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Jan 7

Preference Fine-Tuning for Factuality in Chest X-Ray Interpretation Models Without Human Feedback

Radiologists play a crucial role by translating medical images into medical reports. However, the field faces staffing shortages and increasing workloads. While automated approaches using vision-language models (VLMs) show promise as assistants, they require exceptionally high accuracy. Most current VLMs in radiology rely solely on supervised fine-tuning (SFT). Meanwhile, in the general domain, additional preference fine-tuning has become standard practice. The challenge in radiology lies in the prohibitive cost of obtaining radiologist feedback. We propose a scalable automated preference alignment technique for VLMs in radiology, focusing on chest X-ray (CXR) report generation. Our method leverages publicly available datasets with an LLM-as-a-Judge mechanism, eliminating the need for additional expert radiologist feedback. We evaluate and benchmark five direct alignment algorithms (DAAs). Our results show up to a 57.4% improvement in average GREEN scores, a LLM-based metric for evaluating CXR reports, and a 9.2% increase in an average across six metrics (domain specific and general), compared to the SFT baseline. We study reward overoptimization via length exploitation, with reports lengthening by up to 3.2x. To assess a potential alignment tax, we benchmark on six additional diverse tasks, finding no significant degradations. A reader study involving four board-certified radiologists indicates win rates of up to 0.62 over the SFT baseline, while significantly penalizing verbosity. Our analysis provides actionable insights for the development of VLMs in high-stakes fields like radiology.

  • 11 authors
·
Oct 9, 2024

Puzzle Curriculum GRPO for Vision-Centric Reasoning

Recent reinforcement learning (RL) approaches like outcome-supervised GRPO have advanced chain-of-thought reasoning in Vision Language Models (VLMs), yet key issues linger: (i) reliance on costly and noisy hand-curated annotations or external verifiers; (ii) flat and sparse reward schemes in GRPO; and (iii) logical inconsistency between a chain's reasoning and its final answer. We present Puzzle Curriculum GRPO (PC-GRPO), a supervision-free recipe for RL with Verifiable Rewards (RLVR) that strengthens visual reasoning in VLMs without annotations or external verifiers. PC-GRPO replaces labels with three self-supervised puzzle environments: PatchFit, Rotation (with binary rewards) and Jigsaw (with graded partial credit mitigating reward sparsity). To counter flat rewards and vanishing group-relative advantages, we introduce a difficulty-aware curriculum that dynamically weights samples and peaks at medium difficulty. We further monitor Reasoning-Answer Consistency (RAC) during post-training: mirroring reports for vanilla GRPO in LLMs, RAC typically rises early then degrades; our curriculum delays this decline, and consistency-enforcing reward schemes further boost RAC. RAC correlates with downstream accuracy. Across diverse benchmarks and on Qwen-7B and Qwen-3B backbones, PC-GRPO improves reasoning quality, training stability, and end-task accuracy, offering a practical path to scalable, verifiable, and interpretable RL post-training for VLMs.

SamsungResearch Samsung Research
·
Dec 16, 2025 2

Secrets of RLHF in Large Language Models Part I: PPO

Large language models (LLMs) have formulated a blueprint for the advancement of artificial general intelligence. Its primary objective is to function as a human-centric (helpful, honest, and harmless) assistant. Alignment with humans assumes paramount significance, and reinforcement learning with human feedback (RLHF) emerges as the pivotal technological paradigm underpinning this pursuit. Current technical routes usually include reward models to measure human preferences, Proximal Policy Optimization (PPO) to optimize policy model outputs, and process supervision to improve step-by-step reasoning capabilities. However, due to the challenges of reward design, environment interaction, and agent training, coupled with huge trial and error cost of large language models, there is a significant barrier for AI researchers to motivate the development of technical alignment and safe landing of LLMs. The stable training of RLHF has still been a puzzle. In the first report, we dissect the framework of RLHF, re-evaluate the inner workings of PPO, and explore how the parts comprising PPO algorithms impact policy agent training. We identify policy constraints being the key factor for the effective implementation of the PPO algorithm. Therefore, we explore the PPO-max, an advanced version of PPO algorithm, to efficiently improve the training stability of the policy model. Based on our main results, we perform a comprehensive analysis of RLHF abilities compared with SFT models and ChatGPT. The absence of open-source implementations has posed significant challenges to the investigation of LLMs alignment. Therefore, we are eager to release technical reports, reward models and PPO codes

  • 27 authors
·
Jul 10, 2023 1