues and introduce a specialized judge language model, HalluJudge. The high data quality of HalluDial enables HalluJudge to achieve superior or competitive performance in hallucination evaluation, facilitating the automatic assessment of dialogue-level hallucinations in LLMs and providing valuable insights into this phenomenon. The dataset and the code are available at https://github.com/FlagOpen/HalluDial.

UHGEval: Benchmarking the Hallucination of Chinese Large Language Models via Unconstrained Generation

Large language models (LLMs) have emerged as pivotal contributors in contemporary natural language processing and are increasingly being applied across a diverse range of industries. However, these large-scale probabilistic statistical models cannot currently ensure the requisite quality in professional content generation. These models often produce hallucinated text, compromising their practical utility in professional contexts. To assess the authentic reliability of LLMs in text generation, numerous initiatives have developed benchmark evaluations for hallucination phenomena. Nevertheless, these benchmarks frequently utilize constrained generation techniques due to cost and temporal constraints. These techniques encompass the use of directed hallucination induction and strategies that deliberately alter authentic text to produce hallucinations. These approaches are not congruent with the unrestricted text generation demanded by real-world applications. Furthermore, a well-established Chinese-language dataset dedicated to the evaluation of hallucinations in text generation is presently lacking. Consequently, we have developed an Unconstrained Hallucination Generation Evaluation (UHGEval) benchmark, designed to compile outputs produced with minimal restrictions by LLMs. Concurrently, we have established a comprehensive benchmark evaluation framework to aid subsequent researchers in undertaking scalable and reproducible experiments. We have also executed extensive experiments, evaluating prominent Chinese language models and the GPT series models to derive professional performance insights regarding hallucination challenges.

Detecting and Preventing Hallucinations in Large Vision Language Models

Instruction tuned Large Vision Language Models (LVLMs) have significantly advanced in generalizing across a diverse set of multi-modal tasks, especially for Visual Question Answering (VQA). However, generating detailed responses that are visually grounded is still a challenging task for these models. We find that even the current state-of-the-art LVLMs (InstructBLIP) still contain a staggering 30 percent of the hallucinatory text in the form of non-existent objects, unfaithful descriptions, and inaccurate relationships. To address this, we introduce M-HalDetect, a (M)ultimodal (Hal)lucination (Detect)ion Dataset that can be used to train and benchmark models for hallucination detection and prevention. M-HalDetect consists of 16k fine-grained annotations on VQA examples, making it the first comprehensive multi-modal hallucination detection dataset for detailed image descriptions. Unlike previous work that only consider object hallucination, we additionally annotate both entity descriptions and relationships that are unfaithful. To demonstrate the potential of this dataset for hallucination prevention, we optimize InstructBLIP through our novel Fine-grained Direct Preference Optimization (FDPO). We also train fine-grained multi-modal reward models from InstructBLIP and evaluate their effectiveness with best-of-n rejection sampling. We perform human evaluation on both FDPO and rejection sampling, and find that they reduce hallucination rates in InstructBLIP by 41% and 55% respectively. We also find that our reward model generalizes to other multi-modal models, reducing hallucinations in LLaVA and mPLUG-OWL by 15% and 57% respectively, and has strong correlation with human evaluated accuracy scores.

Can Knowledge Editing Really Correct Hallucinations?

Large Language Models (LLMs) suffer from hallucinations, referring to the non-factual information in generated content, despite their superior capacities across tasks. Meanwhile, knowledge editing has been developed as a new popular paradigm to correct the erroneous factual knowledge encoded in LLMs with the advantage of avoiding retraining from scratch. However, one common issue of existing evaluation datasets for knowledge editing is that they do not ensure LLMs actually generate hallucinated answers to the evaluation questions before editing. When LLMs are evaluated on such datasets after being edited by different techniques, it is hard to directly adopt the performance to assess the effectiveness of different knowledge editing methods in correcting hallucinations. Thus, the fundamental question remains insufficiently validated: Can knowledge editing really correct hallucinations in LLMs? We proposed HalluEditBench to holistically benchmark knowledge editing methods in correcting real-world hallucinations. First, we rigorously construct a massive hallucination dataset with 9 domains, 26 topics and more than 6,000 hallucinations. Then, we assess the performance of knowledge editing methods in a holistic way on five dimensions including Efficacy, Generalization, Portability, Locality, and Robustness. Through HalluEditBench, we have provided new insights into the potentials and limitations of different knowledge editing methods in correcting hallucinations, which could inspire future improvements and facilitate the progress in the field of knowledge editing.

ANAH-v2: Scaling Analytical Hallucination Annotation of Large Language Models

Large language models (LLMs) exhibit hallucinations in long-form question-answering tasks across various domains and wide applications. Current hallucination detection and mitigation datasets are limited in domains and sizes, which struggle to scale due to prohibitive labor costs and insufficient reliability of existing hallucination annotators. To facilitate the scalable oversight of LLM hallucinations, this paper introduces an iterative self-training framework that simultaneously and progressively scales up the hallucination annotation dataset and improves the accuracy of the hallucination annotator. Based on the Expectation Maximization (EM) algorithm, in each iteration, the framework first applies a hallucination annotation pipeline to annotate a scaled dataset and then trains a more accurate hallucination annotator on the dataset. This new hallucination annotator is adopted in the hallucination annotation pipeline used for the next iteration. Extensive experimental results demonstrate that the finally obtained hallucination annotator with only 7B parameters surpasses the performance of GPT-4 and obtains new state-of-the-art hallucination detection results on HaluEval and HalluQA by zero-shot inference. Such an annotator can not only evaluate the hallucination levels of various LLMs on the large-scale dataset but also help to mitigate the hallucination of LLMs generations, with the Natural Language Inference (NLI) metric increasing from 25% to 37% on HaluEval.

HALoGEN: Fantastic LLM Hallucinations and Where to Find Them

Despite their impressive ability to generate high-quality and fluent text, generative large language models (LLMs) also produce hallucinations: statements that are misaligned with established world knowledge or provided input context. However, measuring hallucination can be challenging, as having humans verify model generations on-the-fly is both expensive and time-consuming. In this work, we release HALoGEN, a comprehensive hallucination benchmark consisting of: (1) 10,923 prompts for generative models spanning nine domains including programming, scientific attribution, and summarization, and (2) automatic high-precision verifiers for each use case that decompose LLM generations into atomic units, and verify each unit against a high-quality knowledge source. We use this framework to evaluate ~150,000 generations from 14 language models, finding that even the best-performing models are riddled with hallucinations (sometimes up to 86% of generated atomic facts depending on the domain). We further define a novel error classification for LLM hallucinations based on whether they likely stem from incorrect recollection of training data (Type A errors), or incorrect knowledge in training data (Type B errors), or are fabrication (Type C errors). We hope our framework provides a foundation to enable the principled study of why generative models hallucinate, and advances the development of trustworthy large language models.

GMAI-VL & GMAI-VL-5.5M: A Large Vision-Language Model and A Comprehensive Multimodal Dataset Towards General Medical AI

Despite significant advancements in general artificial intelligence, such as GPT-4, their effectiveness in the medical domain (general medical AI, GMAI) remains constrained due to the absence of specialized medical knowledge. To address this challenge, we present GMAI-VL-5.5M, a comprehensive multimodal medical dataset created by converting hundreds of specialized medical datasets into meticulously constructed image-text pairs. This dataset features comprehensive task coverage, diverse modalities, and high-quality image-text data. Building upon this multimodal dataset, we propose GMAI-VL, a general medical vision-language model with a progressively three-stage training strategy. This approach significantly enhances the model's ability by integrating visual and textual information, thereby improving its ability to process multimodal data and support accurate diagnosis and clinical decision-making. Experimental evaluations demonstrate that GMAI-VL achieves state-of-the-art results across a wide range of multimodal medical tasks, such as visual question answering and medical image diagnosis. Our contributions include the development of the GMAI-VL-5.5M dataset, the introduction of the GMAI-VL model, and the establishment of new benchmarks in multiple medical domains. Code and dataset will be released at https://github.com/uni-medical/GMAI-VL.

OLAPH: Improving Factuality in Biomedical Long-form Question Answering

In the medical domain, numerous scenarios necessitate the long-form generation ability of large language models (LLMs). Specifically, when addressing patients' questions, it is essential that the model's response conveys factual claims, highlighting the need for an automated method to evaluate those claims. Thus, we introduce MedLFQA, a benchmark dataset reconstructed using long-form question-answering datasets related to the biomedical domain. We use MedLFQA to facilitate the automatic evaluations of factuality. We also propose OLAPH, a simple and novel framework that enables the improvement of factuality through automatic evaluations. The OLAPH framework iteratively trains LLMs to mitigate hallucinations using sampling predictions and preference optimization. In other words, we iteratively set the highest-scoring response as a preferred response derived from sampling predictions and train LLMs to align with the preferred response that improves factuality. We highlight that, even on evaluation metrics not used during training, LLMs trained with our OLAPH framework demonstrate significant performance improvement in factuality. Our findings reveal that a 7B LLM trained with our OLAPH framework can provide long answers comparable to the medical experts' answers in terms of factuality. We believe that our work could shed light on gauging the long-text generation ability of LLMs in the medical domain. Our code and datasets are available at https://github.com/dmis-lab/OLAPH}{https://github.com/dmis-lab/OLAPH.

Chainpoll: A high efficacy method for LLM hallucination detection

Large language models (LLMs) have experienced notable advancements in generating coherent and contextually relevant responses. However, hallucinations - incorrect or unfounded claims - are still prevalent, prompting the creation of automated metrics to detect these in LLM outputs. Our contributions include: introducing ChainPoll, an innovative hallucination detection method that excels compared to its counterparts, and unveiling RealHall, a refined collection of benchmark datasets to assess hallucination detection metrics from recent studies. While creating RealHall, we assessed tasks and datasets from previous hallucination detection studies and observed that many are not suitable for the potent LLMs currently in use. Overcoming this, we opted for four datasets challenging for modern LLMs and pertinent to real-world scenarios. Using RealHall, we conducted a comprehensive comparison of ChainPoll with numerous hallucination metrics from recent studies. Our findings indicate that ChainPoll outperforms in all RealHall benchmarks, achieving an overall AUROC of 0.781. This surpasses the next best theoretical method by 11% and exceeds industry standards by over 23%. Additionally, ChainPoll is cost-effective and offers greater transparency than other metrics. We introduce two novel metrics to assess LLM hallucinations: Adherence and Correctness. Adherence is relevant to Retrieval Augmented Generation workflows, evaluating an LLM's analytical capabilities within given documents and contexts. In contrast, Correctness identifies logical and reasoning errors.

LargePiG: Your Large Language Model is Secretly a Pointer Generator

Recent research on query generation has focused on using Large Language Models (LLMs), which despite bringing state-of-the-art performance, also introduce issues with hallucinations in the generated queries. In this work, we introduce relevance hallucination and factuality hallucination as a new typology for hallucination problems brought by query generation based on LLMs. We propose an effective way to separate content from form in LLM-generated queries, which preserves the factual knowledge extracted and integrated from the inputs and compiles the syntactic structure, including function words, using the powerful linguistic capabilities of the LLM. Specifically, we introduce a model-agnostic and training-free method that turns the Large Language Model into a Pointer-Generator (LargePiG), where the pointer attention distribution leverages the LLM's inherent attention weights, and the copy probability is derived from the difference between the vocabulary distribution of the model's high layers and the last layer. To validate the effectiveness of LargePiG, we constructed two datasets for assessing the hallucination problems in query generation, covering both document and video scenarios. Empirical studies on various LLMs demonstrated the superiority of LargePiG on both datasets. Additional experiments also verified that LargePiG could reduce hallucination in large vision language models and improve the accuracy of document-based question-answering and factuality evaluation tasks.

VideoHallucer: Evaluating Intrinsic and Extrinsic Hallucinations in Large Video-Language Models

Recent advancements in Multimodal Large Language Models (MLLMs) have extended their capabilities to video understanding. Yet, these models are often plagued by "hallucinations", where irrelevant or nonsensical content is generated, deviating from the actual video context. This work introduces VideoHallucer, the first comprehensive benchmark for hallucination detection in large video-language models (LVLMs). VideoHallucer categorizes hallucinations into two main types: intrinsic and extrinsic, offering further subcategories for detailed analysis, including object-relation, temporal, semantic detail, extrinsic factual, and extrinsic non-factual hallucinations. We adopt an adversarial binary VideoQA method for comprehensive evaluation, where pairs of basic and hallucinated questions are crafted strategically. By evaluating eleven LVLMs on VideoHallucer, we reveal that i) the majority of current models exhibit significant issues with hallucinations; ii) while scaling datasets and parameters improves models' ability to detect basic visual cues and counterfactuals, it provides limited benefit for detecting extrinsic factual hallucinations; iii) existing models are more adept at detecting facts than identifying hallucinations. As a byproduct, these analyses further instruct the development of our self-PEP framework, achieving an average of 5.38% improvement in hallucination resistance across all model architectures.

Question-Answering Model for Schizophrenia Symptoms and Their Impact on Daily Life using Mental Health Forums Data

In recent years, there is strong emphasis on mining medical data using machine learning techniques. A common problem is to obtain a noiseless set of textual documents, with a relevant content for the research question, and developing a Question Answering (QA) model for a specific medical field. The purpose of this paper is to present a new methodology for building a medical dataset and obtain a QA model for analysis of symptoms and impact on daily life for a specific disease domain. The ``Mental Health'' forum was used, a forum dedicated to people suffering from schizophrenia and different mental disorders. Relevant posts of active users, who regularly participate, were extrapolated providing a new method of obtaining low-bias content and without privacy issues. Furthermore, it is shown how to pre-process the dataset to convert it into a QA dataset. The Bidirectional Encoder Representations from Transformers (BERT), DistilBERT, RoBERTa, and BioBERT models were fine-tuned and evaluated via F1-Score, Exact Match, Precision and Recall. Accurate empirical experiments demonstrated the effectiveness of the proposed method for obtaining an accurate dataset for QA model implementation. By fine-tuning the BioBERT QA model, we achieved an F1 score of 0.885, showing a considerable improvement and outperforming the state-of-the-art model for mental disorders domain.

Aligning Modalities in Vision Large Language Models via Preference Fine-tuning

Instruction-following Vision Large Language Models (VLLMs) have achieved significant progress recently on a variety of tasks. These approaches merge strong pre-trained vision models and large language models (LLMs). Since these components are trained separately, the learned representations need to be aligned with joint training on additional image-language pairs. This procedure is not perfect and can cause the model to hallucinate - provide answers that do not accurately reflect the image, even when the core LLM is highly factual and the vision backbone has sufficiently complete representations. In this work, we frame the hallucination problem as an alignment issue, tackle it with preference tuning. Specifically, we propose POVID to generate feedback data with AI models. We use ground-truth instructions as the preferred response and a two-stage approach to generate dispreferred data. First, we prompt GPT-4V to inject plausible hallucinations into the correct answer. Second, we distort the image to trigger the inherent hallucination behavior of the VLLM. This is an automated approach, which does not rely on human data generation or require a perfect expert, which makes it easily scalable. Finally, both of these generation strategies are integrated into an RLHF pipeline via Direct Preference Optimization. In experiments across broad benchmarks, we show that we can not only reduce hallucinations, but improve model performance across standard benchmarks, outperforming prior approaches. Our data and code are available at https://github.com/YiyangZhou/POVID.

MedTrinity-25M: A Large-scale Multimodal Dataset with Multigranular Annotations for Medicine

This paper introduces MedTrinity-25M, a comprehensive, large-scale multimodal dataset for medicine, covering over 25 million images across 10 modalities, with multigranular annotations for more than 65 diseases. These enriched annotations encompass both global textual information, such as disease/lesion type, modality, region-specific descriptions, and inter-regional relationships, as well as detailed local annotations for regions of interest (ROIs), including bounding boxes, segmentation masks. Unlike existing approach which is limited by the availability of image-text pairs, we have developed the first automated pipeline that scales up multimodal data by generating multigranular visual and texual annotations (in the form of image-ROI-description triplets) without the need for any paired text descriptions. Specifically, data from over 90 different sources have been collected, preprocessed, and grounded using domain-specific expert models to identify ROIs related to abnormal regions. We then build a comprehensive knowledge base and prompt multimodal large language models to perform retrieval-augmented generation with the identified ROIs as guidance, resulting in multigranular texual descriptions. Compared to existing datasets, MedTrinity-25M provides the most enriched annotations, supporting a comprehensive range of multimodal tasks such as captioning and report generation, as well as vision-centric tasks like classification and segmentation. Pretraining on MedTrinity-25M, our model achieves state-of-the-art performance on VQA-RAD and PathVQA, surpassing both multimodal large language models and other representative SoTA approaches. This dataset can also be utilized to support large-scale pre-training of multimodal medical AI models, contributing to the development of future foundation models in the medical domain.

Dr-LLaVA: Visual Instruction Tuning with Symbolic Clinical Grounding

Vision-Language Models (VLM) can support clinicians by analyzing medical images and engaging in natural language interactions to assist in diagnostic and treatment tasks. However, VLMs often exhibit "hallucinogenic" behavior, generating textual outputs not grounded in contextual multimodal information. This challenge is particularly pronounced in the medical domain, where we do not only require VLM outputs to be accurate in single interactions but also to be consistent with clinical reasoning and diagnostic pathways throughout multi-turn conversations. For this purpose, we propose a new alignment algorithm that uses symbolic representations of clinical reasoning to ground VLMs in medical knowledge. These representations are utilized to (i) generate GPT-4-guided visual instruction tuning data at scale, simulating clinician-VLM conversations with demonstrations of clinical reasoning, and (ii) create an automatic reward function that evaluates the clinical validity of VLM generations throughout clinician-VLM interactions. Our algorithm eliminates the need for human involvement in training data generation or reward model construction, reducing costs compared to standard reinforcement learning with human feedback (RLHF). We apply our alignment algorithm to develop Dr-LLaVA, a conversational VLM finetuned for analyzing bone marrow pathology slides, demonstrating strong performance in multi-turn medical conversations.

Hallucinations in Neural Automatic Speech Recognition: Identifying Errors and Hallucinatory Models

Hallucinations are a type of output error produced by deep neural networks. While this has been studied in natural language processing, they have not been researched previously in automatic speech recognition. Here, we define hallucinations in ASR as transcriptions generated by a model that are semantically unrelated to the source utterance, yet still fluent and coherent. The similarity of hallucinations to probable natural language outputs of the model creates a danger of deception and impacts the credibility of the system. We show that commonly used metrics, such as word error rates, cannot differentiate between hallucinatory and non-hallucinatory models. To address this, we propose a perturbation-based method for assessing the susceptibility of an automatic speech recognition (ASR) model to hallucination at test time, which does not require access to the training dataset. We demonstrate that this method helps to distinguish between hallucinatory and non-hallucinatory models that have similar baseline word error rates. We further explore the relationship between the types of ASR errors and the types of dataset noise to determine what types of noise are most likely to create hallucinatory outputs. We devise a framework for identifying hallucinations by analysing their semantic connection with the ground truth and their fluency. Finally, we discover how to induce hallucinations with a random noise injection to the utterance.

VDGD: Mitigating LVLM Hallucinations in Cognitive Prompts by Bridging the Visual Perception Gap

Recent interest in Large Vision-Language Models (LVLMs) for practical applications is moderated by the significant challenge of hallucination or the inconsistency between the factual information and the generated text. In this paper, we first perform an in-depth analysis of hallucinations and discover several novel insights about how and when LVLMs hallucinate. From our analysis, we show that: (1) The community's efforts have been primarily targeted towards reducing hallucinations related to visual recognition (VR) prompts (e.g., prompts that only require describing the image), thereby ignoring hallucinations for cognitive prompts (e.g., prompts that require additional skills like reasoning on contents of the image). (2) LVLMs lack visual perception, i.e., they can see but not necessarily understand or perceive the input image. We analyze responses to cognitive prompts and show that LVLMs hallucinate due to a perception gap: although LVLMs accurately recognize visual elements in the input image and possess sufficient cognitive skills, they struggle to respond accurately and hallucinate. To overcome this shortcoming, we propose Visual Description Grounded Decoding (VDGD), a simple, robust, and training-free method for alleviating hallucinations. Specifically, we first describe the image and add it as a prefix to the instruction. Next, during auto-regressive decoding, we sample from the plausible candidates according to their KL-Divergence (KLD) to the description, where lower KLD is given higher preference. Experimental results on several benchmarks and LVLMs show that VDGD improves significantly over other baselines in reducing hallucinations. We also propose VaLLu, a benchmark for the comprehensive evaluation of the cognitive capabilities of LVLMs.

Look, Compare, Decide: Alleviating Hallucination in Large Vision-Language Models via Multi-View Multi-Path Reasoning

Recently, Large Vision-Language Models (LVLMs) have demonstrated impressive capabilities in multi-modal context comprehension. However, they still suffer from hallucination problems referring to generating inconsistent outputs with the image content. To mitigate hallucinations, previous studies mainly focus on retraining LVLMs with custom datasets. Although effective, they inherently come with additional computational costs. In this paper, we propose a training-free framework, MVP, that aims to reduce hallucinations by making the most of the innate capabilities of the LVLMs via Multi-View Multi-Path Reasoning. Specifically, we first devise a multi-view information-seeking strategy to thoroughly perceive the comprehensive information in the image, which enriches the general global information captured by the original vision encoder in LVLMs. Furthermore, during the answer decoding, we observe that the occurrence of hallucinations has a strong correlation with the certainty of the answer tokens. Thus, we propose multi-path reasoning for each information view to quantify and aggregate the certainty scores for each potential answer among multiple decoding paths and finally decide the output answer. By fully grasping the information in the image and carefully considering the certainty of the potential answers when decoding, our MVP can effectively reduce hallucinations in LVLMs.The extensive experiments verify that our proposed MVP significantly mitigates the hallucination problem across four well-known LVLMs. The source code is available at: https://github.com/GasolSun36/MVP.

MODMA dataset: a Multi-modal Open Dataset for Mental-disorder Analysis

According to the World Health Organization, the number of mental disorder patients, especially depression patients, has grown rapidly and become a leading contributor to the global burden of disease. However, the present common practice of depression diagnosis is based on interviews and clinical scales carried out by doctors, which is not only labor-consuming but also time-consuming. One important reason is due to the lack of physiological indicators for mental disorders. With the rising of tools such as data mining and artificial intelligence, using physiological data to explore new possible physiological indicators of mental disorder and creating new applications for mental disorder diagnosis has become a new research hot topic. However, good quality physiological data for mental disorder patients are hard to acquire. We present a multi-modal open dataset for mental-disorder analysis. The dataset includes EEG and audio data from clinically depressed patients and matching normal controls. All our patients were carefully diagnosed and selected by professional psychiatrists in hospitals. The EEG dataset includes not only data collected using traditional 128-electrodes mounted elastic cap, but also a novel wearable 3-electrode EEG collector for pervasive applications. The 128-electrodes EEG signals of 53 subjects were recorded as both in resting state and under stimulation; the 3-electrode EEG signals of 55 subjects were recorded in resting state; the audio data of 52 subjects were recorded during interviewing, reading, and picture description. We encourage other researchers in the field to use it for testing their methods of mental-disorder analysis.

ProVision: Programmatically Scaling Vision-centric Instruction Data for Multimodal Language Models

With the rise of multimodal applications, instruction data has become critical for training multimodal language models capable of understanding complex image-based queries. Existing practices rely on powerful but costly large language models (LLMs) or multimodal language models (MLMs) to produce instruction data. These are often prone to hallucinations, licensing issues and the generation process is often hard to scale and interpret. In this work, we present a programmatic approach that employs scene graphs as symbolic representations of images and human-written programs to systematically synthesize vision-centric instruction data. Our approach ensures the interpretability and controllability of the data generation process and scales efficiently while maintaining factual accuracy. By implementing a suite of 24 single-image, 14 multi-image instruction generators, and a scene graph generation pipeline, we build a scalable, cost-effective system: ProVision which produces diverse question-answer pairs concerning objects, attributes, relations, depth, etc., for any given image. Applied to Visual Genome and DataComp datasets, we generate over 10 million instruction data points, ProVision-10M, and leverage them in both pretraining and instruction tuning stages of MLMs. When adopted in the instruction tuning stage, our single-image instruction data yields up to a 7% improvement on the 2D split and 8% on the 3D split of CVBench, along with a 3% increase in performance on QBench2, RealWorldQA, and MMMU. Our multi-image instruction data leads to an 8% improvement on Mantis-Eval. Incorporation of our data in both pre-training and fine-tuning stages of xGen-MM-4B leads to an averaged improvement of 1.6% across 11 benchmarks.

Leveraging Hallucinations to Reduce Manual Prompt Dependency in Promptable Segmentation

Promptable segmentation typically requires instance-specific manual prompts to guide the segmentation of each desired object. To minimize such a need, task-generic promptable segmentation has been introduced, which employs a single task-generic prompt to segment various images of different objects in the same task. Current methods use Multimodal Large Language Models (MLLMs) to reason detailed instance-specific prompts from a task-generic prompt for improving segmentation accuracy. The effectiveness of this segmentation heavily depends on the precision of these derived prompts. However, MLLMs often suffer hallucinations during reasoning, resulting in inaccurate prompting. While existing methods focus on eliminating hallucinations to improve a model, we argue that MLLM hallucinations can reveal valuable contextual insights when leveraged correctly, as they represent pre-trained large-scale knowledge beyond individual images. In this paper, we utilize hallucinations to mine task-related information from images and verify its accuracy for enhancing precision of the generated prompts. Specifically, we introduce an iterative Prompt-Mask Cycle generation framework (ProMaC) with a prompt generator and a mask generator.The prompt generator uses a multi-scale chain of thought prompting, initially exploring hallucinations for extracting extended contextual knowledge on a test image.These hallucinations are then reduced to formulate precise instance-specific prompts, directing the mask generator to produce masks that are consistent with task semantics by mask semantic alignment. The generated masks iteratively induce the prompt generator to focus more on task-relevant image areas and reduce irrelevant hallucinations, resulting jointly in better prompts and masks. Experiments on 5 benchmarks demonstrate the effectiveness of ProMaC. Code given in https://lwpyh.github.io/ProMaC/.

Aligning Large Multi-Modal Model with Robust Instruction Tuning

Despite the promising progress in multi-modal tasks, current large multi-modal models (LMM) are prone to hallucinating inconsistent descriptions with respect to the associated image and human instructions. This paper addresses this issue by introducing the first large and diverse visual instruction tuning dataset, named Large-scale Robust Visual (LRV)-Instruction. Our dataset consists of 120k visual instructions generated by GPT4, covering 16 vision-and-language tasks with open-ended instructions and answers. Unlike existing studies that primarily focus on positive instruction samples, we design LRV-Instruction to include both positive and negative instructions for more robust visual instruction tuning. Our negative instructions are designed at two semantic levels: (i) Nonexistent Element Manipulation and (ii) Existent Element Manipulation. To efficiently measure the hallucination generated by LMMs, we propose GPT4-Assisted Visual Instruction Evaluation (GAVIE), a novel approach to evaluate visual instruction tuning without the need for human-annotated groundtruth answers and can adapt to diverse instruction formats. We conduct comprehensive experiments to investigate the hallucination of LMMs. Our results demonstrate that existing LMMs exhibit significant hallucination when presented with our negative instructions, particularly with Existent Element Manipulation instructions. Moreover, by finetuning MiniGPT4 on LRV-Instruction, we successfully mitigate hallucination while improving performance on public datasets using less training data compared to state-of-the-art methods. Additionally, we observed that a balanced ratio of positive and negative instances in the training data leads to a more robust model. Our project link is available at https://fuxiaoliu.github.io/LRV/.

A Survey of Medical Vision-and-Language Applications and Their Techniques

Medical vision-and-language models (MVLMs) have attracted substantial interest due to their capability to offer a natural language interface for interpreting complex medical data. Their applications are versatile and have the potential to improve diagnostic accuracy and decision-making for individual patients while also contributing to enhanced public health monitoring, disease surveillance, and policy-making through more efficient analysis of large data sets. MVLMS integrate natural language processing with medical images to enable a more comprehensive and contextual understanding of medical images alongside their corresponding textual information. Unlike general vision-and-language models trained on diverse, non-specialized datasets, MVLMs are purpose-built for the medical domain, automatically extracting and interpreting critical information from medical images and textual reports to support clinical decision-making. Popular clinical applications of MVLMs include automated medical report generation, medical visual question answering, medical multimodal segmentation, diagnosis and prognosis and medical image-text retrieval. Here, we provide a comprehensive overview of MVLMs and the various medical tasks to which they have been applied. We conduct a detailed analysis of various vision-and-language model architectures, focusing on their distinct strategies for cross-modal integration/exploitation of medical visual and textual features. We also examine the datasets used for these tasks and compare the performance of different models based on standardized evaluation metrics. Furthermore, we highlight potential challenges and summarize future research trends and directions. The full collection of papers and codes is available at: https://github.com/YtongXie/Medical-Vision-and-Language-Tasks-and-Methodologies-A-Survey.

List Items One by One: A New Data Source and Learning Paradigm for Multimodal LLMs

Set-of-Mark (SoM) Prompting unleashes the visual grounding capability of GPT-4V, by enabling the model to associate visual objects with tags inserted on the image. These tags, marked with alphanumerics, can be indexed via text tokens for easy reference. Despite the extraordinary performance from GPT-4V, we observe that other Multimodal Large Language Models (MLLMs) struggle to understand these visual tags. To promote the learning of SoM prompting for open-source models, we propose a new learning paradigm: "list items one by one," which asks the model to enumerate and describe all visual tags placed on the image following the alphanumeric orders of tags. By integrating our curated dataset with other visual instruction tuning datasets, we are able to equip existing MLLMs with the SoM prompting ability. Furthermore, we evaluate our finetuned SoM models on five MLLM benchmarks. We find that this new dataset, even in a relatively small size (10k-30k images with tags), significantly enhances visual reasoning capabilities and reduces hallucinations for MLLMs. Perhaps surprisingly, these improvements persist even when the visual tags are omitted from input images during inference. This suggests the potential of "list items one by one" as a new paradigm for training MLLMs, which strengthens the object-text alignment through the use of visual tags in the training stage. Finally, we conduct analyses by probing trained models to understand the working mechanism of SoM. Our code and data are available at https://github.com/zzxslp/SoM-LLaVA.

Crowdsourcing Dermatology Images with Google Search Ads: Creating a Real-World Skin Condition Dataset

Background: Health datasets from clinical sources do not reflect the breadth and diversity of disease in the real world, impacting research, medical education, and artificial intelligence (AI) tool development. Dermatology is a suitable area to develop and test a new and scalable method to create representative health datasets. Methods: We used Google Search advertisements to invite contributions to an open access dataset of images of dermatology conditions, demographic and symptom information. With informed contributor consent, we describe and release this dataset containing 10,408 images from 5,033 contributions from internet users in the United States over 8 months starting March 2023. The dataset includes dermatologist condition labels as well as estimated Fitzpatrick Skin Type (eFST) and Monk Skin Tone (eMST) labels for the images. Results: We received a median of 22 submissions/day (IQR 14-30). Female (66.72%) and younger (52% < age 40) contributors had a higher representation in the dataset compared to the US population, and 32.6% of contributors reported a non-White racial or ethnic identity. Over 97.5% of contributions were genuine images of skin conditions. Dermatologist confidence in assigning a differential diagnosis increased with the number of available variables, and showed a weaker correlation with image sharpness (Spearman's P values <0.001 and 0.01 respectively). Most contributions were short-duration (54% with onset < 7 days ago ) and 89% were allergic, infectious, or inflammatory conditions. eFST and eMST distributions reflected the geographical origin of the dataset. The dataset is available at github.com/google-research-datasets/scin . Conclusion: Search ads are effective at crowdsourcing images of health conditions. The SCIN dataset bridges important gaps in the availability of representative images of common skin conditions.

Multi-Modal Hallucination Control by Visual Information Grounding

Generative Vision-Language Models (VLMs) are prone to generate plausible-sounding textual answers that, however, are not always grounded in the input image. We investigate this phenomenon, usually referred to as "hallucination" and show that it stems from an excessive reliance on the language prior. In particular, we show that as more tokens are generated, the reliance on the visual prompt decreases, and this behavior strongly correlates with the emergence of hallucinations. To reduce hallucinations, we introduce Multi-Modal Mutual-Information Decoding (M3ID), a new sampling method for prompt amplification. M3ID amplifies the influence of the reference image over the language prior, hence favoring the generation of tokens with higher mutual information with the visual prompt. M3ID can be applied to any pre-trained autoregressive VLM at inference time without necessitating further training and with minimal computational overhead. If training is an option, we show that M3ID can be paired with Direct Preference Optimization (DPO) to improve the model's reliance on the prompt image without requiring any labels. Our empirical findings show that our algorithms maintain the fluency and linguistic capabilities of pre-trained VLMs while reducing hallucinations by mitigating visually ungrounded answers. Specifically, for the LLaVA 13B model, M3ID and M3ID+DPO reduce the percentage of hallucinated objects in captioning tasks by 25% and 28%, respectively, and improve the accuracy on VQA benchmarks such as POPE by 21% and 24%.

CLIPSyntel: CLIP and LLM Synergy for Multimodal Question Summarization in Healthcare

In the era of modern healthcare, swiftly generating medical question summaries is crucial for informed and timely patient care. Despite the increasing complexity and volume of medical data, existing studies have focused solely on text-based summarization, neglecting the integration of visual information. Recognizing the untapped potential of combining textual queries with visual representations of medical conditions, we introduce the Multimodal Medical Question Summarization (MMQS) Dataset. This dataset, a major contribution to our work, pairs medical queries with visual aids, facilitating a richer and more nuanced understanding of patient needs. We also propose a framework, utilizing the power of Contrastive Language Image Pretraining(CLIP) and Large Language Models(LLMs), consisting of four modules that identify medical disorders, generate relevant context, filter medical concepts, and craft visually aware summaries. Our comprehensive framework harnesses the power of CLIP, a multimodal foundation model, and various general-purpose LLMs, comprising four main modules: the medical disorder identification module, the relevant context generation module, the context filtration module for distilling relevant medical concepts and knowledge, and finally, a general-purpose LLM to generate visually aware medical question summaries. Leveraging our MMQS dataset, we showcase how visual cues from images enhance the generation of medically nuanced summaries. This multimodal approach not only enhances the decision-making process in healthcare but also fosters a more nuanced understanding of patient queries, laying the groundwork for future research in personalized and responsive medical care

UniMed-CLIP: Towards a Unified Image-Text Pretraining Paradigm for Diverse Medical Imaging Modalities

Vision-Language Models (VLMs) trained via contrastive learning have achieved notable success in natural image tasks. However, their application in the medical domain remains limited due to the scarcity of openly accessible, large-scale medical image-text datasets. Existing medical VLMs either train on closed-source proprietary or relatively small open-source datasets that do not generalize well. Similarly, most models remain specific to a single or limited number of medical imaging domains, again restricting their applicability to other modalities. To address this gap, we introduce UniMed, a large-scale, open-source multi-modal medical dataset comprising over 5.3 million image-text pairs across six diverse imaging modalities: X-ray, CT, MRI, Ultrasound, Pathology, and Fundus. UniMed is developed using a data-collection framework that leverages Large Language Models (LLMs) to transform modality-specific classification datasets into image-text formats while incorporating existing image-text data from the medical domain, facilitating scalable VLM pretraining. Using UniMed, we trained UniMed-CLIP, a unified VLM for six modalities that significantly outperforms existing generalist VLMs and matches modality-specific medical VLMs, achieving notable gains in zero-shot evaluations. For instance, UniMed-CLIP improves over BiomedCLIP (trained on proprietary data) by an absolute gain of +12.61, averaged over 21 datasets, while using 3x less training data. To facilitate future research, we release UniMed dataset, training codes, and models at https://github.com/mbzuai-oryx/UniMed-CLIP.

AUTOHALLUSION: Automatic Generation of Hallucination Benchmarks for Vision-Language Models

Large vision-language models (LVLMs) hallucinate: certain context cues in an image may trigger the language module's overconfident and incorrect reasoning on abnormal or hypothetical objects. Though a few benchmarks have been developed to investigate LVLM hallucinations, they mainly rely on hand-crafted corner cases whose fail patterns may hardly generalize, and finetuning on them could undermine their validity. These motivate us to develop the first automatic benchmark generation approach, AUTOHALLUSION, that harnesses a few principal strategies to create diverse hallucination examples. It probes the language modules in LVLMs for context cues and uses them to synthesize images by: (1) adding objects abnormal to the context cues; (2) for two co-occurring objects, keeping one and excluding the other; or (3) removing objects closely tied to the context cues. It then generates image-based questions whose ground-truth answers contradict the language module's prior. A model has to overcome contextual biases and distractions to reach correct answers, while incorrect or inconsistent answers indicate hallucinations. AUTOHALLUSION enables us to create new benchmarks at the minimum cost and thus overcomes the fragility of hand-crafted benchmarks. It also reveals common failure patterns and reasons, providing key insights to detect, avoid, or control hallucinations. Comprehensive evaluations of top-tier LVLMs, e.g., GPT-4V(ision), Gemini Pro Vision, Claude 3, and LLaVA-1.5, show a 97.7% and 98.7% success rate of hallucination induction on synthetic and real-world datasets of AUTOHALLUSION, paving the way for a long battle against hallucinations.

MMed-RAG: Versatile Multimodal RAG System for Medical Vision Language Models

Artificial Intelligence (AI) has demonstrated significant potential in healthcare, particularly in disease diagnosis and treatment planning. Recent progress in Medical Large Vision-Language Models (Med-LVLMs) has opened up new possibilities for interactive diagnostic tools. However, these models often suffer from factual hallucination, which can lead to incorrect diagnoses. Fine-tuning and retrieval-augmented generation (RAG) have emerged as methods to address these issues. However, the amount of high-quality data and distribution shifts between training data and deployment data limit the application of fine-tuning methods. Although RAG is lightweight and effective, existing RAG-based approaches are not sufficiently general to different medical domains and can potentially cause misalignment issues, both between modalities and between the model and the ground truth. In this paper, we propose a versatile multimodal RAG system, MMed-RAG, designed to enhance the factuality of Med-LVLMs. Our approach introduces a domain-aware retrieval mechanism, an adaptive retrieved contexts selection method, and a provable RAG-based preference fine-tuning strategy. These innovations make the RAG process sufficiently general and reliable, significantly improving alignment when introducing retrieved contexts. Experimental results across five medical datasets (involving radiology, ophthalmology, pathology) on medical VQA and report generation demonstrate that MMed-RAG can achieve an average improvement of 43.8% in the factual accuracy of Med-LVLMs. Our data and code are available in https://github.com/richard-peng-xia/MMed-RAG.

HallE-Switch: Rethinking and Controlling Object Existence Hallucinations in Large Vision Language Models for Detailed Caption

Current large vision-language models (LVLMs) achieve remarkable progress, yet there remains significant uncertainty regarding their ability to accurately apprehend visual details, that is, in performing detailed captioning. To address this, we introduce CCEval, a GPT-4 assisted evaluation method tailored for detailed captioning. Interestingly, while LVLMs demonstrate minimal object existence hallucination in existing VQA benchmarks, our proposed evaluation reveals continued susceptibility to such hallucinations. In this paper, we make the first attempt to investigate and attribute such hallucinations, including image resolution, the language decoder size, and instruction data amount, quality, granularity. Our findings underscore the unwarranted inference when the language description includes details at a finer object granularity than what the vision module can ground or verify, thus inducing hallucination. To control such hallucinations, we further attribute the reliability of captioning to contextual knowledge (involving only contextually grounded objects) and parametric knowledge (containing inferred objects by the model). Thus, we introduce HallE-Switch, a controllable LVLM in terms of Hallucination in object Existence. HallE-Switch can condition the captioning to shift between (i) exclusively depicting contextual knowledge for grounded objects and (ii) blending it with parametric knowledge to imagine inferred objects. Our method reduces hallucination by 44% compared to LLaVA_{7B} and maintains the same object coverage.

Understanding Alignment in Multimodal LLMs: A Comprehensive Study

Preference alignment has become a crucial component in enhancing the performance of Large Language Models (LLMs), yet its impact in Multimodal Large Language Models (MLLMs) remains comparatively underexplored. Similar to language models, MLLMs for image understanding tasks encounter challenges like hallucination. In MLLMs, hallucination can occur not only by stating incorrect facts but also by producing responses that are inconsistent with the image content. A primary objective of alignment for MLLMs is to encourage these models to align responses more closely with image information. Recently, multiple works have introduced preference datasets for MLLMs and examined different alignment methods, including Direct Preference Optimization (DPO) and Proximal Policy Optimization (PPO). However, due to variations in datasets, base model types, and alignment methods, it remains unclear which specific elements contribute most significantly to the reported improvements in these works. In this paper, we independently analyze each aspect of preference alignment in MLLMs. We start by categorizing the alignment algorithms into two groups, offline (such as DPO), and online (such as online-DPO), and show that combining offline and online methods can improve the performance of the model in certain scenarios. We review a variety of published multimodal preference datasets and discuss how the details of their construction impact model performance. Based on these insights, we introduce a novel way of creating multimodal preference data called Bias-Driven Hallucination Sampling (BDHS) that needs neither additional annotation nor external models, and show that it can achieve competitive performance to previously published alignment work for multimodal models across a range of benchmarks.

Towards Evaluating and Building Versatile Large Language Models for Medicine

In this study, we present MedS-Bench, a comprehensive benchmark designed to evaluate the performance of large language models (LLMs) in clinical contexts. Unlike existing benchmarks that focus on multiple-choice question answering, MedS-Bench spans 11 high-level clinical tasks, including clinical report summarization, treatment recommendations, diagnosis, named entity recognition, and medical concept explanation, among others. We evaluated six leading LLMs, e.g., MEDITRON, Mistral, InternLM 2, Llama 3, GPT-4, and Claude-3.5 using few-shot prompting, and found that even the most sophisticated models struggle with these complex tasks. To address these limitations, we developed MedS-Ins, a large-scale instruction tuning dataset for medicine. MedS-Ins comprises 58 medically oriented language corpora, totaling 13.5 million samples across 122 tasks. To demonstrate the dataset's utility, we conducted a proof-of-concept experiment by performing instruction tuning on a lightweight, open-source medical language model. The resulting model, MMedIns-Llama 3, significantly outperformed existing models across nearly all clinical tasks. To promote further advancements in the application of LLMs to clinical challenges, we have made the MedS-Ins dataset fully accessible and invite the research community to contribute to its expansion.Additionally, we have launched a dynamic leaderboard for MedS-Bench, which we plan to regularly update the test set to track progress and enhance the adaptation of general LLMs to the medical domain. Leaderboard: https://henrychur.github.io/MedS-Bench/. Github: https://github.com/MAGIC-AI4Med/MedS-Ins.

MMLongBench-Doc: Benchmarking Long-context Document Understanding with Visualizations

Understanding documents with rich layouts and multi-modal components is a long-standing and practical task. Recent Large Vision-Language Models (LVLMs) have made remarkable strides in various tasks, particularly in single-page document understanding (DU). However, their abilities on long-context DU remain an open problem. This work presents MMLongBench-Doc, a long-context, multi-modal benchmark comprising 1,062 expert-annotated questions. Distinct from previous datasets, it is constructed upon 130 lengthy PDF-formatted documents with an average of 49.4 pages and 20,971 textual tokens. Towards comprehensive evaluation, answers to these questions rely on pieces of evidence from (1) different sources (text, image, chart, table, and layout structure) and (2) various locations (i.e. page number). Moreover, 33.2% of the questions are cross-page questions requiring evidence across multiple pages. 22.8% of the questions are designed to be unanswerable for detecting potential hallucinations. Experiments on 14 LVLMs demonstrate that long-context DU greatly challenges current models. Notably, the best-performing model, GPT-4o, achieves an F1 score of only 42.7%, while the second-best, GPT-4V, scores 31.4%. Furthermore, 12 LVLMs (all except GPT-4o and GPT-4V) even present worse performance than their LLM counterparts which are fed with lossy-parsed OCR documents. These results validate the necessity of future research toward more capable long-context LVLMs. Project Page: https://mayubo2333.github.io/MMLongBench-Doc

RLHF-V: Towards Trustworthy MLLMs via Behavior Alignment from Fine-grained Correctional Human Feedback

Multimodal Large Language Models (MLLMs) have recently demonstrated impressive capabilities in multimodal understanding, reasoning, and interaction. However, existing MLLMs prevalently suffer from serious hallucination problems, generating text that is not factually grounded in associated images. The problem makes existing MLLMs untrustworthy and thus impractical in real-world (especially high-stakes) applications. To address the challenge, we present RLHF-V, which enhances MLLM trustworthiness via behavior alignment from fine-grained correctional human feedback. Specifically, RLHF-V collects human preference in the form of segment-level corrections on hallucinations, and performs dense direct preference optimization over the human feedback. Comprehensive experiments on five benchmarks in both automatic and human evaluation show that, RLHF-V can enable substantially more trustworthy MLLM behaviors with promising data and computation efficiency. Remarkably, using 1.4k annotated data samples, RLHF-V significantly reduces the hallucination rate of the base MLLM by 34.8%, outperforming the concurrent LLaVA-RLHF trained on 10k annotated data. The final model achieves state-of-the-art performance in trustworthiness among open-source MLLMs, and shows better robustness than GPT-4V in preventing hallucinations aroused from over-generalization. We open-source our code, model, and data at https://github.com/RLHF-V/RLHF-V.

Enhancing Large Language Models with Domain-specific Retrieval Augment Generation: A Case Study on Long-form Consumer Health Question Answering in Ophthalmology

Despite the potential of Large Language Models (LLMs) in medicine, they may generate responses lacking supporting evidence or based on hallucinated evidence. While Retrieval Augment Generation (RAG) is popular to address this issue, few studies implemented and evaluated RAG in downstream domain-specific applications. We developed a RAG pipeline with 70,000 ophthalmology-specific documents that retrieve relevant documents to augment LLMs during inference time. In a case study on long-form consumer health questions, we systematically evaluated the responses including over 500 references of LLMs with and without RAG on 100 questions with 10 healthcare professionals. The evaluation focuses on factuality of evidence, selection and ranking of evidence, attribution of evidence, and answer accuracy and completeness. LLMs without RAG provided 252 references in total. Of which, 45.3% hallucinated, 34.1% consisted of minor errors, and 20.6% were correct. In contrast, LLMs with RAG significantly improved accuracy (54.5% being correct) and reduced error rates (18.8% with minor hallucinations and 26.7% with errors). 62.5% of the top 10 documents retrieved by RAG were selected as the top references in the LLM response, with an average ranking of 4.9. The use of RAG also improved evidence attribution (increasing from 1.85 to 2.49 on a 5-point scale, P<0.001), albeit with slight decreases in accuracy (from 3.52 to 3.23, P=0.03) and completeness (from 3.47 to 3.27, P=0.17). The results demonstrate that LLMs frequently exhibited hallucinated and erroneous evidence in the responses, raising concerns for downstream applications in the medical domain. RAG substantially reduced the proportion of such evidence but encountered challenges.

RITUAL: Random Image Transformations as a Universal Anti-hallucination Lever in LVLMs

Recent advancements in Large Vision Language Models (LVLMs) have revolutionized how machines understand and generate textual responses based on visual inputs. Despite their impressive capabilities, they often produce "hallucinatory" outputs that do not accurately reflect the visual information, posing challenges in reliability and trustworthiness. Current methods such as contrastive decoding have made strides in addressing these issues by contrasting the original probability distribution of generated tokens with distorted counterparts; yet, generating visually-faithful outputs remains a challenge. In this work, we shift our focus to the opposite: What could serve as a complementary enhancement to the original probability distribution? We propose a simple, training-free method termed RITUAL to enhance robustness against hallucinations in LVLMs. Our approach employs random image transformations as complements to the original probability distribution, aiming to mitigate the likelihood of hallucinatory visual explanations by enriching the model's exposure to varied visual scenarios. Our empirical results show that while the isolated use of transformed images initially degrades performance, strategic implementation of these transformations can indeed serve as effective complements. Notably, our method is compatible with current contrastive decoding methods and does not require external models or costly self-feedback mechanisms, making it a practical addition. In experiments, RITUAL significantly outperforms existing contrastive decoding methods across several object hallucination benchmarks, including POPE, CHAIR, and MME.

BIOMEDICA: An Open Biomedical Image-Caption Archive, Dataset, and Vision-Language Models Derived from Scientific Literature

The development of vision-language models (VLMs) is driven by large-scale and diverse multimodal datasets. However, progress toward generalist biomedical VLMs is limited by the lack of annotated, publicly accessible datasets across biology and medicine. Existing efforts are restricted to narrow domains, missing the full diversity of biomedical knowledge encoded in scientific literature. To address this gap, we introduce BIOMEDICA, a scalable, open-source framework to extract, annotate, and serialize the entirety of the PubMed Central Open Access subset into an easy-to-use, publicly accessible dataset.Our framework produces a comprehensive archive with over 24 million unique image-text pairs from over 6 million articles. Metadata and expert-guided annotations are also provided. We demonstrate the utility and accessibility of our resource by releasing BMCA-CLIP, a suite of CLIP-style models continuously pre-trained on the BIOMEDICA dataset via streaming, eliminating the need to download 27 TB of data locally.On average, our models achieve state-of-the-art performance across 40 tasks - spanning pathology, radiology, ophthalmology, dermatology, surgery, molecular biology, parasitology, and cell biology - excelling in zero-shot classification with a 6.56% average improvement (as high as 29.8% and 17.5% in dermatology and ophthalmology, respectively), and stronger image-text retrieval, all while using 10x less compute. To foster reproducibility and collaboration, we release our codebase and dataset for the broader research community.

fMRI-3D: A Comprehensive Dataset for Enhancing fMRI-based 3D Reconstruction

Reconstructing 3D visuals from functional Magnetic Resonance Imaging (fMRI) data, introduced as Recon3DMind in our conference work, is of significant interest to both cognitive neuroscience and computer vision. To advance this task, we present the fMRI-3D dataset, which includes data from 15 participants and showcases a total of 4768 3D objects. The dataset comprises two components: fMRI-Shape, previously introduced and accessible at https://huggingface.co/datasets/Fudan-fMRI/fMRI-Shape, and fMRI-Objaverse, proposed in this paper and available at https://huggingface.co/datasets/Fudan-fMRI/fMRI-Objaverse. fMRI-Objaverse includes data from 5 subjects, 4 of whom are also part of the Core set in fMRI-Shape, with each subject viewing 3142 3D objects across 117 categories, all accompanied by text captions. This significantly enhances the diversity and potential applications of the dataset. Additionally, we propose MinD-3D, a novel framework designed to decode 3D visual information from fMRI signals. The framework first extracts and aggregates features from fMRI data using a neuro-fusion encoder, then employs a feature-bridge diffusion model to generate visual features, and finally reconstructs the 3D object using a generative transformer decoder. We establish new benchmarks by designing metrics at both semantic and structural levels to evaluate model performance. Furthermore, we assess our model's effectiveness in an Out-of-Distribution setting and analyze the attribution of the extracted features and the visual ROIs in fMRI signals. Our experiments demonstrate that MinD-3D not only reconstructs 3D objects with high semantic and spatial accuracy but also deepens our understanding of how human brain processes 3D visual information. Project page at: https://jianxgao.github.io/MinD-3D.

AGLA: Mitigating Object Hallucinations in Large Vision-Language Models with Assembly of Global and Local Attention

Despite their great success across various multimodal tasks, Large Vision-Language Models (LVLMs) are facing a prevalent problem with object hallucinations, where the generated textual responses are inconsistent with ground-truth objects in the given image. This paper investigates various LVLMs and pinpoints attention deficiency toward discriminative local image features as one root cause of object hallucinations. Specifically, LVLMs predominantly attend to prompt-independent global image features, while failing to capture prompt-relevant local features, consequently undermining the visual grounding capacity of LVLMs and leading to hallucinations. To this end, we propose Assembly of Global and Local Attention (AGLA), a training-free and plug-and-play approach that mitigates object hallucinations by exploring an ensemble of global features for response generation and local features for visual discrimination simultaneously. Our approach exhibits an image-prompt matching scheme that captures prompt-relevant local features from images, leading to an augmented view of the input image where prompt-relevant content is reserved while irrelevant distractions are masked. With the augmented view, a calibrated decoding distribution can be derived by integrating generative global features from the original image and discriminative local features from the augmented image. Extensive experiments show that AGLA consistently mitigates object hallucinations and enhances general perception capability for LVLMs across various discriminative and generative benchmarks. Our code will be released at https://github.com/Lackel/AGLA.