Chen, Jin
LLM-driven Effective Knowledge Tracing by Integrating Dual-channel Difficulty
Cen, Jiahui, Lin, Jianghao, Xuan, Weizhong, Zhou, Dong, Chen, Jin, Yang, Aimin, Zhou, Yongmei
Knowledge Tracing (KT) is a fundamental technology in intelligent tutoring systems used to simulate changes in students' knowledge state during learning, track personalized knowledge mastery, and predict performance. However, current KT models face three major challenges: (1) When encountering new questions, models face cold-start problems due to sparse interaction records, making precise modeling difficult; (2) Traditional models only use historical interaction records for student personalization modeling, unable to accurately track individual mastery levels, resulting in unclear personalized modeling; (3) The decision-making process is opaque to educators, making it challenging for them to understand model judgments. To address these challenges, we propose a novel Dual-channel Difficulty-aware Knowledge Tracing (DDKT) framework that utilizes Large Language Models (LLMs) and Retrieval-Augmented Generation (RAG) for subjective difficulty assessment, while integrating difficulty bias-aware algorithms and student mastery algorithms for precise difficulty measurement. Our framework introduces three key innovations: (1) Difficulty Balance Perception Sequence (DBPS) - students' subjective perceptions combined with objective difficulty, measuring gaps between LLM-assessed difficulty, mathematical-statistical difficulty, and students' subjective perceived difficulty through attention mechanisms; (2) Difficulty Mastery Ratio (DMR) - precise modeling of student mastery levels through different difficulty zones; (3) Knowledge State Update Mechanism - implementing personalized knowledge acquisition through gated networks and updating student knowledge state. Experimental results on two real datasets show our method consistently outperforms nine baseline models, improving AUC metrics by 2% to 10% while effectively addressing cold-start problems and enhancing model interpretability.
DeepSeek-R1: Incentivizing Reasoning Capability in LLMs via Reinforcement Learning
DeepSeek-AI, null, Guo, Daya, Yang, Dejian, Zhang, Haowei, Song, Junxiao, Zhang, Ruoyu, Xu, Runxin, Zhu, Qihao, Ma, Shirong, Wang, Peiyi, Bi, Xiao, Zhang, Xiaokang, Yu, Xingkai, Wu, Yu, Wu, Z. F., Gou, Zhibin, Shao, Zhihong, Li, Zhuoshu, Gao, Ziyi, Liu, Aixin, Xue, Bing, Wang, Bingxuan, Wu, Bochao, Feng, Bei, Lu, Chengda, Zhao, Chenggang, Deng, Chengqi, Zhang, Chenyu, Ruan, Chong, Dai, Damai, Chen, Deli, Ji, Dongjie, Li, Erhang, Lin, Fangyun, Dai, Fucong, Luo, Fuli, Hao, Guangbo, Chen, Guanting, Li, Guowei, Zhang, H., Bao, Han, Xu, Hanwei, Wang, Haocheng, Ding, Honghui, Xin, Huajian, Gao, Huazuo, Qu, Hui, Li, Hui, Guo, Jianzhong, Li, Jiashi, Wang, Jiawei, Chen, Jingchang, Yuan, Jingyang, Qiu, Junjie, Li, Junlong, Cai, J. L., Ni, Jiaqi, Liang, Jian, Chen, Jin, Dong, Kai, Hu, Kai, Gao, Kaige, Guan, Kang, Huang, Kexin, Yu, Kuai, Wang, Lean, Zhang, Lecong, Zhao, Liang, Wang, Litong, Zhang, Liyue, Xu, Lei, Xia, Leyi, Zhang, Mingchuan, Zhang, Minghua, Tang, Minghui, Li, Meng, Wang, Miaojun, Li, Mingming, Tian, Ning, Huang, Panpan, Zhang, Peng, Wang, Qiancheng, Chen, Qinyu, Du, Qiushi, Ge, Ruiqi, Zhang, Ruisong, Pan, Ruizhe, Wang, Runji, Chen, R. J., Jin, R. L., Chen, Ruyi, Lu, Shanghao, Zhou, Shangyan, Chen, Shanhuang, Ye, Shengfeng, Wang, Shiyu, Yu, Shuiping, Zhou, Shunfeng, Pan, Shuting, Li, S. S., Zhou, Shuang, Wu, Shaoqing, Ye, Shengfeng, Yun, Tao, Pei, Tian, Sun, Tianyu, Wang, T., Zeng, Wangding, Zhao, Wanjia, Liu, Wen, Liang, Wenfeng, Gao, Wenjun, Yu, Wenqin, Zhang, Wentao, Xiao, W. L., An, Wei, Liu, Xiaodong, Wang, Xiaohan, Chen, Xiaokang, Nie, Xiaotao, Cheng, Xin, Liu, Xin, Xie, Xin, Liu, Xingchao, Yang, Xinyu, Li, Xinyuan, Su, Xuecheng, Lin, Xuheng, Li, X. Q., Jin, Xiangyue, Shen, Xiaojin, Chen, Xiaosha, Sun, Xiaowen, Wang, Xiaoxiang, Song, Xinnan, Zhou, Xinyi, Wang, Xianzu, Shan, Xinxia, Li, Y. K., Wang, Y. Q., Wei, Y. X., Zhang, Yang, Xu, Yanhong, Li, Yao, Zhao, Yao, Sun, Yaofeng, Wang, Yaohui, Yu, Yi, Zhang, Yichao, Shi, Yifan, Xiong, Yiliang, He, Ying, Piao, Yishi, Wang, Yisong, Tan, Yixuan, Ma, Yiyang, Liu, Yiyuan, Guo, Yongqiang, Ou, Yuan, Wang, Yuduan, Gong, Yue, Zou, Yuheng, He, Yujia, Xiong, Yunfan, Luo, Yuxiang, You, Yuxiang, Liu, Yuxuan, Zhou, Yuyang, Zhu, Y. X., Xu, Yanhong, Huang, Yanping, Li, Yaohui, Zheng, Yi, Zhu, Yuchen, Ma, Yunxian, Tang, Ying, Zha, Yukun, Yan, Yuting, Ren, Z. Z., Ren, Zehui, Sha, Zhangli, Fu, Zhe, Xu, Zhean, Xie, Zhenda, Zhang, Zhengyan, Hao, Zhewen, Ma, Zhicheng, Yan, Zhigang, Wu, Zhiyu, Gu, Zihui, Zhu, Zijia, Liu, Zijun, Li, Zilin, Xie, Ziwei, Song, Ziyang, Pan, Zizheng, Huang, Zhen, Xu, Zhipeng, Zhang, Zhongyu, Zhang, Zhen
We introduce our first-generation reasoning models, DeepSeek-R1-Zero and DeepSeek-R1. DeepSeek-R1-Zero, a model trained via large-scale reinforcement learning (RL) without supervised fine-tuning (SFT) as a preliminary step, demonstrates remarkable reasoning capabilities. Through RL, DeepSeek-R1-Zero naturally emerges with numerous powerful and intriguing reasoning behaviors. However, it encounters challenges such as poor readability, and language mixing. To address these issues and further enhance reasoning performance, we introduce DeepSeek-R1, which incorporates multi-stage training and cold-start data before RL. DeepSeek-R1 achieves performance comparable to OpenAI-o1-1217 on reasoning tasks. To support the research community, we open-source DeepSeek-R1-Zero, DeepSeek-R1, and six dense models (1.5B, 7B, 8B, 14B, 32B, 70B) distilled from DeepSeek-R1 based on Qwen and Llama.
Adaptive Sampled Softmax with Inverted Multi-Index: Methods, Theory and Applications
Chen, Jin, Zhang, Jin, huang, Xu, Yang, Yi, Lian, Defu, Chen, Enhong
The softmax function is a cornerstone of multi-class classification, integral to a wide range of machine learning applications, from large-scale retrieval and ranking models to advanced large language models. However, its computational cost grows linearly with the number of classes, which becomes prohibitively expensive in scenarios with millions or even billions of classes. The sampled softmax, which relies on self-normalized importance sampling, has emerged as a powerful alternative, significantly reducing computational complexity. Yet, its estimator remains unbiased only when the sampling distribution matches the true softmax distribution. To improve both approximation accuracy and sampling efficiency, we propose the MIDX Sampler, a novel adaptive sampling strategy based on an inverted multi-index approach. Concretely, we decompose the softmax probability into several multinomial probabilities, each associated with a specific set of codewords and the last associated with the residual score of queries, thus reducing time complexity to the number of codewords instead of the number of classes. To further boost efficiency, we replace the query-specific residual probability with a simple uniform distribution, simplifying the computation while retaining high performance. Our method is backed by rigorous theoretical analysis, addressing key concerns such as sampling bias, gradient bias, convergence rates, and generalization error bounds. The results demonstrate that a smaller divergence from the ideal softmax distribution leads to faster convergence and improved generalization. Extensive experiments on large-scale language models, sequential recommenders, and extreme multi-class classification tasks confirm that the MIDX-Sampler delivers superior effectiveness and efficiency compared to existing approaches.
DeepSeek-V3 Technical Report
DeepSeek-AI, null, Liu, Aixin, Feng, Bei, Xue, Bing, Wang, Bingxuan, Wu, Bochao, Lu, Chengda, Zhao, Chenggang, Deng, Chengqi, Zhang, Chenyu, Ruan, Chong, Dai, Damai, Guo, Daya, Yang, Dejian, Chen, Deli, Ji, Dongjie, Li, Erhang, Lin, Fangyun, Dai, Fucong, Luo, Fuli, Hao, Guangbo, Chen, Guanting, Li, Guowei, Zhang, H., Bao, Han, Xu, Hanwei, Wang, Haocheng, Zhang, Haowei, Ding, Honghui, Xin, Huajian, Gao, Huazuo, Li, Hui, Qu, Hui, Cai, J. L., Liang, Jian, Guo, Jianzhong, Ni, Jiaqi, Li, Jiashi, Wang, Jiawei, Chen, Jin, Chen, Jingchang, Yuan, Jingyang, Qiu, Junjie, Li, Junlong, Song, Junxiao, Dong, Kai, Hu, Kai, Gao, Kaige, Guan, Kang, Huang, Kexin, Yu, Kuai, Wang, Lean, Zhang, Lecong, Xu, Lei, Xia, Leyi, Zhao, Liang, Wang, Litong, Zhang, Liyue, Li, Meng, Wang, Miaojun, Zhang, Mingchuan, Zhang, Minghua, Tang, Minghui, Li, Mingming, Tian, Ning, Huang, Panpan, Wang, Peiyi, Zhang, Peng, Wang, Qiancheng, Zhu, Qihao, Chen, Qinyu, Du, Qiushi, Chen, R. J., Jin, R. L., Ge, Ruiqi, Zhang, Ruisong, Pan, Ruizhe, Wang, Runji, Xu, Runxin, Zhang, Ruoyu, Chen, Ruyi, Li, S. S., Lu, Shanghao, Zhou, Shangyan, Chen, Shanhuang, Wu, Shaoqing, Ye, Shengfeng, Ye, Shengfeng, Ma, Shirong, Wang, Shiyu, Zhou, Shuang, Yu, Shuiping, Zhou, Shunfeng, Pan, Shuting, Wang, T., Yun, Tao, Pei, Tian, Sun, Tianyu, Xiao, W. L., Zeng, Wangding, Zhao, Wanjia, An, Wei, Liu, Wen, Liang, Wenfeng, Gao, Wenjun, Yu, Wenqin, Zhang, Wentao, Li, X. Q., Jin, Xiangyue, Wang, Xianzu, Bi, Xiao, Liu, Xiaodong, Wang, Xiaohan, Shen, Xiaojin, Chen, Xiaokang, Zhang, Xiaokang, Chen, Xiaosha, Nie, Xiaotao, Sun, Xiaowen, Wang, Xiaoxiang, Cheng, Xin, Liu, Xin, Xie, Xin, Liu, Xingchao, Yu, Xingkai, Song, Xinnan, Shan, Xinxia, Zhou, Xinyi, Yang, Xinyu, Li, Xinyuan, Su, Xuecheng, Lin, Xuheng, Li, Y. K., Wang, Y. Q., Wei, Y. X., Zhu, Y. X., Zhang, Yang, Xu, Yanhong, Xu, Yanhong, Huang, Yanping, Li, Yao, Zhao, Yao, Sun, Yaofeng, Li, Yaohui, Wang, Yaohui, Yu, Yi, Zheng, Yi, Zhang, Yichao, Shi, Yifan, Xiong, Yiliang, He, Ying, Tang, Ying, Piao, Yishi, Wang, Yisong, Tan, Yixuan, Ma, Yiyang, Liu, Yiyuan, Guo, Yongqiang, Wu, Yu, Ou, Yuan, Zhu, Yuchen, Wang, Yuduan, Gong, Yue, Zou, Yuheng, He, Yujia, Zha, Yukun, Xiong, Yunfan, Ma, Yunxian, Yan, Yuting, Luo, Yuxiang, You, Yuxiang, Liu, Yuxuan, Zhou, Yuyang, Wu, Z. F., Ren, Z. Z., Ren, Zehui, Sha, Zhangli, Fu, Zhe, Xu, Zhean, Huang, Zhen, Zhang, Zhen, Xie, Zhenda, Zhang, Zhengyan, Hao, Zhewen, Gou, Zhibin, Ma, Zhicheng, Yan, Zhigang, Shao, Zhihong, Xu, Zhipeng, Wu, Zhiyu, Zhang, Zhongyu, Li, Zhuoshu, Gu, Zihui, Zhu, Zijia, Liu, Zijun, Li, Zilin, Xie, Ziwei, Song, Ziyang, Gao, Ziyi, Pan, Zizheng
We present DeepSeek-V3, a strong Mixture-of-Experts (MoE) language model with 671B total parameters with 37B activated for each token. To achieve efficient inference and cost-effective training, DeepSeek-V3 adopts Multi-head Latent Attention (MLA) and DeepSeekMoE architectures, which were thoroughly validated in DeepSeek-V2. Furthermore, DeepSeek-V3 pioneers an auxiliary-loss-free strategy for load balancing and sets a multi-token prediction training objective for stronger performance. We pre-train DeepSeek-V3 on 14.8 trillion diverse and high-quality tokens, followed by Supervised Fine-Tuning and Reinforcement Learning stages to fully harness its capabilities. Comprehensive evaluations reveal that DeepSeek-V3 outperforms other open-source models and achieves performance comparable to leading closed-source models. Despite its excellent performance, DeepSeek-V3 requires only 2.788M H800 GPU hours for its full training. In addition, its training process is remarkably stable. Throughout the entire training process, we did not experience any irrecoverable loss spikes or perform any rollbacks.
Enhancing Low Dose Computed Tomography Images Using Consistency Training Techniques
Gokmen, Mahmut S., Zhang, Jie, Wang, Ge, Chen, Jin, Bumgardner, Cody
Diffusion models have significant impact on wide range of generative tasks, especially on image inpainting and restoration. Although the improvements on aiming for decreasing number of function evaluations (NFE), the iterative results are still computationally expensive. Consistency models are as a new family of generative models, enable single-step sampling of high quality data without the need for adversarial training. In this paper, we introduce the beta noise distribution, which provides flexibility in adjusting noise levels. This is combined with a sinusoidal curriculum that enhances the learning of the trajectory between the noise distribution and the posterior distribution of interest, allowing High Noise Improved Consistency Training (HN-iCT) to be trained in a supervised fashion. Additionally, High Noise Improved Consistency Training with Image Condition (HN-iCT-CN) architecture is introduced, enables to take Low Dose images as a condition for extracting significant features by Weighted Attention Gates (WAG).Our results indicate that unconditional image generation using HN-iCT significantly outperforms basic CT and iCT training techniques with NFE=1 on the CIFAR10 and CelebA datasets. Moreover, our image-conditioned model demonstrates exceptional performance in enhancing low-dose (LD) CT scans.
BoViLA: Bootstrapping Video-Language Alignment via LLM-Based Self-Questioning and Answering
Chen, Jin, Ma, Kaijing, Huang, Haojian, Shen, Jiayu, Fang, Han, Zang, Xianghao, Ban, Chao, He, Zhongjiang, Sun, Hao, Kang, Yanmei
The development of multi-modal models has been rapidly advancing, with some demonstrating remarkable capabilities. However, annotating video-text pairs remains expensive and insufficient. Take video question answering (VideoQA) tasks as an example, human annotated questions and answers often cover only part of the video, and similar semantics can also be expressed through different text forms, leading to underutilization of video. To address this, we propose BoViLA, a self-training framework that augments question samples during training through LLM-based self-questioning and answering, which help model exploit video information and the internal knowledge of LLMs more thoroughly to improve modality alignment. To filter bad self-generated questions, we introduce Evidential Deep Learning (EDL) to estimate uncertainty and assess the quality of self-generated questions by evaluating the modality alignment within the context. To the best of our knowledge, this work is the first to explore LLM-based self-training frameworks for modality alignment. We evaluate BoViLA on five strong VideoQA benchmarks, where it outperforms several state-of-the-art methods and demonstrate its effectiveness and generality. Additionally, we provide extensive analyses of the self-training framework and the EDL-based uncertainty filtering mechanism. The code will be made available at https://github.com/dunknsabsw/BoViLA.
DeepSeek-V2: A Strong, Economical, and Efficient Mixture-of-Experts Language Model
DeepSeek-AI, null, Liu, Aixin, Feng, Bei, Wang, Bin, Wang, Bingxuan, Liu, Bo, Zhao, Chenggang, Dengr, Chengqi, Ruan, Chong, Dai, Damai, Guo, Daya, Yang, Dejian, Chen, Deli, Ji, Dongjie, Li, Erhang, Lin, Fangyun, Luo, Fuli, Hao, Guangbo, Chen, Guanting, Li, Guowei, Zhang, H., Xu, Hanwei, Yang, Hao, Zhang, Haowei, Ding, Honghui, Xin, Huajian, Gao, Huazuo, Li, Hui, Qu, Hui, Cai, J. L., Liang, Jian, Guo, Jianzhong, Ni, Jiaqi, Li, Jiashi, Chen, Jin, Yuan, Jingyang, Qiu, Junjie, Song, Junxiao, Dong, Kai, Gao, Kaige, Guan, Kang, Wang, Lean, Zhang, Lecong, Xu, Lei, Xia, Leyi, Zhao, Liang, Zhang, Liyue, Li, Meng, Wang, Miaojun, Zhang, Mingchuan, Zhang, Minghua, Tang, Minghui, Li, Mingming, Tian, Ning, Huang, Panpan, Wang, Peiyi, Zhang, Peng, Zhu, Qihao, Chen, Qinyu, Du, Qiushi, Chen, R. J., Jin, R. L., Ge, Ruiqi, Pan, Ruizhe, Xu, Runxin, Chen, Ruyi, Li, S. S., Lu, Shanghao, Zhou, Shangyan, Chen, Shanhuang, Wu, Shaoqing, Ye, Shengfeng, Ma, Shirong, Wang, Shiyu, Zhou, Shuang, Yu, Shuiping, Zhou, Shunfeng, Zheng, Size, Wang, T., Pei, Tian, Yuan, Tian, Sun, Tianyu, Xiao, W. L., Zeng, Wangding, An, Wei, Liu, Wen, Liang, Wenfeng, Gao, Wenjun, Zhang, Wentao, Li, X. Q., Jin, Xiangyue, Wang, Xianzu, Bi, Xiao, Liu, Xiaodong, Wang, Xiaohan, Shen, Xiaojin, Chen, Xiaokang, Chen, Xiaosha, Nie, Xiaotao, Sun, Xiaowen, Wang, Xiaoxiang, Liu, Xin, Xie, Xin, Yu, Xingkai, Song, Xinnan, Zhou, Xinyi, Yang, Xinyu, Lu, Xuan, Su, Xuecheng, Wu, Y., Li, Y. K., Wei, Y. X., Zhu, Y. X., Xu, Yanhong, Huang, Yanping, Li, Yao, Zhao, Yao, Sun, Yaofeng, Li, Yaohui, Wang, Yaohui, Zheng, Yi, Zhang, Yichao, Xiong, Yiliang, Zhao, Yilong, He, Ying, Tang, Ying, Piao, Yishi, Dong, Yixin, Tan, Yixuan, Liu, Yiyuan, Wang, Yongji, Guo, Yongqiang, Zhu, Yuchen, Wang, Yuduan, Zou, Yuheng, Zha, Yukun, Ma, Yunxian, Yan, Yuting, You, Yuxiang, Liu, Yuxuan, Ren, Z. Z., Ren, Zehui, Sha, Zhangli, Fu, Zhe, Huang, Zhen, Zhang, Zhen, Xie, Zhenda, Hao, Zhewen, Shao, Zhihong, Wen, Zhiniu, Xu, Zhipeng, Zhang, Zhongyu, Li, Zhuoshu, Wang, Zihan, Gu, Zihui, Li, Zilin, Xie, Ziwei
We present DeepSeek-V2, a strong Mixture-of-Experts (MoE) language model characterized by economical training and efficient inference. It comprises 236B total parameters, of which 21B are activated for each token, and supports a context length of 128K tokens. DeepSeek-V2 adopts innovative architectures including Multi-head Latent Attention (MLA) and DeepSeekMoE. MLA guarantees efficient inference through significantly compressing the Key-Value (KV) cache into a latent vector, while DeepSeekMoE enables training strong models at an economical cost through sparse computation. Compared with DeepSeek 67B, DeepSeek-V2 achieves significantly stronger performance, and meanwhile saves 42.5% of training costs, reduces the KV cache by 93.3%, and boosts the maximum generation throughput to 5.76 times. We pretrain DeepSeek-V2 on a high-quality and multi-source corpus consisting of 8.1T tokens, and further perform Supervised Fine-Tuning (SFT) and Reinforcement Learning (RL) to fully unlock its potential. Evaluation results show that, even with only 21B activated parameters, DeepSeek-V2 and its chat versions still achieve top-tier performance among open-source models.
ChangeAnywhere: Sample Generation for Remote Sensing Change Detection via Semantic Latent Diffusion Model
Tang, Kai, Chen, Jin
Remote sensing change detection (CD) is a pivotal technique that pinpoints changes on a global scale based on multi-temporal images. With the recent expansion of deep learning, supervised deep learning-based CD models have shown satisfactory performance. However, CD sample labeling is very time-consuming as it is densely labeled and requires expert knowledge. To alleviate this problem, we introduce ChangeAnywhere, a novel CD sample generation method using the semantic latent diffusion model and single-temporal images. Specifically, ChangeAnywhere leverages the relative ease of acquiring large single-temporal semantic datasets to generate large-scale, diverse, and semantically annotated bi-temporal CD datasets. ChangeAnywhere captures the two essentials of CD samples, i.e., change implies semantically different, and non-change implies reasonable change under the same semantic constraints. We generated ChangeAnywhere-100K, the largest synthesis CD dataset with 100,000 pairs of CD samples based on the proposed method. The ChangeAnywhere-100K significantly improved both zero-shot and few-shot performance on two CD benchmark datasets for various deep learning-based CD models, as demonstrated by transfer experiments. This paper delineates the enormous potential of ChangeAnywhere for CD sample generation and demonstrates the subsequent enhancement of model performance. Therefore, ChangeAnywhere offers a potent tool for remote sensing CD. All codes and pre-trained models will be available at https://github.com/tangkai-RS/ChangeAnywhere.
High Noise Scheduling is a Must
Gokmen, Mahmut S., Bumgardner, Cody, Zhang, Jie, Wang, Ge, Chen, Jin
Consistency models possess high capabilities for image generation, advancing sampling steps to a single step through their advanced techniques. Current advancements move one step forward consistency training techniques and eliminates the limitation of distillation training. Even though the proposed curriculum and noise scheduling in improved training techniques yield better results than basic consistency models, it lacks well balanced noise distribution and its consistency between curriculum. In this study, it is investigated the balance between high and low noise levels in noise distribution and offered polynomial noise distribution to maintain the stability. This proposed polynomial noise distribution is also supported with a predefined Karras noises to prevent unique noise levels arises with Karras noise generation algorithm. Furthermore, by elimination of learned noisy steps with a curriculum based on sinusoidal function increase the performance of the model in denoising. To make a fair comparison with the latest released consistency model training techniques, experiments are conducted with same hyper-parameters except curriculum and noise distribution. The models utilized during experiments are determined with low depth to prove the robustness of our proposed technique. The results show that the polynomial noise distribution outperforms the model trained with log-normal noise distribution, yielding a 33.54 FID score after 100,000 training steps with constant discretization steps. Additionally, the implementation of a sinusoidal-based curriculum enhances denoising performance, resulting in a FID score of 30.48.
Text2MDT: Extracting Medical Decision Trees from Medical Texts
Zhu, Wei, Li, Wenfeng, Tian, Xing, Wang, Pengfei, Wang, Xiaoling, Chen, Jin, Wu, Yuanbin, Ni, Yuan, Xie, Guotong
Knowledge of the medical decision process, which can be modeled as medical decision trees (MDTs), is critical to build clinical decision support systems. However, the current MDT construction methods rely heavily on time-consuming and laborious manual annotation. In this work, we propose a novel task, Text2MDT, to explore the automatic extraction of MDTs from medical texts such as medical guidelines and textbooks. We normalize the form of the MDT and create an annotated Text-to-MDT dataset in Chinese with the participation of medical experts. We investigate two different methods for the Text2MDT tasks: (a) an end-to-end framework which only relies on a GPT style large language models (LLM) instruction tuning to generate all the node information and tree structures. (b) The pipeline framework which decomposes the Text2MDT task to three subtasks. Experiments on our Text2MDT dataset demonstrate that: (a) the end-to-end method basd on LLMs (7B parameters or larger) show promising results, and successfully outperform the pipeline methods. (b) The chain-of-thought (COT) prompting method \cite{Wei2022ChainOT} can improve the performance of the fine-tuned LLMs on the Text2MDT test set. (c) the lightweight pipelined method based on encoder-based pretrained models can perform comparably with LLMs with model complexity two magnititudes smaller. Our Text2MDT dataset is open-sourced at \url{https://tianchi.aliyun.com/dataset/95414}, and the source codes are open-sourced at \url{https://github.com/michael-wzhu/text2dt}.