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Developing language model-based dialogue agents requires effective data to train models that can follow specific task logic. However, most existing data augmentation methods focus on increasing diversity in language, topics, or dialogue acts at the utterance level, largely neglecting a critical aspect of task logic diversity at the dialogue level. This paper proposes a novel data augmentation method designed to enhance the diversity of synthetic dialogues by focusing on task execution logic. Our method uses LLMs to generate decision tree-structured task plans, which enables the derivation of diverse dialogue trajectories for a given task. Each trajectory, referred to as a "dialog flow", guides the generation of a multi-turn dialogue that follows a unique trajectory. We apply this method to generate a task-oriented dialogue dataset comprising 3,886 dialogue flows across 15 different domains. We validate the effectiveness of this dataset using the next action prediction task, where models fine-tuned on our dataset outperform strong baselines, including GPT-4. Upon acceptance of this paper, we plan to release the code and data publicly., Comment: 16 pages

Deep neural networks (DNNs) are valuable assets, yet their public accessibility raises security concerns about parameter extraction by malicious actors. Recent work by Carlini et al. (crypto'20) and Canales-Mart\'inez et al. (eurocrypt'24) has drawn parallels between this issue and block cipher key extraction via chosen plaintext attacks. Leveraging differential cryptanalysis, they demonstrated that all the weights and biases of black-box ReLU-based DNNs could be inferred using a polynomial number of queries and computational time. However, their attacks relied on the availability of the exact numeric value of output logits, which allowed the calculation of their derivatives. To overcome this limitation, Chen et al. (asiacrypt'24) tackled the more realistic hard-label scenario, where only the final classification label (e.g., "dog" or "car") is accessible to the attacker. They proposed an extraction method requiring a polynomial number of queries but an exponential execution time. In addition, their approach was applicable only to a restricted set of architectures, could deal only with binary classifiers, and was demonstrated only on tiny neural networks with up to four neurons split among up to two hidden layers. This paper introduces new techniques that, for the first time, achieve cryptanalytic extraction of DNN parameters in the most challenging hard-label setting, using both a polynomial number of queries and polynomial time. We validate our approach by extracting nearly one million parameters from a DNN trained on the CIFAR-10 dataset, comprising 832 neurons in four hidden layers. Our results reveal the surprising fact that all the weights of a ReLU-based DNN can be efficiently determined by analyzing only the geometric shape of its decision boundaries.

Document-grounded dialogue systems aim to answer user queries by leveraging external information. Previous studies have mainly focused on handling free-form documents, often overlooking structured data such as lists, which can represent a range of nuanced semantic relations. Motivated by the observation that even advanced language models like GPT-3.5 often miss semantic cues from lists, this paper aims to enhance question answering (QA) systems for better interpretation and use of structured lists. To this end, we introduce the LIST2QA dataset, a novel benchmark to evaluate the ability of QA systems to respond effectively using list information. This dataset is created from unlabeled customer service documents using language models and model-based filtering processes to enhance data quality, and can be used to fine-tune and evaluate QA models. Apart from directly generating responses through fine-tuned models, we further explore the explicit use of Intermediate Steps for Lists (ISL), aligning list items with user backgrounds to better reflect how humans interpret list items before generating responses. Our experimental results demonstrate that models trained on LIST2QA with our ISL approach outperform baselines across various metrics. Specifically, our fine-tuned Flan-T5-XL model shows increases of 3.1% in ROUGE-L, 4.6% in correctness, 4.5% in faithfulness, and 20.6% in completeness compared to models without applying filtering and the proposed ISL method.

The scarcity of subspecialist medical expertise, particularly in rare, complex and life-threatening diseases, poses a significant challenge for healthcare delivery. This issue is particularly acute in cardiology where timely, accurate management determines outcomes. We explored the potential of AMIE (Articulate Medical Intelligence Explorer), a large language model (LLM)-based experimental AI system optimized for diagnostic dialogue, to potentially augment and support clinical decision-making in this challenging context. We curated a real-world dataset of 204 complex cases from a subspecialist cardiology practice, including results for electrocardiograms, echocardiograms, cardiac MRI, genetic tests, and cardiopulmonary stress tests. We developed a ten-domain evaluation rubric used by subspecialists to evaluate the quality of diagnosis and clinical management plans produced by general cardiologists or AMIE, the latter enhanced with web-search and self-critique capabilities. AMIE was rated superior to general cardiologists for 5 of the 10 domains (with preference ranging from 9% to 20%), and equivalent for the rest. Access to AMIE's response improved cardiologists' overall response quality in 63.7% of cases while lowering quality in just 3.4%. Cardiologists' responses with access to AMIE were superior to cardiologist responses without access to AMIE for all 10 domains. Qualitative examinations suggest AMIE and general cardiologist could complement each other, with AMIE thorough and sensitive, while general cardiologist concise and specific. Overall, our results suggest that specialized medical LLMs have the potential to augment general cardiologists' capabilities by bridging gaps in subspecialty expertise, though further research and validation are essential for wide clinical utility.

Several recent studies have investigated low-precision accumulation, reporting improvements in throughput, power, and area across various platforms. However, the accompanying proposals have only considered the quantization-aware training (QAT) paradigm, in which models are fine-tuned or trained from scratch with quantization in the loop. As models continue to grow in size, QAT techniques become increasingly more expensive, which has motivated the recent surge in post-training quantization (PTQ) research. To the best of our knowledge, ours marks the first formal study of accumulator-aware quantization in the PTQ setting. To bridge this gap, we introduce AXE, a practical framework of accumulator-aware extensions designed to endow overflow avoidance guarantees to existing layer-wise PTQ algorithms. We theoretically motivate AXE and demonstrate its flexibility by implementing it on top of two state-of-the-art PTQ algorithms: GPFQ and OPTQ. We further generalize AXE to support multi-stage accumulation for the first time, opening the door for full datapath optimization and scaling to large language models (LLMs). We evaluate AXE across image classification and language generation models, and observe significant improvements in the trade-off between accumulator bit width and model accuracy over baseline methods.

Modern artificial intelligence (AI) systems are powered by foundation models. This paper presents a new set of foundation models, called Llama 3. It is a herd of language models that natively support multilinguality, coding, reasoning, and tool usage. Our largest model is a dense Transformer with 405B parameters and a context window of up to 128K tokens. This paper presents an extensive empirical evaluation of Llama 3. We find that Llama 3 delivers comparable quality to leading language models such as GPT-4 on a plethora of tasks. We publicly release Llama 3, including pre-trained and post-trained versions of the 405B parameter language model and our Llama Guard 3 model for input and output safety. The paper also presents the results of experiments in which we integrate image, video, and speech capabilities into Llama 3 via a compositional approach. We observe this approach performs competitively with the state-of-the-art on image, video, and speech recognition tasks. The resulting models are not yet being broadly released as they are still under development.

This article presents constraints on dark-matter-electron interactions obtained from the first underground data-taking campaign with multiple SuperCDMS HVeV detectors operated in the same housing. An exposure of 7.63 g-days is used to set upper limits on the dark-matter-electron scattering cross section for dark matter masses between 0.5 and 1000 MeV/$c^2$, as well as upper limits on dark photon kinetic mixing and axion-like particle axioelectric coupling for masses between 1.2 and 23.3 eV/$c^2$. Compared to an earlier HVeV search, sensitivity was improved as a result of an increased overburden of 225 meters of water equivalent, an anticoincidence event selection, and better pile-up rejection. In the case of dark-matter-electron scattering via a heavy mediator, an improvement by up to a factor of 25 in cross-section sensitivity was achieved., Comment: 7 pages + title and references, 4 figures, and 1 table

Automated evaluation is crucial for streamlining text summarization benchmarking and model development, given the costly and time-consuming nature of human evaluation. Traditional methods like ROUGE do not correlate well with human judgment, while recently proposed LLM-based metrics provide only summary-level assessment using Likert-scale scores. This limits deeper model analysis, e.g., we can only assign one hallucination score at the summary level, while at the sentence level, we can count sentences containing hallucinations. To remedy those limitations, we propose FineSurE, a fine-grained evaluator specifically tailored for the summarization task using large language models (LLMs). It also employs completeness and conciseness criteria, in addition to faithfulness, enabling multi-dimensional assessment. We compare various open-source and proprietary LLMs as backbones for FineSurE. In addition, we conduct extensive benchmarking of FineSurE against SOTA methods including NLI-, QA-, and LLM-based methods, showing improved performance especially on the completeness and conciseness dimensions. The code is available at https://github.com/DISL-Lab/FineSurE-ACL24., Comment: Accepted at ACL 2024 (main, long)

Background: The adherence of clinicians to clinical practice guidelines is known to be low, including for the management of COVID-19, due to their difficult use at the point of care and their complexity. Clinical decision support systems have been proposed to implement guidelines and improve adherence. One approach is to permit the navigation inside the recommendations, presented as a decision tree, but the size of the tree often limits this approach and may cause erroneous navigation, especially when it does not fit in a single screen. Methods: We proposed an innovative visual interface to allow clinicians easily navigating inside decision trees for the management of COVID-19 patients. It associates a multi-path tree model with the use of the fisheye visual technique, allowing the visualization of large decision trees in a single screen. To evaluate the impact of this tool on guideline adherence, we conducted a randomized controlled trial in a near-real simulation setting, comparing the decisions taken by medical students using Orient-COVID with those taken with paper guidelines or without guidance, when performing on six realistic clinical cases. Results: The results show that paper guidelines had no impact (p=0.97), while Orient-COVID significantly improved the guideline adherence compared to both other groups (p<0.0003). A significant impact of Orient-COVID was identified on several key points during the management of COVID-19: ordering troponin lab tests, prescribing anticoagulant and oxygen therapy. A multifactor analysis showed no difference between male and female participants. Conclusions: The use of an interactive decision tree for the management of COVID-19 significantly improved the clinician adherence to guidelines. Future works will focus on the integration of the system to electronic health records and on the adaptation of the system to other clinical conditions., Comment: 8 pages, 5 figures

Large Language Models (LLMs) are powerful models for generation tasks, but they may not generate good quality outputs in their first attempt. Apart from model fine-tuning, existing approaches to improve prediction accuracy and quality typically involve LLM self-improvement / self-reflection that incorporate feedback from models themselves. Despite their effectiveness, these methods are hindered by their high computational cost and lack of scalability. In this work, we propose CERET, a method for refining text generations by considering semantic stability, entailment and inter-sample uncertainty measures. Experimental results show that CERET outperforms Self-consistency and Self-rerank baselines consistently under various task setups, by ~1.6% in Rouge-1 for abstractive summarization and ~3.5% in hit rate for question answering. Compared to LLM Self-rerank method, our approach only requires 9.4% of its latency and is more cost-effective., Comment: The source code and data samples are released at https://github.com/amazon-science/CERET-LLM-refine

Many clinical tasks require an understanding of specialized data, such as medical images and genomics, which is not typically found in general-purpose large multimodal models. Building upon Gemini's multimodal models, we develop several models within the new Med-Gemini family that inherit core capabilities of Gemini and are optimized for medical use via fine-tuning with 2D and 3D radiology, histopathology, ophthalmology, dermatology and genomic data. Med-Gemini-2D sets a new standard for AI-based chest X-ray (CXR) report generation based on expert evaluation, exceeding previous best results across two separate datasets by an absolute margin of 1% and 12%, where 57% and 96% of AI reports on normal cases, and 43% and 65% on abnormal cases, are evaluated as "equivalent or better" than the original radiologists' reports. We demonstrate the first ever large multimodal model-based report generation for 3D computed tomography (CT) volumes using Med-Gemini-3D, with 53% of AI reports considered clinically acceptable, although additional research is needed to meet expert radiologist reporting quality. Beyond report generation, Med-Gemini-2D surpasses the previous best performance in CXR visual question answering (VQA) and performs well in CXR classification and radiology VQA, exceeding SoTA or baselines on 17 of 20 tasks. In histopathology, ophthalmology, and dermatology image classification, Med-Gemini-2D surpasses baselines across 18 out of 20 tasks and approaches task-specific model performance. Beyond imaging, Med-Gemini-Polygenic outperforms the standard linear polygenic risk score-based approach for disease risk prediction and generalizes to genetically correlated diseases for which it has never been trained. Although further development and evaluation are necessary in the safety-critical medical domain, our results highlight the potential of Med-Gemini across a wide range of medical tasks.

Excellence in a wide variety of medical applications poses considerable challenges for AI, requiring advanced reasoning, access to up-to-date medical knowledge and understanding of complex multimodal data. Gemini models, with strong general capabilities in multimodal and long-context reasoning, offer exciting possibilities in medicine. Building on these core strengths of Gemini, we introduce Med-Gemini, a family of highly capable multimodal models that are specialized in medicine with the ability to seamlessly use web search, and that can be efficiently tailored to novel modalities using custom encoders. We evaluate Med-Gemini on 14 medical benchmarks, establishing new state-of-the-art (SoTA) performance on 10 of them, and surpass the GPT-4 model family on every benchmark where a direct comparison is viable, often by a wide margin. On the popular MedQA (USMLE) benchmark, our best-performing Med-Gemini model achieves SoTA performance of 91.1% accuracy, using a novel uncertainty-guided search strategy. On 7 multimodal benchmarks including NEJM Image Challenges and MMMU (health & medicine), Med-Gemini improves over GPT-4V by an average relative margin of 44.5%. We demonstrate the effectiveness of Med-Gemini's long-context capabilities through SoTA performance on a needle-in-a-haystack retrieval task from long de-identified health records and medical video question answering, surpassing prior bespoke methods using only in-context learning. Finally, Med-Gemini's performance suggests real-world utility by surpassing human experts on tasks such as medical text summarization, alongside demonstrations of promising potential for multimodal medical dialogue, medical research and education. Taken together, our results offer compelling evidence for Med-Gemini's potential, although further rigorous evaluation will be crucial before real-world deployment in this safety-critical domain.

Planning is a crucial task for agents in task oriented dialogs (TODs). Human agents typically resolve user issues by following predefined workflows, decomposing workflow steps into actionable items, and performing actions by executing APIs in order; all of which require reasoning and planning. With the recent advances in LLMs, there have been increasing attempts to use them for task planning and API usage. However, the faithfulness of the plans to predefined workflows and API dependencies, is not guaranteed with LLMs. Moreover, workflows in real life are often custom-defined and prone to changes; hence, adaptation is desirable. To study this, we propose the problem of faithful planning in TODs that needs to resolve user intents by following predefined flows and preserving API dependencies. To solve this problem, we propose FLAP, a Flow-Adhering Planning algorithm based on constrained decoding with lookahead heuristic for LLMs. Our algorithm alleviates the need for finetuning LLMs using domain specific (plan/dependency) data, enables quick adaptation to predefined flows, and outperforms other decoding and prompting-based baselines. Further, our algorithm empowers smaller LLMs (7B) to perform at par larger LLMs (30B-40B)., Comment: NAACL 2024 (Camera Ready) (fixed minor typos)

Conversational systems often rely on embedding models for intent classification and intent clustering tasks. The advent of Large Language Models (LLMs), which enable instructional embeddings allowing one to adjust semantics over the embedding space using prompts, are being viewed as a panacea for these downstream conversational tasks. However, traditional evaluation benchmarks rely solely on task metrics that don't particularly measure gaps related to semantic understanding. Thus, we propose an intent semantic toolkit that gives a more holistic view of intent embedding models by considering three tasks -- (1) intent classification, (2) intent clustering, and (3) a novel triplet task. The triplet task gauges the model's understanding of two semantic concepts paramount in real-world conversational systems -- negation and implicature. We observe that current embedding models fare poorly in semantic understanding of these concepts. To address this, we propose a pre-training approach to improve the embedding model by leveraging augmentation with data generated by an auto-regressive model and a contrastive loss term. Our approach improves the semantic understanding of the intent embedding model on the aforementioned linguistic dimensions while slightly effecting their performance on downstream task metrics.

Semi-supervised dialogue summarization (SSDS) leverages model-generated summaries to reduce reliance on human-labeled data and improve the performance of summarization models. While addressing label noise, previous works on semi-supervised learning primarily focus on natural language understanding tasks, assuming each sample has a unique label. However, these methods are not directly applicable to SSDS, as it is a generative task, and each dialogue can be summarized in different ways. In this work, we propose a novel scoring approach, SiCF, which encapsulates three primary dimensions of summarization model quality: Semantic invariance (indicative of model confidence), Coverage (factual recall), and Faithfulness (factual precision). Using the SiCF score, we select unlabeled dialogues with high-quality generated summaries to train summarization models. Comprehensive experiments on three public datasets demonstrate the effectiveness of SiCF scores in uncertainty estimation and semi-supervised learning for dialogue summarization tasks. Our code is available at \url{https://github.com/amazon-science/summarization-sicf-score}., Comment: 21 pages, 10 figures

Development of multimodal interactive systems is hindered by the lack of rich, multimodal (text, images) conversational data, which is needed in large quantities for LLMs. Previous approaches augment textual dialogues with retrieved images, posing privacy, diversity, and quality constraints. In this work, we introduce Multimodal Augmented Generative Images Dialogues (MAGID), a framework to augment text-only dialogues with diverse and high-quality images. Subsequently, a diffusion model is applied to craft corresponding images, ensuring alignment with the identified text. Finally, MAGID incorporates an innovative feedback loop between an image description generation module (textual LLM) and image quality modules (addressing aesthetics, image-text matching, and safety), that work in tandem to generate high-quality and multi-modal dialogues. We compare MAGID to other SOTA baselines on three dialogue datasets, using automated and human evaluation. Our results show that MAGID is comparable to or better than baselines, with significant improvements in human evaluation, especially against retrieval baselines where the image database is small.

The development of large language models (LLM) has shown progress on reasoning, though studies have largely considered either English or simple reasoning tasks. To address this, we introduce a multilingual structured reasoning and explanation dataset, termed xSTREET, that covers four tasks across six languages. xSTREET exposes a gap in base LLM performance between English and non-English reasoning tasks. We then propose two methods to remedy this gap, building on the insight that LLMs trained on code are better reasoners. First, at training time, we augment a code dataset with multilingual comments using machine translation while keeping program code as-is. Second, at inference time, we bridge the gap between training and inference by employing a prompt structure that incorporates step-by-step code primitives to derive new facts and find a solution. Our methods show improved multilingual performance on xSTREET, most notably on the scientific commonsense reasoning subtask. Furthermore, the models show no regression on non-reasoning tasks, thus demonstrating our techniques maintain general-purpose abilities.

Single document news summarization has seen substantial progress on faithfulness in recent years, driven by research on the evaluation of factual consistency, or hallucinations. We ask whether these advances carry over to other text summarization domains. We propose a new evaluation benchmark on topic-focused dialogue summarization, generated by LLMs of varying sizes. We provide binary sentence-level human annotations of the factual consistency of these summaries along with detailed explanations of factually inconsistent sentences. Our analysis shows that existing LLMs hallucinate significant amounts of factual errors in the dialogue domain, regardless of the model's size. On the other hand, when LLMs, including GPT-4, serve as binary factual evaluators, they perform poorly and can be outperformed by prevailing state-of-the-art specialized factuality evaluation metrics. Finally, we conducted an analysis of hallucination types with a curated error taxonomy. We find that there are diverse errors and error distributions in model-generated summaries and that non-LLM based metrics can capture all error types better than LLM-based evaluators., Comment: NAACL 2024; Linguistic annotations available at https://github.com/amazon-science/tofueval

This study assesses deep learning models for audio classification in a clinical setting with the constraint of small datasets reflecting real-world prospective data collection. We analyze CNNs, including DenseNet and ConvNeXt, alongside transformer models like ViT, SWIN, and AST, and compare them against pre-trained audio models such as YAMNet and VGGish. Our method highlights the benefits of pre-training on large datasets before fine-tuning on specific clinical data. We prospectively collected two first-of-their-kind patient audio datasets from stroke patients. We investigated various preprocessing techniques, finding that RGB and grayscale spectrogram transformations affect model performance differently based on the priors they learn from pre-training. Our findings indicate CNNs can match or exceed transformer models in small dataset contexts, with DenseNet-Contrastive and AST models showing notable performance. This study highlights the significance of incremental marginal gains through model selection, pre-training, and preprocessing in sound classification; this offers valuable insights for clinical diagnostics that rely on audio classification., Comment: CHIL 2024

Large Language Models (LLMs) are nowadays expected to generate content aligned with human preferences. Current work focuses on alignment at model training time, through techniques such as Reinforcement Learning with Human Feedback (RLHF). However, it is unclear if such methods are an effective choice to teach alignment objectives to the model. First, the inability to incorporate multiple, custom rewards and reliance on a model developer's view of universal and static principles are key limitations. Second, the residual gaps in model training and the reliability of such approaches are also questionable (e.g. susceptibility to jail-breaking even after safety training). To address these, we propose DeAL, a framework that allows the user to customize reward functions and enables Decoding-time Alignment of LLMs (DeAL). At its core, we view decoding as a heuristic-guided search process and facilitate the use of a wide variety of alignment objectives. Our experiments with programmatic constraints such as keyword and length constraints (studied widely in the pre-LLM era) and abstract objectives such as harmlessness and helpfulness (proposed in the post-LLM era) show that we can DeAL with fine-grained trade-offs, improve adherence to alignment objectives, and address residual gaps in LLMs. Lastly, while DeAL can be effectively paired with RLHF and prompting techniques, its generality makes decoding slower, an optimization we leave for future work., Comment: The appendix contains data that is offensive / disturbing in nature

At the heart of medicine lies the physician-patient dialogue, where skillful history-taking paves the way for accurate diagnosis, effective management, and enduring trust. Artificial Intelligence (AI) systems capable of diagnostic dialogue could increase accessibility, consistency, and quality of care. However, approximating clinicians' expertise is an outstanding grand challenge. Here, we introduce AMIE (Articulate Medical Intelligence Explorer), a Large Language Model (LLM) based AI system optimized for diagnostic dialogue. AMIE uses a novel self-play based simulated environment with automated feedback mechanisms for scaling learning across diverse disease conditions, specialties, and contexts. We designed a framework for evaluating clinically-meaningful axes of performance including history-taking, diagnostic accuracy, management reasoning, communication skills, and empathy. We compared AMIE's performance to that of primary care physicians (PCPs) in a randomized, double-blind crossover study of text-based consultations with validated patient actors in the style of an Objective Structured Clinical Examination (OSCE). The study included 149 case scenarios from clinical providers in Canada, the UK, and India, 20 PCPs for comparison with AMIE, and evaluations by specialist physicians and patient actors. AMIE demonstrated greater diagnostic accuracy and superior performance on 28 of 32 axes according to specialist physicians and 24 of 26 axes according to patient actors. Our research has several limitations and should be interpreted with appropriate caution. Clinicians were limited to unfamiliar synchronous text-chat which permits large-scale LLM-patient interactions but is not representative of usual clinical practice. While further research is required before AMIE could be translated to real-world settings, the results represent a milestone towards conversational diagnostic AI., Comment: 46 pages, 5 figures in main text, 19 figures in appendix