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Jun 29

uMedSum: A Unified Framework for Advancing Medical Abstractive Summarization

Medical abstractive summarization faces the challenge of balancing faithfulness and informativeness. Current methods often sacrifice key information for faithfulness or introduce confabulations when prioritizing informativeness. While recent advancements in techniques like in-context learning (ICL) and fine-tuning have improved medical summarization, they often overlook crucial aspects such as faithfulness and informativeness without considering advanced methods like model reasoning and self-improvement. Moreover, the field lacks a unified benchmark, hindering systematic evaluation due to varied metrics and datasets. This paper addresses these gaps by presenting a comprehensive benchmark of six advanced abstractive summarization methods across three diverse datasets using five standardized metrics. Building on these findings, we propose uMedSum, a modular hybrid summarization framework that introduces novel approaches for sequential confabulation removal followed by key missing information addition, ensuring both faithfulness and informativeness. Our work improves upon previous GPT-4-based state-of-the-art (SOTA) medical summarization methods, significantly outperforming them in both quantitative metrics and qualitative domain expert evaluations. Notably, we achieve an average relative performance improvement of 11.8% in reference-free metrics over the previous SOTA. Doctors prefer uMedSum's summaries 6 times more than previous SOTA in difficult cases where there are chances of confabulations or missing information. These results highlight uMedSum's effectiveness and generalizability across various datasets and metrics, marking a significant advancement in medical summarization.

  • 9 authors
·
Aug 21, 2024

Addressing Pitfalls in the Evaluation of Uncertainty Estimation Methods for Natural Language Generation

Hallucinations are a common issue that undermine the reliability of large language models (LLMs). Recent studies have identified a specific subset of hallucinations, known as confabulations, which arise due to predictive uncertainty of LLMs. To detect confabulations, various methods for estimating predictive uncertainty in natural language generation (NLG) have been developed. These methods are typically evaluated by correlating uncertainty estimates with the correctness of generated text, with question-answering (QA) datasets serving as the standard benchmark. However, commonly used approximate correctness functions have substantial disagreement between each other and, consequently, in the ranking of the uncertainty estimation methods. This allows one to inflate the apparent performance of uncertainty estimation methods. We propose using several alternative risk indicators for risk correlation experiments that improve robustness of empirical assessment of UE algorithms for NLG. For QA tasks, we show that marginalizing over multiple LLM-as-a-judge variants leads to reducing the evaluation biases. Furthermore, we explore structured tasks as well as out of distribution and perturbation detection tasks which provide robust and controllable risk indicators. Finally, we propose to use an Elo rating of uncertainty estimation methods to give an objective summarization over extensive evaluation settings.

  • 4 authors
·
Oct 22, 2025