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Jul 24

Deep Learning-Based Breast Cancer Detection in Mammography: A Multi-Center Validation Study in Thai Population

This study presents a deep learning system for breast cancer detection in mammography, developed using a modified EfficientNetV2 architecture with enhanced attention mechanisms. The model was trained on mammograms from a major Thai medical center and validated on three distinct datasets: an in-domain test set (9,421 cases), a biopsy-confirmed set (883 cases), and an out-of-domain generalizability set (761 cases) collected from two different hospitals. For cancer detection, the model achieved AUROCs of 0.89, 0.96, and 0.94 on the respective datasets. The system's lesion localization capability, evaluated using metrics including Lesion Localization Fraction (LLF) and Non-Lesion Localization Fraction (NLF), demonstrated robust performance in identifying suspicious regions. Clinical validation through concordance tests showed strong agreement with radiologists: 83.5% classification and 84.0% localization concordance for biopsy-confirmed cases, and 78.1% classification and 79.6% localization concordance for out-of-domain cases. Expert radiologists' acceptance rate also averaged 96.7% for biopsy-confirmed cases, and 89.3% for out-of-domain cases. The system achieved a System Usability Scale score of 74.17 for source hospital, and 69.20 for validation hospitals, indicating good clinical acceptance. These results demonstrate the model's effectiveness in assisting mammogram interpretation, with the potential to enhance breast cancer screening workflows in clinical practice.

  • 15 authors
·
May 29, 2025

Comparison of Unsupervised Metrics for Evaluating Judicial Decision Extraction

The rapid advancement of artificial intelligence in legal natural language processing demands scalable methods for evaluating text extraction from judicial decisions. This study evaluates 16 unsupervised metrics, including novel formulations, to assess the quality of extracting seven semantic blocks from 1,000 anonymized Russian judicial decisions, validated against 7,168 expert reviews on a 1--5 Likert scale. These metrics, spanning document-based, semantic, structural, pseudo-ground truth, and legal-specific categories, operate without pre-annotated ground truth. Bootstrapped correlations, Lin's concordance correlation coefficient (CCC), and mean absolute error (MAE) reveal that Term Frequency Coherence (Pearson r = 0.540, Lin CCC = 0.512, MAE = 0.127) and Coverage Ratio/Block Completeness (Pearson r = 0.513, Lin CCC = 0.443, MAE = 0.139) best align with expert ratings, while Legal Term Density (Pearson r = -0.479, Lin CCC = -0.079, MAE = 0.394) show strong negative correlations. The LLM Evaluation Score (mean = 0.849, Pearson r = 0.382, Lin CCC = 0.325, MAE = 0.197) showed moderate alignment, but its performance, using gpt-4.1-mini via g4f, suggests limited specialization for legal textse. These findings highlight that unsupervised metrics, including LLM-based approaches, enable scalable screening but, with moderate correlations and low CCC values, cannot fully replace human judgment in high-stakes legal contexts. This work advances legal NLP by providing annotation-free evaluation tools, with implications for judicial analytics and ethical AI deployment.

  • 5 authors
·
Oct 2, 2025

Evaluation of GPT-3.5 and GPT-4 for supporting real-world information needs in healthcare delivery

Despite growing interest in using large language models (LLMs) in healthcare, current explorations do not assess the real-world utility and safety of LLMs in clinical settings. Our objective was to determine whether two LLMs can serve information needs submitted by physicians as questions to an informatics consultation service in a safe and concordant manner. Sixty six questions from an informatics consult service were submitted to GPT-3.5 and GPT-4 via simple prompts. 12 physicians assessed the LLM responses' possibility of patient harm and concordance with existing reports from an informatics consultation service. Physician assessments were summarized based on majority vote. For no questions did a majority of physicians deem either LLM response as harmful. For GPT-3.5, responses to 8 questions were concordant with the informatics consult report, 20 discordant, and 9 were unable to be assessed. There were 29 responses with no majority on "Agree", "Disagree", and "Unable to assess". For GPT-4, responses to 13 questions were concordant, 15 discordant, and 3 were unable to be assessed. There were 35 responses with no majority. Responses from both LLMs were largely devoid of overt harm, but less than 20% of the responses agreed with an answer from an informatics consultation service, responses contained hallucinated references, and physicians were divided on what constitutes harm. These results suggest that while general purpose LLMs are able to provide safe and credible responses, they often do not meet the specific information need of a given question. A definitive evaluation of the usefulness of LLMs in healthcare settings will likely require additional research on prompt engineering, calibration, and custom-tailoring of general purpose models.

  • 18 authors
·
Apr 26, 2023

QuarkMedBench: A Real-World Scenario Driven Benchmark for Evaluating Large Language Models

While Large Language Models (LLMs) excel on standardized medical exams, high scores often fail to translate to high-quality responses for real-world medical queries. Current evaluations rely heavily on multiple-choice questions, failing to capture the unstructured, ambiguous, and long-tail complexities inherent in genuine user inquiries. To bridge this gap, we introduce QuarkMedBench, an ecologically valid benchmark tailored for real-world medical LLM assessment. We compiled a massive dataset spanning Clinical Care, Wellness Health, and Professional Inquiry, comprising 20,821 single-turn queries and 3,853 multi-turn sessions. To objectively evaluate open-ended answers, we propose an automated scoring framework that integrates multi-model consensus with evidence-based retrieval to dynamically generate 220,617 fine-grained scoring rubrics (~9.8 per query). During evaluation, hierarchical weighting and safety constraints structurally quantify medical accuracy, key-point coverage, and risk interception, effectively mitigating the high costs and subjectivity of human grading. Experimental results demonstrate that the generated rubrics achieve a 91.8% concordance rate with clinical expert blind audits, establishing highly dependable medical reliability. Crucially, baseline evaluations on this benchmark reveal significant performance disparities among state-of-the-art models when navigating real-world clinical nuances, highlighting the limitations of conventional exam-based metrics. Ultimately, QuarkMedBench establishes a rigorous, reproducible yardstick for measuring LLM performance on complex health issues, while its framework inherently supports dynamic knowledge updates to prevent benchmark obsolescence.

  • 16 authors
·
Mar 13

A Benchmark Dataset with Larger Context for Non-Factoid Question Answering over Islamic Text

Accessing and comprehending religious texts, particularly the Quran (the sacred scripture of Islam) and Ahadith (the corpus of the sayings or traditions of the Prophet Muhammad), in today's digital era necessitates efficient and accurate Question-Answering (QA) systems. Yet, the scarcity of QA systems tailored specifically to the detailed nature of inquiries about the Quranic Tafsir (explanation, interpretation, context of Quran for clarity) and Ahadith poses significant challenges. To address this gap, we introduce a comprehensive dataset meticulously crafted for QA purposes within the domain of Quranic Tafsir and Ahadith. This dataset comprises a robust collection of over 73,000 question-answer pairs, standing as the largest reported dataset in this specialized domain. Importantly, both questions and answers within the dataset are meticulously enriched with contextual information, serving as invaluable resources for training and evaluating tailored QA systems. However, while this paper highlights the dataset's contributions and establishes a benchmark for evaluating QA performance in the Quran and Ahadith domains, our subsequent human evaluation uncovered critical insights regarding the limitations of existing automatic evaluation techniques. The discrepancy between automatic evaluation metrics, such as ROUGE scores, and human assessments became apparent. The human evaluation indicated significant disparities: the model's verdict consistency with expert scholars ranged between 11% to 20%, while its contextual understanding spanned a broader spectrum of 50% to 90%. These findings underscore the necessity for evaluation techniques that capture the nuances and complexities inherent in understanding religious texts, surpassing the limitations of traditional automatic metrics.

  • 3 authors
·
Sep 15, 2024

Susu Box or Piggy Bank: Assessing Cultural Commonsense Knowledge between Ghana and the U.S

Recent work has highlighted the culturally-contingent nature of commonsense knowledge. We introduce AMAMMER{epsilon}, a test set of 525 multiple-choice questions designed to evaluate the commonsense knowledge of English LLMs, relative to the cultural contexts of Ghana and the United States. To create AMAMMER{epsilon}, we select a set of multiple-choice questions (MCQs) from existing commonsense datasets and rewrite them in a multi-stage process involving surveys of Ghanaian and U.S. participants. In three rounds of surveys, participants from both pools are solicited to (1) write correct and incorrect answer choices, (2) rate individual answer choices on a 5-point Likert scale, and (3) select the best answer choice from the newly-constructed MCQ items, in a final validation step. By engaging participants at multiple stages, our procedure ensures that participant perspectives are incorporated both in the creation and validation of test items, resulting in high levels of agreement within each pool. We evaluate several off-the-shelf English LLMs on AMAMMER{epsilon}. Uniformly, models prefer answers choices that align with the preferences of U.S. annotators over Ghanaian annotators. Additionally, when test items specify a cultural context (Ghana or the U.S.), models exhibit some ability to adapt, but performance is consistently better in U.S. contexts than Ghanaian. As large resources are devoted to the advancement of English LLMs, our findings underscore the need for culturally adaptable models and evaluations to meet the needs of diverse English-speaking populations around the world.

  • 3 authors
·
Oct 21, 2024

Healthier LLMs: Retrieval-Augmented Generation for Public Health Question Answering

Large language models (LLMs) achieve promising results on medical question answering benchmarks, yet their use in public health is constrained by hallucinations and the rapid evolution of official guidance. Retrieval-Augmented Generation (RAG) mitigates these risks by grounding responses in an explicitly maintained corpus, but end-to-end performance depends critically on retrieval configuration and on evaluation beyond multiple-choice formats. We extend PubHealthBench, a question answering (QA) benchmark of 7,929 questions derived from UK Government public health guidance, into a retrieval-augmented setting and systematically evaluate retrieval and generation choices. We compare dense, sparse, and hybrid retrieval across multiple embedding models and corpus variants, and show that hybrid retrieval consistently improves recall and ranking quality, with chunk length and topic interacting with ranking performance. Providing retrieved context substantially increases multiple-choice accuracy across a diverse set of LLMs, enabling smaller open-weight models to match or outperform larger models used without retrieval, with gains primarily driven by retrieval quality and careful context selection. To assess realistic free-form answering, we introduce a rubric-based LLM-as-a-judge covering faithfulness, completeness, clarity, and factual consistency, and validate it against dual human annotations. Judge-human agreement is strongest for faithfulness and completeness, while factual consistency and clarity are less reliably reproduced, motivating caution when interpreting those dimensions at scale. Overall, our results highlight retrieval as a primary lever for reliable public health QA and provide practical guidance for building and evaluating RAG systems grounded in official guidance.

  • 10 authors
·
Jul 6

SedarEval: Automated Evaluation using Self-Adaptive Rubrics

The evaluation paradigm of LLM-as-judge gains popularity due to its significant reduction in human labor and time costs. This approach utilizes one or more large language models (LLMs) to assess the quality of outputs from other LLMs. However, existing methods rely on generic scoring rubrics that fail to consider the specificities of each question and its problem-solving process, compromising precision and stability in assessments. Inspired by human examination scoring processes, we propose a new evaluation paradigm based on self-adaptive rubrics. Specifically, we create detailed scoring rubrics for each question, capturing the primary and secondary criteria in a structured format of scoring and deduction points that mimic a human evaluator's analytical process. Building on this paradigm, we further develop a novel benchmark called SedarEval, which covers a range of domains including long-tail knowledge, mathematics, coding, and logical reasoning. SedarEval consists of 1,000 meticulously crafted questions, each with its own self-adaptive rubric. To further streamline the evaluation, we train a specialized evaluator language model (evaluator LM) to supplant human graders. Using the same training data, our evaluator LM achieves a higher concordance rate with human grading results than other paradigms, including GPT-4, highlighting the superiority and efficiency of our approach. We release our dataset at https://github.com/wwn1233/sedareval.

  • 4 authors
·
Jan 25, 2025

On Measuring Faithfulness or Self-consistency of Natural Language Explanations

Large language models (LLMs) can explain their predictions through post-hoc or Chain-of-Thought (CoT) explanations. But an LLM could make up reasonably sounding explanations that are unfaithful to its underlying reasoning. Recent work has designed tests that aim to judge the faithfulness of post-hoc or CoT explanations. In this work we argue that these faithfulness tests do not measure faithfulness to the models' inner workings -- but rather their self-consistency at output level. Our contributions are three-fold: i) We clarify the status of faithfulness tests in view of model explainability, characterising them as self-consistency tests instead. This assessment we underline by ii) constructing a Comparative Consistency Bank for self-consistency tests that for the first time compares existing tests on a common suite of 11 open LLMs and 5 tasks -- including iii) our new self-consistency measure CC-SHAP. CC-SHAP is a fine-grained measure (not a test) of LLM self-consistency. It compares how a model's input contributes to the predicted answer and to generating the explanation. Our fine-grained CC-SHAP metric allows us iii) to compare LLM behaviour when making predictions and to analyse the effect of other consistency tests at a deeper level, which takes us one step further towards measuring faithfulness by bringing us closer to the internals of the model than strictly surface output-oriented tests. Our code is available at https://github.com/Heidelberg-NLP/CC-SHAP

  • 2 authors
·
Nov 13, 2023

Generating and Evaluating Tests for K-12 Students with Language Model Simulations: A Case Study on Sentence Reading Efficiency

Developing an educational test can be expensive and time-consuming, as each item must be written by experts and then evaluated by collecting hundreds of student responses. Moreover, many tests require multiple distinct sets of questions administered throughout the school year to closely monitor students' progress, known as parallel tests. In this study, we focus on tests of silent sentence reading efficiency, used to assess students' reading ability over time. To generate high-quality parallel tests, we propose to fine-tune large language models (LLMs) to simulate how previous students would have responded to unseen items. With these simulated responses, we can estimate each item's difficulty and ambiguity. We first use GPT-4 to generate new test items following a list of expert-developed rules and then apply a fine-tuned LLM to filter the items based on criteria from psychological measurements. We also propose an optimal-transport-inspired technique for generating parallel tests and show the generated tests closely correspond to the original test's difficulty and reliability based on crowdworker responses. Our evaluation of a generated test with 234 students from grades 2 to 8 produces test scores highly correlated (r=0.93) to those of a standard test form written by human experts and evaluated across thousands of K-12 students.

  • 6 authors
·
Oct 10, 2023

AlignScore: Evaluating Factual Consistency with a Unified Alignment Function

Many text generation applications require the generated text to be factually consistent with input information. Automatic evaluation of factual consistency is challenging. Previous work has developed various metrics that often depend on specific functions, such as natural language inference (NLI) or question answering (QA), trained on limited data. Those metrics thus can hardly assess diverse factual inconsistencies (e.g., contradictions, hallucinations) that occur in varying inputs/outputs (e.g., sentences, documents) from different tasks. In this paper, we propose AlignScore, a new holistic metric that applies to a variety of factual inconsistency scenarios as above. AlignScore is based on a general function of information alignment between two arbitrary text pieces. Crucially, we develop a unified training framework of the alignment function by integrating a large diversity of data sources, resulting in 4.7M training examples from 7 well-established tasks (NLI, QA, paraphrasing, fact verification, information retrieval, semantic similarity, and summarization). We conduct extensive experiments on large-scale benchmarks including 22 evaluation datasets, where 19 of the datasets were never seen in the alignment training. AlignScore achieves substantial improvement over a wide range of previous metrics. Moreover, AlignScore (355M parameters) matches or even outperforms metrics based on ChatGPT and GPT-4 that are orders of magnitude larger.

  • 4 authors
·
May 26, 2023

Excision Score: Evaluating Edits with Surgical Precision

Many tasks revolve around editing a document, whether code or text. We formulate the revision similarity problem to unify a wide range of machine learning evaluation problems whose goal is to assess a revision to an existing document. We observe that revisions usually change only a small portion of an existing document, so the existing document and its immediate revisions share a majority of their content. We formulate five adequacy criteria for revision similarity measures, designed to align them with human judgement. We show that popular pairwise measures, like BLEU, fail to meet these criteria, because their scores are dominated by the shared content. They report high similarity between two revisions when humans would assess them as quite different. This is a fundamental flaw we address. We propose a novel static measure, Excision Score (ES), which computes longest common subsequence (LCS) to remove content shared by an existing document with the ground truth and predicted revisions, before comparing only the remaining divergent regions. This is analogous to a surgeon creating a sterile field to focus on the work area. We use approximation to speed the standard cubic LCS computation to quadratic. In code-editing evaluation, where static measures are often used as a cheap proxy for passing tests, we demonstrate that ES surpasses existing measures. When aligned with test execution on HumanEvalFix, ES improves over its nearest competitor, SARI, by 12% Pearson correlation and by >21% over standard measures like BLEU. The key criterion is invariance to shared context; when we perturb HumanEvalFix with increased shared context, ES' improvement over SARI increases to 20% and >30% over standard measures. ES also handles other corner cases that other measures do not, such as correctly aligning moved code blocks, and appropriately rewarding matching insertions or deletions.

  • 4 authors
·
Oct 24, 2025

Syllabification of the Divine Comedy

We provide a syllabification algorithm for the Divine Comedy using techniques from probabilistic and constraint programming. We particularly focus on the synalephe, addressed in terms of the "propensity" of a word to take part in a synalephe with adjacent words. We jointly provide an online vocabulary containing, for each word, information about its syllabification, the location of the tonic accent, and the aforementioned synalephe propensity, on the left and right sides. The algorithm is intrinsically nondeterministic, producing different possible syllabifications for each verse, with different likelihoods; metric constraints relative to accents on the 10th, 4th and 6th syllables are used to further reduce the solution space. The most likely syllabification is hence returned as output. We believe that this work could be a major milestone for a lot of different investigations. From the point of view of digital humanities it opens new perspectives on computer assisted analysis of digital sources, comprising automated detection of anomalous and problematic cases, metric clustering of verses and their categorization, or more foundational investigations addressing e.g. the phonetic roles of consonants and vowels. From the point of view of text processing and deep learning, information about syllabification and the location of accents opens a wide range of exciting perspectives, from the possibility of automatic learning syllabification of words and verses, to the improvement of generative models, aware of metric issues, and more respectful of the expected musicality.

  • 2 authors
·
Oct 26, 2020

CoAScore: Chain-of-Aspects Prompting for NLG Evaluation

Recently, natural language generation (NLG) evaluation has shifted from a single-aspect to a multi-aspect paradigm, allowing for a more accurate assessment. Large language models (LLMs) achieve superior performance on various NLG evaluation tasks. However, current work often employs the LLM to independently evaluate different aspects, which largely ignores the rich correlation between various aspects. To fill this research gap, in this work, we propose an NLG evaluation metric called CoAScore. Powered by LLMs, the CoAScore utilizes multi-aspect knowledge through a CoA (Chain-of-Aspects) prompting framework when assessing the quality of a certain aspect. Specifically, for a given aspect to evaluate, we first prompt the LLM to generate a chain of aspects that are relevant to the target aspect and could be useful for the evaluation. We then collect evaluation scores for each generated aspect, and finally, leverage the knowledge of these aspects to improve the evaluation of the target aspect. We evaluate CoAScore across five NLG evaluation tasks (e.g., summarization, dialog response generation, etc) and nine aspects (e.g., overall quality, relevance, coherence, etc). Our experimental findings highlight that, in comparison to individual aspect evaluation, CoAScore exhibits a higher correlation with human judgments. This improvement significantly outperforms existing unsupervised evaluation metrics, whether for assessing overall quality or other aspects. We also conducted extensive ablation studies to validate the effectiveness of the three stages within the CoAScore framework and conducted case studies to show how the LLM performs in these stages. Our code and scripts are available.

  • 2 authors
·
Dec 16, 2023