The rapid development of multimodal large language models (MLLMs), such as GPT-4V, has led to significant advancements. However, these models still face challenges in medical multimodal capabilities due to limitations in the quantity and quality of medical vision-text data, stemming from data privacy concerns and high annotation costs. While pioneering approaches utilize PubMed’s large-scale, de-identified medical image-text pairs to address these limitations, they often fall short due to inherent data noise. To tackle this, we refined medical image-text pairs from PubMed and employed MLLMs (GPT-4V) in an ‘unblinded’ capacity to denoise and reformat the data, resulting in the creation of the **PubMedVision** dataset with 1.3 million medical VQA samples. Our validation demonstrates that: (1) PubMedVision can significantly enhance the medical multimodal capabilities of MLLMs, showing significant improvement in benchmarks including the MMMU Health & Medicine track; (2) manual checks by medical experts and empirical results validate the superior data quality of our dataset compared to other data construction methods. Using PubMedVision, we train a 34B medical MLLM **HuatuoGPT-Vision**, which shows superior performance in medical multimodal scenarios among open-source MLLMs. Our code and data are available at https://github.com/FreedomIntelligence/HuatuoGPT-Vision.

The in-context learning (ICL) for relational triple extraction (RTE) has achieved promising performance, but still encounters two key challenges: (1) how to design effective prompts and (2) how to select proper demonstrations. Existing methods, however, fail to address these challenges appropriately. On the one hand, they usually recast RTE task to text-to-text prompting formats, which is unnatural and results in a mismatch between the output format at the pre-training time and the inference time for large language models (LLMs). On the other hand, they only utilize surface natural language features and lack consideration of triple semantics in sample selection. These issues are blocking improved performance in ICL for RTE, thus we aim to tackle prompt designing and sample selection challenges simultaneously. To this end, we devise a tabular prompting for RTE (TableIE) which frames RTE task into a table generation task to incorporate explicit structured information into ICL, facilitating conversion of outputs to RTE structures. Then we propose instructive in-context learning (I²CL) which only selects and annotates a few samples considering internal triple semantics in massive unlabeled samples. Specifically, we first adopt off-the-shelf LLMs to perform schema-agnostic pre-extraction of triples in unlabeled samples using TableIE. Then we propose a novel triple-level similarity metric considering triple semantics between these samples and train a sample retrieval model based on calculated similarities in pre-extracted unlabeled data. We also devise three different sample annotation strategies for various scenarios. Finally, the annotated samples are considered as few-shot demonstrations in ICL for RTE. Experimental results on two RTE benchmarks show that I²CL with TableIE achieves state-of-the-art performance compared to other methods under various few-shot RTE settings.

Due to the complex label hierarchy and intensive labeling cost in practice, the hierarchical text classification (HTC) suffers a poor performance especially when low-resource or few-shot settings are considered. Recently, there is a growing trend of applying prompts on pre-trained language models (PLMs), which has exhibited effectiveness in the few-shot flat text classification tasks. However, limited work has studied the paradigm of prompt-based learning in the HTC problem when the training data is extremely scarce. In this work, we define a path-based few-shot setting and establish a strict path-based evaluation metric to further explore few-shot HTC tasks. To address the issue, we propose the hierarchical verbalizer (“HierVerb”), a multi-verbalizer framework treating HTC as a single- or multi-label classification problem at multiple layers and learning vectors as verbalizers constrained by hierarchical structure and hierarchical contrastive learning. In this manner, HierVerb fuses label hierarchy knowledge into verbalizers and remarkably outperforms those who inject hierarchy through graph encoders, maximizing the benefits of PLMs. Extensive experiments on three popular HTC datasets under the few-shot settings demonstrate that prompt with HierVerb significantly boosts the HTC performance, meanwhile indicating an elegant way to bridge the gap between the large pre-trained model and downstream hierarchical classification tasks.