Vision-language models (VLMs) like CLIP have shown impressive zero-shot and few-shot learning capabilities across diverse applications. However, adapting these models to new fine-grained domains remains difficult due to reliance on prompt engineering and the high cost of full model fine-tuning. Existing adaptation approaches rely on augmented components, such as prompt tokens and adapter modules, which could limit adaptation quality, destabilize the model, and compromise the rich knowledge learned during pretraining. In this work, we present CLIP-SVD, a novel multi-modal and parameter-efficient adaptation technique that leverages Singular Value Decomposition (SVD) to modify the internal parameter space of CLIP without injecting additional modules. Specifically, we fine-tune only the singular values of the CLIP parameter matrices to rescale the basis vectors for domain adaptation while retaining the pretrained model. This design enables enhanced adaptation performance using only 0.04% of the model's total parameters and better preservation of its generalization ability. CLIP-SVD achieves state-of-the-art classification results on 11 natural and 10 biomedical datasets, outperforming previous methods in both accuracy and generalization under few-shot settings. Additionally, we leverage a natural language-based approach to analyze the effectiveness and dynamics of the CLIP adaptation to allow interpretability of CLIP-SVD. The code is publicly available at https://github.com/HealthX-Lab/CLIP-SVD.

Recent development in Retrieval-Augmented Large Language Models (LLMs) have shown great promise in biomedical applications. How ever, a critical gap persists in reliably evaluating their curation ability the process by which models select and integrate relevant references while filtering out noise. To address this, we introduce the benchmark for Curation of Retrieval-Augmented LLMs in Biomedicine (CRAB), the first multilingual benchmark tailored for evaluating the biomedical curation of retrieval-augmented LLMs, available in English, French, German and Chinese. By incorporating a novel citation-based evaluation metric, CRAB quantifies the curation performance of retrieval-augmented LLMs in biomedicine. Experimental results reveal significant discrepancies in the curation performance of mainstream LLMs, underscoring the urgent need to improve it in the domain of biomedicine. Our dataset is available at https://huggingface.co/datasets/zhm0/CRAB.

Biomedical reasoning often requires traversing interconnected relationships across entities such as drugs, diseases, and proteins. Despite the increasing prominence of large language models (LLMs), existing benchmarks lack the ability to evaluate multi-hop reasoning in the biomedical domain, particularly for queries involving one-to-many and many-to-many relationships. This gap leaves the critical challenges of biomedical multi-hop reasoning underexplored. To address this, we introduce BioHopR, a novel benchmark designed to evaluate multi-hop, multi-answer reasoning in structured biomedical knowledge graphs. Built from the comprehensive PrimeKG, BioHopR includes 1-hop and 2-hop reasoning tasks that reflect real-world biomedical complexities. Evaluations of state-of-the-art models reveal that O3-mini, a proprietary reasoning-focused model, achieves 37.93% precision on 1-hop tasks and 14.57% on 2-hop tasks, outperforming proprietary models such as GPT4O and open-source biomedical models including HuatuoGPT-o1-70B and Llama-3.3-70B. However, all models exhibit significant declines in multi-hop performance, underscoring the challenges of resolving implicit reasoning steps in the biomedical domain. By addressing the lack of benchmarks for multi-hop reasoning in biomedical domain, BioHopR sets a new standard for evaluating reasoning capabilities and highlights critical gaps between proprietary and open-source models while paving the way for future advancements in biomedical LLMs.

In Biomedical Natural Language Processing (BioNLP) tasks, such as Relation Extraction, Named Entity Recognition, and Text Classification, the scarcity of high-quality data remains a significant challenge. This limitation poisons large language models to correctly understand relationships between biological entities, such as molecules and diseases, or drug interactions, and further results in potential misinterpretation of biomedical documents. To address this issue, current approaches generally adopt the Synthetic Data Augmentation method which involves similarity computation followed by word replacement, but counterfactual data are usually generated. As a result, these methods disrupt meaningful word sets or produce sentences with meanings that deviate substantially from the original context, rendering them ineffective in improving model performance. To this end, this paper proposes a biomedical-dedicated rationale-based synthetic data augmentation method. Beyond the naive lexicon similarity, specific bio-relation similarity is measured to hold the augmented instance having a strong correlation with bio-relation instead of simply increasing the diversity of augmented data. Moreover, a multi-agents-involved reflection mechanism helps the model iteratively distinguish different usage of similar entities to escape falling into the mis-replace trap. We evaluate our method on the BLURB and BigBIO benchmark, which includes 9 common datasets spanning four major BioNLP tasks. Our experimental results demonstrate consistent performance improvements across all tasks, highlighting the effectiveness of our approach in addressing the challenges associated with data scarcity and enhancing the overall performance of biomedical NLP models.

Large Language Models (LLMs) have become state-of-the-art in Machine Translation (MT), often trained on massive bilingual parallel corpora scraped from the web, that contain low-quality entries and redundant information, leading to significant computational challenges. Various data filtering methods exist to reduce dataset sizes, but their effectiveness largely varies based on specific language pairs and domains. This paper evaluates the impact of commonly used data filtering techniques, such as LASER, MUSE, and LaBSE, on English-Polish translation within the biomedical domain. By filtering the UFAL Medical Corpus, we created varying dataset sizes to fine-tune the mBART50 model, which was then evaluated using the SacreBLEU metric on the Khresmoi dataset, having the quality of translations assessed by bilingual speakers. Our results show that both LASER and MUSE can significantly reduce dataset sizes while maintaining or even enhancing performance. We recommend the use of LASER, as it consistently outperforms the other methods and provides the most fluent and natural-sounding translations.

Recent advancements in mixed-modal generative models have enabled flexible integration of information across image-text content. These models have opened new avenues for developing unified biomedical assistants capable of analyzing biomedical images, answering complex questions about them, and predicting the impact of medical procedures on a patient's health. However, existing resources face challenges such as limited data availability, narrow domain coverage, and restricted sources (e.g., medical papers). To address these gaps, we present MedMax, the first large-scale multimodal biomedical instruction-tuning dataset for mixed-modal foundation models. With 1.47 million instances, MedMax encompasses a diverse range of tasks, including multimodal content generation (interleaved image-text data), biomedical image captioning and generation, visual chatting, and report understanding. These tasks span diverse medical domains such as radiology and histopathology. Subsequently, we fine-tune a mixed-modal foundation model on the MedMax dataset, achieving significant performance improvements: a 26% gain over the Chameleon model and an 18.3% improvement over GPT-4o across 12 downstream biomedical visual question-answering tasks. Additionally, we introduce a unified evaluation suite for biomedical tasks, providing a robust framework to guide the development of next-generation mixed-modal biomedical AI assistants.

Large language models (LLMs) have brought significant changes to many aspects of our lives. However, assessing and ensuring their chronological knowledge remains challenging. Existing approaches fall short in addressing the temporal adaptability of knowledge, often relying on a fixed time-point view. To overcome this, we introduce ChroKnowBench, a benchmark dataset designed to evaluate chronologically accumulated knowledge across three key aspects: multiple domains, time dependency, temporal state. Our benchmark distinguishes between knowledge that evolves (e.g., personal history, scientific discoveries, amended laws) and knowledge that remain constant (e.g., mathematical truths, commonsense facts). Building on this benchmark, we present ChroKnowledge (Chronological Categorization of Knowledge), a novel sampling-based framework for evaluating LLMs' non-parametric chronological knowledge. Our evaluation led to the following observations: (1) The ability of eliciting temporal knowledge varies depending on the data format that model was trained on. (2) LLMs partially recall knowledge or show a cut-off at temporal boundaries rather than recalling all aspects of knowledge correctly. Thus, we apply ourChroKnowPrompt, an in-depth prompting to elicit chronological knowledge by traversing step-by-step through the surrounding time spans. We observe that it successfully recalls objects across both open-source and proprietary LLMs, demonstrating versatility, though it faces challenges with dynamic datasets and unstructured formats.

Knowledge-enhanced language models (KELMs) have emerged as promising tools to bridge the gap between large-scale language models and domain-specific knowledge. KELMs can achieve higher factual accuracy and mitigate hallucinations by leveraging knowledge graphs (KGs). They are frequently combined with adapter modules to reduce the computational load and risk of catastrophic forgetting. In this paper, we conduct a systematic literature review (SLR) on adapter-based approaches to KELMs. We provide a structured overview of existing methodologies in the field through quantitative and qualitative analysis and explore the strengths and potential shortcomings of individual approaches. We show that general knowledge and domain-specific approaches have been frequently explored along with various adapter architectures and downstream tasks. We particularly focused on the popular biomedical domain, where we provided an insightful performance comparison of existing KELMs. We outline the main trends and propose promising future directions.