Daily Papers

Clinical machine learning research and AI driven clinical decision support models rely on clinically accurate labels. Manually extracting these labels with the help of clinical specialists is often time-consuming and expensive. This study tests the feasibility of automatic span- and document-level diagnosis extraction from unstructured Dutch echocardiogram reports. We included 115,692 unstructured echocardiogram reports from the UMCU a large university hospital in the Netherlands. A randomly selected subset was manually annotated for the occurrence and severity of eleven commonly described cardiac characteristics. We developed and tested several automatic labelling techniques at both span and document levels, using weighted and macro F1-score, precision, and recall for performance evaluation. We compared the performance of span labelling against document labelling methods, which included both direct document classifiers and indirect document classifiers that rely on span classification results. The SpanCategorizer and MedRoBERTa.nl models outperformed all other span and document classifiers, respectively. The weighted F1-score varied between characteristics, ranging from 0.60 to 0.93 in SpanCategorizer and 0.96 to 0.98 in MedRoBERTa.nl. Direct document classification was superior to indirect document classification using span classifiers. SetFit achieved competitive document classification performance using only 10\% of the training data. Utilizing a reduced label set yielded near-perfect document classification results. We recommend using our published SpanCategorizer and MedRoBERTa.nl models for span- and document-level diagnosis extraction from Dutch echocardiography reports. For settings with limited training data, SetFit may be a promising alternative for document classification.

Clinical diagnosis is critical in medical practice, typically requiring a continuous and evolving process that includes primary diagnosis, differential diagnosis, and final diagnosis. However, most existing clinical diagnostic tasks are single-step processes, which does not align with the complex multi-step diagnostic procedures found in real-world clinical settings. In this paper, we propose a multi-step diagnostic task and annotate a clinical diagnostic dataset (MSDiagnosis). This dataset includes primary diagnosis, differential diagnosis, and final diagnosis questions. Additionally, we propose a novel and effective framework. This framework combines forward inference, backward inference, reflection, and refinement, enabling the LLM to self-evaluate and adjust its diagnostic results. To assess the effectiveness of our proposed method, we design and conduct extensive experiments. The experimental results demonstrate the effectiveness of the proposed method. We also provide a comprehensive experimental analysis and suggest future research directions for this task.

Document structure analysis, aka document layout analysis, is crucial for understanding both the physical layout and logical structure of documents, serving information retrieval, document summarization, knowledge extraction, etc. Hierarchical Document Structure Analysis (HDSA) specifically aims to restore the hierarchical structure of documents created using authoring software with hierarchical schemas. Previous research has primarily followed two approaches: one focuses on tackling specific subtasks of HDSA in isolation, such as table detection or reading order prediction, while the other adopts a unified framework that uses multiple branches or modules, each designed to address a distinct task. In this work, we propose a unified relation prediction approach for HDSA, called UniHDSA, which treats various HDSA sub-tasks as relation prediction problems and consolidates relation prediction labels into a unified label space. This allows a single relation prediction module to handle multiple tasks simultaneously, whether at a page-level or document-level structure analysis. To validate the effectiveness of UniHDSA, we develop a multimodal end-to-end system based on Transformer architectures. Extensive experimental results demonstrate that our approach achieves state-of-the-art performance on a hierarchical document structure analysis benchmark, Comp-HRDoc, and competitive results on a large-scale document layout analysis dataset, DocLayNet, effectively illustrating the superiority of our method across all sub-tasks. The Comp-HRDoc benchmark and UniHDSA's configurations are publicly available at https://github.com/microsoft/CompHRDoc.

This paper highlights the need to bring document classification benchmarking closer to real-world applications, both in the nature of data tested (X: multi-channel, multi-paged, multi-industry; Y: class distributions and label set variety) and in classification tasks considered (f: multi-page document, page stream, and document bundle classification, ...). We identify the lack of public multi-page document classification datasets, formalize different classification tasks arising in application scenarios, and motivate the value of targeting efficient multi-page document representations. An experimental study on proposed multi-page document classification datasets demonstrates that current benchmarks have become irrelevant and need to be updated to evaluate complete documents, as they naturally occur in practice. This reality check also calls for more mature evaluation methodologies, covering calibration evaluation, inference complexity (time-memory), and a range of realistic distribution shifts (e.g., born-digital vs. scanning noise, shifting page order). Our study ends on a hopeful note by recommending concrete avenues for future improvements.}

Document question answering is a task of question answering on given documents such as reports, slides, pamphlets, and websites, and it is a truly demanding task as paper and electronic forms of documents are so common in our society. This is known as a quite challenging task because it requires not only text understanding but also understanding of figures and tables, and hence visual question answering (VQA) methods are often examined in addition to textual approaches. We introduce Japanese Document Question Answering (JDocQA), a large-scale document-based QA dataset, essentially requiring both visual and textual information to answer questions, which comprises 5,504 documents in PDF format and annotated 11,600 question-and-answer instances in Japanese. Each QA instance includes references to the document pages and bounding boxes for the answer clues. We incorporate multiple categories of questions and unanswerable questions from the document for realistic question-answering applications. We empirically evaluate the effectiveness of our dataset with text-based large language models (LLMs) and multimodal models. Incorporating unanswerable questions in finetuning may contribute to harnessing the so-called hallucination generation.

Document Question Answering (QA) presents a challenge in understanding visually-rich documents (VRD), particularly those dominated by lengthy textual content like research journal articles. Existing studies primarily focus on real-world documents with sparse text, while challenges persist in comprehending the hierarchical semantic relations among multiple pages to locate multimodal components. To address this gap, we propose PDF-MVQA, which is tailored for research journal articles, encompassing multiple pages and multimodal information retrieval. Unlike traditional machine reading comprehension (MRC) tasks, our approach aims to retrieve entire paragraphs containing answers or visually rich document entities like tables and figures. Our contributions include the introduction of a comprehensive PDF Document VQA dataset, allowing the examination of semantically hierarchical layout structures in text-dominant documents. We also present new VRD-QA frameworks designed to grasp textual contents and relations among document layouts simultaneously, extending page-level understanding to the entire multi-page document. Through this work, we aim to enhance the capabilities of existing vision-and-language models in handling challenges posed by text-dominant documents in VRD-QA.

Document parsing aims to transform unstructured PDF images into semi-structured data, facilitating the digitization and utilization of information in diverse domains. While vision language models (VLMs) have significantly advanced this task, achieving reliable, high-quality parsing in real-world scenarios remains challenging. Common practice often selects the top-performing model on standard benchmarks. However, these benchmarks may carry dataset-specific biases, leading to inconsistent model rankings and limited correlation with real-world performance. Moreover, benchmark metrics typically provide only overall scores, which can obscure distinct error patterns in output. This raises a key challenge: how can we reliably and comprehensively assess document parsing quality in the wild? We address this problem with DOCR-Inspector, which formalizes document parsing assessment as fine-grained error detection and analysis. Leveraging VLM-as-a-Judge, DOCR-Inspector analyzes a document image and its parsed output, identifies all errors, assigns them to one of 28 predefined types, and produces a comprehensive quality assessment. To enable this capability, we construct DOCRcase-200K for training and propose the Chain-of-Checklist reasoning paradigm to enable the hierarchical structure of parsing quality assessment. For empirical validation, we introduce DOCRcaseBench, a set of 882 real-world document parsing cases with manual annotations. On this benchmark, DOCR-Inspector-7B outperforms commercial models like Gemini 2.5 Pro, as well as leading open-source models. Further experiments demonstrate that its quality assessments provide valuable guidance for parsing results refinement, making DOCR-Inspector both a practical evaluator and a driver for advancing document parsing systems at scale. Model and code are released at: https://github.com/ZZZZZQT/DOCR-Inspector.

Document structure analysis (aka document layout analysis) is crucial for understanding the physical layout and logical structure of documents, with applications in information retrieval, document summarization, knowledge extraction, etc. In this paper, we concentrate on Hierarchical Document Structure Analysis (HDSA) to explore hierarchical relationships within structured documents created using authoring software employing hierarchical schemas, such as LaTeX, Microsoft Word, and HTML. To comprehensively analyze hierarchical document structures, we propose a tree construction based approach that addresses multiple subtasks concurrently, including page object detection (Detect), reading order prediction of identified objects (Order), and the construction of intended hierarchical structure (Construct). We present an effective end-to-end solution based on this framework to demonstrate its performance. To assess our approach, we develop a comprehensive benchmark called Comp-HRDoc, which evaluates the above subtasks simultaneously. Our end-to-end system achieves state-of-the-art performance on two large-scale document layout analysis datasets (PubLayNet and DocLayNet), a high-quality hierarchical document structure reconstruction dataset (HRDoc), and our Comp-HRDoc benchmark. The Comp-HRDoc benchmark will be released to facilitate further research in this field.

Scientific documents record research findings and valuable human knowledge, comprising a vast corpus of high-quality data. Leveraging multi-modality data extracted from these documents and assessing large models' abilities to handle scientific document-oriented tasks is therefore meaningful. Despite promising advancements, large models still perform poorly on multi-page scientific document extraction and understanding tasks, and their capacity to process within-document data formats such as charts and equations remains under-explored. To address these issues, we present DocGenome, a structured document benchmark constructed by annotating 500K scientific documents from 153 disciplines in the arXiv open-access community, using our custom auto-labeling pipeline. DocGenome features four key characteristics: 1) Completeness: It is the first dataset to structure data from all modalities including 13 layout attributes along with their LaTeX source codes. 2) Logicality: It provides 6 logical relationships between different entities within each scientific document. 3) Diversity: It covers various document-oriented tasks, including document classification, visual grounding, document layout detection, document transformation, open-ended single-page QA and multi-page QA. 4) Correctness: It undergoes rigorous quality control checks conducted by a specialized team. We conduct extensive experiments to demonstrate the advantages of DocGenome and objectively evaluate the performance of large models on our benchmark.

With large language models (LLMs) poised to become embedded in our daily lives, questions are starting to be raised about the data they learned from. These questions range from potential bias or misinformation LLMs could retain from their training data to questions of copyright and fair use of human-generated text. However, while these questions emerge, developers of the recent state-of-the-art LLMs become increasingly reluctant to disclose details on their training corpus. We here introduce the task of document-level membership inference for real-world LLMs, i.e. inferring whether the LLM has seen a given document during training or not. First, we propose a procedure for the development and evaluation of document-level membership inference for LLMs by leveraging commonly used data sources for training and the model release date. We then propose a practical, black-box method to predict document-level membership and instantiate it on OpenLLaMA-7B with both books and academic papers. We show our methodology to perform very well, reaching an AUC of 0.856 for books and 0.678 for papers. We then show our approach to outperform the sentence-level membership inference attacks used in the privacy literature for the document-level membership task. We further evaluate whether smaller models might be less sensitive to document-level inference and show OpenLLaMA-3B to be approximately as sensitive as OpenLLaMA-7B to our approach. Finally, we consider two mitigation strategies and find the AUC to slowly decrease when only partial documents are considered but to remain fairly high when the model precision is reduced. Taken together, our results show that accurate document-level membership can be inferred for LLMs, increasing the transparency of technology poised to change our lives.

Identifying disease phenotypes from electronic health records (EHRs) is critical for numerous secondary uses. Manually encoding physician knowledge into rules is particularly challenging for rare diseases due to inadequate EHR coding, necessitating review of clinical notes. Large language models (LLMs) offer promise in text understanding but may not efficiently handle real-world clinical documentation. We propose a zero-shot LLM-based method enriched by retrieval-augmented generation and MapReduce, which pre-identifies disease-related text snippets to be used in parallel as queries for the LLM to establish diagnosis. We show that this method as applied to pulmonary hypertension (PH), a rare disease characterized by elevated arterial pressures in the lungs, significantly outperforms physician logic rules (F_1 score of 0.62 vs. 0.75). This method has the potential to enhance rare disease cohort identification, expanding the scope of robust clinical research and care gap identification.

The adoption of Deep Neural Networks (DNNs) has greatly benefited Natural Language Processing (NLP) during the past decade. However, the demands of long document analysis are quite different from those of shorter texts, while the ever increasing size of documents uploaded on-line renders automated understanding of lengthy texts a critical issue. Relevant applications include automated Web mining, legal document review, medical records analysis, financial reports analysis, contract management, environmental impact assessment, news aggregation, etc. Despite the relatively recent development of efficient algorithms for analyzing long documents, practical tools in this field are currently flourishing. This article serves as an entry point into this dynamic domain and aims to achieve two objectives. Firstly, it provides an overview of the relevant neural building blocks, serving as a concise tutorial for the field. Secondly, it offers a brief examination of the current state-of-the-art in long document NLP, with a primary focus on two key tasks: document classification and document summarization. Sentiment analysis for long texts is also covered, since it is typically treated as a particular case of document classification. Consequently, this article presents an introductory exploration of document-level analysis, addressing the primary challenges, concerns, and existing solutions. Finally, the article presents publicly available annotated datasets that can facilitate further research in this area.

The opioid crisis represents a significant moment in public health that reveals systemic shortcomings across regulatory systems, healthcare practices, corporate governance, and public policy. Analyzing how these interconnected systems simultaneously failed to protect public health requires innovative analytic approaches for exploring the vast amounts of data and documents disclosed in the UCSF-JHU Opioid Industry Documents Archive (OIDA). The complexity, multimodal nature, and specialized characteristics of these healthcare-related legal and corporate documents necessitate more advanced methods and models tailored to specific data types and detailed annotations, ensuring the precision and professionalism in the analysis. In this paper, we tackle this challenge by organizing the original dataset according to document attributes and constructing a benchmark with 400k training documents and 10k for testing. From each document, we extract rich multimodal information-including textual content, visual elements, and layout structures-to capture a comprehensive range of features. Using multiple AI models, we then generate a large-scale dataset comprising 360k training QA pairs and 10k testing QA pairs. Building on this foundation, we develop domain-specific multimodal Large Language Models (LLMs) and explore the impact of multimodal inputs on task performance. To further enhance response accuracy, we incorporate historical QA pairs as contextual grounding for answering current queries. Additionally, we incorporate page references within the answers and introduce an importance-based page classifier, further improving the precision and relevance of the information provided. Preliminary results indicate the improvements with our AI assistant in document information extraction and question-answering tasks. The dataset is available at: https://huggingface.co/datasets/opioidarchive/oida-qa

Current tasks and methods in Document Understanding aims to process documents as single elements. However, documents are usually organized in collections (historical records, purchase invoices), that provide context useful for their interpretation. To address this problem, we introduce Document Collection Visual Question Answering (DocCVQA) a new dataset and related task, where questions are posed over a whole collection of document images and the goal is not only to provide the answer to the given question, but also to retrieve the set of documents that contain the information needed to infer the answer. Along with the dataset we propose a new evaluation metric and baselines which provide further insights to the new dataset and task.

Accurate diagnostic coding of medical notes is crucial for enhancing patient care, medical research, and error-free billing in healthcare organizations. Manual coding is a time-consuming task for providers, and diagnostic codes often exhibit low sensitivity and specificity, whereas the free text in medical notes can be a more precise description of a patients status. Thus, accurate automated diagnostic coding of medical notes has become critical for a learning healthcare system. Recent developments in long-document transformer architectures have enabled attention-based deep-learning models to adjudicate medical notes. In addition, contrastive loss functions have been used to jointly pre-train large language and image models with noisy labels. To further improve the automated adjudication of medical notes, we developed an approach based on i) models for ICD-10 diagnostic code sequences using a large real-world data set, ii) large language models for medical notes, and iii) contrastive pre-training to build an integrated model of both ICD-10 diagnostic codes and corresponding medical text. We demonstrate that a contrastive approach for pre-training improves performance over prior state-of-the-art models for the MIMIC-III-50, MIMIC-III-rare50, and MIMIC-III-full diagnostic coding tasks.

We propose V-Doc, a question-answering tool using document images and PDF, mainly for researchers and general non-deep learning experts looking to generate, process, and understand the document visual question answering tasks. The V-Doc supports generating and using both extractive and abstractive question-answer pairs using documents images. The extractive QA selects a subset of tokens or phrases from the document contents to predict the answers, while the abstractive QA recognises the language in the content and generates the answer based on the trained model. Both aspects are crucial to understanding the documents, especially in an image format. We include a detailed scenario of question generation for the abstractive QA task. V-Doc supports a wide range of datasets and models, and is highly extensible through a declarative, framework-agnostic platform.

Classification of document images is a critical step for archival of old manuscripts, online subscription and administrative procedures. Computer vision and deep learning have been suggested as a first solution to classify documents based on their visual appearance. However, achieving the fine-grained classification that is required in real-world setting cannot be achieved by visual analysis alone. Often, the relevant information is in the actual text content of the document. We design a multimodal neural network that is able to learn from word embeddings, computed on text extracted by OCR, and from the image. We show that this approach boosts pure image accuracy by 3% on Tobacco3482 and RVL-CDIP augmented by our new QS-OCR text dataset (https://github.com/Quicksign/ocrized-text-dataset), even without clean text information.

Document layout analysis is a critical preprocessing step in document intelligence, enabling the detection and localization of structural elements such as titles, text blocks, tables, and formulas. Despite its importance, existing layout detection models face significant challenges in generalizing across diverse document types, handling complex layouts, and achieving real-time performance for large-scale data processing. To address these limitations, we present PP-DocLayout, which achieves high precision and efficiency in recognizing 23 types of layout regions across diverse document formats. To meet different needs, we offer three models of varying scales. PP-DocLayout-L is a high-precision model based on the RT-DETR-L detector, achieving 90.4% [email protected] and an end-to-end inference time of 13.4 ms per page on a T4 GPU. PP-DocLayout-M is a balanced model, offering 75.2% [email protected] with an inference time of 12.7 ms per page on a T4 GPU. PP-DocLayout-S is a high-efficiency model designed for resource-constrained environments and real-time applications, with an inference time of 8.1 ms per page on a T4 GPU and 14.5 ms on a CPU. This work not only advances the state of the art in document layout analysis but also provides a robust solution for constructing high-quality training data, enabling advancements in document intelligence and multimodal AI systems. Code and models are available at https://github.com/PaddlePaddle/PaddleX .

Document quality assessment is critical for a wide range of applications including document digitization, OCR, and archival. However, existing approaches often struggle to provide accurate and robust quality scores, limiting their applicability in practical scenarios. With the rapid progress in Multi-modal Large Language Models (MLLMs), recent MLLM-based methods have achieved remarkable performance in image quality assessment. In this work, we extend this success to the document domain by adapting DeQA-Score, a state-of-the-art MLLM-based image quality scorer, for document quality assessment. We propose DeQA-Doc, a framework that leverages the visual language capabilities of MLLMs and a soft label strategy to regress continuous document quality scores. To adapt DeQA-Score to DeQA-Doc, we adopt two complementary solutions to construct soft labels without the variance information. Also, we relax the resolution constrains to support the large resolution of document images. Finally, we introduce ensemble methods to further enhance the performance. Extensive experiments demonstrate that DeQA-Doc significantly outperforms existing baselines, offering accurate and generalizable document quality assessment across diverse degradation types. Codes and model weights are available in https://github.com/Junjie-Gao19/DeQA-Doc.

Documents are visually rich structures that convey information through text, as well as tables, figures, page layouts, or fonts. While modern document retrieval systems exhibit strong performance on query-to-text matching, they struggle to exploit visual cues efficiently, hindering their performance on practical document retrieval applications such as Retrieval Augmented Generation. To benchmark current systems on visually rich document retrieval, we introduce the Visual Document Retrieval Benchmark ViDoRe, composed of various page-level retrieving tasks spanning multiple domains, languages, and settings. The inherent shortcomings of modern systems motivate the introduction of a new retrieval model architecture, ColPali, which leverages the document understanding capabilities of recent Vision Language Models to produce high-quality contextualized embeddings solely from images of document pages. Combined with a late interaction matching mechanism, ColPali largely outperforms modern document retrieval pipelines while being drastically faster and end-to-end trainable.

Objective:Develop and validate an algorithm for analyzing the layout of PDF clinical documents to improve the performance of downstream natural language processing tasks. Materials and Methods: We designed an algorithm to process clinical PDF documents and extract only clinically relevant text. The algorithm consists of several steps: initial text extraction using a PDF parser, followed by classification into categories such as body text, left notes, and footers using a Transformer deep neural network architecture, and finally an aggregation step to compile the lines of a given label in the text. We evaluated the technical performance of the body text extraction algorithm by applying it to a random sample of documents that were annotated. Medical performance was evaluated by examining the extraction of medical concepts of interest from the text in their respective sections. Finally, we tested an end-to-end system on a medical use case of automatic detection of acute infection described in the hospital report. Results:Our algorithm achieved per-line precision, recall, and F1 score of 98.4, 97.0, and 97.7, respectively, for body line extraction. The precision, recall, and F1 score per document for the acute infection detection algorithm were 82.54 (95CI 72.86-91.60), 85.24 (95CI 76.61-93.70), 83.87 (95CI 76, 92-90.08) with exploitation of the results of the advanced body extraction algorithm, respectively. Conclusion:We have developed and validated a system for extracting body text from clinical documents in PDF format by identifying their layout. We were able to demonstrate that this preprocessing allowed us to obtain better performances for a common downstream task, i.e., the extraction of medical concepts in their respective sections, thus proving the interest of this method on a clinical use case.

Rare diseases, including Inborn Errors of Metabolism (IEM), pose significant diagnostic challenges. Case reports serve as key but computationally underutilized resources to inform diagnosis. Clinical dense information extraction refers to organizing medical information into structured predefined categories. Large Language Models (LLMs) may enable scalable information extraction from case reports but are rarely evaluated for this task. We introduce CaseReportBench, an expert-annotated dataset for dense information extraction of case reports, focusing on IEMs. Using this dataset, we assess various models and prompting strategies, introducing novel approaches such as category-specific prompting and subheading-filtered data integration. Zero-shot chain-of-thought prompting offers little advantage over standard zero-shot prompting. Category-specific prompting improves alignment with the benchmark. The open-source model Qwen2.5-7B outperforms GPT-4o for this task. Our clinician evaluations show that LLMs can extract clinically relevant details from case reports, supporting rare disease diagnosis and management. We also highlight areas for improvement, such as LLMs' limitations in recognizing negative findings important for differential diagnosis. This work advances LLM-driven clinical natural language processing and paves the way for scalable medical AI applications.

Current medical retrieval benchmarks primarily emphasize lexical or shallow semantic similarity, overlooking the reasoning-intensive demands that are central to clinical decision-making. In practice, physicians often retrieve authoritative medical evidence to support diagnostic hypotheses. Such evidence typically aligns with an inferred diagnosis rather than the surface form of a patient's symptoms, leading to low lexical or semantic overlap between queries and relevant documents. To address this gap, we introduce R2MED, the first benchmark explicitly designed for reasoning-driven medical retrieval. It comprises 876 queries spanning three tasks: Q&A reference retrieval, clinical evidence retrieval, and clinical case retrieval. These tasks are drawn from five representative medical scenarios and twelve body systems, capturing the complexity and diversity of real-world medical information needs. We evaluate 15 widely-used retrieval systems on R2MED and find that even the best model achieves only 31.4 nDCG@10, demonstrating the benchmark's difficulty. Classical re-ranking and generation-augmented retrieval methods offer only modest improvements. Although large reasoning models improve performance via intermediate inference generation, the best results still peak at 41.4 nDCG@10. These findings underscore a substantial gap between current retrieval techniques and the reasoning demands of real clinical tasks. We release R2MED as a challenging benchmark to foster the development of next-generation medical retrieval systems with enhanced reasoning capabilities. Data and code are available at https://github.com/R2MED/R2MED

Document-level Relation Extraction (RE) is a more challenging task than sentence RE as it often requires reasoning over multiple sentences. Yet, human annotators usually use a small number of sentences to identify the relationship between a given entity pair. In this paper, we present an embarrassingly simple but effective method to heuristically select evidence sentences for document-level RE, which can be easily combined with BiLSTM to achieve good performance on benchmark datasets, even better than fancy graph neural network based methods. We have released our code at https://github.com/AndrewZhe/Three-Sentences-Are-All-You-Need.

In this paper we present a hybrid method for the automatic detection of dermatological pathologies in medical reports. We use a large language model combined with medical ontologies to predict, given a first appointment or follow-up medical report, the pathology a person may suffer from. The results show that teaching the model to learn the type, severity and location on the body of a dermatological pathology, as well as in which order it has to learn these three features, significantly increases its accuracy. The article presents the demonstration of state-of-the-art results for classification of medical texts with a precision of 0.84, micro and macro F1-score of 0.82 and 0.75, and makes both the method and the data set used available to the community.

Document Layout Analysis, which is the task of identifying different semantic regions inside of a document page, is a subject of great interest for both computer scientists and humanities scholars as it represents a fundamental step towards further analysis tasks for the former and a powerful tool to improve and facilitate the study of the documents for the latter. However, many of the works currently present in the literature, especially when it comes to the available datasets, fail to meet the needs of both worlds and, in particular, tend to lean towards the needs and common practices of the computer science side, leading to resources that are not representative of the humanities real needs. For this reason, the present paper introduces U-DIADS-Bib, a novel, pixel-precise, non-overlapping and noiseless document layout analysis dataset developed in close collaboration between specialists in the fields of computer vision and humanities. Furthermore, we propose a novel, computer-aided, segmentation pipeline in order to alleviate the burden represented by the time-consuming process of manual annotation, necessary for the generation of the ground truth segmentation maps. Finally, we present a standardized few-shot version of the dataset (U-DIADS-BibFS), with the aim of encouraging the development of models and solutions able to address this task with as few samples as possible, which would allow for more effective use in a real-world scenario, where collecting a large number of segmentations is not always feasible.

The RVL-CDIP benchmark is widely used for measuring performance on the task of document classification. Despite its widespread use, we reveal several undesirable characteristics of the RVL-CDIP benchmark. These include (1) substantial amounts of label noise, which we estimate to be 8.1% (ranging between 1.6% to 16.9% per document category); (2) presence of many ambiguous or multi-label documents; (3) a large overlap between test and train splits, which can inflate model performance metrics; and (4) presence of sensitive personally-identifiable information like US Social Security numbers (SSNs). We argue that there is a risk in using RVL-CDIP for benchmarking document classifiers, as its limited scope, presence of errors (state-of-the-art models now achieve accuracy error rates that are within our estimated label error rate), and lack of diversity make it less than ideal for benchmarking. We further advocate for the creation of a new document classification benchmark, and provide recommendations for what characteristics such a resource should include.

We apply category theory to extract multimodal document structure which leads us to develop information theoretic measures, content summarization and extension, and self-supervised improvement of large pretrained models. We first develop a mathematical representation of a document as a category of question-answer pairs. Second, we develop an orthogonalization procedure to divide the information contained in one or more documents into non-overlapping pieces. The structures extracted in the first and second steps lead us to develop methods to measure and enumerate the information contained in a document. We also build on those steps to develop new summarization techniques, as well as to develop a solution to a new problem viz. exegesis resulting in an extension of the original document. Our question-answer pair methodology enables a novel rate distortion analysis of summarization techniques. We implement our techniques using large pretrained models, and we propose a multimodal extension of our overall mathematical framework. Finally, we develop a novel self-supervised method using RLVR to improve large pretrained models using consistency constraints such as composability and closure under certain operations that stem naturally from our category theoretic framework.

When reading a document, glancing at the spatial layout of a document is an initial step to understand it roughly. Traditional document layout analysis (DLA) methods, however, offer only a superficial parsing of documents, focusing on basic instance detection and often failing to capture the nuanced spatial and logical relations between instances. These limitations hinder DLA-based models from achieving a gradually deeper comprehension akin to human reading. In this work, we propose a novel graph-based Document Structure Analysis (gDSA) task. This task requires that model not only detects document elements but also generates spatial and logical relations in form of a graph structure, allowing to understand documents in a holistic and intuitive manner. For this new task, we construct a relation graph-based document structure analysis dataset (GraphDoc) with 80K document images and 4.13M relation annotations, enabling training models to complete multiple tasks like reading order, hierarchical structures analysis, and complex inter-element relation inference. Furthermore, a document relation graph generator (DRGG) is proposed to address the gDSA task, which achieves performance with 57.6% at [email protected] for a strong benchmark baseline on this novel task and dataset. We hope this graphical representation of document structure can mark an innovative advancement in document structure analysis and understanding. The new dataset and code will be made publicly available at https://yufanchen96.github.io/projects/GraphDoc.

Despite the strong research interest in document-level Machine Translation (MT), the test sets dedicated to this task are still scarce. The existing test sets mainly cover topics from the general domain and fall short on specialised domains, such as legal and financial. Also, in spite of their document-level aspect, they still follow a sentence-level logic that does not allow for including certain linguistic phenomena such as information reorganisation. In this work, we aim to fill this gap by proposing a novel test set: DOLFIN. The dataset is built from specialised financial documents, and it makes a step towards true document-level MT by abandoning the paradigm of perfectly aligned sentences, presenting data in units of sections rather than sentences. The test set consists of an average of 1950 aligned sections for five language pairs. We present a detailed data collection pipeline that can serve as inspiration for aligning new document-level datasets. We demonstrate the usefulness and quality of this test set by evaluating a number of models. Our results show that the test set is able to discriminate between context-sensitive and context-agnostic models and shows the weaknesses when models fail to accurately translate financial texts. The test set is made public for the community.

The growing complexity of legal cases has lead to an increasing interest in legal information retrieval systems that can effectively satisfy user-specific information needs. However, such downstream systems typically require documents to be properly formatted and segmented, which is often done with relatively simple pre-processing steps, disregarding topical coherence of segments. Systems generally rely on representations of individual sentences or paragraphs, which may lack crucial context, or document-level representations, which are too long for meaningful search results. To address this issue, we propose a segmentation system that can predict topical coherence of sequential text segments spanning several paragraphs, effectively segmenting a document and providing a more balanced representation for downstream applications. We build our model on top of popular transformer networks and formulate structural text segmentation as topical change detection, by performing a series of independent classifications that allow for efficient fine-tuning on task-specific data. We crawl a novel dataset consisting of roughly 74,000 online Terms-of-Service documents, including hierarchical topic annotations, which we use for training. Results show that our proposed system significantly outperforms baselines, and adapts well to structural peculiarities of legal documents. We release both data and trained models to the research community for future work.https://github.com/dennlinger/TopicalChange

Script identification plays a vital role in applications that involve handwriting and document analysis within a multi-script and multi-lingual environment. Moreover, it exhibits a profound connection with human cognition. This paper provides a new database for benchmarking script identification algorithms, which contains both printed and handwritten documents collected from a wide variety of scripts, such as Arabic, Bengali (Bangla), Gujarati, Gurmukhi, Devanagari, Japanese, Kannada, Malayalam, Oriya, Roman, Tamil, Telugu, and Thai. The dataset consists of 1,135 documents scanned from local newspaper and handwritten letters as well as notes from different native writers. Further, these documents are segmented into lines and words, comprising a total of 13,979 and 86,655 lines and words, respectively, in the dataset. Easy-to-go benchmarks are proposed with handcrafted and deep learning methods. The benchmark includes results at the document, line, and word levels with printed and handwritten documents. Results of script identification independent of the document/line/word level and independent of the printed/handwritten letters are also given. The new multi-lingual database is expected to create new script identifiers, present various challenges, including identifying handwritten and printed samples and serve as a foundation for future research in script identification based on the reported results of the three benchmarks.

Documents are a core part of many businesses in many fields such as law, finance, and technology among others. Automatic understanding of documents such as invoices, contracts, and resumes is lucrative, opening up many new avenues of business. The fields of natural language processing and computer vision have seen tremendous progress through the development of deep learning such that these methods have started to become infused in contemporary document understanding systems. In this survey paper, we review different techniques for document understanding for documents written in English and consolidate methodologies present in literature to act as a jumping-off point for researchers exploring this area.

The emergence of groundbreaking large language models capable of performing complex reasoning tasks holds significant promise for addressing various scientific challenges, including those arising in complex clinical scenarios. To enable their safe and effective deployment in real-world healthcare settings, it is urgently necessary to benchmark the diagnostic capabilities of current models systematically. Given the limitations of existing medical benchmarks in evaluating advanced diagnostic reasoning, we present DiagnosisArena, a comprehensive and challenging benchmark designed to rigorously assess professional-level diagnostic competence. DiagnosisArena consists of 1,113 pairs of segmented patient cases and corresponding diagnoses, spanning 28 medical specialties, deriving from clinical case reports published in 10 top-tier medical journals. The benchmark is developed through a meticulous construction pipeline, involving multiple rounds of screening and review by both AI systems and human experts, with thorough checks conducted to prevent data leakage. Our study reveals that even the most advanced reasoning models, o3-mini, o1, and DeepSeek-R1, achieve only 45.82%, 31.09%, and 17.79% accuracy, respectively. This finding highlights a significant generalization bottleneck in current large language models when faced with clinical diagnostic reasoning challenges. Through DiagnosisArena, we aim to drive further advancements in AIs diagnostic reasoning capabilities, enabling more effective solutions for real-world clinical diagnostic challenges. We provide the benchmark and evaluation tools for further research and development https://github.com/SPIRAL-MED/DiagnosisArena.

Clinical diagnosis is a highly specialized discipline requiring both domain expertise and strict adherence to rigorous guidelines. While current AI-driven medical research predominantly focuses on knowledge graphs or natural text pretraining paradigms to incorporate medical knowledge, these approaches primarily rely on implicitly encoded knowledge within model parameters, neglecting task-specific knowledge required by diverse downstream tasks. To address this limitation, we propose Retrieval-Augmented Diagnosis (RAD), a novel framework that explicitly injects external knowledge into multimodal models directly on downstream tasks. Specifically, RAD operates through three key mechanisms: retrieval and refinement of disease-centered knowledge from multiple medical sources, a guideline-enhanced contrastive loss that constrains the latent distance between multi-modal features and guideline knowledge, and the dual transformer decoder that employs guidelines as queries to steer cross-modal fusion, aligning the models with clinical diagnostic workflows from guideline acquisition to feature extraction and decision-making. Moreover, recognizing the lack of quantitative evaluation of interpretability for multimodal diagnostic models, we introduce a set of criteria to assess the interpretability from both image and text perspectives. Extensive evaluations across four datasets with different anatomies demonstrate RAD's generalizability, achieving state-of-the-art performance. Furthermore, RAD enables the model to concentrate more precisely on abnormal regions and critical indicators, ensuring evidence-based, trustworthy diagnosis. Our code is available at https://github.com/tdlhl/RAD.

Daily progress notes are common types in the electronic health record (EHR) where healthcare providers document the patient's daily progress and treatment plans. The EHR is designed to document all the care provided to patients, but it also enables note bloat with extraneous information that distracts from the diagnoses and treatment plans. Applications of natural language processing (NLP) in the EHR is a growing field with the majority of methods in information extraction. Few tasks use NLP methods for downstream diagnostic decision support. We introduced the 2022 National NLP Clinical Challenge (N2C2) Track 3: Progress Note Understanding - Assessment and Plan Reasoning as one step towards a new suite of tasks. The Assessment and Plan Reasoning task focuses on the most critical components of progress notes, Assessment and Plan subsections where health problems and diagnoses are contained. The goal of the task was to develop and evaluate NLP systems that automatically predict causal relations between the overall status of the patient contained in the Assessment section and its relation to each component of the Plan section which contains the diagnoses and treatment plans. The goal of the task was to identify and prioritize diagnoses as the first steps in diagnostic decision support to find the most relevant information in long documents like daily progress notes. We present the results of 2022 n2c2 Track 3 and provide a description of the data, evaluation, participation and system performance.

Automatic disease diagnosis has become increasingly valuable in clinical practice. The advent of large language models (LLMs) has catalyzed a paradigm shift in artificial intelligence, with growing evidence supporting the efficacy of LLMs in diagnostic tasks. Despite the increasing attention in this field, a holistic view is still lacking. Many critical aspects remain unclear, such as the diseases and clinical data to which LLMs have been applied, the LLM techniques employed, and the evaluation methods used. In this article, we perform a comprehensive review of LLM-based methods for disease diagnosis. Our review examines the existing literature across various dimensions, including disease types and associated clinical specialties, clinical data, LLM techniques, and evaluation methods. Additionally, we offer recommendations for applying and evaluating LLMs for diagnostic tasks. Furthermore, we assess the limitations of current research and discuss future directions. To our knowledge, this is the first comprehensive review for LLM-based disease diagnosis.

We call on the Document AI (DocAI) community to reevaluate current methodologies and embrace the challenge of creating more practically-oriented benchmarks. Document Understanding Dataset and Evaluation (DUDE) seeks to remediate the halted research progress in understanding visually-rich documents (VRDs). We present a new dataset with novelties related to types of questions, answers, and document layouts based on multi-industry, multi-domain, and multi-page VRDs of various origins, and dates. Moreover, we are pushing the boundaries of current methods by creating multi-task and multi-domain evaluation setups that more accurately simulate real-world situations where powerful generalization and adaptation under low-resource settings are desired. DUDE aims to set a new standard as a more practical, long-standing benchmark for the community, and we hope that it will lead to future extensions and contributions that address real-world challenges. Finally, our work illustrates the importance of finding more efficient ways to model language, images, and layout in DocAI.

Recent research advances achieve human-level accuracy for de-identifying free-text clinical notes on research datasets, but gaps remain in reproducing this in large real-world settings. This paper summarizes lessons learned from building a system used to de-identify over one billion real clinical notes, in a fully automated way, that was independently certified by multiple organizations for production use. A fully automated solution requires a very high level of accuracy that does not require manual review. A hybrid context-based model architecture is described, which outperforms a Named Entity Recogniton (NER) - only model by 10% on the i2b2-2014 benchmark. The proposed system makes 50%, 475%, and 575% fewer errors than the comparable AWS, Azure, and GCP services respectively while also outperforming ChatGPT by 33%. It exceeds 98% coverage of sensitive data across 7 European languages, without a need for fine tuning. A second set of described models enable data obfuscation -- replacing sensitive data with random surrogates -- while retaining name, date, gender, clinical, and format consistency. Both the practical need and the solution architecture that provides for reliable & linked anonymized documents are described.

The continually increasing number of documents produced each year necessitates ever improving information processing methods for searching, retrieving, and organizing text. Central to these information processing methods is document classification, which has become an important application for supervised learning. Recently the performance of these traditional classifiers has degraded as the number of documents has increased. This is because along with this growth in the number of documents has come an increase in the number of categories. This paper approaches this problem differently from current document classification methods that view the problem as multi-class classification. Instead we perform hierarchical classification using an approach we call Hierarchical Deep Learning for Text classification (HDLTex). HDLTex employs stacks of deep learning architectures to provide specialized understanding at each level of the document hierarchy.

Document understanding is critical for applications from financial analysis to scientific discovery. Current approaches, whether OCR-based pipelines feeding Large Language Models (LLMs) or native Multimodal LLMs (MLLMs), face key limitations: the former loses structural detail, while the latter struggles with context modeling. Retrieval-Augmented Generation (RAG) helps ground models in external data, but documents' multimodal nature, i.e., combining text, tables, charts, and layout, demands a more advanced paradigm: Multimodal RAG. This approach enables holistic retrieval and reasoning across all modalities, unlocking comprehensive document intelligence. Recognizing its importance, this paper presents a systematic survey of Multimodal RAG for document understanding. We propose a taxonomy based on domain, retrieval modality, and granularity, and review advances involving graph structures and agentic frameworks. We also summarize key datasets, benchmarks, and applications, and highlight open challenges in efficiency, fine-grained representation, and robustness, providing a roadmap for future progress in document AI.

We present the contribution of the Unbabel team to the WMT 2020 Shared Task on Metrics. We intend to participate on the segment-level, document-level and system-level tracks on all language pairs, as well as the 'QE as a Metric' track. Accordingly, we illustrate results of our models in these tracks with reference to test sets from the previous year. Our submissions build upon the recently proposed COMET framework: We train several estimator models to regress on different human-generated quality scores and a novel ranking model trained on relative ranks obtained from Direct Assessments. We also propose a simple technique for converting segment-level predictions into a document-level score. Overall, our systems achieve strong results for all language pairs on previous test sets and in many cases set a new state-of-the-art.

Automatic coding of International Classification of Diseases (ICD) is a multi-label text categorization task that involves extracting disease or procedure codes from clinical notes. Despite the application of state-of-the-art natural language processing (NLP) techniques, there are still challenges including limited availability of data due to privacy constraints and the high variability of clinical notes caused by different writing habits of medical professionals and various pathological features of patients. In this work, we investigate the semi-structured nature of clinical notes and propose an automatic algorithm to segment them into sections. To address the variability issues in existing ICD coding models with limited data, we introduce a contrastive pre-training approach on sections using a soft multi-label similarity metric based on tree edit distance. Additionally, we design a masked section training strategy to enable ICD coding models to locate sections related to ICD codes. Extensive experimental results demonstrate that our proposed training strategies effectively enhance the performance of existing ICD coding methods.

Generalist Large Language Models (LLMs), such as GPT-4, have shown considerable promise in various domains, including medical diagnosis. Rare diseases, affecting approximately 300 million people worldwide, often have unsatisfactory clinical diagnosis rates primarily due to a lack of experienced physicians and the complexity of differentiating among many rare diseases. In this context, recent news such as "ChatGPT correctly diagnosed a 4-year-old's rare disease after 17 doctors failed" underscore LLMs' potential, yet underexplored, role in clinically diagnosing rare diseases. To bridge this research gap, we introduce RareBench, a pioneering benchmark designed to systematically evaluate the capabilities of LLMs on 4 critical dimensions within the realm of rare diseases. Meanwhile, we have compiled the largest open-source dataset on rare disease patients, establishing a benchmark for future studies in this domain. To facilitate differential diagnosis of rare diseases, we develop a dynamic few-shot prompt methodology, leveraging a comprehensive rare disease knowledge graph synthesized from multiple knowledge bases, significantly enhancing LLMs' diagnostic performance. Moreover, we present an exhaustive comparative study of GPT-4's diagnostic capabilities against those of specialist physicians. Our experimental findings underscore the promising potential of integrating LLMs into the clinical diagnostic process for rare diseases. This paves the way for exciting possibilities in future advancements in this field.

Document visual question answering (DocVQA) pipelines that answer questions from documents have broad applications. Existing methods focus on handling single-page documents with multi-modal language models (MLMs), or rely on text-based retrieval-augmented generation (RAG) that uses text extraction tools such as optical character recognition (OCR). However, there are difficulties in applying these methods in real-world scenarios: (a) questions often require information across different pages or documents, where MLMs cannot handle many long documents; (b) documents often have important information in visual elements such as figures, but text extraction tools ignore them. We introduce M3DocRAG, a novel multi-modal RAG framework that flexibly accommodates various document contexts (closed-domain and open-domain), question hops (single-hop and multi-hop), and evidence modalities (text, chart, figure, etc.). M3DocRAG finds relevant documents and answers questions using a multi-modal retriever and an MLM, so that it can efficiently handle single or many documents while preserving visual information. Since previous DocVQA datasets ask questions in the context of a specific document, we also present M3DocVQA, a new benchmark for evaluating open-domain DocVQA over 3,000+ PDF documents with 40,000+ pages. In three benchmarks (M3DocVQA/MMLongBench-Doc/MP-DocVQA), empirical results show that M3DocRAG with ColPali and Qwen2-VL 7B achieves superior performance than many strong baselines, including state-of-the-art performance in MP-DocVQA. We provide comprehensive analyses of different indexing, MLMs, and retrieval models. Lastly, we qualitatively show that M3DocRAG can successfully handle various scenarios, such as when relevant information exists across multiple pages and when answer evidence only exists in images.

Optical Character Recognition (OCR) technology is widely used to extract text from images of documents, facilitating efficient digitization and data retrieval. However, merely extracting text is insufficient when dealing with complex documents. Fully comprehending such documents requires an understanding of their structure -- including formatting, formulas, tables, and the reading order of multiple blocks and columns across multiple pages -- as well as semantic information for detecting elements like footnotes and image captions. This comprehensive understanding is crucial for downstream tasks such as retrieval, document question answering, and data curation for training Large Language Models (LLMs) and Vision Language Models (VLMs). To address this, we introduce \'Eclair, a general-purpose text-extraction tool specifically designed to process a wide range of document types. Given an image, \'Eclair is able to extract formatted text in reading order, along with bounding boxes and their corresponding semantic classes. To thoroughly evaluate these novel capabilities, we introduce our diverse human-annotated benchmark for document-level OCR and semantic classification. \'Eclair achieves state-of-the-art accuracy on this benchmark, outperforming other methods across key metrics. Additionally, we evaluate \'Eclair on established benchmarks, demonstrating its versatility and strength across several evaluation standards.

Retrieval-Augmented Generation (RAG) systems using Multimodal Large Language Models (MLLMs) show great promise for complex document understanding, yet their development is critically hampered by inadequate evaluation. Current benchmarks often focus on specific part of document RAG system and use synthetic data with incomplete ground truth and evidence labels, therefore failing to reflect real-world bottlenecks and challenges. To overcome these limitations, we introduce Double-Bench: a new large-scale, multilingual, and multimodal evaluation system that is able to produce fine-grained assessment to each component within document RAG systems. It comprises 3,276 documents (72,880 pages) and 5,168 single- and multi-hop queries across 6 languages and 4 document types with streamlined dynamic update support for potential data contamination issues. Queries are grounded in exhaustively scanned evidence pages and verified by human experts to ensure maximum quality and completeness. Our comprehensive experiments across 9 state-of-the-art embedding models, 4 MLLMs and 4 end-to-end document RAG frameworks demonstrate the gap between text and visual embedding models is narrowing, highlighting the need in building stronger document retrieval models. Our findings also reveal the over-confidence dilemma within current document RAG frameworks that tend to provide answer even without evidence support. We hope our fully open-source Double-Bench provide a rigorous foundation for future research in advanced document RAG systems. We plan to retrieve timely corpus and release new benchmarks on an annual basis.

The field of medical diagnosis has undergone a significant transformation with the advent of large language models (LLMs), yet the challenges of interpretability within these models remain largely unaddressed. This study introduces Chain-of-Diagnosis (CoD) to enhance the interpretability of LLM-based medical diagnostics. CoD transforms the diagnostic process into a diagnostic chain that mirrors a physician's thought process, providing a transparent reasoning pathway. Additionally, CoD outputs the disease confidence distribution to ensure transparency in decision-making. This interpretability makes model diagnostics controllable and aids in identifying critical symptoms for inquiry through the entropy reduction of confidences. With CoD, we developed DiagnosisGPT, capable of diagnosing 9604 diseases. Experimental results demonstrate that DiagnosisGPT outperforms other LLMs on diagnostic benchmarks. Moreover, DiagnosisGPT provides interpretability while ensuring controllability in diagnostic rigor.

In this paper, we propose the Hierarchical Document Transformer (HDT), a novel sparse Transformer architecture tailored for structured hierarchical documents. Such documents are extremely important in numerous domains, including science, law or medicine. However, most existing solutions are inefficient and fail to make use of the structure inherent to documents. HDT exploits document structure by introducing auxiliary anchor tokens and redesigning the attention mechanism into a sparse multi-level hierarchy. This approach facilitates information exchange between tokens at different levels while maintaining sparsity, thereby enhancing computational and memory efficiency while exploiting the document structure as an inductive bias. We address the technical challenge of implementing HDT's sample-dependent hierarchical attention pattern by developing a novel sparse attention kernel that considers the hierarchical structure of documents. As demonstrated by our experiments, utilizing structural information present in documents leads to faster convergence, higher sample efficiency and better performance on downstream tasks.

We propose a novel end-to-end document understanding model called SeRum (SElective Region Understanding Model) for extracting meaningful information from document images, including document analysis, retrieval, and office automation. Unlike state-of-the-art approaches that rely on multi-stage technical schemes and are computationally expensive, SeRum converts document image understanding and recognition tasks into a local decoding process of the visual tokens of interest, using a content-aware token merge module. This mechanism enables the model to pay more attention to regions of interest generated by the query decoder, improving the model's effectiveness and speeding up the decoding speed of the generative scheme. We also designed several pre-training tasks to enhance the understanding and local awareness of the model. Experimental results demonstrate that SeRum achieves state-of-the-art performance on document understanding tasks and competitive results on text spotting tasks. SeRum represents a substantial advancement towards enabling efficient and effective end-to-end document understanding.

The field of visually rich document understanding (VRDU) aims to solve a multitude of well-researched NLP tasks in a multi-modal domain. Several datasets exist for research on specific tasks of VRDU such as document classification (DC), key entity extraction (KEE), entity linking, visual question answering (VQA), inter alia. These datasets cover documents like invoices and receipts with sparse annotations such that they support one or two co-related tasks (e.g., entity extraction and entity linking). Unfortunately, only focusing on a single specific of documents or task is not representative of how documents often need to be processed in the wild - where variety in style and requirements is expected. In this paper, we introduce BuDDIE (Business Document Dataset for Information Extraction), the first multi-task dataset of 1,665 real-world business documents that contains rich and dense annotations for DC, KEE, and VQA. Our dataset consists of publicly available business entity documents from US state government websites. The documents are structured and vary in their style and layout across states and types (e.g., forms, certificates, reports, etc.). We provide data variety and quality metrics for BuDDIE as well as a series of baselines for each task. Our baselines cover traditional textual, multi-modal, and large language model approaches to VRDU.

Text-rich document understanding (TDU) refers to analyzing and comprehending documents containing substantial textual content. With the rapid evolution of large language models (LLMs), they have been widely leveraged for TDU due to their remarkable versatility and generalization. In this paper, we introduce DocLayLLM, an efficient and effective multi-modal extension of LLMs specifically designed for TDU. By integrating visual patch tokens and 2D positional tokens into LLMs and encoding the document content using the LLMs themselves, we fully take advantage of the document comprehension capability of LLMs and enhance their perception of OCR information. We have also deeply considered the role of the chain-of-thought (CoT) and innovatively proposed the techniques of CoT Pre-training and CoT Annealing. Our DocLayLLM can achieve remarkable performances with lightweight training settings, showcasing its efficiency and effectiveness. Experimental results demonstrate that our DocLayLLM surpasses existing OCR-dependent methods and also outperforms OCR-free competitors.

Multi-modal document retrieval is designed to identify and retrieve various forms of multi-modal content, such as figures, tables, charts, and layout information from extensive documents. Despite its significance, there is a notable lack of a robust benchmark to effectively evaluate the performance of systems in multi-modal document retrieval. To address this gap, this work introduces a new benchmark, named as MMDocIR, encompassing two distinct tasks: page-level and layout-level retrieval. The former focuses on localizing the most relevant pages within a long document, while the latter targets the detection of specific layouts, offering a more fine-grained granularity than whole-page analysis. A layout can refer to a variety of elements such as textual paragraphs, equations, figures, tables, or charts. The MMDocIR benchmark comprises a rich dataset featuring expertly annotated labels for 1,685 questions and bootstrapped labels for 173,843 questions, making it a pivotal resource for advancing multi-modal document retrieval for both training and evaluation. Through rigorous experiments, we reveal that (i) visual retrievers significantly outperform their text counterparts, (ii) MMDocIR train set can effectively benefit the training process of multi-modal document retrieval and (iii) text retrievers leveraging on VLM-text perform much better than those using OCR-text. These findings underscores the potential advantages of integrating visual elements for multi-modal document retrieval.

Medical systematic reviews typically require assessing all the documents retrieved by a search. The reason is two-fold: the task aims for ``total recall''; and documents retrieved using Boolean search are an unordered set, and thus it is unclear how an assessor could examine only a subset. Screening prioritisation is the process of ranking the (unordered) set of retrieved documents, allowing assessors to begin the downstream processes of the systematic review creation earlier, leading to earlier completion of the review, or even avoiding screening documents ranked least relevant. Screening prioritisation requires highly effective ranking methods. Pre-trained language models are state-of-the-art on many IR tasks but have yet to be applied to systematic review screening prioritisation. In this paper, we apply several pre-trained language models to the systematic review document ranking task, both directly and fine-tuned. An empirical analysis compares how effective neural methods compare to traditional methods for this task. We also investigate different types of document representations for neural methods and their impact on ranking performance. Our results show that BERT-based rankers outperform the current state-of-the-art screening prioritisation methods. However, BERT rankers and existing methods can actually be complementary, and thus, further improvements may be achieved if used in conjunction.

The meaningful use of electronic health records (EHR) continues to progress in the digital era with clinical decision support systems augmented by artificial intelligence. A priority in improving provider experience is to overcome information overload and reduce the cognitive burden so fewer medical errors and cognitive biases are introduced during patient care. One major type of medical error is diagnostic error due to systematic or predictable errors in judgment that rely on heuristics. The potential for clinical natural language processing (cNLP) to model diagnostic reasoning in humans with forward reasoning from data to diagnosis and potentially reduce the cognitive burden and medical error has not been investigated. Existing tasks to advance the science in cNLP have largely focused on information extraction and named entity recognition through classification tasks. We introduce a novel suite of tasks coined as Diagnostic Reasoning Benchmarks, DR.BENCH, as a new benchmark for developing and evaluating cNLP models with clinical diagnostic reasoning ability. The suite includes six tasks from ten publicly available datasets addressing clinical text understanding, medical knowledge reasoning, and diagnosis generation. DR.BENCH is the first clinical suite of tasks designed to be a natural language generation framework to evaluate pre-trained language models. Experiments with state-of-the-art pre-trained generative language models using large general domain models and models that were continually trained on a medical corpus demonstrate opportunities for improvement when evaluated in DR. BENCH. We share DR. BENCH as a publicly available GitLab repository with a systematic approach to load and evaluate models for the cNLP community.

Widely applied large language models (LLMs) can generate human-like content, raising concerns about the abuse of LLMs. Therefore, it is important to build strong AI-generated text (AIGT) detectors. Current works only consider document-level AIGT detection, therefore, in this paper, we first introduce a sentence-level detection challenge by synthesizing a dataset that contains documents that are polished with LLMs, that is, the documents contain sentences written by humans and sentences modified by LLMs. Then we propose Sequence X (Check) GPT, a novel method that utilizes log probability lists from white-box LLMs as features for sentence-level AIGT detection. These features are composed like waves in speech processing and cannot be studied by LLMs. Therefore, we build SeqXGPT based on convolution and self-attention networks. We test it in both sentence and document-level detection challenges. Experimental results show that previous methods struggle in solving sentence-level AIGT detection, while our method not only significantly surpasses baseline methods in both sentence and document-level detection challenges but also exhibits strong generalization capabilities.

Document Understanding is a foundational AI capability with broad applications, and Document Question Answering (DocQA) is a key evaluation task. Traditional methods convert the document into text for processing by Large Language Models (LLMs), but this process strips away critical multi-modal information like figures. While Large Vision-Language Models (LVLMs) address this limitation, their constrained input size makes multi-page document comprehension infeasible. Retrieval-augmented generation (RAG) methods mitigate this by selecting relevant pages, but they rely solely on semantic relevance, ignoring logical connections between pages and the query, which is essential for reasoning. To this end, we propose MoLoRAG, a logic-aware retrieval framework for multi-modal, multi-page document understanding. By constructing a page graph that captures contextual relationships between pages, a lightweight VLM performs graph traversal to retrieve relevant pages, including those with logical connections often overlooked. This approach combines semantic and logical relevance to deliver more accurate retrieval. After retrieval, the top-K pages are fed into arbitrary LVLMs for question answering. To enhance flexibility, MoLoRAG offers two variants: a training-free solution for easy deployment and a fine-tuned version to improve logical relevance checking. Experiments on four DocQA datasets demonstrate average improvements of 9.68% in accuracy over LVLM direct inference and 7.44% in retrieval precision over baselines. Codes and datasets are released at https://github.com/WxxShirley/MoLoRAG.

We perform a missing, reproducible evaluation of all publicly available GPT-4 family models concerning the Document Understanding field, where it is frequently required to comprehend text spacial arrangement and visual clues in addition to textual semantics. Benchmark results indicate that though it is hard to achieve satisfactory results with text-only models, GPT-4 Vision Turbo performs well when one provides both text recognized by an external OCR engine and document images on the input. Evaluation is followed by analyses that suggest possible contamination of textual GPT-4 models and indicate the significant performance drop for lengthy documents.

Document AI aims to automatically analyze documents by leveraging natural language processing and computer vision techniques. One of the major tasks of Document AI is document layout analysis, which structures document pages by interpreting the content and spatial relationships of layout, image, and text. This task can be image-centric, wherein the aim is to identify and label various regions such as authors and paragraphs, or text-centric, where the focus is on classifying individual words in a document. Although there are increasingly sophisticated methods for improving layout analysis, doubts remain about the extent to which their findings can be generalized to a broader context. Specifically, prior work developed systems based on very different architectures, such as transformer-based, graph-based, and CNNs. However, no work has mentioned the effectiveness of these models in a comparative analysis. Moreover, while language-independent Document AI models capable of knowledge transfer have been developed, it remains to be investigated to what degree they can effectively transfer knowledge. In this study, we aim to fill these gaps by conducting a comparative evaluation of state-of-the-art models in document layout analysis and investigating the potential of cross-lingual layout analysis by utilizing machine translation techniques.

We present SymbioticRAG, a novel framework that fundamentally reimagines Retrieval-Augmented Generation~(RAG) systems by establishing a bidirectional learning relationship between humans and machines. Our approach addresses two critical challenges in current RAG systems: the inherently human-centered nature of relevance determination and users' progression from "unconscious incompetence" in query formulation. SymbioticRAG introduces a two-tier solution where Level 1 enables direct human curation of retrieved content through interactive source document exploration, while Level 2 aims to build personalized retrieval models based on captured user interactions. We implement Level 1 through three key components: (1)~a comprehensive document processing pipeline with specialized models for layout detection, OCR, and extraction of tables, formulas, and figures; (2)~an extensible retriever module supporting multiple retrieval strategies; and (3)~an interactive interface that facilitates both user engagement and interaction data logging. We experiment Level 2 implementation via a retriever strategy incorporated LLM summarized user intention from user interaction logs. To maintain high-quality data preparation, we develop a human-on-the-loop validation interface that improves pipeline output while advancing research in specialized extraction tasks. Evaluation across three scenarios (literature review, geological exploration, and education) demonstrates significant improvements in retrieval relevance and user satisfaction compared to traditional RAG approaches. To facilitate broader research and further advancement of SymbioticRAG Level 2 implementation, we will make our system openly accessible to the research community.

Reviewing contracts is a time-consuming procedure that incurs large expenses to companies and social inequality to those who cannot afford it. In this work, we propose "document-level natural language inference (NLI) for contracts", a novel, real-world application of NLI that addresses such problems. In this task, a system is given a set of hypotheses (such as "Some obligations of Agreement may survive termination.") and a contract, and it is asked to classify whether each hypothesis is "entailed by", "contradicting to" or "not mentioned by" (neutral to) the contract as well as identifying "evidence" for the decision as spans in the contract. We annotated and release the largest corpus to date consisting of 607 annotated contracts. We then show that existing models fail badly on our task and introduce a strong baseline, which (1) models evidence identification as multi-label classification over spans instead of trying to predict start and end tokens, and (2) employs more sophisticated context segmentation for dealing with long documents. We also show that linguistic characteristics of contracts, such as negations by exceptions, are contributing to the difficulty of this task and that there is much room for improvement.

Large Language Models (LLMs) have issues with document question answering (QA) in situations where the document is unable to fit in the small context length of an LLM. To overcome this issue, most existing works focus on retrieving the relevant context from the document, representing them as plain text. However, documents such as PDFs, web pages, and presentations are naturally structured with different pages, tables, sections, and so on. Representing such structured documents as plain text is incongruous with the user's mental model of these documents with rich structure. When a system has to query the document for context, this incongruity is brought to the fore, and seemingly trivial questions can trip up the QA system. To bridge this fundamental gap in handling structured documents, we propose an approach called PDFTriage that enables models to retrieve the context based on either structure or content. Our experiments demonstrate the effectiveness of the proposed PDFTriage-augmented models across several classes of questions where existing retrieval-augmented LLMs fail. To facilitate further research on this fundamental problem, we release our benchmark dataset consisting of 900+ human-generated questions over 80 structured documents from 10 different categories of question types for document QA.

Document digitization is vital for preserving historical records, efficient document management, and advancing OCR (Optical Character Recognition) research. Document Layout Analysis (DLA) involves segmenting documents into meaningful units like text boxes, paragraphs, images, and tables. Challenges arise when dealing with diverse layouts, historical documents, and unique scripts like Bengali, hindered by the lack of comprehensive Bengali DLA datasets. We improved the accuracy of the DLA model for Bengali documents by utilizing advanced Mask R-CNN models available in the Detectron2 library. Our evaluation involved three variants: Mask R-CNN R-50, R-101, and X-101, both with and without pretrained weights from PubLayNet, on the BaDLAD dataset, which contains human-annotated Bengali documents in four categories: text boxes, paragraphs, images, and tables. Results show the effectiveness of these models in accurately segmenting Bengali documents. We discuss speed-accuracy tradeoffs and underscore the significance of pretrained weights. Our findings expand the applicability of Mask R-CNN in document layout analysis, efficient document management, and OCR research while suggesting future avenues for fine-tuning and data augmentation.

Medical report generation has achieved remarkable advancements yet has still been faced with several challenges. First, the inherent imbalance in the distribution of normal and abnormal cases may lead models to exhibit a biased focus on normal samples, resulting in unreliable diagnoses. Second, the frequent occurrence of common template sentences in the reports may overwhelm the critical abnormal information. Moreover, existing works focus on 2D chest X-rays, leaving CT report generation underexplored due to the high-dimensional nature of CT images and the limited availability of CT-report pairs. Recently, LLM has shown a great ability to generate reliable answers with appropriate prompts, which shed light on addressing the aforementioned challenges. In this paper, we propose Dia-LLaMA, a framework to adapt the LLaMA2-7B for CT report generation by incorporating diagnostic information as guidance prompts. Considering the high dimension of CT, we leverage a pre-trained ViT3D with perceiver to extract the visual information. To tailor the LLM for report generation and emphasize abnormality, we extract additional diagnostic information by referring to a disease prototype memory bank, which is updated during training to capture common disease representations. Furthermore, we introduce disease-aware attention to enable the model to adjust attention for different diseases. Experiments on the chest CT dataset demonstrated that our proposed method outperformed previous methods and achieved state-of-the-art on both clinical efficacy performance and natural language generation metrics. The code will be made publically available.

Medical imaging is widely used in clinical practice for diagnosis and treatment. Report-writing can be error-prone for unexperienced physicians, and time- consuming and tedious for experienced physicians. To address these issues, we study the automatic generation of medical imaging reports. This task presents several challenges. First, a complete report contains multiple heterogeneous forms of information, including findings and tags. Second, abnormal regions in medical images are difficult to identify. Third, the re- ports are typically long, containing multiple sentences. To cope with these challenges, we (1) build a multi-task learning framework which jointly performs the pre- diction of tags and the generation of para- graphs, (2) propose a co-attention mechanism to localize regions containing abnormalities and generate narrations for them, (3) develop a hierarchical LSTM model to generate long paragraphs. We demonstrate the effectiveness of the proposed methods on two publicly available datasets.

Document layout analysis usually relies on computer vision models to understand documents while ignoring textual information that is vital to capture. Meanwhile, high quality labeled datasets with both visual and textual information are still insufficient. In this paper, we present DocBank, a benchmark dataset that contains 500K document pages with fine-grained token-level annotations for document layout analysis. DocBank is constructed using a simple yet effective way with weak supervision from the documents available on the arXiv.com. With DocBank, models from different modalities can be compared fairly and multi-modal approaches will be further investigated and boost the performance of document layout analysis. We build several strong baselines and manually split train/dev/test sets for evaluation. Experiment results show that models trained on DocBank accurately recognize the layout information for a variety of documents. The DocBank dataset is publicly available at https://github.com/doc-analysis/DocBank.

Invoices and receipts submitted by employees are visually rich documents (VRDs) with textual, visual and layout information. To protect against the risk of fraud and abuse, it is crucial for organizations to efficiently extract desired information from submitted receipts. This helps in the assessment of key factors such as appropriateness of the expense claim, adherence to spending and transaction policies, the validity of the receipt, as well as downstream anomaly detection at various levels. These documents are heterogeneous, with multiple formats and languages, uploaded with different image qualities, and often do not contain ground truth labels for the efficient training of models. In this paper we propose Task Aware Instruction-based Labelling (TAIL), a method for synthetic label generation in VRD corpuses without labels, and fine-tune a multimodal Visually Rich Document Understanding Model (VRDU) on TAIL labels using response-based knowledge distillation without using the teacher model's weights or training dataset to conditionally generate annotations in the appropriate format. Using a benchmark external dataset where ground truth labels are available, we demonstrate conditions under which our approach performs at par with Claude 3 Sonnet through empirical studies. We then show that the resulting model performs at par or better on the internal expense documents of a large multinational organization than state-of-the-art LMM (large multimodal model) Claude 3 Sonnet while being 85% less costly and ~5X faster, and outperforms layout-aware baselines by more than 10% in Average Normalized Levenshtein Similarity (ANLS) scores due to its ability to reason and extract information from rare formats. Finally, we illustrate the usage of our approach in overpayment prevention.

Document Visual Question Answering (VQA) aims to understand visually-rich documents to answer questions in natural language, which is an emerging research topic for both Natural Language Processing and Computer Vision. In this work, we introduce a new Document VQA dataset, named TAT-DQA, which consists of 3,067 document pages comprising semi-structured table(s) and unstructured text as well as 16,558 question-answer pairs by extending the TAT-QA dataset. These documents are sampled from real-world financial reports and contain lots of numbers, which means discrete reasoning capability is demanded to answer questions on this dataset. Based on TAT-DQA, we further develop a novel model named MHST that takes into account the information in multi-modalities, including text, layout and visual image, to intelligently address different types of questions with corresponding strategies, i.e., extraction or reasoning. Extensive experiments show that the MHST model significantly outperforms the baseline methods, demonstrating its effectiveness. However, the performance still lags far behind that of expert humans. We expect that our new TAT-DQA dataset would facilitate the research on deep understanding of visually-rich documents combining vision and language, especially for scenarios that require discrete reasoning. Also, we hope the proposed model would inspire researchers to design more advanced Document VQA models in future. Our dataset will be publicly available for non-commercial use at https://nextplusplus.github.io/TAT-DQA/.

Information in industry, research, and the public sector is widely stored as rendered documents (e.g., PDF files, scans). Hence, to enable downstream tasks, systems are needed that map rendered documents onto a structured hierarchical format. However, existing systems for this task are limited by heuristics and are not end-to-end trainable. In this work, we introduce the Document Structure Generator (DSG), a novel system for document parsing that is fully end-to-end trainable. DSG combines a deep neural network for parsing (i) entities in documents (e.g., figures, text blocks, headers, etc.) and (ii) relations that capture the sequence and nested structure between entities. Unlike existing systems that rely on heuristics, our DSG is trained end-to-end, making it effective and flexible for real-world applications. We further contribute a new, large-scale dataset called E-Periodica comprising real-world magazines with complex document structures for evaluation. Our results demonstrate that our DSG outperforms commercial OCR tools and, on top of that, achieves state-of-the-art performance. To the best of our knowledge, our DSG system is the first end-to-end trainable system for hierarchical document parsing.

Multi-modal generative document parsing systems challenge traditional evaluation: unlike deterministic OCR or layout models, they often produce semantically correct yet structurally divergent outputs. Conventional metrics-CER, WER, IoU, or TEDS-misclassify such diversity as error, penalizing valid interpretations and obscuring system behavior. We introduce SCORE (Structural and COntent Robust Evaluation), an interpretation-agnostic framework that integrates (i) adjusted edit distance for robust content fidelity, (ii) token-level diagnostics to distinguish hallucinations from omissions, (iii) table evaluation with spatial tolerance and semantic alignment, and (iv) hierarchy-aware consistency checks. Together, these dimensions enable evaluation that embraces representational diversity while enforcing semantic rigor. Across 1,114 pages spanning a holistic benchmark and a field dataset, SCORE consistently revealed cross-dataset performance patterns missed by standard metrics. In 2-5% of pages with ambiguous table structures, traditional metrics penalized systems by 12-25% on average, leading to distorted rankings. SCORE corrected these cases, recovering equivalence between alternative but valid interpretations. Moreover, by normalizing generative outputs into a format-agnostic representation, SCORE reproduces traditional scores (e.g., table F1 up to 0.93) without requiring object-detection pipelines, demonstrating that generative parsing alone suffices for comprehensive evaluation. By exposing how interpretive diversity impacts evaluation outcomes and providing multi-dimensional, interpretable diagnostics, SCORE establishes foundational principles for semantically grounded, fair, and practical benchmarking of modern document parsing systems.

The rapid advancement of large-scale vision-language models has showcased remarkable capabilities across various tasks. However, the lack of extensive and high-quality image-text data in medicine has greatly hindered the development of large-scale medical vision-language models. In this work, we present a diagnosis-guided bootstrapping strategy that exploits both image and label information to construct vision-language datasets. Based on the constructed dataset, we developed MedDr, a generalist foundation model for healthcare capable of handling diverse medical data modalities, including radiology, pathology, dermatology, retinography, and endoscopy. Moreover, during inference, we propose a simple but effective retrieval-augmented medical diagnosis strategy, which enhances the model's generalization ability. Extensive experiments on visual question answering, medical report generation, and medical image diagnosis demonstrate the superiority of our method.

Information Retrieval (IR) methods aim to identify relevant documents in response to a given query, which have gained remarkable attention due to their successful application in various natural language tasks. However, existing approaches typically consider only the textual information within the documents, which overlooks the fact that documents can contain multiple modalities, including texts, images, and tables. Further, they often segment each long document into multiple discrete passages for embedding, preventing them from capturing the overall document context and interactions between paragraphs. We argue that these two limitations lead to suboptimal document representations for retrieval. In this work, to address them, we aim to produce more comprehensive and nuanced document representations by holistically embedding documents interleaved with different modalities. Specifically, we achieve this by leveraging the capability of recent vision-language models that enable the processing and integration of text, images, and tables into a unified format and representation. Moreover, to mitigate the information loss from segmenting documents into passages, instead of representing and retrieving passages individually, we further merge the representations of segmented passages into one single document representation, while we additionally introduce a reranking strategy to decouple and identify the relevant passage within the document if necessary. Then, through extensive experiments on diverse information retrieval scenarios considering both the textual and multimodal queries, we show that our approach substantially outperforms relevant baselines, thanks to the consideration of the multimodal information interleaved within the documents in a unified way.

This paper presents a new state-of-the-art for document image classification and retrieval, using features learned by deep convolutional neural networks (CNNs). In object and scene analysis, deep neural nets are capable of learning a hierarchical chain of abstraction from pixel inputs to concise and descriptive representations. The current work explores this capacity in the realm of document analysis, and confirms that this representation strategy is superior to a variety of popular hand-crafted alternatives. Experiments also show that (i) features extracted from CNNs are robust to compression, (ii) CNNs trained on non-document images transfer well to document analysis tasks, and (iii) enforcing region-specific feature-learning is unnecessary given sufficient training data. This work also makes available a new labelled subset of the IIT-CDIP collection, containing 400,000 document images across 16 categories, useful for training new CNNs for document analysis.

Logical page segmentation is an important step in document analysis, enabling better semantic representations, information retrieval, and text understanding. Previous approaches define logical segmentation either through text or geometric objects, relying on OCR or precise geometry. To avoid the need for OCR, we define the task purely as segmentation in the image domain. Furthermore, to ensure the evaluation remains unaffected by geometrical variations that do not impact text segmentation, we propose to use only foreground text pixels in the evaluation metric and disregard all background pixels. To support research in logical document segmentation, we introduce TextBite, a dataset of historical Czech documents spanning the 18th to 20th centuries, featuring diverse layouts from newspapers, dictionaries, and handwritten records. The dataset comprises 8,449 page images with 78,863 annotated segments of logically and thematically coherent text. We propose a set of baseline methods combining text region detection and relation prediction. The dataset, baselines and evaluation framework can be accessed at https://github.com/DCGM/textbite-dataset.

Multimodal Sarcasm Understanding (MSU) has a wide range of applications in the news field such as public opinion analysis and forgery detection. However, existing MSU benchmarks and approaches usually focus on sentence-level MSU. In document-level news, sarcasm clues are sparse or small and are often concealed in long text. Moreover, compared to sentence-level comments like tweets, which mainly focus on only a few trends or hot topics (e.g., sports events), content in the news is considerably diverse. Models created for sentence-level MSU may fail to capture sarcasm clues in document-level news. To fill this gap, we present a comprehensive benchmark for Document-level Multimodal Sarcasm Understanding (DocMSU). Our dataset contains 102,588 pieces of news with text-image pairs, covering 9 diverse topics such as health, business, etc. The proposed large-scale and diverse DocMSU significantly facilitates the research of document-level MSU in real-world scenarios. To take on the new challenges posed by DocMSU, we introduce a fine-grained sarcasm comprehension method to properly align the pixel-level image features with word-level textual features in documents. Experiments demonstrate the effectiveness of our method, showing that it can serve as a baseline approach to the challenging DocMSU. Our code and dataset are available at https://github.com/Dulpy/DocMSU.

Hierarchical Text Classification (HTC) is a natural language processing task with the objective to classify text documents into a set of classes from a structured class hierarchy. Many HTC approaches have been proposed which attempt to leverage the class hierarchy information in various ways to improve classification performance. Machine learning-based classification approaches require large amounts of training data and are most-commonly compared through three established benchmark datasets, which include the Web Of Science (WOS), Reuters Corpus Volume 1 Version 2 (RCV1-V2) and New York Times (NYT) datasets. However, apart from the RCV1-V2 dataset which is well-documented, these datasets are not accompanied with detailed description methodologies. In this paper, we introduce three new HTC benchmark datasets in the domain of research publications which comprise the titles and abstracts of papers from the Web of Science publication database. We first create two baseline datasets which use existing journal-and citation-based classification schemas. Due to the respective shortcomings of these two existing schemas, we propose an approach which combines their classifications to improve the reliability and robustness of the dataset. We evaluate the three created datasets with a clustering-based analysis and show that our proposed approach results in a higher quality dataset where documents that belong to the same class are semantically more similar compared to the other datasets. Finally, we provide the classification performance of four state-of-the-art HTC approaches on these three new datasets to provide baselines for future studies on machine learning-based techniques for scientific publication classification.

The proliferation of multimodal Large Language Models has significantly advanced the ability to analyze and understand complex data inputs from different modalities. However, the processing of long documents remains under-explored, largely due to a lack of suitable benchmarks. To address this, we introduce Document Haystack, a comprehensive benchmark designed to evaluate the performance of Vision Language Models (VLMs) on long, visually complex documents. Document Haystack features documents ranging from 5 to 200 pages and strategically inserts pure text or multimodal text+image "needles" at various depths within the documents to challenge VLMs' retrieval capabilities. Comprising 400 document variants and a total of 8,250 questions, it is supported by an objective, automated evaluation framework. We detail the construction and characteristics of the Document Haystack dataset, present results from prominent VLMs and discuss potential research avenues in this area.

The Know Your Customer (KYC) and Anti Money Laundering (AML) are worldwide practices to online customer identification based on personal identification documents, similarity and liveness checking, and proof of address. To answer the basic regulation question: are you whom you say you are? The customer needs to upload valid identification documents (ID). This task imposes some computational challenges since these documents are diverse, may present different and complex backgrounds, some occlusion, partial rotation, poor quality, or damage. Advanced text and document segmentation algorithms were used to process the ID images. In this context, we investigated a method based on U-Net to detect the document edges and text regions in ID images. Besides the promising results on image segmentation, the U-Net based approach is computationally expensive for a real application, since the image segmentation is a customer device task. We propose a model optimization based on Octave Convolutions to qualify the method to situations where storage, processing, and time resources are limited, such as in mobile and robotic applications. We conducted the evaluation experiments in two new datasets CDPhotoDataset and DTDDataset, which are composed of real ID images of Brazilian documents. Our results showed that the proposed models are efficient to document segmentation tasks and portable.

The current digital environment is characterized by the widespread presence of data, particularly unstructured data, which poses many issues in sectors including finance, healthcare, and education. Conventional techniques for data extraction encounter difficulties in dealing with the inherent variety and complexity of unstructured data, hence requiring the adoption of more efficient methodologies. This research investigates the utilization of YOLOv5, a cutting-edge computer vision model, for the purpose of rapidly identifying document layouts and extracting unstructured data. The present study establishes a conceptual framework for delineating the notion of "objects" as they pertain to documents, incorporating various elements such as paragraphs, tables, photos, and other constituent parts. The main objective is to create an autonomous system that can effectively recognize document layouts and extract unstructured data, hence improving the effectiveness of data extraction. In the conducted examination, the YOLOv5 model exhibits notable effectiveness in the task of document layout identification, attaining a high accuracy rate along with a precision value of 0.91, a recall value of 0.971, an F1-score of 0.939, and an area under the receiver operating characteristic curve (AUC-ROC) of 0.975. The remarkable performance of this system optimizes the process of extracting textual and tabular data from document images. Its prospective applications are not limited to document analysis but can encompass unstructured data from diverse sources, such as audio data. This study lays the foundation for future investigations into the wider applicability of YOLOv5 in managing various types of unstructured data, offering potential for novel applications across multiple domains.

With the increasing adoption of Large Language Models (LLMs) and Vision-Language Models (VLMs), rich document analysis technologies for applications like Retrieval-Augmented Generation (RAG) and visual RAG are gaining significant attention. Recent research indicates that using VLMs can achieve better RAG performance, but processing rich documents still remains a challenge since a single page contains large amounts of information. In this paper, we present SCAN (SemantiC Document Layout ANalysis), a novel approach enhancing both textual and visual Retrieval-Augmented Generation (RAG) systems working with visually rich documents. It is a VLM-friendly approach that identifies document components with appropriate semantic granularity, balancing context preservation with processing efficiency. SCAN uses a coarse-grained semantic approach that divides documents into coherent regions covering continuous components. We trained the SCAN model by fine-tuning object detection models with sophisticated annotation datasets. Our experimental results across English and Japanese datasets demonstrate that applying SCAN improves end-to-end textual RAG performance by up to 9.0\% and visual RAG performance by up to 6.4\%, outperforming conventional approaches and even commercial document processing solutions.

The rapid advancements in Multimodal Large Language Models (MLLMs) have significantly enhanced capabilities in Document Understanding. However, prevailing benchmarks like DocVQA and ChartQA predominantly comprise scanned or digital documents, inadequately reflecting the intricate challenges posed by diverse real-world scenarios, such as variable illumination and physical distortions. This paper introduces WildDoc, the inaugural benchmark designed specifically for assessing document understanding in natural environments. WildDoc incorporates a diverse set of manually captured document images reflecting real-world conditions and leverages document sources from established benchmarks to facilitate comprehensive comparisons with digital or scanned documents. Further, to rigorously evaluate model robustness, each document is captured four times under different conditions. Evaluations of state-of-the-art MLLMs on WildDoc expose substantial performance declines and underscore the models' inadequate robustness compared to traditional benchmarks, highlighting the unique challenges posed by real-world document understanding. Our project homepage is available at https://bytedance.github.io/WildDoc.

Natural language inference (NLI) is formulated as a unified framework for solving various NLP problems such as relation extraction, question answering, summarization, etc. It has been studied intensively in the past few years thanks to the availability of large-scale labeled datasets. However, most existing studies focus on merely sentence-level inference, which limits the scope of NLI's application in downstream NLP problems. This work presents DocNLI -- a newly-constructed large-scale dataset for document-level NLI. DocNLI is transformed from a broad range of NLP problems and covers multiple genres of text. The premises always stay in the document granularity, whereas the hypotheses vary in length from single sentences to passages with hundreds of words. Additionally, DocNLI has pretty limited artifacts which unfortunately widely exist in some popular sentence-level NLI datasets. Our experiments demonstrate that, even without fine-tuning, a model pretrained on DocNLI shows promising performance on popular sentence-level benchmarks, and generalizes well to out-of-domain NLP tasks that rely on inference at document granularity. Task-specific fine-tuning can bring further improvements. Data, code, and pretrained models can be found at https://github.com/salesforce/DocNLI.

Finding relevant literature underpins the practice of evidence-based medicine. From 2014 to 2016, TREC conducted a clinical decision support track, wherein participants were tasked with finding articles relevant to clinical questions posed by physicians. In total, 87 teams have participated over the past three years, generating 395 runs. During this period, each team has trialled a variety of methods. While there was significant overlap in the methods employed by different teams, the results were varied. Due to the diversity of the platforms used, the results arising from the different techniques are not directly comparable, reducing the ability to build on previous work. By using a stable platform, we have been able to compare different document and query processing techniques, allowing us to experiment with different search parameters. We have used our system to reproduce leading teams runs, and compare the results obtained. By benchmarking our indexing and search techniques, we can statistically test a variety of hypotheses, paving the way for further research.

Despite significant progress in multimodal large language models (MLLMs), their performance on complex, multi-page document comprehension remains inadequate, largely due to the lack of high-quality, document-level datasets. While current retrieval-augmented generation (RAG) methods offer partial solutions, they suffer from issues, such as fragmented retrieval contexts, multi-stage error accumulation, and extra time costs of retrieval. In this work, we present a high-quality document-level dataset, Doc-750K, designed to support in-depth understanding of multimodal documents. This dataset includes diverse document structures, extensive cross-page dependencies, and real question-answer pairs derived from the original documents. Building on the dataset, we develop a native multimodal model, Docopilot, which can accurately handle document-level dependencies without relying on RAG. Experiments demonstrate that Docopilot achieves superior coherence, accuracy, and efficiency in document understanding tasks and multi-turn interactions, setting a new baseline for document-level multimodal understanding. Data, code, and models are released at https://github.com/OpenGVLab/Docopilot

Scientific knowledge is growing rapidly, making it challenging to track progress and high-level conceptual links across broad disciplines. While existing tools like citation networks and search engines make it easy to access a few related papers, they fundamentally lack the flexible abstraction needed to represent the density of activity in various scientific subfields. We motivate SCIENCE HIERARCHOGRAPHY, the goal of organizing scientific literature into a high-quality hierarchical structure that allows for the categorization of scientific work across varying levels of abstraction, from very broad fields to very specific studies. Such a representation can provide insights into which fields are well-explored and which are under-explored. To achieve the goals of SCIENCE HIERARCHOGRAPHY, we develop a range of algorithms. Our primary approach combines fast embedding-based clustering with LLM-based prompting to balance the computational efficiency of embedding methods with the semantic precision offered by LLM prompting. We demonstrate that this approach offers the best trade-off between quality and speed compared to methods that heavily rely on LLM prompting, such as iterative tree construction with LLMs. To better reflect the interdisciplinary and multifaceted nature of research papers, our hierarchy captures multiple dimensions of categorization beyond simple topic labels. We evaluate the utility of our framework by assessing how effectively an LLM-based agent can locate target papers using the hierarchy. Results show that this structured approach enhances interpretability, supports trend discovery, and offers an alternative pathway for exploring scientific literature beyond traditional search methods. Code, data and demo: https://github.com/JHU-CLSP/science-hierarchography{https://github.com/JHU-CLSP/science-hierarchography}

Skin carcinoma is the most prevalent form of cancer globally, accounting for over $8 billion in annual healthcare expenditures. In clinical settings, physicians document patient visits using detailed SOAP (Subjective, Objective, Assessment, and Plan) notes. However, manually generating these notes is labor-intensive and contributes to clinician burnout. In this work, we propose a weakly supervised multimodal framework to generate clinically structured SOAP notes from limited inputs, including lesion images and sparse clinical text. Our approach reduces reliance on manual annotations, enabling scalable, clinically grounded documentation while alleviating clinician burden and reducing the need for large annotated data. Our method achieves performance comparable to GPT-4o, Claude, and DeepSeek Janus Pro across key clinical relevance metrics. To evaluate clinical quality, we introduce two novel metrics MedConceptEval and Clinical Coherence Score (CCS) which assess semantic alignment with expert medical concepts and input features, respectively.

Document clustering is a text mining technique used to provide better document search and browsing in digital libraries or online corpora. A lot of research has been done on biomedical document clustering that is based on using existing ontology. But, associations and co-occurrences of the medical concepts are not well represented by using ontology. In this research, a vector representation of concepts of diseases and similarity measurement between concepts are proposed. They identify the closest concepts of diseases in the context of a corpus. Each document is represented by using the vector space model. A weight scheme is proposed to consider both local content and associations between concepts. A Self-Organizing Map is used as document clustering algorithm. The vector projection and visualization features of SOM enable visualization and analysis of the clusters distributions and relationships on the two dimensional space. The experimental results show that the proposed document clustering framework generates meaningful clusters and facilitate visualization of the clusters based on the concepts of diseases.

This paper proposes LayoutLLM, a more flexible document analysis method for understanding imaged documents. Visually Rich Document Understanding tasks, such as document image classification and information extraction, have gained significant attention due to their importance. Existing methods have been developed to enhance document comprehension by incorporating pre-training awareness of images, text, and layout structure. However, these methods require fine-tuning for each task and dataset, and the models are expensive to train and operate. To overcome this limitation, we propose a new LayoutLLM that integrates these with large-scale language models (LLMs). By leveraging the strengths of existing research in document image understanding and LLMs' superior language understanding capabilities, the proposed model, fine-tuned with multimodal instruction datasets, performs an understanding of document images in a single model. Our experiments demonstrate improvement over the baseline model in various document analysis tasks.

The use of visually-rich documents (VRDs) in various fields has created a demand for Document AI models that can read and comprehend documents like humans, which requires the overcoming of technical, linguistic, and cognitive barriers. Unfortunately, the lack of appropriate datasets has significantly hindered advancements in the field. To address this issue, we introduce DocTrack, a VRD dataset really aligned with human eye-movement information using eye-tracking technology. This dataset can be used to investigate the challenges mentioned above. Additionally, we explore the impact of human reading order on document understanding tasks and examine what would happen if a machine reads in the same order as a human. Our results suggest that although Document AI models have made significant progress, they still have a long way to go before they can read VRDs as accurately, continuously, and flexibly as humans do. These findings have potential implications for future research and development of Document AI models. The data is available at https://github.com/hint-lab/doctrack.

Medical phrase grounding is crucial for identifying relevant regions in medical images based on phrase queries, facilitating accurate image analysis and diagnosis. However, current methods rely on manual extraction of key phrases from medical reports, reducing efficiency and increasing the workload for clinicians. Additionally, the lack of model confidence estimation limits clinical trust and usability. In this paper, we introduce a novel task called Medical Report Grounding (MRG), which aims to directly identify diagnostic phrases and their corresponding grounding boxes from medical reports in an end-to-end manner. To address this challenge, we propose uMedGround, a robust and reliable framework that leverages a multimodal large language model to predict diagnostic phrases by embedding a unique token, <BOX>, into the vocabulary to enhance detection capabilities. A vision encoder-decoder processes the embedded token and input image to generate grounding boxes. Critically, uMedGround incorporates an uncertainty-aware prediction model, significantly improving the robustness and reliability of grounding predictions. Experimental results demonstrate that uMedGround outperforms state-of-the-art medical phrase grounding methods and fine-tuned large visual-language models, validating its effectiveness and reliability. This study represents a pioneering exploration of the MRG task, marking the first-ever endeavor in this domain. Additionally, we demonstrate the applicability of uMedGround in medical visual question answering and class-based localization tasks, where it highlights visual evidence aligned with key diagnostic phrases, supporting clinicians in interpreting various types of textual inputs, including free-text reports, visual question answering queries, and class labels.

We present a novel method for hierarchical topic detection where topics are obtained by clustering documents in multiple ways. Specifically, we model document collections using a class of graphical models called hierarchical latent tree models (HLTMs). The variables at the bottom level of an HLTM are observed binary variables that represent the presence/absence of words in a document. The variables at other levels are binary latent variables, with those at the lowest latent level representing word co-occurrence patterns and those at higher levels representing co-occurrence of patterns at the level below. Each latent variable gives a soft partition of the documents, and document clusters in the partitions are interpreted as topics. Latent variables at high levels of the hierarchy capture long-range word co-occurrence patterns and hence give thematically more general topics, while those at low levels of the hierarchy capture short-range word co-occurrence patterns and give thematically more specific topics. Unlike LDA-based topic models, HLTMs do not refer to a document generation process and use word variables instead of token variables. They use a tree structure to model the relationships between topics and words, which is conducive to the discovery of meaningful topics and topic hierarchies.

Millions of melanocytic skin lesions are examined by pathologists each year, the majority of which concern common nevi (i.e., ordinary moles). While most of these lesions can be diagnosed in seconds, writing the corresponding pathology report is much more time-consuming. Automating part of the report writing could, therefore, alleviate the increasing workload of pathologists. In this work, we develop a vision-language model specifically for the pathology domain of cutaneous melanocytic lesions. The model follows the Contrastive Captioner framework and was trained and evaluated using a melanocytic lesion dataset of 42,512 H&E-stained whole slide images and 19,645 corresponding pathology reports. Our results show that the quality scores of model-generated reports were on par with pathologist-written reports for common nevi, assessed by an expert pathologist in a reader study. While report generation revealed to be more difficult for rare melanocytic lesion subtypes, the cross-modal retrieval performance for these cases was considerably better.

HC4 is a new suite of test collections for ad hoc Cross-Language Information Retrieval (CLIR), with Common Crawl News documents in Chinese, Persian, and Russian, topics in English and in the document languages, and graded relevance judgments. New test collections are needed because existing CLIR test collections built using pooling of traditional CLIR runs have systematic gaps in their relevance judgments when used to evaluate neural CLIR methods. The HC4 collections contain 60 topics and about half a million documents for each of Chinese and Persian, and 54 topics and five million documents for Russian. Active learning was used to determine which documents to annotate after being seeded using interactive search and judgment. Documents were judged on a three-grade relevance scale. This paper describes the design and construction of the new test collections and provides baseline results for demonstrating their utility for evaluating systems.

Objective: Data unavailability has been one of the biggest barriers in clinical natural language processing. This paper is aimed at providing a large-scale and publicly available patient note dataset, named PMC-Patients, with relevant articles and similar patients annotations. The ultimate goal of PMC-Patients is to facilitate the development of retrieval-based clinical decision support systems. Materials and Methods: To collect PMC-Patients, we extract patient notes from case reports in PubMed Central by recognizing certain section patterns. Patient-article relevance and patient-patient similarity are annotated by citation relationships in PubMed. In addition, we perform three tasks with PMC-Patients to demonstrate its utility in providing clinical decision support for a given patient, including (1) classifying whether another patient is similar, (2) retrieving similar patients in PMC-Patients, and (3) retrieving relevant articles in PubMed. Results: We collect and release PMC-Patients under the CC BY-NC-SA license, which becomes the largest publicly available patient note dataset so far. PMC-Patients contains 167k patient notes that are annotated with 3.1M relevant articles and 293k similar patients. Qualitative and quantitative analyses reveal the high quality and richness of our dataset. Experiments show that classifying the similarity of patient pairs is relatively easy, but it is hard to retrieve similar patients or relevant articles for a given patient from a large set of candidates. Conclusion: We present PMC-Patients, a large-scale dataset of patient notes with high quality, easy access, diverse conditions, and rich annotations. The proposed dataset can also serve as a hard benchmark for evaluating retrieval-based clinical decision support systems.

Microscopic interpretation of histopathology images underlies many important diagnostic and treatment decisions. While advances in vision-language modeling raise new opportunities for analysis of such images, the gigapixel-scale size of whole slide images (WSIs) introduces unique challenges. Additionally, pathology reports simultaneously highlight key findings from small regions while also aggregating interpretation across multiple slides, often making it difficult to create robust image-text pairs. As such, pathology reports remain a largely untapped source of supervision in computational pathology, with most efforts relying on region-of-interest annotations or self-supervision at the patch-level. In this work, we develop a vision-language model based on the BLIP-2 framework using WSIs paired with curated text from pathology reports. This enables applications utilizing a shared image-text embedding space, such as text or image retrieval for finding cases of interest, as well as integration of the WSI encoder with a frozen large language model (LLM) for WSI-based generative text capabilities such as report generation or AI-in-the-loop interactions. We utilize a de-identified dataset of over 350,000 WSIs and diagnostic text pairs, spanning a wide range of diagnoses, procedure types, and tissue types. We present pathologist evaluation of text generation and text retrieval using WSI embeddings, as well as results for WSI classification and workflow prioritization (slide-level triaging). Model-generated text for WSIs was rated by pathologists as accurate, without clinically significant error or omission, for 78% of WSIs on average. This work demonstrates exciting potential capabilities for language-aligned WSI embeddings.

Traditional document similarity measures provide a coarse-grained distinction between similar and dissimilar documents. Typically, they do not consider in what aspects two documents are similar. This limits the granularity of applications like recommender systems that rely on document similarity. In this paper, we extend similarity with aspect information by performing a pairwise document classification task. We evaluate our aspect-based document similarity for research papers. Paper citations indicate the aspect-based similarity, i.e., the section title in which a citation occurs acts as a label for the pair of citing and cited paper. We apply a series of Transformer models such as RoBERTa, ELECTRA, XLNet, and BERT variations and compare them to an LSTM baseline. We perform our experiments on two newly constructed datasets of 172,073 research paper pairs from the ACL Anthology and CORD-19 corpus. Our results show SciBERT as the best performing system. A qualitative examination validates our quantitative results. Our findings motivate future research of aspect-based document similarity and the development of a recommender system based on the evaluated techniques. We make our datasets, code, and trained models publicly available.

Dermatological diagnosis represents a complex multimodal challenge that requires integrating visual features with specialized clinical knowledge. While vision-language pretraining (VLP) has advanced medical AI, its effectiveness in dermatology is limited by text length constraints and the lack of structured texts. In this paper, we introduce MAKE, a Multi-Aspect Knowledge-Enhanced vision-language pretraining framework for zero-shot dermatological tasks. Recognizing that comprehensive dermatological descriptions require multiple knowledge aspects that exceed standard text constraints, our framework introduces: (1) a multi-aspect contrastive learning strategy that decomposes clinical narratives into knowledge-enhanced sub-texts through large language models, (2) a fine-grained alignment mechanism that connects subcaptions with diagnostically relevant image features, and (3) a diagnosis-guided weighting scheme that adaptively prioritizes different sub-captions based on clinical significance prior. Through pretraining on 403,563 dermatological image-text pairs collected from education resources, MAKE significantly outperforms state-of-the-art VLP models on eight datasets across zero-shot skin disease classification, concept annotation, and cross-modal retrieval tasks. Our code will be made publicly available at https: //github.com/SiyuanYan1/MAKE.

Current medical language models, adapted from large language models (LLMs), typically predict ICD code-based diagnosis from electronic health records (EHRs) because these labels are readily available. However, ICD codes do not capture the nuanced, context-rich reasoning clinicians use for diagnosis. Clinicians synthesize diverse patient data and reference clinical practice guidelines (CPGs) to make evidence-based decisions. This misalignment limits the clinical utility of existing models. We introduce GARMLE-G, a Generation-Augmented Retrieval framework that grounds medical language model outputs in authoritative CPGs. Unlike conventional Retrieval-Augmented Generation based approaches, GARMLE-G enables hallucination-free outputs by directly retrieving authoritative guideline content without relying on model-generated text. It (1) integrates LLM predictions with EHR data to create semantically rich queries, (2) retrieves relevant CPG knowledge snippets via embedding similarity, and (3) fuses guideline content with model output to generate clinically aligned recommendations. A prototype system for hypertension diagnosis was developed and evaluated on multiple metrics, demonstrating superior retrieval precision, semantic relevance, and clinical guideline adherence compared to RAG-based baselines, while maintaining a lightweight architecture suitable for localized healthcare deployment. This work provides a scalable, low-cost, and hallucination-free method for grounding medical language models in evidence-based clinical practice, with strong potential for broader clinical deployment.

In this report, we introduce DocXChain, a powerful open-source toolchain for document parsing, which is designed and developed to automatically convert the rich information embodied in unstructured documents, such as text, tables and charts, into structured representations that are readable and manipulable by machines. Specifically, basic capabilities, including text detection, text recognition, table structure recognition and layout analysis, are provided. Upon these basic capabilities, we also build a set of fully functional pipelines for document parsing, i.e., general text reading, table parsing, and document structurization, to drive various applications related to documents in real-world scenarios. Moreover, DocXChain is concise, modularized and flexible, such that it can be readily integrated with existing tools, libraries or models (such as LangChain and ChatGPT), to construct more powerful systems that can accomplish more complicated and challenging tasks. The code of DocXChain is publicly available at:~https://github.com/AlibabaResearch/AdvancedLiterateMachinery/tree/main/Applications/DocXChain

We present a labeled large-scale, high resolution chest x-ray dataset for the automated exploration of medical images along with their associated reports. This dataset includes more than 160,000 images obtained from 67,000 patients that were interpreted and reported by radiologists at Hospital San Juan Hospital (Spain) from 2009 to 2017, covering six different position views and additional information on image acquisition and patient demography. The reports were labeled with 174 different radiographic findings, 19 differential diagnoses and 104 anatomic locations organized as a hierarchical taxonomy and mapped onto standard Unified Medical Language System (UMLS) terminology. Of these reports, 27% were manually annotated by trained physicians and the remaining set was labeled using a supervised method based on a recurrent neural network with attention mechanisms. The labels generated were then validated in an independent test set achieving a 0.93 Micro-F1 score. To the best of our knowledge, this is one of the largest public chest x-ray database suitable for training supervised models concerning radiographs, and the first to contain radiographic reports in Spanish. The PadChest dataset can be downloaded from http://bimcv.cipf.es/bimcv-projects/padchest/.

Generative retrieval has recently emerged as a new alternative of traditional information retrieval approaches. However, existing generative retrieval methods directly decode docid when a query is given, making it impossible to provide users with explanations as an answer for "Why this document is retrieved?". To address this limitation, we propose Hierarchical Category Path-Enhanced Generative Retrieval(HyPE), which enhances explainability by generating hierarchical category paths step-by-step before decoding docid. HyPE leverages hierarchical category paths as explanation, progressing from broad to specific semantic categories. This approach enables diverse explanations for the same document depending on the query by using shared category paths between the query and the document, and provides reasonable explanation by reflecting the document's semantic structure through a coarse-to-fine manner. HyPE constructs category paths with external high-quality semantic hierarchy, leverages LLM to select appropriate candidate paths for each document, and optimizes the generative retrieval model with path-augmented dataset. During inference, HyPE utilizes path-aware reranking strategy to aggregate diverse topic information, allowing the most relevant documents to be prioritized in the final ranked list of docids. Our extensive experiments demonstrate that HyPE not only offers a high level of explainability but also improves the retrieval performance in the document retrieval task.

Recent advancements in Digital Document Restoration (DDR) have led to significant breakthroughs in analyzing highly damaged written artifacts. Among those, there has been an increasing interest in applying Artificial Intelligence techniques for virtually unwrapping and automatically detecting ink on the Herculaneum papyri collection. This collection consists of carbonized scrolls and fragments of documents, which have been digitized via X-ray tomography to allow the development of ad-hoc deep learning-based DDR solutions. In this work, we propose a modification of the Fast Fourier Convolution operator for volumetric data and apply it in a segmentation architecture for ink detection on the challenging Herculaneum papyri, demonstrating its suitability via deep experimental analysis. To encourage the research on this task and the application of the proposed operator to other tasks involving volumetric data, we will release our implementation (https://github.com/aimagelab/vffc)

Background: Natural Language Processing (NLP) is widely used to extract clinical insights from Electronic Health Records (EHRs). However, the lack of annotated data, automated tools, and other challenges hinder the full utilisation of NLP for EHRs. Various Machine Learning (ML), Deep Learning (DL) and NLP techniques are studied and compared to understand the limitations and opportunities in this space comprehensively. Methodology: After screening 261 articles from 11 databases, we included 127 papers for full-text review covering seven categories of articles: 1) medical note classification, 2) clinical entity recognition, 3) text summarisation, 4) deep learning (DL) and transfer learning architecture, 5) information extraction, 6) Medical language translation and 7) other NLP applications. This study follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Result and Discussion: EHR was the most commonly used data type among the selected articles, and the datasets were primarily unstructured. Various ML and DL methods were used, with prediction or classification being the most common application of ML or DL. The most common use cases were: the International Classification of Diseases, Ninth Revision (ICD-9) classification, clinical note analysis, and named entity recognition (NER) for clinical descriptions and research on psychiatric disorders. Conclusion: We find that the adopted ML models were not adequately assessed. In addition, the data imbalance problem is quite important, yet we must find techniques to address this underlining problem. Future studies should address key limitations in studies, primarily identifying Lupus Nephritis, Suicide Attempts, perinatal self-harmed and ICD-9 classification.

Scientific paper retrieval, particularly framed as document-to-document retrieval, aims to identify relevant papers in response to a long-form query paper, rather than a short query string. Previous approaches to this task have focused on abstracts, embedding them into dense vectors as surrogates for full documents and calculating similarity across them, although abstracts provide only sparse and high-level summaries. To address this, we propose PRISM, a novel document-to-document retrieval method that introduces multiple, fine-grained representations for both the query and candidate papers. In particular, each query paper is decomposed into multiple aspect-specific views and individually embedded, which are then matched against candidate papers similarity segmented to consider their multifaceted dimensions. Moreover, we present SciFullBench, a novel benchmark in which the complete and segmented context of full papers for both queries and candidates is available. Then, experimental results show that PRISM improves performance by an average of 4.3% over existing retrieval baselines.

Document understanding is a challenging task to process and comprehend large amounts of textual and visual information. Recent advances in Large Language Models (LLMs) have significantly improved the performance of this task. However, existing methods typically focus on either plain text or a limited number of document images, struggling to handle long PDF documents with interleaved text and images, especially in academic papers. In this paper, we introduce PDF-WuKong, a multimodal large language model (MLLM) which is designed to enhance multimodal question-answering (QA) for long PDF documents. PDF-WuKong incorporates a sparse sampler that operates on both text and image representations, significantly improving the efficiency and capability of the MLLM. The sparse sampler is integrated with the MLLM's image encoder and selects the paragraphs or diagrams most pertinent to user queries for processing by the language model. To effectively train and evaluate our model, we construct PaperPDF, a dataset consisting of a broad collection of academic papers sourced from arXiv, multiple strategies are proposed to generate automatically 1M QA pairs along with their corresponding evidence sources. Experimental results demonstrate the superiority and high efficiency of our approach over other models on the task of long multimodal PDF understanding, surpassing proprietary products by an average of 8.6% on F1. Our code and dataset will be released at https://github.com/yh-hust/PDF-Wukong.

Recently, there has been a growing interest among large language model (LLM) developers in LLM-based document reading systems, which enable users to upload their own documents and pose questions related to the document contents, going beyond simple reading comprehension tasks. Consequently, these systems have been carefully designed to tackle challenges such as file parsing, metadata extraction, multi-modal information understanding and long-context reading. However, no current benchmark exists to evaluate their performance in such scenarios, where a raw file and questions are provided as input, and a corresponding response is expected as output. In this paper, we introduce DocBench, a new benchmark designed to evaluate LLM-based document reading systems. Our benchmark involves a meticulously crafted process, including the recruitment of human annotators and the generation of synthetic questions. It includes 229 real documents and 1,102 questions, spanning across five different domains and four major types of questions. We evaluate both proprietary LLM-based systems accessible via web interfaces or APIs, and a parse-then-read pipeline employing open-source LLMs. Our evaluations reveal noticeable gaps between existing LLM-based document reading systems and human performance, underscoring the challenges of developing proficient systems. To summarize, DocBench aims to establish a standardized benchmark for evaluating LLM-based document reading systems under diverse real-world scenarios, thereby guiding future advancements in this research area.

Document Image Binarization is a well-known problem in Document Analysis and Computer Vision, although it is far from being solved. One of the main challenges of this task is that documents generally exhibit degradations and acquisition artifacts that can greatly vary throughout the page. Nonetheless, even when dealing with a local patch of the document, taking into account the overall appearance of a wide portion of the page can ease the prediction by enriching it with semantic information on the ink and background conditions. In this respect, approaches able to model both local and global information have been proven suitable for this task. In particular, recent applications of Vision Transformer (ViT)-based models, able to model short and long-range dependencies via the attention mechanism, have demonstrated their superiority over standard Convolution-based models, which instead struggle to model global dependencies. In this work, we propose an alternative solution based on the recently introduced Fast Fourier Convolutions, which overcomes the limitation of standard convolutions in modeling global information while requiring fewer parameters than ViTs. We validate the effectiveness of our approach via extensive experimental analysis considering different types of degradations.

While analyzing scanned documents, handwritten text can overlap with printed text. This overlap causes difficulties during the optical character recognition (OCR) and digitization process of documents, and subsequently, hurts downstream NLP tasks. Prior research either focuses solely on the binary classification of handwritten text or performs a three-class segmentation of the document, i.e., recognition of handwritten, printed, and background pixels. This approach results in the assignment of overlapping handwritten and printed pixels to only one of the classes, and thus, they are not accounted for in the other class. Thus, in this research, we develop novel approaches to address the challenges of handwritten and printed text segmentation. Our objective is to recover text from different classes in their entirety, especially enhancing the segmentation performance on overlapping sections. To support this task, we introduce a new dataset, SignaTR6K, collected from real legal documents, as well as a new model architecture for the handwritten and printed text segmentation task. Our best configuration outperforms prior work on two different datasets by 17.9% and 7.3% on IoU scores. The SignaTR6K dataset is accessible for download via the following link: https://forms.office.com/r/2a5RDg7cAY.

Skin carcinoma is the most prevalent form of cancer globally, accounting for over $8 billion in annual healthcare expenditures. Early diagnosis, accurate and timely treatment are critical to improving patient survival rates. In clinical settings, physicians document patient visits using detailed SOAP (Subjective, Objective, Assessment, and Plan) notes. However, manually generating these notes is labor-intensive and contributes to clinician burnout. In this work, we propose skin-SOAP, a weakly supervised multimodal framework to generate clinically structured SOAP notes from limited inputs, including lesion images and sparse clinical text. Our approach reduces reliance on manual annotations, enabling scalable, clinically grounded documentation while alleviating clinician burden and reducing the need for large annotated data. Our method achieves performance comparable to GPT-4o, Claude, and DeepSeek Janus Pro across key clinical relevance metrics. To evaluate this clinical relevance, we introduce two novel metrics MedConceptEval and Clinical Coherence Score (CCS) which assess semantic alignment with expert medical concepts and input features, respectively.

The advent of multimodal learning has brought a significant improvement in document AI. Documents are now treated as multimodal entities, incorporating both textual and visual information for downstream analysis. However, works in this space are often focused on the textual aspect, using the visual space as auxiliary information. While some works have explored pure vision based techniques for document image understanding, they require OCR identified text as input during inference, or do not align with text in their learning procedure. Therefore, we present a novel image-text alignment technique specially designed for leveraging the textual information in document images to improve performance on visual tasks. Our document encoder model DoPTA - trained with this technique demonstrates strong performance on a wide range of document image understanding tasks, without requiring OCR during inference. Combined with an auxiliary reconstruction objective, DoPTA consistently outperforms larger models, while using significantly lesser pre-training compute. DoPTA also sets new state-of-the art results on D4LA, and FUNSD, two challenging document visual analysis benchmarks.

Paper search is an important activity for researchers, typically involving using a query with description of a topic to find relevant papers. As research deepens, paper search requirements may become more flexible, sometimes involving specific details such as module configuration rather than being limited to coarse-grained topics. However, previous paper search systems are unable to meet these flexible-grained requirements, as these systems mainly collect paper abstracts to construct index of corpus, which lack detailed information to support retrieval by finer-grained queries. In this work, we propose PaperRegister, consisted of offline hierarchical indexing and online adaptive retrieval, transforming traditional abstract-based index into hierarchical index tree for paper search, thereby supporting queries at flexible granularity. Experiments on paper search tasks across a range of granularity demonstrate that PaperRegister achieves the state-of-the-art performance, and particularly excels in fine-grained scenarios, highlighting the good potential as an effective solution for flexible-grained paper search in real-world applications. Code for this work is in https://github.com/Li-Z-Q/PaperRegister.

Existing benchmarks for visual document retrieval (VDR) largely overlook non-English languages and the structural complexity of official publications. To address this critical gap, we introduce SDS KoPub VDR, the first large-scale, publicly available benchmark for retrieving and understanding Korean public documents. The benchmark is built upon a corpus of 361 real-world documents (40,781 pages), including 256 files under the KOGL Type 1 license and 105 from official legal portals, capturing complex visual elements like tables, charts, and multi-column layouts. To establish a challenging and reliable evaluation set, we constructed 600 query-page-answer triples. These were initially generated using multimodal models (e.g., GPT-4o) and subsequently underwent a rigorous human verification and refinement process to ensure factual accuracy and contextual relevance. The queries span six major public domains and are systematically categorized by the reasoning modality required: text-based, visual-based (e.g., chart interpretation), and cross-modal. We evaluate SDS KoPub VDR on two complementary tasks that reflect distinct retrieval paradigms: (1) text-only retrieval, which measures a model's ability to locate relevant document pages based solely on textual signals, and (2) multimodal retrieval, which assesses retrieval performance when visual features (e.g., tables, charts, and layouts) are jointly leveraged alongside text. This dual-task evaluation reveals substantial performance gaps, particularly in multimodal scenarios requiring cross-modal reasoning, even for state-of-the-art models. As a foundational resource, SDS KoPub VDR not only enables rigorous and fine-grained evaluation across textual and multimodal retrieval tasks but also provides a clear roadmap for advancing multimodal AI in complex, real-world document intelligence.

Comprehending long visual documents, where information is distributed across extensive pages of text and visual elements, is a critical but challenging task for modern Vision-Language Models (VLMs). Existing approaches falter on a fundamental challenge: evidence localization. They struggle to retrieve relevant pages and overlook fine-grained details within visual elements, leading to limited performance and model hallucination. To address this, we propose DocLens, a tool-augmented multi-agent framework that effectively ``zooms in'' on evidence like a lens. It first navigates from the full document to specific visual elements on relevant pages, then employs a sampling-adjudication mechanism to generate a single, reliable answer. Paired with Gemini-2.5-Pro, DocLens achieves state-of-the-art performance on MMLongBench-Doc and FinRAGBench-V, surpassing even human experts. The framework's superiority is particularly evident on vision-centric and unanswerable queries, demonstrating the power of its enhanced localization capabilities.

Understanding visually-rich business documents to extract structured data and automate business workflows has been receiving attention both in academia and industry. Although recent multi-modal language models have achieved impressive results, we find that existing benchmarks do not reflect the complexity of real documents seen in industry. In this work, we identify the desiderata for a more comprehensive benchmark and propose one we call Visually Rich Document Understanding (VRDU). VRDU contains two datasets that represent several challenges: rich schema including diverse data types as well as hierarchical entities, complex templates including tables and multi-column layouts, and diversity of different layouts (templates) within a single document type. We design few-shot and conventional experiment settings along with a carefully designed matching algorithm to evaluate extraction results. We report the performance of strong baselines and offer three observations: (1) generalizing to new document templates is still very challenging, (2) few-shot performance has a lot of headroom, and (3) models struggle with hierarchical fields such as line-items in an invoice. We plan to open source the benchmark and the evaluation toolkit. We hope this helps the community make progress on these challenging tasks in extracting structured data from visually rich documents.

Recently, large language models (LLMs) and multimodal large language models (MLLMs) have demonstrated promising results on document visual question answering (VQA) task, particularly after training on document instruction datasets. An effective evaluation method for document instruction data is crucial in constructing instruction data with high efficacy, which, in turn, facilitates the training of LLMs and MLLMs for document VQA. However, most existing evaluation methods for instruction data are limited to the textual content of the instructions themselves, thereby hindering the effective assessment of document instruction datasets and constraining their construction. In this paper, we propose ProcTag, a data-oriented method that assesses the efficacy of document instruction data. ProcTag innovatively performs tagging on the execution process of instructions rather than the instruction text itself. By leveraging the diversity and complexity of these tags to assess the efficacy of the given dataset, ProcTag enables selective sampling or filtering of document instructions. Furthermore, DocLayPrompt, a novel semi-structured layout-aware document prompting strategy, is proposed for effectively representing documents. Experiments demonstrate that sampling existing open-sourced and generated document VQA/instruction datasets with ProcTag significantly outperforms current methods for evaluating instruction data. Impressively, with ProcTag-based sampling in the generated document datasets, only 30.5\% of the document instructions are required to achieve 100\% efficacy compared to the complete dataset. The code is publicly available at https://github.com/AlibabaResearch/AdvancedLiterateMachinery/tree/main/DocumentUnderstanding/ProcTag.

Document Visual Question Answering (DocVQA) refers to the task of answering questions from document images. Existing work on DocVQA only considers single-page documents. However, in real scenarios documents are mostly composed of multiple pages that should be processed altogether. In this work we extend DocVQA to the multi-page scenario. For that, we first create a new dataset, MP-DocVQA, where questions are posed over multi-page documents instead of single pages. Second, we propose a new hierarchical method, Hi-VT5, based on the T5 architecture, that overcomes the limitations of current methods to process long multi-page documents. The proposed method is based on a hierarchical transformer architecture where the encoder summarizes the most relevant information of every page and then, the decoder takes this summarized information to generate the final answer. Through extensive experimentation, we demonstrate that our method is able, in a single stage, to answer the questions and provide the page that contains the relevant information to find the answer, which can be used as a kind of explainability measure.

Visual Document Understanding has become essential with the increase of text-rich visual content. This field poses significant challenges due to the need for effective integration of visual perception and textual comprehension, particularly across diverse document types with complex layouts. Moreover, existing fine-tuning datasets for this domain often fall short in providing the detailed contextual information for robust understanding, leading to hallucinations and limited comprehension of spatial relationships among visual elements. To address these challenges, we propose an innovative pipeline that utilizes adaptive generation of markup languages, such as Markdown, JSON, HTML, and TiKZ, to build highly structured document representations and deliver contextually-grounded responses. We introduce two fine-grained structured datasets: DocMark-Pile, comprising approximately 3.8M pretraining data pairs for document parsing, and DocMark-Instruct, featuring 624k fine-tuning data annotations for grounded instruction following. Extensive experiments demonstrate that our proposed model significantly outperforms existing state-of-theart MLLMs across a range of visual document understanding benchmarks, facilitating advanced reasoning and comprehension capabilities in complex visual scenarios. Our code and models are released at https://github. com/Euphoria16/DocMark.

Before developing a Document Layout Analysis (DLA) model in real-world applications, conducting comprehensive robustness testing is essential. However, the robustness of DLA models remains underexplored in the literature. To address this, we are the first to introduce a robustness benchmark for DLA models, which includes 450K document images of three datasets. To cover realistic corruptions, we propose a perturbation taxonomy with 36 common document perturbations inspired by real-world document processing. Additionally, to better understand document perturbation impacts, we propose two metrics, Mean Perturbation Effect (mPE) for perturbation assessment and Mean Robustness Degradation (mRD) for robustness evaluation. Furthermore, we introduce a self-titled model, i.e., Robust Document Layout Analyzer (RoDLA), which improves attention mechanisms to boost extraction of robust features. Experiments on the proposed benchmarks (PubLayNet-P, DocLayNet-P, and M^6Doc-P) demonstrate that RoDLA obtains state-of-the-art mRD scores of 115.7, 135.4, and 150.4, respectively. Compared to previous methods, RoDLA achieves notable improvements in mAP of +3.8%, +7.1% and +12.1%, respectively.

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.

This paper introduces a deep learning model tailored for document information analysis, emphasizing document classification, entity relation extraction, and document visual question answering. The proposed model leverages transformer-based models to encode all the information present in a document image, including textual, visual, and layout information. The model is pre-trained and subsequently fine-tuned for various document image analysis tasks. The proposed model incorporates three additional tasks during the pre-training phase, including reading order identification of different layout segments in a document image, layout segments categorization as per PubLayNet, and generation of the text sequence within a given layout segment (text block). The model also incorporates a collective pre-training scheme where losses of all the tasks under consideration, including pre-training and fine-tuning tasks with all datasets, are considered. Additional encoder and decoder blocks are added to the RoBERTa network to generate results for all tasks. The proposed model achieved impressive results across all tasks, with an accuracy of 95.87% on the RVL-CDIP dataset for document classification, F1 scores of 0.9306, 0.9804, 0.9794, and 0.8742 on the FUNSD, CORD, SROIE, and Kleister-NDA datasets respectively for entity relation extraction, and an ANLS score of 0.8468 on the DocVQA dataset for visual question answering. The results highlight the effectiveness of the proposed model in understanding and interpreting complex document layouts and content, making it a promising tool for document analysis tasks.