Randomized Controlled Trials (RCTs) are rigorous clinical studies crucial for reliable decision-making, but their credibility can be compromised by bias. The Cochrane Risk of Bias tool (RoB 2) assesses this risk, yet manual assessments are time-consuming and labor-intensive. Previous approaches have employed Large Language Models (LLMs) to automate this process. However, they typically focus on manually crafted prompts and a restricted set of simple questions, limiting their accuracy and generalizability. Inspired by the human bias assessment process, we propose RoBGuard, a novel framework for enhancing LLMs to assess the risk of bias in RCTs. Specifically, RoBGuard integrates medical knowledge-enhanced question reformulation, multimodal document parsing, and multi-expert collaboration to ensure both completeness and accuracy. Additionally, to address the lack of suitable datasets, we introduce two new datasets: RoB-Item and RoB-Domain. Experimental results demonstrate RoBGuard’s effectiveness on the RoB-Item dataset, outperforming existing methods.

Visual storytelling aims to generate a narrative paragraph from a sequence of images automatically. Existing approaches construct text description independently for each image and roughly concatenate them as a story, which leads to the problem of generating semantically incoherent content. In this paper, we propose a new way for visual storytelling by introducing a topic description task to detect the global semantic context of an image stream. A story is then constructed with the guidance of the topic description. In order to combine the two generation tasks, we propose a multi-agent communication framework that regards the topic description generator and the story generator as two agents and learn them simultaneously via iterative updating mechanism. We validate our approach on VIST dataset, where quantitative results, ablations, and human evaluation demonstrate our method’s good ability in generating stories with higher quality compared to state-of-the-art methods.