Recruiting patients to participate in clinical trials can be challenging and time-consuming. Usually, participation in a clinical trial is initiated by a healthcare professional and proposed to the patient. Promoting clinical trials directly to patients via online recruitment might help to reach them more efficiently. In this study, we address the case where a patient is initiating their own recruitment process and wants to determine whether they are eligible for a given clinical trial, using their own language to describe their medical profile. To study whether this creates difficulties in the patient trial matching process, we design a new dataset and task, Natural Language Inference for Patient Recruitment (NLI4PR), in which patient language profiles must be matched to clinical trials. We create it by adapting the TREC 2022 Clinical Trial Track dataset, which provides patients' medical profiles, and rephrasing them manually using patient language. We also use the associated clinical trial reports where the patients are either eligible or excluded. We prompt several open-source Large Language Models on our task and achieve from 56.5 to 71.8 of F1 score using patient language, against 64.7 to 73.1 for the same task using medical language. When using patient language, we observe only a small loss in performance for the best model, suggesting that having the patient as a starting point could be adopted to help recruit patients for clinical trials. The corpus and code bases are all freely available on our Github and HuggingFace repositories.

This paper studies how AI-assisted programming and large language models (LLM) improve software developers' ability via AI tools (LLM agents) like Github Copilot and Amazon CodeWhisperer, while integrating human feedback to enhance reinforcement learning (RLHF) with crowd-sourced computation to enhance text-to-code generation. Additionally, we demonstrate that our Bayesian optimization framework supports AI alignment in code generation by distributing the feedback collection burden, highlighting the value of collecting human feedback of good quality. Our empirical evaluations demonstrate the efficacy of this approach, showcasing how LLM agents can be effectively trained for improved text-to-code generation. Our Bayesian optimization framework can be designed for general domain-specific languages, promoting the alignment of large language model capabilities with human feedback in AI-assisted programming for code generation.

Tailoring persuasive conversations to users leads to more effective persuasion. However, existing dialogue systems often struggle to adapt to dynamically evolving user states. This paper presents a novel method that leverages causal discovery and counterfactual reasoning for optimizing system persuasion capability and outcomes. We employ the Greedy Relaxation of the Sparsest Permutation (GRaSP) algorithm to identify causal relationships between user and system utterance strategies, treating user strategies as states and system strategies as actions. GRaSP identifies user strategies as causal factors influencing system responses, which inform Bidirectional Conditional Generative Adversarial Networks (BiCoGAN) in generating counterfactual utterances for the system. Subsequently, we use the Dueling Double Deep Q-Network (D3QN) model to utilize counterfactual data to determine the best policy for selecting system utterances. Our experiments with the PersuasionForGood dataset show measurable improvements in persuasion outcomes using our approach over baseline methods. The observed increase in cumulative rewards and Q-values highlights the effectiveness of causal discovery in enhancing counterfactual reasoning and optimizing reinforcement learning policies for online dialogue systems.

Medical QA systems powered by Retrieval-Augmented Generation (RAG) models support clinical decision-making but may introduce biases related to race, gender, and social determinants of health. We systematically evaluate biases in RAG-based LLM by examining demographic-sensitive queries and measuring retrieval discrepancies. Using datasets like MMLU and MedMCQA, we analyze retrieval overlap and correctness disparities. Our findings reveal substantial demographic disparities within RAG pipelines, emphasizing the critical need for retrieval methods that explicitly account for fairness to ensure equitable clinical decision-making.

Background: Patient recruitment in clinical trials is hindered by complex eligibility criteria and labor-intensive chart reviews. Prior research using text-only models have struggled to address this problem in a reliable and scalable way due to (1) limited reasoning capabilities, (2) information loss from converting visual records to text, and (3) lack of a generic EHR integration to extract patient data. Methods: We introduce a broadly applicable, integration-free, LLM-powered pipeline that automates patient-trial matching using unprocessed documents extracted from EHRs. Our approach leverages (1) the new reasoning-LLM paradigm, enabling the assessment of even the most complex criteria, (2) visual capabilities of latest LLMs to interpret medical records without lossy image-to-text conversions, and (3) multimodal embeddings for efficient medical record search. The pipeline was validated on the n2c2 2018 cohort selection dataset (288 diabetic patients) and a real-world dataset composed of 485 patients from 30 different sites matched against 36 diverse trials. Results: On the n2c2 dataset, our method achieved a new state-of-the-art criterion-level accuracy of 93\%. In real-world trials, the pipeline yielded an accuracy of 87\%, undermined by the difficulty to replicate human decision-making when medical records lack sufficient information. Nevertheless, users were able to review overall eligibility in under 9 minutes per patient on average, representing an 80\% improvement over traditional manual chart reviews. Conclusion: This pipeline demonstrates robust performance in clinical trial patient matching without requiring custom integration with site systems or trial-specific tailoring, thereby enabling scalable deployment across sites seeking to leverage AI for patient matching.

Published as a conference paper at ICLR 2025R 2: A LLM B ASED N OVEL-TO-S CREENPLAYG ENER-ATIONF RAMEWORK WITH C AUSALP LOT G RAPHS Zefeng Lin 1, Yi Xiao 1, Zhiqiang Mo 1, Qifan Zhang 1, Jie Wang 2, Jiayang Chen 2, Jiajing Zhang 2, Hui Zhang 1, Zhengyi Liu 3, Xianyong Fang 3, Xiaohua Xu 1 1 University of Science and Technology of China 2 Anhui Jianzhu University 3 Anhui University A BSTRACT Automatically adapting novels into screenplays is important for the TV, film, or opera industries to promote products with low costs. The strong performances of large language models (LLMs) in long-text generation call us to propose a LLM based framework Reader-Rewriter (R 2) for this task. However, there are two fundamental challenges here. First, the LLM hallucinations may cause inconsistent plot extraction and screenplay generation. Second, the causality-embedded plot lines should be effectively extracted for coherent rewriting. Therefore, two corresponding tactics are proposed: 1) A hallucination-aware refinement method (HAR) to iteratively discover and eliminate the affections of hallucinations; and 2) a causal plot-graph construction method (CPC) based on a greedy cycle-breaking algorithm to efficiently construct plot lines with event causalities. Recruiting those efficient techniques, R 2 utilizes two modules to mimic the human screenplay rewriting process: The Reader module adopts a sliding window and CPC to build the causal plot graphs, while the Rewriter module generates first the scene outlines based on the graphs and then the screenplays. HAR is integrated into both modules for accurate inferences of LLMs.

One of the most widely used tasks to evaluate Large Language Models (LLMs) is Multiple-Choice Question Answering (MCQA). While open-ended question answering tasks are more challenging to evaluate, MCQA tasks are, in principle, easier to assess, as the model's answer is thought to be simple to extract and is directly compared to a set of predefined choices. However, recent studies have started to question the reliability of MCQA evaluation, showing that multiple factors can significantly impact the reported performance of LLMs, especially when the model generates free-form text before selecting one of the answer choices. In this work, we shed light on the inconsistencies of MCQA evaluation strategies, which can lead to inaccurate and misleading model comparisons. We systematically analyze whether existing answer extraction methods are aligned with human judgment, and how they are influenced by answer constraints in the prompt across different domains. Our experiments demonstrate that traditional evaluation strategies often underestimate LLM capabilities, while LLM-based answer extractors are prone to systematic errors. Moreover, we reveal a fundamental trade-off between including format constraints in the prompt to simplify answer extraction and allowing models to generate free-form text to improve reasoning. Our findings call for standardized evaluation methodologies and highlight the need for more reliable and consistent MCQA evaluation practices.

In the field of video-language pretraining, existing models face numerous challenges in terms of inference efficiency and multimodal data processing. This paper proposes a KunLunBaize-VoT-R1 video inference model based on a long-sequence image encoder, along with its training and application methods. By integrating image packing technology, the Autonomy-of-Experts (AoE) architecture, and combining the video of Thought (VoT), a large language model (LLM) trained with large-scale reinforcement learning, and multiple training techniques, the efficiency and accuracy of the model in video inference tasks are effectively improved. Experiments show that this model performs outstandingly in multiple tests, providing a new solution for video-language understanding.

This study evaluated the performance of the YOLOv12 object detection model, and compared against the performances YOLOv11 and YOLOv10 for apple detection in commercial orchards based on the model training completed entirely on synthetic images generated by Large Language Models (LLMs). The YOLOv12n configuration achieved the highest precision at 0.916, the highest recall at 0.969, and the highest mean Average Precision (mAP@50) at 0.978. In comparison, the YOLOv11 series was led by YOLO11x, which achieved the highest precision at 0.857, recall at 0.85, and mAP@50 at 0.91. For the YOLOv10 series, YOLOv10b and YOLOv10l both achieved the highest precision at 0.85, with YOLOv10n achieving the highest recall at 0.8 and mAP@50 at 0.89. These findings demonstrated that YOLOv12, when trained on realistic LLM-generated datasets surpassed its predecessors in key performance metrics. The technique also offered a cost-effective solution by reducing the need for extensive manual data collection in the agricultural field. In addition, this study compared the computational efficiency of all versions of YOLOv12, v11 and v10, where YOLOv11n reported the lowest inference time at 4.7 ms, compared to YOLOv12n's 5.6 ms and YOLOv10n's 5.9 ms. Although YOLOv12 is new and more accurate than YOLOv11, and YOLOv10, YOLO11n still stays the fastest YOLO model among YOLOv10, YOLOv11 and YOLOv12 series of models. (Index: YOLOv12, YOLOv11, YOLOv10, YOLOv13, YOLOv14, YOLOv15, YOLOE, YOLO Object detection)

Medical time series (MedTS) classification is crucial for improved diagnosis in healthcare, and yet it is challenging due to the varying granularity of patterns, intricate inter-channel correlation, information redundancy, and label scarcity. While existing transformer-based models have shown promise in time series analysis, they mainly focus on forecasting and fail to fully exploit the distinctive characteristics of MedTS data. In this paper, we introduce Sparseformer, a transformer specifically designed for MedTS classification. We propose a sparse token-based dual-attention mechanism that enables global modeling and token compression, allowing dynamic focus on the most informative tokens while distilling redundant features. This mechanism is then applied to the multi-granularity, cross-channel encoding of medical signals, capturing intra- and inter-granularity correlations and inter-channel connections. The sparsification design allows our model to handle heterogeneous inputs of varying lengths and channels directly. Further, we introduce an adaptive label encoder to address label space misalignment across datasets, equipping our model with cross-dataset transferability to alleviate the medical label scarcity issue. Our model outperforms 12 baselines across seven medical datasets under supervised learning. In the few-shot learning experiments, our model also achieves superior average results. In addition, the in-domain and cross-domain experiments among three diagnostic scenarios demonstrate our model's zero-shot learning capability. Collectively, these findings underscore the robustness and transferability of our model in various medical applications.