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.

Fine-tuning pre-trained models is crucial for adapting large models to downstream tasks, often delivering state-of-the-art performance. However, fine-tuning all model parameters is resource-intensive and laborious, leading to the emergence of parameter-efficient fine-tuning (PEFT) methods. One widely adopted PEFT technique, Low-Rank Adaptation (LoRA), freezes the pre-trained model weights and introduces two low-rank matrices whose ranks are significantly smaller than the dimensions of the original weight matrices. This enables efficient fine-tuning by adjusting only a small number of parameters. Despite its efficiency, LoRA approximates weight updates using low-rank decomposition, which struggles to capture complex, non-linear components and efficient optimization trajectories. As a result, LoRA-based methods often exhibit a significant performance gap compared to full fine-tuning. Closing this gap requires higher ranks, which increases the number of parameters. To address these limitations, we propose a nonlinear parameter-efficient adaptation method (NEAT). NEAT introduces a lightweight neural network that takes pre-trained weights as input and learns a nonlinear transformation to approximate cumulative weight updates. These updates can be interpreted as functions of the corresponding pre-trained weights. The nonlinear approximation directly models the cumulative updates, effectively capturing complex and non-linear structures in the weight updates. Our theoretical analysis demonstrates taht NEAT can be more efficient than LoRA while having equal or greater expressivity. Extensive evaluations across four benchmarks and over twenty datasets demonstrate that NEAT significantly outperforms baselines in both vision and text tasks.

The recent emergence of Medical Large Vision Language Models (Med-LVLMs) has enhanced medical diagnosis. However, current Med-LVLMs frequently encounter factual issues, often generating responses that do not align with established medical facts. Retrieval-Augmented Generation (RAG), which utilizes external knowledge, can improve the factual accuracy of these models but introduces two major challenges. First, limited retrieved contexts might not cover all necessary information, while excessive retrieval can introduce irrelevant and inaccurate references, interfering with the model's generation. Second, in cases where the model originally responds correctly, applying RAG can lead to an over-reliance on retrieved contexts, resulting in incorrect answers. To address these issues, we propose RULE, which consists of two components. First, we introduce a provably effective strategy for controlling factuality risk through the calibrated selection of the number of retrieved contexts. Second, based on samples where over-reliance on retrieved contexts led to errors, we curate a preference dataset to fine-tune the model, balancing its dependence on inherent knowledge and retrieved contexts for generation. We demonstrate the effectiveness of RULE on three medical VQA datasets, achieving an average improvement of 20.8% in factual accuracy. We publicly release our benchmark and code in https://github.com/richard-peng-xia/RULE.

Demand prediction is a crucial task for e-commerce and physical retail businesses, especially during high-stake sales events. However, the limited availability of historical data from these peak periods poses a significant challenge for traditional forecasting methods. In this paper, we propose a novel approach that leverages strategically chosen proxy data reflective of potential sales patterns from similar entities during non-peak periods, enriched by features learned from a graph neural networks (GNNs)-based forecasting model, to predict demand during peak events. We formulate the demand prediction as a meta-learning problem and develop the Feature-based First-Order Model-Agnostic Meta-Learning (F-FOMAML) algorithm that leverages proxy data from non-peak periods and GNN-generated relational metadata to learn feature-specific layer parameters, thereby adapting to demand forecasts for peak events. Theoretically, we show that by considering domain similarities through task-specific metadata, our model achieves improved generalization, where the excess risk decreases as the number of training tasks increases. Empirical evaluations on large-scale industrial datasets demonstrate the superiority of our approach. Compared to existing state-of-the-art models, our method demonstrates a notable improvement in demand prediction accuracy, reducing the Mean Absolute Error by 26.24% on an internal vending machine dataset and by 1.04% on the publicly accessible JD.com dataset.

The development of generative language models that can create long and coherent textual outputs via autoregression has lead to a proliferation of uses and a corresponding sweep of analyses as researches work to determine the limitations of this new paradigm. Unlike humans, these 'Large Language Models' (LLMs) are highly sensitive to small changes in their inputs, leading to unwanted inconsistency in their behavior. One problematic inconsistency when LLMs are used to answer multiple-choice questions or analyze multiple inputs is order dependency: the output of an LLM can (and often does) change significantly when sub-sequences are swapped, despite both orderings being semantically identical. In this paper we present Set-Based Prompting, a technique that guarantees the output of an LLM will not have order dependence on a specified set of sub-sequences. We show that this method provably eliminates order dependency, and that it can be applied to any transformer-based LLM to enable text generation that is unaffected by re-orderings. Delving into the implications of our method, we show that, despite our inputs being out of distribution, the impact on expected accuracy is small, where the expectation is over the order of uniformly chosen shuffling of the candidate responses, and usually significantly less in practice. Thus, Set-Based Prompting can be used as a 'dropped-in' method on fully trained models. Finally, we discuss how our method's success suggests that other strong guarantees can be obtained on LLM performance via modifying the input representations.

Imbalanced data and spurious correlations are common challenges in machine learning and data science. Oversampling, which artificially increases the number of instances in the underrepresented classes, has been widely adopted to tackle these challenges. In this article, we introduce OPAL (\textbf{O}versam\textbf{P}ling with \textbf{A}rtificial \textbf{L}LM-generated data), a systematic oversampling approach that leverages the capabilities of large language models (LLMs) to generate high-quality synthetic data for minority groups. Recent studies on synthetic data generation using deep generative models mostly target prediction tasks. Our proposal differs in that we focus on handling imbalanced data and spurious correlations. More importantly, we develop a novel theory that rigorously characterizes the benefits of using the synthetic data, and shows the capacity of transformers in generating high-quality synthetic data for both labels and covariates. We further conduct intensive numerical experiments to demonstrate the efficacy of our proposed approach compared to some representative alternative solutions.

Large Vision-Language Models (LVLMs) have made substantial progress by integrating pre-trained large language models (LLMs) and vision models through instruction tuning. Despite these advancements, LVLMs often exhibit the hallucination phenomenon, where generated text responses appear linguistically plausible but contradict the input image, indicating a misalignment between image and text pairs. This misalignment arises because the model tends to prioritize textual information over visual input, even when both the language model and visual representations are of high quality. Existing methods leverage additional models or human annotations to curate preference data and enhance modality alignment through preference optimization. These approaches may not effectively reflect the target LVLM's preferences, making the curated preferences easily distinguishable. Our work addresses these challenges by proposing the Calibrated Self-Rewarding (CSR) approach, which enables the model to self-improve by iteratively generating candidate responses, evaluating the reward for each response, and curating preference data for fine-tuning. In the reward modeling, we employ a step-wise strategy and incorporate visual constraints into the self-rewarding process to place greater emphasis on visual input. Empirical results demonstrate that CSR enhances performance and reduces hallucinations across ten benchmarks and tasks, achieving substantial improvements over existing methods by 7.62%. Our empirical results are further supported by rigorous theoretical analysis, under mild assumptions, verifying the effectiveness of introducing visual constraints into the self-rewarding paradigm. Additionally, CSR shows compatibility with different vision-language models and the ability to incrementally improve performance through iterative fine-tuning. Our data and code are available at https://github.com/YiyangZhou/CSR.

A common theme across the fairness in machine learning literature is that some measure of error or risk should be equalized across sub-populations. Common measures evaluated across demographic groups include false positive and false negative rates (Hardt et al., 2016) and calibration error (Kleinberg et al., 2016; Chouldechova, 2017). Initial work in this line gave methods for equalizing different risk measures on disjoint groups. A second generation of work gave methods for equalizing measures of risk across groups even when the groups could intersect - e.g. for false positive and negative rates (Kearns et al., 2018), calibration error (Úrsula Hébert-Johnson et al., 2018), regret (Blum & Lykouris, 2019; Rothblum & Yona, 2021), prediction set coverage (Jung et al., 2021, 2022; Deng et al., 2023), among other risk measures. In general, distinct algorithms are derived for each of these settings, and they are generally limited to one-dimensional predictors of various sorts. In this work, we propose a unifying framework for fair risk control in settings with multi-dimensional outputs, based on multicalibration (Úrsula Hébert-Johnson et al., 2018). This framework is developed as an extension of the work by Deng et al. (2023); Noarov & Roth (2023), and addresses the need for calibrating multi-dimensional output functions. To illustrate the usefulness of this framework, we apply it to a variety of settings, including false negative rate control in image segmentation, prediction set conditional coverage guarantees in hierarchical classification, and de-biased text generation in language models. These applications make use of the additional power granted by our multi-dimensional extension of multicalibration.

We introduce a novel meta-analysis framework to combine dependent tests under a general setting, and utilize it to synthesize various microbiome association tests that are calculated from the same dataset. Our development builds upon the classical meta-analysis methods of aggregating $p$-values and also a more recent general method of combining confidence distributions, but makes generalizations to handle dependent tests. The proposed framework ensures rigorous statistical guarantees, and we provide a comprehensive study and compare it with various existing dependent combination methods. Notably, we demonstrate that the widely used Cauchy combination method for dependent tests, referred to as the vanilla Cauchy combination in this article, can be viewed as a special case within our framework. Moreover, the proposed framework provides a way to address the problem when the distributional assumptions underlying the vanilla Cauchy combination are violated. Our numerical results demonstrate that ignoring the dependence among the to-be-combined components may lead to a severe size distortion phenomenon. Compared to the existing $p$-value combination methods, including the vanilla Cauchy combination method, the proposed combination framework can handle the dependence accurately and utilizes the information efficiently to construct tests with accurate size and enhanced power. The development is applied to Microbiome Association Studies, where we aggregate information from multiple existing tests using the same dataset. The combined tests harness the strengths of each individual test across a wide range of alternative spaces, %resulting in a significant enhancement of testing power across a wide range of alternative spaces, enabling more efficient and meaningful discoveries of vital microbiome associations.

Machine learning methods often assume that the test data have the same distribution as the training data. However, this assumption may not hold due to multiple levels of heterogeneity in applications, raising issues in algorithmic fairness and domain generalization. In this work, we address the problem of fair and generalizable machine learning by invariant principles. We propose a training environment-based oracle, FAIRM, which has desirable fairness and domain generalization properties under a diversity-type condition. We then provide an empirical FAIRM with finite-sample theoretical guarantees under weak distributional assumptions. We then develop efficient algorithms to realize FAIRM in linear models and demonstrate the nonasymptotic performance with minimax optimality. We evaluate our method in numerical experiments with synthetic data and MNIST data and show that it outperforms its counterparts.