Yifan Wang, Binbinliu, Fengze Liu, Yuanfan Guo, Jiyao Deng, Xuecheng Wu, Weidong Zhou, Xiaohuan Zhou, Taifeng Wang. Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers). 2026.

Clinical trials are critical for advancing medical treatments but remain prohibitively expensive and time-consuming.Accurate prediction of clinical trial outcomes can significantly reduce research and development costs and accelerate drug discovery.While recent deep learning models have shown promise by leveraging unstructured data, their black-box nature, lack of interpretability, and vulnerability to label leakage limit their practical use in high-stakes biomedical contexts.In this work, we propose AUTOCT 1 , a novel framework that combines the reasoning capabilities of large language models with the explainability of classical machine learning.AUTOCT autonomously generates, evaluates, and refines tabular features based on public information without human input.Our method uses Monte Carlo Tree Search to iteratively optimize predictive performance.Experimental results show that AUTOCT performs on par with or better than state-of-the-art methods on clinical trial prediction tasks within only a limited number of self-refinement iterations, establishing a new paradigm for scalable, interpretable, and cost-efficient clinical trial prediction.

Data quality is a critical driver of large language model performance, yet existing model-based selection methods focus almost exclusively on English, neglecting other languages that are essential in the training mix for multilingual LLMs. We introduce MuRating, a scalable framework that transfers high-quality English data-quality signals into a multilingual autorater, capable of handling 17 languages. MuRating aggregates multiple English autoraters via pairwise comparisons to learn unified document quality scores, then projects these judgments through translation to train a multilingual evaluator on monolingual, cross-lingual, and parallel text pairs. Applied to web data, MuRating selects balanced subsets of English and multilingual content to pretrain LLaMA-architecture models of 1.2B and 7B parameters. Compared to strong baselines, including QuRater, FineWeb2-HQ, AskLLM, DCLM, our approach increases average accuracy on both English benchmarks and multilingual evaluations. Extensive analyses further validate that pairwise training provides greater stability and robustness than pointwise scoring, underscoring the effectiveness of MuRating as a general multilingual data-selection framework.

Large language models (LLMs) have become integral to a wide range of applications worldwide, driving an unprecedented global demand for effective multilingual capabilities. Central to achieving robust multilingual performance is the strategic allocation of language proportions within training corpora. However, determining optimal language ratios is highly challenging due to intricate cross-lingual interactions and sensitivity to dataset scale. This paper introduces CLIMB (Cross-Lingual Interaction-aware Multilingual Balancing), a novel framework designed to systematically optimize multilingual data allocation. At its core, CLIMB introduces a cross-lingual interaction-aware language ratio, explicitly quantifying each language’s effective allocation by capturing inter-language dependencies. Leveraging this ratio, CLIMB proposes a principled two-step optimization procedure—first equalizing marginal benefits across languages, then maximizing the magnitude of the resulting language allocation vectors—significantly simplifying the inherently complex multilingual optimization problem. Extensive experiments confirm that CLIMB can accurately measure cross-lingual interactions across various multilingual settings. LLMs trained with CLIMB-derived proportions consistently achieve state-of-the-art multilingual performance, even achieve competitive performance with open-sourced LLMs trained with more tokens.

Deep neural networks have shown great success in representation learning. However, when learning with noisy labels (LNL), they can easily overfit and fail to generalize to new data. This paper introduces a simple and effective method, named Learning to Bootstrap (L2B), which enables models to bootstrap themselves using their own predictions without being adversely affected by erroneous pseudo-labels. It achieves this by dynamically adjusting the importance weight between real observed and generated labels, as well as between different samples through metalearning. Unlike existing instance reweighting methods, the key to our method lies in a new, versatile objective that enables implicit relabeling concurrently, leading to significant improvements without incurring additional costs. L2B offers several benefits over the baseline methods. It yields more robust models that are less susceptible to the impact of noisy labels by guiding the bootstrapping procedure more effectively. It better exploits the valuable information contained in corrupted instances by adapting the weights of both instances and labels. Furthermore, L2B is compatible with existing LNL methods and delivers competitive results spanning natural and medical imaging tasks including classification and segmentation under both synthetic and real-world noise. Extensive experiments demonstrate that our method effectively mitigates the challenges of noisy labels, often necessitating few to no validation samples, and is well generalized to other tasks such as image segmentation. This not only positions it as a robust complement to existing LNL techniques but also underscores its practical applicability. The code and models are available at https://github.com/yuyinzhou/12b.

Event causality identification (ECI), a process that extracts causal relations between events from text, is crucial for distinguishing causation from correlation.Traditional approaches to ECI have primarily utilized linguistic patterns and multi-hop relational inference, risking false causality identification due to informal usage of causality and specious graphical inference.In this paper, we adopt the Rubin Causal Model to identify event causality: given two temporally ordered events, we see the first event as the treatment and the second one as the observed outcome.Determining their causality involves manipulating the treatment and estimating the resultant change in the likelihood of the outcome.Given that it is only possible to implement manipulation conceptually in the text domain, as a work-around, we try to find a 'twin' for the protagonist from existing corpora.This 'twin' should have identical life experiences with the protagonist before the treatment but undergoes an intervention of treatment.However, the practical difficulty of locating such a match limits its feasibility.Addressing this issue, we use the synthetic control method to generate such a 'twin' from relevant historical data, leveraging text embedding synthesis and inversion techniques.This approach allows us to identify causal relations more robustly than previous methods, including GPT-4, which is demonstrated on a causality benchmark, COPES-hard.

Blur was naturally analyzed in the frequency domain, by estimating the latent sharp image and the blur kernel given a blurry image. Recent progress on image deblurring always designs end-to-end architectures and aims at learning the difference between blurry and sharp image pairs from pixel-level, which inevitably overlooks the importance of blur kernels. This paper reveals an intriguing phenomenon that simply applying ReLU operation on the frequency domain of a blur image followed by inverse Fourier transform, i.e., frequency selection, provides faithful information about the blur pattern (e.g., the blur direction and blur level, implicitly shows the kernel pattern). Based on this observation, we attempt to leverage kernel-level information for image deblurring networks by inserting Fourier transform, ReLU operation, and inverse Fourier transform to the standard ResBlock. 1 × 1 convolution is further added to let the network modulate flexible thresholds for frequency selection. We term our newly built block as Res FFT-ReLU Block, which takes advantages of both kernel-level and pixel-level features via learning frequency-spatial dual-domain representations. Extensive experiments are conducted to acquire a thorough analysis on the insights of the method. Moreover, after plugging the proposed block into NAFNet, we can achieve 33.85 dB in PSNR on GoPro dataset. Our method noticeably improves backbone architectures without introducing many parameters, while maintaining low computational complexity. Code is available at https://github.com/DeepMed-Lab/DeepRFT-AAAI2023.

The spleen is one of the most commonly injured solid organs in blunt abdominal trauma. The development of automatic segmentation systems from multi-phase CT for splenic vascular injury can augment severity grading for improving clinical decision support and outcome prediction. However, accurate segmentation of splenic vascular injury is challenging for the following reasons: 1) Splenic vascular injury can be highly variant in shape, texture, size, and overall appearance; and 2) Data acquisition is a complex and expensive procedure that requires intensive efforts from both data scientists and radiologists, which makes large-scale well-annotated datasets hard to acquire in general. In light of these challenges, we hereby design a novel framework for multi-phase splenic vascular injury segmentation, especially with limited data. On the one hand, we propose to leverage external data to mine pseudo splenic masks as the spatial attention, dubbed external attention, for guiding the segmentation of splenic vascular injury. On the other hand, we develop a synthetic phase augmentation module, which builds upon generative adversarial networks, for populating the internal data by fully leveraging the relation between different phases. By jointly enforcing external attention and populating internal data representation during training, our proposed method outperforms other competing methods and substantially improves the popular DeepLab-v3+ baseline by more than 7% in terms of average DSC, which confirms its effectiveness.

Tubular structure segmentation in medical images, e.g., segmenting vessels in CT scans, serves as a vital step in the use of computers to aid in screening early stages of related diseases. But automatic tubular structure segmentation in CT scans is a challenging problem, due to issues such as poor contrast, noise and complicated background. A tubular structure usually has a cylinder-like shape which can be well represented by its skeleton and cross-sectional radii (scales). Inspired by this, we propose a geometry-aware tubular structure segmentation method, Deep Distance Transform (DDT), which combines intuitions from the classical distance transform for skeletonization and modern deep segmentation networks. DDT first learns a multi-task network to predict a segmentation mask for a tubular structure and a distance map. Each value in the map represents the distance from each tubular structure voxel to the tubular structure surface. Then the segmentation mask is refined by leveraging the shape prior reconstructed from the distance map. We apply our DDT on six medical image datasets. Results show that (1) DDT can boost tubular structure segmentation performance significantly (e.g., over 13% DSC improvement for pancreatic duct segmentation), and (2) DDT additionally provides a geometrical measurement for a tubular structure, which is important for clinical diagnosis (e.g., the cross-sectional scale of a pancreatic duct can be an indicator for pancreatic cancer).

While making a tremendous impact in various fields, deep neural networks usually require large amounts of labeled data for training which are expensive to collect in many applications, especially in the medical domain. Un-labeled data, on the other hand, is much more abundant. Semi-supervised learning techniques, such as co-training, could provide a powerful tool to leverage unlabeled data. In this paper, we propose a novel framework, uncertainty-aware multi-view co-training (UMCT), to address semi-supervised learning on 3D data, such as volumetric data from medical imaging. In our work, co-training is achieved by exploiting multi-viewpoint consistency of 3D data. We generate different views by rotating or permuting the 3D data and utilize asymmetrical 3D kernels to encourage diversified features in different sub-networks. In addition, we propose an uncertainty-weighted label fusion mechanism to estimate the reliability of each view's prediction with Bayesian deep learning. As one view requires the supervision from other views in co-training, our self-adaptive approach computes a confidence score for the prediction of each unlabeled sample in order to assign a reliable pseudo label. Thus, our approach can take advantage of unlabeled data during training. We show the effectiveness of our proposed semi-supervised method on several public datasets from medical image segmentation tasks (NIH pancreas & LiTS liver tumor dataset). Meanwhile, a fully-supervised method based on our approach achieved state-of-the-art performances on both the LiTS liver tumor segmentation and the Medical Segmentation Decathlon (MSD) challenge, demonstrating the robustness and value of our framework, even when fully supervised training is feasible.

It is usually hard for a learning system to predict correctly on rare events that never occur in the training data, and there is no exception for segmentation algorithms. Meanwhile, manual inspection of each case to locate the failures becomes infeasible due to the trend of large data scale and limited human resource. Therefore, we build an alarm system that will set off alerts when the segmentation result is possibly unsatisfactory, assuming no corresponding ground truth mask is provided. One plausible solution is to project the segmentation results into a low dimensional feature space; then learn classifiers/regressors to predict their qualities. Motivated by this, in this paper, we learn a feature space using the shape information which is a strong prior shared among different datasets and robust to the appearance variation of input data. The shape feature is captured using a Variational Auto-Encoder (VAE) network that trained with only the ground truth masks. During testing, the segmentation results with bad shapes shall not fit the shape prior well, resulting in large loss values. Thus, the VAE is able to evaluate the quality of segmentation result on unseen data, without using ground truth. Finally, we learn a regressor in the one-dimensional feature space to predict the qualities of segmentation results. Our alarm system is evaluated on several recent state-of-art segmentation algorithms for 3D medical segmentation tasks. Compared with other standard quality assessment methods, our system consistently provides more reliable prediction on the qualities of segmentation results.