The MEDIQA-M3G 2024 challenge necessitates novel solutions for Multilingual & Multimodal Medical Answer Generation in dermatology (wai Yim et al., 2024a). This paper addresses the limitations of traditional methods by proposing a weakly supervised learning approach for open-ended medical question-answering (QA). Our system leverages readily available MEDIQA-M3G images via a VGG16-CNN-SVM model, enabling multilingual (English, Chinese, Spanish) learning of informative skin condition representations. Using pre-trained QA models, we further bridge the gap between visual and textual information through multimodal fusion. This approach tackles complex, open-ended questions even without predefined answer choices. We empower the generation of comprehensive answers by feeding the ViT-CLIP model with multiple responses alongside images. This work advances medical QA research, paving the way for clinical decision support systems and ultimately improving healthcare delivery.

The rapid evolution of Natural Language Processing (NLP) has favored major languages such as English, leaving a significant gap for many others due to limited resources. This is especially evident in the context of data annotation, a task whose importance cannot be underestimated, but which is time-consuming and costly. Thus, any dataset for resource-poor languages is precious, in particular when it is task-specific. Here, we explore the feasibility of repurposing existing datasets for a new NLP task: we repurposed the Belebele dataset (Bandarkar et al., 2023), which was designed for multiple-choice question answering (MCQA), to enable extractive QA (EQA) in the style of machine reading comprehension. We present annotation guidelines and a parallel EQA dataset for English and Modern Standard Arabic (MSA). We also present QA evaluation results for several monolingual and cross-lingual QA pairs including English, MSA, and five Arabic dialects. Our aim is to enable others to adapt our approach for the 120+ other language variants in Belebele, many of which are deemed under-resourced. We also conduct a thorough analysis and share our insights from the process, which we hope will contribute to a deeper understanding of the challenges and the opportunities associated with task reformulation in NLP research.

Vision-language models, while effective in general domains and showing strong performance in diverse multi-modal applications like visual question-answering (VQA), struggle to maintain the same level of effectiveness in more specialized domains, e.g., medical. We propose a medical vision-language model that integrates large vision and language models adapted for the medical domain. This model goes through three stages of parameter-efficient training using three separate biomedical and radiology multi-modal visual and text datasets. The proposed model achieves state-of-the-art performance on the SLAKE 1.0 medical VQA (MedVQA) dataset with an overall accuracy of 87.5% and demonstrates strong performance on another MedVQA dataset, VQA-RAD, achieving an overall accuracy of 73.2%.

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.