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Apr 22

MMXU: A Multi-Modal and Multi-X-ray Understanding Dataset for Disease Progression

Large vision-language models (LVLMs) have shown great promise in medical applications, particularly in visual question answering (MedVQA) and diagnosis from medical images. However, existing datasets and models often fail to consider critical aspects of medical diagnostics, such as the integration of historical records and the analysis of disease progression over time. In this paper, we introduce MMXU (Multimodal and MultiX-ray Understanding), a novel dataset for MedVQA that focuses on identifying changes in specific regions between two patient visits. Unlike previous datasets that primarily address single-image questions, MMXU enables multi-image questions, incorporating both current and historical patient data. We demonstrate the limitations of current LVLMs in identifying disease progression on MMXU-test, even those that perform well on traditional benchmarks. To address this, we propose a MedRecord-Augmented Generation (MAG) approach, incorporating both global and regional historical records. Our experiments show that integrating historical records significantly enhances diagnostic accuracy by at least 20\%, bridging the gap between current LVLMs and human expert performance. Additionally, we fine-tune models with MAG on MMXU-dev, which demonstrates notable improvements. We hope this work could illuminate the avenue of advancing the use of LVLMs in medical diagnostics by emphasizing the importance of historical context in interpreting medical images. Our dataset is released at https://github.com/linjiemu/MMXU{https://github.com/linjiemu/MMXU}.

  • 6 authors
·
Feb 17, 2025

Large Language Models for Oral History Understanding with Text Classification and Sentiment Analysis

Oral histories are vital records of lived experience, particularly within communities affected by systemic injustice and historical erasure. Effective and efficient analysis of their oral history archives can promote access and understanding of the oral histories. However, Large-scale analysis of these archives remains limited due to their unstructured format, emotional complexity, and high annotation costs. This paper presents a scalable framework to automate semantic and sentiment annotation for Japanese American Incarceration Oral History. Using LLMs, we construct a high-quality dataset, evaluate multiple models, and test prompt engineering strategies in historically sensitive contexts. Our multiphase approach combines expert annotation, prompt design, and LLM evaluation with ChatGPT, Llama, and Qwen. We labeled 558 sentences from 15 narrators for sentiment and semantic classification, then evaluated zero-shot, few-shot, and RAG strategies. For semantic classification, ChatGPT achieved the highest F1 score (88.71%), followed by Llama (84.99%) and Qwen (83.72%). For sentiment analysis, Llama slightly outperformed Qwen (82.66%) and ChatGPT (82.29%), with all models showing comparable results. The best prompt configurations were used to annotate 92,191 sentences from 1,002 interviews in the JAIOH collection. Our findings show that LLMs can effectively perform semantic and sentiment annotation across large oral history collections when guided by well-designed prompts. This study provides a reusable annotation pipeline and practical guidance for applying LLMs in culturally sensitive archival analysis. By bridging archival ethics with scalable NLP techniques, this work lays the groundwork for responsible use of artificial intelligence in digital humanities and preservation of collective memory. GitHub: https://github.com/kc6699c/LLM4OralHistoryAnalysis.

  • 5 authors
·
Aug 8, 2025