Daily Papers

Foundation Models that are capable of processing and generating multi-modal data have transformed AI's role in medicine. However, a key limitation of their reliability is hallucination, where inaccurate or fabricated information can impact clinical decisions and patient safety. We define medical hallucination as any instance in which a model generates misleading medical content. This paper examines the unique characteristics, causes, and implications of medical hallucinations, with a particular focus on how these errors manifest themselves in real-world clinical scenarios. Our contributions include (1) a taxonomy for understanding and addressing medical hallucinations, (2) benchmarking models using medical hallucination dataset and physician-annotated LLM responses to real medical cases, providing direct insight into the clinical impact of hallucinations, and (3) a multi-national clinician survey on their experiences with medical hallucinations. Our results reveal that inference techniques such as Chain-of-Thought (CoT) and Search Augmented Generation can effectively reduce hallucination rates. However, despite these improvements, non-trivial levels of hallucination persist. These findings underscore the ethical and practical imperative for robust detection and mitigation strategies, establishing a foundation for regulatory policies that prioritize patient safety and maintain clinical integrity as AI becomes more integrated into healthcare. The feedback from clinicians highlights the urgent need for not only technical advances but also for clearer ethical and regulatory guidelines to ensure patient safety. A repository organizing the paper resources, summaries, and additional information is available at https://github.com/mitmedialab/medical hallucination.

The remarkable capabilities of large language models (LLMs) in language understanding and generation have not rendered them immune to hallucinations. LLMs can still generate plausible-sounding but factually incorrect or fabricated information. As LLM-empowered chatbots become popular, laypeople may frequently ask health-related queries and risk falling victim to these LLM hallucinations, resulting in various societal and healthcare implications. In this work, we conduct a pioneering study of hallucinations in LLM-generated responses to real-world healthcare queries from patients. We propose MedHalu, a carefully crafted first-of-its-kind medical hallucination dataset with a diverse range of health-related topics and the corresponding hallucinated responses from LLMs with labeled hallucination types and hallucinated text spans. We also introduce MedHaluDetect framework to evaluate capabilities of various LLMs in detecting hallucinations. We also employ three groups of evaluators -- medical experts, LLMs, and laypeople -- to study who are more vulnerable to these medical hallucinations. We find that LLMs are much worse than the experts. They also perform no better than laypeople and even worse in few cases in detecting hallucinations. To fill this gap, we propose expert-in-the-loop approach to improve hallucination detection through LLMs by infusing expert reasoning. We observe significant performance gains for all the LLMs with an average macro-F1 improvement of 6.3 percentage points for GPT-4.

We present MedHal, a novel large-scale dataset specifically designed to evaluate if models can detect hallucinations in medical texts. Current hallucination detection methods face significant limitations when applied to specialized domains like medicine, where they can have disastrous consequences. Existing medical datasets are either too small, containing only a few hundred samples, or focus on a single task like Question Answering or Natural Language Inference. MedHal addresses these gaps by: (1) incorporating diverse medical text sources and tasks; (2) providing a substantial volume of annotated samples suitable for training medical hallucination detection models; and (3) including explanations for factual inconsistencies to guide model learning. We demonstrate MedHal's utility by training and evaluating a baseline medical hallucination detection model, showing improvements over general-purpose hallucination detection approaches. This resource enables more efficient evaluation of medical text generation systems while reducing reliance on costly expert review, potentially accelerating the development of medical AI research.

Hallucinations in large language models (LLMs) during summarization of patient-clinician dialogues pose significant risks to patient care and clinical decision-making. However, the phenomenon remains understudied in the clinical domain, with uncertainty surrounding the applicability of general-domain hallucination detectors. The rarity and randomness of hallucinations further complicate their investigation. In this paper, we conduct an evaluation of hallucination detection methods in the medical domain, and construct two datasets for the purpose: A fact-controlled Leave-N-out dataset -- generated by systematically removing facts from source dialogues to induce hallucinated content in summaries; and a natural hallucination dataset -- arising organically during LLM-based medical summarization. We show that general-domain detectors struggle to detect clinical hallucinations, and that performance on fact-controlled hallucinations does not reliably predict effectiveness on natural hallucinations. We then develop fact-based approaches that count hallucinations, offering explainability not available with existing methods. Notably, our LLM-based detectors, which we developed using fact-controlled hallucinations, generalize well to detecting real-world clinical hallucinations. This research contributes a suite of specialized metrics supported by expert-annotated datasets to advance faithful clinical summarization systems.

This research paper focuses on the challenges posed by hallucinations in large language models (LLMs), particularly in the context of the medical domain. Hallucination, wherein these models generate plausible yet unverified or incorrect information, can have serious consequences in healthcare applications. We propose a new benchmark and dataset, Med-HALT (Medical Domain Hallucination Test), designed specifically to evaluate and reduce hallucinations. Med-HALT provides a diverse multinational dataset derived from medical examinations across various countries and includes multiple innovative testing modalities. Med-HALT includes two categories of tests reasoning and memory-based hallucination tests, designed to assess LLMs's problem-solving and information retrieval abilities. Our study evaluated leading LLMs, including Text Davinci, GPT-3.5, LlaMa-2, MPT, and Falcon, revealing significant differences in their performance. The paper provides detailed insights into the dataset, promoting transparency and reproducibility. Through this work, we aim to contribute to the development of safer and more reliable language models in healthcare. Our benchmark can be found at medhalt.github.io

Large Vision Language Models (LVLMs) have recently achieved superior performance in various tasks on natural image and text data, which inspires a large amount of studies for LVLMs fine-tuning and training. Despite their advancements, there has been scant research on the robustness of these models against hallucination when fine-tuned on smaller datasets. In this study, we introduce a new benchmark dataset, the Medical Visual Hallucination Test (MedVH), to evaluate the hallucination of domain-specific LVLMs. MedVH comprises five tasks to evaluate hallucinations in LVLMs within the medical context, which includes tasks for comprehensive understanding of textual and visual input, as well as long textual response generation. Our extensive experiments with both general and medical LVLMs reveal that, although medical LVLMs demonstrate promising performance on standard medical tasks, they are particularly susceptible to hallucinations, often more so than the general models, raising significant concerns about the reliability of these domain-specific models. For medical LVLMs to be truly valuable in real-world applications, they must not only accurately integrate medical knowledge but also maintain robust reasoning abilities to prevent hallucination. Our work paves the way for future evaluations of these studies.

Automatic medical report generation (MRG), which possesses significant research value as it can aid radiologists in clinical diagnosis and report composition, has garnered increasing attention. Despite recent progress, generating accurate reports remains arduous due to the requirement for precise clinical comprehension and disease diagnosis inference. Furthermore, owing to the limited accessibility of medical data and the imbalanced distribution of diseases, the underrepresentation of rare diseases in training data makes large-scale medical visual language models (LVLMs) prone to hallucinations, such as omissions or fabrications, severely undermining diagnostic performance and further intensifying the challenges for MRG in practice. In this study, to effectively mitigate hallucinations in medical report generation, we propose a chain-of-medical-thought approach (CoMT), which intends to imitate the cognitive process of human doctors by decomposing diagnostic procedures. The radiological features with different importance are structured into fine-grained medical thought chains to enhance the inferential ability during diagnosis, thereby alleviating hallucination problems and enhancing the diagnostic accuracy of MRG. The code and dataset have been released at https://github.com/FRENKIE-CHIANG/CoMT.

Large language models (LLMs) have shown promise for generative and knowledge-intensive tasks including question-answering (QA) tasks. However, the practical deployment still faces challenges, notably the issue of "hallucination", where models generate plausible-sounding but unfaithful or nonsensical information. This issue becomes particularly critical in the medical domain due to the uncommon professional concepts and potential social risks involved. This paper analyses the phenomenon of hallucination in medical generative QA systems using widely adopted LLMs and datasets. Our investigation centers on the identification and comprehension of common problematic answers, with a specific emphasis on hallucination. To tackle this challenge, we present an interactive self-reflection methodology that incorporates knowledge acquisition and answer generation. Through this feedback process, our approach steadily enhances the factuality, consistency, and entailment of the generated answers. Consequently, we harness the interactivity and multitasking ability of LLMs and produce progressively more precise and accurate answers. Experimental results on both automatic and human evaluation demonstrate the superiority of our approach in hallucination reduction compared to baselines.

Medical Vision-Language Models (Med-VLMs) have achieved expert-level proficiency in interpreting diagnostic imaging. However, current models are predominantly trained on professional literature, limiting their ability to communicate findings in the lay register required for patient-centered care. While text-centric research has actively developed resources for simplifying medical jargon, there is a critical absence of large-scale multimodal benchmarks designed to facilitate lay-accessible medical image understanding. To bridge this resource gap, we introduce MedLayBench-V, the first large-scale multimodal benchmark dedicated to expert-lay semantic alignment. Unlike naive simplification approaches that risk hallucination, our dataset is constructed via a Structured Concept-Grounded Refinement (SCGR) pipeline. This method enforces strict semantic equivalence by integrating Unified Medical Language System (UMLS) Concept Unique Identifiers (CUIs) with micro-level entity constraints. MedLayBench-V provides a verified foundation for training and evaluating next-generation Med-VLMs capable of bridging the communication divide between clinical experts and patients.

Ensuring the accuracy of responses provided by large language models (LLMs) is crucial, particularly in clinical settings where incorrect information may directly impact patient health. To address this challenge, we construct K-QA, a dataset containing 1,212 patient questions originating from real-world conversations held on K Health (an AI-driven clinical platform). We employ a panel of in-house physicians to answer and manually decompose a subset of K-QA into self-contained statements. Additionally, we formulate two NLI-based evaluation metrics approximating recall and precision: (1) comprehensiveness, measuring the percentage of essential clinical information in the generated answer and (2) hallucination rate, measuring the number of statements from the physician-curated response contradicted by the LLM answer. Finally, we use K-QA along with these metrics to evaluate several state-of-the-art models, as well as the effect of in-context learning and medically-oriented augmented retrieval schemes developed by the authors. Our findings indicate that in-context learning improves the comprehensiveness of the models, and augmented retrieval is effective in reducing hallucinations. We make K-QA available to to the community to spur research into medically accurate NLP applications.

As large language models (LLMs) become increasingly deployed across various industries, concerns regarding their reliability, particularly due to hallucinations-outputs that are factually inaccurate or irrelevant to user input-have grown. Our research investigates the relationship between the training process and the emergence of hallucinations to address a key gap in existing research that focuses primarily on post hoc detection and mitigation strategies. Using models from the Pythia suite (70M-12B parameters) and several hallucination detection metrics, we analyze hallucination trends throughout training and explore LLM internal dynamics. We introduce SEnsitive Neuron Dropout (SeND), a novel training protocol designed to mitigate hallucinations by reducing variance during training. SeND achieves this by deterministically dropping neurons with significant variability on a dataset, referred to as Sensitive Neurons. In addition, we develop an unsupervised hallucination detection metric, Efficient EigenScore (EES), which approximates the traditional EigenScore in 2x speed. This efficient metric is integrated into our protocol, allowing SeND to be both computationally scalable and effective at reducing hallucinations. Our empirical evaluation demonstrates that our approach improves LLM reliability at test time by up to 40% compared to normal training while also providing an efficient method to improve factual accuracy when adapting LLMs to domains such as Wikipedia and Medical datasets.

Large Vision-Language Models (LVLMs) have demonstrated remarkable performance in performing complex multimodal tasks. However, they are still plagued by object hallucination: the misidentification or misclassification of objects present in images. To this end, we propose HALLUCINOGEN, a novel visual question answering (VQA) object hallucination attack benchmark that utilizes diverse contextual reasoning prompts to evaluate object hallucination in state-of-the-art LVLMs. We design a series of contextual reasoning hallucination prompts to evaluate LVLMs' ability to accurately identify objects in a target image while asking them to perform diverse visual-language tasks such as identifying, locating or performing visual reasoning around specific objects. Further, we extend our benchmark to high-stakes medical applications and introduce MED-HALLUCINOGEN, hallucination attacks tailored to the biomedical domain, and evaluate the hallucination performance of LVLMs on medical images, a critical area where precision is crucial. Finally, we conduct extensive evaluations of eight LVLMs and two hallucination mitigation strategies across multiple datasets to show that current generic and medical LVLMs remain susceptible to hallucination attacks.

Latent diffusion models for medical image super-resolution universally inherit variational autoencoders designed for natural photographs. We show that this default choice, not the diffusion architecture, is the dominant constraint on reconstruction quality. In a controlled experiment holding all other pipeline components fixed, replacing the generic Stable Diffusion VAE with MedVAE, a domain-specific autoencoder pretrained on more than 1.6 million medical images, yields +2.91 to +3.29 dB PSNR improvement across knee MRI, brain MRI, and chest X-ray (n = 1,820; Cohen's d = 1.37 to 1.86, all p < 10^{-20}, Wilcoxon signed-rank). Wavelet decomposition localises the advantage to the finest spatial frequency bands encoding anatomically relevant fine structure. Ablations across inference schedules, prediction targets, and generative architectures confirm the gap is stable within plus or minus 0.15 dB, while hallucination rates remain comparable between methods (Cohen's h < 0.02 across all datasets), establishing that reconstruction fidelity and generative hallucination are governed by independent pipeline components. These results provide a practical screening criterion: autoencoder reconstruction quality, measurable without diffusion training, predicts downstream SR performance (R^2 = 0.67), suggesting that domain-specific VAE selection should precede diffusion architecture search. Code and trained model weights are publicly available at https://github.com/sebasmos/latent-sr.

The detection of hallucinations in multilingual scientific text generated by Large Language Models (LLMs) presents significant challenges for reliable AI systems. This paper describes our submission to the SHROOM-CAP 2025 shared task on scientific hallucination detection across 9 languages. Unlike most approaches that focus primarily on model architecture, we adopted a data-centric strategy that addressed the critical issue of training data scarcity and imbalance. We unify and balance five existing datasets to create a comprehensive training corpus of 124,821 samples (50% correct, 50% hallucinated), representing a 172x increase over the original SHROOM training data. Our approach fine-tuned XLM-RoBERTa-Large with 560 million parameters on this enhanced dataset, achieves competitive performance across all languages, including 2nd place in Gujarati (zero-shot language) with Factuality F1 of 0.5107, and rankings between 4th-6th place across the remaining 8 languages. Our results demonstrate that systematic data curation can significantly outperform architectural innovations alone, particularly for low-resource languages in zero-shot settings.

Multimodal hallucination in multimodal large language models (MLLMs) restricts the correctness of MLLMs. However, multimodal hallucinations are multi-sourced and arise from diverse causes. Existing benchmarks fail to adequately distinguish between perception-induced hallucinations and reasoning-induced hallucinations. This failure constitutes a significant issue and hinders the diagnosis of multimodal reasoning failures within MLLMs. To address this, we propose the {\dataset} benchmark, which isolates reasoning hallucinations by constructing questions where input images are correctly perceived by MLLMs yet reasoning errors persist. {\dataset} introduces multi-granular evaluation metrics: accuracy, factuality, and LLMs hallucination score for hallucination quantification. Our analysis reveals that (1) the model scale, data scale, and training stages significantly affect the degree of logical, fabrication, and factual hallucinations; (2) current MLLMs show no effective improvement on spatial hallucinations caused by misinterpreted spatial relationships, indicating their limited visual reasoning capabilities; and (3) question types correlate with distinct hallucination patterns, highlighting targeted challenges and potential mitigation strategies. To address these challenges, we propose {\method}, a method that combines curriculum reinforcement fine-tuning to encourage models to generate logic-consistent reasoning chains by stepwise reducing learning difficulty, and collaborative hint inference to reduce reasoning complexity. {\method} establishes a baseline on {\dataset}, and reduces the logical hallucinations in original base models.

Hallucinations pose a significant challenge to the reliability of large vision-language models, making their detection essential for ensuring accuracy in critical applications. Current detection methods often rely on computationally intensive models, leading to high latency and resource demands. Their definitive outcomes also fail to account for real-world scenarios where the line between hallucinated and truthful information is unclear. To address these issues, we propose HalLoc, a dataset designed for efficient, probabilistic hallucination detection. It features 150K token-level annotated samples, including hallucination types, across Visual Question Answering (VQA), instruction-following, and image captioning tasks. This dataset facilitates the development of models that detect hallucinations with graded confidence, enabling more informed user interactions. Additionally, we introduce a baseline model trained on HalLoc, offering low-overhead, concurrent hallucination detection during generation. The model can be seamlessly integrated into existing VLMs, improving reliability while preserving efficiency. The prospect of a robust plug-and-play hallucination detection module opens new avenues for enhancing the trustworthiness of vision-language models in real-world applications. The HalLoc dataset and code are publicly available at: https://github.com/dbsltm/cvpr25_halloc.

Patients often face difficulties in understanding their hospitalizations, while healthcare workers have limited resources to provide explanations. In this work, we investigate the potential of large language models to generate patient summaries based on doctors' notes and study the effect of training data on the faithfulness and quality of the generated summaries. To this end, we release (i) a rigorous labeling protocol for errors in medical texts and (ii) a publicly available dataset of annotated hallucinations in 100 doctor-written and 100 generated summaries. We show that fine-tuning on hallucination-free data effectively reduces hallucinations from 2.60 to 1.55 per summary for Llama 2, while preserving relevant information. We observe a similar effect on GPT-4 (0.70 to 0.40), when the few-shot examples are hallucination-free. We also conduct a qualitative evaluation using hallucination-free and improved training data. We find that common quantitative metrics do not correlate well with faithfulness and quality. Finally, we test GPT-4 for automatic hallucination detection, which clearly outperforms common baselines.

Large Vision Language Models (LVLMs) are increasingly integral to healthcare applications, including medical visual question answering and imaging report generation. While these models inherit the robust capabilities of foundational Large Language Models (LLMs), they also inherit susceptibility to hallucinations-a significant concern in high-stakes medical contexts where the margin for error is minimal. However, currently, there are no dedicated methods or benchmarks for hallucination detection and evaluation in the medical field. To bridge this gap, we introduce Med-HallMark, the first benchmark specifically designed for hallucination detection and evaluation within the medical multimodal domain. This benchmark provides multi-tasking hallucination support, multifaceted hallucination data, and hierarchical hallucination categorization. Furthermore, we propose the MediHall Score, a new medical evaluative metric designed to assess LVLMs' hallucinations through a hierarchical scoring system that considers the severity and type of hallucination, thereby enabling a granular assessment of potential clinical impacts. We also present MediHallDetector, a novel Medical LVLM engineered for precise hallucination detection, which employs multitask training for hallucination detection. Through extensive experimental evaluations, we establish baselines for popular LVLMs using our benchmark. The findings indicate that MediHall Score provides a more nuanced understanding of hallucination impacts compared to traditional metrics and demonstrate the enhanced performance of MediHallDetector. We hope this work can significantly improve the reliability of LVLMs in medical applications. All resources of this work will be released soon.

Advancements in Large Language Models (LLMs) and their increasing use in medical question-answering necessitate rigorous evaluation of their reliability. A critical challenge lies in hallucination, where models generate plausible yet factually incorrect outputs. In the medical domain, this poses serious risks to patient safety and clinical decision-making. To address this, we introduce MedHallu, the first benchmark specifically designed for medical hallucination detection. MedHallu comprises 10,000 high-quality question-answer pairs derived from PubMedQA, with hallucinated answers systematically generated through a controlled pipeline. Our experiments show that state-of-the-art LLMs, including GPT-4o, Llama-3.1, and the medically fine-tuned UltraMedical, struggle with this binary hallucination detection task, with the best model achieving an F1 score as low as 0.625 for detecting "hard" category hallucinations. Using bidirectional entailment clustering, we show that harder-to-detect hallucinations are semantically closer to ground truth. Through experiments, we also show incorporating domain-specific knowledge and introducing a "not sure" category as one of the answer categories improves the precision and F1 scores by up to 38% relative to baselines.

Response consistency-based, reference-free hallucination detection (RFHD) methods do not depend on internal model states, such as generation probabilities or gradients, which Grey-box models typically rely on but are inaccessible in closed-source LLMs. However, their inability to capture query-response alignment patterns often results in lower detection accuracy. Additionally, the lack of large-scale benchmark datasets spanning diverse domains remains a challenge, as most existing datasets are limited in size and scope. To this end, we propose HalluCounter, a novel reference-free hallucination detection method that utilizes both response-response and query-response consistency and alignment patterns. This enables the training of a classifier that detects hallucinations and provides a confidence score and an optimal response for user queries. Furthermore, we introduce HalluCounterEval, a benchmark dataset comprising both synthetically generated and human-curated samples across multiple domains. Our method outperforms state-of-the-art approaches by a significant margin, achieving over 90\% average confidence in hallucination detection across datasets.

Large Language Models (LLMs) are increasingly used in various contexts, yet remain prone to generating non-factual content, commonly referred to as "hallucinations". The literature categorizes hallucinations into several types, including entity-level, relation-level, and sentence-level hallucinations. However, existing hallucination datasets often fail to capture fine-grained hallucinations in multilingual settings. In this work, we introduce HalluVerse25, a multilingual LLM hallucination dataset that categorizes fine-grained hallucinations in English, Arabic, and Turkish. Our dataset construction pipeline uses an LLM to inject hallucinations into factual biographical sentences, followed by a rigorous human annotation process to ensure data quality. We evaluate several LLMs on HalluVerse25, providing valuable insights into how proprietary models perform in detecting LLM-generated hallucinations across different contexts.

Multimodal large language models (MLLMs) have recently achieved remarkable progress in radiology by integrating visual perception with natural language understanding. However, they often generate clinically unsupported descriptions, known as medical hallucinations, which pose serious risks in medical applications that demand accuracy and image-grounded outputs. Through empirical analysis, we find that prompt-induced hallucinations remain prevalent in radiology MLLMs, largely due to over-sensitivity to clinical sections. To address this, we introduce Clinical Contrastive Cecoding (CCD), a training-free and retrieval-free inference framework that integrates structured clinical signals from task-specific radiology expert models. CCD introduces a dual-stage contrastive mechanism to refine token-level logits during generation, thereby enhancing clinical fidelity without modifying the base MLLM. Experiments on three datasets and multiple models demonstrate that CCD consistently improves overall performance on radiology report generation (RRG). On the MIMIC-CXR dataset, it yields up to a 17% improvement in RadGraph-F1 when applied to state-of-the-art RRG models. Our approach provides a lightweight and generalisable solution for mitigating medical hallucinations, effectively bridging expert models and MLLMs in radiology.

We introduce DAHL, a benchmark dataset and automated evaluation system designed to assess hallucination in long-form text generation, specifically within the biomedical domain. Our benchmark dataset, meticulously curated from biomedical research papers, consists of 8,573 questions across 29 categories. DAHL evaluates fact-conflicting hallucinations in Large Language Models (LLMs) by deconstructing responses into atomic units, each representing a single piece of information. The accuracy of these responses is averaged to produce the DAHL Score, offering a more in-depth evaluation of hallucinations compared to previous methods that rely on multiple-choice tasks. We conduct experiments with 8 different models, finding that larger models tend to hallucinate less; however, beyond a model size of 7 to 8 billion parameters, further scaling does not significantly improve factual accuracy. The DAHL Score holds potential as an efficient alternative to human-annotated preference labels, being able to be expanded to other specialized domains. We release the dataset and code in public.

The rapid advancement of large language models (LLMs) has significantly impacted various domains, including healthcare and biomedicine. However, the phenomenon of hallucination, where LLMs generate outputs that deviate from factual accuracy or context, poses a critical challenge, especially in high-stakes domains. This paper conducts a scoping study of existing techniques for mitigating hallucinations in knowledge-based task in general and especially for medical domains. Key methods covered in the paper include Retrieval-Augmented Generation (RAG)-based techniques, iterative feedback loops, supervised fine-tuning, and prompt engineering. These techniques, while promising in general contexts, require further adaptation and optimization for the medical domain due to its unique demands for up-to-date, specialized knowledge and strict adherence to medical guidelines. Addressing these challenges is crucial for developing trustworthy AI systems that enhance clinical decision-making and patient safety as well as accuracy of biomedical scientific research.

Although the problem of hallucinations in neural machine translation (NMT) has received some attention, research on this highly pathological phenomenon lacks solid ground. Previous work has been limited in several ways: it often resorts to artificial settings where the problem is amplified, it disregards some (common) types of hallucinations, and it does not validate adequacy of detection heuristics. In this paper, we set foundations for the study of NMT hallucinations. First, we work in a natural setting, i.e., in-domain data without artificial noise neither in training nor in inference. Next, we annotate a dataset of over 3.4k sentences indicating different kinds of critical errors and hallucinations. Then, we turn to detection methods and both revisit methods used previously and propose using glass-box uncertainty-based detectors. Overall, we show that for preventive settings, (i) previously used methods are largely inadequate, (ii) sequence log-probability works best and performs on par with reference-based methods. Finally, we propose DeHallucinator, a simple method for alleviating hallucinations at test time that significantly reduces the hallucinatory rate. To ease future research, we release our annotated dataset for WMT18 German-English data, along with the model, training data, and code.

This paper introduces a comprehensive system for detecting hallucinations in large language model (LLM) outputs in enterprise settings. We present a novel taxonomy of LLM responses specific to hallucination in enterprise applications, categorizing them into context-based, common knowledge, enterprise-specific, and innocuous statements. Our hallucination detection model HDM-2 validates LLM responses with respect to both context and generally known facts (common knowledge). It provides both hallucination scores and word-level annotations, enabling precise identification of problematic content. To evaluate it on context-based and common-knowledge hallucinations, we introduce a new dataset HDMBench. Experimental results demonstrate that HDM-2 out-performs existing approaches across RagTruth, TruthfulQA, and HDMBench datasets. This work addresses the specific challenges of enterprise deployment, including computational efficiency, domain specialization, and fine-grained error identification. Our evaluation dataset, model weights, and inference code are publicly available.

Detecting hallucinations in large language models (LLMs) is critical for enhancing their reliability and trustworthiness. Most research focuses on hallucinations as deviations from information seen during training. However, the opaque nature of an LLM's parametric knowledge complicates the understanding of why generated texts appear ungrounded: The LLM might not have picked up the necessary knowledge from large and often inaccessible datasets, or the information might have been changed or contradicted during further training. Our focus is on hallucinations involving information not used in training, which we determine by using recency to ensure the information emerged after a cut-off date. This study investigates these hallucinations by detecting them at sentence level using different internal states of various LLMs. We present HalluRAG, a dataset designed to train classifiers on these hallucinations. Depending on the model and quantization, MLPs trained on HalluRAG detect hallucinations with test accuracies ranging up to 75 %, with Mistral-7B-Instruct-v0.1 achieving the highest test accuracies. Our results show that IAVs detect hallucinations as effectively as CEVs and reveal that answerable and unanswerable prompts are encoded differently as separate classifiers for these categories improved accuracy. However, HalluRAG showed some limited generalizability, advocating for more diversity in datasets on hallucinations.

Machine Translation (MT) is undergoing a paradigm shift, with systems based on fine-tuned large language models (LLM) becoming increasingly competitive with traditional encoder-decoder models trained specifically for translation tasks. However, LLM-based systems are at a higher risk of generating hallucinations, which can severely undermine user's trust and safety. Most prior research on hallucination mitigation focuses on traditional MT models, with solutions that involve post-hoc mitigation - detecting hallucinated translations and re-translating them. While effective, this approach introduces additional complexity in deploying extra tools in production and also increases latency. To address these limitations, we propose a method that intrinsically learns to mitigate hallucinations during the model training phase. Specifically, we introduce a data creation framework to generate hallucination focused preference datasets. Fine-tuning LLMs on these preference datasets reduces the hallucination rate by an average of 96% across five language pairs, while preserving overall translation quality. In a zero-shot setting our approach reduces hallucinations by 89% on an average across three unseen target languages.

Large language models (LLMs) frequently generate non-factual content, known as hallucinations. Existing retrieval-augmented-based hallucination detection approaches typically address this by framing it as a classification task, evaluating hallucinations based on their consistency with retrieved evidence. However, this approach usually lacks detailed explanations for these evaluations and does not assess the reliability of these explanations. Furthermore, deficiencies in retrieval systems can lead to irrelevant or partially relevant evidence retrieval, impairing the detection process. Moreover, while real-world hallucination detection requires analyzing multiple pieces of evidence, current systems usually treat all evidence uniformly without considering its relevance to the content. To address these challenges, we introduce Halu-J, a critique-based hallucination judge with 7 billion parameters. Halu-J enhances hallucination detection by selecting pertinent evidence and providing detailed critiques. Our experiments indicate that Halu-J outperforms GPT-4o in multiple-evidence hallucination detection and matches its capability in critique generation and evidence selection. We also introduce ME-FEVER, a new dataset designed for multiple-evidence hallucination detection. Our code and dataset can be found in https://github.com/GAIR-NLP/factool .

Multi-modal Large Language Models (MLLMs) tuned on machine-generated instruction-following data have demonstrated remarkable performance in various multi-modal understanding and generation tasks. However, the hallucinations inherent in machine-generated data, which could lead to hallucinatory outputs in MLLMs, remain under-explored. This work aims to investigate various hallucinations (i.e., object, relation, attribute hallucinations) and mitigate those hallucinatory toxicities in large-scale machine-generated visual instruction datasets. Drawing on the human ability to identify factual errors, we present a novel hallucination detection and elimination framework, HalluciDoctor, based on the cross-checking paradigm. We use our framework to identify and eliminate hallucinations in the training data automatically. Interestingly, HalluciDoctor also indicates that spurious correlations arising from long-tail object co-occurrences contribute to hallucinations. Based on that, we execute counterfactual visual instruction expansion to balance data distribution, thereby enhancing MLLMs' resistance to hallucinations. Comprehensive experiments on hallucination evaluation benchmarks show that our method successfully mitigates 44.6% hallucinations relatively and maintains competitive performance compared to LLaVA.The source code will be released at https://github.com/Yuqifan1117/HalluciDoctor.

Hallucination is a well-known phenomenon in text generated by large language models (LLMs). The existence of hallucinatory responses is found in almost all application scenarios e.g., summarization, question-answering (QA) etc. For applications requiring high reliability (e.g., customer-facing assistants), the potential existence of hallucination in LLM-generated text is a critical problem. The amount of hallucination can be reduced by leveraging information retrieval to provide relevant background information to the LLM. However, LLMs can still generate hallucinatory content for various reasons (e.g., prioritizing its parametric knowledge over the context, failure to capture the relevant information from the context, etc.). Detecting hallucinations through automated methods is thus paramount. To facilitate research in this direction, we introduce a sophisticated dataset, DelucionQA, that captures hallucinations made by retrieval-augmented LLMs for a domain-specific QA task. Furthermore, we propose a set of hallucination detection methods to serve as baselines for future works from the research community. Analysis and case study are also provided to share valuable insights on hallucination phenomena in the target scenario.

Despite the longstanding adage "an image is worth a thousand words," creating accurate and hyper-detailed image descriptions for training Vision-Language models remains challenging. Current datasets typically have web-scraped descriptions that are short, low-granularity, and often contain details unrelated to the visual content. As a result, models trained on such data generate descriptions replete with missing information, visual inconsistencies, and hallucinations. To address these issues, we introduce ImageInWords (IIW), a carefully designed human-in-the-loop annotation framework for curating hyper-detailed image descriptions and a new dataset resulting from this process. We validate the framework through evaluations focused on the quality of the dataset and its utility for fine-tuning with considerations for readability, comprehensiveness, specificity, hallucinations, and human-likeness. Our dataset significantly improves across these dimensions compared to recently released datasets (+66%) and GPT-4V outputs (+48%). Furthermore, models fine-tuned with IIW data excel by +31% against prior work along the same human evaluation dimensions. Given our fine-tuned models, we also evaluate text-to-image generation and vision-language reasoning. Our model's descriptions can generate images closest to the original, as judged by both automated and human metrics. We also find our model produces more compositionally rich descriptions, outperforming the best baseline by up to 6% on ARO, SVO-Probes, and Winoground datasets.

Large language models are now routinely used in high-stakes applications where hallucinations can cause serious harm, such as medical consultations or legal advice. Existing hallucination detection methods, however, are impractical for real-world use, as they are either limited to short factual queries or require costly external verification. We present a cheap, scalable method for real-time identification of hallucinated tokens in long-form generations, and scale it effectively to 70B parameter models. Our approach targets entity-level hallucinations -- e.g., fabricated names, dates, citations -- rather than claim-level, thereby naturally mapping to token-level labels and enabling streaming detection. We develop an annotation methodology that leverages web search to annotate model responses with grounded labels indicating which tokens correspond to fabricated entities. This dataset enables us to train effective hallucination classifiers with simple and efficient methods such as linear probes. Evaluating across four model families, our classifiers consistently outperform baselines on long-form responses, including more expensive methods such as semantic entropy (e.g., AUC 0.90 vs 0.71 for Llama-3.3-70B), and are also an improvement in short-form question-answering settings. Moreover, despite being trained only with entity-level labels, our probes effectively detect incorrect answers in mathematical reasoning tasks, indicating generalization beyond entities. While our annotation methodology is expensive, we find that annotated responses from one model can be used to train effective classifiers on other models; accordingly, we publicly release our datasets to facilitate reuse. Overall, our work suggests a promising new approach for scalable, real-world hallucination detection.

Neural sequence models can generate highly fluent sentences, but recent studies have also shown that they are also prone to hallucinate additional content not supported by the input. These variety of fluent but wrong outputs are particularly problematic, as it will not be possible for users to tell they are being presented incorrect content. To detect these errors, we propose a task to predict whether each token in the output sequence is hallucinated (not contained in the input) and collect new manually annotated evaluation sets for this task. We also introduce a method for learning to detect hallucinations using pretrained language models fine tuned on synthetic data that includes automatically inserted hallucinations Experiments on machine translation (MT) and abstractive summarization demonstrate that our proposed approach consistently outperforms strong baselines on all benchmark datasets. We further demonstrate how to use the token-level hallucination labels to define a fine-grained loss over the target sequence in low-resource MT and achieve significant improvements over strong baseline methods. We also apply our method to word-level quality estimation for MT and show its effectiveness in both supervised and unsupervised settings. Codes and data available at https://github.com/violet-zct/fairseq-detect-hallucination.

A major barrier to developing vision large language models (LLMs) in dermatology is the lack of large image--text pairs dataset. We introduce DermaSynth, a dataset comprising of 92,020 synthetic image--text pairs curated from 45,205 images (13,568 clinical and 35,561 dermatoscopic) for dermatology-related clinical tasks. Leveraging state-of-the-art LLMs, using Gemini 2.0, we used clinically related prompts and self-instruct method to generate diverse and rich synthetic texts. Metadata of the datasets were incorporated into the input prompts by targeting to reduce potential hallucinations. The resulting dataset builds upon open access dermatological image repositories (DERM12345, BCN20000, PAD-UFES-20, SCIN, and HIBA) that have permissive CC-BY-4.0 licenses. We also fine-tuned a preliminary Llama-3.2-11B-Vision-Instruct model, DermatoLlama 1.0, on 5,000 samples. We anticipate this dataset to support and accelerate AI research in dermatology. Data and code underlying this work are accessible at https://github.com/abdurrahimyilmaz/DermaSynth.

While Large language models (LLMs) have garnered widespread applications across various domains due to their powerful language understanding and generation capabilities, the detection of non-factual or hallucinatory content generated by LLMs remains scarce. Currently, one significant challenge in hallucination detection is the laborious task of time-consuming and expensive manual annotation of the hallucinatory generation. To address this issue, this paper first introduces a method for automatically constructing model-specific hallucination datasets based on existing fact-checking datasets called AutoHall. Furthermore, we propose a zero-resource and black-box hallucination detection method based on self-contradiction. We conduct experiments towards prevalent open-/closed-source LLMs, achieving superior hallucination detection performance compared to extant baselines. Moreover, our experiments reveal variations in hallucination proportions and types among different models.

In this paper, we present our novel systems developed for the SemEval-2024 hallucination detection task. Our investigation spans a range of strategies to compare model predictions with reference standards, encompassing diverse baselines, the refinement of pre-trained encoders through supervised learning, and an ensemble approaches utilizing several high-performing models. Through these explorations, we introduce three distinct methods that exhibit strong performance metrics. To amplify our training data, we generate additional training samples from unlabelled training subset. Furthermore, we provide a detailed comparative analysis of our approaches. Notably, our premier method achieved a commendable 9th place in the competition's model-agnostic track and 17th place in model-aware track, highlighting its effectiveness and potential.

As Large Language Models (LLMs) continue to advance in their ability to write human-like text, a key challenge remains around their tendency to hallucinate generating content that appears factual but is ungrounded. This issue of hallucination is arguably the biggest hindrance to safely deploying these powerful LLMs into real-world production systems that impact people's lives. The journey toward widespread adoption of LLMs in practical settings heavily relies on addressing and mitigating hallucinations. Unlike traditional AI systems focused on limited tasks, LLMs have been exposed to vast amounts of online text data during training. While this allows them to display impressive language fluency, it also means they are capable of extrapolating information from the biases in training data, misinterpreting ambiguous prompts, or modifying the information to align superficially with the input. This becomes hugely alarming when we rely on language generation capabilities for sensitive applications, such as summarizing medical records, financial analysis reports, etc. This paper presents a comprehensive survey of over 32 techniques developed to mitigate hallucination in LLMs. Notable among these are Retrieval Augmented Generation (Lewis et al, 2021), Knowledge Retrieval (Varshney et al,2023), CoNLI (Lei et al, 2023), and CoVe (Dhuliawala et al, 2023). Furthermore, we introduce a detailed taxonomy categorizing these methods based on various parameters, such as dataset utilization, common tasks, feedback mechanisms, and retriever types. This classification helps distinguish the diverse approaches specifically designed to tackle hallucination issues in LLMs. Additionally, we analyze the challenges and limitations inherent in these techniques, providing a solid foundation for future research in addressing hallucinations and related phenomena within the realm of LLMs.

Large language models have the potential to be valuable in the healthcare industry, but it's crucial to verify their safety and effectiveness through rigorous evaluation. For this purpose, we comprehensively evaluated both open-source LLMs and Google's new multimodal LLM called Gemini across Medical reasoning, hallucination detection, and Medical Visual Question Answering tasks. While Gemini showed competence, it lagged behind state-of-the-art models like MedPaLM 2 and GPT-4 in diagnostic accuracy. Additionally, Gemini achieved an accuracy of 61.45\% on the medical VQA dataset, significantly lower than GPT-4V's score of 88\%. Our analysis revealed that Gemini is highly susceptible to hallucinations, overconfidence, and knowledge gaps, which indicate risks if deployed uncritically. We also performed a detailed analysis by medical subject and test type, providing actionable feedback for developers and clinicians. To mitigate risks, we applied prompting strategies that improved performance. Additionally, we facilitated future research and development by releasing a Python module for medical LLM evaluation and establishing a dedicated leaderboard on Hugging Face for medical domain LLMs. Python module can be found at https://github.com/promptslab/RosettaEval

The recent advancements in Large Language Models (LLMs) have garnered widespread acclaim for their remarkable emerging capabilities. However, the issue of hallucination has parallelly emerged as a by-product, posing significant concerns. While some recent endeavors have been made to identify and mitigate different types of hallucination, there has been a limited emphasis on the nuanced categorization of hallucination and associated mitigation methods. To address this gap, we offer a fine-grained discourse on profiling hallucination based on its degree, orientation, and category, along with offering strategies for alleviation. As such, we define two overarching orientations of hallucination: (i) factual mirage (FM) and (ii) silver lining (SL). To provide a more comprehensive understanding, both orientations are further sub-categorized into intrinsic and extrinsic, with three degrees of severity - (i) mild, (ii) moderate, and (iii) alarming. We also meticulously categorize hallucination into six types: (i) acronym ambiguity, (ii) numeric nuisance, (iii) generated golem, (iv) virtual voice, (v) geographic erratum, and (vi) time wrap. Furthermore, we curate HallucInation eLiciTation (HILT), a publicly available dataset comprising of 75,000 samples generated using 15 contemporary LLMs along with human annotations for the aforementioned categories. Finally, to establish a method for quantifying and to offer a comparative spectrum that allows us to evaluate and rank LLMs based on their vulnerability to producing hallucinations, we propose Hallucination Vulnerability Index (HVI). We firmly believe that HVI holds significant value as a tool for the wider NLP community, with the potential to serve as a rubric in AI-related policy-making. In conclusion, we propose two solution strategies for mitigating hallucinations.

Large language models (LLMs) have significantly advanced natural language processing tasks, yet they are susceptible to generating inaccurate or unreliable responses, a phenomenon known as hallucination. In critical domains such as health and medicine, these hallucinations can pose serious risks. This paper introduces HALO, a novel framework designed to enhance the accuracy and reliability of medical question-answering (QA) systems by focusing on the detection and mitigation of hallucinations. Our approach generates multiple variations of a given query using LLMs and retrieves relevant information from external open knowledge bases to enrich the context. We utilize maximum marginal relevance scoring to prioritize the retrieved context, which is then provided to LLMs for answer generation, thereby reducing the risk of hallucinations. The integration of LangChain further streamlines this process, resulting in a notable and robust increase in the accuracy of both open-source and commercial LLMs, such as Llama-3.1 (from 44% to 65%) and ChatGPT (from 56% to 70%). This framework underscores the critical importance of addressing hallucinations in medical QA systems, ultimately improving clinical decision-making and patient care. The open-source HALO is available at: https://github.com/ResponsibleAILab/HALO.

To mitigate the impact of hallucination nature of LLMs, many studies propose detecting hallucinated generation through uncertainty estimation. However, these approaches predominantly operate at the sentence or paragraph level, failing to pinpoint specific spans or entities responsible for hallucinated content. This lack of granularity is especially problematic for long-form outputs that mix accurate and fabricated information. To address this limitation, we explore entity-level hallucination detection. We propose a new data set, HalluEntity, which annotates hallucination at the entity level. Based on the dataset, we comprehensively evaluate uncertainty-based hallucination detection approaches across 17 modern LLMs. Our experimental results show that uncertainty estimation approaches focusing on individual token probabilities tend to over-predict hallucinations, while context-aware methods show better but still suboptimal performance. Through an in-depth qualitative study, we identify relationships between hallucination tendencies and linguistic properties and highlight important directions for future research.

Despite significant strides in multimodal tasks, Multimodal Large Language Models (MLLMs) are plagued by the critical issue of hallucination. The reliable detection of such hallucinations in MLLMs has, therefore, become a vital aspect of model evaluation and the safeguarding of practical application deployment. Prior research in this domain has been constrained by a narrow focus on singular tasks, an inadequate range of hallucination categories addressed, and a lack of detailed granularity. In response to these challenges, our work expands the investigative horizons of hallucination detection. We present a novel meta-evaluation benchmark, MHaluBench, meticulously crafted to facilitate the evaluation of advancements in hallucination detection methods. Additionally, we unveil a novel unified multimodal hallucination detection framework, UNIHD, which leverages a suite of auxiliary tools to validate the occurrence of hallucinations robustly. We demonstrate the effectiveness of UNIHD through meticulous evaluation and comprehensive analysis. We also provide strategic insights on the application of specific tools for addressing various categories of hallucinations.

Multimodal large language models (MLLMs) have revolutionized cross-modal understanding but continue to struggle with hallucinations - fabricated content contradicting visual inputs. Existing hallucination mitigation methods either incur prohibitive computational costs or introduce distribution mismatches between training data and model outputs. We identify a critical insight: hallucinations predominantly emerge at the early stages of text generation and propagate through subsequent outputs. To address this, we propose **SENTINEL** (**S**entence-level **E**arly i**N**tervention **T**hrough **IN**-domain pr**E**ference **L**earning), a framework that eliminates dependency on human annotations. Specifically, we first bootstrap high-quality in-domain preference pairs by iteratively sampling model outputs, validating object existence through cross-checking with two open-vocabulary detectors, and classifying sentences into hallucinated/non-hallucinated categories. Subsequently, we use context-coherent positive samples and hallucinated negative samples to build context-aware preference data iteratively. Finally, we train models using a context-aware preference loss (C-DPO) that emphasizes discriminative learning at the sentence level where hallucinations initially manifest. Experimental results show that SENTINEL can reduce hallucinations by over 90\% compared to the original model and outperforms the previous state-of-the-art method on both hallucination benchmarks and general capabilities benchmarks, demonstrating its superiority and generalization ability. The models, datasets, and code are available at https://github.com/pspdada/SENTINEL.

Hallucination has been a major problem for large language models and remains a critical challenge when it comes to multimodality in which vision-language models (VLMs) have to deal with not just textual but also visual inputs. Despite rapid progress in VLMs, resources for evaluating and addressing multimodal hallucination are limited and mostly focused on evaluation. This work introduces HaloQuest, a novel visual question answering dataset that captures various aspects of multimodal hallucination such as false premises, insufficient contexts, and visual challenges. A novel idea from HaloQuest is to leverage synthetic images, apart from real ones, to enable dataset creation at scale. With over 7.7K examples spanning across a wide variety of categories, HaloQuest was designed to be both a challenging benchmark for VLMs and a fine-tuning dataset for advancing multimodal reasoning. Our experiments reveal that current models struggle with HaloQuest, with all open-source VLMs achieving below 36% accuracy. On the other hand, fine-tuning on HaloQuest significantly reduces hallucination rates while preserving performance on standard reasoning tasks. Our results discover that benchmarking with generated images is highly correlated (r=0.97) with real images. Last but not least, we propose a novel Auto-Eval mechanism that is highly correlated with human raters (r=0.99) for evaluating VLMs. In sum, this work makes concrete strides towards understanding, evaluating, and mitigating hallucination in VLMs, serving as an important step towards more reliable multimodal AI systems in the future.

Hallucinations are a persistent problem with Large Language Models (LLMs). As these models become increasingly used in high-stakes domains, such as healthcare and finance, the need for effective hallucination detection is crucial. To this end, we propose a versatile framework for zero-resource hallucination detection that practitioners can apply to real-world use cases. To achieve this, we adapt a variety of existing uncertainty quantification (UQ) techniques, including black-box UQ, white-box UQ, and LLM-as-a-Judge, transforming them as necessary into standardized response-level confidence scores ranging from 0 to 1. To enhance flexibility, we introduce a tunable ensemble approach that incorporates any combination of the individual confidence scores. This approach enables practitioners to optimize the ensemble for a specific use case for improved performance. To streamline implementation, the full suite of scorers is offered in this paper's companion Python toolkit, UQLM. To evaluate the performance of the various scorers, we conduct an extensive set of experiments using several LLM question-answering benchmarks. We find that our tunable ensemble typically surpasses its individual components and outperforms existing hallucination detection methods. Our results demonstrate the benefits of customized hallucination detection strategies for improving the accuracy and reliability of LLMs.

Hallucinations pose a significant challenge to the reliability and alignment of Large Language Models (LLMs), limiting their widespread acceptance beyond chatbot applications. Despite ongoing efforts, hallucinations remain a prevalent challenge in LLMs. The detection of hallucinations itself is also a formidable task, frequently requiring manual labeling or constrained evaluations. This paper introduces an automated scalable framework that combines benchmarking LLMs' hallucination tendencies with efficient hallucination detection. We leverage LLMs to generate challenging tasks related to hypothetical phenomena, subsequently employing them as agents for efficient hallucination detection. The framework is domain-agnostic, allowing the use of any language model for benchmark creation or evaluation in any domain. We introduce the publicly available HypoTermQA Benchmarking Dataset, on which state-of-the-art models' performance ranged between 3% and 11%, and evaluator agents demonstrated a 6% error rate in hallucination prediction. The proposed framework provides opportunities to test and improve LLMs. Additionally, it has the potential to generate benchmarking datasets tailored to specific domains, such as law, health, and finance.

Vision-language models (VLMs) are prone to object hallucinations, where they erroneously indicate the presenceof certain objects in an image. Existing benchmarks quantify hallucinations using relatively small, labeled datasets. However, this approach is i) insufficient to assess hallucinations that arise in open-world settings, where VLMs are widely used, and ii) inadequate for detecting systematic errors in VLMs. We propose DASH (Detection and Assessment of Systematic Hallucinations), an automatic, large-scale pipeline designed to identify systematic hallucinations of VLMs on real-world images in an open-world setting. A key component is DASH-OPT for image-based retrieval, where we optimize over the ''natural image manifold'' to generate images that mislead the VLM. The output of DASH consists of clusters of real and semantically similar images for which the VLM hallucinates an object. We apply DASH to PaliGemma and two LLaVA-NeXT models across 380 object classes and, in total, find more than 19k clusters with 950k images. We study the transfer of the identified systematic hallucinations to other VLMs and show that fine-tuning PaliGemma with the model-specific images obtained with DASH mitigates object hallucinations. Code and data are available at https://YanNeu.github.io/DASH.

Retrieval-Augmented Generation (RAG) systems have gained widespread adoption by application builders because they leverage sources of truth to enable Large Language Models (LLMs) to generate more factually sound responses. However, hallucinations, instances of LLM responses that are unfaithful to the provided context, often prevent these systems from being deployed in production environments. Current hallucination detection methods typically involve human evaluation or the use of closed-source models to review RAG system outputs for hallucinations. Both human evaluators and closed-source models suffer from scaling issues due to their high costs and slow inference speeds. In this work, we introduce a perturbed multi-hop QA dataset with induced hallucinations. Via supervised fine-tuning on our dataset, we achieve better recall with a 7B model than GPT-4o on the RAGTruth hallucination detection benchmark and offer competitive performance on precision and accuracy, all while using a fraction of the parameters. Code is released at our repository.

Hallucination in Large Language Models (LLMs) refers to the generation of content that is not faithful to the input or the real-world facts. This paper provides a rigorous treatment of hallucination in LLMs, including formal definitions and theoretical analyses. We distinguish between intrinsic and extrinsic hallucinations, and define a hallucination risk for models. We derive bounds on this risk using learning-theoretic frameworks (PAC-Bayes and Rademacher complexity). We then survey detection strategies for hallucinations, such as token-level uncertainty estimation, confidence calibration, and attention alignment checks. On the mitigation side, we discuss approaches including retrieval-augmented generation, hallucination-aware fine-tuning, logit calibration, and the incorporation of fact-verification modules. We propose a unified detection and mitigation workflow, illustrated with a diagram, to integrate these strategies. Finally, we outline evaluation protocols for hallucination, recommending datasets, metrics, and experimental setups to quantify and reduce hallucinations. Our work lays a theoretical foundation and practical guidelines for addressing the crucial challenge of hallucination in LLMs.

This survey presents a comprehensive analysis of the phenomenon of hallucination in multimodal large language models (MLLMs), also known as Large Vision-Language Models (LVLMs), which have demonstrated significant advancements and remarkable abilities in multimodal tasks. Despite these promising developments, MLLMs often generate outputs that are inconsistent with the visual content, a challenge known as hallucination, which poses substantial obstacles to their practical deployment and raises concerns regarding their reliability in real-world applications. This problem has attracted increasing attention, prompting efforts to detect and mitigate such inaccuracies. We review recent advances in identifying, evaluating, and mitigating these hallucinations, offering a detailed overview of the underlying causes, evaluation benchmarks, metrics, and strategies developed to address this issue. Additionally, we analyze the current challenges and limitations, formulating open questions that delineate potential pathways for future research. By drawing the granular classification and landscapes of hallucination causes, evaluation benchmarks, and mitigation methods, this survey aims to deepen the understanding of hallucinations in MLLMs and inspire further advancements in the field. Through our thorough and in-depth review, we contribute to the ongoing dialogue on enhancing the robustness and reliability of MLLMs, providing valuable insights and resources for researchers and practitioners alike. Resources are available at: https://github.com/showlab/Awesome-MLLM-Hallucination.

Large language models (LLMs) have transformed various sectors, including education, finance, and medicine, by enhancing content generation and decision-making processes. However, their integration into the medical field is cautious due to hallucinations, instances where generated content deviates from factual accuracy, potentially leading to adverse outcomes. To address this, we introduce Hyper-RAG, a hypergraph-driven Retrieval-Augmented Generation method that comprehensively captures both pairwise and beyond-pairwise correlations in domain-specific knowledge, thereby mitigating hallucinations. Experiments on the NeurologyCrop dataset with six prominent LLMs demonstrated that Hyper-RAG improves accuracy by an average of 12.3% over direct LLM use and outperforms Graph RAG and Light RAG by 6.3% and 6.0%, respectively. Additionally, Hyper-RAG maintained stable performance with increasing query complexity, unlike existing methods which declined. Further validation across nine diverse datasets showed a 35.5% performance improvement over Light RAG using a selection-based assessment. The lightweight variant, Hyper-RAG-Lite, achieved twice the retrieval speed and a 3.3% performance boost compared with Light RAG. These results confirm Hyper-RAG's effectiveness in enhancing LLM reliability and reducing hallucinations, making it a robust solution for high-stakes applications like medical diagnostics.

Assessing whether an article supports an assertion is essential for hallucination detection and claim verification. While large language models (LLMs) have the potential to automate this task, achieving strong performance requires frontier models such as GPT-5 that are prohibitively expensive to deploy at scale. To efficiently perform biomedical evidence attribution, we present Med-V1, a family of small language models with only three billion parameters. Trained on high-quality synthetic data newly developed in this study, Med-V1 substantially outperforms (+27.0% to +71.3%) its base models on five biomedical benchmarks unified into a verification format. Despite its smaller size, Med-V1 performs comparably to frontier LLMs such as GPT-5, along with high-quality explanations for its predictions. We use Med-V1 to conduct a first-of-its-kind use case study that quantifies hallucinations in LLM-generated answers under different citation instructions. Results show that the format instruction strongly affects citation validity and hallucination, with GPT-5 generating more claims but exhibiting hallucination rates similar to GPT-4o. Additionally, we present a second use case showing that Med-V1 can automatically identify high-stakes evidence misattributions in clinical practice guidelines, revealing potentially negative public health impacts that are otherwise challenging to identify at scale. Overall, Med-V1 provides an efficient and accurate lightweight alternative to frontier LLMs for practical and real-world applications in biomedical evidence attribution and verification tasks. Med-V1 is available at https://github.com/ncbi-nlp/Med-V1.

Image captioning, which generates natural language descriptions of the visual information in an image, is a crucial task in vision-language research. Previous models have typically addressed this task by aligning the generative capabilities of machines with human intelligence through statistical fitting of existing datasets. While effective for normal images, they may struggle to accurately describe those where certain parts of the image are obscured or edited, unlike humans who excel in such cases. These weaknesses they exhibit, including hallucinations and limited interpretability, often hinder performance in scenarios with shifted association patterns. In this paper, we present a generic image captioning framework that employs causal inference to make existing models more capable of interventional tasks, and counterfactually explainable. Our approach includes two variants leveraging either total effect or natural direct effect. Integrating them into the training process enables models to handle counterfactual scenarios, increasing their generalizability. Extensive experiments on various datasets show that our method effectively reduces hallucinations and improves the model's faithfulness to images, demonstrating high portability across both small-scale and large-scale image-to-text models. The code is available at https://github.com/Aman-4-Real/See-or-Guess.

Large audio-video language models can generate descriptions for both video and audio. However, they sometimes ignore audio content, producing audio descriptions solely reliant on visual information. This paper refers to this as audio hallucinations and analyzes them in large audio-video language models. We gather 1,000 sentences by inquiring about audio information and annotate them whether they contain hallucinations. If a sentence is hallucinated, we also categorize the type of hallucination. The results reveal that 332 sentences are hallucinated with distinct trends observed in nouns and verbs for each hallucination type. Based on this, we tackle a task of audio hallucination classification using pre-trained audio-text models in the zero-shot and fine-tuning settings. Our experimental results reveal that the zero-shot models achieve higher performance (52.2% in F1) than the random (40.3%) and the fine-tuning models achieve 87.9%, outperforming the zero-shot models.

In the age of misinformation, hallucination -- the tendency of Large Language Models (LLMs) to generate non-factual or unfaithful responses -- represents the main risk for their global utility. Despite LLMs becoming increasingly multilingual, the vast majority of research on detecting and quantifying LLM hallucination are (a) English-centric and (b) focus on machine translation (MT) and summarization, tasks that are less common ``in the wild'' than open information seeking. In contrast, we aim to quantify the extent of LLM hallucination across languages in knowledge-intensive long-form question answering. To this end, we train a multilingual hallucination detection model and conduct a large-scale study across 30 languages and 6 open-source LLM families. We start from an English hallucination detection dataset and rely on MT to generate (noisy) training data in other languages. We also manually annotate gold data for five high-resource languages; we then demonstrate, for these languages, that the estimates of hallucination rates are similar between silver (LLM-generated) and gold test sets, validating the use of silver data for estimating hallucination rates for other languages. For the final rates estimation, we build a knowledge-intensive QA dataset for 30 languages with LLM-generated prompts and Wikipedia articles as references. We find that, while LLMs generate longer responses with more hallucinated tokens for higher-resource languages, there is no correlation between length-normalized hallucination rates of languages and their digital representation. Further, we find that smaller LLMs exhibit larger hallucination rates than larger models.

We present the Mu-SHROOM shared task which is focused on detecting hallucinations and other overgeneration mistakes in the output of instruction-tuned large language models (LLMs). Mu-SHROOM addresses general-purpose LLMs in 14 languages, and frames the hallucination detection problem as a span-labeling task. We received 2,618 submissions from 43 participating teams employing diverse methodologies. The large number of submissions underscores the interest of the community in hallucination detection. We present the results of the participating systems and conduct an empirical analysis to identify key factors contributing to strong performance in this task. We also emphasize relevant current challenges, notably the varying degree of hallucinations across languages and the high annotator disagreement when labeling hallucination spans.

Large-scale multilingual machine translation systems have demonstrated remarkable ability to translate directly between numerous languages, making them increasingly appealing for real-world applications. However, when deployed in the wild, these models may generate hallucinated translations which have the potential to severely undermine user trust and raise safety concerns. Existing research on hallucinations has primarily focused on small bilingual models trained on high-resource languages, leaving a gap in our understanding of hallucinations in massively multilingual models across diverse translation scenarios. In this work, we fill this gap by conducting a comprehensive analysis on both the M2M family of conventional neural machine translation models and ChatGPT, a general-purpose large language model~(LLM) that can be prompted for translation. Our investigation covers a broad spectrum of conditions, spanning over 100 translation directions across various resource levels and going beyond English-centric language pairs. We provide key insights regarding the prevalence, properties, and mitigation of hallucinations, paving the way towards more responsible and reliable machine translation systems.

Large language models (LLMs) are susceptible to hallucinations-outputs that are ungrounded, factually incorrect, or inconsistent with prior generations. We focus on close-book Question Answering (CBQA), where previous work has not fully addressed the distinction between two possible kinds of hallucinations, namely, whether the model (1) does not hold the correct answer in its parameters or (2) answers incorrectly despite having the required knowledge. We argue that distinguishing these cases is crucial for detecting and mitigating hallucinations. Specifically, case (2) may be mitigated by intervening in the model's internal computation, as the knowledge resides within the model's parameters. In contrast, in case (1) there is no parametric knowledge to leverage for mitigation, so it should be addressed by resorting to an external knowledge source or abstaining. To help distinguish between the two cases, we introduce Wrong Answer despite having Correct Knowledge (WACK), an approach for constructing model-specific datasets for the second hallucination type. Our probing experiments indicate that the two kinds of hallucinations are represented differently in the model's inner states. Next, we show that datasets constructed using WACK exhibit variations across models, demonstrating that even when models share knowledge of certain facts, they still vary in the specific examples that lead to hallucinations. Finally, we show that training a probe on our WACK datasets leads to better hallucination detection of case (2) hallucinations than using the common generic one-size-fits-all datasets. The code is available at https://github.com/technion-cs-nlp/hallucination-mitigation .

Hallucinations in Large Language Model (LLM) outputs for Question Answering (QA) tasks can critically undermine their real-world reliability. This paper introduces a methodology for robust, one-shot hallucination detection, specifically designed for scenarios with limited data access, such as interacting with black-box LLM APIs that typically expose only a few top candidate log-probabilities per token. Our approach derives uncertainty indicators directly from these readily available log-probabilities generated during non-greedy decoding. We first derive an Entropy Production Rate (EPR) that offers baseline performance, later augmented with supervised learning. Our learned model leverages the entropic contributions of the accessible top-ranked tokens within a single generated sequence, without multiple re-runs per query. Evaluated across diverse QA datasets and multiple LLMs, this estimator significantly improves token-level hallucination detection over state-of-the-art methods. Crucially, high performance is demonstrated using only the typically small set of available log-probabilities (e.g., top-10 per token), confirming its practical efficiency and suitability for API-constrained deployments. This work provides a lightweight technique to enhance the trustworthiness of LLM responses, at the token level, after a single generation pass, for QA and Retrieval-Augmented Generation (RAG) systems. Our experiments confirmed the performance of our method against existing approaches on public dataset as well as for a financial framework analyzing annual company reports.

Faithfulness hallucinations are claims generated by a Large Language Model (LLM) not supported by contexts provided to the LLM. Lacking assessment standards, existing benchmarks focus on "factual statements" that rephrase source materials while overlooking "cognitive statements" that involve making inferences from the given context. Consequently, evaluating and detecting the hallucination of cognitive statements remains challenging. Inspired by how evidence is assessed in the legal domain, we design a rigorous framework to assess different levels of faithfulness of cognitive statements and introduce the CogniBench dataset where we reveal insightful statistics. To keep pace with rapidly evolving LLMs, we further develop an automatic annotation pipeline that scales easily across different models. This results in a large-scale CogniBench-L dataset, which facilitates training accurate detectors for both factual and cognitive hallucinations. We release our model and datasets at: https://github.com/FUTUREEEEEE/CogniBench

Vision-Language Models (VLMs) are increasingly used in safety-critical applications that require reliable visual grounding. However, these models often hallucinate details that are not present in the image to satisfy user prompts. While recent datasets and benchmarks have been introduced to evaluate systematic hallucinations in VLMs, many hallucination behaviors remain insufficiently characterized. In particular, prior work primarily focuses on object presence or absence, leaving it unclear how prompt phrasing and structural constraints can systematically induce hallucinations. In this paper, we investigate how different forms of prompt pressure influence hallucination behavior. We introduce Ghost-100, a procedurally generated dataset of synthetic scenes in which key visual details are deliberately removed, enabling controlled analysis of absence-based hallucinations. Using a structured 5-Level Prompt Intensity Framework, we vary prompts from neutral queries to toxic demands and rigid formatting constraints. We evaluate three representative open-weight VLMs: MiniCPM-V 2.6-8B, Qwen2-VL-7B, and Qwen3-VL-8B. Across all three models, hallucination rates do not increase monotonically with prompt intensity. All models exhibit reductions at higher intensity levels at different thresholds, though not all show sustained reduction under maximum coercion. These results suggest that current safety alignment is more effective at detecting semantic hostility than structural coercion, revealing model-specific limitations in handling compliance pressure. Our dataset is available at: https://github.com/bli1/tone-matters

The surge in applications of large language models (LLMs) has prompted concerns about the generation of misleading or fabricated information, known as hallucinations. Therefore, detecting hallucinations has become critical to maintaining trust in LLM-generated content. A primary challenge in learning a truthfulness classifier is the lack of a large amount of labeled truthful and hallucinated data. To address the challenge, we introduce HaloScope, a novel learning framework that leverages the unlabeled LLM generations in the wild for hallucination detection. Such unlabeled data arises freely upon deploying LLMs in the open world, and consists of both truthful and hallucinated information. To harness the unlabeled data, we present an automated membership estimation score for distinguishing between truthful and untruthful generations within unlabeled mixture data, thereby enabling the training of a binary truthfulness classifier on top. Importantly, our framework does not require extra data collection and human annotations, offering strong flexibility and practicality for real-world applications. Extensive experiments show that HaloScope can achieve superior hallucination detection performance, outperforming the competitive rivals by a significant margin. Code is available at https://github.com/deeplearningwisc/haloscope.

As large language models continue to develop in the field of AI, text generation systems are susceptible to a worrisome phenomenon known as hallucination. In this study, we summarize recent compelling insights into hallucinations in LLMs. We present a novel taxonomy of hallucinations from various text generation tasks, thus provide theoretical insights, detection methods and improvement approaches. Based on this, future research directions are proposed. Our contribution are threefold: (1) We provide a detailed and complete taxonomy for hallucinations appearing in text generation tasks; (2) We provide theoretical analyses of hallucinations in LLMs and provide existing detection and improvement methods; (3) We propose several research directions that can be developed in the future. As hallucinations garner significant attention from the community, we will maintain updates on relevant research progress.

Large Language Models (LLMs) have demonstrated remarkable capabilities, revolutionizing the integration of AI in daily life applications. However, they are prone to hallucinations, generating claims that contradict established facts, deviating from prompts, and producing inconsistent responses when the same prompt is presented multiple times. Addressing these issues is challenging due to the lack of comprehensive and easily assessable benchmark datasets. Most existing datasets are small and rely on multiple-choice questions, which are inadequate for evaluating the generative prowess of LLMs. To measure hallucination in LLMs, this paper introduces a comprehensive benchmark dataset comprising over 75,000 prompts across eight domains. These prompts are designed to elicit definitive, concise, and informative answers. The dataset is divided into two segments: one publicly available for testing and assessing LLM performance and a hidden segment for benchmarking various LLMs. In our experiments, we tested six LLMs-GPT-3.5, LLama 2, LLama 3, Gemini, Mixtral, and Zephyr-revealing that overall factual hallucination ranges from 59% to 82% on the public dataset and 57% to 76% in the hidden benchmark. Prompt misalignment hallucination ranges from 6% to 95% in the public dataset and 17% to 94% in the hidden counterpart. Average consistency ranges from 21% to 61% and 22% to 63%, respectively. Domain-wise analysis shows that LLM performance significantly deteriorates when asked for specific numeric information while performing moderately with person, location, and date queries. Our dataset demonstrates its efficacy and serves as a comprehensive benchmark for LLM performance evaluation. Our dataset and LLMs responses are available at https://github.com/ashikiut/DefAn{https://github.com/ashikiut/DefAn}.

Machine unlearning is a promising paradigm for removing unwanted data samples from a trained model, towards ensuring compliance with privacy regulations and limiting harmful biases. Although unlearning has been shown in, e.g., classification and recommendation systems, its potential in medical image-to-image translation, specifically in image recon-struction, has not been thoroughly investigated. This paper shows that machine unlearning is possible in MRI tasks and has the potential to benefit for bias removal. We set up a protocol to study how much shared knowledge exists between datasets of different organs, allowing us to effectively quantify the effect of unlearning. Our study reveals that combining training data can lead to hallucinations and reduced image quality in the reconstructed data. We use unlearning to remove hallucinations as a proxy exemplar of undesired data removal. Indeed, we show that machine unlearning is possible without full retraining. Furthermore, our observations indicate that maintaining high performance is feasible even when using only a subset of retain data. We have made our code publicly accessible.

Latest developments in Large Multimodal Models (LMMs) have broadened their capabilities to include video understanding. Specifically, Text-to-video (T2V) models have made significant progress in quality, comprehension, and duration, excelling at creating videos from simple textual prompts. Yet, they still frequently produce hallucinated content that clearly signals the video is AI-generated. We introduce ViBe: a large-scale Text-to-Video Benchmark of hallucinated videos from T2V models. We identify five major types of hallucination: Vanishing Subject, Numeric Variability, Temporal Dysmorphia, Omission Error, and Physical Incongruity. Using 10 open-source T2V models, we developed the first large-scale dataset of hallucinated videos, comprising 3,782 videos annotated by humans into these five categories. ViBe offers a unique resource for evaluating the reliability of T2V models and provides a foundation for improving hallucination detection and mitigation in video generation. We establish classification as a baseline and present various ensemble classifier configurations, with the TimeSFormer + CNN combination yielding the best performance, achieving 0.345 accuracy and 0.342 F1 score. This benchmark aims to drive the development of robust T2V models that produce videos more accurately aligned with input prompts.

Aligning large language models (LLMs) to accurately detect hallucinations remains a significant challenge due to the sophisticated nature of hallucinated text. Recognizing that hallucinated samples typically exhibit higher deceptive quality than traditional negative samples, we use these carefully engineered hallucinations as negative examples in the DPO alignment procedure. Our method incorporates a curriculum learning strategy, gradually transitioning the training from easier samples, identified based on the greatest reduction in probability scores from independent fact checking models, to progressively harder ones. This structured difficulty scaling ensures stable and incremental learning. Experimental evaluation demonstrates that our HaluCheck models, trained with curriculum DPO approach and high quality negative samples, significantly improves model performance across various metrics, achieving improvements of upto 24% on difficult benchmarks like MedHallu and HaluEval. Additionally, HaluCheck models demonstrate robustness in zero-shot settings, significantly outperforming larger state-of-the-art models across various benchmarks.

Hallucination detection remains a fundamental challenge for the safe and reliable deployment of large language models (LLMs), especially in applications requiring factual accuracy. Existing hallucination benchmarks often operate at the sequence level and are limited to English, lacking the fine-grained, multilingual supervision needed for a comprehensive evaluation. In this work, we introduce PsiloQA, a large-scale, multilingual dataset annotated with span-level hallucinations across 14 languages. PsiloQA is constructed through an automated three-stage pipeline: generating question-answer pairs from Wikipedia using GPT-4o, eliciting potentially hallucinated answers from diverse LLMs in a no-context setting, and automatically annotating hallucinated spans using GPT-4o by comparing against golden answers and retrieved context. We evaluate a wide range of hallucination detection methods -- including uncertainty quantification, LLM-based tagging, and fine-tuned encoder models -- and show that encoder-based models achieve the strongest performance across languages. Furthermore, PsiloQA demonstrates effective cross-lingual generalization and supports robust knowledge transfer to other benchmarks, all while being significantly more cost-efficient than human-annotated datasets. Our dataset and results advance the development of scalable, fine-grained hallucination detection in multilingual settings.

Hallucination poses a significant challenge for multimodal large language models (MLLMs). However, existing benchmarks for evaluating hallucinations are static, which can lead to potential data contamination. This paper introduces ODE, an open-set, dynamic protocol for evaluating object existence hallucinations in MLLMs. Our framework employs graph structures to model associations between real-word concepts and generates novel samples for both general and domain-specific scenarios. The dynamic combination of concepts, along with various combination principles, ensures a broad sample distribution. Experimental results show that MLLMs exhibit higher hallucination rates with ODE-generated samples, effectively avoiding data contamination. Moreover, these samples can also be used for fine-tuning to improve MLLM performance on existing benchmarks.

Hallucinations in generative AI, particularly in Large Language Models (LLMs), pose a significant challenge to the reliability of multilingual applications. Existing benchmarks for hallucination detection focus primarily on English and a few widely spoken languages, lacking the breadth to assess inconsistencies in model performance across diverse linguistic contexts. To address this gap, we introduce Poly-FEVER, a large-scale multilingual fact verification benchmark specifically designed for evaluating hallucination detection in LLMs. Poly-FEVER comprises 77,973 labeled factual claims spanning 11 languages, sourced from FEVER, Climate-FEVER, and SciFact. It provides the first large-scale dataset tailored for analyzing hallucination patterns across languages, enabling systematic evaluation of LLMs such as ChatGPT and the LLaMA series. Our analysis reveals how topic distribution and web resource availability influence hallucination frequency, uncovering language-specific biases that impact model accuracy. By offering a multilingual benchmark for fact verification, Poly-FEVER facilitates cross-linguistic comparisons of hallucination detection and contributes to the development of more reliable, language-inclusive AI systems. The dataset is publicly available to advance research in responsible AI, fact-checking methodologies, and multilingual NLP, promoting greater transparency and robustness in LLM performance. The proposed Poly-FEVER is available at: https://huggingface.co/datasets/HanzhiZhang/Poly-FEVER.

Retrieval-augmented generation (RAG) has become a main technique for alleviating hallucinations in large language models (LLMs). Despite the integration of RAG, LLMs may still present unsupported or contradictory claims to the retrieved contents. In order to develop effective hallucination prevention strategies under RAG, it is important to create benchmark datasets that can measure the extent of hallucination. This paper presents RAGTruth, a corpus tailored for analyzing word-level hallucinations in various domains and tasks within the standard RAG frameworks for LLM applications. RAGTruth comprises nearly 18,000 naturally generated responses from diverse LLMs using RAG. These responses have undergone meticulous manual annotations at both the individual cases and word levels, incorporating evaluations of hallucination intensity. We not only benchmark hallucination frequencies across different LLMs, but also critically assess the effectiveness of several existing hallucination detection methodologies. Furthermore, we show that using a high-quality dataset such as RAGTruth, it is possible to finetune a relatively small LLM and achieve a competitive level of performance in hallucination detection when compared to the existing prompt-based approaches using state-of-the-art large language models such as GPT-4.

We describe the University of Amsterdam Intelligent Data Engineering Lab team's entry for the SemEval-2024 Task 6 competition. The SHROOM-INDElab system builds on previous work on using prompt programming and in-context learning with large language models (LLMs) to build classifiers for hallucination detection, and extends that work through the incorporation of context-specific definition of task, role, and target concept, and automated generation of examples for use in a few-shot prompting approach. The resulting system achieved fourth-best and sixth-best performance in the model-agnostic track and model-aware tracks for Task 6, respectively, and evaluation using the validation sets showed that the system's classification decisions were consistent with those of the crowd-sourced human labellers. We further found that a zero-shot approach provided better accuracy than a few-shot approach using automatically generated examples. Code for the system described in this paper is available on Github.

Large language models (LLMs), such as ChatGPT, are prone to generate hallucinations, i.e., content that conflicts with the source or cannot be verified by the factual knowledge. To understand what types of content and to which extent LLMs are apt to hallucinate, we introduce the Hallucination Evaluation benchmark for Large Language Models (HaluEval), a large collection of generated and human-annotated hallucinated samples for evaluating the performance of LLMs in recognizing hallucination. To generate these samples, we propose a ChatGPT-based two-step framework, i.e., sampling-then-filtering. Besides, we also hire some human labelers to annotate the hallucinations in ChatGPT responses. The empirical results suggest that ChatGPT is likely to generate hallucinated content in specific topics by fabricating unverifiable information (i.e., about 19.5% responses). Moreover, existing LLMs face great challenges in recognizing the hallucinations in texts. However, our experiments also prove that providing external knowledge or adding reasoning steps can help LLMs recognize hallucinations. Our benchmark can be accessed at https://github.com/RUCAIBox/HaluEval.

As large language models (LLMs) are increasingly applied in sensitive domains such as medicine and law, hallucination detection has become a critical task. Although numerous benchmarks have been proposed to advance research in this area, most of them are artificially constructed--either through deliberate hallucination induction or simulated interactions--rather than derived from genuine LLM-human dialogues. Consequently, these benchmarks fail to fully capture the characteristics of hallucinations that occur in real-world usage. To address this limitation, we introduce AuthenHallu, the first hallucination detection benchmark built entirely from authentic LLM-human interactions. For AuthenHallu, we select and annotate samples from genuine LLM-human dialogues, thereby providing a faithful reflection of how LLMs hallucinate in everyday user interactions. Statistical analysis shows that hallucinations occur in 31.4% of the query-response pairs in our benchmark, and this proportion increases dramatically to 60.0% in challenging domains such as Math & Number Problems. Furthermore, we explore the potential of using vanilla LLMs themselves as hallucination detectors and find that, despite some promise, their current performance remains insufficient in real-world scenarios.

We present VinDr-CXR-VQA, a large-scale chest X-ray dataset for explainable Medical Visual Question Answering (Med-VQA) with spatial grounding. The dataset contains 17,597 question-answer pairs across 4,394 images, each annotated with radiologist-verified bounding boxes and clinical reasoning explanations. Our question taxonomy spans six diagnostic types-Where, What, Is there, How many, Which, and Yes/No-capturing diverse clinical intents. To improve reliability, we construct a balanced distribution of 41.7% positive and 58.3% negative samples, mitigating hallucinations in normal cases. Benchmarking with MedGemma-4B-it demonstrates improved performance (F1 = 0.624, +11.8% over baseline) while enabling lesion localization. VinDr-CXR-VQA aims to advance reproducible and clinically grounded Med-VQA research. The dataset and evaluation tools are publicly available at huggingface.co/datasets/Dangindev/VinDR-CXR-VQA.

The emergence of large language models (LLMs) has marked a significant breakthrough in natural language processing (NLP), leading to remarkable advancements in text understanding and generation. Nevertheless, alongside these strides, LLMs exhibit a critical tendency to produce hallucinations, resulting in content that is inconsistent with real-world facts or user inputs. This phenomenon poses substantial challenges to their practical deployment and raises concerns over the reliability of LLMs in real-world scenarios, which attracts increasing attention to detect and mitigate these hallucinations. In this survey, we aim to provide a thorough and in-depth overview of recent advances in the field of LLM hallucinations. We begin with an innovative taxonomy of LLM hallucinations, then delve into the factors contributing to hallucinations. Subsequently, we present a comprehensive overview of hallucination detection methods and benchmarks. Additionally, representative approaches designed to mitigate hallucinations are introduced accordingly. Finally, we analyze the challenges that highlight the current limitations and formulate open questions, aiming to delineate pathways for future research on hallucinations in LLMs.

Foundation models have demonstrated remarkable success across diverse domains and tasks, primarily due to the thrive of large-scale, diverse, and high-quality datasets. However, in the field of medical imaging, the curation and assembling of such medical datasets are highly challenging due to the reliance on clinical expertise and strict ethical and privacy constraints, resulting in a scarcity of large-scale unified medical datasets and hindering the development of powerful medical foundation models. In this work, we present the largest survey to date of medical image datasets, covering over 1,000 open-access datasets with a systematic catalog of their modalities, tasks, anatomies, annotations, limitations, and potential for integration. Our analysis exposes a landscape that is modest in scale, fragmented across narrowly scoped tasks, and unevenly distributed across organs and modalities, which in turn limits the utility of existing medical image datasets for developing versatile and robust medical foundation models. To turn fragmentation into scale, we propose a metadata-driven fusion paradigm (MDFP) that integrates public datasets with shared modalities or tasks, thereby transforming multiple small data silos into larger, more coherent resources. Building on MDFP, we release an interactive discovery portal that enables end-to-end, automated medical image dataset integration, and compile all surveyed datasets into a unified, structured table that clearly summarizes their key characteristics and provides reference links, offering the community an accessible and comprehensive repository. By charting the current terrain and offering a principled path to dataset consolidation, our survey provides a practical roadmap for scaling medical imaging corpora, supporting faster data discovery, more principled dataset creation, and more capable medical foundation models.

The rapid development of Large Multimodal Models (LMMs) has significantly advanced multimodal understanding by harnessing the language abilities of Large Language Models (LLMs) and integrating modality-specific encoders. However, LMMs are plagued by hallucinations that limit their reliability and adoption. While traditional methods to detect and mitigate these hallucinations often involve costly training or rely heavily on external models, recent approaches utilizing internal model features present a promising alternative. In this paper, we critically assess the limitations of the state-of-the-art training-free technique, the logit lens, in handling generalized visual hallucinations. We introduce a refined method that leverages contextual token embeddings from middle layers of LMMs. This approach significantly improves hallucination detection and grounding across diverse categories, including actions and OCR, while also excelling in tasks requiring contextual understanding, such as spatial relations and attribute comparison. Our novel grounding technique yields highly precise bounding boxes, facilitating a transition from Zero-Shot Object Segmentation to Grounded Visual Question Answering. Our contributions pave the way for more reliable and interpretable multimodal models.

Hallucinations in large language model (LLM) outputs severely limit their reliability in knowledge-intensive tasks such as question answering. To address this challenge, we introduce REFIND (Retrieval-augmented Factuality hallucINation Detection), a novel framework that detects hallucinated spans within LLM outputs by directly leveraging retrieved documents. As part of the REFIND, we propose the Context Sensitivity Ratio (CSR), a novel metric that quantifies the sensitivity of LLM outputs to retrieved evidence. This innovative approach enables REFIND to efficiently and accurately detect hallucinations, setting it apart from existing methods. In the evaluation, REFIND demonstrated robustness across nine languages, including low-resource settings, and significantly outperformed baseline models, achieving superior IoU scores in identifying hallucinated spans. This work highlights the effectiveness of quantifying context sensitivity for hallucination detection, thereby paving the way for more reliable and trustworthy LLM applications across diverse languages.

With the rapid development of large vision language models (LVLMs), these models have shown excellent results in various multimodal tasks. Since LVLMs are prone to hallucinations and there are currently few datasets and evaluation methods specifically designed for remote sensing, their performance is typically poor when applied to remote sensing tasks. To address these issues, this paper introduces a high quality remote sensing LVLMs dataset, DDFAV, created using data augmentation and data mixing strategies. Next, a training instruction set is produced based on some high-quality remote sensing images selected from the proposed dataset. Finally, we develop a remote sensing LVLMs hallucination evaluation method RSPOPE based on the proposed dataset and evaluate the zero-shot capabilities of different LVLMs. Our proposed dataset, instruction set, and evaluation method files are available at https://github.com/HaodongLi2024/rspope.

Despite the growing scale of medical Vision-Language datasets, the impact of dataset quality on model performance remains under-explored. We introduce Open-PMC, a high-quality medical dataset from PubMed Central, containing 2.2 million image-text pairs, enriched with image modality annotations, subfigures, and summarized in-text references. Notably, the in-text references provide richer medical context, extending beyond the abstract information typically found in captions. Through extensive experiments, we benchmark Open-PMC against larger datasets across retrieval and zero-shot classification tasks. Our results show that dataset quality-not just size-drives significant performance gains. We complement our benchmark with an in-depth analysis of feature representation. Our findings highlight the crucial role of data curation quality in advancing multimodal medical AI. We release Open-PMC, along with the trained models and our codebase.

While large language models (LLMs) have demonstrated remarkable capabilities across a range of downstream tasks, a significant concern revolves around their propensity to exhibit hallucinations: LLMs occasionally generate content that diverges from the user input, contradicts previously generated context, or misaligns with established world knowledge. This phenomenon poses a substantial challenge to the reliability of LLMs in real-world scenarios. In this paper, we survey recent efforts on the detection, explanation, and mitigation of hallucination, with an emphasis on the unique challenges posed by LLMs. We present taxonomies of the LLM hallucination phenomena and evaluation benchmarks, analyze existing approaches aiming at mitigating LLM hallucination, and discuss potential directions for future research.

Large Language Models (LLMs) have transformed the Natural Language Processing (NLP) landscape with their remarkable ability to understand and generate human-like text. However, these models are prone to ``hallucinations'' -- outputs that do not align with factual reality or the input context. This paper introduces the Hallucinations Leaderboard, an open initiative to quantitatively measure and compare the tendency of each model to produce hallucinations. The leaderboard uses a comprehensive set of benchmarks focusing on different aspects of hallucinations, such as factuality and faithfulness, across various tasks, including question-answering, summarisation, and reading comprehension. Our analysis provides insights into the performance of different models, guiding researchers and practitioners in choosing the most reliable models for their applications.

Vision-language models in pathology enable multimodal case retrieval and automated report generation. Many of the models developed so far, however, have been trained on pathology reports that include information which cannot be inferred from paired whole slide images (e.g., patient history), potentially leading to hallucinated sentences in generated reports. To this end, we investigate how the selection of information from pathology reports for vision-language modeling affects the quality of the multimodal representations and generated reports. More concretely, we compare a model trained on full reports against a model trained on preprocessed reports that only include sentences describing the cell and tissue appearances based on the H&E-stained slides. For the experiments, we built upon the BLIP-2 framework and used a cutaneous melanocytic lesion dataset of 42,433 H&E-stained whole slide images and 19,636 corresponding pathology reports. Model performance was assessed using image-to-text and text-to-image retrieval, as well as qualitative evaluation of the generated reports by an expert pathologist. Our results demonstrate that text preprocessing prevents hallucination in report generation. Despite the improvement in the quality of the generated reports, training the vision-language model on full reports showed better cross-modal retrieval performance.

While the problem of hallucinations in neural machine translation has long been recognized, so far the progress on its alleviation is very little. Indeed, recently it turned out that without artificially encouraging models to hallucinate, previously existing methods fall short and even the standard sequence log-probability is more informative. It means that characteristics internal to the model can give much more information than we expect, and before using external models and measures, we first need to ask: how far can we go if we use nothing but the translation model itself ? We propose to use a method that evaluates the percentage of the source contribution to a generated translation. Intuitively, hallucinations are translations "detached" from the source, hence they can be identified by low source contribution. This method improves detection accuracy for the most severe hallucinations by a factor of 2 and is able to alleviate hallucinations at test time on par with the previous best approach that relies on external models. Next, if we move away from internal model characteristics and allow external tools, we show that using sentence similarity from cross-lingual embeddings further improves these results.

The increasing interest in developing Artificial Intelligence applications in the medical domain, suffers from the lack of high-quality dataset, mainly due to privacy-related issues. Moreover, the recent rising of Multimodal Large Language Models (MLLM) leads to a need for multimodal medical datasets, where clinical reports and findings are attached to the corresponding CT or MR scans. This paper illustrates the entire workflow for building the data set MedPix 2.0. Starting from the well-known multimodal dataset MedPix\textregistered, mainly used by physicians, nurses and healthcare students for Continuing Medical Education purposes, a semi-automatic pipeline was developed to extract visual and textual data followed by a manual curing procedure where noisy samples were removed, thus creating a MongoDB database. Along with the dataset, we developed a GUI aimed at navigating efficiently the MongoDB instance, and obtaining the raw data that can be easily used for training and/or fine-tuning MLLMs. To enforce this point, we also propose a CLIP-based model trained on MedPix 2.0 for scan classification tasks.

Recent advancements in Large Vision-Language Models (LVLMs) have significantly expanded their utility in tasks like image captioning and visual question answering. However, they still struggle with object hallucination, where models generate descriptions that inaccurately reflect the visual content by including nonexistent objects or misrepresenting existing ones. While previous methods, such as data augmentation and training-free approaches, strive to tackle this issue, they still encounter scalability challenges and often depend on additional external modules. In this work, we propose Ensemble Decoding (ED), a novel strategy that splits the input image into sub-images and combines logit distributions by assigning weights through the attention map. Furthermore, we introduce ED adaptive plausibility constraint to calibrate logit distribution and FastED, a variant designed for speed-critical applications. Extensive experiments across hallucination benchmarks demonstrate that our proposed method achieves state-of-the-art performance, validating the effectiveness of our approach.

AI applications driven by multimodal large language models (MLLMs) are prone to hallucinations and pose considerable risks to human users. Crucially, such hallucinations are not equally problematic: some hallucination contents could be detected by human users(i.e., obvious hallucinations), while others are often missed or require more verification effort(i.e., elusive hallucinations). This indicates that multimodal AI hallucinations vary significantly in their verifiability. Yet, little research has explored how to control this property for AI applications with diverse security and usability demands. To address this gap, we construct a dataset from 4,470 human responses to AI-generated hallucinations and categorize these hallucinations into obvious and elusive types based on their verifiability by human users. Further, we propose an activation-space intervention method that learns separate probes for obvious and elusive hallucinations. We reveal that obvious and elusive hallucinations elicit different intervention probes, allowing for fine-grained control over the model's verifiability. Empirical results demonstrate the efficacy of this approach and show that targeted interventions yield superior performance in regulating corresponding verifiability. Moreover, simply mixing these interventions enables flexible control over the verifiability required for different scenarios.

Large Vision-Language Models (LVLMs) have recently demonstrated remarkable progress, yet hallucination remains a critical barrier, particularly in chart understanding, which requires sophisticated perceptual and cognitive abilities as well as rigorous factual accuracy. While prior work has investigated hallucinations and chart comprehension independently, their intersection remains largely unexplored. To address this gap, we present ChartHal, a benchmark that features a fine-grained taxonomy of hallucination scenarios in chart understanding, along with a human-validated dataset of 1,062 samples. Our evaluation shows that state-of-the-art LVLMs suffer from severe hallucinations on ChartHal, including proprietary models such as GPT-5 and o4-mini, which achieve only 34.46% and 22.79% accuracy, respectively. Further analysis reveals that questions involving information absent from or contradictory to charts are especially likely to trigger hallucinations, underscoring the urgent need for more robust mitigation strategies. Code and data are available at https://github.com/ymcui/ChartHal .

Large language models (LLMs) still produce plausible-sounding but ungrounded factual claims, a problem that worsens in multi-turn dialogue as context grows and early errors cascade. We introduce HalluHard, a challenging multi-turn hallucination benchmark with 950 seed questions spanning four high-stakes domains: legal cases, research questions, medical guidelines, and coding. We operationalize groundedness by requiring inline citations for factual assertions. To support reliable evaluation in open-ended settings, we propose a judging pipeline that iteratively retrieves evidence via web search. It can fetch, filter, and parse full-text sources (including PDFs) to assess whether cited material actually supports the generated content. Across a diverse set of frontier proprietary and open-weight models, hallucinations remain substantial even with web search (approx 30% for the strongest configuration, Opus-4.5 with web search), with content-grounding errors persisting at high rates. Finally, we show that hallucination behavior is shaped by model capacity, turn position, effective reasoning, and the type of knowledge required.

Vision language models (VLMs) perceive the world through a combination of a visual encoder and a large language model (LLM). The visual encoder, pre-trained on large-scale vision-text datasets, provides zero-shot generalization to visual data, and the LLM endows its high reasoning ability to VLMs. It leads VLMs to achieve high performance on wide benchmarks without fine-tuning, exhibiting zero or few-shot capability. However, recent studies show that VLMs are vulnerable to hallucination. This undesirable behavior degrades reliability and credibility, thereby making users unable to fully trust the output from VLMs. To enhance trustworthiness and better tackle the hallucination of VLMs, we curate a new evaluation dataset, called the BEfore-AFter hallucination dataset (BEAF), and introduce new metrics: True Understanding (TU), IGnorance (IG), StuBbornness (SB), and InDecision (ID). Unlike prior works that focus only on constructing questions and answers, the key idea of our benchmark is to manipulate visual scene information by image editing models and to design the metrics based on scene changes. This allows us to clearly assess whether VLMs correctly understand a given scene by observing the ability to perceive changes. We also visualize image-wise object relationship by virtue of our two-axis view: vision and text. Upon evaluating VLMs with our dataset, we observed that our metrics reveal different aspects of VLM hallucination that have not been reported before. Project page: https://beafbench.github.io/

Nowadays, the research on Large Vision-Language Models (LVLMs) has been significantly promoted thanks to the success of Large Language Models (LLM). Nevertheless, these Vision-Language Models (VLMs) are suffering from the drawback of hallucination -- due to insufficient understanding of vision and language modalities, VLMs may generate incorrect perception information when doing downstream applications, for example, captioning a non-existent entity. To address the hallucination phenomenon, on the one hand, we introduce a Contrastive Instruction Evaluation Method (CIEM), which is an automatic pipeline that leverages an annotated image-text dataset coupled with an LLM to generate factual/contrastive question-answer pairs for the evaluation of the hallucination of VLMs. On the other hand, based on CIEM, we further propose a new instruction tuning method called CIT (the abbreviation of Contrastive Instruction Tuning) to alleviate the hallucination of VLMs by automatically producing high-quality factual/contrastive question-answer pairs and corresponding justifications for model tuning. Through extensive experiments on CIEM and CIT, we pinpoint the hallucination issues commonly present in existing VLMs, the disability of the current instruction-tuning dataset to handle the hallucination phenomenon and the superiority of CIT-tuned VLMs over both CIEM and public datasets.

Despite the rapid success of Large Vision-Language Models (LVLMs), a persistent challenge is their tendency to generate hallucinated content, undermining reliability in real-world use. Existing training-free methods address hallucinations but face two limitations: (i) they rely on narrow assumptions about hallucination sources, and (ii) their effectiveness declines toward the end of generation, where hallucinations are most likely to occur. A common strategy is to build hallucinated models by completely or partially removing visual tokens and contrasting them with the original model. Yet, this alone proves insufficient, since visual information still propagates into generated text. Building on this insight, we propose a novel hallucinated model that captures hallucination effects by selectively removing key text tokens. We further introduce Generalized Contrastive Decoding, which integrates multiple hallucinated models to represent diverse hallucination sources. Together, these ideas form CRoPS, a training-free hallucination mitigation framework that improves CHAIR scores by 20% and achieves consistent gains across six benchmarks and three LVLM families, outperforming state-of-the-art training-free methods.

Automated structured radiology report generation (SRRG) from chest X-ray images offers significant potential to reduce workload of radiologists by generating reports in structured formats that ensure clarity, consistency, and adherence to clinical reporting standards. While radiologists effectively utilize available clinical contexts in their diagnostic reasoning, existing SRRG systems overlook these essential elements. This fundamental gap leads to critical problems including temporal hallucinations when referencing non-existent clinical contexts. To address these limitations, we propose contextualized SRRG (C-SRRG) that comprehensively incorporates rich clinical context for SRRG. We curate C-SRRG dataset by integrating comprehensive clinical context encompassing 1) multi-view X-ray images, 2) clinical indication, 3) imaging techniques, and 4) prior studies with corresponding comparisons based on patient histories. Through extensive benchmarking with state-of-the-art multimodal large language models, we demonstrate that incorporating clinical context with the proposed C-SRRG significantly improves report generation quality. We publicly release dataset, code, and checkpoints to facilitate future research for clinically-aligned automated RRG at https://github.com/vuno/contextualized-srrg.

Large Language Models (LLMs) are adept at text manipulation -- tasks such as machine translation and text summarization. However, these models can also be prone to hallucination, which can be detrimental to the faithfulness of any answers that the model provides. Recent works in combating hallucinations in LLMs deal with identifying hallucinated sentences and categorizing the different ways in which models hallucinate. This paper takes a deep dive into LLM behavior with respect to hallucinations, defines a token-level approach to identifying different kinds of hallucinations, and further utilizes this token-level tagging to improve the interpretability and faithfulness of LLMs in dialogue summarization tasks. Through this, the paper presents a new, enhanced dataset and a new training paradigm.

Medical image analysis is essential to clinical diagnosis and treatment, which is increasingly supported by multi-modal large language models (MLLMs). However, previous research has primarily focused on 2D medical images, leaving 3D images under-explored, despite their richer spatial information. This paper aims to advance 3D medical image analysis with MLLMs. To this end, we present a large-scale 3D multi-modal medical dataset, M3D-Data, comprising 120K image-text pairs and 662K instruction-response pairs specifically tailored for various 3D medical tasks, such as image-text retrieval, report generation, visual question answering, positioning, and segmentation. Additionally, we propose M3D-LaMed, a versatile multi-modal large language model for 3D medical image analysis. Furthermore, we introduce a new 3D multi-modal medical benchmark, M3D-Bench, which facilitates automatic evaluation across eight tasks. Through comprehensive evaluation, our method proves to be a robust model for 3D medical image analysis, outperforming existing solutions. All code, data, and models are publicly available at: https://github.com/BAAI-DCAI/M3D.

Multimodal foundation models are prone to hallucination, generating outputs that either contradict the input or are not grounded by factual information. Given the diversity in architectures, training data and instruction tuning techniques, there can be large variations in systems' susceptibility to hallucinations. To assess system hallucination robustness, hallucination ranking approaches have been developed for specific tasks such as image captioning, question answering, summarization, or biography generation. However, these approaches typically compare model outputs to gold-standard references or labels, limiting hallucination benchmarking for new domains. This work proposes "CrossCheckGPT", a reference-free universal hallucination ranking for multimodal foundation models. The core idea of CrossCheckGPT is that the same hallucinated content is unlikely to be generated by different independent systems, hence cross-system consistency can provide meaningful and accurate hallucination assessment scores. CrossCheckGPT can be applied to any model or task, provided that the information consistency between outputs can be measured through an appropriate distance metric. Focusing on multimodal large language models that generate text, we explore two information consistency measures: CrossCheck-explicit and CrossCheck-implicit. We showcase the applicability of our method for hallucination ranking across various modalities, namely the text, image, and audio-visual domains. Further, we propose the first audio-visual hallucination benchmark, "AVHalluBench", and illustrate the effectiveness of CrossCheckGPT, achieving correlations of 98% and 89% with human judgements on MHaluBench and AVHalluBench, respectively.

Context-grounded hallucinations are cases where model outputs contain information not verifiable against the source text. We study the applicability of LLMs for localizing such hallucinations, as a more practical alternative to existing complex evaluation pipelines. In the absence of established benchmarks for meta-evaluation of hallucinations localization, we construct one tailored to LLMs, involving a challenging human annotation of over 1,000 examples. We complement the benchmark with an LLM-based evaluation protocol, verifying its quality in a human evaluation. Since existing representations of hallucinations limit the types of errors that can be expressed, we propose a new representation based on free-form textual descriptions, capturing the full range of possible errors. We conduct a comprehensive study, evaluating four large-scale LLMs, which highlights the benchmark's difficulty, as the best model achieves an F1 score of only 0.67. Through careful analysis, we offer insights into optimal prompting strategies for the task and identify the main factors that make it challenging for LLMs: (1) a tendency to incorrectly flag missing details as inconsistent, despite being instructed to check only facts in the output; and (2) difficulty with outputs containing factually correct information absent from the source - and thus not verifiable - due to alignment with the model's parametric knowledge.

We propose MedicalNarratives, a dataset curated from medical pedagogical videos similar in nature to data collected in Think-Aloud studies and inspired by Localized Narratives, which collects grounded image-text data by curating instructors' speech and mouse cursor movements synchronized in time. MedicalNarratives enables pretraining of both semantic and dense objectives, alleviating the need to train medical semantic and dense tasks disparately due to the lack of reasonably sized datasets. Our dataset contains 4.7M image-text pairs from videos and articles, with 1M samples containing dense annotations in the form of traces and bounding boxes. To evaluate the utility of MedicalNarratives, we train GenMedClip based on the CLIP architecture using our dataset spanning 12 medical domains and demonstrate that it outperforms previous state-of-the-art models on a newly constructed medical imaging benchmark that comprehensively evaluates performance across all modalities. Data, demo, code and models available at https://medical-narratives.github.io

Recent development of Large Vision-Language Models (LVLMs) has attracted growing attention within the AI landscape for its practical implementation potential. However, ``hallucination'', or more specifically, the misalignment between factual visual content and corresponding textual generation, poses a significant challenge of utilizing LVLMs. In this comprehensive survey, we dissect LVLM-related hallucinations in an attempt to establish an overview and facilitate future mitigation. Our scrutiny starts with a clarification of the concept of hallucinations in LVLMs, presenting a variety of hallucination symptoms and highlighting the unique challenges inherent in LVLM hallucinations. Subsequently, we outline the benchmarks and methodologies tailored specifically for evaluating hallucinations unique to LVLMs. Additionally, we delve into an investigation of the root causes of these hallucinations, encompassing insights from the training data and model components. We also critically review existing methods for mitigating hallucinations. The open questions and future directions pertaining to hallucinations within LVLMs are discussed to conclude this survey.

We introduce MedMNIST v2, a large-scale MNIST-like dataset collection of standardized biomedical images, including 12 datasets for 2D and 6 datasets for 3D. All images are pre-processed into a small size of 28x28 (2D) or 28x28x28 (3D) with the corresponding classification labels so that no background knowledge is required for users. Covering primary data modalities in biomedical images, MedMNIST v2 is designed to perform classification on lightweight 2D and 3D images with various dataset scales (from 100 to 100,000) and diverse tasks (binary/multi-class, ordinal regression, and multi-label). The resulting dataset, consisting of 708,069 2D images and 10,214 3D images in total, could support numerous research / educational purposes in biomedical image analysis, computer vision, and machine learning. We benchmark several baseline methods on MedMNIST v2, including 2D / 3D neural networks and open-source / commercial AutoML tools. The data and code are publicly available at https://medmnist.com/.

Large Language Models (LLMs) suffer from hallucinations, referring to the non-factual information in generated content, despite their superior capacities across tasks. Meanwhile, knowledge editing has been developed as a new popular paradigm to correct the erroneous factual knowledge encoded in LLMs with the advantage of avoiding retraining from scratch. However, one common issue of existing evaluation datasets for knowledge editing is that they do not ensure LLMs actually generate hallucinated answers to the evaluation questions before editing. When LLMs are evaluated on such datasets after being edited by different techniques, it is hard to directly adopt the performance to assess the effectiveness of different knowledge editing methods in correcting hallucinations. Thus, the fundamental question remains insufficiently validated: Can knowledge editing really correct hallucinations in LLMs? We proposed HalluEditBench to holistically benchmark knowledge editing methods in correcting real-world hallucinations. First, we rigorously construct a massive hallucination dataset with 9 domains, 26 topics and more than 6,000 hallucinations. Then, we assess the performance of knowledge editing methods in a holistic way on five dimensions including Efficacy, Generalization, Portability, Locality, and Robustness. Through HalluEditBench, we have provided new insights into the potentials and limitations of different knowledge editing methods in correcting hallucinations, which could inspire future improvements and facilitate the progress in the field of knowledge editing.

Although many studies have investigated and reduced hallucinations in large language models (LLMs) for single-document tasks, research on hallucination in multi-document summarization (MDS) tasks remains largely unexplored. Specifically, it is unclear how the challenges arising from handling multiple documents (e.g., repetition and diversity of information) affect models outputs. In this work, we investigate how hallucinations manifest in LLMs when summarizing topic-specific information from multiple documents. Since no benchmarks exist for investigating hallucinations in MDS, we use existing news and conversation datasets, annotated with topic-specific insights, to create two novel multi-document benchmarks. When evaluating 5 LLMs on our benchmarks, we observe that on average, up to 75% of the content in LLM-generated summary is hallucinated, with hallucinations more likely to occur towards the end of the summaries. Moreover, when summarizing non-existent topic-related information, gpt-3.5-turbo and GPT-4o still generate summaries about 79.35% and 44% of the time, raising concerns about their tendency to fabricate content. To understand the characteristics of these hallucinations, we manually evaluate 700+ insights and find that most errors stem from either failing to follow instructions or producing overly generic insights. Motivated by these observations, we investigate the efficacy of simple post-hoc baselines in mitigating hallucinations but find them only moderately effective. Our results underscore the need for more effective approaches to systematically mitigate hallucinations in MDS. We release our dataset and code at github.com/megagonlabs/Hallucination_MDS.

Visual Information Extraction (VIE) converts unstructured document images into structured formats like JSON, critical for medical applications such as report analysis and online consultations. Traditional methods rely on OCR and language models, while end-to-end multimodal models offer direct JSON generation. However, domain-specific schemas and high annotation costs limit their effectiveness in medical VIE. We base our approach on the Reinforcement Learning with Verifiable Rewards (RLVR) framework to address these challenges using only 100 annotated samples. Our approach ensures dataset diversity, a balanced precision-recall reward mechanism to reduce hallucinations and improve field coverage, and innovative sampling strategies to enhance reasoning capabilities. Fine-tuning Qwen2.5-VL-7B with our RLVR method, we achieve state-of-the-art performance on medical VIE tasks, significantly improving F1, precision, and recall. While our models excel on tasks similar to medical datasets, performance drops on dissimilar tasks, highlighting the need for domain-specific optimization. Case studies further demonstrate the value of reasoning during training and inference for VIE.

Large language models (LLMs) often generate responses that deviate from user input or training data, a phenomenon known as "hallucination." These hallucinations undermine user trust and hinder the adoption of generative AI systems. Addressing hallucinations is essential for the advancement of LLMs. This paper introduces a comprehensive hallucination benchmark, incorporating both new extrinsic and existing intrinsic evaluation tasks, built upon clear taxonomy of hallucination. A major challenge in benchmarking hallucinations is the lack of a unified framework due to inconsistent definitions and categorizations. We disentangle LLM hallucination from "factuality," proposing a clear taxonomy that distinguishes between extrinsic and intrinsic hallucinations, to promote consistency and facilitate research. Extrinsic hallucinations, where the generated content is not consistent with the training data, are increasingly important as LLMs evolve. Our benchmark includes dynamic test set generation to mitigate data leakage and ensure robustness against such leakage. We also analyze existing benchmarks, highlighting their limitations and saturation. The work aims to: (1) establish a clear taxonomy of hallucinations, (2) introduce new extrinsic hallucination tasks, with data that can be dynamically regenerated to prevent saturation by leakage, (3) provide a comprehensive analysis of existing benchmarks, distinguishing them from factuality evaluations.

Large language models (LMs) are prone to generate diverse factually incorrect statements, which are widely called hallucinations. Current approaches predominantly focus on coarse-grained automatic hallucination detection or editing, overlooking nuanced error levels. In this paper, we propose a novel task -- automatic fine-grained hallucination detection -- and present a comprehensive taxonomy encompassing six hierarchically defined types of hallucination. To facilitate evaluation, we introduce a new benchmark that includes fine-grained human judgments on two LM outputs across various domains. Our analysis reveals that ChatGPT and Llama 2-Chat exhibit hallucinations in 60% and 75% of their outputs, respectively, and a majority of these hallucinations fall into categories that have been underexplored. As an initial step to address this, we train FAVA, a retrieval-augmented LM by carefully designing synthetic data generations to detect and correct fine-grained hallucinations. On our benchmark, our automatic and human evaluations show that FAVA significantly outperforms ChatGPT on fine-grained hallucination detection by a large margin though a large room for future improvement still exists. FAVA's suggested edits also improve the factuality of LM-generated text, resulting in 5-10% FActScore improvements.

Medical vision-language models often struggle with generating accurate quantitative measurements in radiology reports, leading to hallucinations that undermine clinical reliability. We introduce FactCheXcker, a modular framework that de-hallucinates radiology report measurements by leveraging an improved query-code-update paradigm. Specifically, FactCheXcker employs specialized modules and the code generation capabilities of large language models to solve measurement queries generated based on the original report. After extracting measurable findings, the results are incorporated into an updated report. We evaluate FactCheXcker on endotracheal tube placement, which accounts for an average of 78% of report measurements, using the MIMIC-CXR dataset and 11 medical report-generation models. Our results show that FactCheXcker significantly reduces hallucinations, improves measurement precision, and maintains the quality of the original reports. Specifically, FactCheXcker improves the performance of 10/11 models and achieves an average improvement of 135.0% in reducing measurement hallucinations measured by mean absolute error. Code is available at https://github.com/rajpurkarlab/FactCheXcker.

Large Language Models (LLMs) have significantly advanced the field of Natural Language Processing (NLP), achieving remarkable performance across diverse tasks and enabling widespread real-world applications. However, LLMs are prone to hallucination, generating content that either conflicts with established knowledge or is unfaithful to the original sources. Existing hallucination benchmarks primarily focus on sentence- or passage-level hallucination detection, neglecting dialogue-level evaluation, hallucination localization, and rationale provision. They also predominantly target factuality hallucinations while underestimating faithfulness hallucinations, often relying on labor-intensive or non-specialized evaluators. To address these limitations, we propose HalluDial, the first comprehensive large-scale benchmark for automatic dialogue-level hallucination evaluation. HalluDial encompasses both spontaneous and induced hallucination scenarios, covering factuality and faithfulness hallucinations. The benchmark includes 4,094 dialogues with a total of 146,856 samples. Leveraging HalluDial, we conduct a comprehensive meta-evaluation of LLMs' hallucination evaluation capabilities in information-seeking dialogues and introduce a specialized judge language model, HalluJudge. The high data quality of HalluDial enables HalluJudge to achieve superior or competitive performance in hallucination evaluation, facilitating the automatic assessment of dialogue-level hallucinations in LLMs and providing valuable insights into this phenomenon. The dataset and the code are available at https://github.com/FlagOpen/HalluDial.

Multimodal Large Language Models (MLLMs) emerge as a unified interface to address a multitude of tasks, ranging from NLP to computer vision. Despite showcasing state-of-the-art results in many benchmarks, a long-standing issue is the tendency of MLLMs to hallucinate, that is to generate answers to the user's query that are not reflected in the visual input. In this paper, we address the problem of hallucinations as an alignment problem, seeking to steer the MLLM so that it prefers generating content without hallucinations. In contrast to recent approaches that require complicated pipelines to build synthetic preference data for alignment training, often relying on proprietary models, we capitalize on the well-known CHAIR metric, originally proposed to gauge the degree of hallucinations in image captioning. Given a pair of generated answers, we leverage CHAIR to distinguish winner and loser options (i.e., non-hallucinated and hallucinated samples) and fine-tune off-the-shelf MLLMs via Direct Preference Optimization (DPO). The resulting method, which we refer to as CHAIR-DPO, effectively diminishes the amount of hallucinated answers on several hallucination benchmarks, demonstrating the effectiveness of fine-tuning the MLLM with a CHAIR-based reward. Source code and trained models are publicly available at https://github.com/aimagelab/CHAIR-DPO.

Anomaly detection (AD) aims at detecting abnormal samples that deviate from the expected normal patterns. Generally, it can be trained merely on normal data, without a requirement for abnormal samples, and thereby plays an important role in rare disease recognition and health screening in the medical domain. Despite the emergence of numerous methods for medical AD, the lack of a fair and comprehensive evaluation causes ambiguous conclusions and hinders the development of this field. To address this problem, this paper builds a benchmark with unified comparison. Seven medical datasets with five image modalities, including chest X-rays, brain MRIs, retinal fundus images, dermatoscopic images, and histopathology images, are curated for extensive evaluation. Thirty typical AD methods, including reconstruction and self-supervised learning-based methods, are involved in comparison of image-level anomaly classification and pixel-level anomaly segmentation. Furthermore, for the first time, we systematically investigate the effect of key components in existing methods, revealing unresolved challenges and potential future directions. The datasets and code are available at https://github.com/caiyu6666/MedIAnomaly.

Large language models (LLMs) have emerged as pivotal contributors in contemporary natural language processing and are increasingly being applied across a diverse range of industries. However, these large-scale probabilistic statistical models cannot currently ensure the requisite quality in professional content generation. These models often produce hallucinated text, compromising their practical utility in professional contexts. To assess the authentic reliability of LLMs in text generation, numerous initiatives have developed benchmark evaluations for hallucination phenomena. Nevertheless, these benchmarks frequently utilize constrained generation techniques due to cost and temporal constraints. These techniques encompass the use of directed hallucination induction and strategies that deliberately alter authentic text to produce hallucinations. These approaches are not congruent with the unrestricted text generation demanded by real-world applications. Furthermore, a well-established Chinese-language dataset dedicated to the evaluation of hallucinations in text generation is presently lacking. Consequently, we have developed an Unconstrained Hallucination Generation Evaluation (UHGEval) benchmark, designed to compile outputs produced with minimal restrictions by LLMs. Concurrently, we have established a comprehensive benchmark evaluation framework to aid subsequent researchers in undertaking scalable and reproducible experiments. We have also executed extensive experiments, evaluating prominent Chinese language models and the GPT series models to derive professional performance insights regarding hallucination challenges.

Hallucinations pose a significant challenge to the reliability of large language models (LLMs) in critical domains. Recent benchmarks designed to assess LLM hallucinations within conventional NLP tasks, such as knowledge-intensive question answering (QA) and summarization, are insufficient for capturing the complexities of user-LLM interactions in dynamic, real-world settings. To address this gap, we introduce HaluEval-Wild, the first benchmark specifically designed to evaluate LLM hallucinations in the wild. We meticulously collect challenging (adversarially filtered by Alpaca) user queries from existing real-world user-LLM interaction datasets, including ShareGPT, to evaluate the hallucination rates of various LLMs. Upon analyzing the collected queries, we categorize them into five distinct types, which enables a fine-grained analysis of the types of hallucinations LLMs exhibit, and synthesize the reference answers with the powerful GPT-4 model and retrieval-augmented generation (RAG). Our benchmark offers a novel approach towards enhancing our comprehension and improvement of LLM reliability in scenarios reflective of real-world interactions.

Recent research in medical image analysis with deep learning almost exclusively focuses on grid- or voxel-based data representations. We challenge this common choice by introducing MedFuncta, a modality-agnostic continuous data representation based on neural fields. We demonstrate how to scale neural fields from single instances to large datasets by exploiting redundancy in medical signals and by applying an efficient meta-learning approach with a context reduction scheme. We further address the spectral bias in commonly used SIREN activations, by introducing an omega_0-schedule, improving reconstruction quality and convergence speed. We validate our proposed approach on a large variety of medical signals of different dimensions and modalities (1D: ECG; 2D: Chest X-ray, Retinal OCT, Fundus Camera, Dermatoscope, Colon Histopathology, Cell Microscopy; 3D: Brain MRI, Lung CT) and successfully demonstrate that we can solve relevant downstream tasks on these representations. We additionally release a large-scale dataset of > 550k annotated neural fields to promote research in this direction.

When asked to summarize articles or answer questions given a passage, large language models (LLMs) can hallucinate details and respond with unsubstantiated answers that are inaccurate with respect to the input context. This paper describes a simple approach for detecting such contextual hallucinations. We hypothesize that contextual hallucinations are related to the extent to which an LLM attends to information in the provided context versus its own generations. Based on this intuition, we propose a simple hallucination detection model whose input features are given by the ratio of attention weights on the context versus newly generated tokens (for each attention head). We find that a linear classifier based on these lookback ratio features is as effective as a richer detector that utilizes the entire hidden states of an LLM or a text-based entailment model. The lookback ratio-based detector -- Lookback Lens -- is found to transfer across tasks and even models, allowing a detector that is trained on a 7B model to be applied (without retraining) to a larger 13B model. We further apply this detector to mitigate contextual hallucinations, and find that a simple classifier-guided decoding approach is able to reduce the amount of hallucination, for example by 9.6% in the XSum summarization task.

Large Language Models (LLMs) have shown their ability to collaborate effectively with humans in real-world scenarios. However, LLMs are apt to generate hallucinations, i.e., makeup incorrect text and unverified information, which can cause significant damage when deployed for mission-critical tasks. In this paper, we propose a self-check approach based on reverse validation to detect factual errors automatically in a zero-resource fashion. To facilitate future studies and assess different methods, we construct a hallucination detection benchmark named PHD, which is generated by ChatGPT and annotated by human annotators. Contrasting previous studies of zero-resource hallucination detection, our method and benchmark concentrate on passage-level detection instead of sentence-level. We empirically evaluate our method and existing zero-resource detection methods on two datasets. The experimental results demonstrate that the proposed method considerably outperforms the baselines while costing fewer tokens and less time. Furthermore, we manually analyze some hallucination cases that LLM failed to capture, revealing the shared limitation of zero-resource methods.

Large language models (LLMs) are increasingly deployed in multilingual applications but often generate plausible yet incorrect or misleading outputs, known as hallucinations. While hallucination detection has been studied extensively in English, under-resourced Indian languages remain largely unexplored. We present BHRAM-IL, a benchmark for hallucination recognition and assessment in multiple Indian languages, covering Hindi, Gujarati, Marathi, Odia, along with English. The benchmark comprises 36,047 curated questions across nine categories spanning factual, numerical, reasoning, and linguistic tasks. We evaluate 14 state-of-the-art multilingual LLMs on a benchmark subset of 10,265 questions, analyzing cross-lingual and factual hallucinations across languages, models, scales, categories, and domains using category-specific metrics normalized to (0,1) range. Aggregation over all categories and models yields a primary score of 0.23 and a language-corrected fuzzy score of 0.385, demonstrating the usefulness of BHRAM-IL for hallucination-focused evaluation. The dataset, and the code for generation and evaluation are available on GitHub (https://github.com/sambhashana/BHRAM-IL/) and HuggingFace (https://huggingface.co/datasets/sambhashana/BHRAM-IL/) to support future research in multilingual hallucination detection and mitigation.

Instruction tuned Large Vision Language Models (LVLMs) have significantly advanced in generalizing across a diverse set of multi-modal tasks, especially for Visual Question Answering (VQA). However, generating detailed responses that are visually grounded is still a challenging task for these models. We find that even the current state-of-the-art LVLMs (InstructBLIP) still contain a staggering 30 percent of the hallucinatory text in the form of non-existent objects, unfaithful descriptions, and inaccurate relationships. To address this, we introduce M-HalDetect, a (M)ultimodal (Hal)lucination (Detect)ion Dataset that can be used to train and benchmark models for hallucination detection and prevention. M-HalDetect consists of 16k fine-grained annotations on VQA examples, making it the first comprehensive multi-modal hallucination detection dataset for detailed image descriptions. Unlike previous work that only consider object hallucination, we additionally annotate both entity descriptions and relationships that are unfaithful. To demonstrate the potential of this dataset for hallucination prevention, we optimize InstructBLIP through our novel Fine-grained Direct Preference Optimization (FDPO). We also train fine-grained multi-modal reward models from InstructBLIP and evaluate their effectiveness with best-of-n rejection sampling. We perform human evaluation on both FDPO and rejection sampling, and find that they reduce hallucination rates in InstructBLIP by 41% and 55% respectively. We also find that our reward model generalizes to other multi-modal models, reducing hallucinations in LLaVA and mPLUG-OWL by 15% and 57% respectively, and has strong correlation with human evaluated accuracy scores.

We present FOMO60K, a large-scale, heterogeneous dataset of 60,529 brain Magnetic Resonance Imaging (MRI) scans from 13,900 sessions and 11,187 subjects, aggregated from 16 publicly available sources. The dataset includes both clinical- and research-grade images, multiple MRI sequences, and a wide range of anatomical and pathological variability, including scans with large brain anomalies. Minimal preprocessing was applied to preserve the original image characteristics while reducing barriers to entry for new users. Accompanying code for self-supervised pretraining and finetuning is provided. FOMO60K is intended to support the development and benchmarking of self-supervised learning methods in medical imaging at scale.

Generative super-resolution (GSR) currently sets the state-of-the-art in terms of perceptual image quality, overcoming the "regression-to-the-mean" blur of prior non-generative models. However, from a human perspective, such models do not fully conform to the optimal balance between quality and fidelity. Instead, a different class of artifacts, in which generated details fail to perceptually match the low resolution image (LRI) or ground-truth image (GTI), is a critical but under studied issue in GSR, limiting its practical deployments. In this work, we focus on measuring, analyzing, and mitigating these artifacts (i.e., "hallucinations"). We observe that hallucinations are not well-characterized with existing image metrics or quality models, as they are orthogonal to both exact fidelity and no-reference quality. Instead, we take advantage of a multimodal large language model (MLLM) by constructing a prompt that assesses hallucinatory visual elements and generates a "Hallucination Score" (HS). We find that our HS is closely aligned with human evaluations, and also provides complementary insights to prior image metrics used for super-resolution (SR) models. In addition, we find certain deep feature distances have strong correlations with HS. We therefore propose to align the GSR models by using such features as differentiable reward functions to mitigate hallucinations.