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Sep 2

TransICD: Transformer Based Code-wise Attention Model for Explainable ICD Coding

International Classification of Disease (ICD) coding procedure which refers to tagging medical notes with diagnosis codes has been shown to be effective and crucial to the billing system in medical sector. Currently, ICD codes are assigned to a clinical note manually which is likely to cause many errors. Moreover, training skilled coders also requires time and human resources. Therefore, automating the ICD code determination process is an important task. With the advancement of artificial intelligence theory and computational hardware, machine learning approach has emerged as a suitable solution to automate this process. In this project, we apply a transformer-based architecture to capture the interdependence among the tokens of a document and then use a code-wise attention mechanism to learn code-specific representations of the entire document. Finally, they are fed to separate dense layers for corresponding code prediction. Furthermore, to handle the imbalance in the code frequency of clinical datasets, we employ a label distribution aware margin (LDAM) loss function. The experimental results on the MIMIC-III dataset show that our proposed model outperforms other baselines by a significant margin. In particular, our best setting achieves a micro-AUC score of 0.923 compared to 0.868 of bidirectional recurrent neural networks. We also show that by using the code-wise attention mechanism, the model can provide more insights about its prediction, and thus it can support clinicians to make reliable decisions. Our code is available online (https://github.com/biplob1ly/TransICD)

  • 3 authors
·
Mar 28, 2021

Radiology Report Generation with Layer-Wise Anatomical Attention

Automatic radiology report generation is a promising application of multimodal deep learning, aiming to reduce reporting workload and improve consistency. However, current state-of-the-art (SOTA) systems - such as Multimodal AI for Radiology Applications (MAIRA-2) and Medical Pathways Language Model-Multimodal (MedPaLM-M) - depend on large-scale multimodal training, clinical metadata, and multiple imaging views, making them resource-intensive and inaccessible for most settings. We introduce a compact image-to-text architecture that generates the Findings section of chest X-ray reports from a single frontal image. The model combines a frozen Self-Distillation with No Labels v3 (DINOv3) Vision Transformer (ViT) encoder with a Generative Pre-trained Transformer 2 (GPT-2) decoder enhanced by layer-wise anatomical attention. This mechanism integrates lung and heart segmentation masks through hierarchical Gaussian smoothing, biasing attention toward clinically relevant regions without adding trainable parameters. Evaluated on the official Medical Information Mart for Intensive Care-Chest X-ray (MIMIC-CXR) dataset using Chest Radiograph Expert (CheXpert) and Radiology Graph (RadGraph) metrics, our approach achieved substantial gains: CheXpert Macro-F1 for five key pathologies increased by 168% (0.083 -> 0.238) and Micro-F1 by 146% (0.137 -> 0.337), while broader performance across 14 observations improved by 86% (0.170 -> 0.316). Structural coherence also improved, with RadGraph F1 rising by 9.7%. Despite its small size and purely image-conditioned design, the model demonstrates that decoder-level anatomical guidance improves spatial grounding and enhances coherence in clinically relevant regions. The source code is publicly available at: https://github.com/devMuniz02/UDEM-CXR-Reporting-Thesis-2025.

  • 6 authors
·
Dec 18, 2025

KeNet:Knowledge-enhanced Doc-Label Attention Network for Multi-label text classification

Multi-Label Text Classification (MLTC) is a fundamental task in the field of Natural Language Processing (NLP) that involves the assignment of multiple labels to a given text. MLTC has gained significant importance and has been widely applied in various domains such as topic recognition, recommendation systems, sentiment analysis, and information retrieval. However, traditional machine learning and Deep neural network have not yet addressed certain issues, such as the fact that some documents are brief but have a large number of labels and how to establish relationships between the labels. It is imperative to additionally acknowledge that the significance of knowledge is substantiated in the realm of MLTC. To address this issue, we provide a novel approach known as Knowledge-enhanced Doc-Label Attention Network (KeNet). Specifically, we design an Attention Network that incorporates external knowledge, label embedding, and a comprehensive attention mechanism. In contrast to conventional methods, we use comprehensive representation of documents, knowledge and labels to predict all labels for each single text. Our approach has been validated by comprehensive research conducted on three multi-label datasets. Experimental results demonstrate that our method outperforms state-of-the-art MLTC method. Additionally, a case study is undertaken to illustrate the practical implementation of KeNet.

  • 3 authors
·
Mar 4, 2024

Box2Mask: Box-supervised Instance Segmentation via Level-set Evolution

In contrast to fully supervised methods using pixel-wise mask labels, box-supervised instance segmentation takes advantage of simple box annotations, which has recently attracted increasing research attention. This paper presents a novel single-shot instance segmentation approach, namely Box2Mask, which integrates the classical level-set evolution model into deep neural network learning to achieve accurate mask prediction with only bounding box supervision. Specifically, both the input image and its deep features are employed to evolve the level-set curves implicitly, and a local consistency module based on a pixel affinity kernel is used to mine the local context and spatial relations. Two types of single-stage frameworks, i.e., CNN-based and transformer-based frameworks, are developed to empower the level-set evolution for box-supervised instance segmentation, and each framework consists of three essential components: instance-aware decoder, box-level matching assignment and level-set evolution. By minimizing the level-set energy function, the mask map of each instance can be iteratively optimized within its bounding box annotation. The experimental results on five challenging testbeds, covering general scenes, remote sensing, medical and scene text images, demonstrate the outstanding performance of our proposed Box2Mask approach for box-supervised instance segmentation. In particular, with the Swin-Transformer large backbone, our Box2Mask obtains 42.4% mask AP on COCO, which is on par with the recently developed fully mask-supervised methods. The code is available at: https://github.com/LiWentomng/boxlevelset.

  • 7 authors
·
Dec 2, 2022

PosIR: Position-Aware Heterogeneous Information Retrieval Benchmark

While dense retrieval models have achieved remarkable success, rigorous evaluation of their sensitivity to the position of relevant information (i.e., position bias) remains largely unexplored. Existing benchmarks typically employ position-agnostic relevance labels, conflating the challenge of processing long contexts with the bias against specific evidence locations. To address this challenge, we introduce PosIR (Position-Aware Information Retrieval), a comprehensive benchmark designed to diagnose position bias in diverse retrieval scenarios. PosIR comprises 310 datasets spanning 10 languages and 31 domains, constructed through a rigorous pipeline that ties relevance to precise reference spans, enabling the strict disentanglement of document length from information position. Extensive experiments with 10 state-of-the-art embedding models reveal that: (1) Performance on PosIR in long-context settings correlates poorly with the MMTEB benchmark, exposing limitations in current short-text benchmarks; (2) Position bias is pervasive and intensifies with document length, with most models exhibiting primacy bias while certain models show unexpected recency bias; (3) Gradient-based saliency analysis further uncovers the distinct internal attention mechanisms driving these positional preferences. In summary, PosIR serves as a valuable diagnostic framework to foster the development of position-robust retrieval systems.

  • 6 authors
·
Jan 13

Unveiling and Harnessing Hidden Attention Sinks: Enhancing Large Language Models without Training through Attention Calibration

Attention is a fundamental component behind the remarkable achievements of large language models (LLMs). However, our current understanding of the attention mechanism, especially regarding how attention distributions are established, remains limited. Inspired by recent studies that explore the presence of attention sink in the initial token, which receives disproportionately large attention scores despite their lack of semantic importance, this work delves deeper into this phenomenon. We aim to provide a more profound understanding of the existence of attention sinks within LLMs and to uncover ways to enhance the achievable accuracy of LLMs by directly optimizing the attention distributions, without the need for weight finetuning. Specifically, this work begins with comprehensive visualizations of the attention distributions in LLMs during inference across various inputs and tasks. Based on these visualizations, to the best of our knowledge, we are the first to discover that (1) attention sinks occur not only at the start of sequences but also within later tokens of the input, and (2) not all attention sinks have a positive impact on the achievable accuracy of LLMs. Building upon our findings, we propose a training-free Attention Calibration Technique (ACT) that automatically optimizes the attention distributions on the fly during inference in an input-adaptive manner. Extensive experiments validate that ACT consistently enhances the accuracy of various LLMs across different applications. Specifically, ACT achieves an average improvement of up to 7.30% in accuracy across different datasets when applied to Llama-30B. Our code is available at https://github.com/GATECH-EIC/ACT.

  • 6 authors
·
Jun 22, 2024

OAT: Object-Level Attention Transformer for Gaze Scanpath Prediction

Visual search is important in our daily life. The efficient allocation of visual attention is critical to effectively complete visual search tasks. Prior research has predominantly modelled the spatial allocation of visual attention in images at the pixel level, e.g. using a saliency map. However, emerging evidence shows that visual attention is guided by objects rather than pixel intensities. This paper introduces the Object-level Attention Transformer (OAT), which predicts human scanpaths as they search for a target object within a cluttered scene of distractors. OAT uses an encoder-decoder architecture. The encoder captures information about the position and appearance of the objects within an image and about the target. The decoder predicts the gaze scanpath as a sequence of object fixations, by integrating output features from both the encoder and decoder. We also propose a new positional encoding that better reflects spatial relationships between objects. We evaluated OAT on the Amazon book cover dataset and a new dataset for visual search that we collected. OAT's predicted gaze scanpaths align more closely with human gaze patterns, compared to predictions by algorithms based on spatial attention on both established metrics and a novel behavioural-based metric. Our results demonstrate the generalization ability of OAT, as it accurately predicts human scanpaths for unseen layouts and target objects.

  • 5 authors
·
Jul 18, 2024

Deconstructing Attention: Investigating Design Principles for Effective Language Modeling

The success of Transformer language models is widely credited to their dot-product attention mechanism, which interweaves a set of key design principles: mixing information across positions (enabling multi-token interactions), sequence-dependent activations (where attention weights adapt to each input), a specific mathematical form (dot-product similarities plus softmax weighting), and coupling of queries and keys to evolving hidden states (grounding attention in the current layer). However, the necessity of each of these principles remains largely untested. In this work, we systematically deconstruct attention by designing controlled variants that selectively relax these principles, applied both uniformly across all layers and in hybrid architectures where only some layers retain standard attention. Our empirical analysis reveals that mechanisms for mixing tokens are indispensable, as their absence collapses models to near-random behavior, while the exact mathematical form and sequence dependency can be substantially relaxed, especially when preserved in just a subset of layers. Surprisingly, even variants that fail in isolation can achieve robust performance when interleaved with standard attention, highlighting a cooperative effect. These findings deepen our understanding of what truly underpins attention's effectiveness and open new avenues for simplifying language models without sacrificing performance.

  • 3 authors
·
Oct 13, 2025 2

Attending to Multimodal Generation One Token at a Time

Multimodal large language models (MLLMs) generate responses autoregressively, integrating visual and linguistic information in an evolving context. Prior work on interpretability has focused on individual layers and circuits (where), leaving the token-level dynamics of multimodal computation during generation (when) underexplored. We address this gap and study attention shifts as per semantic role; tracking model attention to image, text, instruction, and previously generated tokens, One Token at a Time (OTaT). We introduce multimodal tasks that require explicit switching between visual and textual context within a single response. Across two mainstream model families and four open-weight MLLMs of varying sizes, we establish consistent patterns: attention to image peaks at tokens requiring image-derived information, instruction tokens are revisited during task transitions, and attention to previously generated tokens increases as the generation progresses. Causal attention blocking interventions validate the functional role of these trends. We profile model behavior under disrupted attention and observe responses falling back to language priors, or exhibiting cross-modal leakage, denial, or recovery. Finally, informed of the attention dynamics through our novel analysis, we propose a simple test-time intervention to boost attention to the relevant modality at the right time, significantly improving multimodal task performance.

Attention Illuminates LLM Reasoning: The Preplan-and-Anchor Rhythm Enables Fine-Grained Policy Optimization

The reasoning pattern of Large language models (LLMs) remains opaque, and Reinforcement learning (RL) typically applies uniform credit across an entire generation, blurring the distinction between pivotal and routine steps. This work positions attention as a privileged substrate that renders the internal logic of LLMs legible, not merely as a byproduct of computation, but as a mechanistic blueprint of reasoning itself. We first distinguish attention heads between locally and globally focused information processing and reveal that locally focused heads produce a sawtooth pattern near the diagonal indicating phrasal chunks, while globally focused heads expose tokens that exert broad downstream influence over future tokens. We formalize these with two metrics: 1) Windowed Average Attention Distance, which measures the extent of backward attention within a clipped window; 2) Future Attention Influence, which quantifies a token's global importance as the average attention it receives from subsequent tokens. Taken together, these signals reveal a recurring preplan-and-anchor mechanism, where the model first performs a long-range contextual reference to generate an introductory token, which is immediately followed by or coincides with a semantic anchor token that organizes subsequent reasoning. Leveraging these insights, we introduce three novel RL strategies that dynamically perform targeted credit assignment to critical nodes (preplan tokens, anchor tokens, and their temporal coupling) and show consistent performance gains across various reasoning tasks. By aligning optimization with the model's intrinsic reasoning rhythm, we aim to transform opaque optimization into an actionable structure-aware process, hoping to offer a potential step toward more transparent and effective optimization of LLM reasoning.

alibabagroup alibaba
·
Oct 15, 2025 2

CrossTune: Black-Box Few-Shot Classification with Label Enhancement

Training or finetuning large-scale language models (LLMs) requires substantial computation resources, motivating recent efforts to explore parameter-efficient adaptation to downstream tasks. One approach is to treat these models as black boxes and use forward passes (Inference APIs) to interact with them. Current research focuses on adapting these black-box models to downstream tasks using gradient-free prompt optimization, but this often involves an expensive process of searching task-specific prompts. Therefore, we are motivated to study black-box language model adaptation without prompt search. Specifically, we introduce a label-enhanced cross-attention network called CrossTune, which models the semantic relatedness between the input text sequence and task-specific label descriptions. Its effectiveness is examined in the context of few-shot text classification. To improve the generalization of CrossTune, we utilize ChatGPT to generate additional training data through in-context learning. A switch mechanism is implemented to exclude low-quality ChatGPT-generated data. Through extensive experiments on seven benchmark text classification datasets, we demonstrate that our proposed approach outperforms the previous state-of-the-art gradient-free black-box tuning method by 5.7% on average. Even without using ChatGPT-augmented data, CrossTune performs better or comparably than previous black-box tuning methods, suggesting the effectiveness of our approach.

  • 4 authors
·
Mar 19, 2024 2

Attention, Please! Revisiting Attentive Probing Through the Lens of Efficiency

As fine-tuning becomes impractical at scale, probing is emerging as the preferred evaluation protocol. However, standard linear probing can understate the capability of models whose pre-training optimizes local representations rather than an explicit global representation. This motivates attentive probing, an alternative that uses attention to selectively aggregate patch-level features. Despite growing adoption, attentive probing is still underexplored: existing approaches are often over-parameterized and computationally inefficient. In this work, we revisit attentive probing through the lens of the accuracy vs. parameter-efficiency trade-off. We present the first comprehensive study of existing methods, analyzing their design choices and benchmarking their performance. Building on these insights, we propose efficient probing (EP), a lightweight yet effective multi-query cross-attention mechanism that eliminates redundant projections and reduces the number of trainable parameters. Across multiple benchmarks and pre-training paradigms, EP consistently outperforms linear probing and previous attentive probing methods, and remains effective when combined with parameter-efficient fine-tuning. Beyond evaluation, our analysis uncovers emerging properties of EP, including complementary attention maps, which open new directions for leveraging probing beyond protocol design. Project page: https://vrg.fel.cvut.cz/ep/.

TALENT: Target-aware Efficient Tuning for Referring Image Segmentation

Referring image segmentation aims to segment specific targets based on a natural text expression. Recently, parameter-efficient tuning (PET) has emerged as a promising paradigm. However, existing PET-based methods often suffer from the fact that visual features can't emphasize the text-referred target instance but activate co-category yet unrelated objects. We analyze and quantify this problem, terming it the `non-target activation' (NTA) issue. To address this, we propose a novel framework, TALENT, which utilizes target-aware efficient tuning for PET-based RIS. Specifically, we first propose a Rectified Cost Aggregator (RCA) to efficiently aggregate text-referred features. Then, to calibrate `NTA' into accurate target activation, we adopt a Target-aware Learning Mechanism (TLM), including contextual pairwise consistency learning and target-centric contrastive learning. The former uses the sentence-level text feature to achieve a holistic understanding of the referent and constructs a text-referred affinity map to optimize the semantic association of visual features. The latter further enhances target localization to discover the distinct instance while suppressing associations with other unrelated ones. The two objectives work in concert and address `NTA' effectively. Extensive evaluations show that TALENT outperforms existing methods across various metrics (e.g., 2.5\% mIoU gains on G-Ref val set). Our codes will be released at: https://github.com/Kimsure/TALENT.

  • 6 authors
·
Mar 31

On the Existence and Behaviour of Secondary Attention Sinks

Attention sinks are tokens, often the beginning-of-sequence (BOS) token, that receive disproportionately high attention despite limited semantic relevance. In this work, we identify a class of attention sinks, which we term secondary sinks, that differ fundamentally from the sinks studied in prior works, which we term primary sinks. While prior works have identified that tokens other than BOS can sometimes become sinks, they were found to exhibit properties analogous to the BOS token. Specifically, they emerge at the same layer, persist throughout the network and draw a large amount of attention mass. Whereas, we find the existence of secondary sinks that arise primarily in middle layers and can persist for a variable number of layers, and draw a smaller, but still significant, amount of attention mass. Through extensive experiments across 11 model families, we analyze where these secondary sinks appear, their properties, how they are formed, and their impact on the attention mechanism. Specifically, we show that: (1) these sinks are formed by specific middle-layer MLP modules; these MLPs map token representations to vectors that align with the direction of the primary sink of that layer. (2) The ell_2-norm of these vectors determines the sink score of the secondary sink, and also the number of layers it lasts for, thereby leading to different impacts on the attention mechanisms accordingly. (3) The primary sink weakens in middle layers, coinciding with the emergence of secondary sinks. We observe that in larger-scale models, the location and lifetime of the sinks, together referred to as sink levels, appear in a more deterministic and frequent manner. Specifically, we identify three sink levels in QwQ-32B and six levels in Qwen3-14B.

  • 6 authors
·
Dec 22, 2025

FocuSFT: Bilevel Optimization for Dilution-Aware Long-Context Fine-Tuning

Large language models can now process increasingly long inputs, yet their ability to effectively use information spread across long contexts remains limited. We trace this gap to how attention budget is spent during supervised fine-tuning (SFT) on long sequences: positional biases and attention sinks cause the model to allocate most of its attention to positionally privileged tokens rather than semantically relevant content. This training-time attention dilution (the starvation of content tokens in the attention distribution) weakens the gradient signal, limiting the model's ability to learn robust long-context capabilities. We introduce FocuSFT, a bilevel optimization framework that addresses this problem at training time. An inner loop adapts lightweight fast-weight parameters on the training context to form a parametric memory that concentrates attention on relevant content, and the outer loop performs SFT conditioned on this sharpened representation. Both loops apply bidirectional attention over context tokens while preserving causal masking for responses, reducing the causal asymmetry that gives rise to attention sinks and aligning inner-outer behavior. On BABILong, FocuSFT improves accuracy by up to +14pp across 4K--32K context lengths; on RULER, it raises CWE aggregation from 72.9\% to 81.1\% at 16K; and on GPQA with agentic tool use, it yields a 24\% relative gain in pass@1. Attention analysis shows that FocuSFT reduces attention sink mass by 529times and triples context engagement during training. Code: https://github.com/JarvisPei/FocuSFT

  • 6 authors
·
May 10 1

Circuit Component Reuse Across Tasks in Transformer Language Models

Recent work in mechanistic interpretability has shown that behaviors in language models can be successfully reverse-engineered through circuit analysis. A common criticism, however, is that each circuit is task-specific, and thus such analysis cannot contribute to understanding the models at a higher level. In this work, we present evidence that insights (both low-level findings about specific heads and higher-level findings about general algorithms) can indeed generalize across tasks. Specifically, we study the circuit discovered in Wang et al. (2022) for the Indirect Object Identification (IOI) task and 1.) show that it reproduces on a larger GPT2 model, and 2.) that it is mostly reused to solve a seemingly different task: Colored Objects (Ippolito & Callison-Burch, 2023). We provide evidence that the process underlying both tasks is functionally very similar, and contains about a 78% overlap in in-circuit attention heads. We further present a proof-of-concept intervention experiment, in which we adjust four attention heads in middle layers in order to 'repair' the Colored Objects circuit and make it behave like the IOI circuit. In doing so, we boost accuracy from 49.6% to 93.7% on the Colored Objects task and explain most sources of error. The intervention affects downstream attention heads in specific ways predicted by their interactions in the IOI circuit, indicating that this subcircuit behavior is invariant to the different task inputs. Overall, our results provide evidence that it may yet be possible to explain large language models' behavior in terms of a relatively small number of interpretable task-general algorithmic building blocks and computational components.

  • 3 authors
·
Oct 12, 2023

Language Models Are Capable of Metacognitive Monitoring and Control of Their Internal Activations

Large language models (LLMs) can sometimes report the strategies they actually use to solve tasks, but they can also fail to do so. This suggests some degree of metacognition -- the capacity to monitor one's own cognitive processes for subsequent reporting and self-control. Metacognitive abilities enhance AI capabilities but raise safety concerns, as models might obscure their internal processes to evade neural-activation-based oversight mechanisms designed to detect harmful behaviors. Given society's increased reliance on these models, it is critical that we understand the limits of their metacognitive abilities, particularly their ability to monitor their internal activations. To address this, we introduce a neuroscience-inspired neurofeedback paradigm designed to quantify the ability of LLMs to explicitly report and control their activation patterns. By presenting models with sentence-label pairs where labels correspond to sentence-elicited internal activations along specific directions in the neural representation space, we demonstrate that LLMs can learn to report and control these activations. The performance varies with several factors: the number of example pairs provided, the semantic interpretability of the target neural direction, and the variance explained by that direction. These results reveal a "metacognitive space" with dimensionality much lower than the model's neural space, suggesting LLMs can monitor only a subset of their neural mechanisms. Our findings provide empirical evidence quantifying metacognitive capabilities in LLMs, with significant implications for AI safety.

  • 5 authors
·
May 19, 2025