Austria

Automated radiology report generation from chest X-ray (CXR) images has the potential to improve clinical efficiency and reduce radiologists&#39; workload. However, most datasets, including the publicly available MIMIC-CXR and CheXpert Plus, consist entirely of free-form reports, which are inherently variable and unstructured. This variability poses challenges for both generation and evaluation: existing models struggle to produce consistent, clinically meaningful reports, and standard evaluation metrics fail to capture the nuances of radiological interpretation. To address this, we introduce Structured Radiology Report Generation (SRRG), a new task that reformulates free-text radiology reports into a standardized format, ensuring clarity, consistency, and structured clinical reporting. We create a novel dataset by restructuring reports using large language models (LLMs) following strict structured reporting desiderata. Additionally, we introduce SRR-BERT, a fine-grained disease classification model trained on 55 labels, enabling more precise and clinically informed evaluation of structured reports. To assess report quality, we propose F1-SRR-BERT, a metric that leverages SRR-BERT’s hierarchical disease taxonomy to bridge the gap between free-text variability and structured clinical reporting. We validate our dataset through a reader study conducted by five board-certified radiologists and extensive benchmarking experiments.

ACL 2025

Automated Structured Radiology Report Generation

radiology

metric

medical

generation

evaluation

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IJCNLP-AACL 2022

The AACL, Asia-Pacific Chapter of the Association for Computational Linguistics, and the AFNLP, Asian Federation of Natural Language Processing, invite you to participate in the 1st Conference of the Asia-Pacific Chapter of the Association for Computational Linguistics (AACL) and the 10th International Joint Conference on Natural Language Processing (IJCNLP). 

Automated radiology report generation from chest X-ray (CXR) images has the potential to improve clinical efficiency and reduce radiologists' workload. However, most datasets, including the publicly available MIMIC-CXR and CheXpert Plus, consist entirely of free-form reports, which are inherently variable and unstructured. This variability poses challenges for both generation and evaluation: existing models struggle to produce consistent, clinically meaningful reports, and standard evaluation metrics fail to capture the nuances of radiological interpretation. To address this, we introduce Structured Radiology Report Generation (SRRG), a new task that reformulates free-text radiology reports into a standardized format, ensuring clarity, consistency, and structured clinical reporting. We create a novel dataset by restructuring reports using large language models (LLMs) following strict structured reporting desiderata. Additionally, we introduce SRR-BERT, a fine-grained disease classification model trained on 55 labels, enabling more precise and clinically informed evaluation of structured reports. To assess report quality, we propose F1-SRR-BERT, a metric that leverages SRR-BERT’s hierarchical disease taxonomy to bridge the gap between free-text variability and structured clinical reporting. We validate our dataset through a reader study conducted by five board-certified radiologists and extensive benchmarking experiments.

technical paper

### Welcome to The 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025)

Message from the General Chair: 
*It is my great pleasure and honor to welcome you to the 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025), held in beautiful Vienna, Austria, from July 27 to August 1, 2025. ACL2025continues our field’s tradition of excellence in scholarship, innovation, and inclusivity, and I am deeply grateful to the many volunteers who have worked tirelessly to bring this event to life.* 
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Welcome to The 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025)

This paper argues that generating output tokens is more effective than using pooled representations for prediction tasks because token-level generation retains more mutual information. Since LLMs are trained on massive text corpora using next-token prediction, generation aligns naturally with their learned behavior. Using the Data Processing Inequality (DPI), we provide both theoretical and empirical evidence supporting this claim. However, autoregressive models face two key challenges when used for prediction: (1) exposure bias, where the model sees ground-truth tokens during training but relies on its own predictions during inference, leading to errors, and (2) format mismatch, where discrete tokens do not always align with the task’s required output structure. To address these challenges, we introduce PredGen (Predicting Through Generating), an end-to-end framework that (i) uses scheduled sampling to reduce exposure bias, and (ii) introduces a task adapter to convert the generated tokens into structured outputs. Additionally, we introduce Writer-Director Alignment Loss (WDAL), which ensures consistency between token generation and final task predictions, improving both text coherence and numerical accuracy. We evaluate PredGen on multiple classification and regression benchmarks. Our results show that PredGen consistently outperforms standard baselines, demonstrating its effectiveness in structured prediction tasks.

Predicting Through Generation: Why Generation Is Better for Prediction

Multi-modal entity alignment aims to identify equivalent entities between two different multi-modal knowledge graphs. Current methods have made significant progress by improving embedding and cross-modal fusion. However, most of them depend on using loss functions to capture the relationship between modalities or adopt a one-time strategy to directly compute modality weights using attention mechanisms, which overlooks the relative interactions between modalities at the entity level and the accuracy of modality weights, thereby hindering the generalization to diverse entities. To address this challenge, we propose RICEA, a relative interaction and calibration framework for multi-modal entity alignment, which dynamically computes weights based on the relative interaction and recalibrates the weights according to their uncertainties. Among these, we propose a novel method called ADC that utilizes attention mechanisms to perceive the uncertainty of the weight for each modality, rather than directly calculating the weight of each modality as in previous works. Across 5 datasets and 23 settings, our proposed framework significantly outperforms other baselines. Our code and data are available at https://github.com/ChenxiaoLi-Joe/RICEA.

Probing Relative Interaction and Dynamic Calibration in Multi-modal Entity Alignment

While Large Language Models (LLMs) excel in diverse domains, their validity in event reasoning remains underexplored. Most existing works merely stagnate at assessing LLMs' event reasoning with a single event relational type or reasoning format, failing to conduct a complete evaluation and provide a practical solution for capability enhancement. In this paper, we propose $\textbf{PIPER}$, the first comprehensive benchmark for $\textbf{P}$robing $\textbf{I}$nto the $\textbf{P}$erformance boundary of LLMs in $\textbf{E}$vent $\textbf{R}$easoning. Motivated by our evaluation observations and error patterns analysis, we meticulously craft 10K diverse instruction-tuning demonstrations to alleviate event reasoning-oriented data scarcity. Additionally, a novel $\textbf{D}$ebiasing and $\textbf{D}$istillation-$\textbf{E}$nhanced $\textbf{S}$upervised $\textbf{F}$ine-$\textbf{T}$uning ($\mathbf{D^2}$$\textbf{E-SFT}$) strategy is presented, which facilitates adhering to context and fixating significant contextual event information to elevate the event reasoning capability. Specifically, $\mathrm{D^2}$E-SFT removes the given sample's context to construct an imagined sample, subtracting its logits to mitigate the bias of neglecting context and improve contextual faithfulness. To guide the model in emphasizing significant contextual event information, $\mathrm{D^2}$E-SFT employs a context-refined sample to achieve self-distillation with the alignment of logits. Extensive experimental results demonstrate the effectiveness of our data and strategy in expanding the performance boundary of event reasoning.

PIPER: Benchmarking and Prompting Event Reasoning Boundary of LLMs via Debiasing-Distillation Enhanced Tuning

Alignment of large language models (LLMs) involves training models on preference-contrastive output pairs to adjust their responses according to human preferences. To obtain such contrastive pairs, traditional methods like RLHF and RLAIF rely on \textbf{limited} contrasting patterns, such as varying model variants or decoding temperatures. This singularity leads to two issues: (1) alignment is not comprehensive; and thereby (2) models are susceptible to harmful response tendencies. To address these issues, we investigate how to construct more comprehensive and diversified contrasting patterns to enhance preference data (RQ1) and verify the impact of the diversification of contrasting patterns on model alignment (RQ2). For RQ1, we propose \textbf{PopAlign}, a framework that integrates diversified contrasting patterns across the prompt, model, and pipeline levels, introducing six contrasting strategies that do not require additional feedback labeling procedures. Regarding RQ2, we conduct thorough experiments demonstrating that PopAlign significantly outperforms existing methods, leading to more comprehensive alignment.

PopAlign: Diversifying Contrasting Patterns for a More Comprehensive Alignment

Recent Large-Language Models (LLMs) pruning methods typically operate at the post-training phase without the expensive weight finetuning, however, their pruning criteria often rely on **heuristically hand-crafted metrics**, potentially leading to suboptimal performance. We instead propose a novel **optimization-based structural pruning** that learns the pruning masks in a probabilistic space directly by optimizing the loss of the pruned model. To preserve the efficiency, our method **eliminates the back-propagation** through the LLM *per se* during the optimization, requiring only **the forward pass of the LLM**. We achieve this by learning an underlying Bernoulli distribution to sample binary pruning masks, where we decouple the Bernoulli parameters from the LLM loss, thus facilitating an efficient optimization via *policy gradient estimator* without back-propagation. As a result, our method is able to 1) *support global and heterogeneous pruning* (*i.e.*, our method automatically determines different redundancy for different layers), and 2) *optionally initialize with a metric-based method* (for our Bernoulli distributions). Extensive experiments conducted on LLaMA, LLaMA-2, LLaMA-3, Vicuna, and Mistral models using the C4 and WikiText2 datasets demonstrate the promising performance of our method in efficiency and effectiveness.

Bypass Back-propagation: Optimization-based Structural Pruning for Large Language Models via Policy Gradient

Expanding the breadth languages used to study sociophonetic variation and change is an important step in the theoretical development of sociophonetics. As data archives grow, forced alignment can accelerate the study of sociophonetic variation in minority languages. This paper examines the application of English and custom-made acoustic models on the alignment of vowels in two Pacific Creoles, Tok Pisin (59 hours) and Bislama (38.5 hours). We find that English models perform acceptably well in both languages, and as well as humans in vowel environments described as 'Highly Reliable'. Custom models performed better in Bislama than Tok Pisin. We end the paper with recommendations on the use of cross-linguistic acoustic models in the case of English-Based Creoles.

English-based acoustic models perform well in the forced-alignment of two English-Based Pacific Creoles

Hallucination, the generation of factually incorrect information, remains a significant challenge for large language models (LLMs), especially in open-domain long-form generation. Existing approaches for detecting hallucination in long-form tasks either focus on limited domains or rely heavily on external fact-checking tools, which may not always be available.

In this work, we systematically investigate reference-free hallucination detection in open-domain long-form responses. Our findings reveal that internal states (e.g., model's output probability and entropy) alone are insufficient for reliably (i.e., better than random guessing) distinguishing between factual and hallucinated content. To enhance detection, we explore various existing approaches, including prompting-based methods, probing, and fine-tuning, with fine-tuning proving the most effective. To further improve the accuracy, we introduce a new paradigm, named RATE-FT, that augments fine-tuning with an auxiliary task for the model to jointly learn with the main task of hallucination detection. With extensive experiments and analysis using a variety of model families & datasets, we demonstrate the effectiveness and generalizability of our method, e.g., +3% over general fine-tuning methods on LongFact.

Learning Auxiliary Tasks Improves Reference-Free Hallucination Detection in Open-Domain Long-Form Generation

Despite the remarkable successes of Large Language Models (LLMs), the underlying Transformer architecture has inherent limitations in handling complex reasoning tasks. {Chain-of-Thought} (CoT) prompting has emerged as a practical workaround, but most CoT-based methods rely on a single generic prompt like “think step by step,” with no task-specific adaptation. These approaches expect the model to discover an effective reasoning path on its own, forcing it to search through a vast prompt space. 
In contrast, many work has explored task-specific prompt designs to boost performance. However, these designs are typically developed through trial and error, lacking a theoretical ground. As a result, prompt engineering remains largely ad hoc and unguided.
In this paper, we provide a theoretical framework that explains why some prompts succeed while others fail. We show that prompts function as selectors, extracting specific task-relevant information from the model’s full hidden state during CoT reasoning. Each prompt defines a unique trajectory through the answer space, and the choice of this trajectory is crucial for task performance and future navigation in the answer space.
We analyze the complexity of finding optimal prompts and the size of the prompt space for a given task. Our theory reveals principles behind effective prompt design and shows that naive CoT—using model-self-guided prompt like “think step by step” —can severely hinder performance. Showing that optimal prompt search can lead to over a 50% improvement on reasoning tasks through experiments, our work provide a theoretical foundation for prompt engineering.

Navigating the Prompt Space: Supervision Matters in CoT When Reasoning Misleads

Large language models (LLMs) have shown impressive few-shot generalization on many tasks via in-context learning (ICL). Despite their success in showing such emergent abilities, the scale and complexity of larger models also lead to unprecedentedly high computational demands and deployment challenges. In reaction, researchers explore transferring the powerful capabilities of larger models to more efficient and compact models by typically aligning the output of smaller (student) models with that of larger (teacher) models. Existing methods either train student models on the generated outputs of teacher models or imitate their token-level probability distributions. However, these distillation methods pay little to no attention to the input, which also plays a crucial role in ICL. Based on the finding that the performance of ICL is highly sensitive to the selection of demonstration examples, we propose Bidirectional Alignment (BiAlign) to fully leverage the models' preferences for ICL examples to improve the ICL abilities of student models. Specifically, we introduce the alignment of input preferences between student and teacher models by incorporating a novel ranking loss, in addition to aligning the token-level output distribution. With extensive experiments and analysis, we demonstrate that BiAlign can consistently outperform existing baselines on a variety of tasks involving language understanding, reasoning, and coding.

Beyond Output Matching: Bidirectional Alignment for Enhanced In-Context Learning

Accents play a pivotal role in shaping human communication, enhancing our ability to convey and comprehend messages with clarity and cultural nuance. While there has been significant progress in Automatic Speech Recognition (ASR), African-accented English ASR has been understudied due to a lack of training datasets, which are often expensive to create and demand colossal human labor. Combining several active learning paradigms and the core-set approach, we propose a new multi-round adaptation process that uses epistemic uncertainty to automate annotation, significantly reducing the associated costs and human labor. This novel method streamlines data annotation and strategically selects data samples that contribute most to model uncertainty, enhancing training efficiency. We define a new U-WER metric to track model adaptation to hard accents. We evaluate our approach across several domains, datasets, and high-performing speech models. Our results show that our approach leads to a 27\% WER relative average improvement while requiring, on average, 45\% less data than established baselines. Our approach also improves out-of-distribution generalization for very low-resource accents, demonstrating its viability for building generalizable ASR models in the context of accented African ASR. We open-source the code \href{}{here}.

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Predicting Through Generation: Why Generation Is Better for Prediction

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