ICLR 2025 Papers

International Conference on Learning Representations

Decision breakdown

3,703papers

Counted from the official paper list; may differ slightly from the number the conference announced.

  • Oral
    2135.8%
  • Spotlight
    38010.3%
  • Poster
    3,11084.0%

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Learning LLM-as-a-Judge for Preference Alignment

Ziyi Ye, Xiangsheng Li, Qiuchi Li, Qingyao Ai, Yujia Zhou, Wei Shen, Dong Yan, Yiqun Liu

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Learning from preference feedback is a common practice for aligning large language models (LLMs) with human value. Conventionally, preference data is learned and encoded into a scalar reward model that connects a value head with an LLM to produce a scalar score as preference. However, scalar models lack interpretability and are known to be susceptible to biases in datasets. This paper investigates leveraging LLM itself to learn from such preference data and serve as a judge to address both limitations in one shot. Specifically, we prompt the pre-trained LLM to generate initial judgment pairs with contrastive preference in natural language form. The self-generated contrastive judgment pairs are used to train the LLM-as-a-Judge with Direct Preference Optimization (DPO) and incentivize its reasoning capability as a judge. This proposal of learning the LLMas-a-Judge using self-generated Contrastive judgments (Con-J) ensures natural interpretability through the generated rationales supporting the judgments, and demonstrates higher robustness against bias compared to scalar models. Experimental results show that Con-J outperforms the scalar reward model trained on the same collection of preference data, and outperforms a series of open-source and closed-source generative LLMs. We open-source the training process and model weights of Con-J at https://github.com/YeZiyi1998/Con-J.

Poster
MM1.5: Methods, Analysis & Insights from Multimodal LLM Fine-tuning

Haotian Zhang, Mingfei Gao, Zhe Gan, Philipp Dufter, Nina Wenzel, Forrest Huang, Dhruti Shah, Xianzhi Du, Bowen Zhang, Yanghao Li, Sam Dodge, Keen You, Zhen Yang, Aleksei Timofeev, Mingze Xu, Hong-You Chen, Jean-Philippe Fauconnier, Zhengfeng Lai, Haoxuan You, Zirui Wang, Afshin Dehghan, Peter Grasch, Yinfei Yang

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We present MM1.5, a new family of multimodal large language models (MLLMs) designed to enhance capabilities in text-rich image understanding, visual referring and grounding, and multi-image reasoning. Building upon the MM1 architecture, MM1.5 adopts a data-centric approach to model training, systematically exploring the impact of diverse data mixtures across the entire model training lifecycle. This includes high-quality OCR data and synthetic captions for continual pre-training, as well as an optimized visual instruction-tuning data mixture for supervised fine-tuning. Our models range from 1B to 30B parameters, encompassing both dense and mixture-of-experts (MoE) variants, and demonstrate that careful data curation and training strategies can yield strong performance even at small scales (1B and 3B). Additionally, we introduce two specialized variants: MM1.5-Video, designed for video understanding, and MM1.5-UI, tailored for mobile UI understanding. Through extensive empirical studies and ablations, we provide detailed insights into the training processes and decisions that inform our final designs, offering valuable guidance for future research in MLLM development.

Poster
The Utility and Complexity of In- and Out-of-Distribution Machine Unlearning

Youssef Allouah, Joshua Kazdan, Rachid Guerraoui, Sanmi Koyejo

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Machine unlearning, the process of selectively removing data from trained models, is increasingly crucial for addressing privacy concerns and knowledge gaps post-deployment. Despite this importance, existing approaches are often heuristic and lack formal guarantees. In this paper, we analyze the fundamental utility, time, and space complexity trade-offs of approximate unlearning, providing rigorous certification analogous to differential privacy. For in-distribution forget data—data similar to the retain set—we show that a surprisingly simple and general procedure, empirical risk minimization with output perturbation, achieves tight unlearning-utility-complexity trade-offs, addressing a previous theoretical gap on the separation from unlearning ``for free" via differential privacy, which inherently facilitates the removal of such data. However, such techniques fail with out-of-distribution forget data—data significantly different from the retain set—where unlearning time complexity can exceed that of retraining, even for a single sample. To address this, we propose a new robust and noisy gradient descent variant that provably amortizes unlearning time complexity without compromising utility.

Poster
Improving Uncertainty Estimation through Semantically Diverse Language Generation

Lukas Aichberger, Kajetan Schweighofer, Mykyta Ielanskyi, Sepp Hochreiter

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Large language models (LLMs) can suffer from hallucinations when generating text. These hallucinations impede various applications in society and industry by making LLMs untrustworthy. Current LLMs generate text in an autoregressive fashion by predicting and appending text tokens. When an LLM is uncertain about the semantic meaning of the next tokens to generate, it is likely to start hallucinating. Thus, it has been suggested that predictive uncertainty is one of the main causes of hallucinations. We introduce Semantically Diverse Language Generation (SDLG) to quantify predictive uncertainty in LLMs. SDLG steers the LLM to generate semantically diverse yet likely alternatives for an initially generated text. This approach provides a precise measure of aleatoric semantic uncertainty, detecting whether the initial text is likely to be hallucinated. Experiments on question-answering tasks demonstrate that SDLG consistently outperforms existing methods while being the most computationally efficient, setting a new standard for uncertainty estimation in LLMs.

Poster
Learning Generalizable Skills from Offline Multi-Task Data for Multi-Agent Cooperation

Sicong Liu, Yang Shu, Chenjuan Guo, Bin Yang

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Learning cooperative multi-agent policy from offline multi-task data that can generalize to unseen tasks with varying numbers of agents and targets is an attractive problem in many scenarios. Although aggregating general behavior patterns among multiple tasks as skills to improve policy transfer is a promising approach, two primary challenges hinder the further advancement of skill learning in offline multi-task MARL. Firstly, extracting general cooperative behaviors from various action sequences as common skills lacks bringing cooperative temporal knowledge into them. Secondly, existing works only involve common skills and can not adaptively choose independent knowledge as task-specific skills in each task for fine-grained action execution. To tackle these challenges, we propose Hierarchical and Separate Skill Discovery (HiSSD), a novel approach for generalizable offline multi-task MARL through skill learning. HiSSD leverages a hierarchical framework that jointly learns common and task-specific skills. The common skills learn cooperative temporal knowledge and enable in-sample exploitation for offline multi-task MARL. The task-specific skills represent the priors of each task and achieve a task-guided fine-grained action execution. To verify the advancement of our method, we conduct experiments on multi-agent MuJoCo and SMAC benchmarks. After training the policy using HiSSD on offline multi-task data, the empirical results show that HiSSD assigns effective cooperative behaviors and obtains superior performance in unseen tasks.

Poster
Certifying Counterfactual Bias in LLMs

Isha Chaudhary, Qian Hu, Manoj Kumar, Morteza Ziyadi, Rahul Gupta, Gagandeep Singh

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Large Language Models (LLMs) can produce biased responses that can cause representational harms. However, conventional studies are insufficient to thoroughly evaluate biases across LLM responses for different demographic groups (a.k.a. counterfactual bias), as they do not scale to large number of inputs and do not provide guarantees. Therefore, we propose the first framework, LLMCert-B that certifies LLMs for counterfactual bias on distributions of prompts. A certificate consists of high-confidence bounds on the probability of unbiased LLM responses for any set of counterfactual prompts - prompts differing by demographic groups, sampled from a distribution. We illustrate counterfactual bias certification for distributions of counterfactual prompts created by applying prefixes sampled from prefix distributions, to a given set of prompts. We consider prefix distributions consisting random token sequences, mixtures of manual jailbreaks, and perturbations of jailbreaks in LLM’s embedding space. We generate non-trivial certificates for SOTA LLMs, exposing their vulnerabilities over distributions of prompts generated from computationally inexpensive prefix distributions.

Poster
BingoGuard: LLM Content Moderation Tools with Risk Levels

Fan Yin, Philippe Laban, Xiangyu Peng, Yilun Zhou, Yixin Mao, Vaibhav Vats, Linnea Ross, Divyansh Agarwal, Caiming Xiong, Chien-Sheng Wu

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Malicious content generated by large language models (LLMs) can pose varying degrees of harm. Although existing LLM-based moderators can detect harmful content, they struggle to assess risk levels and may miss lower-risk outputs. Accurate risk assessment allows platforms with different safety thresholds to tailor content filtering and rejection. In this paper, we introduce per-topic severity rubrics for 11 harmful topics and build BingoGuard, an LLM-based moderation system designed to predict both binary safety labels and severity levels. To address the lack of annotations on levels of severity, we propose a scalable generate-then-filter framework that first generates responses across different severity levels and then filters out low-quality responses. Using this framework, we create BingoGuardTrain, a training dataset with 54,897 examples covering a variety of topics, response severity, styles, and BingoGuardTest, a test set with 988 examples explicitly labeled based on our severity rubrics that enables fine-grained analysis on model behaviors on different severity levels. Our BingoGuard-8B, trained on BingoGuardTrain, achieves the state-of-the-art performance on several moderation benchmarks, including WildGuardTest and HarmBench, as well as BingoGuardTest, outperforming best public models, WildGuard, by 4.3\%. Our analysis demonstrates that incorporating severity levels into training significantly enhances detection performance and enables the model to effectively gauge the severity of harmful responses. Warning: this paper includes red-teaming examples that may be harmful in nature.

Poster
Scale-Aware Contrastive Reverse Distillation for Unsupervised Medical Anomaly Detection

Chunlei Li, Yilei Shi, Jingliang Hu, Xiao Xiang Zhu, Lichao Mou

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Unsupervised anomaly detection using deep learning has garnered significant research attention due to its broad applicability, particularly in medical imaging where labeled anomalous data are scarce. While earlier approaches leverage generative models like autoencoders and generative adversarial networks (GANs), they often fall short due to overgeneralization. Recent methods explore various strategies, including memory banks, normalizing flows, self-supervised learning, and knowledge distillation, to enhance discrimination. Among these, knowledge distillation, particularly reverse distillation, has shown promise. Following this paradigm, we propose a novel scale-aware contrastive reverse distillation model that addresses two key limitations of existing reverse distillation methods: insufficient feature discriminability and inability to handle anomaly scale variations. Specifically, we introduce a contrastive student-teacher learning approach to derive more discriminative representations by generating and exploring out-of-normal distributions. Further, we design a scale adaptation mechanism to softly weight contrastive distillation losses at different scales to account for the scale variation issue. Extensive experiments on benchmark datasets demonstrate state-of-the-art performance, validating the efficacy of the proposed method. The code will be made publicly available.

Poster
World Model on Million-Length Video And Language With Blockwise RingAttention

Hao Liu, Wilson Yan, Matei Zaharia, Pieter Abbeel

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Enabling long-context understanding remains a key challenge in scaling existing sequence models -- a crucial component in developing generally intelligent models that can process and operate over long temporal horizons that potentially consist of millions of tokens. In this paper, we aim to address these challenges by providing a comprehensive exploration of the full development process for producing 1M context language models and video-language models, setting new benchmarks in language retrieval and new capabilities in long video understanding. We detail our long context data curation process, progressive context extension from 4K to 1M tokens, and present an efficient open-source implementation for scalable training on long sequences. Additionally, we open-source a family of 7B parameter models capable of processing long text documents and videos exceeding 1M tokens.

Poster
Efficient Online Reinforcement Learning Fine-Tuning Need Not Retain Offline Data

Zhiyuan Zhou, Andy Peng, Qiyang Li, Sergey Levine, Aviral Kumar

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The modern paradigm in machine learning involves pre-training on diverse data, followed by task-specific fine-tuning. In reinforcement learning (RL), this translates to learning via offline RL on a diverse historical dataset, followed by rapid online RL fine-tuning using interaction data. Most RL fine-tuning methods require continued training on offline data for stability and performance. However, this is undesirable because training on diverse offline data is slow and expensive for large datasets, and should, in principle, also limit the performance improvement possible because of constraints or pessimism on offline data. In this paper, we show that retaining offline data is unnecessary as long as we use a properly-designed online RL approach for fine-tuning offline RL initializations. To build this approach, we start by analyzing the role of retaining offline data in online fine-tuning. We find that continued training on offline data is mostly useful for preventing a sudden divergence in the value function at the onset of fine-tuning, caused by a distribution mismatch between the offline data and online rollouts. This divergence typically results in unlearning and forgetting the benefits of offline pre-training. Our approach, Warm-start RL (WSRL), mitigates the catastrophic forgetting of pre-trained initializations using a very simple idea. WSRL employs a warmup phase that seeds the online RL run with a very small number of rollouts from the pre-trained policy to do fast online RL. The data collected during warmup bridges the distribution mismatch, and helps ``recalibrate'' the offline Q-function to the online distribution, allowing us to completely discard offline data without destabilizing the online RL fine-tuning. We show that WSRL is able to fine-tune without retaining any offline data, and is able to learn faster and attains higher performance than existing algorithms irrespective of whether they do or do not retain offline data.

Poster
VL-Cache: Sparsity and Modality-Aware KV Cache Compression for Vision-Language Model Inference Acceleration

Dezhan Tu, Danylo Vashchilenko, Yuzhe Lu, Panpan Xu

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Vision-Language Models (VLMs) have demonstrated impressive performance across a versatile set of tasks. A key challenge in accelerating VLMs is storing and accessing the large Key-Value (KV) cache that encodes long visual contexts, such as images or videos. While existing KV cache compression methods are effective for Large Language Models (LLMs), directly migrating them to VLMs yields suboptimal accuracy and speedup. To bridge the gap, we propose VL-Cache, a novel KV cache compression recipe tailored for accelerating VLM inference. In this paper, we first investigate the unique sparsity pattern of VLM attention by distinguishing visual and text tokens in prefill and decoding phases. Based on these observations, we introduce a layer-adaptive sparsity-aware cache budget allocation method that effectively distributes the limited cache budget across different layers, further reducing KV cache size without compromising accuracy. Additionally, we develop a modality-aware token scoring policy to better evaluate the token importance. Empirical results on multiple benchmark datasets demonstrate that retaining only 10% of KV cache achieves accuracy comparable to that with full cache. In a speed benchmark, our method accelerates end-to-end latency of generating 100 tokens by up to 2.33x and speeds up decoding by up to 7.08x, while reducing the memory footprint of KV cache in GPU by 90%.

Poster
Guided Score identity Distillation for Data-Free One-Step Text-to-Image Generation

Mingyuan Zhou, Zhendong Wang, Huangjie Zheng, Hai Huang

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Diffusion-based text-to-image generation models trained on extensive text-image pairs have demonstrated the ability to produce photorealistic images aligned with textual descriptions. However, a significant limitation of these models is their slow sample generation process, which requires iterative refinement through the same network. To overcome this, we introduce a data-free guided distillation method that enables the efficient distillation of pretrained Stable Diffusion models without access to the real training data, often restricted due to legal, privacy, or cost concerns. This method enhances Score identity Distillation (SiD) with Long and Short Classifier-Free Guidance (LSG), an innovative strategy that applies Classifier-Free Guidance (CFG) not only to the evaluation of the pretrained diffusion model but also to the training and evaluation of the fake score network. We optimize a model-based explicit score matching loss using a score-identity-based approximation alongside our proposed guidance strategies for practical computation. By exclusively training with synthetic images generated by its one-step generator, our data-free distillation method rapidly improves FID and CLIP scores, achieving state-of-the-art FID performance while maintaining a competitive CLIP score. Notably, the one-step distillation of Stable Diffusion 1.5 achieves an FID of **8.15** on the COCO-2014 validation set, a record low value under the data-free setting. Our code and checkpoints are available at https://github.com/mingyuanzhou/SiD-LSG.

Poster
Towards Improving Exploration through Sibling Augmented GFlowNets

Kanika Madan, Alex Lamb, Emmanuel Bengio, Glen Berseth, Yoshua Bengio

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Exploration is a key factor for the success of an active learning agent, especially when dealing with sparse extrinsic terminal rewards and long trajectories. We introduce Sibling Augmented Generative Flow Networks (SA-GFN), a novel framework designed to enhance exploration and training efficiency of Generative Flow Networks (GFlowNets). SA-GFN uses a decoupled dual network architecture, comprising of a main Behavior Network and an exploratory Sibling Network, to enable a diverse exploration of the underlying distribution using intrinsic rewards. Inspired by the ideas on exploration from reinforcement learning, SA-GFN provides a general-purpose exploration and learning paradigm that integrates with multiple GFlowNet training objectives and is especially helpful for exploration over a wide range of sparse or low reward distributions and task structures. An extensive set of experiments across a diverse range of tasks, reward structures and trajectory lengths, along with a thorough set of ablations, demonstrate the superior performance of SA-GFN in terms of exploration efficacy and convergence speed as compared to the existing methods. In addition, SA-GFN's versatility and compatibility with different GFlowNet training objectives and intrinsic reward methods underscores its broad applicability in various problem domains.

Poster
Pareto Prompt Optimization

Guang Zhao, Byung-Jun Yoon, Gilchan Park, Shantenu Jha, Shinjae Yoo, Xiaoning Qian

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Natural language prompt optimization, or prompt engineering, has emerged as a powerful technique to unlock the potential of Large Language Models (LLMs) for various tasks. While existing methods primarily focus on maximizing a single task-specific performance metric for LLM outputs, real-world applications often require considering trade-offs between multiple objectives. In this work, we address this limitation by proposing an effective technique for multi-objective prompt optimization for LLMs. Specifically, we propose **ParetoPrompt**, a reinforcement learning~(RL) method that leverages dominance relationships between prompts to derive a policy model for prompts optimization using preference-based loss functions. By leveraging multi-objective dominance relationships, ParetoPrompt enables efficient exploration of the entire Pareto front without the need for a predefined scalarization of multiple objectives. Our experimental results show that ParetoPrompt consistently outperforms existing algorithms that use specific objective values. ParetoPrompt also yields robust performances when the objective metrics differ between training and testing.

Poster
ADAPT: Attentive Self-Distillation and Dual-Decoder Prediction Fusion for Continual Panoptic Segmentation

Ze Yang, Shichao Dong, Ruibo Li, Nan Song, Guosheng Lin

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Panoptic segmentation, which unifies semantic and instance segmentation into a single task, has witnessed considerable success on predefined tasks. However, traditional methods tend to struggle with catastrophic forgetting and poor generalization when learning from a continuous stream of new tasks. While continual learning aims to mitigate these challenges, our study reveals that existing continual panoptic segmentation (CPS) methods often suffer from efficiency or scalability issues. To address these limitations, we propose an efficient adaptation framework that incorporates attentive self-distillation and dual-decoder prediction fusion to efficiently preserve prior knowledge while facilitating model generalization. Specifically, we freeze the majority of model weights, enabling a shared forward pass between the teacher and student models during distillation. Attentive self-distillation then adaptively distills useful knowledge from the old classes without being distracted from non-object regions, which effectively enhances knowledge retention. Additionally, query-level fusion (QLF) is devised to seamlessly integrate the output of the dual decoders without incurring scale inconsistency. Our method achieves state-of-the-art performance on ADE20K and COCO benchmarks. Code is available at https://github.com/Ze-Yang/ADAPT.

Poster
LASER: A Neuro-Symbolic Framework for Learning Spatio-Temporal Scene Graphs with Weak Supervision

Jiani Huang, Ziyang Li, Mayur Naik, Ser-Nam Lim

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Supervised approaches for learning spatio-temporal scene graphs (STSG) from video are greatly hindered due to their reliance on STSG-annotated videos, which are labor-intensive to construct at scale. Is it feasible to instead use readily available video captions as weak supervision? To address this question, we propose LASER, a neuro-symbolic framework to enable training STSG generators using only video captions. LASER employs large language models to first extract logical specifications with rich spatio-temporal semantic information from video captions. LASER then trains the underlying STSG generator to align the predicted STSG with the specification. The alignment algorithm overcomes the challenges of weak supervision by leveraging a differentiable symbolic reasoner and using a combination of contrastive, temporal, and semantics losses. The overall approach efficiently trains low-level perception models to extract a fine-grained STSG that conforms to the video caption. In doing so, it enables a novel methodology for learning STSGs without tedious annotations. We evaluate our method on three video datasets: OpenPVSG, 20BN, and MUGEN. Our approach demonstrates substantial improvements over fully-supervised baselines, achieving a unary predicate prediction accuracy of 27.78% (+12.65%) and a binary recall@5 of 0.42 (+0.22) on OpenPVSG. Additionally, LASER exceeds baselines by 7% on 20BN and 5.2% on MUGEN in terms of overall predicate prediction accuracy.

Poster
Accelerating Inference of Retrieval-Augmented Generation via Sparse Context Selection

Yun Zhu, Jia-Chen Gu, Caitlin Sikora, Ho Ko, Yinxiao Liu, Chu-Cheng Lin, Lei Shu, Liangchen Luo, Lei Meng, Bang Liu, Jindong Chen

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Large language models (LLMs) augmented with retrieval exhibit robust performance and extensive versatility by incorporating external contexts. However, the input length grows linearly in the number of retrieved documents, causing a dramatic increase in latency. In this paper, we propose a novel paradigm named Sparse RAG, which seeks to cut computation costs through sparsity. Specifically, Sparse RAG encodes retrieved documents in parallel, which eliminates latency introduced by long-range attention of retrieved documents. Then, LLMs selectively decode the output by only attending to highly relevant caches auto-regressively, which are chosen via prompting LLMs with special control tokens. It is notable that Sparse RAG combines the assessment of each individual document and the generation of the response into a single process. The designed sparse mechanism in a RAG system can facilitate the reduction of the number of documents loaded during decoding for accelerating the inference of the RAG system. Additionally, filtering out undesirable contexts enhances the model’s focus on relevant context, inherently improving its generation quality. Evaluation results on four datasets show that Sparse RAG can be used to strike an optimal balance between generation quality and computational efficiency, demonstrating its generalizability across tasks.

Poster
BioDiscoveryAgent: An AI Agent for Designing Genetic Perturbation Experiments

Yusuf H Roohani, Andrew H. Lee, Qian Huang, Jian Vora, Zachary Steinhart, Kexin Huang, Alexander Marson, Percy Liang, Jure Leskovec

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Agents based on large language models have shown great potential in accelerating scientific discovery by leveraging their rich background knowledge and reasoning capabilities. In this paper, we introduce BioDiscoveryAgent, an agent that designs new experiments, reasons about their outcomes, and efficiently navigates the hypothesis space to reach desired solutions. We demonstrate our agent on the problem of designing genetic perturbation experiments, where the aim is to find a small subset out of many possible genes that, when perturbed, result in a specific phenotype (e.g., cell growth). Utilizing its biological knowledge, BioDiscoveryAgent can uniquely design new experiments without the need to train a machine learning model or explicitly design an acquisition function as in Bayesian optimization. Moreover, BioDiscoveryAgent using Claude 3.5 Sonnet achieves an average of 21% improvement in predicting relevant genetic perturbations across six datasets, and a 46% improvement in the harder task of non-essential gene perturbation, compared to existing Bayesian optimization baselines specifically trained for this task. Our evaluation includes one dataset that is unpublished, ensuring it is not part of the language model's training data. Additionally, BioDiscoveryAgent predicts gene combinations to perturb more than twice as accurately as a random baseline, a task so far not explored in the context of closed-loop experiment design. The agent also has access to tools for searching the biomedical literature, executing code to analyze biological datasets, and prompting another agent to critically evaluate its predictions. Overall, BioDiscoveryAgent is interpretable at every stage, representing an accessible new paradigm in the computational design of biological experiments with the potential to augment scientists' efficacy.

Poster
Energy-Weighted Flow Matching for Offline Reinforcement Learning

Shiyuan Zhang, Weitong ZHANG, Quanquan Gu

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This paper investigates energy guidance in generative modeling, where the target distribution is defined as $q(\mathbf x) \propto p(\mathbf x)\exp(-\beta \mathcal E(\mathbf x))$, with $p(\mathbf x)$ being the data distribution and $\mathcal E(\mathbf x)$ as the energy function. To comply with energy guidance, existing methods often require auxiliary procedures to learn intermediate guidance during the diffusion process. To overcome this limitation, we explore energy-guided flow matching, a generalized form of the diffusion process. We introduce energy-weighted flow matching (EFM), a method that directly learns the energy-guided flow without the need for auxiliary models. Theoretical analysis shows that energy-weighted flow matching accurately captures the guided flow. Additionally, we extend this methodology to energy-weighted diffusion models and apply it to offline reinforcement learning (RL) by proposing the Q-weighted Iterative Policy Optimization (QIPO). Empirically, we demonstrate that the proposed QIPO algorithm improves performance in offline RL tasks. Notably, our algorithm is the first energy-guided diffusion model that operates independently of auxiliary models and the first exact energy-guided flow matching model in the literature.

Poster
MediConfusion: Can you trust your AI radiologist? Probing the reliability of multimodal medical foundation models

Mohammad Shahab Sepehri, Zalan Fabian, Maryam Soltanolkotabi, Mahdi Soltanolkotabi

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Multimodal Large Language Models (MLLMs) have tremendous potential to improve the accuracy, availability, and cost-effectiveness of healthcare by providing automated solutions or serving as aids to medical professionals. Despite promising first steps in developing medical MLLMs in the past few years, their capabilities and limitations are not well understood. Recently, many benchmark datasets have been proposed that test the general medical knowledge of such models across a variety of medical areas. However, the systematic failure modes and vulnerabilities of such models are severely underexplored with most medical benchmarks failing to expose the shortcomings of existing models in this safety-critical domain. In this paper, we introduce MediConfusion, a challenging medical Visual Question Answering (VQA) benchmark dataset, that probes the failure modes of medical MLLMs from a vision perspective. We reveal that state-of-the-art models are easily confused by image pairs that are otherwise visually dissimilar and clearly distinct for medical experts. Strikingly, all available models (open-source or proprietary) achieve performance below random guessing on MediConfusion, raising serious concerns about the reliability of existing medical MLLMs for healthcare deployment. We also extract common patterns of model failure that may help the design of a new generation of more trustworthy and reliable MLLMs in healthcare.

Poster