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Automatic radiology report generation (RRG) has emerged as a promising approach to reduce clinicians&#39; workload, yet existing systems are vulnerable to biases induced by spurious correlations across data, models, and evaluation pipelines. Such biases raise serious fairness concerns and may adversely affect patient care, making their mitigation critical in clinical settings. Leveraging causal inference to identify true cause-effect relationships can mitigate many biases and yield fair, reliable systems with clinically meaningful outputs. Existing surveys on RRG primarily emphasize deep learning approaches while overlooking the critical role of causality. This survey addresses this gap by analyzing bias across the RRG pipeline, formalizing RRG as a causal modeling problem, and reviewing representative causal techniques from the literature. Based on the level of intervention, we organize existing mitigation strategies into a three-tier taxonomy. We further examine commonly used public medical imaging datasets and evaluation metrics through a causal lens, revealing their biases and limitations in capturing causal alignment and clinical fidelity. To address these limitations, we advocate broader demographic coverage and causal-aware evaluation metrics to improve fairness and reliability, and identify important directions for future work.

ACL 2026

Looking at Radiology Report Generation through a Causal Lens: A Survey

### 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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ACL 2025

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

Automatic radiology report generation (RRG) has emerged as a promising approach to reduce clinicians' workload, yet existing systems are vulnerable to biases induced by spurious correlations across data, models, and evaluation pipelines. Such biases raise serious fairness concerns and may adversely affect patient care, making their mitigation critical in clinical settings. Leveraging causal inference to identify true cause-effect relationships can mitigate many biases and yield fair, reliable systems with clinically meaningful outputs. Existing surveys on RRG primarily emphasize deep learning approaches while overlooking the critical role of causality. This survey addresses this gap by analyzing bias across the RRG pipeline, formalizing RRG as a causal modeling problem, and reviewing representative causal techniques from the literature. Based on the level of intervention, we organize existing mitigation strategies into a three-tier taxonomy. We further examine commonly used public medical imaging datasets and evaluation metrics through a causal lens, revealing their biases and limitations in capturing causal alignment and clinical fidelity. To address these limitations, we advocate broader demographic coverage and causal-aware evaluation metrics to improve fairness and reliability, and identify important directions for future work.

technical paper

It is my great pleasure and honor to welcome you to the 64th Annual Meeting of the Association for Computational Linguistics (ACL 2026), held in San Diego, California, USA, July 2–7, 2026. ACL 2026 continues our fields 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.

It is exciting to see the many developments in the field reflected at our conference, such as the advancement of large language models (born out of our community) into many application directions. This is not without challenges, partly due to unsolved problems, and partly due to misuse of the technology. All this is reflected well at ACL 2026. The conference also reflects that the field is not only about advancing technology, but also the science of fundamentally understanding language and how it is use by many different speaker communities. 
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The 64th Annual Meeting of the Association for Computational Linguistics (ACL 2026) will take place in San Diego, California, from July 2 - 7, 2026.

Modeling fine-grained speaking styles remains challenging for language-speech representation pre-training, as existing speech-text models are typically trained with coarse captions or task-specific supervision, and scalable fine-grained style annotations are unavailable. We present FCaps, a large-scale dataset with fine-grained free-text style descriptions, encompassing 47k hours of speech and 19M fine-grained captions annotated via a novel end-to-end pipeline that directly grounds detailed captions in audio, thereby avoiding the error propagation caused by LLM-based rewriting in existing cascaded pipelines. Evaluations using LLM-as-a-judge demonstrate that our annotations surpass existing cascaded annotations in terms of correctness, coverage, and naturalness. Building on FCaps, we propose CLSP, a contrastive language-speech pre-trained model that integrates global and fine-grained supervision, enabling unified representations across multiple granularities. Extensive experiments demonstrate that CLSP learns fine-grained and multi-granular speech-text representations that perform reliably across global and fine-grained speech-text retrieval, zero-shot paralinguistic classification, and speech style similarity scoring, with strong alignment to human judgments. Code and dataset are publicly available at https://github.com/yfyeung/CLSP.

Towards Fine-Grained and Multi-Granular Contrastive Language-Speech Pre-training

As Large Language Models (LLMs) are increasingly deployed in real-world settings, correctness alone is insufficient. Reliable deployment requires maintaining truthful beliefs under contextual perturbations. Existing evaluations largely rely on point-wise confidence like Self-Consistency, which can mask brittle belief. We show that even facts answered with perfect self-consistency can rapidly collapse under mild contextual interference. To address this gap, we propose \textbf{Neighbor-Consistency Belief (NCB)}, a structural measure of belief robustness that evaluates response coherence across a conceptual neighborhood. To validate the efficiency of NCB, we introduce a new \textbf{cognitive stress-testing protocol} that probes outputs stability under contextual interference. Experiments across multiple LLMs show that the performance of high-NCB data is relatively more resistant to interference. Finally, we present \textbf{Structure-Aware Training (SAT)}, which optimizes context-invariant belief structure and reduces long-tail knowledge brittleness by approximately \textbf{30%}.

Illusions of Confidence? Diagnosing LLM Truthfulness via Neighborhood Consistency

Knowledge distillation is crucial for compressing Large Language Models (LLMs), enabling smaller student models to learn from larger teacher models. However, existing LLM distillation methods overly rely on student-generated outputs, which may introduce generation errors and misguide the distillation process. Moreover, existing distillation loss functions struggle to align the most informative part due to the complex output distributions of LLMs. To address these problems, we propose a multi-granularity semantic revision method for LLM distillation. At the sequence level, we propose a sequence correction and re-generation (SCRG) strategy. SCRG identifies error tokens by calculating the semantic cognitive difference between teacher and student outputs, corrects them using teacher-generated tokens, and re-generates the sequence to minimize errors. At the token level, we design a distribution adaptive clipping Kullback-Leibler (DAC-KL) loss, which uses a learnable sub-network to focus on semantically dense areas of the teacher's output, reducing the impact of redundant information. At the span level, we utilize span priors to compute probability correlations within sequences, ensuring consistency between teacher and student outputs to enhance semantic information transfer. Extensive experiments on models ranging from 0.1B to 13B parameters demonstrate the effectiveness of our approach compared to existing methods.

Multi-Granularity Semantic Revision for Large Language Model Distillation

Language models often struggle to follow multi-constraint instructions that are crucial for real-world applications. Existing reinforcement learning (RL) approaches suffer from dependency on external supervision and sparse reward signals from multi-constraint tasks. We propose a label-free self-supervised RL framework that eliminates dependency on external supervision by deriving reward signals directly from instructions and generating pseudo-labels for reward model training. Our approach introduces constraint decomposition strategies and efficient constraint-wise binary classification to address sparse reward challenges while maintaining computational efficiency. Experiments show that our approach generalizes well, achieving strong improvements across 3 in-domain and 5 out-of-domain datasets, including challenging agentic and multi-turn instruction following. We will open-source our code and data to facilitate future research.

Instructions are all you need: Self-supervised Reinforcement Learning for Instruction Following

Large Language Models (LLMs) increasingly rely on external tools to perform complex, realistic tasks, yet their ability to utilize the rapidly expanding Model Contextual Protocol (MCP) ecosystem remains limited. Existing MCP research covers few servers, depends on costly manual curation, and lacks training support, hindering progress toward real-world deployment. To overcome these limitations, we introduce MCP-Flow, an automated web-agent-driven pipeline for large-scale server discovery, data synthesis, and model training. MCP-Flow collects and filters data from 1166 servers and 11536 tools, producing 68733 high-quality instruction-function call pairs and 6439 trajectories, far exceeding prior work in scale and diversity. Extensive experiments demonstrate MCP-Flow's effectiveness in driving superior MCP tool selection, function-call generation, and enhanced agentic task performance. MCP-Flow thus provides a scalable foundation for advancing LLM agents' proficiency in real-world MCP environments.

MCP-Flow: Facilitating LLM Agents to Master Real-World, Diverse and Scaling MCP Tools

Reliable confidence is essential for trusting the outputs of LLMs, yet widely deployed post-trained LLMs (PoLLMs) typically compromise this trust with severe overconfidence. In contrast, we observe that their corresponding base LLMs often remain well-calibrated. This naturally motivates us to calibrate PoLLM confidence using the base LLM as a reference. This work proposes two ways to achieve this. A straightforward solution, BaseCal-ReEval, evaluates PoLLM's responses by feeding them into the base LLM to get average probabilities as confidence. While effective, this approach introduces additional inference overhead. To address this, we propose BaseCal-Proj, which trains a lightweight projection to map the final-layer hidden states of PoLLMs back to those of their base LLMs. These projected states are then processed by the base LLM's output layer to derive base-calibrated confidence for PoLLM's responses. Notably, BaseCal is an unsupervised, plug-and-play solution that operates without human labels or LLM modifications. Experiments across five datasets and three LLM families demonstrate the effectiveness of BaseCal, reducing Expected Calibration Error (ECE) by an average of 42.90% compared to the best unsupervised baselines.

BaseCal: Unsupervised Confidence Calibration via Base Model Signals

Current critic-free RL methods for large reasoning models suffer from severe inefficiency when training on positive homogeneous prompts (where all rollouts are correct), resulting in waste of rollouts due to zero advantage estimates. We introduce a radically simple yet powerful solution to \uline{M}ine \uline{in}trinsic mast\uline{er}y (Miner), that repurposes the policy's intrinsic uncertainty as a self-supervised reward signal, with no external supervision, auxiliary models, or additional inference cost. Our method pioneers two key innovations: (1) a token-level focal credit assignment mechanism that dynamically amplifies gradients on critical uncertain tokens while suppressing overconfident ones, and (2) adaptive advantage calibration to seamlessly integrate intrinsic and verifiable rewards. Evaluated across six reasoning benchmarks on Qwen3-4B and Qwen3-8B base models, Miner achieves state-of-the-art performance among the other four algorithms, yielding up to \textbf{4.58} absolute gains in Pass@1 and \textbf{6.66} gains in Pass@K compared to GRPO. Comparison with other methods targeted at exploration enhancement further discloses the superiority of the two newly proposed innovations. This demonstrates that latent uncertainty exploitation is both necessary and sufficient for efficient and scalable RL training of reasoning models. Code is available at \url{https://github.com/pixas/Miner}.

Miner: Mining Intrinsic Mastery for Data-Efficient RL in Large Reasoning Models

Backchannels and fillers are important linguistic expressions in dialogue, but often treated as "noise" to be bypassed in modern transformer-based language models. Our work studies the representation of them in language models using three fine-tuning strategies. The models are trained on three dialogue corpora in English and Japanese, where backchannels and fillers are preserved and annotated, to investigate how fine-tuning can help LMs learn their representations. We first apply clustering analysis to the learnt representation of backchannels and fillers, and have found increased silhouette scores in representations from fine-tuned models, which suggests that fine-tuning enables LMs to distinguish the nuanced semantic variation in different backchannel and filler use. We also use natural language generation (NLG) metrics and qualitative analysis to confirm that the utterances generated by fine-tuned language models resemble human-produced utterances more closely. Our findings suggest the potentials of transforming general LMs into conversational LMs that are more capable of producing human-like languages adequately.

Investigating the Representation of Backchannels and Fillers in Fine-tuned Language Models

Neutralizing hyperpartisan content is essential for mitigating online polarization, yet research has largely focused on English. We present Par-ITA, a curated subset from Semeval 2023 task 3, consisting in the first human-supervised parallel corpus for Italian hyperpartisan neutralization of 2,475 paragraph pairs. The dataset is constructed using a rigorous three-stage pipeline: (1) expert-led preliminary selection of LLMs for high-quality generation, (2) human-supervised data production with high editing rates (32–68%), and (3) post-hoc human validation. We establish extensive benchmarks for this task across seq2seq and decoder-only architectures, evaluating standard fine-tuning, Direct Preference Optimization (DPO), and in-context learning. Our analysis highlights that while DPO effectively maximizes neutrality scores in seq2seq models, automated evaluators like GPT-4o-mini exhibit systematic biases, specifically over-penalizing sensitive political topics compared to human experts. Par-ITA provides a foundational resource for non-English neutralization and a reproducible framework for developing high-quality datasets in subjective domains.

Par-ITA: Benchmarking Seq2Seq and LLMs on a Human-Supervised Parallel Corpus for Italian Hyperpartisan Neutralization

Safety-aligned LLMs suffer from two failure modes: jailbreak (responding to harmful inputs) and over-refusal (declining benign queries). Existing vector steering methods adjust the magnitude of answer vectors, but this creates a fundamental trade-off---reducing jailbreak increases over-refusal and vice versa. We identify the root cause: LLMs encode the decision to respond (answer vector $v_a$) and the judgment of input safety (benign vector $v_b$) as nearly orthogonal directions, treating them as independent processes. We propose LLM-VA, which aligns $v_a$ with $v_b$ through closed-form weight updates, making the model's willingness to respond causally dependent on its safety assessment---without fine-tuning or architectural changes. Our method identifies vectors at each layer using SVMs, selects safety-relevant layers, and iteratively aligns vectors via minimum-norm weight modifications. Experiments on 12 LLMs demonstrate that LLM-VA achieves 11.45\% higher F1 than the best baseline while preserving 95.92\% utility, and automatically adapts to each model's safety bias without manual tuning.
Code and models are available at https://hotbento.github.io/LLM-VA-Web/.

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