Artificial intelligence has significantly impacted medical applications, particularly with the advent of Medical Large Vision Language Models (Med-LVLMs), sparking optimism for the future of automated and personalized healthcare. However, the trustworthiness of Med-LVLMs remains unverified, posing significant risks for future model deployment. In this paper, we introduce CARES and aim to Comprehensively evAluate the tRustworthinESs of Med-LVLMs across the medical domain. We assess the trustworthiness of Med-LVLMs across five dimensions, including trustfulness, fairness, safety, privacy, and robustness. CARES comprises about 41K question-answer pairs in both closed and open-ended formats, covering 16 medical image modalities and 27 anatomical regions. Our analysis reveals that the models consistently exhibit concerns regarding trustworthiness, often displaying factual inaccuracies and failing to maintain fairness across different demographic groups. Furthermore, they are vulnerable to attacks and demonstrate a lack of privacy awareness.

Retrieval augmented generation (RAG) is frequently used to mitigate hallucinations and provide up-to-date knowledge for large language models (LLMs). However, given that document retrieval is an imprecise task and sometimes results in erroneous or even harmful content being presented in context, this raises the question of how LLMs handle retrieved information: If the provided content is incorrect, does the model know to ignore it, or does it recapitulate the error? Conversely, when the model's initial response is incorrect, does it always know to use the retrieved information to correct itself, or does it insist on its wrong prior response? To answer this, we curate a dataset of over 1200 questions across six domains (e.g., drug dosages, Olympic records, locations) along with content relevant to answering each question. We further apply precise perturbations to the answers in the content that range from subtle to blatant errors. We benchmark six top-performing LLMs, including GPT-4o, on this dataset and find that LLMs are susceptible to adopting incorrect retrieved content, overriding their own correct prior knowledge over 60% of the time. However, the more unrealistic the retrieved content is (i.e. more deviated from truth), the less likely the model is to adopt it. Also, the less confident a model is in its initial response (via measuring token probabilities), the more likely it is to adopt the information in the retrieved content. We exploit this finding and demonstrate simple methods for improving model accuracy where there is conflicting retrieved content. Our results highlight a difficult task and benchmark for LLMs -- namely, their ability to correctly discern when it is wrong in light of correct retrieved content and to reject cases when the provided content is incorrect.

Recent advances in large language models (LLMs) demonstrate substantial capabilities in natural language understanding and generation tasks. With the growing number of LLMs, how to harness the collective expertise of multiple LLMs is an exciting open direction. Toward this goal, we propose a new approach that leverages the collective strengths of multiple LLMs through a Mixture-of-Agents (MoA) methodology. In our approach, we construct a layered MoA architecture wherein each layer comprises multiple LLM agents. Each agent takes all the outputs from agents in the previous layer as auxiliary information in generating its response. MoA models achieves state-of-art performance on AlpacaEval 2.0, MT-Bench and FLASK, surpassing GPT-4 Omni. For example, our MoA using only open-source LLMs is the leader of AlpacaEval 2.0 by a substantial gap, achieving a score of 65.1% compared to 57.5% by GPT-4 Omni.

Many recent state-of-the-art results in language tasks were achieved using compound systems that perform multiple Language Model (LM) calls and aggregate their responses. However, there is little understanding of how the number of LM calls - e.g., when asking the LM to answer each question multiple times and taking a majority vote - affects such a compound system's performance. In this paper, we initiate the study of scaling properties of compound inference systems. We analyze, theoretically and empirically, how the number of LM calls affects the performance of Vote and Filter-Vote, two of the simplest compound system designs, which aggregate LM responses via majority voting, optionally applying LM filters. We find, surprisingly, that across multiple language tasks, the performance of both Vote and Filter-Vote can first increase but then decrease as a function of the number of LM calls. Our theoretical results suggest that this non-monotonicity is due to the diversity of query difficulties within a task: more LM calls lead to higher performance on "easy" queries, but lower performance on "hard" queries, and non-monotone behavior can emerge when a task contains both types of queries. This insight then allows us to compute, from a small number of samples, the number of LM calls that maximizes system performance, and define an analytical scaling model for both systems. Experiments show that our scaling model can accurately predict the performance of Vote and Filter-Vote systems and thus find the optimal number of LM calls to make.

Recent advances in large multimodal models (LMMs) suggest that higher image resolution enhances the fine-grained understanding of image details, crucial for tasks such as visual commonsense reasoning and analyzing biomedical images. However, increasing input resolution poses two main challenges: 1) It extends the context length required by the language model, leading to inefficiencies and hitting the model's context limit; 2) It increases the complexity of visual features, necessitating more training data or more complex architecture. We introduce Dragonfly, a new LMM architecture that enhances fine-grained visual understanding and reasoning about image regions to address these challenges. Dragonfly employs two key strategies: multi-resolution visual encoding and zoom-in patch selection. These strategies allow the model to process high-resolution images efficiently while maintaining reasonable context length. Our experiments on eight popular benchmarks demonstrate that Dragonfly achieves competitive or better performance compared to other architectures, highlighting the effectiveness of our design. Additionally, we finetuned Dragonfly on biomedical instructions, achieving state-of-the-art results on multiple biomedical tasks requiring fine-grained visual understanding, including 92.3% accuracy on the Path-VQA dataset (compared to 83.3% for Med-Gemini) and the highest reported results on biomedical image captioning. To support model training, we curated a visual instruction-tuning dataset with 5.5 million image-instruction samples in the general domain and 1.4 million samples in the biomedical domain. We also conducted ablation studies to characterize the impact of various architectural designs and image resolutions, providing insights for future research on visual instruction alignment.

Large vision language models (LVLMs) integrate large language models (LLMs) with pre-trained vision encoders, thereby activating the perception capability of the model to understand image inputs for different queries and conduct subsequent reasoning. Improving this capability requires high-quality vision-language data, which is costly and labor-intensive to acquire. Self-training approaches have been effective in single-modal settings to alleviate the need for labeled data by leveraging model's own generation. However, effective self-training remains a challenge regarding the unique visual perception and reasoning capability of LVLMs. To address this, we introduce Self-Training on Image Comprehension (STIC), which emphasizes a self-training approach specifically for image comprehension. First, the model self-constructs a preference dataset for image descriptions using unlabeled images. Preferred responses are generated through a step-by-step prompt, while dis-preferred responses are generated from either corrupted images or misleading prompts. To further self-improve reasoning on the extracted visual information, we let the model reuse a small portion of existing instruction-tuning data and append its self-generated image descriptions to the prompts. We validate the effectiveness of STIC across seven different benchmarks, demonstrating substantial performance gains of 4.0% on average while using 70% less supervised fine-tuning data than the current method. Further studies investigate various components of STIC and highlight its potential to leverage vast quantities of unlabeled images for self-training. Code and data are made publicly available.

Recent works have shown that machine learning models improve at a predictable rate with the total amount of training data, leading to scaling laws that describe the relationship between error and dataset size. These scaling laws can help design a model's training dataset, but they typically take an aggregate view of the data by only considering the dataset's size. We introduce a new perspective by investigating scaling behavior for the value of individual data points: we find that a data point's contribution to model's performance shrinks predictably with the size of the dataset in a log-linear manner. Interestingly, there is significant variability in the scaling exponent among different data points, indicating that certain points are more valuable in small datasets while others are relatively more useful as a part of large datasets. We provide learning theory to support our scaling law, and we observe empirically that it holds across diverse model classes. We further propose a maximum likelihood estimator and an amortized estimator to efficiently learn the individualized scaling behaviors from a small number of noisy observations per data point. Using our estimators, we provide insights into factors that influence the scaling behavior of different data points. Finally, we demonstrate applications of the individualized scaling laws to data valuation and data subset selection. Overall, our work represents a first step towards understanding and utilizing scaling properties for the value of individual data points.

A common way to evaluate a dataset in ML involves training a model on this dataset and assessing the model's performance on a test set. However, this approach has two issues: (1) it may incentivize undesirable data manipulation in data marketplaces, as the self-interested data providers seek to modify the dataset to maximize their evaluation scores; (2) it may select datasets that overfit to potentially small test sets. We propose a new data valuation method that provably guarantees the following: data providers always maximize their expected score by truthfully reporting their observed data. Any manipulation of the data, including but not limited to data duplication, adding random data, data removal, or re-weighting data from different groups, cannot increase their expected score. Our method, following the paradigm of proper scoring rules, measures the pointwise mutual information (PMI) of the test dataset and the evaluated dataset. However, computing the PMI of two datasets is challenging. We introduce a novel PMI measuring method that greatly improves tractability within Bayesian machine learning contexts. This is accomplished through a new characterization of PMI that relies solely on the posterior probabilities of the model parameter at an arbitrarily selected value. Finally, we support our theoretical results with simulations and further test the effectiveness of our data valuation method in identifying the top datasets among multiple data providers. Interestingly, our method outperforms the standard approach of selecting datasets based on the trained model's test performance, suggesting that our truthful valuation score can also be more robust to overfitting.

Sleep is a complex physiological process evaluated through various modalities recording electrical brain, cardiac, and respiratory activities. We curate a large polysomnography dataset from over 14,000 participants comprising over 100,000 hours of multi-modal sleep recordings. Leveraging this extensive dataset, we developed SleepFM, the first multi-modal foundation model for sleep analysis. We show that a novel leave-one-out approach for contrastive learning significantly improves downstream task performance compared to representations from standard pairwise contrastive learning. A logistic regression model trained on SleepFM's learned embeddings outperforms an end-to-end trained convolutional neural network (CNN) on sleep stage classification (macro AUROC 0.88 vs 0.72 and macro AUPRC 0.72 vs 0.48) and sleep disordered breathing detection (AUROC 0.85 vs 0.69 and AUPRC 0.77 vs 0.61). Notably, the learned embeddings achieve 48% top-1 average accuracy in retrieving the corresponding recording clips of other modalities from 90,000 candidates. This work demonstrates the value of holistic multi-modal sleep modeling to fully capture the richness of sleep recordings. SleepFM is open source and available at https://github.com/rthapa84/sleepfm-codebase.

Answering real-world complex queries, such as complex product search, often requires accurate retrieval from semi-structured knowledge bases that involve blend of unstructured (e.g., textual descriptions of products) and structured (e.g., entity relations of products) information. However, previous works have mostly studied textual and relational retrieval tasks as separate topics. To address the gap, we develop STARK, a large-scale Semi-structure retrieval benchmark on Textual and Relational K nowledge Bases. Our benchmark covers three domains/datasets: product search, academic paper search, and queries in precision medicine. We design a novel pipeline to synthesize realistic user queries that integrate diverse relational information and complex textual properties, together with their ground-truth answers (items). We conduct rigorous human evaluation to validate the quality of our synthesized queries. We further enhance the benchmark with high-quality human-generated queries to provide an authentic reference. STARK serves as a comprehensive testbed for evaluating the performance of retrieval systems driven by large language models (LLMs). Our experiments suggest that STARK presents significant challenges to the current retrieval and LLM systems, indicating the demand for building more capable retrieval systems. The benchmark data and code are available on https://github.com/snap-stanford/stark.