In this study, we utilized the multimodal capabilities of OpenAI GPT-4o to automatically generate jaw cyst findings on dental panoramic radiographs. To improve accuracy, we constructed a Self-correction Loop with Structured Output (SLSO) framework and verified its effectiveness. A 10-step process was implemented for 22 cases of jaw cysts, including image input and analysis, structured data generation, tooth number extraction and consistency checking, iterative regeneration when inconsistencies were detected, and finding generation with subsequent restructuring and consistency verification. A comparative experiment was conducted using the conventional Chain-of-Thought (CoT) method across seven evaluation items: transparency, internal structure, borders, root resorption, tooth movement, relationships with other structures, and tooth number. The results showed that the proposed SLSO framework improved output accuracy for many items, with 66.9%, 33.3%, and 28.6% improvement rates for tooth number, tooth movement, and root resorption, respectively. In the successful cases, a consistently structured output was achieved after up to five regenerations. Although statistical significance was not reached because of the small size of the dataset, the overall SLSO framework enforced negative finding descriptions, suppressed hallucinations, and improved tooth number identification accuracy. However, the accurate identification of extensive lesions spanning multiple teeth is limited. Nevertheless, further refinement is required to enhance overall performance and move toward a practical finding generation system.

Large Audio-Language Models (LALMs) have demonstrated remarkable performance in tasks involving audio perception and understanding, such as speech recognition and audio captioning. However, their reasoning capabilities - critical for solving complex real-world problems - remain underexplored. In this work, we conduct the first exploration into integrating Chain-of-Thought (CoT) reasoning into LALMs to enhance their reasoning ability across auditory modalities. We evaluate representative CoT methods, analyzing their performance in both information extraction and reasoning tasks across sound, music, and speech domains. Our findings reveal that CoT methods significantly improve performance on easy and medium tasks but encounter challenges with hard tasks, where reasoning chains can confuse the model rather than improve accuracy. Additionally, we identify a positive correlation between reasoning path length and accuracy, demonstrating the potential of scaling inference for advanced instruction-following and reasoning. This study not only highlights the promise of CoT in enhancing LALM reasoning capabilities but also identifies key limitations and provides actionable directions for future research.

State-of-the-art performance in QA tasks is currently achieved by systems employing Large Language Models (LLMs), however these models tend to hallucinate information in their responses. One approach focuses on enhancing the generation process by incorporating attribution from the given input to the output. However, the challenge of identifying appropriate attributions and verifying their accuracy against a source is a complex task that requires significant improvements in assessing such systems. We introduce an attribution-oriented Chain-of-Thought reasoning method to enhance the accuracy of attributions. This approach focuses the reasoning process on generating an attribution-centric output. Evaluations on two context-enhanced question-answering datasets using GPT-4 demonstrate improved accuracy and correctness of attributions. In addition, the combination of our method with finetuning enhances the response and attribution accuracy of two smaller LLMs, showing their potential to outperform GPT-4 in some cases.