Denis Parra

Digital journalism scholars have extensively discussed the implications of artificial intelligence (AI) and, more recently, large language models (LLMs) on journalists’ core practices (Arguedas & S...

Medical vision-language models can automate the generation of radiology reports but struggle with accurate visual grounding and factual consistency. Existing models often misalign textual findings with visual evidence, leading to unreliable or weakly grounded predictions. We present CURE, an error-aware curriculum learning framework that improves grounding and report quality without any additional data. CURE fine-tunes a multimodal instructional model on phrase grounding, grounded report generation, and anatomy-grounded report generation using public datasets. The method dynamically adjusts sampling based on model performance, emphasizing harder samples to improve spatial and textual alignment. CURE improves grounding accuracy by +0.37 IoU, boosts report quality by +0.188 CXRFEScore, and reduces hallucinations by 18.6%. CURE is a data-efficient framework that enhances both grounding accuracy and report reliability. Code is available at https://github.com/PabloMessina/CURE and model weights at https://huggingface.co/pamessina/medgemma-4b-it-cure

The Never Give Up (NGU) algorithm has proven effective in reinforcement learning tasks with sparse rewards by combining episodic novelty and intrinsic motivation. In this work, we extend NGU to multi-agent environments and evaluate its performance in the simple_tag environment from the PettingZoo suite. Compared to a multi-agent DQN baseline, NGU achieves moderately higher returns and more stable learning dynamics. We investigate three design choices: (1) shared replay buffer versus individual replay buffers, (2) sharing episodic novelty among agents using different k thresholds, and (3) using heterogeneous values of the beta parameter. Our results show that NGU with a shared replay buffer yields the best performance and stability, highlighting that the gains come from combining NGU intrinsic exploration with experience sharing. Novelty sharing performs comparably when k = 1 but degrades learning for larger values. Finally, heterogeneous beta values do not improve over a small common value. These findings suggest that NGU can be effectively applied in multi-agent settings when experiences are shared and intrinsic exploration signals are carefully tuned.

Generative image models have achieved remarkable progress in both natural and medical imaging. In the medical context, these techniques offer a potential solution to data scarcity-especially for low-prevalence anomalies that impair the performance of AI-driven diagnostic and segmentation tools. However, questions remain regarding the fidelity and clinical utility of synthetic images, since poor generation quality can undermine model generalizability and trust. In this study, we evaluate the effectiveness of state-of-the-art generative models-Generative Adversarial Networks (GANs) and Diffusion Models (DMs)-for synthesizing chest X-rays conditioned on four abnormalities: Atelectasis (AT), Lung Opacity (LO), Pleural Effusion (PE), and Enlarged Cardiac Silhouette (ECS). Using a benchmark composed of real images from the MIMIC-CXR dataset and synthetic images from both GANs and DMs, we conducted a reader study with three radiologists of varied experience. Participants were asked to distinguish real from synthetic images and assess the consistency between visual features and the target abnormality. Our results show that while DMs generate more visually realistic images overall, GANs can report better accuracy for specific conditions, such as absence of ECS. We further identify visual cues radiologists use to detect synthetic images, offering insights into the perceptual gaps in current models. These findings underscore the complementary strengths of GANs and DMs and point to the need for further refinement to ensure generative models can reliably augment training datasets for AI diagnostic systems.