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Oct 15

Prompt4Trust: A Reinforcement Learning Prompt Augmentation Framework for Clinically-Aligned Confidence Calibration in Multimodal Large Language Models

Multimodal large language models (MLLMs) hold considerable promise for applications in healthcare. However, their deployment in safety-critical settings is hindered by two key limitations: (i) sensitivity to prompt design, and (ii) a tendency to generate incorrect responses with high confidence. As clinicians may rely on a model's stated confidence to gauge the reliability of its predictions, it is especially important that when a model expresses high confidence, it is also highly accurate. We introduce Prompt4Trust, the first reinforcement learning (RL) framework for prompt augmentation targeting confidence calibration in MLLMs. A lightweight LLM is trained to produce context-aware auxiliary prompts that guide a downstream task MLLM to generate responses in which the expressed confidence more accurately reflects predictive accuracy. Unlike conventional calibration techniques, Prompt4Trust specifically prioritizes aspects of calibration most critical for safe and trustworthy clinical decision-making. Beyond improvements driven by this clinically motivated calibration objective, our proposed method also improves task accuracy, achieving state-of-the-art medical visual question answering (VQA) performance on the PMC-VQA benchmark, which is composed of multiple-choice questions spanning diverse medical imaging modalities. Moreover, our framework trained with a small downstream task MLLM showed promising zero-shot generalization to larger MLLMs in our experiments, suggesting the potential for scalable calibration without the associated computational costs. This work demonstrates the potential of automated yet human-aligned prompt engineering for improving the the trustworthiness of MLLMs in safety critical settings. Our codebase can be found at https://github.com/xingbpshen/prompt4trust.

  • 4 authors
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Jul 12

Unlocking the Potential of MLLMs in Referring Expression Segmentation via a Light-weight Mask Decode

Reference Expression Segmentation (RES) aims to segment image regions specified by referring expressions and has become popular with the rise of multimodal large models (MLLMs). While MLLMs excel in semantic understanding, their token-generation paradigm struggles with pixel-level dense prediction. Existing RES methods either couple MLLMs with the parameter-heavy Segment Anything Model (SAM) with 632M network parameters or adopt SAM-free lightweight pipelines that sacrifice accuracy. To address the trade-off between performance and cost, we specifically propose MLLMSeg, a novel framework that fully exploits the inherent visual detail features encoded in the MLLM vision encoder without introducing an extra visual encoder. Besides, we propose a detail-enhanced and semantic-consistent feature fusion module (DSFF) that fully integrates the detail-related visual feature with the semantic-related feature output by the large language model (LLM) of MLLM. Finally, we establish a light-weight mask decoder with only 34M network parameters that optimally leverages detailed spatial features from the visual encoder and semantic features from the LLM to achieve precise mask prediction. Extensive experiments demonstrate that our method generally surpasses both SAM-based and SAM-free competitors, striking a better balance between performance and cost. Code is available at https://github.com/jcwang0602/MLLMSeg.