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May 26

TCM-Ladder: A Benchmark for Multimodal Question Answering on Traditional Chinese Medicine

Traditional Chinese Medicine (TCM), as an effective alternative medicine, has been receiving increasing attention. In recent years, the rapid development of large language models (LLMs) tailored for TCM has underscored the need for an objective and comprehensive evaluation framework to assess their performance on real-world tasks. However, existing evaluation datasets are limited in scope and primarily text-based, lacking a unified and standardized multimodal question-answering (QA) benchmark. To address this issue, we introduce TCM-Ladder, the first multimodal QA dataset specifically designed for evaluating large TCM language models. The dataset spans multiple core disciplines of TCM, including fundamental theory, diagnostics, herbal formulas, internal medicine, surgery, pharmacognosy, and pediatrics. In addition to textual content, TCM-Ladder incorporates various modalities such as images and videos. The datasets were constructed using a combination of automated and manual filtering processes and comprise 52,000+ questions in total. These questions include single-choice, multiple-choice, fill-in-the-blank, diagnostic dialogue, and visual comprehension tasks. We trained a reasoning model on TCM-Ladder and conducted comparative experiments against 9 state-of-the-art general domain and 5 leading TCM-specific LLMs to evaluate their performance on the datasets. Moreover, we propose Ladder-Score, an evaluation method specifically designed for TCM question answering that effectively assesses answer quality regarding terminology usage and semantic expression. To our knowledge, this is the first work to evaluate mainstream general domain and TCM-specific LLMs on a unified multimodal benchmark. The datasets and leaderboard are publicly available at https://tcmladder.com or https://54.211.107.106 and will be continuously updated.

  • 12 authors
·
May 29, 2025 1

LaCache: Ladder-Shaped KV Caching for Efficient Long-Context Modeling of Large Language Models

Recent advancements in Large Language Models (LLMs) have spurred interest in numerous applications requiring robust long-range capabilities, essential for processing extensive input contexts and continuously generating extended outputs. As sequence lengths increase, the number of Key-Value (KV) pairs in LLMs escalates, creating a significant efficiency bottleneck. In this paper, we propose a new KV cache optimization paradigm called LaCache, a training-free method for efficient and accurate generative inference of LLMs. LaCache enables LLMs to simultaneously address both of the critical challenges in long-range modeling: robust long-range capabilities and continuous generation without running out-of-memory (OOM). Specifically, LaCache integrates two key innovations: (1) a ladder-shaped KV cache pattern that stores KV pairs not only sequentially (left-to-right within each layer) but also across layers (from shallow to deep), providing an extended span for capturing long-range dependencies under a fixed storage budget, thereby boosting long-range capabilities; and (2) an iterative compaction mechanism that progressively compresses older caches, freeing up space for new tokens within a fixed cache size. This token distance-based dynamic compression enables more effective continuous generation under constrained cache budgets. Experiments across various tasks, benchmarks, and LLM models consistently validate LaCache's effectiveness in enhancing LLMs' long-range capabilities. Our code is available at https://github.com/GATECH-EIC/LaCache.

  • 11 authors
·
Jul 14, 2025

CausalT5K: Diagnosing and Informing Refusal for Trustworthy Causal Reasoning of Skepticism, Sycophancy, Detection-Correction, and Rung Collapse

LLM failures in causal reasoning, including sycophancy, rung collapse, and miscalibrated refusal, are well-documented, yet progress on remediation is slow because no benchmark enables systematic diagnosis. We introduce CausalT5K, a diagnostic benchmark of over 5,000 cases across 10 domains that tests three critical capabilities: (1) detecting rung collapse, where models answer interventional queries with associational evidence; (2) resisting sycophantic drift under adversarial pressure; and (3) generating Wise Refusals that specify missing information when evidence is underdetermined. Unlike synthetic benchmarks, CausalT5K embeds causal traps in realistic narratives and decomposes performance into Utility (sensitivity) and Safety (specificity), revealing failure modes invisible to aggregate accuracy. Developed through a rigorous human-machine collaborative pipeline involving 40 domain experts, iterative cross-validation cycles, and composite verification via rule-based, LLM, and human scoring, CausalT5K implements Pearl's Ladder of Causation as research infrastructure. Preliminary experiments reveal a Four-Quadrant Control Landscape where static audit policies universally fail, a finding that demonstrates CausalT5K's value for advancing trustworthy reasoning systems. Repository: https://github.com/genglongling/CausalT5kBench

  • 13 authors
·
Feb 8