Sen Cui
Publications
Guideline-grounded retrieval-augmented generation for ophthalmic clinical decision support
In this work, we propose Oph-Guid-RAG, a multimodal visual RAG system for ophthalmology clinical question answering and decision support. We treat each guideline page as an independent evidence unit and directly retrieve page images, preserving tables, flowcharts, and layout information. We further design a controllable retrieval framework with routing and filtering, which selectively introduces external evidence and reduces noise. The system integrates query decomposition, query rewriting, retrieval, reranking, and multimodal reasoning, and provides traceable outputs with guideline page references. We evaluate our method on HealthBench using a doctor-based scoring protocol. On the hard subset, our approach improves the overall score from 0.2969 to 0.3861 (+0.0892, +30.0%) compared to GPT-5.2, and achieves higher accuracy, improving from 0.5956 to 0.6576 (+0.0620, +10.4%). Compared to GPT-5.4, our method achieves a larger accuracy gain of +0.1289 (+24.4%). These results show that our method is more effective on challenging cases that require precise, evidence-based reasoning. Ablation studies further show that reranking, routing, and retrieval design are critical for stable performance, especially under difficult settings. Overall, we show how combining visionbased retrieval with controllable reasoning can improve evidence grounding and robustness in clinical AI applications,while pointing out that further work is needed to be more complete.
Reversible Diffusion Decoding for Diffusion Language Models
Diffusion language models enable parallel token generation through block-wise decoding, but their irreversible commitments can lead to stagnation, where the reverse diffusion process fails to make further progress under a suboptimal context.We propose Reversible Diffusion Decoding (RDD), a decoding framework that introduces reversibility into block-wise diffusion generation. RDD detects stagnation as a state-dependent failure of the reverse process and enables efficient backtracking to earlier blocks without recomputation via cached model states. To avoid repeated failure trajectories, RDD applies confidence-guided re-masking to selectively reinitialize uncertain tokens while preserving reliable context.This reversible formulation allows decoding to recover from early commitment errors while maintaining the parallel efficiency of diffusion-based generation. Experiments show that RDD improves generation robustness and quality over baselines with minimal computational overhead.