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Researcher profile

Jacopo Staiano

Jacopo Staiano contributes to research discovery and scholarly infrastructure.

ResearcherAffiliation not importedOpen to collaborate
Computation and LanguageMachine LearningArtificial Intelligence

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Published work

8 published item(s)

preprint2026arXiv

Human-LLM Dialogue Improves Diagnostic Accuracy in Emergency Care

Clinical decision-making in emergency medicine demands rapid, accurate diagnoses under uncertainty. Despite benchmark progress, evidence for LLMs as interactive aids in live physician workflows remains sparse. MedSyn lets physicians iteratively query an LLM provided with the full clinical record while initially viewing only the chief complaint. Seven physicians (three seniors, four residents) completed baseline and AI-assisted sessions across 52 MIMIC-IV cases stratified by difficulty. Blinded evaluation showed residents' Hard-case correctness rose from 0.589 to 0.734; difficulty-standardised completely-correct rates confirmed a medium effect (Δ = 0.092; p = 0.071; d = 0.47). Automated metrics corroborated these gains: standardised any-match accuracy improved by 0.156 (p < 0.0001), and residents showed the largest F1 gain (Δ = 0.138; p < 0.0001). Dialogue analysis revealed expertise-dependent strategies (seniors asked targeted, hypothesis-driven questions; residents relied on broader queries) and cross-expertise concordance increased (Δ = 0.145; p < 0.0001). Interactive LLM support meaningfully enhances diagnostic reasoning.

0 citations0 reviewsNo code linkedOpen access
preprint2026arXiv

KoRe: Compact Knowledge Representations for Large Language Models

Modern Large Language Models (LLMs) have shown impressive performances in user-facing tasks such as question answering, as well as consistent improvements in reasoning capabilities. Still, the way these models encode knowledge seems inherently flawed: by design, LLMs encode world-knowledge within their parameters. This way of representing knowledge is inherently opaque, difficult to debug and update, and prone to hallucinations. On the other hand, Knowledge Graphs can provide human-readable and easily editable world knowledge representations, and their application in knowledge-intensive tasks has consistently proven beneficial to downstream performance. Nonetheless, current integration techniques require extensive retraining or finetuning. To overcome this issue, we introduce KoRe, a methodology to encode 1-hop sub-graphs into compact discrete knowledge tokens and inject them into a LLM backbone. We test the proposed approach on three established benchmarks, and report competitive performances coupled with a significant reduction (up to 10x) in token usage. Our results show that compact discrete KG representations can efficiently and effectively be used to ground modern LLMs.

0 citations0 reviewsNo code linkedOpen access
preprint2022arXiv

Generative Cooperative Networks for Natural Language Generation

Generative Adversarial Networks (GANs) have known a tremendous success for many continuous generation tasks, especially in the field of image generation. However, for discrete outputs such as language, optimizing GANs remains an open problem with many instabilities, as no gradient can be properly back-propagated from the discriminator output to the generator parameters. An alternative is to learn the generator network via reinforcement learning, using the discriminator signal as a reward, but such a technique suffers from moving rewards and vanishing gradient problems. Finally, it often falls short compared to direct maximum-likelihood approaches. In this paper, we introduce Generative Cooperative Networks, in which the discriminator architecture is cooperatively used along with the generation policy to output samples of realistic texts for the task at hand. We give theoretical guarantees of convergence for our approach, and study various efficient decoding schemes to empirically achieve state-of-the-art results in two main NLG tasks.

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preprint2022arXiv

Which Discriminator for Cooperative Text Generation?

Language models generate texts by successively predicting probability distributions for next tokens given past ones. A growing field of interest tries to leverage external information in the decoding process so that the generated texts have desired properties, such as being more natural, non toxic, faithful, or having a specific writing style. A solution is to use a classifier at each generation step, resulting in a cooperative environment where the classifier guides the decoding of the language model distribution towards relevant texts for the task at hand. In this paper, we examine three families of (transformer-based) discriminators for this specific task of cooperative decoding: bidirectional, left-to-right and generative ones. We evaluate the pros and cons of these different types of discriminators for cooperative generation, exploring respective accuracy on classification tasks along with their impact on the resulting sample quality and computational performances. We also provide the code of a batched implementation of the powerful cooperative decoding strategy used for our experiments, the Monte Carlo Tree Search, working with each discriminator for Natural Language Generation.

0 citations0 reviewsNo code linkedOpen access
preprint2020arXiv

ColdGANs: Taming Language GANs with Cautious Sampling Strategies

Training regimes based on Maximum Likelihood Estimation (MLE) suffer from known limitations, often leading to poorly generated text sequences. At the root of these limitations is the mismatch between training and inference, i.e. the so-called exposure bias, exacerbated by considering only the reference texts as correct, while in practice several alternative formulations could be as good. Generative Adversarial Networks (GANs) can mitigate those limitations but the discrete nature of text has hindered their application to language generation: the approaches proposed so far, based on Reinforcement Learning, have been shown to underperform MLE. Departing from previous works, we analyze the exploration step in GANs applied to text generation, and show how classical sampling results in unstable training. We propose to consider alternative exploration strategies in a GAN framework that we name ColdGANs, where we force the sampling to be close to the distribution modes to get smoother learning dynamics. For the first time, to the best of our knowledge, the proposed language GANs compare favorably to MLE, and obtain improvements over the state-of-the-art on three generative tasks, namely unconditional text generation, question generation, and abstractive summarization.

0 citations0 reviewsNo code linkedOpen access
preprint2020arXiv

Discriminative Adversarial Search for Abstractive Summarization

We introduce a novel approach for sequence decoding, Discriminative Adversarial Search (DAS), which has the desirable properties of alleviating the effects of exposure bias without requiring external metrics. Inspired by Generative Adversarial Networks (GANs), wherein a discriminator is used to improve the generator, our method differs from GANs in that the generator parameters are not updated at training time and the discriminator is only used to drive sequence generation at inference time. We investigate the effectiveness of the proposed approach on the task of Abstractive Summarization: the results obtained show that a naive application of DAS improves over the state-of-the-art methods, with further gains obtained via discriminator retraining. Moreover, we show how DAS can be effective for cross-domain adaptation. Finally, all results reported are obtained without additional rule-based filtering strategies, commonly used by the best performing systems available: this indicates that DAS can effectively be deployed without relying on post-hoc modifications of the generated outputs.

0 citations0 reviewsNo code linkedOpen access
preprint2020arXiv

MLSUM: The Multilingual Summarization Corpus

We present MLSUM, the first large-scale MultiLingual SUMmarization dataset. Obtained from online newspapers, it contains 1.5M+ article/summary pairs in five different languages -- namely, French, German, Spanish, Russian, Turkish. Together with English newspapers from the popular CNN/Daily mail dataset, the collected data form a large scale multilingual dataset which can enable new research directions for the text summarization community. We report cross-lingual comparative analyses based on state-of-the-art systems. These highlight existing biases which motivate the use of a multi-lingual dataset.

0 citations0 reviewsNo code linkedOpen access
preprint2020arXiv

Project PIAF: Building a Native French Question-Answering Dataset

Motivated by the lack of data for non-English languages, in particular for the evaluation of downstream tasks such as Question Answering, we present a participatory effort to collect a native French Question Answering Dataset. Furthermore, we describe and publicly release the annotation tool developed for our collection effort, along with the data obtained and preliminary baselines.

0 citations0 reviewsNo code linkedOpen access