Austria

This study investigates the integration of diverse patient data sources into multimodal language models for automated chest X-ray (CXR) report generation. Traditionally, CXR report generation relies solely on data from a patient&#39;s CXR exam, overlooking valuable information from patient electronic health records. Utilising the MIMIC-CXR and MIMIC-IV-ED datasets, we investigate the use of patient data from emergency department (ED) records — such as vital signs measured and medicines reconciled during an ED stay — for CXR report generation, with the aim of enhancing diagnostic accuracy. We also investigate conditioning CXR report generation on the clinical history section of radiology reports, which has been overlooked in the literature. We introduce a novel approach to transform these heterogeneous data sources into patient data embeddings that prompt a multimodal language model (CXRMate-ED). Our comprehensive evaluation indicates that using a broader set of patient data significantly enhances diagnostic accuracy. The model, training code, and dataset are publicly available.

ACL 2025

The Impact of Auxiliary Patient Data on Automated Chest X-Ray Report Generation and How to Incorporate It

multimodal language modeling

multimodal large language models

electronic health records

chest x-ray report generation

We are pleased to announce the Fortieth AAAI Conference on Artificial Intelligence (AAAI-26), which will be held in Singapore EXPO from January 20 to January 27, 2026.

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AAAI 2026

We are pleased to announce the Fortieth AAAI Conference on Artificial Intelligence (AAAI-26), which will be held in Singapore EXPO from January 20 to January 27, 2026.

This study investigates the integration of diverse patient data sources into multimodal language models for automated chest X-ray (CXR) report generation. Traditionally, CXR report generation relies solely on data from a patient's CXR exam, overlooking valuable information from patient electronic health records. Utilising the MIMIC-CXR and MIMIC-IV-ED datasets, we investigate the use of patient data from emergency department (ED) records — such as vital signs measured and medicines reconciled during an ED stay — for CXR report generation, with the aim of enhancing diagnostic accuracy. We also investigate conditioning CXR report generation on the clinical history section of radiology reports, which has been overlooked in the literature. We introduce a novel approach to transform these heterogeneous data sources into patient data embeddings that prompt a multimodal language model (CXRMate-ED). Our comprehensive evaluation indicates that using a broader set of patient data significantly enhances diagnostic accuracy. The model, training code, and dataset are publicly available.

poster

### 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.* 
[Read more](https://drive.google.com/file/d/1GI_hvOpjswAuYdUTromfeDiPpCcqidwg/view?usp=sharing)

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Welcome to The 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025)

Despite the recent strides in large language models, studies have underscored the existence of social biases within these systems. In this paper, we delve into the validation and comparison of the ethical biases of LLMs concerning globally discussed and potentially sensitive topics, hypothesizing that these biases may arise from language-specific distinctions. Introducing the Multilingual Sensitive Questions & Answers Dataset (**MSQAD**), we collected news articles from Human Rights Watch covering 17 topics, and generated socially sensitive questions along with corresponding responses in multiple languages. We scrutinized the biases of these responses across languages and topics, employing two statistical hypothesis tests. The results showed that the null hypotheses were rejected in most cases, indicating biases arising from cross-language differences. It demonstrates that ethical biases in responses are widespread across various languages, and notably, these biases were prevalent even among different LLMs. By making the proposed MSQAD openly available, we aim to facilitate future research endeavors focused on examining cross-language biases in LLMs and their variant models.

Delving into Multilingual Ethical Bias: The MSQAD with Statistical Hypothesis Tests for Large Language Models

The capabilities of recent large language models (LLMs) to generate high-quality content indistinguishable by humans from human-written texts raises many concerns regarding their misuse. Previous research has shown that LLMs can be effectively misused for generating disinformation news articles following predefined narratives. Their capabilities to generate personalized (in various aspects) content have also been evaluated and mostly found usable. However, a combination of personalization and disinformation abilities of LLMs has not been comprehensively studied yet. Such a dangerous combination should trigger integrated safety filters of the LLMs, if there are some. This study fills this gap by evaluating vulnerabilities of recent open and closed LLMs, and their willingness to generate personalized disinformation news articles in English. We further explore whether the LLMs can reliably meta-evaluate the personalization quality and whether the personalization affects the generated-texts detectability. Our results demonstrate the need for stronger safety-filters and disclaimers, as those are not properly functioning in most of the evaluated LLMs. Additionally, our study revealed that the personalization actually reduces the safety-filter activations; thus effectively functioning as a jailbreak. Such behavior must be urgently addressed by LLM developers and service providers.

Evaluation of LLM Vulnerabilities to Being Misused for Personalized Disinformation Generation

Recently, generative pre-trained models have made significant strides, particularly highlighted by the release of ChatGPT and GPT-4, which exhibit superior cross-domain capabilities. 
However, these models still face challenges on constrained writing tasks like poem generation under open-domain titles via direct generation.

In response to this challenge, we introduce Block Inverse Prompting (BIPro) constrained generation framework. BIPro leverages two block inverse prompting methods, revise and rewrite. This inference scaling approach mimics the process of human text writing using block generative models. It significantly improves the zero-shot generation quality on the constrained generation task of open-domain traditional-form Chinese poem generation. 

Based on a less powerful block generative model GLM-10B-Chinese, poems composed via BIPro without priming or additional training outperform both much larger direct generative systems like GPT-4 or GLM-4 and domain-specific systems such as Yusheng, Shisanbai, or Baidu Poetry Helper in human evaluation by proficient poets.

BIPro considerably narrows the gap between AI-generated works and short-listed human literary arts in another human evaluation, unveiling the promising potential of inference scaling in improving the quality of constrained generation. It is open-sourced and available as an agent in chatglm app.

BIPro: Zero-shot Chinese Poem Generation via Block Inverse Prompting Constrained Generation Framework

Automated metrics for Machine Translation have made significant progress, with the goal of replacing expensive and time-consuming human evaluations. These metrics are typically assessed by their correlation with human judgments, which captures the monotonic relationship between human and metric scores. However, we argue that it is equally important to ensure that metrics treat all systems fairly and consistently. In this paper, we introduce a method to evaluate this aspect.

A Measure of the System Dependence of Automated Metrics

Large Language Models (LLMs) can assist multimodal fake news detection by predicting pseudo labels. However, LLM-generated pseudo labels alone demonstrate poor performance compared to traditional detection methods, making their effective integration non-trivial. In this paper, we propose Global Label Propagation Network with LLM-based Pseudo Labeling (GLPN-LLM) for multimodal fake news detection, which integrates LLM capabilities via label propagation techniques. The global label propagation can utilize LLM-generated pseudo labels, enhancing prediction accuracy by propagating label information among all samples. For label propagation, a mask-based mechanism is designed to prevent label leakage during training by ensuring that training nodes do not propagate their own labels back to themselves. Experimental results on benchmark datasets show that by synergizing LLMs with label propagation, our model achieves superior performance over state-of-the-art baselines.

Synergizing LLMs with Global Label Propagation for Multimodal Fake News Detection

We examine LLM representations of gender for first names in various occupational contexts to study how occupations and the gender perception of first names in LLMs influence each other mutually. We find that LLMs' first-name gender representations correlate with real-world gender statistics associated with the name, and are influenced by the co-occurrence of stereotypically feminine or masculine occupations. Additionally, we study the influence of first-name gender representations on LLMs in a downstream occupation prediction task and their potential as an internal metric to identify extrinsic model biases. While feminine first-name embeddings often raise the probabilities for female-dominated jobs (and vice versa for male-dominated jobs), reliably using these internal gender representations for bias detection remains challenging.

On the Mutual Influence of Gender and Occupation in LLM Representations

In real-world services such as ChatGPT, aligning models based on user feedback is crucial for improving model performance. However, due to the simplicity and convenience of providing feedback, users typically offer only basic binary signals, such as 'thumbs-up' or 'thumbs-down'. Most existing alignment research, on the other hand, relies on preference-based approaches that require both positive and negative responses as a pair. We propose Binary Classifier Optimization (BCO), a technique that effectively aligns LLMs using only binary feedback. BCO trains a binary classifier, where the logit serves as an implicit reward, effectively minimizing the Direct Preference Optimization (DPO) loss. We demonstrate that the binary cross-entropy loss employed in classifier training acts as an upper bound for the DPO loss. Additionally, a novel reward shift technique further minimizes the gap between the losses. We validate our methodology in two settings: first, on a paired preference dataset, where our method performs on par with DPO; and second, on a Likert-5 scale annotation dataset which stems from real users' queries. Our model consistently demonstrates effective and robust alignment across four base LLMs and three different datasets, showcasing the strength of our approach to learning from binary signals.

Binary Classifier Optimization for Large Language Model Alignment

Due to the high memory and computational costs associated with large language models (LLMs), model compression techniques such as quantization, which reduces inference costs, and parameter-efficient fine-tuning (PEFT) methods like Low-Rank Adaptation (LoRA), which reduce training costs, have gained significant popularity. This trend has spurred active research into quantization-aware PEFT techniques, aimed at maintaining model accuracy while minimizing memory overhead during both inference and training. Previous quantization-aware PEFT methods typically apply post-training quantiation (PTQ) to pre-trained LLMs, followed by PEFT to recover accuracy loss. Meanwhile, this approach has limitations in recovering the accuracy loss. In this paper, we propose L4Q, a method that integrates Quantization-Aware Training (QAT) with LoRA. By employing a memory-optimized layer design, L4Q significantly reduces QAT’s memory overhead, making its training cost comparable to LoRA, while preserving the advantage of QAT in producing fully quantized LLMs with high accuracy. Our experiments demonstrate that this combined approach to quantization and fine-tuning achieves superior accuracy compared to decoupled fine-tuning schemes, particularly in 4-bit and 3-bit quantization, positioning L4Q as an efficient QAT solution. Using the LLaMA and Mistral models with instructional datasets, we showcase L4Q’s capabilities in language tasks and few-shot learning.

L4Q: Parameter Efficient Quantization-Aware Fine-Tuning on Large Language Models

We investigate long-context vulnerabilities in Large Language Models (LLMs) through Many-Shot Jailbreaking (MSJ). Our experiments utilize context length of up to 128K tokens. Through comprehensive analysis with various many-shot attack settings with different instruction styles, shot density, topic, and format, we reveal that context length is the primary factor determining attack effectiveness. Critically, we find that successful attacks do not require carefully crafted harmful content. Even repetitive shots or random dummy text can circumvent model safety measures, suggesting fundamental limitations in long-context processing capabilities of LLMs. The safety behavior of well-aligned models becomes increasingly inconsistent with longer contexts. These findings highlight significant safety gaps in context expansion capabilities of LLMs, emphasizing the need for new safety mechanisms.

What Really Matters in Many-Shot Attacks? An Empirical Study of Long-Context Vulnerabilities in LLMs

Neural machine translation (MT) models achieve strong results across a variety of settings, but it is widely believed that they are highly sensitive to "noisy" inputs, such as spelling errors, abbreviations, and other formatting issues. In this paper, we revisit this insight in light of recent multilingual MT models and large language models (LLMs) applied to machine translation. Somewhat surprisingly, we show through controlled experiments that these models are far more robust to many kinds of noise than previous models, even when they perform similarly on clean data. This is notable because, even though LLMs have more parameters and more complex training processes than past models, none of the open ones we consider use any techniques specifically designed to encourage robustness. Next, we show that similar trends hold for social media translation experiments -- LLMs are more robust to social media text. We include an analysis of the circumstances in which source correction techniques can be used to mitigate the effects of noise. Altogether, we show that robustness to many types of noise has increased.

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Next from ACL 2025

Delving into Multilingual Ethical Bias: The MSQAD with Statistical Hypothesis Tests for Large Language Models

Similar lecture

PriorRG: Prior-Guided Contrastive Pre-training and Coarse-to-Fine Decoding for Chest X-ray Report Generation