Daily Papers

As structured data are often insufficient, labels need to be extracted from free text in electronic health records when developing models for clinical information retrieval and decision support systems. One of the most important contextual properties in clinical text is negation, which indicates the absence of findings. We aimed to improve large scale extraction of labels by comparing three methods for negation detection in Dutch clinical notes. We used the Erasmus Medical Center Dutch Clinical Corpus to compare a rule-based method based on ContextD, a biLSTM model using MedCAT and (finetuned) RoBERTa-based models. We found that both the biLSTM and RoBERTa models consistently outperform the rule-based model in terms of F1 score, precision and recall. In addition, we systematically categorized the classification errors for each model, which can be used to further improve model performance in particular applications. Combining the three models naively was not beneficial in terms of performance. We conclude that the biLSTM and RoBERTa-based models in particular are highly accurate accurate in detecting clinical negations, but that ultimately all three approaches can be viable depending on the use case at hand.

Negation is a fundamental aspect of natural language, playing a critical role in communication and comprehension. Our study assesses the negation detection performance of Generative Pre-trained Transformer (GPT) models, specifically GPT-2, GPT-3, GPT-3.5, and GPT-4. We focus on the identification of negation in natural language using a zero-shot prediction approach applied to our custom xNot360 dataset. Our approach examines sentence pairs labeled to indicate whether the second sentence negates the first. Our findings expose a considerable performance disparity among the GPT models, with GPT-4 surpassing its counterparts and GPT-3.5 displaying a marked performance reduction. The overall proficiency of the GPT models in negation detection remains relatively modest, indicating that this task pushes the boundaries of their natural language understanding capabilities. We not only highlight the constraints of GPT models in handling negation but also emphasize the importance of logical reliability in high-stakes domains such as healthcare, science, and law.

Negation is an important characteristic of language, and a major component of information extraction from text. This subtask is of considerable importance to the biomedical domain. Over the years, multiple approaches have been explored to address this problem: Rule-based systems, Machine Learning classifiers, Conditional Random Field Models, CNNs and more recently BiLSTMs. In this paper, we look at applying Transfer Learning to this problem. First, we extensively review previous literature addressing Negation Detection and Scope Resolution across the 3 datasets that have gained popularity over the years: the BioScope Corpus, the Sherlock dataset, and the SFU Review Corpus. We then explore the decision choices involved with using BERT, a popular transfer learning model, for this task, and report state-of-the-art results for scope resolution across all 3 datasets. Our model, referred to as NegBERT, achieves a token level F1 score on scope resolution of 92.36 on the Sherlock dataset, 95.68 on the BioScope Abstracts subcorpus, 91.24 on the BioScope Full Papers subcorpus, 90.95 on the SFU Review Corpus, outperforming the previous state-of-the-art systems by a significant margin. We also analyze the model's generalizability to datasets on which it is not trained.

In this work, we measure the impact of affixal negation on modern English large language models (LLMs). In affixal negation, the negated meaning is expressed through a negative morpheme, which is potentially challenging for LLMs as their tokenizers are often not morphologically plausible. We conduct extensive experiments using LLMs with different subword tokenization methods, which lead to several insights on the interaction between tokenization performance and negation sensitivity. Despite some interesting mismatches between tokenization accuracy and negation detection performance, we show that models can, on the whole, reliably recognize the meaning of affixal negation.

We present ReXVQA, the largest and most comprehensive benchmark for visual question answering (VQA) in chest radiology, comprising approximately 696,000 questions paired with 160,000 chest X-rays studies across training, validation, and test sets. Unlike prior efforts that rely heavily on template based queries, ReXVQA introduces a diverse and clinically authentic task suite reflecting five core radiological reasoning skills: presence assessment, location analysis, negation detection, differential diagnosis, and geometric reasoning. We evaluate eight state-of-the-art multimodal large language models, including MedGemma-4B-it, Qwen2.5-VL, Janus-Pro-7B, and Eagle2-9B. The best-performing model (MedGemma) achieves 83.24% overall accuracy. To bridge the gap between AI performance and clinical expertise, we conducted a comprehensive human reader study involving 3 radiology residents on 200 randomly sampled cases. Our evaluation demonstrates that MedGemma achieved superior performance (83.84% accuracy) compared to human readers (best radiology resident: 77.27%), representing a significant milestone where AI performance exceeds expert human evaluation on chest X-ray interpretation. The reader study reveals distinct performance patterns between AI models and human experts, with strong inter-reader agreement among radiologists while showing more variable agreement patterns between human readers and AI models. ReXVQA establishes a new standard for evaluating generalist radiological AI systems, offering public leaderboards, fine-grained evaluation splits, structured explanations, and category-level breakdowns. This benchmark lays the foundation for next-generation AI systems capable of mimicking expert-level clinical reasoning beyond narrow pathology classification. Our dataset will be open-sourced at https://huggingface.co/datasets/rajpurkarlab/ReXVQA

State-of-the-art vision-language models (VLMs) suffer from a critical failure in understanding negation, often referred to as affirmative bias. This limitation is particularly severe in described object detection (DOD) tasks. To address this, we propose two primary contributions: (1) a new dataset pipeline and (2) a novel, lightweight adaptation recipe. First, we introduce CoVAND, a dataset constructed with a systematic chain-of-thought (CoT) and VQA-based pipeline to generate high-quality, instance-grounded negation data. Second, we propose NegToMe, a novel text token merging module that directly tackles the architectural cause of affirmative bias. NegToMe fundamentally addresses the structural loss of negation cues in tokenization, grouping them with attributes into coherent semantic phrases. It maintains correct polarity at the input level, enabling robust negation understanding even with limited data. For instance, to prevent a model from treating the fragmented tokens "not" and "girl" as simply "girl", NegToMe binds them into a single token whose meaning is correctly distinguished from that of "girl" alone. This module is integrated with a parameter-efficient and strategic LoRA fine-tuning approach. Our method significantly improves performance on challenging negation benchmarks with a lowered false positive rate, boosting NMS-AP by up to +10.8 points on OVDEval and demonstrating generalization to SoTA VLMs. This work marks a crucial step forward in addressing negation understanding for real-world detection applications.

Negation is a fundamental linguistic phenomenon that poses persistent challenges for Large Language Models (LLMs), particularly in tasks requiring deep semantic understanding. Existing benchmarks often treat negation as a side case within broader tasks like natural language inference, resulting in a lack of benchmarks that exclusively target negation understanding. In this work, we introduce Thunder-NUBench, a novel benchmark explicitly designed to assess sentence-level negation understanding in LLMs. Thunder-NUBench goes beyond surface-level cue detection by contrasting standard negation with structurally diverse alternatives such as local negation, contradiction, and paraphrase. The benchmark consists of manually curated sentence-negation pairs and a multiple-choice dataset that enables in-depth evaluation of models' negation understanding.

Out-of-distribution (OOD) detection refers to training the model on an in-distribution (ID) dataset to classify whether the input images come from unknown classes. Considerable effort has been invested in designing various OOD detection methods based on either convolutional neural networks or transformers. However, zero-shot OOD detection methods driven by CLIP, which only require class names for ID, have received less attention. This paper presents a novel method, namely CLIP saying no (CLIPN), which empowers the logic of saying no within CLIP. Our key motivation is to equip CLIP with the capability of distinguishing OOD and ID samples using positive-semantic prompts and negation-semantic prompts. Specifically, we design a novel learnable no prompt and a no text encoder to capture negation semantics within images. Subsequently, we introduce two loss functions: the image-text binary-opposite loss and the text semantic-opposite loss, which we use to teach CLIPN to associate images with no prompts, thereby enabling it to identify unknown samples. Furthermore, we propose two threshold-free inference algorithms to perform OOD detection by utilizing negation semantics from no prompts and the text encoder. Experimental results on 9 benchmark datasets (3 ID datasets and 6 OOD datasets) for the OOD detection task demonstrate that CLIPN, based on ViT-B-16, outperforms 7 well-used algorithms by at least 2.34% and 11.64% in terms of AUROC and FPR95 for zero-shot OOD detection on ImageNet-1K. Our CLIPN can serve as a solid foundation for effectively leveraging CLIP in downstream OOD tasks. The code is available on https://github.com/xmed-lab/CLIPN.