Zhixiang Lu
Publications
TAVR-VLM: Risk-Conditioned Causal Grounding for Hallucination-Resistant Report Generation
Transcatheter Aortic Valve Replacement (TAVR) planning requires meticulous multimodal reasoning. However, adapting Multimodal Large Language Models (MLLMs) to this high-stakes domain is severely impeded by diagnostic hallucinations, where generated text lacks anatomical grounding. To address this, TAVR-VLM is introduced: a novel framework featuring Risk-Conditioned Causal Grounding Attention (R-CGA) that instantiates a model-internal ``Risk $\rightarrow$ Region $\rightarrow$ Word'' structural grounding pathway. R-CGA compresses multimodal inputs into a causal risk bottleneck, purifying dense visual features into a global risk mask. During autoregressive generation, a support-projected causal consistency objective constrains token-level grounding within the risk-defined support mask. Evaluated on $\text{M}^3\text{TAVR}$, a comprehensive 1,482-patient cohort, TAVR-VLM establishes a new state-of-the-art. It achieves an AUROC of 0.896, boosts CIDEr to 0.936, and drastically reduces the hallucination rate to 8.1\%, thereby improving interpretability for evidence-based surgical AI.
EcoThink: A Green Adaptive Inference Framework for Sustainable and Accessible Agents
As the Web transitions from static retrieval to generative interaction, the escalating environmental footprint of Large Language Models (LLMs) presents a critical sustainability challenge. Current paradigms indiscriminately apply computation-intensive strategies like Chain-of-Thought (CoT) to billions of daily queries, causing LLM overthinking, a redundancy that amplifies carbon emissions and operational barriers. This inefficiency directly undermines UN Sustainable Development Goals 13 (Climate Action) and 10 (Reduced Inequalities) by hindering equitable AI access in resource-constrained regions. To address this, we introduce EcoThink, an energy-aware adaptive inference framework designed to reconcile high-performance AI intelligence with environmental responsibility. EcoThink employs a lightweight, distillation-based router to dynamically assess query complexity, skipping unnecessary reasoning for factoid retrieval while reserving deep computation for complex logic. Extensive evaluations across 9 diverse benchmarks demonstrate that EcoThink reduces inference energy by 40.4% on average (up to 81.9% for web knowledge retrieval) without statistically significant performance loss. By mitigating algorithmic waste, EcoThink offers a scalable path toward a sustainable, inclusive, and energy-efficient generative AI Agent.