United States

Medical decision rules play a key role in many clinical decision support systems (CDSS). However, these rules are conventionally constructed by medical experts, which is expensive and hard to scale up. In this study, we explore the automatic extraction of medical decision rules from text, leading to a solution to construct large-scale medical decision rules. We adopt a formulation of medical decision rules as binary trees consisting of condition/decision nodes. Such trees are referred to as medical decision trees and we introduce several generative models to extract them from text. The proposed models inherit the merit of two categories of successful natural language generation frameworks, i.e., sequence-to-sequence generation and autoregressive generation. To unleash the potential of pretrained language models, we design three styles of linearization (natural language, augmented natural language and JSON code), acting as the target sequence for our models. Our final system achieves 67% tree accuracy on a comprehensive Chinese benchmark, outperforming state-of-the-art baseline by 12%. The result demonstrates the effectiveness of generative models on explicitly modeling structural decision-making roadmaps, and shows great potential to boost the development of CDSS and explainable AI. Our code will be open-source upon acceptance.

EMNLP 2024

Generative Models for Automatic Medical Decision Rule Extraction from Text

state spacel layer

cross-modal alignment

video question answering

poster

## Welcome to EMNLP 2024! 
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EMNLP 2024 will take place in Miami, Florida from Nov 12th to Nov 16th, 2024, at the Hyatt Regency Miami Hote and on Underline for remote participants.

Although existing fashionable generation methods on Incomplete Utterance Rewriting (IUR) can generate coherent utterances, they often result in the inclusion of irrelevant and redundant tokens in rewritten utterances due to their inability to focus on critical tokens in dialogue context. Furthermore, the limited size of the training datasets also contributes to the insufficient training of the IUR model. To address the first issue, we propose a multi-task learning framework EO-IUR (Editing Operation-guided Incomplete Utterance Rewriting) that introduces the editing operation labels generated by sequence labeling module to guide generation model to focus on critical tokens. Furthermore, we introduce a token-level heterogeneous graph to represent dialogues. To address the second issue, we propose a two-dimensional utterance augmentation strategy, namely editing operation-based incomplete utterance augmentation and LLM-based historical utterance augmentation. The experimental results on three datasets demonstrate that our EO-IUR outperforms previous state-of-the-art (SOTA) baselines in both open-domain and task-oriented dialogue.

Incomplete Utterance Rewriting with Editing Operation Guidance and Utterance Augmentation

Fuzzy reasoning is vital due to the frequent use of imprecise information in daily contexts. However, the ability of current large language models (LLMs) to handle such reasoning remains largely uncharted. In this paper, we introduce a new benchmark, FRoG, for fuzzy reasoning, featuring real-world mathematical word problems that incorporate generalized quantifiers. Our experimental findings reveal that fuzzy reasoning continues to pose significant challenges for LLMs. Moreover, we find that existing methods designed to enhance reasoning do not consistently improve performance in tasks involving fuzzy logic. Additionally, our results show an inverse scaling effect in the performance of LLMs on FRoG. Interestingly, we also demonstrate that strong mathematical reasoning skills are not necessarily indicative of success on our benchmark.

FRoG: Evaluating Fuzzy Reasoning of Generalized Quantifiers in LLMs

While Large Language Models (LLMs) demonstrate impressive generation abilities, they frequently struggle when it comes to specialized domains due to their limited domain-specific knowledge. Studies on domain-specific LLMs resort to expanding the vocabulary before fine-tuning on domain-specific corpus, aiming to decrease the sequence length and enhance efficiency during decoding, without thoroughly investigating the results of vocabulary expansion to LLMs over different domains. Our pilot study reveals that expansion with only a subset of the entire vocabulary may lead to superior performance. Guided by the discovery, this paper explores how to identify a vocabulary subset to achieve the optimal results. We introduce VEGAD, an adaptive method that automatically identifies valuable words from a given domain vocabulary. Our method has been validated through experiments on three Chinese datasets, demonstrating its effectiveness. Additionally, we have undertaken comprehensive analyses of the method. The selection of a optimal subset for expansion has shown to enhance performance on both domain-specific tasks and general tasks, showcasing the potential of VEGAD.

Gold Panning in Vocabulary: An Adaptive Method for Vocabulary Expansion of Domain-Specific LLMs

The performance on general tasks decreases after Large Language Models (LLMs) are fine-tuned on domain-specific tasks, the phenomenon is known as Catastrophic Forgetting (CF). However, this paper presents a further challenge for real application of domain-specific LLMs beyond CF, called General Capabilities Integration (GCI), which necessitates the integration of both the general capabilities and domain knowledge within a single instance. The objective of GCI is not merely to retain previously acquired general capabilities alongside new domain knowledge, but to harmonize and utilize both sets of skills in a cohesive manner to enhance performance on domain-specific tasks. Taking legal domain as an example, we carefully design three groups of training and testing tasks without lacking practicability, and construct the corresponding datasets. To better incorporate general capabilities across domain-specific scenarios, we introduce ALoRA, which utilizes a multi-head attention module upon LoRA, facilitating direct information transfer from preceding tokens to the current one. This enhancement permits the representation to dynamically switch between domain-specific knowledge and general competencies according to the attention. Extensive experiments are conducted on the proposed tasks. The results exhibit the significance of our setting, and the effectiveness of our method.

More Than Catastrophic Forgetting: Integrating General Capabilities For Domain-Specific LLMs

In recent years, Large Language Models (LLMs) have made significant strides towards Artificial General Intelligence. However, training these models from scratch requires substantial computational resources and vast amounts of text data. In this paper, we explores an alternative approach to constructing a LLM for a new language by continually pre-training (CPT) from existing pre-trained LLMs, instead of using randomly initialized parameters. Based on parallel experiments on 40 model sizes ranging from 40M to 5B parameters, we find that 1) CPT converges faster and saves significant resources in a scalable manner. 2) CPT adheres to an extended scaling law derived from with a joint data-parameter scaling term. 3) The compute-optimal data-parameter allocation for CPT markedly differs based on our estimated scaling factors. 4) The effectiveness of transfer scale is influenced by training duration and linguistic properties, while robust to data replaying, a method that effectively mitigates catastrophic forgetting in CPT. We hope our findings provide deeper insights into the transferability of LLMs at scale for the research community.

Breaking Language Barriers: Cross-Lingual Continual Pre-Training at Scale

Large language models (LLMs) are found to have the ability of in-context generation (ICG): when they are fed with an in-context prompt concatenating a few somehow similar examples, they can implicitly recognize the pattern of them and then complete the prompt in the same pattern. ICG is curious, since language models are usually not explicitly trained in the same way as the in-context prompt, and the distribution of examples in the prompt differs from that of sequences in the pretrained corpora. This paper provides a systematic study of the ICG ability of language models, covering discussions about its source and influential factors, in the view of both theory and empirical experiments. Concretely, we first propose a plausible latent variable model to model the distribution of the pretrained corpora, and then formalize ICG as a problem of next topic prediction. With this framework, we can prove that the repetition nature of a few topics ensures the ICG ability on them theoretically. Then, we use this controllable pretrained distribution to generate several medium-scale synthetic datasets (token scale: 2.1B-3.9B) and experiment with different settings of Transformer architectures (parameter scale: 4M-234M). Our experimental results further offer insights into how the data and model architectures influence ICG.

On the In-context Generation of Language Models

Large language models demonstrate reasonable multilingual abilities, despite predominantly English-centric pretraining. However, the spontaneous multilingual alignment in these models is shown to be weak, leading to unsatisfactory cross-lingual transfer and knowledge sharing. Previous works attempt to address this issue by explicitly injecting multilingual alignment information during or after pretraining. Thus for the early stage in pretraining, the alignment is weak for sharing information or knowledge across languages. In this paper, we propose PreAlign, a framework that establishes multilingual alignment prior to language model pretraining. PreAlign injects multilingual alignment by initializing the model to generate similar representations of aligned words and preserves this alignment using a code-switching strategy during pretraining. Extensive experiments in a synthetic English to English-Clone setting demonstrate that PreAlign significantly outperforms standard multilingual joint training in language modeling, zero-shot cross-lingual transfer, and cross-lingual knowledge application. Further experiments in real-world scenarios further validate PreAlign's effectiveness across various model sizes.

PreAlign: Boosting Cross-Lingual Transfer by Early Establishment of Multilingual Alignment

Adapting Large Language Models (LLMs) for recommendation requires careful consideration of the decoding process, given the inherent differences between generating items and natural language. Existing approaches often directly apply LLMs' original decoding methods. However, we find these methods encounter significant challenges: 1) amplification bias—where standard length normalization inflates scores for items containing tokens with generation probabilities close to 1 (termed ghost tokens), and 2) homogeneity issue—generating multiple similar or repetitive items for a user. To tackle these challenges, we introduce a new decoding approach named Debiasing-Diversifying Decoding ($D^3$). $D^3$ disables length normalization for ghost tokens to alleviate amplification bias, and it incorporates a text-free assistant model to encourage tokens less frequently generated by LLMs for counteracting recommendation homogeneity. Extensive experiments on real-world datasets demonstrate the method's effectiveness in enhancing accuracy and diversity.

Decoding Matters: Addressing Amplification Bias and Homogeneity Issue in Recommendations for Large Language Models

News summarization in today’s global scene can be daunting with its flood of multilingual content and varied viewpoints from different sources. However, current studies often neglect such real-world scenarios as they tend to focus solely on either single-language or single-document tasks. To bridge this gap, we aim to unify Multi-lingual, Cross-lingual and Multi-document Summarization into a novel task, i.e., MCMS, which encapsulates the real-world requirements all-in-one. Nevertheless, the lack of a benchmark inhibits researchers from adequately studying this invaluable problem. To tackle this, we have meticulously constructed the GLOBESUMM dataset by first collecting a wealth of multilingual news reports and restructuring them into event-centric format. Additionally, we introduce the method of protocol-guided prompting for high-quality and cost-effective reference annotation. In MCMS, we also highlight the challenge of conflicts between news reports, in addition to the issues of redundancies and omissions, further enhancing the complexity of GLOBESUMM. Through extensive experimental analysis, we validate the quality of our dataset and elucidate the inherent challenges of the task. We firmly believe that GLOBESUMM, given its challenging nature, will greatly contribute to the multilingual communities and the evaluation of LLMs.

GlobeSumm: A Challenging Benchmark Towards Unifying Multi-lingual, Cross-lingual and Multi-document News Summarization

Tool-augmented large language models (LLMs) are rapidly being integrated into real-world applications. Due to the lack of benchmarks, the community has yet to fully understand the hallucination issues within these models. To address this challenge, we introduce a comprehensive diagnostic benchmark, ToolBH. Specifically, we assess the LLM's hallucinations through two perspectives: depth and breadth. In terms of depth, we propose a multi-level diagnostic process, including (1) solvability detection, (2) solution planning, and (3) missing-tool analysis. For breadth, we consider three scenarios based on the characteristics of the toolset: missing necessary tools, potential tools, and limited functionality tools. Furthermore, we developed seven tasks and collected 700 evaluation samples through multiple rounds of manual annotation. The results show the significant challenges presented by the ToolBH benchmark. The current advanced models Gemini-1.5-Pro and GPT-4o only achieve total scores of 45.3 and 37.0, respectively, on a scale of 100. In this benchmark, larger model parameters do not guarantee better performance; the training data and response strategies also play crucial roles in tool-enhanced LLM scenarios. Our diagnostic analysis indicates that the primary reason for model errors lies in assessing task solvability. Additionally, open-weight models suffer from performance drops with verbose replies, whereas proprietary models excel with longer reasoning.

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Generative Models for Automatic Medical Decision Rule Extraction from Text

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