Austria

Radiology report generation (RRG) requires advanced medical image analysis, effective temporal reasoning, and accurate text generation. While multimodal large language models (MLLMs) align with pre-trained vision encoders to enhance visual-language understanding, most existing methods rely on single-image analysis or rule-based heuristics to process multiple images, failing to fully leverage temporal information in multi-modal medical datasets. In this paper, we introduce **Libra**, a temporal-aware MLLM tailored for chest X-ray report generation. Libra combines a radiology-specific image encoder with a novel Temporal Alignment Connector (**TAC**), designed to accurately capture and integrate temporal differences between paired current and prior images. Extensive experiments on the MIMIC-CXR dataset demonstrate that Libra establishes a new state-of-the-art benchmark among similarly scaled MLLMs, setting new standards in both clinical relevance and lexical accuracy. All source code and data are publicly available at: https://github.com/X-iZhang/Libra.

ACL 2025

Libra: Leveraging Temporal Images for Biomedical Radiology Analysis

multimodal llm

chest x-ray

radiology report generation

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The 62nd Annual Meeting of the Association for Computational Linguistics (ACL 2024) will take place in Bangkok, Thailand from August 11th to 16th, 2024. Our Virtual Poster Sessions will take place online Thursday, August 22, 2024.

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ACL 2024

The 62nd Annual Meeting of the Association for Computational Linguistics (ACL 2024) will take place in Bangkok, Thailand from August 11th to 16th, 2024. More information will be announced soon.

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### 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)

How can a monolingual English speaker determine whether an automatic translation in French is good enough to be shared? Existing MT error detection and quality estimation (QE) techniques do not address this practical scenario. We introduce AskQE, a question generation and answering framework designed to detect critical MT errors and provide actionable feedback, helping users decide whether to accept or reject MT outputs even without the knowledge of the target language. We propose an optimized version of AskQE using LLaMA-3 70B given entailed facts during question generation. We evaluate our method on the ContraTICO dataset across five language pairs, and show that AskQE effectively identifies critical MT errors with high correlations with established QE metrics. We further extend our analysis on the BioMQM dataset of naturally occurring MT errors, where we show that AskQE has higher Kendall's Tau correlation and decision accuracy with human ratings compared to other QE metrics.

AskQE: Question Answering as Automatic Evaluation for Machine Translation

Recent advancements in multimodal Large Language Models (LLMs) have significantly enhanced the automation of medical image analysis, particularly in generating radiology reports from chest X-rays (CXR). However, these models still suffer from hallucinations and clinically significant errors, limiting their reliability in real-world applications. In this study, we propose Look & Mark (L&M), a novel grounding fixation strategy that integrates radiologist eye fixations (Look) and bounding box annotations (Mark) into the LLM prompting framework. Unlike conventional fine-tuning, L&M leverages in-context learning to achieve substantial performance gains without retraining. When evaluated across multiple domain-specific and general-purpose models, L&M demonstrates significant gains, including a 1.2% improvement in overall metrics (A.AVG) for CXR-LLaVA compared to baseline prompting and a remarkable 9.2% boost for LLaVA-Med. General-purpose models also benefit from L&M combined with in-context learning, with LLaVA-OV achieving an 87.3% clinical average performance (C.AVG)—the highest among all models, even surpassing those explicitly trained for CXR report generation. Expert evaluations further confirm that L&M reduces clinically significant errors (by 0.43 average errors per report), such as false predictions and omissions, enhancing both accuracy and reliability. These findings highlight L&M's potential as a scalable and efficient solution for AI-assisted radiology, paving the way for improved diagnostic workflows in low-resource clinical settings.

Look & Mark: Leveraging Radiologist Eye Fixations and Bounding boxes in Multimodal Large Language Models for Chest X-ray Report Generation

Sequential recommenders predict users’ next interactions based on historical behavior and are essential in modern recommendation systems. While Large Language Models (LLMs) show promise, their size and high inference costs limit deployment on resource-constrained devices. Small Language Models (SLMs) provide a more efficient alternative for edge devices, but bridging the recommendation performance gap between LLMs and SLMs remains challenging. Typical approaches like supervised fine-tuning or vanilla knowledge distillation (KD) often lead to suboptimal performance or even negative transfer. Our motivational experiments reveal key issues with vanilla KD methods: feature imitation suffers from redundancy and uneven recommendation ability across layers, while prediction mimicking faces conflicts caused by differing weight distributions of prediction heads. To address these challenges, we propose a simple yet effective framework, C2KD, to transfer task-relevant knowledge from two complementary dimensions. Specifically, our method incorporates: (1) cross-layer feature imitation, which uses a dynamic router to select the most relevant teacher layers and assimilate task-relevant knowledge from the teacher’s late layers, allowing the student to concentrate on the teacher’s specialized knowledge; and (2) cross-head logit distillation, which maps the intermediate features of the student to the teacher’s output head, thereby minimizing prediction discrepancies between the teacher and the student. Extensive experiments across diverse model families demonstrate that our approach enables 1B-parameter SLMs to achieve competitive performance compared to LLMs (e.g., Llama3-8B), offering a practical solution for real-world on-device sequential recommendations.

C2KD: Cross-layer and Cross-head Knowledge Distillation for Small Language Model-based Recommendation

Recently, action-based decision-making in open-world environments has gained significant attention. Visual Language Action (VLA) models, pretrained on large-scale web datasets, have shown promise in decision-making tasks. However, previous work has primarily focused on action post-training, often neglecting enhancements to the foundation model itself. In response, we introduce a novel approach, **Act from Visual Language Post-Training**, which refines Visual Language Models (VLMs) through visual and linguistic guidance in a self-supervised manner. This enhancement improves the models’ capabilities in world knowledge, visual recognition, and spatial grounding in open-world environments. Our experiments demonstrate that post-training on non-trajectory tasks leads to a significant 40% improvement over the best agent baseline on a diverse set of atomic tasks. Additionally, we show that our approach outperforms traditional imitation learning-based VLA models in Minecraft. We will open-source the code, models, and datasets to foster further research.

Learning to Better Act by Post-training on Vision Language Tasks

Knowledge distillation (KD) is a key technique for compressing large language models into smaller ones while preserving performance. Despite the recent traction of KD research, its effectiveness for smaller language models (LMs) and the mechanisms driving knowledge transfer remain underexplored. In this work, we present the first large-scale empirical and statistical analysis of KD across models ranging from 0.5B to 7B parameters on 14 complex reasoning tasks in a zero-shot setting. Our findings reveal that KD can improve the average performance of smaller models by up to 10%, with a peak task specific gain of 22%, while providing only marginal benefits (∼ 1.3%) for larger models. Surprisingly, teacher performance has a minimal impact on student outcomes, while teacher task expertise impacts KD effectiveness. A correlation study indicates that smaller LMs benefit more from KD, whereas larger LMs show diminished gains. Additionally, we uncover a misalignment between improvements in student performance and reasoning fidelity, suggesting that while KD enhances accuracy, it does not always maintain the structured decision-making processes of the teacher. Our ablation study further highlights the importance of teacher signals and logit smoothing in influencing students’ performance after distillation. Overall, our study offers a comprehensive empirical and statistical assessment of KD, highlighting both its benefits and trade-offs when distilling knowledge from larger to smaller LMs.

On the Generalization vs Fidelity Paradox in Knowledge Distillation

The widespread deployment of large language models (LLMs) across critical domains has amplified the societal risks posed by algorithmically generated misinformation. Unlike traditional false content, LLM-generated misinformation can be self-reinforcing, highly plausible, and capable of rapid propagation across multiple languages, which traditional detection methods fail to mitigate effectively. This paper introduces a proactive defense paradigm, shifting from passive post hoc detection to anticipatory mitigation strategies. We propose a Three Pillars framework: (1) Knowledge Credibility, fortifying the integrity of training and deployed data; (2) Inference Reliability, embedding self-corrective mechanisms during reasoning; and (3) Input Robustness, enhancing the resilience of model interfaces against adversarial attacks. Through a comprehensive survey of existing techniques and a comparative meta-analysis, we demonstrate that proactive defense strategies offer up to 63% improvement over conventional methods in misinformation prevention, despite non-trivial computational overhead and generalization challenges. We argue that future research should focus on co-designing robust knowledge foundations, reasoning certification, and attack-resistant interfaces to ensure LLMs can effectively counter misinformation across varied domains.

A Survey on Proactive Defense Strategies Against Misinformation in Large Language Models

Speculative decoding accelerates large language model inference using a smaller draft model. In this paper, we establish a surprising connection between speculative decoding and channel simulation, which aims at simulating a noisy channel using as few bits as possible. This connection allows us to provide an information-theoretic analysis of the speed up that can be achieved by speculative decoding. Leveraging this link, we derive an explicit relation between generation speed-up and the number of tokens k generated by the draft model for large k, which serves as an upper bound for all k. We also propose a novel speculative decoding method via exponential races ERSD that matches state-of-the-art performance.

Speculative Decoding via Exponential Races

Current evaluation practices in Simultaneous Speech Translation (SimulST) systems typically involve segmenting the input audio and corresponding translations, calculating quality and latency metrics for each segment, and averaging the results. Although this approach may provide a reliable estimation of translation quality, it can lead to misleading values of latency metrics due to an inherent assumption that average latency values are good enough estimators of SimulST systems' response time. However, our detailed analysis of latency evaluations for state-of-the-art SimulST systems demonstrates that latency distributions are often skewed and subject to extreme variations. As a result, the mean in latency metrics fails to capture these anomalies, potentially masking the lack of robustness in some systems and metrics. In this paper, a thorough analysis of the results of systems submitted to recent editions of the IWSLT simultaneous track is provided to support our hypothesis and alternative ways to report latency metrics are proposed in order to provide a better understanding of SimulST systems' latency.

Going Beyond Your Expectations in Latency Metrics for Simultaneous Speech Translation

Auto-regressive decoding is a memory-bound job, meaning decoding inference performance is limited by the bandwidth rather than the computational capabilities of the GPU. Weight-only quantization is a promising method to address the memory-bound limitations. Previous studies have followed one of two approaches. Some have exclusively studied integer quantization while ignoring the Gaussian distribution nature of LLMs' weights. Others have proposed non-uniform quantization but incurred additional I/O overhead due to lookup tables, e.g. NF4. In this work, we extend the IEEE 754 float-point standard to the ExMy quantization schema, which allocates x bit for the exponent and y bit for the mantissa to represent a number. In terms of runtime efficiency, we demonstrate that the conversion from ExMy to FP16 can be realized through register-level operations, which can get almost the same performance as INT5. In terms of quantization loss, we analyze that of different ExMy settings, where the E2M2 schema achieves an optimal balance, offering the highest efficiency with lossless accuracy. We further propose the FPE2M2 framework that supports lossless weight-only quantization inference and validate the FPE2M2 framework on Qwen and LLaMA Models across various modalities, such as text, image, and audio tasks, which achieves a faster inference speed while maintaining nearly lossless accuracy.

FPE2M2: Approaching Lossless and Efficient Quantization with Native Floating Point

Recent smaller language models such Phi-3.5 and Phi-4 rely on synthetic data generated using larger language models. Questions remain about leveraging synthetic data for other use cases, such as adapting LLMs to specific domains. A key limitation of synthetic data is low diversity, which negatively impacts its downstream applicability for improving other models. To address this, we propose MetaSynth, a method for generating synthetic data that enhances diversity through meta-prompting, where a language model orchestrates multiple expert LLM agents to collaboratively generate data. Using only 25 million tokens of synthetic data generated with MetaSynth, we successfully adapt a well-trained LLM (Mistral-7B) to two specialized domains--Finance and Biomedicine--without compromising the capabilities of the resulting model in general tasks. In addition, we evaluate the diversity of our synthetic data using seven automated metrics, and find that it approaches the diversity of LLM pre-training corpora.

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