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Jean-Benoit Delbrouck

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Published work

4 published item(s)

preprint2026arXiv

CheXTemporal: A Dataset for Temporally-Grounded Reasoning in Chest Radiography

Chest radiograph interpretation requires temporal reasoning over prior and current studies, yet most vision-language models are trained on static image-report pairs and lack explicit supervision for modeling longitudinal change. We introduce CheXTemporal, a dataset for temporally grounded reasoning in chest radiography consisting of paired prior-current chest X-rays (CXR) with finding-level temporal and spatial annotations. The dataset includes a five-class progression taxonomy (new, worse, stable, improved, resolved), localized spatial supervision of pathology, explicit spatial-temporal alignment across paired studies, and multi-source coverage for cross-domain evaluation. We additionally construct a 280K-pair silver dataset with automatically derived temporal and anatomical supervision for large-scale evaluation under weaker supervision. Using these resources, we evaluate multiple state-of-the-art vision-language CXR models on grounding and progression-classification tasks in a zero-shot setting. Across both gold and silver evaluations, current models exhibit consistent limitations in spatial grounding, fine-grained temporal reasoning, and robustness under distribution shift. In particular, models perform substantially better on salient progression categories such as worse than on temporally subtle states such as stable and resolved, suggesting limited modeling of longitudinal disease evolution in chest radiography.

preprint2026arXiv

Medmarks: A Comprehensive Open-Source LLM Benchmark Suite for Medical Tasks

Evaluating large language models (LLMs) for medical applications remains challenging due to benchmark saturation, limited data accessibility, and insufficient coverage of relevant tasks. Existing suites have either saturated, heavily depend on restricted datasets, or lack comprehensive model coverage. We introduce Medmarks, a fully open-source evaluation suite with 30 benchmarks spanning question answering, information extraction, medical calculations, and open-ended clinical reasoning. We perform a systematic evaluation of 61 models across 71 configurations using verifiable metrics and LLM-as-a-Judge. Our results show that frontier reasoning models (Gemini 3 Pro Preview, GPT-5.1, & GPT-5.2) achieve the highest performance across both benchmarks, most frontier proprietary models are significantly more token efficient than open-weight alternatives, medically fine-tuned models outperform their generalist counterparts, and that models are susceptible to answer-order bias (particularly smaller models and Grok 4). A subset of our evals (Medmarks-T) can be directly used as reinforcement learning environments to post-train LLMs for medical reasoning. Code is available at https://github.com/MedARC-AI/Medmarks

preprint2022arXiv

Domino: Discovering Systematic Errors with Cross-Modal Embeddings

Machine learning models that achieve high overall accuracy often make systematic errors on important subsets (or slices) of data. Identifying underperforming slices is particularly challenging when working with high-dimensional inputs (e.g. images, audio), where important slices are often unlabeled. In order to address this issue, recent studies have proposed automated slice discovery methods (SDMs), which leverage learned model representations to mine input data for slices on which a model performs poorly. To be useful to a practitioner, these methods must identify slices that are both underperforming and coherent (i.e. united by a human-understandable concept). However, no quantitative evaluation framework currently exists for rigorously assessing SDMs with respect to these criteria. Additionally, prior qualitative evaluations have shown that SDMs often identify slices that are incoherent. In this work, we address these challenges by first designing a principled evaluation framework that enables a quantitative comparison of SDMs across 1,235 slice discovery settings in three input domains (natural images, medical images, and time-series data). Then, motivated by the recent development of powerful cross-modal representation learning approaches, we present Domino, an SDM that leverages cross-modal embeddings and a novel error-aware mixture model to discover and describe coherent slices. We find that Domino accurately identifies 36% of the 1,235 slices in our framework - a 12 percentage point improvement over prior methods. Further, Domino is the first SDM that can provide natural language descriptions of identified slices, correctly generating the exact name of the slice in 35% of settings.

preprint2020arXiv

A Transformer-based joint-encoding for Emotion Recognition and Sentiment Analysis

Understanding expressed sentiment and emotions are two crucial factors in human multimodal language. This paper describes a Transformer-based joint-encoding (TBJE) for the task of Emotion Recognition and Sentiment Analysis. In addition to use the Transformer architecture, our approach relies on a modular co-attention and a glimpse layer to jointly encode one or more modalities. The proposed solution has also been submitted to the ACL20: Second Grand-Challenge on Multimodal Language to be evaluated on the CMU-MOSEI dataset. The code to replicate the presented experiments is open-source: https://github.com/jbdel/MOSEI_UMONS.