Generative recommendation (GR) represents items with semantic IDs (i.e., discrete token sequences) and generates target item tokens as recommendations. Despite its promising results, existing methods predominantly optimize for accuracy while neglecting the credibility of the recommendations they generate. This oversight inevitably exposes users to uncredible content (e.g., fake news) with serious societal consequences, including user distrust, reputation harm to platforms, and broader social instability. To address this critical yet underexplored challenge, we propose CreGR, the first credible GR model that jointly tackles content credibility across the two core stages of GR: tokenization and generation. In the tokenization stage, we design a new credibility-aware tokenizer that explicitly encourages the model to learn discriminative tokens respectively for credible and uncredible items, thereby disentangling credibility signals at the token level. Building on this, in the generation stage, we propose a novel accuracy-preserving and credibility-oriented generator grounded in discrete diffusion. Specifically, we introduce an asymmetric masking probability reduction strategy that selectively diminishes the contribution of tokens associated with uncredible content to the generation process, while leaving tokens encoding user preference signals unaffected so as to preserve recommendation accuracy. Experiments on three real-world datasets demonstrate the effectiveness of CreGR.

Pathology imaging is broadly used for identifying the causes and effects of diseases or injuries. Given a pathology image, being able to answer questions about the clinical findings contained in the image is very important for medical decision making. In this paper, we aim to develop a pathological visual question answering framework to analyze pathology images and answer medical questions related to these images. To build such a framework, we create PathVQA, a VQA dataset with 32,795 questions asked from 4,998 pathology images. We also propose a three-level optimization framework which performs self-supervised pretraining and VQA finetuning end-to-end to learn powerful visual and textual representations jointly and automatically identifies and excludes noisy self-supervised examples from pretraining. We perform experiments on our created PathVQA dataset and the results demonstrate the effectiveness of our proposed methods. The datasets and code are available at https://github.com/UCSD-AI4H/PathVQA