This paper outlines our submission to the MEDIQA2024 Multilingual and Multimodal Medical Answer Generation (M3G) shared task. We report results for two standalone solutions under the English category of the task, the first involving two consecutive API calls to the Claude 3 Opus API and the second involving training an image-disease label joint embedding in the style of CLIP for image classification. These two solutions scored 1st and 2nd place respectively on the competition leaderboard, substantially outperforming the next best solution. Additionally, we discuss insights gained from post-competition experiments. While the performance of these two solutions have significant room for improvement due to the difficulty of the shared task and the challenging nature of medical visual question answering in general, we identify the multi-stage LLM approach and the CLIP image classification approach as promising avenues for further investigation.

Multi-hop question answering is a knowledge-intensive complex problem. Large Language Models (LLMs) use their Chain of Thoughts (CoT) capability to reason complex problems step by step, and retrieval-augmentation can effectively alleviate factual errors caused by outdated and unknown knowledge in LLMs. Recent works have introduced retrieval-augmentation in the CoT reasoning to solve multi-hop question answering. However, these chain methods have the following problems: 1) Retrieved irrelevant paragraphs may mislead the reasoning; 2) An error in the chain structure may lead to a cascade of errors. In this paper, we propose a dynamic retrieval framework called Tree of Reviews (ToR), where the root node is the question, and the other nodes are paragraphs from retrieval, extending different reasoning paths from the root node to other nodes. Our framework dynamically decides to initiate a new search, reject, or accept based on the paragraphs on the reasoning paths. Compared to related work, we introduce a tree structure to handle each retrieved paragraph separately, alleviating the misleading effect of irrelevant paragraphs on the reasoning path; the diversity of reasoning path extension reduces the impact of a single reasoning error on the whole. We conducted experiments on three different multi-hop question answering datasets. The results show that compared to the baseline methods, ToR achieves state-of-the-art performance in both retrieval and response generation. In addition, we propose two tree-based search optimization strategies, pruning and effective expansion, to reduce time overhead and increase the diversity of path extension. We will release our code.

To optimize the preparation process for educators in academic lectures and associated question-and-answer sessions, this paper presents E-QGen, a lecture abstract-based question generation system. Given a lecture abstract, E-QGen generates potential student inquiries. The questions suggested by our system are expected to not only facilitate teachers in preparing answers in advance but also enable them to supply additional resources when necessary.

Question-answering systems have revolutionized information retrieval, but linguistic and cultural boundaries limit their widespread accessibility. This research endeavors to bridge the gap of the absence of efficient QnA datasets in low-resource languages by translating the English Question Answering Dataset (SQuAD) using a robust data curation approach. We introduce MahaSQuAD, the first-ever full SQuAD dataset for the Indic language Marathi, consisting of 118,516 training, 11,873 validation, and 11,803 test samples. We also present a gold test set of manually verified 500 examples. Challenges in maintaining context and handling linguistic nuances are addressed, ensuring accurate translations. Moreover, as a QnA dataset cannot be simply converted into any low-resource language using translation, we need a robust method to map the answer translation to its span in the translated passage. Hence, to address this challenge, we also present a generic approach for translating SQuAD into any low-resource language. Thus, we offer a scalable approach to bridge linguistic and cultural gaps present in low-resource languages, in the realm of question-answering systems. The datasets and models are shared publicly at https://github.com/l3cube-pune/MarathiNLP .

Document Question Answering (QA) presents a challenge in understanding visually-rich documents (VRD), particularly those dominated by lengthy textual content like research journal articles. Existing studies primarily focus on real-world documents with sparse text, while challenges persist in comprehending the hierarchical semantic relations among multiple pages to locate multimodal components. To address this gap, we propose PDF-MVQA, which is tailored for research journal articles, encompassing multiple pages and multimodal information retrieval. Unlike traditional machine reading comprehension (MRC) tasks, our approach aims to retrieve entire paragraphs containing answers or visually rich document entities like tables and figures. Our contributions include the introduction of a comprehensive PDF Document VQA dataset, allowing the examination of semantically hierarchical layout structures in text-dominant documents. We also present new VRD-QA frameworks designed to grasp textual contents and relations among document layouts simultaneously, extending page-level understanding to the entire multi-page document. Through this work, we aim to enhance the capabilities of existing vision-and-language models in handling challenges posed by text-dominant documents in VRD-QA.

Medical visual question answering (Med-VQA) aims to automate the prediction of correct answers for medical images and questions, thereby assisting physicians in reducing repetitive tasks and alleviating their workload. Existing approaches primarily focus on pre-training models using additional and comprehensive datasets, followed by fine-tuning to enhance performance in downstream tasks. However, there is also significant value in exploring existing models to extract clinically relevant information. In this paper, we propose the Latent Prompt Assist model (LaPA) for medical visual question answering. Firstly, we design a latent prompt generation module to generate the latent prompt with the constraint of the target answer. Subsequently, we propose a multi-modal fusion block with latent prompt fusion module that utilizes the latent prompt to extract clinical-relevant information from uni-modal and multi-modal features. Additionally, we introduce a prior knowledge fusion module to integrate the relationship between diseases and organs with the clinical-relevant information. Finally, we combine the final integrated information with image-language cross-modal information to predict the final answers. Experimental results on three publicly available Med-VQA datasets demonstrate that LaPA outperforms the state-of-the-art model ARL, achieving improvements of 1.83%, 0.63%, and 1.80% on VQA-RAD, SLAKE, and VQA-2019, respectively. The code is publicly available at https://github.com/GaryGuTC/LaPA_model.

Machine Reading Comprehension (MRC) holds a pivotal role in shaping Medical Question Answering Systems (QAS) and transforming the landscape of accessing and applying medical information. However, the inherent challenges in the medical field, such as complex terminology and question ambiguity, necessitate innovative solutions. One key solution involves integrating specialized medical datasets and creating dedicated datasets. This strategic approach enhances the accuracy of QAS, contributing to advancements in clinical decision-making and medical research. To address the intricacies of medical terminology, a specialized dataset was integrated, exemplified by a novel Span extraction dataset derived from emrQA but restructured into 163,695 questions and 4,136 manually obtained answers, this new dataset was called emrQA-msquad dataset. Additionally, for ambiguous questions, a dedicated medical dataset for the Span extraction task was introduced, reinforcing the system's robustness. The fine-tuning of models such as BERT, RoBERTa, and Tiny RoBERTa for medical contexts significantly improved response accuracy within the F1-score range of 0.75 to 1.00 from 10.1% to 37.4%, 18.7% to 44.7% and 16.0% to 46.8%, respectively. Finally, emrQA-msquad dataset is publicy available at https://huggingface.co/datasets/Eladio/emrqa-msquad.

Efficiently modeling historical information is a critical component in addressing user queries within a conversational question-answering (QA) context, as historical context plays a vital role in clarifying the user's questions. However, irrelevant history induces noise in the reasoning process, especially for those questions with a considerable historical context. In our novel model-agnostic approach, referred to as CoTaH (Consistency-Trained augmented History), we augment the historical information with synthetic questions and subsequently employ consistency training to train a model that utilizes both real and augmented historical data to implicitly make the reasoning robust to irrelevant history. To the best of our knowledge, this is the first instance of research using question generation as a form of data augmentation to model conversational QA settings. By citing a common modeling error prevalent in previous research, we introduce a new baseline model and compare our model's performance against it, demonstrating an improvement in results, particularly when dealing with questions that include a substantial amount of historical context. The source code can be found on our GitHub page.

Visual Question Answering (VQA) is a complicated task that requires the capability of simultaneously processing natural language and images. Initially, this task was researched, focusing on methods to help machines understand objects and scene contexts in images. However, some text appearing in the image that carries explicit information about the full content of the image is not mentioned. Along with the continuous development of the AI era, there have been many studies on the reading comprehension ability of VQA models in the world. As a developing country, conditions are still limited, and this task is still open in Vietnam. Therefore, we introduce the first large-scale dataset in Vietnamese specializing in the ability to understand text appearing in images, we call it ViTextVQA (\textbf{Vi}etnamese \textbf{Text}-based \textbf{V}isual \textbf{Q}uestion \textbf{A}nswering dataset) which contains \textbf{over 16,000} images and \textbf{over 50,000} questions with answers. Through meticulous experiments with various state-of-the-art models, we uncover the significance of the order in which tokens in OCR text are processed and selected to formulate answers. This finding helped us significantly improve the performance of the baseline models on the ViTextVQA dataset. Our dataset is available at this \href{https://github.com/minhquan6203/ViTextVQA-Dataset}{link} for research purposes.

Medical vision-language models (VLMs) combine computer vision (CV) and natural language processing (NLP) to analyze visual and textual medical data. Our paper reviews recent advancements in developing VLMs specialized for healthcare, focusing on models designed for medical report generation and visual question answering (VQA). We provide background on NLP and CV, explaining how techniques from both fields are integrated into VLMs to enable learning from multimodal data. Key areas we address include the exploration of medical vision-language datasets, in-depth analyses of architectures and pre-training strategies employed in recent noteworthy medical VLMs, and comprehensive discussion on evaluation metrics for assessing VLMs' performance in medical report generation and VQA. We also highlight current challenges and propose future directions, including enhancing clinical validity and addressing patient privacy concerns. Overall, our review summarizes recent progress in developing VLMs to harness multimodal medical data for improved healthcare applications.