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BACKGROUND: The emergence of Artificial Intelligence (AI), particularly Chat Generative Pre-Trained Transformer (ChatGPT), a Large Language Model (LLM), in healthcare promises to reshape patient care, clinical decision-making, and medical education. This review aims to synthesise research findings to consolidate the implications of ChatGPT integration in healthcare and identify research gaps.

MAIN BODY: The umbrella review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The Cochrane Library, PubMed, Scopus, Web of Science, and Google Scholar were searched from inception until February 2024. Due to the heterogeneity of the included studies, no quantitative analysis was performed. Instead, information was extracted, summarised, synthesised, and presented in a narrative form. Two reviewers undertook title, abstract, and full text screening independently. The methodological quality and overall rating of the included reviews were assessed using the A Measurement Tool to Assess systematic Reviews (AMSTAR-2) checklist. The review examined 17 studies, comprising 15 systematic reviews and 2 meta-analyses, on ChatGPT in healthcare, revealing diverse focuses. The AMSTAR-2 assessment identified 5 moderate and 12 low-quality reviews, with deficiencies like study design justification and funding source reporting. The most reported theme that emerged was ChatGPT's use in disease diagnosis or clinical decision-making. While 82.4% of studies focused on its general usage, 17.6% explored unique topics like its role in medical examinations and conducting systematic reviews. Among these, 52.9% targeted general healthcare, with 41.2% focusing on specific domains like radiology, neurosurgery, gastroenterology, public health dentistry, and ophthalmology. ChatGPT's use for manuscript review or writing was mentioned in 17.6% of reviews. Promising applications include enhancing patient care and clinical decision-making, though ethical, legal, and accuracy concerns require cautious integration.

CONCLUSION: We summarise the identified areas in reviews regarding ChatGPT's transformative impact in healthcare, highlighting patient care, decision-making, and medical education. Emphasising the importance of ethical regulations and the involvement of policymakers, we urge further investigation to ensure the reliability of ChatGPT and to promote trust in healthcare and research.

BACKGROUND: Large Language Models (LLMs), advanced AI tools based on transformer architectures, demonstrate significant potential in clinical medicine by enhancing decision support, diagnostics, and medical education. However, their integration into clinical workflows requires rigorous evaluation to ensure reliability, safety, and ethical alignment.

OBJECTIVE: This systematic review examines the evaluation parameters and methodologies applied to LLMs in clinical medicine, highlighting their capabilities, limitations, and application trends.

METHODS: A comprehensive review of the literature was conducted across PubMed, Scopus, Web of Science, IEEE Xplore, and arXiv databases, encompassing both peer-reviewed and preprint studies. Studies were screened against predefined inclusion and exclusion criteria to identify original research evaluating LLM performance in medical contexts.

RESULTS: The results reveal a growing interest in leveraging LLM tools in clinical settings, with 761 studies meeting the inclusion criteria. While general-domain LLMs, particularly ChatGPT and GPT-4, dominated evaluations (93.55%), medical-domain LLMs accounted for only 6.45%. Accuracy emerged as the most commonly assessed parameter (21.78%). Despite these advancements, the evidence base highlights certain limitations and biases across the included studies, emphasizing the need for careful interpretation and robust evaluation frameworks.

CONCLUSIONS: The exponential growth in LLM research underscores their transformative potential in healthcare. However, addressing challenges such as ethical risks, evaluation variability, and underrepresentation of critical specialties will be essential. Future efforts should prioritize standardized frameworks to ensure safe, effective, and equitable LLM integration in clinical practice.

BACKGROUND AND OBJECTIVES: Machine learning promises versatile help in the creation of systematic reviews (SRs). Recently, further developments in the form of large language models (LLMs) and their application in SR conduct attracted attention. We aimed at providing an overview of LLM applications in SR conduct in health research.

METHODS: We systematically searched MEDLINE, Web of Science, IEEEXplore, ACM Digital Library, Europe PMC (preprints), Google Scholar, and conducted an additional hand search (last search: February 26, 2024). We included scientific articles in English or German, published from April 2021 onwards, building upon the results of a mapping review that has not yet identified LLM applications to support SRs. Two reviewers independently screened studies for eligibility; after piloting, 1 reviewer extracted data, checked by another.

RESULTS: Our database search yielded 8054 hits, and we identified 33 articles from our hand search. We finally included 37 articles on LLM support. LLM approaches covered 10 of 13 defined SR steps, most frequently literature search (n = 15, 41%), study selection (n = 14, 38%), and data extraction (n = 11, 30%). The mostly recurring LLM was Generative Pretrained Transformer (GPT) (n = 33, 89%). Validation studies were predominant (n = 21, 57%). In half of the studies, authors evaluated LLM use as promising (n = 20, 54%), one-quarter as neutral (n = 9, 24%) and one-fifth as nonpromising (n = 8, 22%).

CONCLUSION: Although LLMs show promise in supporting SR creation, fully established or validated applications are often lacking. The rapid increase in research on LLMs for evidence synthesis production highlights their growing relevance.

PLAIN LANGUAGE SUMMARY: Systematic reviews are a crucial tool in health research where experts carefully collect and analyze all available evidence on a specific research question. Creating these reviews is typically time- and resource-intensive, often taking months or even years to complete, as researchers must thoroughly search, evaluate, and synthesize an immense number of scientific studies. For the present article, we conducted a review to understand how new artificial intelligence (AI) tools, specifically large language models (LLMs) like Generative Pretrained Transformer (GPT), can be used to help create systematic reviews in health research. We searched multiple scientific databases and finally found 37 relevant articles. We found that LLMs have been tested to help with various parts of the systematic review process, particularly in 3 main areas: searching scientific literature (41% of studies), selecting relevant studies (38%), and extracting important information from these studies (30%). GPT was the most commonly used LLM, appearing in 89% of the studies. Most of the research (57%) focused on testing whether these AI tools actually work as intended in this context of systematic review production. The results were mixed: about half of the studies found LLMs promising, a quarter were neutral, and one-fifth found them not promising. While LLMs show potential for making the systematic review process more efficient, there is still a lack of fully tested and validated applications. However, the increasing number of studies in this field suggests that these AI tools are becoming increasingly important in creating systematic reviews.

BACKGROUND: Artificial intelligence (AI), more specifically large language models (LLMs), holds significant potential in revolutionizing emergency care delivery by optimizing clinical workflows and enhancing the quality of decision-making. Although enthusiasm for integrating LLMs into emergency medicine (EM) is growing, the existing literature is characterized by a disparate collection of individual studies, conceptual analyses, and preliminary implementations. Given these complexities and gaps in understanding, a cohesive framework is needed to comprehend the existing body of knowledge on the application of LLMs in EM.

OBJECTIVE: Given the absence of a comprehensive framework for exploring the roles of LLMs in EM, this scoping review aims to systematically map the existing literature on LLMs' potential applications within EM and identify directions for future research. Addressing this gap will allow for informed advancements in the field.

METHODS: Using PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) criteria, we searched Ovid MEDLINE, Embase, Web of Science, and Google Scholar for papers published between January 2018 and August 2023 that discussed LLMs' use in EM. We excluded other forms of AI. A total of 1994 unique titles and abstracts were screened, and each full-text paper was independently reviewed by 2 authors. Data were abstracted independently, and 5 authors performed a collaborative quantitative and qualitative synthesis of the data.

RESULTS: A total of 43 papers were included. Studies were predominantly from 2022 to 2023 and conducted in the United States and China. We uncovered four major themes: (1) clinical decision-making and support was highlighted as a pivotal area, with LLMs playing a substantial role in enhancing patient care, notably through their application in real-time triage, allowing early recognition of patient urgency; (2) efficiency, workflow, and information management demonstrated the capacity of LLMs to significantly boost operational efficiency, particularly through the automation of patient record synthesis, which could reduce administrative burden and enhance patient-centric care; (3) risks, ethics, and transparency were identified as areas of concern, especially regarding the reliability of LLMs' outputs, and specific studies highlighted the challenges of ensuring unbiased decision-making amidst potentially flawed training data sets, stressing the importance of thorough validation and ethical oversight; and (4) education and communication possibilities included LLMs' capacity to enrich medical training, such as through using simulated patient interactions that enhance communication skills.

CONCLUSIONS: LLMs have the potential to fundamentally transform EM, enhancing clinical decision-making, optimizing workflows, and improving patient outcomes. This review sets the stage for future advancements by identifying key research areas: prospective validation of LLM applications, establishing standards for responsible use, understanding provider and patient perceptions, and improving physicians' AI literacy. Effective integration of LLMs into EM will require collaborative efforts and thorough evaluation to ensure these technologies can be safely and effectively applied.

IMPORTANCE: Emergency department (ED) discharge documentation is time-consuming and often incomplete.

OBJECTIVE: To develop a large language model (LLM) assistant that generates ED discharge notes and to evaluate its effectiveness on documentation quality and workflow efficiency.

DESIGN, SETTING, AND PARTICIPANTS: This comparative effectiveness study, which was conducted at a 2400-bed tertiary care hospital in South Korea, consisted of 2 primary phases: a development phase and sequential validation of the LLM assistant. In the randomized sequential prospective validation, 6 emergency physicians first wrote discharge notes manually (session 1), then edited LLM-generated drafts after a 1-hour washout period (session 2). Three independent physicians evaluated 300 note sets (each containing a manual note, an LLM draft, and an LLM-assisted note). For model development and validation, patient records from ED visits between September 1, 2022, and August 31, 2023, were used. The inclusion criteria encompassed adult patients (aged ≥17 years) and pediatric patients with nondisease conditions (eg, trauma, poisoning, or burns). Emergency physicians selected 592 representative cases for training and 50 for validation.

EXPOSURE: A commercially available text generation transformer model was used as a core LLM, fine-tuned using the 592 training cases. Two distinct processing pipelines were implemented within the LLM assistant due to different input data: (1) for patients managed solely by emergency physicians, using the ED initial record and prescription list, and (2) for those requiring specialty consultations, using the ED initial record and consultation request form.

MAIN OUTCOMES AND MEASURES: Quality of notes using 4C metrics (completeness, correctness, conciseness, and clinical utility) on a Likert scale ranging from 1 to 5 and time taken to complete the notes manually and with the LLM assistant.

RESULTS: Of the 50 test cases, the mean (SD) patient age was 57.7 (23.1) years, and 28 patients (56%) were female. LLM-assisted notes achieved higher scores than manual notes in completeness (4.23 [95% CI, 4.17-4.28] vs 4.03 [95% CI, 3.96-4.09]), correctness (4.38 [95% CI, 4.33-4.42] vs 4.20 [95% CI, 4.14-4.26]), conciseness (4.23 [95% CI, 4.18-4.28] vs 4.11 [95% CI, 4.05-4.17]), and clinical utility (4.17 [95% CI, 4.11-4.23] vs 3.85 [95% CI, 3.78-3.91]) (all P&#x2009;<&#x2009;.001). When compared with LLM drafts, LLM-assisted notes excelled in conciseness (4.23 vs 3.98 [95% CI, 3.91-4.04]; P&#x2009;<&#x2009;.001) and maintained equivalent clinical utility (4.17 vs 4.16 [95% CI, 4.11-4.21]; P&#x2009;>&#x2009;.99), but scored lower in completeness (4.23 vs 4.34 [95% CI, 4.29-4.39]; P&#x2009;=&#x2009;.001) and correctness (4.38 vs 4.45 [95% CI, 4.41-4.49]; P&#x2009;<&#x2009;.001). The median documentation time per note dropped from 69.5 (95% CI, 65.5-78.0) seconds for manual notes to 32.0 (95% CI, 29.5-36.0) seconds for LLM-assisted notes (P&#x2009;<&#x2009;.001).

CONCLUSION: In this comparative effectiveness study, use of an on-site LLM assistant was associated with reduced writing time for ED discharge notes compared with manual note-taking, without compromising documentation quality, representing a critical advancement in the use of artificial intelligence for clinical practice.

BACKGROUND: In its infancy, large language model (LLM) Chat Generative Pre-trained Transformer (ChatGPT) has delivered significant transformational opportunities across an entire healthcare field and is bound to generate an even more impressive impact in the foreseeable future. Nevertheless, it remains fraught with numerous drawbacks and challenges. Therefore, this study aims to determine the current global concerns and future directions of ChatGPT in medicine to inform subsequent research and policymaking.

METHODS: This study retrospectively analyzed the global attention and development patterns of ChatGPT in different medical disciplines and geographical regions. Furthermore, based on machine learning algorithms, it revealed the current global concerns and future directions of ChatGPT in the medical field.

RESULTS: ChatGPT enjoyed a favorable development trend (Growth Rate Per Month: 26.97%) and global cooperation (International Co-authorships: 25.09%) in medicine. Internal Medicine was the best developed, while Surgery [odds ratio (OR), 0.761; 95% confidence interval (CI), 0.608-0.954; P =&#xa0;0.018], Health Care (OR, 0.744; 95% CI, 0.583-0.950; P =&#xa0;0.018), Medical Informatics (OR, 0.622; 95% CI, 0.433-0.893; P =&#xa0;0.010), Radiology (OR, 0.625; 95% CI, 0.433-0.901; P =&#xa0;0.012), Public Health (OR, 0.611; 95% CI, 0.416-0.896; P =&#xa0;0.012), and Oncology (OR, 0.571; 95% CI, 0.346-0.943; P =&#xa0;0.029) needed further development. The unsupervised hierarchical clustering algorithm divided the global concerns of ChatGPT in medicine into six clusters, among which Cluster 2 (The Applications of ChatGPT in Oncology Patient Management and Decision-Making) is the emerging research cluster, and Cluster 4 (The Accuracy and Safety of ChatGPT in Health Information Recommendation) achieves maximal impact. With the Walktrap algorithm, we found that ethics [relevance percentage (RP)&#xa0;=&#xa0;82.1%, development percentage (DP)&#xa0;=&#xa0;92.9%] is well developed but still leaves numerous pending issues, and medical education (RP&#xa0;=&#xa0;100%, DP&#xa0;=&#xa0;32.1%) and clinical decision support (RP&#xa0;=&#xa0;89.3%, DP&#xa0;=&#xa0;35.7%) are highly relevant but under-developed with ChatGPT, highlighting their impressive future research prospects. More importantly, through a comprehensive analysis of ChatGPT's attention, application, and impact in different regions, we found that underdeveloped and resource-poor regions have little, which will exacerbate global health inequalities, emphasizing the urgency of the relevant policy formulation and international assistance.

CONCLUSIONS: This study revealed ChatGPT's global attention and development patterns in different medical disciplines and geographical regions, its current global concerns, and future directions. This information will provide a critical reference for subsequent research and policymaking on LLMs throughout the entire field of medicine.

Radiation therapy (RT) is one of the most effective treatments for cancer, and its success relies on the accurate delineation of targets. However, target delineation is a comprehensive medical decision that currently relies purely on manual processes by human experts. Manual delineation is time-consuming, laborious, and subject to interobserver variations. Although the advancements in artificial intelligence (AI) techniques have significantly enhanced the auto-contouring of normal tissues, accurate delineation of RT target volumes remains a challenge. In this study, we propose a visual language model-based RT target volume auto-delineation network termed Radformer. The Radformer utilizes a hierarchical vision transformer as the backbone and incorporates large language models to extract text-rich features from clinical data. We introduce a visual language attention module (VLAM) for integrating visual and linguistic features for language-aware visual encoding (LAVE). The Radformer has been evaluated on a dataset comprising 2985 patients with head-and-neck cancer who underwent RT. Metrics, including the Dice similarity coefficient (DSC), intersection over union (IOU), and 95th percentile Hausdorff distance (HD95), were used to evaluate the performance of the model quantitatively. Our results demonstrate that the Radformer has superior segmentation performance compared to other state-of-the-art models, validating its potential for adoption in RT practice.

BACKGROUND: Treatment planning is currently a patient specific, time-consuming, and resource demanding task in radiotherapy. Dose-volume histogram (DVH) prediction plays a critical role in automating this process. The geometric relationship between DVHs in radiotherapy plans and organs-at-risk (OAR) and planning target volume (PTV) has been well established. This study explores the potential of deep learning models for predicting DVHs using images and subsequent human intervention facilitated by a large-language model (LLM) to enhance the planning quality.

METHOD: We propose a pipeline to convert unstructured images to a structured graph consisting of image-patch nodes and dose nodes. A novel Dose Graph Neural Network (DoseGNN) model is developed for predicting DVHs from the structured graph. The proposed DoseGNN is enhanced with the LLM to encode massive knowledge from prescriptions and interactive instructions from clinicians. In this study, we introduced an online human-AI collaboration (OHAC) system as a practical implementation of the concept proposed for the automation of intensity-modulated radiotherapy (IMRT) planning.

RESULTS: The proposed DoseGNN model was compared to widely employed DL models used in radiotherapy, including Swin Transformer, 3D U-Net CNN, and vanilla MLP. For PTV, DoseGNN achieved the mean absolute error (MAE) of D m a x ${D}_{max}$ , D m e a n ${D}_{mean}$ , D 95 ${D}_{95}$ , and D 1 ${D}_1$ between true plans and predicted plans that were 64%, 53%, 64%, 61% of the best baseline model. For the worst case among OARs (left lung, right lung, chest wall, heart, spinal cord), DoseGNN achieved the mean absolute error of D m a x ${D}_{max}$ , D m e a n ${D}_{mean}$ , D 50 ${D}_{50}$ that were 85%, 91%, 80% of the best baseline model. Moreover, the LLM-empowered DoseGNN model facilitates seamless adjustment to treatment plans through interaction with clinicians using natural language.

CONCLUSION: We developed DoseGNN, a novel deep learning model for predicting delivered radiation doses from medical images, enhanced by LLM to allow adjustment through seamless interaction with clinicians. The preliminary results confirm DoseGNN's superior accuracy in DVH prediction relative to typical DL methods, highlighting its potential to facilitate an online clinician-AI collaboration system for streamlined treatment planning automation.

Multimodal large language models (MLLMs) have shown impressive reasoning abilities. However, they are also more vulnerable to jailbreak attacks than their LLM predecessors. Although still capable of detecting the unsafe responses, we observe that safety mechanisms of the pre-aligned LLMs in MLLMs can be easily bypassed with the introduction of image features. To construct robust MLLMs, we propose ECSO (Eyes Closed, Safety On), a novel training-free protecting approach that exploits the inherent safety awareness of MLLMs, and generates safer responses via adaptively transforming unsafe images into texts to activate the intrinsic safety mechanism of pre-aligned LLMs in MLLMs. Experiments on five state-of-the-art (SoTA) MLLMs demonstrate that ECSO enhances model safety significantly (e.g.,, 37.6% improvement on the MM-SafetyBench (SD+OCR) and 71.3% on VLSafe with LLaVA-1.5-7B), while consistently maintaining utility results on common MLLM benchmarks. Furthermore, we show that ECSO can be used as a data engine to generate supervised-finetuning (SFT) data for MLLM alignment without extra human intervention.

Large Language Models (LLMs) are capable of successfully performing many language processing tasks zero-shot (without training data). If zero-shot LLMs can also reliably classify and explain social phenomena like persuasiveness and political ideology, then LLMs could augment the Computational Social Science (CSS) pipeline in important ways. This work provides a road map for using LLMs as CSS tools. Towards this end, we contribute a set of prompting best practices and an extensive evaluation pipeline to measure the zero-shot performance of 13 language models on 25 representative English CSS benchmarks. On taxonomic labeling tasks (classification), LLMs fail to outperform the best fine-tuned models but still achieve fair levels of agreement with humans. On free-form coding tasks (generation), LLMs produce explanations that often exceed the quality of crowdworkers' gold references. We conclude that the performance of today's LLMs can augment the CSS research pipeline in two ways: (1) serving as zero-shot data annotators on human annotation teams, and (2) bootstrapping challenging creative generation tasks (e.g., explaining the underlying attributes of a text). In summary, LLMs are posed to meaningfully participate in social science analysis in partnership with humans.

Intent-driven network management is critical for managing the complexity of 5G and 6G networks. It enables adaptive, on-demand management of the network based on the objectives of the network operators. In this paper, we propose an innovative three-step framework for intent-driven network management based on Generative AI (GenAI) algorithms. First, we fine-tune a Large Language Model (LLM) on a custom dataset using a Quantized Low-Rank Adapter (QLoRA) to enable memory-efficient intent processing within limited computational resources. A Retrieval Augmented Generation (RAG) module is included to support dynamic decision-making. Second, we utilize a transformer architecture for time series forecasting to predict key parameters, such as power consumption, traffic load, and packet drop rate, to facilitate intent validation proactively. Lastly, we introduce a Hierarchical Decision Transformer with Goal Awareness (HDTGA) to optimize the selection and orchestration of network applications and hence, optimize the network. Our intent guidance and processing approach improves BERTScore by 6% and the semantic similarity score by 9% compared to the base LLM model. Again, the proposed predictive intent validation approach can successfully rule out the performance-degrading intents with an average of 88% accuracy. Finally, compared to the baselines, the proposed HDTGA algorithm increases throughput at least by 19.3%, reduces delay by 48.5%, and boosts energy efficiency by 54.9%.

We propose a framework for evaluating the potential impacts of large-language models (LLMs) and associated technologies on work by considering their relevance to the tasks workers perform in their jobs. By applying this framework (with both humans and using an LLM), we estimate that roughly 1.8% of jobs could have over half their tasks affected by LLMs with simple interfaces and general training. When accounting for current and likely future software developments that complement LLM capabilities, this share jumps to just over 46% of jobs. The collective attributes of LLMs such as generative pretrained transformers (GPTs) strongly suggest that they possess key characteristics of other “GPTs,” general-purpose technologies (1, 2). Our research highlights the need for robust societal evaluations and policy measures to address potential effects of LLMs and complementary technologies on labor markets.

Transformer plays a vital role in the realms of natural language processing (NLP) and computer vision (CV), specially for constructing large language models (LLM) and large vision models (LVM). Model compression methods reduce the memory and computational cost of Transformer, which is a necessary step to implement large language/vision models on practical devices. Given the unique architecture of Transformer, featuring alternative attention and feedforward neural network (FFN) modules, specific compression techniques are usually required. The efficiency of these compression methods is also paramount, as retraining large models on the entire training dataset is usually impractical. This survey provides a comprehensive review of recent compression methods, with a specific focus on their application to Transformer-based models. The compression methods are primarily categorized into pruning, quantization, knowledge distillation, and efficient architecture design (Mamba, RetNet, RWKV, etc.). In each category, we discuss compression methods for both language and vision tasks, highlighting common underlying principles. Finally, we delve into the relation between various compression methods, and discuss further directions in this domain.

Large language models (LLMs) have achieved success in acting as agents, which interact with environments through tools such as search engines. However, LLMs are optimized for language generation instead of tool use during training or alignment, limiting their effectiveness as agents. To resolve this problem, previous work has first collected interaction trajectories between LLMs and environments, using only trajectories that successfully finished the task to fine-tune smaller models, making fine-tuning data scarce and acquiring it both difficult and costly. Discarding failed trajectories also leads to significant wastage of data and resources and limits the possible optimization paths during fine-tuning. In this paper, we argue that unsuccessful trajectories offer valuable insights, and LLMs can learn from these trajectories through appropriate quality control and fine-tuning strategies. By simply adding a prefix or suffix that tells the model whether to generate a successful trajectory during training, we improve model performance by a large margin on mathematical reasoning, multi-hop question answering, and strategic question answering tasks. We further analyze the inference results and find that our method provides a better trade-off between valuable information and errors in unsuccessful trajectories. To our knowledge, we are the first to demonstrate the value of negative trajectories and their application in agent-tunning scenarios. Our findings offer guidance for developing better agent-tuning methods and low-resource data usage techniques.

Instruction tuning significantly enhances the performance of large language models (LLMs) across various tasks. However, the procedure to optimizing the mixing of instruction datasets for LLM fine-tuning is still poorly understood. This study categorizes instructions into three primary types: NLP downstream tasks, coding, and general chat. We explore the effects of instruction tuning on different combinations of datasets on LLM performance, and find that certain instruction types are more advantageous for specific applications but can negatively impact other areas. This work provides insights into instruction mixtures, laying the foundations for future research.

Training large language models (LLMs) with open-domain instruction following data brings colossal success. However, manually creating such instruction data is very time-consuming and labor-intensive. Moreover, humans may struggle to produce high-complexity instructions. In this paper, we show an avenue for creating large amounts of instruction data with varying levels of complexity using LLM instead of humans. Starting with an initial set of instructions, we use our proposed Evol-Instruct to rewrite them step by step into more complex instructions. Then, we mix all generated instruction data to fine-tune LLaMA. We call the resulting model WizardLM. Human evaluations on a complexity-balanced test bed and Vicuna's testset show that instructions from Evol-Instruct are superior to human-created ones. By analyzing the human evaluation results of the high complexity part, we demonstrate that outputs from our WizardLM are preferred to outputs from OpenAI ChatGPT. In GPT-4 automatic evaluation, WizardLM achieves more than 90\% capacity of ChatGPT on 17 out of 29 skills. Even though WizardLM still lags behind ChatGPT in some aspects, our findings suggest that fine-tuning with AI-evolved instructions is a promising direction for enhancing LLMs. Our code and data are public at https://github.com/nlpxucan/WizardLM

This paper presents a new vision Transformer, called Swin Transformer, that capably serves as a general-purpose backbone for computer vision. Challenges in adapting Transformer from language to vision arise from differences between the two domains, such as large variations in the scale of visual entities and the high resolution of pixels in images compared to words in text. To address these differences, we propose a hierarchical Transformer whose representation is computed with Shifted windows. The shifted windowing scheme brings greater efficiency by limiting self-attention computation to non-overlapping local windows while also allowing for cross-window connection. This hierarchical architecture has the flexibility to model at various scales and has linear computational complexity with respect to image size. These qualities of Swin Transformer make it compatible with a broad range of vision tasks, including image classification (87.3 top-1 accuracy on ImageNet-1K) and dense prediction tasks such as object detection (58.7 box AP and 51.1 mask AP on COCO test-dev) and semantic segmentation (53.5 mIoU on ADE20K val). Its performance surpasses the previous state-of-the-art by a large margin of +2.7 box AP and +2.6 mask AP on COCO, and +3.2 mIoU on ADE20K, demonstrating the potential of Transformer-based models as vision backbones. The hierarchical design and the shifted window approach also prove beneficial for all-MLP architectures. The code and models are publicly available at https://github.com/microsoft/Swin-Transformer.

Thomas Wolf, Lysandre Debut, Victor Sanh, Julien Chaumond, Clement Delangue, Anthony Moi, Pierric Cistac, Tim Rault, Remi Louf, Morgan Funtowicz, Joe Davison, Sam Shleifer, Patrick von Platen, Clara Ma, Yacine Jernite, Julien Plu, Canwen Xu, Teven Le Scao, Sylvain Gugger, Mariama Drame, Quentin Lhoest, Alexander Rush. Proceedings of the 2020 Conference on Empirical Methods in Natural Language Processing: System Demonstrations. 2020.

MOTIVATION: Biomedical text mining is becoming increasingly important as the number of biomedical documents rapidly grows. With the progress in natural language processing (NLP), extracting valuable information from biomedical literature has gained popularity among researchers, and deep learning has boosted the development of effective biomedical text mining models. However, directly applying the advancements in NLP to biomedical text mining often yields unsatisfactory results due to a word distribution shift from general domain corpora to biomedical corpora. In this article, we investigate how the recently introduced pre-trained language model BERT can be adapted for biomedical corpora. RESULTS: We introduce BioBERT (Bidirectional Encoder Representations from Transformers for Biomedical Text Mining), which is a domain-specific language representation model pre-trained on large-scale biomedical corpora. With almost the same architecture across tasks, BioBERT largely outperforms BERT and previous state-of-the-art models in a variety of biomedical text mining tasks when pre-trained on biomedical corpora. While BERT obtains performance comparable to that of previous state-of-the-art models, BioBERT significantly outperforms them on the following three representative biomedical text mining tasks: biomedical named entity recognition (0.62% F1 score improvement), biomedical relation extraction (2.80% F1 score improvement) and biomedical question answering (12.24% MRR improvement). Our analysis results show that pre-training BERT on biomedical corpora helps it to understand complex biomedical texts. AVAILABILITY AND IMPLEMENTATION: We make the pre-trained weights of BioBERT freely available at https://github.com/naver/biobert-pretrained, and the source code for fine-tuning BioBERT available at https://github.com/dmis-lab/biobert.

Since convolutional neural networks (CNNs) perform well at learning generalizable image priors from large-scale data, these models have been extensively applied to image restoration and related tasks. Recently, another class of neural architectures, Transformers, have shown significant performance gains on natural language and high-level vision tasks. While the Transformer model mitigates the shortcomings of CNNs (i.e., limited receptive field and inadaptability to input content), its computational complexity grows quadratically with the spatial resolution, therefore making it infeasible to apply to most image restoration tasks involving high-resolution images. In this work, we propose an efficient Transformer model by making several key designs in the building blocks (multi-head attention and feed-forward network) such that it can capture long-range pixel interactions, while still remaining applicable to large images. Our model, named Restoration Transformer (Restormer), achieves state-of-the-art results on several image restoration tasks, including image deraining, single-image motion deblurring, defocus deblurring (single-image and dual-pixel data), and image denoising (Gaussian grayscale/color denoising, and real image denoising). The source code and pre-trained models are available at https://github.com/swz30/Restormer.