Daily Papers

Foundation Models that are capable of processing and generating multi-modal data have transformed AI's role in medicine. However, a key limitation of their reliability is hallucination, where inaccurate or fabricated information can impact clinical decisions and patient safety. We define medical hallucination as any instance in which a model generates misleading medical content. This paper examines the unique characteristics, causes, and implications of medical hallucinations, with a particular focus on how these errors manifest themselves in real-world clinical scenarios. Our contributions include (1) a taxonomy for understanding and addressing medical hallucinations, (2) benchmarking models using medical hallucination dataset and physician-annotated LLM responses to real medical cases, providing direct insight into the clinical impact of hallucinations, and (3) a multi-national clinician survey on their experiences with medical hallucinations. Our results reveal that inference techniques such as Chain-of-Thought (CoT) and Search Augmented Generation can effectively reduce hallucination rates. However, despite these improvements, non-trivial levels of hallucination persist. These findings underscore the ethical and practical imperative for robust detection and mitigation strategies, establishing a foundation for regulatory policies that prioritize patient safety and maintain clinical integrity as AI becomes more integrated into healthcare. The feedback from clinicians highlights the urgent need for not only technical advances but also for clearer ethical and regulatory guidelines to ensure patient safety. A repository organizing the paper resources, summaries, and additional information is available at https://github.com/mitmedialab/medical hallucination.

Advancements in Large Language Models (LLMs) and their increasing use in medical question-answering necessitate rigorous evaluation of their reliability. A critical challenge lies in hallucination, where models generate plausible yet factually incorrect outputs. In the medical domain, this poses serious risks to patient safety and clinical decision-making. To address this, we introduce MedHallu, the first benchmark specifically designed for medical hallucination detection. MedHallu comprises 10,000 high-quality question-answer pairs derived from PubMedQA, with hallucinated answers systematically generated through a controlled pipeline. Our experiments show that state-of-the-art LLMs, including GPT-4o, Llama-3.1, and the medically fine-tuned UltraMedical, struggle with this binary hallucination detection task, with the best model achieving an F1 score as low as 0.625 for detecting "hard" category hallucinations. Using bidirectional entailment clustering, we show that harder-to-detect hallucinations are semantically closer to ground truth. Through experiments, we also show incorporating domain-specific knowledge and introducing a "not sure" category as one of the answer categories improves the precision and F1 scores by up to 38% relative to baselines.

The remarkable capabilities of large language models (LLMs) in language understanding and generation have not rendered them immune to hallucinations. LLMs can still generate plausible-sounding but factually incorrect or fabricated information. As LLM-empowered chatbots become popular, laypeople may frequently ask health-related queries and risk falling victim to these LLM hallucinations, resulting in various societal and healthcare implications. In this work, we conduct a pioneering study of hallucinations in LLM-generated responses to real-world healthcare queries from patients. We propose MedHalu, a carefully crafted first-of-its-kind medical hallucination dataset with a diverse range of health-related topics and the corresponding hallucinated responses from LLMs with labeled hallucination types and hallucinated text spans. We also introduce MedHaluDetect framework to evaluate capabilities of various LLMs in detecting hallucinations. We also employ three groups of evaluators -- medical experts, LLMs, and laypeople -- to study who are more vulnerable to these medical hallucinations. We find that LLMs are much worse than the experts. They also perform no better than laypeople and even worse in few cases in detecting hallucinations. To fill this gap, we propose expert-in-the-loop approach to improve hallucination detection through LLMs by infusing expert reasoning. We observe significant performance gains for all the LLMs with an average macro-F1 improvement of 6.3 percentage points for GPT-4.

Multimodal large language models (MLLMs) have recently achieved remarkable progress in radiology by integrating visual perception with natural language understanding. However, they often generate clinically unsupported descriptions, known as medical hallucinations, which pose serious risks in medical applications that demand accuracy and image-grounded outputs. Through empirical analysis, we find that prompt-induced hallucinations remain prevalent in radiology MLLMs, largely due to over-sensitivity to clinical sections. To address this, we introduce Clinical Contrastive Cecoding (CCD), a training-free and retrieval-free inference framework that integrates structured clinical signals from task-specific radiology expert models. CCD introduces a dual-stage contrastive mechanism to refine token-level logits during generation, thereby enhancing clinical fidelity without modifying the base MLLM. Experiments on three datasets and multiple models demonstrate that CCD consistently improves overall performance on radiology report generation (RRG). On the MIMIC-CXR dataset, it yields up to a 17% improvement in RadGraph-F1 when applied to state-of-the-art RRG models. Our approach provides a lightweight and generalisable solution for mitigating medical hallucinations, effectively bridging expert models and MLLMs in radiology.

LLMs are bound to transform healthcare with advanced decision support and flexible chat assistants. However, LLMs are prone to generate inaccurate medical content. To ground LLMs in high-quality medical knowledge, LLMs have been equipped with external knowledge via RAG, where unstructured medical knowledge is split into small text chunks that can be selectively retrieved and integrated into the LLMs context. Yet, existing RAG pipelines rely on raw, unstructured medical text, which can be noisy, uncurated and difficult for LLMs to effectively leverage. Systematic approaches to organize medical knowledge to best surface it to LLMs are generally lacking. To address these challenges, we introduce MIRIAD, a large-scale, curated corpus of 5,821,948 medical QA pairs, each rephrased from and grounded in a passage from peer-reviewed medical literature using a semi-automated pipeline combining LLM generation, filtering, grounding, and human annotation. Unlike prior medical corpora, which rely on unstructured text, MIRIAD encapsulates web-scale medical knowledge in an operationalized query-response format, which enables more targeted retrieval. Experiments on challenging medical QA benchmarks show that augmenting LLMs with MIRIAD improves accuracy up to 6.7% compared to unstructured RAG baselines with the same source corpus and with the same amount of retrieved text. Moreover, MIRIAD improved the ability of LLMs to detect medical hallucinations by 22.5 to 37% (increase in F1 score). We further introduce MIRIAD-Atlas, an interactive map of MIRIAD spanning 56 medical disciplines, enabling clinical users to visually explore, search, and refine medical knowledge. MIRIAD promises to unlock a wealth of down-stream applications, including medical information retrievers, enhanced RAG applications, and knowledge-grounded chat interfaces, which ultimately enables more reliable LLM applications in healthcare.

Large language models have the potential to be valuable in the healthcare industry, but it's crucial to verify their safety and effectiveness through rigorous evaluation. For this purpose, we comprehensively evaluated both open-source LLMs and Google's new multimodal LLM called Gemini across Medical reasoning, hallucination detection, and Medical Visual Question Answering tasks. While Gemini showed competence, it lagged behind state-of-the-art models like MedPaLM 2 and GPT-4 in diagnostic accuracy. Additionally, Gemini achieved an accuracy of 61.45\% on the medical VQA dataset, significantly lower than GPT-4V's score of 88\%. Our analysis revealed that Gemini is highly susceptible to hallucinations, overconfidence, and knowledge gaps, which indicate risks if deployed uncritically. We also performed a detailed analysis by medical subject and test type, providing actionable feedback for developers and clinicians. To mitigate risks, we applied prompting strategies that improved performance. Additionally, we facilitated future research and development by releasing a Python module for medical LLM evaluation and establishing a dedicated leaderboard on Hugging Face for medical domain LLMs. Python module can be found at https://github.com/promptslab/RosettaEval

Automatic medical report generation (MRG), which possesses significant research value as it can aid radiologists in clinical diagnosis and report composition, has garnered increasing attention. Despite recent progress, generating accurate reports remains arduous due to the requirement for precise clinical comprehension and disease diagnosis inference. Furthermore, owing to the limited accessibility of medical data and the imbalanced distribution of diseases, the underrepresentation of rare diseases in training data makes large-scale medical visual language models (LVLMs) prone to hallucinations, such as omissions or fabrications, severely undermining diagnostic performance and further intensifying the challenges for MRG in practice. In this study, to effectively mitigate hallucinations in medical report generation, we propose a chain-of-medical-thought approach (CoMT), which intends to imitate the cognitive process of human doctors by decomposing diagnostic procedures. The radiological features with different importance are structured into fine-grained medical thought chains to enhance the inferential ability during diagnosis, thereby alleviating hallucination problems and enhancing the diagnostic accuracy of MRG. The code and dataset have been released at https://github.com/FRENKIE-CHIANG/CoMT.

We present MedHal, a novel large-scale dataset specifically designed to evaluate if models can detect hallucinations in medical texts. Current hallucination detection methods face significant limitations when applied to specialized domains like medicine, where they can have disastrous consequences. Existing medical datasets are either too small, containing only a few hundred samples, or focus on a single task like Question Answering or Natural Language Inference. MedHal addresses these gaps by: (1) incorporating diverse medical text sources and tasks; (2) providing a substantial volume of annotated samples suitable for training medical hallucination detection models; and (3) including explanations for factual inconsistencies to guide model learning. We demonstrate MedHal's utility by training and evaluating a baseline medical hallucination detection model, showing improvements over general-purpose hallucination detection approaches. This resource enables more efficient evaluation of medical text generation systems while reducing reliance on costly expert review, potentially accelerating the development of medical AI research.

Large language models (LLMs) have significantly advanced natural language processing tasks, yet they are susceptible to generating inaccurate or unreliable responses, a phenomenon known as hallucination. In critical domains such as health and medicine, these hallucinations can pose serious risks. This paper introduces HALO, a novel framework designed to enhance the accuracy and reliability of medical question-answering (QA) systems by focusing on the detection and mitigation of hallucinations. Our approach generates multiple variations of a given query using LLMs and retrieves relevant information from external open knowledge bases to enrich the context. We utilize maximum marginal relevance scoring to prioritize the retrieved context, which is then provided to LLMs for answer generation, thereby reducing the risk of hallucinations. The integration of LangChain further streamlines this process, resulting in a notable and robust increase in the accuracy of both open-source and commercial LLMs, such as Llama-3.1 (from 44% to 65%) and ChatGPT (from 56% to 70%). This framework underscores the critical importance of addressing hallucinations in medical QA systems, ultimately improving clinical decision-making and patient care. The open-source HALO is available at: https://github.com/ResponsibleAILab/HALO.

The rapid advancement of large language models (LLMs) has significantly impacted various domains, including healthcare and biomedicine. However, the phenomenon of hallucination, where LLMs generate outputs that deviate from factual accuracy or context, poses a critical challenge, especially in high-stakes domains. This paper conducts a scoping study of existing techniques for mitigating hallucinations in knowledge-based task in general and especially for medical domains. Key methods covered in the paper include Retrieval-Augmented Generation (RAG)-based techniques, iterative feedback loops, supervised fine-tuning, and prompt engineering. These techniques, while promising in general contexts, require further adaptation and optimization for the medical domain due to its unique demands for up-to-date, specialized knowledge and strict adherence to medical guidelines. Addressing these challenges is crucial for developing trustworthy AI systems that enhance clinical decision-making and patient safety as well as accuracy of biomedical scientific research.

Medical vision-language models often struggle with generating accurate quantitative measurements in radiology reports, leading to hallucinations that undermine clinical reliability. We introduce FactCheXcker, a modular framework that de-hallucinates radiology report measurements by leveraging an improved query-code-update paradigm. Specifically, FactCheXcker employs specialized modules and the code generation capabilities of large language models to solve measurement queries generated based on the original report. After extracting measurable findings, the results are incorporated into an updated report. We evaluate FactCheXcker on endotracheal tube placement, which accounts for an average of 78% of report measurements, using the MIMIC-CXR dataset and 11 medical report-generation models. Our results show that FactCheXcker significantly reduces hallucinations, improves measurement precision, and maintains the quality of the original reports. Specifically, FactCheXcker improves the performance of 10/11 models and achieves an average improvement of 135.0% in reducing measurement hallucinations measured by mean absolute error. Code is available at https://github.com/rajpurkarlab/FactCheXcker.

This research paper focuses on the challenges posed by hallucinations in large language models (LLMs), particularly in the context of the medical domain. Hallucination, wherein these models generate plausible yet unverified or incorrect information, can have serious consequences in healthcare applications. We propose a new benchmark and dataset, Med-HALT (Medical Domain Hallucination Test), designed specifically to evaluate and reduce hallucinations. Med-HALT provides a diverse multinational dataset derived from medical examinations across various countries and includes multiple innovative testing modalities. Med-HALT includes two categories of tests reasoning and memory-based hallucination tests, designed to assess LLMs's problem-solving and information retrieval abilities. Our study evaluated leading LLMs, including Text Davinci, GPT-3.5, LlaMa-2, MPT, and Falcon, revealing significant differences in their performance. The paper provides detailed insights into the dataset, promoting transparency and reproducibility. Through this work, we aim to contribute to the development of safer and more reliable language models in healthcare. Our benchmark can be found at medhalt.github.io

Large Language Models (LLMs) have demonstrated a remarkable potential in medical knowledge acquisition and question-answering. However, LLMs can potentially hallucinate and yield factually incorrect outcomes, even with domain-specific pretraining. Previously, retrieval augmented generation (RAG) has limited success in addressing hallucinations. Unlike previous methods in RAG where the retrieval model was trained separately from the LLM, we introduce JMLR (for Jointly trains LLM and information Retrieval) during the fine-tuning phase. The synchronized training mechanism enhances JMLR's ability to retrieve clinical guidelines and leverage medical knowledge to reason and answer questions and reduces the demand for computational resources. We evaluated JMLR on the important medical question-answering application. Our experimental results demonstrate that JMLR-13B (70.5%) outperforms a previous state-of-the-art open-source model using conventional pre-training and fine-tuning Meditron-70B (68.9%) and Llama2-13B with RAG (67.7%) on a medical question-answering dataset. Comprehensive evaluations reveal JMLR-13B enhances reasoning quality and reduces hallucinations better than Claude3-Opus. Additionally, JMLR-13B (148 GPU hours) also trains much faster than Meditron-70B (42630 GPU hours). Through this work, we provide a new and efficient knowledge enhancement method for healthcare, demonstrating the potential of integrating retrieval and LLM training for medical question-answering systems.

Visual Information Extraction (VIE) converts unstructured document images into structured formats like JSON, critical for medical applications such as report analysis and online consultations. Traditional methods rely on OCR and language models, while end-to-end multimodal models offer direct JSON generation. However, domain-specific schemas and high annotation costs limit their effectiveness in medical VIE. We base our approach on the Reinforcement Learning with Verifiable Rewards (RLVR) framework to address these challenges using only 100 annotated samples. Our approach ensures dataset diversity, a balanced precision-recall reward mechanism to reduce hallucinations and improve field coverage, and innovative sampling strategies to enhance reasoning capabilities. Fine-tuning Qwen2.5-VL-7B with our RLVR method, we achieve state-of-the-art performance on medical VIE tasks, significantly improving F1, precision, and recall. While our models excel on tasks similar to medical datasets, performance drops on dissimilar tasks, highlighting the need for domain-specific optimization. Case studies further demonstrate the value of reasoning during training and inference for VIE.

Developing reliable AI systems to assist human clinicians in multi-modal medical diagnosis has long been a key objective for researchers. Recently, Multi-modal Large Language Models (MLLMs) have gained significant attention and achieved success across various domains. With strong reasoning capabilities and the ability to perform diverse tasks based on user instructions, they hold great potential for enhancing medical diagnosis. However, directly applying MLLMs to the medical domain still presents challenges. They lack detailed perception of visual inputs, limiting their ability to perform quantitative image analysis, which is crucial for medical diagnostics. Additionally, MLLMs often exhibit hallucinations and inconsistencies in reasoning, whereas clinical diagnoses must adhere strictly to established criteria. To address these challenges, we propose MedAgent-Pro, an evidence-based reasoning agentic system designed to achieve reliable, explainable, and precise medical diagnoses. This is accomplished through a hierarchical workflow: at the task level, knowledge-based reasoning generate reliable diagnostic plans for specific diseases following retrieved clinical criteria. While at the case level, multiple tool agents process multi-modal inputs, analyze different indicators according to the plan, and provide a final diagnosis based on both quantitative and qualitative evidence. Comprehensive experiments on both 2D and 3D medical diagnosis tasks demonstrate the superiority and effectiveness of MedAgent-Pro, while case studies further highlight its reliability and interpretability. The code is available at https://github.com/jinlab-imvr/MedAgent-Pro.

Large Language Models (LLMs) present immense potential in the medical field, yet concerns over data privacy, regulatory compliance, and model stability restrict their widespread adoption. Although the distillation of high-performing closed-source LLMs has proven effective for general tasks, their application in healthcare is limited due to reduced domain knowledge and remnants of alignment behavior hindering clinical tasks. To address these challenges, we propose Dialogue-Based Knowledge Encoding (DBKE). DBKE enhances models' implicit knowledge base and primes them for conversational recall, augmenting their conversational capabilities and enabling a soft alignment for subsequent use cases. By transforming dense academic source text into synthetic dialogue, DBKE broadens the model's knowledge base and enables a soft alignment that guides downstream behaviours. We present Clinical Camel, an open-source, healthcare-focused conversational model, to showcase the effectiveness of DBKE. Clinical Camel outperforms GPT-3.5 on the United States Medical Licensing Examination (USMLE) Step 1 and Step 3 with scores of 53.2 % and 58.2 %, respectively, compared to GPT-3.5's scores of 36.1 % and 55.7 %. Clinical Camel adeptly handles multi-stage clinical case problems, provides adaptive counseling, and generates clinical notes. However, it is prone to hallucinations, which pose a significant obstacle in safety-critical settings. The performance of Clinical Camel underscores the importance of continued research and development of open-source models for the safe and effective integration of LLMs in healthcare settings.

Large language models (LLMs) have transformed various sectors, including education, finance, and medicine, by enhancing content generation and decision-making processes. However, their integration into the medical field is cautious due to hallucinations, instances where generated content deviates from factual accuracy, potentially leading to adverse outcomes. To address this, we introduce Hyper-RAG, a hypergraph-driven Retrieval-Augmented Generation method that comprehensively captures both pairwise and beyond-pairwise correlations in domain-specific knowledge, thereby mitigating hallucinations. Experiments on the NeurologyCrop dataset with six prominent LLMs demonstrated that Hyper-RAG improves accuracy by an average of 12.3% over direct LLM use and outperforms Graph RAG and Light RAG by 6.3% and 6.0%, respectively. Additionally, Hyper-RAG maintained stable performance with increasing query complexity, unlike existing methods which declined. Further validation across nine diverse datasets showed a 35.5% performance improvement over Light RAG using a selection-based assessment. The lightweight variant, Hyper-RAG-Lite, achieved twice the retrieval speed and a 3.3% performance boost compared with Light RAG. These results confirm Hyper-RAG's effectiveness in enhancing LLM reliability and reducing hallucinations, making it a robust solution for high-stakes applications like medical diagnostics.

The advancement of Large Vision-Language Models (LVLMs) has propelled their application in the medical field. However, Medical LVLMs (Med-LVLMs) encounter factuality challenges due to modality misalignment, where the models prioritize textual knowledge over visual input, leading to hallucinations that contradict information in medical images. Previous attempts to enhance modality alignment in Med-LVLMs through preference optimization have inadequately mitigated clinical relevance in preference data, making these samples easily distinguishable and reducing alignment effectiveness. To address this challenge, we propose MMedPO, a novel multimodal medical preference optimization approach that considers the clinical relevance of preference samples to enhance Med-LVLM alignment. MMedPO curates multimodal preference data by introducing two types of dispreference: (1) plausible hallucinations injected through target Med-LVLMs or GPT-4o to produce medically inaccurate responses, and (2) lesion region neglect achieved through local lesion-noising, disrupting visual understanding of critical areas. We then calculate clinical relevance for each sample based on scores from multiple Med-LLMs and visual tools, and integrate these scores into the preference optimization process as weights, enabling effective alignment. Our experiments demonstrate that MMedPO significantly enhances factual accuracy in Med-LVLMs, achieving substantial improvements over existing preference optimization methods by averaging 14.2% and 51.7% across the Med-VQA and report generation tasks. Our code are available in https://github.com/aiming-lab/MMedPO.

The advancement in healthcare has shifted focus toward patient-centric approaches, particularly in self-care and patient education, facilitated by access to Electronic Health Records (EHR). However, medical jargon in EHRs poses significant challenges in patient comprehension. To address this, we introduce a new task of automatically generating lay definitions, aiming to simplify complex medical terms into patient-friendly lay language. We first created the README dataset, an extensive collection of over 50,000 unique (medical term, lay definition) pairs and 300,000 mentions, each offering context-aware lay definitions manually annotated by domain experts. We have also engineered a data-centric Human-AI pipeline that synergizes data filtering, augmentation, and selection to improve data quality. We then used README as the training data for models and leveraged a Retrieval-Augmented Generation method to reduce hallucinations and improve the quality of model outputs. Our extensive automatic and human evaluations demonstrate that open-source mobile-friendly models, when fine-tuned with high-quality data, are capable of matching or even surpassing the performance of state-of-the-art closed-source large language models like ChatGPT. This research represents a significant stride in closing the knowledge gap in patient education and advancing patient-centric healthcare solutions.

Retrieval-augmented question answering (QA) integrates external information and thereby increases the QA accuracy of reader models that lack domain knowledge. However, documents retrieved for closed domains require high expertise, so the reader model may have difficulty fully comprehending the text. Moreover, the retrieved documents contain thousands of tokens, some unrelated to the question. As a result, the documents include some inaccurate information, which could lead the reader model to mistrust the passages and could result in hallucinations. To solve these problems, we propose K-comp (Knowledge-injected compressor) which provides the knowledge required to answer correctly. The compressor automatically generates the prior knowledge necessary to facilitate the answer process prior to compression of the retrieved passages. Subsequently, the passages are compressed autoregressively, with the generated knowledge being integrated into the compression process. This process ensures alignment between the question intent and the compressed context. By augmenting this prior knowledge and concise context, the reader models are guided toward relevant answers and trust the context.

Background: Clinical documentation represents a significant burden for healthcare providers, with physicians spending up to 2 hours daily on administrative tasks. Recent advances in large language models (LLMs) offer promising solutions, but privacy concerns and computational requirements limit their adoption in healthcare settings. Objective: To develop and evaluate a privacy-preserving, on-device medical transcription system using a fine-tuned Llama 3.2 1B model capable of generating structured medical notes from medical transcriptions while maintaining complete data sovereignty entirely in the browser. Methods: We fine-tuned a Llama 3.2 1B model using Parameter-Efficient Fine-Tuning (PEFT) with LoRA on 1,500 synthetic medical transcription-to-structured note pairs. The model was evaluated against the base Llama 3.2 1B on two datasets: 100 endocrinology transcripts and 140 modified ACI benchmark cases. Evaluation employed both statistical metrics (ROUGE, BERTScore, BLEURT) and LLM-as-judge assessments across multiple clinical quality dimensions. Results: The fine-tuned OnDevice model demonstrated substantial improvements over the base model. On the ACI benchmark, ROUGE-1 scores increased from 0.346 to 0.496, while BERTScore F1 improved from 0.832 to 0.866. Clinical quality assessments showed marked reduction in major hallucinations (from 85 to 35 cases) and enhanced factual correctness (2.81 to 3.54 on 5-point scale). Similar improvements were observed on the internal evaluation dataset, with composite scores increasing from 3.13 to 4.43 (+41.5%). Conclusions: Fine-tuning compact LLMs for medical transcription yields clinically meaningful improvements while enabling complete on-device browser deployment. This approach addresses key barriers to AI adoption in healthcare: privacy preservation, cost reduction, and accessibility for resource-constrained environments.

Ensuring the accuracy of responses provided by large language models (LLMs) is crucial, particularly in clinical settings where incorrect information may directly impact patient health. To address this challenge, we construct K-QA, a dataset containing 1,212 patient questions originating from real-world conversations held on K Health (an AI-driven clinical platform). We employ a panel of in-house physicians to answer and manually decompose a subset of K-QA into self-contained statements. Additionally, we formulate two NLI-based evaluation metrics approximating recall and precision: (1) comprehensiveness, measuring the percentage of essential clinical information in the generated answer and (2) hallucination rate, measuring the number of statements from the physician-curated response contradicted by the LLM answer. Finally, we use K-QA along with these metrics to evaluate several state-of-the-art models, as well as the effect of in-context learning and medically-oriented augmented retrieval schemes developed by the authors. Our findings indicate that in-context learning improves the comprehensiveness of the models, and augmented retrieval is effective in reducing hallucinations. We make K-QA available to to the community to spur research into medically accurate NLP applications.

We study extractive question-answering in the medical domain (Medical-EQA). This problem has two main challenges: (i) domain specificity, as most AI models lack necessary domain knowledge, and (ii) extraction-based answering style, which restricts most autoregressive LLMs due to potential hallucinations. To handle those challenges, we propose TOP-Training, a target-oriented pre-training paradigm that stands out among all domain adaptation techniques with two desirable features: (i) TOP-Training moves one step further than popular domain-oriented fine-tuning since it not only moves closer to the target domain, but also familiarizes itself with the target dataset, and (ii) it does not assume the existence of a large set of unlabeled instances from the target domain. Specifically, for a target Medical-EQA dataset, we extract its entities and leverage large language models (LLMs) to generate synthetic texts containing those entities; we then demonstrate that pretraining on this synthetic text data yields better performance on the target Medical-EQA benchmarks. Overall, our contributions are threefold: (i) TOP-Training, a new pretraining technique to effectively adapt LLMs to better solve a target problem, (ii) TOP-Training has a wide application scope because it does not require the target problem to have a large set of unlabeled data, and (iii) our experiments highlight the limitations of autoregressive LLMs, emphasizing TOP-Training as a means to unlock the true potential of bidirectional LLMs.

Multimodal Large Language Models (MLLMs) have demonstrated impressive capabilities in understanding common visual elements, largely due to their large-scale datasets and advanced training strategies. However, their effectiveness in medical applications remains limited due to the inherent discrepancies between data and tasks in medical scenarios and those in the general domain. Concretely, existing medical MLLMs face the following critical limitations: (1) limited coverage of medical knowledge beyond imaging, (2) heightened susceptibility to hallucinations due to suboptimal data curation processes, (3) lack of reasoning capabilities tailored for complex medical scenarios. To address these challenges, we first propose a comprehensive data curation procedure that (1) efficiently acquires rich medical knowledge data not only from medical imaging but also from extensive medical texts and general-domain data; and (2) synthesizes accurate medical captions, visual question answering (VQA), and reasoning samples. As a result, we build a multimodal dataset enriched with extensive medical knowledge. Building on the curated data, we introduce our medical-specialized MLLM: Lingshu. Lingshu undergoes multi-stage training to embed medical expertise and enhance its task-solving capabilities progressively. Besides, we preliminarily explore the potential of applying reinforcement learning with verifiable rewards paradigm to enhance Lingshu's medical reasoning ability. Additionally, we develop MedEvalKit, a unified evaluation framework that consolidates leading multimodal and textual medical benchmarks for standardized, fair, and efficient model assessment. We evaluate the performance of Lingshu on three fundamental medical tasks, multimodal QA, text-based QA, and medical report generation. The results show that Lingshu consistently outperforms the existing open-source multimodal models on most tasks ...

Medical question-answering (QA) is a critical task for evaluating how effectively large language models (LLMs) encode clinical knowledge and assessing their potential applications in medicine. Despite showing promise on multiple-choice tests, LLMs frequently struggle with open-ended medical questions, producing responses with dangerous hallucinations or lacking comprehensive coverage of critical aspects. Existing approaches attempt to address these challenges through domain-specific fine-tuning, but this proves resource-intensive and difficult to scale across models. To improve the comprehensiveness and factuality of medical responses, we propose a novel approach utilizing structured medical reasoning. Our method guides LLMs through an seven-step cognitive process inspired by clinical diagnosis, enabling more accurate and complete answers without additional training. Experiments on the MedLFQA benchmark demonstrate that our approach achieves the highest Factuality Score of 85.8, surpassing fine-tuned models. Notably, this improvement transfers to smaller models, highlighting the method's efficiency and scalability. Our code and datasets are available.

Retrieval augmented generation (RAG) provides the capability to constrain generative model outputs, and mitigate the possibility of hallucination, by providing relevant in-context text. The number of tokens a generative large language model (LLM) can incorporate as context is finite, thus limiting the volume of knowledge from which to generate an answer. We propose a two-layer RAG framework for query-focused answer generation and evaluate a proof-of-concept for this framework in the context of query-focused summary generation from social media forums, focusing on emerging drug-related information. The evaluations demonstrate the effectiveness of the two-layer framework in resource constrained settings to enable researchers in obtaining near real-time data from users.

Accurate diagnosis with medical large language models is hindered by knowledge gaps and hallucinations. Retrieval and tool-augmented methods help, but their impact is limited by weak use of external knowledge and poor feedback-reasoning traceability. To address these challenges, We introduce Deep-DxSearch, an agentic RAG system trained end-to-end with reinforcement learning (RL) that enables steer tracebale retrieval-augmented reasoning for medical diagnosis. In Deep-DxSearch, we first construct a large-scale medical retrieval corpus comprising patient records and reliable medical knowledge sources to support retrieval-aware reasoning across diagnostic scenarios. More crutially, we frame the LLM as the core agent and the retrieval corpus as its environment, using tailored rewards on format, retrieval, reasoning structure, and diagnostic accuracy, thereby evolving the agentic RAG policy from large-scale data through RL. Experiments demonstrate that our end-to-end agentic RL training framework consistently outperforms prompt-engineering and training-free RAG approaches across multiple data centers. After training, Deep-DxSearch achieves substantial gains in diagnostic accuracy, surpassing strong diagnostic baselines such as GPT-4o, DeepSeek-R1, and other medical-specific frameworks for both common and rare disease diagnosis under in-distribution and out-of-distribution settings. Moreover, ablation studies on reward design and retrieval corpus components confirm their critical roles, underscoring the uniqueness and effectiveness of our approach compared with traditional implementations. Finally, case studies and interpretability analyses highlight improvements in Deep-DxSearch's diagnostic policy, providing deeper insight into its performance gains and supporting clinicians in delivering more reliable and precise preliminary diagnoses. See https://github.com/MAGIC-AI4Med/Deep-DxSearch.

Machine unlearning is a promising paradigm for removing unwanted data samples from a trained model, towards ensuring compliance with privacy regulations and limiting harmful biases. Although unlearning has been shown in, e.g., classification and recommendation systems, its potential in medical image-to-image translation, specifically in image recon-struction, has not been thoroughly investigated. This paper shows that machine unlearning is possible in MRI tasks and has the potential to benefit for bias removal. We set up a protocol to study how much shared knowledge exists between datasets of different organs, allowing us to effectively quantify the effect of unlearning. Our study reveals that combining training data can lead to hallucinations and reduced image quality in the reconstructed data. We use unlearning to remove hallucinations as a proxy exemplar of undesired data removal. Indeed, we show that machine unlearning is possible without full retraining. Furthermore, our observations indicate that maintaining high performance is feasible even when using only a subset of retain data. We have made our code publicly accessible.

Large language models are now routinely used in high-stakes applications where hallucinations can cause serious harm, such as medical consultations or legal advice. Existing hallucination detection methods, however, are impractical for real-world use, as they are either limited to short factual queries or require costly external verification. We present a cheap, scalable method for real-time identification of hallucinated tokens in long-form generations, and scale it effectively to 70B parameter models. Our approach targets entity-level hallucinations -- e.g., fabricated names, dates, citations -- rather than claim-level, thereby naturally mapping to token-level labels and enabling streaming detection. We develop an annotation methodology that leverages web search to annotate model responses with grounded labels indicating which tokens correspond to fabricated entities. This dataset enables us to train effective hallucination classifiers with simple and efficient methods such as linear probes. Evaluating across four model families, our classifiers consistently outperform baselines on long-form responses, including more expensive methods such as semantic entropy (e.g., AUC 0.90 vs 0.71 for Llama-3.3-70B), and are also an improvement in short-form question-answering settings. Moreover, despite being trained only with entity-level labels, our probes effectively detect incorrect answers in mathematical reasoning tasks, indicating generalization beyond entities. While our annotation methodology is expensive, we find that annotated responses from one model can be used to train effective classifiers on other models; accordingly, we publicly release our datasets to facilitate reuse. Overall, our work suggests a promising new approach for scalable, real-world hallucination detection.

While large language models (LLMs) have achieved state-of-the-art performance on a wide range of medical question answering (QA) tasks, they still face challenges with hallucinations and outdated knowledge. Retrieval-augmented generation (RAG) is a promising solution and has been widely adopted. However, a RAG system can involve multiple flexible components, and there is a lack of best practices regarding the optimal RAG setting for various medical purposes. To systematically evaluate such systems, we propose the Medical Information Retrieval-Augmented Generation Evaluation (MIRAGE), a first-of-its-kind benchmark including 7,663 questions from five medical QA datasets. Using MIRAGE, we conducted large-scale experiments with over 1.8 trillion prompt tokens on 41 combinations of different corpora, retrievers, and backbone LLMs through the MedRAG toolkit introduced in this work. Overall, MedRAG improves the accuracy of six different LLMs by up to 18% over chain-of-thought prompting, elevating the performance of GPT-3.5 and Mixtral to GPT-4-level. Our results show that the combination of various medical corpora and retrievers achieves the best performance. In addition, we discovered a log-linear scaling property and the "lost-in-the-middle" effects in medical RAG. We believe our comprehensive evaluations can serve as practical guidelines for implementing RAG systems for medicine.

Large Language Models (LLMs) such as GPT & Llama have demonstrated significant achievements in summarization tasks but struggle with factual inaccuracies, a critical issue in clinical NLP applications where errors could lead to serious consequences. To counter the high costs and limited availability of expert-annotated data for factual alignment, this study introduces an innovative pipeline that utilizes >100B parameter GPT variants like GPT-3.5 & GPT-4 to act as synthetic experts to generate high-quality synthetics feedback aimed at enhancing factual consistency in clinical note summarization. Our research primarily focuses on edit feedback generated by these synthetic feedback experts without additional human annotations, mirroring and optimizing the practical scenario in which medical professionals refine AI system outputs. Although such 100B+ parameter GPT variants have proven to demonstrate expertise in various clinical NLP tasks, such as the Medical Licensing Examination, there is scant research on their capacity to act as synthetic feedback experts and deliver expert-level edit feedback for improving the generation quality of weaker (<10B parameter) LLMs like GPT-2 (1.5B) & Llama 2 (7B) in clinical domain. So in this work, we leverage 100B+ GPT variants to act as synthetic feedback experts offering expert-level edit feedback, that is used to reduce hallucinations and align weaker (<10B parameter) LLMs with medical facts using two distinct alignment algorithms (DPO & SALT), endeavoring to narrow the divide between AI-generated content and factual accuracy. This highlights the substantial potential of LLM-based synthetic edits in enhancing the alignment of clinical factuality.

Hallucination is a well-known phenomenon in text generated by large language models (LLMs). The existence of hallucinatory responses is found in almost all application scenarios e.g., summarization, question-answering (QA) etc. For applications requiring high reliability (e.g., customer-facing assistants), the potential existence of hallucination in LLM-generated text is a critical problem. The amount of hallucination can be reduced by leveraging information retrieval to provide relevant background information to the LLM. However, LLMs can still generate hallucinatory content for various reasons (e.g., prioritizing its parametric knowledge over the context, failure to capture the relevant information from the context, etc.). Detecting hallucinations through automated methods is thus paramount. To facilitate research in this direction, we introduce a sophisticated dataset, DelucionQA, that captures hallucinations made by retrieval-augmented LLMs for a domain-specific QA task. Furthermore, we propose a set of hallucination detection methods to serve as baselines for future works from the research community. Analysis and case study are also provided to share valuable insights on hallucination phenomena in the target scenario.

Large-scale multilingual machine translation systems have demonstrated remarkable ability to translate directly between numerous languages, making them increasingly appealing for real-world applications. However, when deployed in the wild, these models may generate hallucinated translations which have the potential to severely undermine user trust and raise safety concerns. Existing research on hallucinations has primarily focused on small bilingual models trained on high-resource languages, leaving a gap in our understanding of hallucinations in massively multilingual models across diverse translation scenarios. In this work, we fill this gap by conducting a comprehensive analysis on both the M2M family of conventional neural machine translation models and ChatGPT, a general-purpose large language model~(LLM) that can be prompted for translation. Our investigation covers a broad spectrum of conditions, spanning over 100 translation directions across various resource levels and going beyond English-centric language pairs. We provide key insights regarding the prevalence, properties, and mitigation of hallucinations, paving the way towards more responsible and reliable machine translation systems.

Hallucination is a common problem for Large Vision-Language Models (LVLMs) with long generations which is difficult to eradicate. The generation with hallucinations is partially inconsistent with the image content. To mitigate hallucination, current studies either focus on the process of model inference or the results of model generation, but the solutions they design sometimes do not deal appropriately with various types of queries and the hallucinations of the generations about these queries. To accurately deal with various hallucinations, we present a unified framework, Dentist, for hallucination mitigation. The core step is to first classify the queries, then perform different processes of hallucination mitigation based on the classification result, just like a dentist first observes the teeth and then makes a plan. In a simple deployment, Dentist can classify queries as perception or reasoning and easily mitigate potential hallucinations in answers which has been demonstrated in our experiments. On MMbench, we achieve a 13.44%/10.2%/15.8% improvement in accuracy on Image Quality, a Coarse Perception visual question answering (VQA) task, over the baseline InstructBLIP/LLaVA/VisualGLM.

As large language models continue to develop in the field of AI, text generation systems are susceptible to a worrisome phenomenon known as hallucination. In this study, we summarize recent compelling insights into hallucinations in LLMs. We present a novel taxonomy of hallucinations from various text generation tasks, thus provide theoretical insights, detection methods and improvement approaches. Based on this, future research directions are proposed. Our contribution are threefold: (1) We provide a detailed and complete taxonomy for hallucinations appearing in text generation tasks; (2) We provide theoretical analyses of hallucinations in LLMs and provide existing detection and improvement methods; (3) We propose several research directions that can be developed in the future. As hallucinations garner significant attention from the community, we will maintain updates on relevant research progress.

Although the problem of hallucinations in neural machine translation (NMT) has received some attention, research on this highly pathological phenomenon lacks solid ground. Previous work has been limited in several ways: it often resorts to artificial settings where the problem is amplified, it disregards some (common) types of hallucinations, and it does not validate adequacy of detection heuristics. In this paper, we set foundations for the study of NMT hallucinations. First, we work in a natural setting, i.e., in-domain data without artificial noise neither in training nor in inference. Next, we annotate a dataset of over 3.4k sentences indicating different kinds of critical errors and hallucinations. Then, we turn to detection methods and both revisit methods used previously and propose using glass-box uncertainty-based detectors. Overall, we show that for preventive settings, (i) previously used methods are largely inadequate, (ii) sequence log-probability works best and performs on par with reference-based methods. Finally, we propose DeHallucinator, a simple method for alleviating hallucinations at test time that significantly reduces the hallucinatory rate. To ease future research, we release our annotated dataset for WMT18 German-English data, along with the model, training data, and code.

While the problem of hallucinations in neural machine translation has long been recognized, so far the progress on its alleviation is very little. Indeed, recently it turned out that without artificially encouraging models to hallucinate, previously existing methods fall short and even the standard sequence log-probability is more informative. It means that characteristics internal to the model can give much more information than we expect, and before using external models and measures, we first need to ask: how far can we go if we use nothing but the translation model itself ? We propose to use a method that evaluates the percentage of the source contribution to a generated translation. Intuitively, hallucinations are translations "detached" from the source, hence they can be identified by low source contribution. This method improves detection accuracy for the most severe hallucinations by a factor of 2 and is able to alleviate hallucinations at test time on par with the previous best approach that relies on external models. Next, if we move away from internal model characteristics and allow external tools, we show that using sentence similarity from cross-lingual embeddings further improves these results.

Large Language Models (LLMs) are increasingly used in various contexts, yet remain prone to generating non-factual content, commonly referred to as "hallucinations". The literature categorizes hallucinations into several types, including entity-level, relation-level, and sentence-level hallucinations. However, existing hallucination datasets often fail to capture fine-grained hallucinations in multilingual settings. In this work, we introduce HalluVerse25, a multilingual LLM hallucination dataset that categorizes fine-grained hallucinations in English, Arabic, and Turkish. Our dataset construction pipeline uses an LLM to inject hallucinations into factual biographical sentences, followed by a rigorous human annotation process to ensure data quality. We evaluate several LLMs on HalluVerse25, providing valuable insights into how proprietary models perform in detecting LLM-generated hallucinations across different contexts.

While many capabilities of language models (LMs) improve with increased training budget, the influence of scale on hallucinations is not yet fully understood. Hallucinations come in many forms, and there is no universally accepted definition. We thus focus on studying only those hallucinations where a correct answer appears verbatim in the training set. To fully control the training data content, we construct a knowledge graph (KG)-based dataset, and use it to train a set of increasingly large LMs. We find that for a fixed dataset, larger and longer-trained LMs hallucinate less. However, hallucinating on leq5% of the training data requires an order of magnitude larger model, and thus an order of magnitude more compute, than Hoffmann et al. (2022) reported was optimal. Given this costliness, we study how hallucination detectors depend on scale. While we see detector size improves performance on fixed LM's outputs, we find an inverse relationship between the scale of the LM and the detectability of its hallucinations.

This survey presents a comprehensive analysis of the phenomenon of hallucination in multimodal large language models (MLLMs), also known as Large Vision-Language Models (LVLMs), which have demonstrated significant advancements and remarkable abilities in multimodal tasks. Despite these promising developments, MLLMs often generate outputs that are inconsistent with the visual content, a challenge known as hallucination, which poses substantial obstacles to their practical deployment and raises concerns regarding their reliability in real-world applications. This problem has attracted increasing attention, prompting efforts to detect and mitigate such inaccuracies. We review recent advances in identifying, evaluating, and mitigating these hallucinations, offering a detailed overview of the underlying causes, evaluation benchmarks, metrics, and strategies developed to address this issue. Additionally, we analyze the current challenges and limitations, formulating open questions that delineate potential pathways for future research. By drawing the granular classification and landscapes of hallucination causes, evaluation benchmarks, and mitigation methods, this survey aims to deepen the understanding of hallucinations in MLLMs and inspire further advancements in the field. Through our thorough and in-depth review, we contribute to the ongoing dialogue on enhancing the robustness and reliability of MLLMs, providing valuable insights and resources for researchers and practitioners alike. Resources are available at: https://github.com/showlab/Awesome-MLLM-Hallucination.

Large Language Models (LLMs) have demonstrated remarkable proficiency in generating text that closely resemble human writing. However, they often generate factually incorrect statements, a problem typically referred to as 'hallucination'. Addressing hallucination is crucial for enhancing the reliability and effectiveness of LLMs. While much research has focused on hallucinations in English, our study extends this investigation to conversational data in three languages: Hindi, Farsi, and Mandarin. We offer a comprehensive analysis of a dataset to examine both factual and linguistic errors in these languages for GPT-3.5, GPT-4o, Llama-3.1, Gemma-2.0, DeepSeek-R1 and Qwen-3. We found that LLMs produce very few hallucinated responses in Mandarin but generate a significantly higher number of hallucinations in Hindi and Farsi.

Detecting hallucinations in large language models (LLMs) is critical for enhancing their reliability and trustworthiness. Most research focuses on hallucinations as deviations from information seen during training. However, the opaque nature of an LLM's parametric knowledge complicates the understanding of why generated texts appear ungrounded: The LLM might not have picked up the necessary knowledge from large and often inaccessible datasets, or the information might have been changed or contradicted during further training. Our focus is on hallucinations involving information not used in training, which we determine by using recency to ensure the information emerged after a cut-off date. This study investigates these hallucinations by detecting them at sentence level using different internal states of various LLMs. We present HalluRAG, a dataset designed to train classifiers on these hallucinations. Depending on the model and quantization, MLPs trained on HalluRAG detect hallucinations with test accuracies ranging up to 75 %, with Mistral-7B-Instruct-v0.1 achieving the highest test accuracies. Our results show that IAVs detect hallucinations as effectively as CEVs and reveal that answerable and unanswerable prompts are encoded differently as separate classifiers for these categories improved accuracy. However, HalluRAG showed some limited generalizability, advocating for more diversity in datasets on hallucinations.

Recent advancements in large multimodal models (LMMs) have significantly enhanced performance across diverse tasks, with ongoing efforts to further integrate additional modalities such as video and audio. However, most existing LMMs remain vulnerable to hallucinations, the discrepancy between the factual multimodal input and the generated textual output, which has limited their applicability in various real-world scenarios. This paper presents the first systematic investigation of hallucinations in LMMs involving the three most common modalities: language, visual, and audio. Our study reveals two key contributors to hallucinations: overreliance on unimodal priors and spurious inter-modality correlations. To address these challenges, we introduce the benchmark The Curse of Multi-Modalities (CMM), which comprehensively evaluates hallucinations in LMMs, providing a detailed analysis of their underlying issues. Our findings highlight key vulnerabilities, including imbalances in modality integration and biases from training data, underscoring the need for balanced cross-modal learning and enhanced hallucination mitigation strategies. Based on our observations and findings, we suggest potential research directions that could enhance the reliability of LMMs.

Large Vision-Language Models (LVLMs) have demonstrated remarkable performance in performing complex multimodal tasks. However, they are still plagued by object hallucination: the misidentification or misclassification of objects present in images. To this end, we propose HALLUCINOGEN, a novel visual question answering (VQA) object hallucination attack benchmark that utilizes diverse contextual reasoning prompts to evaluate object hallucination in state-of-the-art LVLMs. We design a series of contextual reasoning hallucination prompts to evaluate LVLMs' ability to accurately identify objects in a target image while asking them to perform diverse visual-language tasks such as identifying, locating or performing visual reasoning around specific objects. Further, we extend our benchmark to high-stakes medical applications and introduce MED-HALLUCINOGEN, hallucination attacks tailored to the biomedical domain, and evaluate the hallucination performance of LVLMs on medical images, a critical area where precision is crucial. Finally, we conduct extensive evaluations of eight LVLMs and two hallucination mitigation strategies across multiple datasets to show that current generic and medical LVLMs remain susceptible to hallucination attacks.

Aligning large language models (LLMs) to accurately detect hallucinations remains a significant challenge due to the sophisticated nature of hallucinated text. Recognizing that hallucinated samples typically exhibit higher deceptive quality than traditional negative samples, we use these carefully engineered hallucinations as negative examples in the DPO alignment procedure. Our method incorporates a curriculum learning strategy, gradually transitioning the training from easier samples, identified based on the greatest reduction in probability scores from independent fact checking models, to progressively harder ones. This structured difficulty scaling ensures stable and incremental learning. Experimental evaluation demonstrates that our HaluCheck models, trained with curriculum DPO approach and high quality negative samples, significantly improves model performance across various metrics, achieving improvements of upto 24% on difficult benchmarks like MedHallu and HaluEval. Additionally, HaluCheck models demonstrate robustness in zero-shot settings, significantly outperforming larger state-of-the-art models across various benchmarks.

Hallucination poses a challenge to the deployment of large vision-language models (LVLMs) in applications. Unlike in large language models (LLMs), hallucination in LVLMs often arises from misalignments between visual inputs and textual outputs. This paper investigates the underlying mechanisms of hallucination, focusing on the unique structure of LVLMs that distinguishes them from large language models (LLMs). We identify that hallucinations often arise from the sensitivity of text decoders to vision inputs, a natural phenomenon when image encoders and text decoders are pre-trained separately. Inspired by this, we introduce Visual and Textual Intervention (VTI), a novel technique designed to reduce hallucinations by steering latent space representations during inference to enhance the stability of vision features. As a task-agnostic test-time intervention, VTI can be easily applied to any problem without additional cost. Extensive experiments demonstrate that it can effectively reduce hallucinations and outperform baseline methods across multiple metrics, highlighting the critical role of vision feature stability in LVLMs.

Concerns about hallucinations in Large Language Models (LLMs) have been raised by researchers, yet their potential in areas where creativity is vital, such as drug discovery, merits exploration. In this paper, we come up with the hypothesis that hallucinations can improve LLMs in drug discovery. To verify this hypothesis, we use LLMs to describe the SMILES string of molecules in natural language and then incorporate these descriptions as part of the prompt to address specific tasks in drug discovery. Evaluated on seven LLMs and five classification tasks, our findings confirm the hypothesis: LLMs can achieve better performance with text containing hallucinations. Notably, Llama-3.1-8B achieves an 18.35% gain in ROC-AUC compared to the baseline without hallucination. Furthermore, hallucinations generated by GPT-4o provide the most consistent improvements across models. Additionally, we conduct empirical analyses and a case study to investigate key factors affecting performance and the underlying reasons. Our research sheds light on the potential use of hallucinations for LLMs and offers new perspectives for future research leveraging LLMs in drug discovery.

The emergence of large language models (LLMs) has marked a significant breakthrough in natural language processing (NLP), leading to remarkable advancements in text understanding and generation. Nevertheless, alongside these strides, LLMs exhibit a critical tendency to produce hallucinations, resulting in content that is inconsistent with real-world facts or user inputs. This phenomenon poses substantial challenges to their practical deployment and raises concerns over the reliability of LLMs in real-world scenarios, which attracts increasing attention to detect and mitigate these hallucinations. In this survey, we aim to provide a thorough and in-depth overview of recent advances in the field of LLM hallucinations. We begin with an innovative taxonomy of LLM hallucinations, then delve into the factors contributing to hallucinations. Subsequently, we present a comprehensive overview of hallucination detection methods and benchmarks. Additionally, representative approaches designed to mitigate hallucinations are introduced accordingly. Finally, we analyze the challenges that highlight the current limitations and formulate open questions, aiming to delineate pathways for future research on hallucinations in LLMs.

As Large Language Models (LLMs) continue to advance in their ability to write human-like text, a key challenge remains around their tendency to hallucinate generating content that appears factual but is ungrounded. This issue of hallucination is arguably the biggest hindrance to safely deploying these powerful LLMs into real-world production systems that impact people's lives. The journey toward widespread adoption of LLMs in practical settings heavily relies on addressing and mitigating hallucinations. Unlike traditional AI systems focused on limited tasks, LLMs have been exposed to vast amounts of online text data during training. While this allows them to display impressive language fluency, it also means they are capable of extrapolating information from the biases in training data, misinterpreting ambiguous prompts, or modifying the information to align superficially with the input. This becomes hugely alarming when we rely on language generation capabilities for sensitive applications, such as summarizing medical records, financial analysis reports, etc. This paper presents a comprehensive survey of over 32 techniques developed to mitigate hallucination in LLMs. Notable among these are Retrieval Augmented Generation (Lewis et al, 2021), Knowledge Retrieval (Varshney et al,2023), CoNLI (Lei et al, 2023), and CoVe (Dhuliawala et al, 2023). Furthermore, we introduce a detailed taxonomy categorizing these methods based on various parameters, such as dataset utilization, common tasks, feedback mechanisms, and retriever types. This classification helps distinguish the diverse approaches specifically designed to tackle hallucination issues in LLMs. Additionally, we analyze the challenges and limitations inherent in these techniques, providing a solid foundation for future research in addressing hallucinations and related phenomena within the realm of LLMs.

Multimodal hallucination in multimodal large language models (MLLMs) restricts the correctness of MLLMs. However, multimodal hallucinations are multi-sourced and arise from diverse causes. Existing benchmarks fail to adequately distinguish between perception-induced hallucinations and reasoning-induced hallucinations. This failure constitutes a significant issue and hinders the diagnosis of multimodal reasoning failures within MLLMs. To address this, we propose the {\dataset} benchmark, which isolates reasoning hallucinations by constructing questions where input images are correctly perceived by MLLMs yet reasoning errors persist. {\dataset} introduces multi-granular evaluation metrics: accuracy, factuality, and LLMs hallucination score for hallucination quantification. Our analysis reveals that (1) the model scale, data scale, and training stages significantly affect the degree of logical, fabrication, and factual hallucinations; (2) current MLLMs show no effective improvement on spatial hallucinations caused by misinterpreted spatial relationships, indicating their limited visual reasoning capabilities; and (3) question types correlate with distinct hallucination patterns, highlighting targeted challenges and potential mitigation strategies. To address these challenges, we propose {\method}, a method that combines curriculum reinforcement fine-tuning to encourage models to generate logic-consistent reasoning chains by stepwise reducing learning difficulty, and collaborative hint inference to reduce reasoning complexity. {\method} establishes a baseline on {\dataset}, and reduces the logical hallucinations in original base models.

Despite their powerful chat, coding, and reasoning abilities, Large Language Models (LLMs) frequently hallucinate. Conventional wisdom suggests that hallucinations are a consequence of a balance between creativity and factuality, which can be mitigated, but not eliminated, by grounding the LLM in external knowledge sources. Through extensive systematic experiments, we show that these traditional approaches fail to explain why LLMs hallucinate in practice. Specifically, we show that LLMs augmented with a massive Mixture of Memory Experts (MoME) can easily memorize large datasets of random numbers. We corroborate these experimental findings with a theoretical construction showing that simple neural networks trained to predict the next token hallucinate when the training loss is above a threshold as it usually does in practice when training on internet scale data. We interpret our findings by comparing against traditional retrieval methods for mitigating hallucinations. We use our findings to design a first generation model for removing hallucinations -- Lamini-1 -- that stores facts in a massive mixture of millions of memory experts that are retrieved dynamically.

Recent advances in generative vision-language models (VLMs) have exciting potential implications for AI in radiology, yet VLMs are also known to produce hallucinations, nonsensical text, and other unwanted behaviors that can waste clinicians' time and cause patient harm. Drawing on recent work on direct preference optimization (DPO), we propose a simple method for modifying the behavior of pretrained VLMs performing radiology report generation by suppressing unwanted types of generations. We apply our method to the prevention of hallucinations of prior exams, addressing a long-established problem behavior in models performing chest X-ray report generation. Across our experiments, we find that DPO fine-tuning achieves a 3.2-4.8x reduction in lines hallucinating prior exams while maintaining model performance on clinical accuracy metrics. Our work is, to the best of our knowledge, the first work to apply DPO to medical VLMs, providing a data- and compute- efficient way to suppress problem behaviors while maintaining overall clinical accuracy.

The rapid development of Large Multimodal Models (LMMs) has significantly advanced multimodal understanding by harnessing the language abilities of Large Language Models (LLMs) and integrating modality-specific encoders. However, LMMs are plagued by hallucinations that limit their reliability and adoption. While traditional methods to detect and mitigate these hallucinations often involve costly training or rely heavily on external models, recent approaches utilizing internal model features present a promising alternative. In this paper, we critically assess the limitations of the state-of-the-art training-free technique, the logit lens, in handling generalized visual hallucinations. We introduce a refined method that leverages contextual token embeddings from middle layers of LMMs. This approach significantly improves hallucination detection and grounding across diverse categories, including actions and OCR, while also excelling in tasks requiring contextual understanding, such as spatial relations and attribute comparison. Our novel grounding technique yields highly precise bounding boxes, facilitating a transition from Zero-Shot Object Segmentation to Grounded Visual Question Answering. Our contributions pave the way for more reliable and interpretable multimodal models.

While large language models (LLMs) have demonstrated remarkable capabilities across a range of downstream tasks, a significant concern revolves around their propensity to exhibit hallucinations: LLMs occasionally generate content that diverges from the user input, contradicts previously generated context, or misaligns with established world knowledge. This phenomenon poses a substantial challenge to the reliability of LLMs in real-world scenarios. In this paper, we survey recent efforts on the detection, explanation, and mitigation of hallucination, with an emphasis on the unique challenges posed by LLMs. We present taxonomies of the LLM hallucination phenomena and evaluation benchmarks, analyze existing approaches aiming at mitigating LLM hallucination, and discuss potential directions for future research.

Large-scale Text-to-Image (TTI) models have become a common approach for generating training data in various generative fields. However, visual hallucinations, which contain perceptually critical defects, remain a concern, especially in non-photorealistic styles like cartoon characters. We propose a novel visual hallucination detection system for cartoon character images generated by TTI models. Our approach leverages pose-aware in-context visual learning (PA-ICVL) with Vision-Language Models (VLMs), utilizing both RGB images and pose information. By incorporating pose guidance from a fine-tuned pose estimator, we enable VLMs to make more accurate decisions. Experimental results demonstrate significant improvements in identifying visual hallucinations compared to baseline methods relying solely on RGB images. This research advances TTI models by mitigating visual hallucinations, expanding their potential in non-photorealistic domains.

Large vision-language models (LVLMs) hallucinate: certain context cues in an image may trigger the language module's overconfident and incorrect reasoning on abnormal or hypothetical objects. Though a few benchmarks have been developed to investigate LVLM hallucinations, they mainly rely on hand-crafted corner cases whose fail patterns may hardly generalize, and finetuning on them could undermine their validity. These motivate us to develop the first automatic benchmark generation approach, AUTOHALLUSION, that harnesses a few principal strategies to create diverse hallucination examples. It probes the language modules in LVLMs for context cues and uses them to synthesize images by: (1) adding objects abnormal to the context cues; (2) for two co-occurring objects, keeping one and excluding the other; or (3) removing objects closely tied to the context cues. It then generates image-based questions whose ground-truth answers contradict the language module's prior. A model has to overcome contextual biases and distractions to reach correct answers, while incorrect or inconsistent answers indicate hallucinations. AUTOHALLUSION enables us to create new benchmarks at the minimum cost and thus overcomes the fragility of hand-crafted benchmarks. It also reveals common failure patterns and reasons, providing key insights to detect, avoid, or control hallucinations. Comprehensive evaluations of top-tier LVLMs, e.g., GPT-4V(ision), Gemini Pro Vision, Claude 3, and LLaVA-1.5, show a 97.7% and 98.7% success rate of hallucination induction on synthetic and real-world datasets of AUTOHALLUSION, paving the way for a long battle against hallucinations.

Machine Translation (MT) is undergoing a paradigm shift, with systems based on fine-tuned large language models (LLM) becoming increasingly competitive with traditional encoder-decoder models trained specifically for translation tasks. However, LLM-based systems are at a higher risk of generating hallucinations, which can severely undermine user's trust and safety. Most prior research on hallucination mitigation focuses on traditional MT models, with solutions that involve post-hoc mitigation - detecting hallucinated translations and re-translating them. While effective, this approach introduces additional complexity in deploying extra tools in production and also increases latency. To address these limitations, we propose a method that intrinsically learns to mitigate hallucinations during the model training phase. Specifically, we introduce a data creation framework to generate hallucination focused preference datasets. Fine-tuning LLMs on these preference datasets reduces the hallucination rate by an average of 96% across five language pairs, while preserving overall translation quality. In a zero-shot setting our approach reduces hallucinations by 89% on an average across three unseen target languages.

Large Language Models (LLMs) have significantly advanced the field of Natural Language Processing (NLP), achieving remarkable performance across diverse tasks and enabling widespread real-world applications. However, LLMs are prone to hallucination, generating content that either conflicts with established knowledge or is unfaithful to the original sources. Existing hallucination benchmarks primarily focus on sentence- or passage-level hallucination detection, neglecting dialogue-level evaluation, hallucination localization, and rationale provision. They also predominantly target factuality hallucinations while underestimating faithfulness hallucinations, often relying on labor-intensive or non-specialized evaluators. To address these limitations, we propose HalluDial, the first comprehensive large-scale benchmark for automatic dialogue-level hallucination evaluation. HalluDial encompasses both spontaneous and induced hallucination scenarios, covering factuality and faithfulness hallucinations. The benchmark includes 4,094 dialogues with a total of 146,856 samples. Leveraging HalluDial, we conduct a comprehensive meta-evaluation of LLMs' hallucination evaluation capabilities in information-seeking dialogues and introduce a specialized judge language model, HalluJudge. The high data quality of HalluDial enables HalluJudge to achieve superior or competitive performance in hallucination evaluation, facilitating the automatic assessment of dialogue-level hallucinations in LLMs and providing valuable insights into this phenomenon. The dataset and the code are available at https://github.com/FlagOpen/HalluDial.

The present study introduces the knowledge-augmented generator, which is specifically designed to produce information that remains grounded in contextual knowledge, regardless of alterations in the context. Previous research has predominantly focused on examining hallucinations stemming from static input, such as in the domains of summarization or machine translation. However, our investigation delves into the faithfulness of generative question answering in the presence of dynamic knowledge. Our objective is to explore the existence of hallucinations arising from parametric memory when contextual knowledge undergoes changes, while also analyzing the underlying causes for their occurrence. In order to efficiently address this issue, we propose a straightforward yet effective measure for detecting such hallucinations. Intriguingly, our investigation uncovers that all models exhibit a tendency to generate previous answers as hallucinations. To gain deeper insights into the underlying causes of this phenomenon, we conduct a series of experiments that verify the critical role played by context in hallucination, both during training and testing, from various perspectives.

Recent development of Large Vision-Language Models (LVLMs) has attracted growing attention within the AI landscape for its practical implementation potential. However, ``hallucination'', or more specifically, the misalignment between factual visual content and corresponding textual generation, poses a significant challenge of utilizing LVLMs. In this comprehensive survey, we dissect LVLM-related hallucinations in an attempt to establish an overview and facilitate future mitigation. Our scrutiny starts with a clarification of the concept of hallucinations in LVLMs, presenting a variety of hallucination symptoms and highlighting the unique challenges inherent in LVLM hallucinations. Subsequently, we outline the benchmarks and methodologies tailored specifically for evaluating hallucinations unique to LVLMs. Additionally, we delve into an investigation of the root causes of these hallucinations, encompassing insights from the training data and model components. We also critically review existing methods for mitigating hallucinations. The open questions and future directions pertaining to hallucinations within LVLMs are discussed to conclude this survey.

Despite significant strides in multimodal tasks, Multimodal Large Language Models (MLLMs) are plagued by the critical issue of hallucination. The reliable detection of such hallucinations in MLLMs has, therefore, become a vital aspect of model evaluation and the safeguarding of practical application deployment. Prior research in this domain has been constrained by a narrow focus on singular tasks, an inadequate range of hallucination categories addressed, and a lack of detailed granularity. In response to these challenges, our work expands the investigative horizons of hallucination detection. We present a novel meta-evaluation benchmark, MHaluBench, meticulously crafted to facilitate the evaluation of advancements in hallucination detection methods. Additionally, we unveil a novel unified multimodal hallucination detection framework, UNIHD, which leverages a suite of auxiliary tools to validate the occurrence of hallucinations robustly. We demonstrate the effectiveness of UNIHD through meticulous evaluation and comprehensive analysis. We also provide strategic insights on the application of specific tools for addressing various categories of hallucinations.

Large audio-video language models can generate descriptions for both video and audio. However, they sometimes ignore audio content, producing audio descriptions solely reliant on visual information. This paper refers to this as audio hallucinations and analyzes them in large audio-video language models. We gather 1,000 sentences by inquiring about audio information and annotate them whether they contain hallucinations. If a sentence is hallucinated, we also categorize the type of hallucination. The results reveal that 332 sentences are hallucinated with distinct trends observed in nouns and verbs for each hallucination type. Based on this, we tackle a task of audio hallucination classification using pre-trained audio-text models in the zero-shot and fine-tuning settings. Our experimental results reveal that the zero-shot models achieve higher performance (52.2% in F1) than the random (40.3%) and the fine-tuning models achieve 87.9%, outperforming the zero-shot models.

Hallucination is a big shadow hanging over the rapidly evolving Multimodal Large Language Models (MLLMs), referring to the phenomenon that the generated text is inconsistent with the image content. In order to mitigate hallucinations, existing studies mainly resort to an instruction-tuning manner that requires retraining the models with specific data. In this paper, we pave a different way, introducing a training-free method named Woodpecker. Like a woodpecker heals trees, it picks out and corrects hallucinations from the generated text. Concretely, Woodpecker consists of five stages: key concept extraction, question formulation, visual knowledge validation, visual claim generation, and hallucination correction. Implemented in a post-remedy manner, Woodpecker can easily serve different MLLMs, while being interpretable by accessing intermediate outputs of the five stages. We evaluate Woodpecker both quantitatively and qualitatively and show the huge potential of this new paradigm. On the POPE benchmark, our method obtains a 30.66%/24.33% improvement in accuracy over the baseline MiniGPT-4/mPLUG-Owl. The source code is released at https://github.com/BradyFU/Woodpecker.

The prevalent use of large language models (LLMs) in various domains has drawn attention to the issue of "hallucination," which refers to instances where LLMs generate factually inaccurate or ungrounded information. Existing techniques for hallucination detection in language assistants rely on intricate fuzzy, specific free-language-based chain of thought (CoT) techniques or parameter-based methods that suffer from interpretability issues. Additionally, the methods that identify hallucinations post-generation could not prevent their occurrence and suffer from inconsistent performance due to the influence of the instruction format and model style. In this paper, we introduce a novel pre-detection self-evaluation technique, referred to as SELF-FAMILIARITY, which focuses on evaluating the model's familiarity with the concepts present in the input instruction and withholding the generation of response in case of unfamiliar concepts. This approach emulates the human ability to refrain from responding to unfamiliar topics, thus reducing hallucinations. We validate SELF-FAMILIARITY across four different large language models, demonstrating consistently superior performance compared to existing techniques. Our findings propose a significant shift towards preemptive strategies for hallucination mitigation in LLM assistants, promising improvements in reliability, applicability, and interpretability.

Large Vision-Language Models (LVLMs) have recently demonstrated remarkable progress, yet hallucination remains a critical barrier, particularly in chart understanding, which requires sophisticated perceptual and cognitive abilities as well as rigorous factual accuracy. While prior work has investigated hallucinations and chart comprehension independently, their intersection remains largely unexplored. To address this gap, we present ChartHal, a benchmark that features a fine-grained taxonomy of hallucination scenarios in chart understanding, along with a human-validated dataset of 1,062 samples. Our evaluation shows that state-of-the-art LVLMs suffer from severe hallucinations on ChartHal, including proprietary models such as GPT-5 and o4-mini, which achieve only 34.46% and 22.79% accuracy, respectively. Further analysis reveals that questions involving information absent from or contradictory to charts are especially likely to trigger hallucinations, underscoring the urgent need for more robust mitigation strategies. Code and data are available at https://github.com/ymcui/ChartHal .

The recent advancements in Large Language Models (LLMs) have garnered widespread acclaim for their remarkable emerging capabilities. However, the issue of hallucination has parallelly emerged as a by-product, posing significant concerns. While some recent endeavors have been made to identify and mitigate different types of hallucination, there has been a limited emphasis on the nuanced categorization of hallucination and associated mitigation methods. To address this gap, we offer a fine-grained discourse on profiling hallucination based on its degree, orientation, and category, along with offering strategies for alleviation. As such, we define two overarching orientations of hallucination: (i) factual mirage (FM) and (ii) silver lining (SL). To provide a more comprehensive understanding, both orientations are further sub-categorized into intrinsic and extrinsic, with three degrees of severity - (i) mild, (ii) moderate, and (iii) alarming. We also meticulously categorize hallucination into six types: (i) acronym ambiguity, (ii) numeric nuisance, (iii) generated golem, (iv) virtual voice, (v) geographic erratum, and (vi) time wrap. Furthermore, we curate HallucInation eLiciTation (HILT), a publicly available dataset comprising of 75,000 samples generated using 15 contemporary LLMs along with human annotations for the aforementioned categories. Finally, to establish a method for quantifying and to offer a comparative spectrum that allows us to evaluate and rank LLMs based on their vulnerability to producing hallucinations, we propose Hallucination Vulnerability Index (HVI). We firmly believe that HVI holds significant value as a tool for the wider NLP community, with the potential to serve as a rubric in AI-related policy-making. In conclusion, we propose two solution strategies for mitigating hallucinations.

Like students facing hard exam questions, large language models sometimes guess when uncertain, producing plausible yet incorrect statements instead of admitting uncertainty. Such "hallucinations" persist even in state-of-the-art systems and undermine trust. We argue that language models hallucinate because the training and evaluation procedures reward guessing over acknowledging uncertainty, and we analyze the statistical causes of hallucinations in the modern training pipeline. Hallucinations need not be mysterious -- they originate simply as errors in binary classification. If incorrect statements cannot be distinguished from facts, then hallucinations in pretrained language models will arise through natural statistical pressures. We then argue that hallucinations persist due to the way most evaluations are graded -- language models are optimized to be good test-takers, and guessing when uncertain improves test performance. This "epidemic" of penalizing uncertain responses can only be addressed through a socio-technical mitigation: modifying the scoring of existing benchmarks that are misaligned but dominate leaderboards, rather than introducing additional hallucination evaluations. This change may steer the field toward more trustworthy AI systems.

Hallucinations are a type of output error produced by deep neural networks. While this has been studied in natural language processing, they have not been researched previously in automatic speech recognition. Here, we define hallucinations in ASR as transcriptions generated by a model that are semantically unrelated to the source utterance, yet still fluent and coherent. The similarity of hallucinations to probable natural language outputs of the model creates a danger of deception and impacts the credibility of the system. We show that commonly used metrics, such as word error rates, cannot differentiate between hallucinatory and non-hallucinatory models. To address this, we propose a perturbation-based method for assessing the susceptibility of an automatic speech recognition (ASR) model to hallucination at test time, which does not require access to the training dataset. We demonstrate that this method helps to distinguish between hallucinatory and non-hallucinatory models that have similar baseline word error rates. We further explore the relationship between the types of ASR errors and the types of dataset noise to determine what types of noise are most likely to create hallucinatory outputs. We devise a framework for identifying hallucinations by analysing their semantic connection with the ground truth and their fluency. Finally, we discover how to induce hallucinations with a random noise injection to the utterance.

Hallucination plagues even frontier LLMs--but how bad is it really for summarizing academic papers? We evaluate Factored Verification, a simple automated method for detecting hallucinations in abstractive summaries. This method sets a new SotA on hallucination detection in the summarization task of the HaluEval benchmark, achieving 76.2% accuracy. We then use this method to estimate how often language models hallucinate when summarizing across multiple academic papers and find 0.62 hallucinations in the average ChatGPT (16k) summary, 0.84 for GPT-4, and 1.55 for Claude 2. We ask models to self-correct using Factored Critiques and find that this lowers the number of hallucinations to 0.49 for ChatGPT, 0.46 for GPT-4, and 0.95 for Claude 2. The hallucinations we find are often subtle, so we advise caution when using models to synthesize academic papers.

Large vision-language models (LVLMs) have demonstrated exceptional performance on complex multimodal tasks. However, they continue to suffer from significant hallucination issues, including object, attribute, and relational hallucinations. To accurately detect these hallucinations, we investigated the variations in cross-modal attention patterns between hallucination and non-hallucination states. Leveraging these distinctions, we developed a lightweight detector capable of identifying hallucinations. Our proposed method, Detecting Hallucinations by Cross-modal Attention Patterns (DHCP), is straightforward and does not require additional LVLM training or extra LVLM inference steps. Experimental results show that DHCP achieves remarkable performance in hallucination detection. By offering novel insights into the identification and analysis of hallucinations in LVLMs, DHCP contributes to advancing the reliability and trustworthiness of these models.

Large Language Models (LLMs) are adept at text manipulation -- tasks such as machine translation and text summarization. However, these models can also be prone to hallucination, which can be detrimental to the faithfulness of any answers that the model provides. Recent works in combating hallucinations in LLMs deal with identifying hallucinated sentences and categorizing the different ways in which models hallucinate. This paper takes a deep dive into LLM behavior with respect to hallucinations, defines a token-level approach to identifying different kinds of hallucinations, and further utilizes this token-level tagging to improve the interpretability and faithfulness of LLMs in dialogue summarization tasks. Through this, the paper presents a new, enhanced dataset and a new training paradigm.

Neural sequence models can generate highly fluent sentences, but recent studies have also shown that they are also prone to hallucinate additional content not supported by the input. These variety of fluent but wrong outputs are particularly problematic, as it will not be possible for users to tell they are being presented incorrect content. To detect these errors, we propose a task to predict whether each token in the output sequence is hallucinated (not contained in the input) and collect new manually annotated evaluation sets for this task. We also introduce a method for learning to detect hallucinations using pretrained language models fine tuned on synthetic data that includes automatically inserted hallucinations Experiments on machine translation (MT) and abstractive summarization demonstrate that our proposed approach consistently outperforms strong baselines on all benchmark datasets. We further demonstrate how to use the token-level hallucination labels to define a fine-grained loss over the target sequence in low-resource MT and achieve significant improvements over strong baseline methods. We also apply our method to word-level quality estimation for MT and show its effectiveness in both supervised and unsupervised settings. Codes and data available at https://github.com/violet-zct/fairseq-detect-hallucination.

Large language models (LLMs) frequently generate non-factual content, known as hallucinations. Existing retrieval-augmented-based hallucination detection approaches typically address this by framing it as a classification task, evaluating hallucinations based on their consistency with retrieved evidence. However, this approach usually lacks detailed explanations for these evaluations and does not assess the reliability of these explanations. Furthermore, deficiencies in retrieval systems can lead to irrelevant or partially relevant evidence retrieval, impairing the detection process. Moreover, while real-world hallucination detection requires analyzing multiple pieces of evidence, current systems usually treat all evidence uniformly without considering its relevance to the content. To address these challenges, we introduce Halu-J, a critique-based hallucination judge with 7 billion parameters. Halu-J enhances hallucination detection by selecting pertinent evidence and providing detailed critiques. Our experiments indicate that Halu-J outperforms GPT-4o in multiple-evidence hallucination detection and matches its capability in critique generation and evidence selection. We also introduce ME-FEVER, a new dataset designed for multiple-evidence hallucination detection. Our code and dataset can be found in https://github.com/GAIR-NLP/factool .

Hallucinations in large language model (LLM) outputs severely limit their reliability in knowledge-intensive tasks such as question answering. To address this challenge, we introduce REFIND (Retrieval-augmented Factuality hallucINation Detection), a novel framework that detects hallucinated spans within LLM outputs by directly leveraging retrieved documents. As part of the REFIND, we propose the Context Sensitivity Ratio (CSR), a novel metric that quantifies the sensitivity of LLM outputs to retrieved evidence. This innovative approach enables REFIND to efficiently and accurately detect hallucinations, setting it apart from existing methods. In the evaluation, REFIND demonstrated robustness across nine languages, including low-resource settings, and significantly outperformed baseline models, achieving superior IoU scores in identifying hallucinated spans. This work highlights the effectiveness of quantifying context sensitivity for hallucination detection, thereby paving the way for more reliable and trustworthy LLM applications across diverse languages.

Large language models (LLMs), such as ChatGPT, are prone to generate hallucinations, i.e., content that conflicts with the source or cannot be verified by the factual knowledge. To understand what types of content and to which extent LLMs are apt to hallucinate, we introduce the Hallucination Evaluation benchmark for Large Language Models (HaluEval), a large collection of generated and human-annotated hallucinated samples for evaluating the performance of LLMs in recognizing hallucination. To generate these samples, we propose a ChatGPT-based two-step framework, i.e., sampling-then-filtering. Besides, we also hire some human labelers to annotate the hallucinations in ChatGPT responses. The empirical results suggest that ChatGPT is likely to generate hallucinated content in specific topics by fabricating unverifiable information (i.e., about 19.5% responses). Moreover, existing LLMs face great challenges in recognizing the hallucinations in texts. However, our experiments also prove that providing external knowledge or adding reasoning steps can help LLMs recognize hallucinations. Our benchmark can be accessed at https://github.com/RUCAIBox/HaluEval.

Large Multi-modal Models (LMMs) have recently demonstrated remarkable abilities in visual context understanding and coherent response generation. However, alongside these advancements, the issue of hallucinations has emerged as a significant challenge, producing erroneous responses that are unrelated to the visual contents. In this paper, we introduce a novel contrastive-based decoding method, COuntering DEscription Contrastive Decoding (CODE), which leverages self-generated descriptions as contrasting references during the decoding phase of LMMs to address hallucination issues. CODE utilizes the comprehensive descriptions from model itself as visual counterpart to correct and improve response alignment with actual visual content. By dynamically adjusting the information flow and distribution of next-token predictions in the LMM's vocabulary, CODE enhances the coherence and informativeness of generated responses. Extensive experiments demonstrate that our method significantly reduces hallucinations and improves cross-modal consistency across various benchmarks and cutting-edge LMMs. Our method provides a simple yet effective decoding strategy that can be integrated to existing LMM frameworks without additional training.

Despite their impressive capabilities, large language models (LLMs) have been observed to generate responses that include inaccurate or fabricated information, a phenomenon commonly known as ``hallucination''. In this work, we propose a simple Induce-then-Contrast Decoding (ICD) strategy to alleviate hallucinations. We first construct a factually weak LLM by inducing hallucinations from the original LLMs. Then, we penalize these induced hallucinations during decoding to enhance the factuality of the generated content. Concretely, we determine the final next-token predictions by amplifying the predictions from the original model and downplaying the induced untruthful predictions via contrastive decoding. Experimental results on both discrimination-based and generation-based hallucination evaluation benchmarks, such as TruthfulQA and FActScore, demonstrate that our proposed ICD methods can effectively enhance the factuality of LLMs across various model sizes and families. For example, when equipped with ICD, Llama2-7B-Chat and Mistral-7B-Instruct achieve performance comparable to ChatGPT and GPT4 on TruthfulQA, respectively.

Large language models are extensively applied across a wide range of tasks, such as customer support, content creation, educational tutoring, and providing financial guidance. However, a well-known drawback is their predisposition to generate hallucinations. This damages the trustworthiness of the information these models provide, impacting decision-making and user confidence. We propose a method to detect hallucinations by looking at the structure of the latent space and finding associations within hallucinated and non-hallucinated generations. We create a graph structure that connects generations that lie closely in the embedding space. Moreover, we employ a Graph Attention Network which utilizes message passing to aggregate information from neighboring nodes and assigns varying degrees of importance to each neighbor based on their relevance. Our findings show that 1) there exists a structure in the latent space that differentiates between hallucinated and non-hallucinated generations, 2) Graph Attention Networks can learn this structure and generalize it to unseen generations, and 3) the robustness of our method is enhanced when incorporating contrastive learning. When evaluated against evidence-based benchmarks, our model performs similarly without access to search-based methods.

Although many studies have investigated and reduced hallucinations in large language models (LLMs) for single-document tasks, research on hallucination in multi-document summarization (MDS) tasks remains largely unexplored. Specifically, it is unclear how the challenges arising from handling multiple documents (e.g., repetition and diversity of information) affect models outputs. In this work, we investigate how hallucinations manifest in LLMs when summarizing topic-specific information from multiple documents. Since no benchmarks exist for investigating hallucinations in MDS, we use existing news and conversation datasets, annotated with topic-specific insights, to create two novel multi-document benchmarks. When evaluating 5 LLMs on our benchmarks, we observe that on average, up to 75% of the content in LLM-generated summary is hallucinated, with hallucinations more likely to occur towards the end of the summaries. Moreover, when summarizing non-existent topic-related information, gpt-3.5-turbo and GPT-4o still generate summaries about 79.35% and 44% of the time, raising concerns about their tendency to fabricate content. To understand the characteristics of these hallucinations, we manually evaluate 700+ insights and find that most errors stem from either failing to follow instructions or producing overly generic insights. Motivated by these observations, we investigate the efficacy of simple post-hoc baselines in mitigating hallucinations but find them only moderately effective. Our results underscore the need for more effective approaches to systematically mitigate hallucinations in MDS. We release our dataset and code at github.com/megagonlabs/Hallucination_MDS.

Large Language Models (LLMs) often generate outputs that lack grounding in real-world facts, a phenomenon known as hallucinations. Prior research has associated hallucinations with model uncertainty, leveraging this relationship for hallucination detection and mitigation. In this paper, we challenge the underlying assumption that all hallucinations are associated with uncertainty. Using knowledge detection and uncertainty measurement methods, we demonstrate that models can hallucinate with high certainty even when they have the correct knowledge. We further show that high-certainty hallucinations are consistent across models and datasets, distinctive enough to be singled out, and challenge existing mitigation methods. Our findings reveal an overlooked aspect of hallucinations, emphasizing the need to understand their origins and improve mitigation strategies to enhance LLM safety. The code is available at https://github.com/technion-cs-nlp/Trust_me_Im_wrong .

Large Language Models (LLMs) have transformed the Natural Language Processing (NLP) landscape with their remarkable ability to understand and generate human-like text. However, these models are prone to ``hallucinations'' -- outputs that do not align with factual reality or the input context. This paper introduces the Hallucinations Leaderboard, an open initiative to quantitatively measure and compare the tendency of each model to produce hallucinations. The leaderboard uses a comprehensive set of benchmarks focusing on different aspects of hallucinations, such as factuality and faithfulness, across various tasks, including question-answering, summarisation, and reading comprehension. Our analysis provides insights into the performance of different models, guiding researchers and practitioners in choosing the most reliable models for their applications.

Large Multimodal Models (LMMs) often suffer from multimodal hallucinations, wherein they may create content that is not present in the visual inputs. In this paper, we explore a new angle of this issue: overly detailed training data hinders the model's ability to timely terminate generation, leading to continued outputs beyond visual perception limits. By investigating how the model decides to terminate generation with EOS, the special end-of-sentence token, we find that the model assesses the completeness of the entire sequence by comparing the generated text with the image. This observation suggests that the model possesses an inherent potential of making proper EOS decisions based on its visual perception to avoid overly lengthy outputs. To take advantage of such potential, we explore two methods to mitigate multimodal hallucinations: a training objective that enables the model to reduce hallucinations by learning from regular instruction data, and a data filtering strategy to prevent harmful training data from exacerbating model hallucinations. Both methods significantly improve the hallucination performance of LMMs, without requiring any additional data or knowledge.

Hallucinations in generative AI, particularly in Large Language Models (LLMs), pose a significant challenge to the reliability of multilingual applications. Existing benchmarks for hallucination detection focus primarily on English and a few widely spoken languages, lacking the breadth to assess inconsistencies in model performance across diverse linguistic contexts. To address this gap, we introduce Poly-FEVER, a large-scale multilingual fact verification benchmark specifically designed for evaluating hallucination detection in LLMs. Poly-FEVER comprises 77,973 labeled factual claims spanning 11 languages, sourced from FEVER, Climate-FEVER, and SciFact. It provides the first large-scale dataset tailored for analyzing hallucination patterns across languages, enabling systematic evaluation of LLMs such as ChatGPT and the LLaMA series. Our analysis reveals how topic distribution and web resource availability influence hallucination frequency, uncovering language-specific biases that impact model accuracy. By offering a multilingual benchmark for fact verification, Poly-FEVER facilitates cross-linguistic comparisons of hallucination detection and contributes to the development of more reliable, language-inclusive AI systems. The dataset is publicly available to advance research in responsible AI, fact-checking methodologies, and multilingual NLP, promoting greater transparency and robustness in LLM performance. The proposed Poly-FEVER is available at: https://huggingface.co/datasets/HanzhiZhang/Poly-FEVER.

This paper introduces a comprehensive system for detecting hallucinations in large language model (LLM) outputs in enterprise settings. We present a novel taxonomy of LLM responses specific to hallucination in enterprise applications, categorizing them into context-based, common knowledge, enterprise-specific, and innocuous statements. Our hallucination detection model HDM-2 validates LLM responses with respect to both context and generally known facts (common knowledge). It provides both hallucination scores and word-level annotations, enabling precise identification of problematic content. To evaluate it on context-based and common-knowledge hallucinations, we introduce a new dataset HDMBench. Experimental results demonstrate that HDM-2 out-performs existing approaches across RagTruth, TruthfulQA, and HDMBench datasets. This work addresses the specific challenges of enterprise deployment, including computational efficiency, domain specialization, and fine-grained error identification. Our evaluation dataset, model weights, and inference code are publicly available.

While hallucinations of large language models (LLMs) prevail as a major challenge, existing evaluation benchmarks on factuality do not cover the diverse domains of knowledge that the real-world users of LLMs seek information about. To bridge this gap, we introduce WildHallucinations, a benchmark that evaluates factuality. It does so by prompting LLMs to generate information about entities mined from user-chatbot conversations in the wild. These generations are then automatically fact-checked against a systematically curated knowledge source collected from web search. Notably, half of these real-world entities do not have associated Wikipedia pages. We evaluate 118,785 generations from 15 LLMs on 7,919 entities. We find that LLMs consistently hallucinate more on entities without Wikipedia pages and exhibit varying hallucination rates across different domains. Finally, given the same base models, adding a retrieval component only slightly reduces hallucinations but does not eliminate hallucinations.

Large Language Models (LLMs) are known to hallucinate, whereby they generate plausible but inaccurate text. This phenomenon poses significant risks in critical applications, such as medicine or law, necessitating robust hallucination mitigation strategies. While recent works have proposed fine-tuning methods to teach LLMs to abstain from answering questions beyond their knowledge or capabilities, these methods rely on the existence of ground-truth labels or are limited to short-form responses. To address these limitations, we propose fine-tuning using semantic entropy, an uncertainty measure derived from introspection into the model which does not require external labels. We demonstrate that our approach matches or outperforms models fine-tuned using prior work and achieves strong performance for both short and long-form generations on a range of datasets.

Large Language Models are known to capture real-world knowledge, allowing them to excel in many downstream tasks. Despite recent advances, these models are still prone to what are commonly known as hallucinations, causing them to emit unwanted and factually incorrect text. In this work, we propose a novel calibration method that can be used to combat hallucinations. We add a special [IDK] ("I don't know") token to the model's vocabulary and introduce an objective function that shifts probability mass to the [IDK] token for incorrect predictions. This approach allows the model to express uncertainty in its output explicitly. We evaluate our proposed method across multiple model architectures and factual downstream tasks. We find that models trained with our method are able to express uncertainty in places where they would previously make mistakes while suffering only a small loss of encoded knowledge. We further perform extensive ablation studies of multiple variations of our approach and provide a detailed analysis of the precision-recall tradeoff of our method.

The emergence of Large Language Models (LLMs) has revolutionized how users access information, shifting from traditional search engines to direct question-and-answer interactions with LLMs. However, the widespread adoption of LLMs has revealed a significant challenge known as hallucination, wherein LLMs generate coherent yet factually inaccurate responses. This hallucination phenomenon has led to users' distrust in information retrieval systems based on LLMs. To tackle this challenge, this paper proposes Dynamic Retrieval Augmentation based on hallucination Detection (DRAD) as a novel method to detect and mitigate hallucinations in LLMs. DRAD improves upon traditional retrieval augmentation by dynamically adapting the retrieval process based on real-time hallucination detection. It features two main components: Real-time Hallucination Detection (RHD) for identifying potential hallucinations without external models, and Self-correction based on External Knowledge (SEK) for correcting these errors using external knowledge. Experiment results show that DRAD demonstrates superior performance in both detecting and mitigating hallucinations in LLMs. All of our code and data are open-sourced at https://github.com/oneal2000/EntityHallucination.

Multi-modal Large Language Models (MLLMs) tuned on machine-generated instruction-following data have demonstrated remarkable performance in various multi-modal understanding and generation tasks. However, the hallucinations inherent in machine-generated data, which could lead to hallucinatory outputs in MLLMs, remain under-explored. This work aims to investigate various hallucinations (i.e., object, relation, attribute hallucinations) and mitigate those hallucinatory toxicities in large-scale machine-generated visual instruction datasets. Drawing on the human ability to identify factual errors, we present a novel hallucination detection and elimination framework, HalluciDoctor, based on the cross-checking paradigm. We use our framework to identify and eliminate hallucinations in the training data automatically. Interestingly, HalluciDoctor also indicates that spurious correlations arising from long-tail object co-occurrences contribute to hallucinations. Based on that, we execute counterfactual visual instruction expansion to balance data distribution, thereby enhancing MLLMs' resistance to hallucinations. Comprehensive experiments on hallucination evaluation benchmarks show that our method successfully mitigates 44.6% hallucinations relatively and maintains competitive performance compared to LLaVA.The source code will be released at https://github.com/Yuqifan1117/HalluciDoctor.

Large Language Models with transformer architecture have revolutionized the domain of text generation, setting unprecedented benchmarks. Despite their impressive capabilities, LLMs have been criticized for generating outcomes that deviate from factual accuracy or display logical inconsistencies, phenomena commonly referred to as hallucinations. This term, however, has often been misapplied to any results deviating from the instructor's expectations, which this paper defines as attention misdirection rather than true hallucinations. Understanding the distinction between hallucinations and attention misdirection becomes increasingly relevant in business contexts, where the ramifications of such errors can significantly impact the value extraction from these inherently pre-trained models. This paper highlights the best practices of the PGI, Persona, Grouping, and Intelligence, method, a strategic framework that achieved a remarkable error rate of only 3,15 percent across 4,000 responses generated by GPT in response to a real business challenge. It emphasizes that by equipping experimentation with knowledge, businesses can unlock opportunities for innovation through the use of these natively pre-trained models. This reinforces the notion that strategic application grounded in a skilled team can maximize the benefits of emergent technologies such as the LLMs.

To mitigate the impact of hallucination nature of LLMs, many studies propose detecting hallucinated generation through uncertainty estimation. However, these approaches predominantly operate at the sentence or paragraph level, failing to pinpoint specific spans or entities responsible for hallucinated content. This lack of granularity is especially problematic for long-form outputs that mix accurate and fabricated information. To address this limitation, we explore entity-level hallucination detection. We propose a new data set, HalluEntity, which annotates hallucination at the entity level. Based on the dataset, we comprehensively evaluate uncertainty-based hallucination detection approaches across 17 modern LLMs. Our experimental results show that uncertainty estimation approaches focusing on individual token probabilities tend to over-predict hallucinations, while context-aware methods show better but still suboptimal performance. Through an in-depth qualitative study, we identify relationships between hallucination tendencies and linguistic properties and highlight important directions for future research.

Large language models (LLMs) often generate responses that deviate from user input or training data, a phenomenon known as "hallucination." These hallucinations undermine user trust and hinder the adoption of generative AI systems. Addressing hallucinations is essential for the advancement of LLMs. This paper introduces a comprehensive hallucination benchmark, incorporating both new extrinsic and existing intrinsic evaluation tasks, built upon clear taxonomy of hallucination. A major challenge in benchmarking hallucinations is the lack of a unified framework due to inconsistent definitions and categorizations. We disentangle LLM hallucination from "factuality," proposing a clear taxonomy that distinguishes between extrinsic and intrinsic hallucinations, to promote consistency and facilitate research. Extrinsic hallucinations, where the generated content is not consistent with the training data, are increasingly important as LLMs evolve. Our benchmark includes dynamic test set generation to mitigate data leakage and ensure robustness against such leakage. We also analyze existing benchmarks, highlighting their limitations and saturation. The work aims to: (1) establish a clear taxonomy of hallucinations, (2) introduce new extrinsic hallucination tasks, with data that can be dynamically regenerated to prevent saturation by leakage, (3) provide a comprehensive analysis of existing benchmarks, distinguishing them from factuality evaluations.

Vision-Language Models (VLM) can support clinicians by analyzing medical images and engaging in natural language interactions to assist in diagnostic and treatment tasks. However, VLMs often exhibit "hallucinogenic" behavior, generating textual outputs not grounded in contextual multimodal information. This challenge is particularly pronounced in the medical domain, where we do not only require VLM outputs to be accurate in single interactions but also to be consistent with clinical reasoning and diagnostic pathways throughout multi-turn conversations. For this purpose, we propose a new alignment algorithm that uses symbolic representations of clinical reasoning to ground VLMs in medical knowledge. These representations are utilized to (i) generate GPT-4-guided visual instruction tuning data at scale, simulating clinician-VLM conversations with demonstrations of clinical reasoning, and (ii) create an automatic reward function that evaluates the clinical validity of VLM generations throughout clinician-VLM interactions. Our algorithm eliminates the need for human involvement in training data generation or reward model construction, reducing costs compared to standard reinforcement learning with human feedback (RLHF). We apply our alignment algorithm to develop Dr-LLaVA, a conversational VLM finetuned for analyzing bone marrow pathology slides, demonstrating strong performance in multi-turn medical conversations.

Large Language Models (LLMs) have made significant advancements in the field of code generation, offering unprecedented support for automated programming and assisting developers. However, LLMs sometimes generate code that appears plausible but fails to meet the expected requirements or executes incorrectly. This phenomenon of hallucinations in the coding field has not been explored. To advance the community's understanding and research on code hallucinations in LLMs, we propose a definition method for these hallucinations based on execution verification and introduce the concept of code hallucinations for the first time. We categorize code hallucinations into four main types: mapping, naming, resource, and logic hallucinations, each further divided into different subcategories to better understand and address the unique challenges faced by LLMs during code generation. To systematically evaluate code hallucinations, we propose a dynamic detection algorithm for code hallucinations and construct the CodeHalu benchmark, which includes 8,883 samples from 699 tasks, to actively detect hallucination phenomena in LLMs during programming. We tested 16 popular LLMs on this benchmark to evaluate the frequency and nature of their hallucinations during code generation. The findings reveal significant variations in the accuracy and reliability of LLMs in generating code, highlighting the urgent need to improve models and training methods to ensure the functional correctness and safety of automatically generated code. This study not only classifies and quantifies code hallucinations but also provides insights for future improvements in LLM-based code generation research. The CodeHalu benchmark and code are publicly available at https://github.com/yuchen814/CodeHalu.

Despite the recent progress in text summarization made by large language models (LLMs), they often generate summaries that are factually inconsistent with original articles, known as "hallucinations" in text generation. Unlike previous small models (e.g., BART, T5), current LLMs make fewer silly mistakes but more sophisticated ones, such as imposing cause and effect, adding false details, overgeneralizing, etc. These hallucinations are challenging to detect through traditional methods, which poses great challenges for improving the factual consistency of text summarization. In this paper, we propose an adversarially DEcoupling method to disentangle the Comprehension and EmbellishmeNT abilities of LLMs (DECENT). Furthermore, we adopt a probing-based efficient training to cover the shortage of sensitivity for true and false in the training process of LLMs. In this way, LLMs are less confused about embellishing and understanding; thus, they can execute the instructions more accurately and have enhanced abilities to distinguish hallucinations. Experimental results show that DECENT significantly improves the reliability of text summarization based on LLMs.

Large vision language models have demonstrated remarkable efficacy in addressing challenges related to both textual and visual content. Nevertheless, these models are susceptible to various hallucinations. In this paper, we focus on a new form of hallucination, specifically termed as number hallucination, which denotes instances where models fail to accurately identify the quantity of objects in an image. We establish a dataset and employ evaluation metrics to assess number hallucination, revealing a pronounced prevalence of this issue across mainstream large vision language models (LVLMs). Additionally, we delve into a thorough analysis of number hallucination, examining inner and outer inconsistency problem from two related perspectives. We assert that this inconsistency is one cause of number hallucination and propose a consistency training method as a means to alleviate such hallucination, which achieves an average improvement of 8\% compared with direct finetuning method.

Generative super-resolution (GSR) currently sets the state-of-the-art in terms of perceptual image quality, overcoming the "regression-to-the-mean" blur of prior non-generative models. However, from a human perspective, such models do not fully conform to the optimal balance between quality and fidelity. Instead, a different class of artifacts, in which generated details fail to perceptually match the low resolution image (LRI) or ground-truth image (GTI), is a critical but under studied issue in GSR, limiting its practical deployments. In this work, we focus on measuring, analyzing, and mitigating these artifacts (i.e., "hallucinations"). We observe that hallucinations are not well-characterized with existing image metrics or quality models, as they are orthogonal to both exact fidelity and no-reference quality. Instead, we take advantage of a multimodal large language model (MLLM) by constructing a prompt that assesses hallucinatory visual elements and generates a "Hallucination Score" (HS). We find that our HS is closely aligned with human evaluations, and also provides complementary insights to prior image metrics used for super-resolution (SR) models. In addition, we find certain deep feature distances have strong correlations with HS. We therefore propose to align the GSR models by using such features as differentiable reward functions to mitigate hallucinations.

Multimodal large language models (MLLMs) have revolutionized cross-modal understanding but continue to struggle with hallucinations - fabricated content contradicting visual inputs. Existing hallucination mitigation methods either incur prohibitive computational costs or introduce distribution mismatches between training data and model outputs. We identify a critical insight: hallucinations predominantly emerge at the early stages of text generation and propagate through subsequent outputs. To address this, we propose **SENTINEL** (**S**entence-level **E**arly i**N**tervention **T**hrough **IN**-domain pr**E**ference **L**earning), a framework that eliminates dependency on human annotations. Specifically, we first bootstrap high-quality in-domain preference pairs by iteratively sampling model outputs, validating object existence through cross-checking with two open-vocabulary detectors, and classifying sentences into hallucinated/non-hallucinated categories. Subsequently, we use context-coherent positive samples and hallucinated negative samples to build context-aware preference data iteratively. Finally, we train models using a context-aware preference loss (C-DPO) that emphasizes discriminative learning at the sentence level where hallucinations initially manifest. Experimental results show that SENTINEL can reduce hallucinations by over 90\% compared to the original model and outperforms the previous state-of-the-art method on both hallucination benchmarks and general capabilities benchmarks, demonstrating its superiority and generalization ability. The models, datasets, and code are available at https://github.com/pspdada/SENTINEL.

Image captioning, which generates natural language descriptions of the visual information in an image, is a crucial task in vision-language research. Previous models have typically addressed this task by aligning the generative capabilities of machines with human intelligence through statistical fitting of existing datasets. While effective for normal images, they may struggle to accurately describe those where certain parts of the image are obscured or edited, unlike humans who excel in such cases. These weaknesses they exhibit, including hallucinations and limited interpretability, often hinder performance in scenarios with shifted association patterns. In this paper, we present a generic image captioning framework that employs causal inference to make existing models more capable of interventional tasks, and counterfactually explainable. Our approach includes two variants leveraging either total effect or natural direct effect. Integrating them into the training process enables models to handle counterfactual scenarios, increasing their generalizability. Extensive experiments on various datasets show that our method effectively reduces hallucinations and improves the model's faithfulness to images, demonstrating high portability across both small-scale and large-scale image-to-text models. The code is available at https://github.com/Aman-4-Real/See-or-Guess.

Vision-Language Models (VLMs) excel at visual understanding but often suffer from visual hallucinations, where they generate descriptions of nonexistent objects, actions, or concepts, posing significant risks in safety-critical applications. Existing hallucination mitigation methods typically follow one of two paradigms: generation adjustment, which modifies decoding behavior to align text with visual inputs, and post-hoc verification, where external models assess and correct outputs. While effective, generation adjustment methods often rely on heuristics and lack correction mechanisms, while post-hoc verification is complicated, typically requiring multiple models and tending to reject outputs rather than refine them. In this work, we introduce REVERSE, a unified framework that integrates hallucination-aware training with on-the-fly self-verification. By leveraging a new hallucination-verification dataset containing over 1.3M semi-synthetic samples, along with a novel inference-time retrospective resampling technique, our approach enables VLMs to both detect hallucinations during generation and dynamically revise those hallucinations. Our evaluations show that REVERSE achieves state-of-the-art hallucination reduction, outperforming the best existing methods by up to 12% on CHAIR-MSCOCO and 28% on HaloQuest. Our dataset, model, and code are available at: https://reverse-vlm.github.io.

Hallucinations pose a significant challenge to the reliability and alignment of Large Language Models (LLMs), limiting their widespread acceptance beyond chatbot applications. Despite ongoing efforts, hallucinations remain a prevalent challenge in LLMs. The detection of hallucinations itself is also a formidable task, frequently requiring manual labeling or constrained evaluations. This paper introduces an automated scalable framework that combines benchmarking LLMs' hallucination tendencies with efficient hallucination detection. We leverage LLMs to generate challenging tasks related to hypothetical phenomena, subsequently employing them as agents for efficient hallucination detection. The framework is domain-agnostic, allowing the use of any language model for benchmark creation or evaluation in any domain. We introduce the publicly available HypoTermQA Benchmarking Dataset, on which state-of-the-art models' performance ranged between 3% and 11%, and evaluator agents demonstrated a 6% error rate in hallucination prediction. The proposed framework provides opportunities to test and improve LLMs. Additionally, it has the potential to generate benchmarking datasets tailored to specific domains, such as law, health, and finance.

Hallucination in Large Language Models (LLMs) refers to the generation of content that is not faithful to the input or the real-world facts. This paper provides a rigorous treatment of hallucination in LLMs, including formal definitions and theoretical analyses. We distinguish between intrinsic and extrinsic hallucinations, and define a hallucination risk for models. We derive bounds on this risk using learning-theoretic frameworks (PAC-Bayes and Rademacher complexity). We then survey detection strategies for hallucinations, such as token-level uncertainty estimation, confidence calibration, and attention alignment checks. On the mitigation side, we discuss approaches including retrieval-augmented generation, hallucination-aware fine-tuning, logit calibration, and the incorporation of fact-verification modules. We propose a unified detection and mitigation workflow, illustrated with a diagram, to integrate these strategies. Finally, we outline evaluation protocols for hallucination, recommending datasets, metrics, and experimental setups to quantify and reduce hallucinations. Our work lays a theoretical foundation and practical guidelines for addressing the crucial challenge of hallucination in LLMs.

Vision-language models (VLMs) are prone to object hallucinations, where they erroneously indicate the presenceof certain objects in an image. Existing benchmarks quantify hallucinations using relatively small, labeled datasets. However, this approach is i) insufficient to assess hallucinations that arise in open-world settings, where VLMs are widely used, and ii) inadequate for detecting systematic errors in VLMs. We propose DASH (Detection and Assessment of Systematic Hallucinations), an automatic, large-scale pipeline designed to identify systematic hallucinations of VLMs on real-world images in an open-world setting. A key component is DASH-OPT for image-based retrieval, where we optimize over the ''natural image manifold'' to generate images that mislead the VLM. The output of DASH consists of clusters of real and semantically similar images for which the VLM hallucinates an object. We apply DASH to PaliGemma and two LLaVA-NeXT models across 380 object classes and, in total, find more than 19k clusters with 950k images. We study the transfer of the identified systematic hallucinations to other VLMs and show that fine-tuning PaliGemma with the model-specific images obtained with DASH mitigates object hallucinations. Code and data are available at https://YanNeu.github.io/DASH.

Despite their impressive capabilities, multimodal large language models (MLLMs) are prone to hallucinations, i.e., the generated content that is nonsensical or unfaithful to input sources. Unlike in LLMs, hallucinations in MLLMs often stem from the sensitivity of text decoder to visual tokens, leading to a phenomenon akin to "amnesia" about visual information. To address this issue, we propose MemVR, a novel decoding paradigm inspired by common cognition: when the memory of an image seen the moment before is forgotten, people will look at it again for factual answers. Following this principle, we treat visual tokens as supplementary evidence, re-injecting them into the MLLM through Feed Forward Network (FFN) as "key-value memory" at the middle trigger layer. This "look-twice" mechanism occurs when the model exhibits high uncertainty during inference, effectively enhancing factual alignment. Comprehensive experimental evaluations demonstrate that MemVR significantly mitigates hallucination across various MLLMs and excels in general benchmarks without incurring additional time overhead. The implementation is available from https://github.com/1zhou-Wang/MemVR

When asked to summarize articles or answer questions given a passage, large language models (LLMs) can hallucinate details and respond with unsubstantiated answers that are inaccurate with respect to the input context. This paper describes a simple approach for detecting such contextual hallucinations. We hypothesize that contextual hallucinations are related to the extent to which an LLM attends to information in the provided context versus its own generations. Based on this intuition, we propose a simple hallucination detection model whose input features are given by the ratio of attention weights on the context versus newly generated tokens (for each attention head). We find that a linear classifier based on these lookback ratio features is as effective as a richer detector that utilizes the entire hidden states of an LLM or a text-based entailment model. The lookback ratio-based detector -- Lookback Lens -- is found to transfer across tasks and even models, allowing a detector that is trained on a 7B model to be applied (without retraining) to a larger 13B model. We further apply this detector to mitigate contextual hallucinations, and find that a simple classifier-guided decoding approach is able to reduce the amount of hallucination, for example by 9.6% in the XSum summarization task.

Recent interest in Large Vision-Language Models (LVLMs) for practical applications is moderated by the significant challenge of hallucination or the inconsistency between the factual information and the generated text. In this paper, we first perform an in-depth analysis of hallucinations and discover several novel insights about how and when LVLMs hallucinate. From our analysis, we show that: (1) The community's efforts have been primarily targeted towards reducing hallucinations related to visual recognition (VR) prompts (e.g., prompts that only require describing the image), thereby ignoring hallucinations for cognitive prompts (e.g., prompts that require additional skills like reasoning on contents of the image). (2) LVLMs lack visual perception, i.e., they can see but not necessarily understand or perceive the input image. We analyze responses to cognitive prompts and show that LVLMs hallucinate due to a perception gap: although LVLMs accurately recognize visual elements in the input image and possess sufficient cognitive skills, they struggle to respond accurately and hallucinate. To overcome this shortcoming, we propose Visual Description Grounded Decoding (VDGD), a simple, robust, and training-free method for alleviating hallucinations. Specifically, we first describe the image and add it as a prefix to the instruction. Next, during auto-regressive decoding, we sample from the plausible candidates according to their KL-Divergence (KLD) to the description, where lower KLD is given higher preference. Experimental results on several benchmarks and LVLMs show that VDGD improves significantly over other baselines in reducing hallucinations. We also propose VaLLu, a benchmark for the comprehensive evaluation of the cognitive capabilities of LVLMs.

Hallucinations are a persistent problem with Large Language Models (LLMs). As these models become increasingly used in high-stakes domains, such as healthcare and finance, the need for effective hallucination detection is crucial. To this end, we propose a versatile framework for zero-resource hallucination detection that practitioners can apply to real-world use cases. To achieve this, we adapt a variety of existing uncertainty quantification (UQ) techniques, including black-box UQ, white-box UQ, and LLM-as-a-Judge, transforming them as necessary into standardized response-level confidence scores ranging from 0 to 1. To enhance flexibility, we introduce a tunable ensemble approach that incorporates any combination of the individual confidence scores. This approach enables practitioners to optimize the ensemble for a specific use case for improved performance. To streamline implementation, the full suite of scorers is offered in this paper's companion Python toolkit, UQLM. To evaluate the performance of the various scorers, we conduct an extensive set of experiments using several LLM question-answering benchmarks. We find that our tunable ensemble typically surpasses its individual components and outperforms existing hallucination detection methods. Our results demonstrate the benefits of customized hallucination detection strategies for improving the accuracy and reliability of LLMs.

Video multimodal large language models (Video-MLLMs) have achieved remarkable progress in video understanding. However, they remain vulnerable to hallucination-producing content inconsistent with or unrelated to video inputs. Previous video hallucination benchmarks primarily focus on short-videos. They attribute hallucinations to factors such as strong language priors, missing frames, or vision-language biases introduced by the visual encoder. While these causes indeed account for most hallucinations in short videos, they still oversimplify the cause of hallucinations. Sometimes, models generate incorrect outputs but with correct frame-level semantics. We refer to this type of hallucination as Semantic Aggregation Hallucination (SAH), which arises during the process of aggregating frame-level semantics into event-level semantic groups. Given that SAH becomes particularly critical in long videos due to increased semantic complexity across multiple events, it is essential to separate and thoroughly investigate the causes of this type of hallucination. To address the above issues, we introduce ELV-Halluc, the first benchmark dedicated to long-video hallucination, enabling a systematic investigation of SAH. Our experiments confirm the existence of SAH and show that it increases with semantic complexity. Additionally, we find that models are more prone to SAH on rapidly changing semantics. Moreover, we discuss potential approaches to mitigate SAH. We demonstrate that positional encoding strategy contributes to alleviating SAH, and further adopt DPO strategy to enhance the model's ability to distinguish semantics within and across events. To support this, we curate a dataset of 8K adversarial data pairs and achieve improvements on both ELV-Halluc and Video-MME, including a substantial 27.7% reduction in SAH ratio.

Multimodal Large Language Models (MLLMs) frequently exhibit hallucination phenomena, but the underlying reasons remain poorly understood. In this paper, we present an empirical analysis and find that, although MLLMs incorrectly generate the objects in the final output, they are actually able to recognize visual objects in the preceding layers. We speculate that this may be due to the strong knowledge priors of the language model suppressing the visual information, leading to hallucinations. Motivated by this, we propose a novel dynamic correction decoding method for MLLMs (DeCo), which adaptively selects the appropriate preceding layers and proportionally integrates knowledge into the final layer to adjust the output logits. Note that DeCo is model agnostic and can be seamlessly incorporated with various classic decoding strategies and applied to different MLLMs. We evaluate DeCo on widely-used benchmarks, demonstrating that it can reduce hallucination rates by a large margin compared to baselines, highlighting its potential to mitigate hallucinations. Code is available at https://github.com/zjunlp/DeCo.

Promptable segmentation typically requires instance-specific manual prompts to guide the segmentation of each desired object. To minimize such a need, task-generic promptable segmentation has been introduced, which employs a single task-generic prompt to segment various images of different objects in the same task. Current methods use Multimodal Large Language Models (MLLMs) to reason detailed instance-specific prompts from a task-generic prompt for improving segmentation accuracy. The effectiveness of this segmentation heavily depends on the precision of these derived prompts. However, MLLMs often suffer hallucinations during reasoning, resulting in inaccurate prompting. While existing methods focus on eliminating hallucinations to improve a model, we argue that MLLM hallucinations can reveal valuable contextual insights when leveraged correctly, as they represent pre-trained large-scale knowledge beyond individual images. In this paper, we utilize hallucinations to mine task-related information from images and verify its accuracy for enhancing precision of the generated prompts. Specifically, we introduce an iterative Prompt-Mask Cycle generation framework (ProMaC) with a prompt generator and a mask generator.The prompt generator uses a multi-scale chain of thought prompting, initially exploring hallucinations for extracting extended contextual knowledge on a test image.These hallucinations are then reduced to formulate precise instance-specific prompts, directing the mask generator to produce masks that are consistent with task semantics by mask semantic alignment. The generated masks iteratively induce the prompt generator to focus more on task-relevant image areas and reduce irrelevant hallucinations, resulting jointly in better prompts and masks. Experiments on 5 benchmarks demonstrate the effectiveness of ProMaC. Code given in https://lwpyh.github.io/ProMaC/.

The widespread adoption of Large Language Models (LLMs) has facilitated numerous benefits. However, hallucination is a significant concern. In response, Retrieval Augmented Generation (RAG) has emerged as a highly promising paradigm to improve LLM outputs by grounding them in factual information. RAG relies on textual entailment (TE) or similar methods to check if the text produced by LLMs is supported or contradicted, compared to retrieved documents. This paper argues that conventional TE methods are inadequate for spotting hallucinations in content generated by LLMs. For instance, consider a prompt about the 'USA's stance on the Ukraine war''. The AI-generated text states, ...U.S. President Barack Obama says the U.S. will not put troops in Ukraine...'' However, during the war the U.S. president is Joe Biden which contradicts factual reality. Moreover, current TE systems are unable to accurately annotate the given text and identify the exact portion that is contradicted. To address this, we introduces a new type of TE called ``Factual Entailment (FE).'', aims to detect factual inaccuracies in content generated by LLMs while also highlighting the specific text segment that contradicts reality. We present FACTOID (FACTual enTAILment for hallucInation Detection), a benchmark dataset for FE. We propose a multi-task learning (MTL) framework for FE, incorporating state-of-the-art (SoTA) long text embeddings such as e5-mistral-7b-instruct, along with GPT-3, SpanBERT, and RoFormer. The proposed MTL architecture for FE achieves an avg. 40\% improvement in accuracy on the FACTOID benchmark compared to SoTA TE methods. As FE automatically detects hallucinations, we assessed 15 modern LLMs and ranked them using our proposed Auto Hallucination Vulnerability Index (HVI_auto). This index quantifies and offers a comparative scale to evaluate and rank LLMs according to their hallucinations.

Multimodal language models can exhibit hallucinations in their outputs, which limits their reliability. The ability to automatically detect these errors is important for mitigating them, but has been less explored and existing efforts do not localize hallucinations, instead framing this as a classification task. In this work, we first pose multimodal hallucination detection as a sequence labeling task where models must localize hallucinated text spans and present a strong baseline model. Given the high cost of human annotations for this task, we propose an approach to improve the sample efficiency of these models by creating corrupted grounding data, which we use for pre-training. Leveraging phrase grounding data, we generate hallucinations to replace grounded spans and create hallucinated text. Experiments show that pre-training on this data improves sample efficiency when fine-tuning, and that the learning signal from the grounding data plays an important role in these improvements.

Large language models (LMs) are prone to generate diverse factually incorrect statements, which are widely called hallucinations. Current approaches predominantly focus on coarse-grained automatic hallucination detection or editing, overlooking nuanced error levels. In this paper, we propose a novel task -- automatic fine-grained hallucination detection -- and present a comprehensive taxonomy encompassing six hierarchically defined types of hallucination. To facilitate evaluation, we introduce a new benchmark that includes fine-grained human judgments on two LM outputs across various domains. Our analysis reveals that ChatGPT and Llama 2-Chat exhibit hallucinations in 60% and 75% of their outputs, respectively, and a majority of these hallucinations fall into categories that have been underexplored. As an initial step to address this, we train FAVA, a retrieval-augmented LM by carefully designing synthetic data generations to detect and correct fine-grained hallucinations. On our benchmark, our automatic and human evaluations show that FAVA significantly outperforms ChatGPT on fine-grained hallucination detection by a large margin though a large room for future improvement still exists. FAVA's suggested edits also improve the factuality of LM-generated text, resulting in 5-10% FActScore improvements.

Hallucinations in large language models are a widespread problem, yet the mechanisms behind whether models will hallucinate are poorly understood, limiting our ability to solve this problem. Using sparse autoencoders as an interpretability tool, we discover that a key part of these mechanisms is entity recognition, where the model detects if an entity is one it can recall facts about. Sparse autoencoders uncover meaningful directions in the representation space, these detect whether the model recognizes an entity, e.g. detecting it doesn't know about an athlete or a movie. This suggests that models can have self-knowledge: internal representations about their own capabilities. These directions are causally relevant: capable of steering the model to refuse to answer questions about known entities, or to hallucinate attributes of unknown entities when it would otherwise refuse. We demonstrate that despite the sparse autoencoders being trained on the base model, these directions have a causal effect on the chat model's refusal behavior, suggesting that chat finetuning has repurposed this existing mechanism. Furthermore, we provide an initial exploration into the mechanistic role of these directions in the model, finding that they disrupt the attention of downstream heads that typically move entity attributes to the final token.

Large Vision-Language Models (LVLMs) are increasingly adept at generating contextually detailed and coherent responses from visual inputs. However, their application in multimodal decision-making and open-ended generation is hindered by a notable rate of hallucinations, where generated text inaccurately represents the visual contents. To address this issue, this paper introduces the Instruction Contrastive Decoding (ICD) method, a novel approach designed to reduce hallucinations during LVLM inference. Our method is inspired by our observation that what we call disturbance instructions significantly exacerbate hallucinations in multimodal fusion modules. ICD contrasts distributions from standard and instruction disturbance, thereby increasing alignment uncertainty and effectively subtracting hallucinated concepts from the original distribution. Through comprehensive experiments on discriminative benchmarks (POPE and MME) and a generative benchmark (LLaVa-Bench), we demonstrate that ICD significantly mitigates both object-level and attribute-level hallucinations. Moreover, our method not only addresses hallucinations but also significantly enhances the general perception and recognition capabilities of LVLMs.

Generative Vision-Language Models (VLMs) are prone to generate plausible-sounding textual answers that, however, are not always grounded in the input image. We investigate this phenomenon, usually referred to as "hallucination" and show that it stems from an excessive reliance on the language prior. In particular, we show that as more tokens are generated, the reliance on the visual prompt decreases, and this behavior strongly correlates with the emergence of hallucinations. To reduce hallucinations, we introduce Multi-Modal Mutual-Information Decoding (M3ID), a new sampling method for prompt amplification. M3ID amplifies the influence of the reference image over the language prior, hence favoring the generation of tokens with higher mutual information with the visual prompt. M3ID can be applied to any pre-trained autoregressive VLM at inference time without necessitating further training and with minimal computational overhead. If training is an option, we show that M3ID can be paired with Direct Preference Optimization (DPO) to improve the model's reliance on the prompt image without requiring any labels. Our empirical findings show that our algorithms maintain the fluency and linguistic capabilities of pre-trained VLMs while reducing hallucinations by mitigating visually ungrounded answers. Specifically, for the LLaVA 13B model, M3ID and M3ID+DPO reduce the percentage of hallucinated objects in captioning tasks by 25% and 28%, respectively, and improve the accuracy on VQA benchmarks such as POPE by 21% and 24%.

Despite improvements in performances on different natural language generation tasks, deep neural models are prone to hallucinating facts that are incorrect or nonexistent. Different hypotheses are proposed and examined separately for different tasks, but no systematic explanations are available across these tasks. In this study, we draw connections between hallucinations and predictive uncertainty in conditional language generation. We investigate their relationship in both image captioning and data-to-text generation and propose a simple extension to beam search to reduce hallucination. Our analysis shows that higher predictive uncertainty corresponds to a higher chance of hallucination. Epistemic uncertainty is more indicative of hallucination than aleatoric or total uncertainties. It helps to achieve better results of trading performance in standard metric for less hallucination with the proposed beam search variant.

Context-grounded hallucinations are cases where model outputs contain information not verifiable against the source text. We study the applicability of LLMs for localizing such hallucinations, as a more practical alternative to existing complex evaluation pipelines. In the absence of established benchmarks for meta-evaluation of hallucinations localization, we construct one tailored to LLMs, involving a challenging human annotation of over 1,000 examples. We complement the benchmark with an LLM-based evaluation protocol, verifying its quality in a human evaluation. Since existing representations of hallucinations limit the types of errors that can be expressed, we propose a new representation based on free-form textual descriptions, capturing the full range of possible errors. We conduct a comprehensive study, evaluating four large-scale LLMs, which highlights the benchmark's difficulty, as the best model achieves an F1 score of only 0.67. Through careful analysis, we offer insights into optimal prompting strategies for the task and identify the main factors that make it challenging for LLMs: (1) a tendency to incorrectly flag missing details as inconsistent, despite being instructed to check only facts in the output; and (2) difficulty with outputs containing factually correct information absent from the source - and thus not verifiable - due to alignment with the model's parametric knowledge.

Large Vision-Language Models (LVLMs) have recently achieved remarkable success. However, LVLMs are still plagued by the hallucination problem, which limits the practicality in many scenarios. Hallucination refers to the information of LVLMs' responses that does not exist in the visual input, which poses potential risks of substantial consequences. There has been limited work studying hallucination evaluation in LVLMs. In this paper, we propose Hallucination Evaluation based on Large Language Models (HaELM), an LLM-based hallucination evaluation framework. HaELM achieves an approximate 95% performance comparable to ChatGPT and has additional advantages including low cost, reproducibility, privacy preservation and local deployment. Leveraging the HaELM, we evaluate the hallucination in current LVLMs. Furthermore, we analyze the factors contributing to hallucination in LVLMs and offer helpful suggestions to mitigate the hallucination problem. Our training data and human annotation hallucination data will be made public soon.

Knowledge hallucination have raised widespread concerns for the security and reliability of deployed LLMs. Previous efforts in detecting hallucinations have been employed at logit-level uncertainty estimation or language-level self-consistency evaluation, where the semantic information is inevitably lost during the token-decoding procedure. Thus, we propose to explore the dense semantic information retained within LLMs' INternal States for hallucInation DEtection (INSIDE). In particular, a simple yet effective EigenScore metric is proposed to better evaluate responses' self-consistency, which exploits the eigenvalues of responses' covariance matrix to measure the semantic consistency/diversity in the dense embedding space. Furthermore, from the perspective of self-consistent hallucination detection, a test time feature clipping approach is explored to truncate extreme activations in the internal states, which reduces overconfident generations and potentially benefits the detection of overconfident hallucinations. Extensive experiments and ablation studies are performed on several popular LLMs and question-answering (QA) benchmarks, showing the effectiveness of our proposal.

Artificial Intelligence (AI) has demonstrated significant potential in healthcare, particularly in disease diagnosis and treatment planning. Recent progress in Medical Large Vision-Language Models (Med-LVLMs) has opened up new possibilities for interactive diagnostic tools. However, these models often suffer from factual hallucination, which can lead to incorrect diagnoses. Fine-tuning and retrieval-augmented generation (RAG) have emerged as methods to address these issues. However, the amount of high-quality data and distribution shifts between training data and deployment data limit the application of fine-tuning methods. Although RAG is lightweight and effective, existing RAG-based approaches are not sufficiently general to different medical domains and can potentially cause misalignment issues, both between modalities and between the model and the ground truth. In this paper, we propose a versatile multimodal RAG system, MMed-RAG, designed to enhance the factuality of Med-LVLMs. Our approach introduces a domain-aware retrieval mechanism, an adaptive retrieved contexts selection method, and a provable RAG-based preference fine-tuning strategy. These innovations make the RAG process sufficiently general and reliable, significantly improving alignment when introducing retrieved contexts. Experimental results across five medical datasets (involving radiology, ophthalmology, pathology) on medical VQA and report generation demonstrate that MMed-RAG can achieve an average improvement of 43.8% in the factual accuracy of Med-LVLMs. Our data and code are available in https://github.com/richard-peng-xia/MMed-RAG.

Recent advancements in large language models (LLMs) have significantly enhanced their ability to understand both natural language and code, driving their use in tasks like natural language-to-code (NL2Code) and code summarization. However, LLMs are prone to hallucination-outputs that stray from intended meanings. Detecting hallucinations in code summarization is especially difficult due to the complex interplay between programming and natural languages. We introduce a first-of-its-kind dataset with sim10K samples, curated specifically for hallucination detection in code summarization. We further propose a novel Entity Tracing Framework (ETF) that a) utilizes static program analysis to identify code entities from the program and b) uses LLMs to map and verify these entities and their intents within generated code summaries. Our experimental analysis demonstrates the effectiveness of the framework, leading to a 0.73 F1 score. This approach provides an interpretable method for detecting hallucinations by grounding entities, allowing us to evaluate summary accuracy.

Automated structured radiology report generation (SRRG) from chest X-ray images offers significant potential to reduce workload of radiologists by generating reports in structured formats that ensure clarity, consistency, and adherence to clinical reporting standards. While radiologists effectively utilize available clinical contexts in their diagnostic reasoning, existing SRRG systems overlook these essential elements. This fundamental gap leads to critical problems including temporal hallucinations when referencing non-existent clinical contexts. To address these limitations, we propose contextualized SRRG (C-SRRG) that comprehensively incorporates rich clinical context for SRRG. We curate C-SRRG dataset by integrating comprehensive clinical context encompassing 1) multi-view X-ray images, 2) clinical indication, 3) imaging techniques, and 4) prior studies with corresponding comparisons based on patient histories. Through extensive benchmarking with state-of-the-art multimodal large language models, we demonstrate that incorporating clinical context with the proposed C-SRRG significantly improves report generation quality. We publicly release dataset, code, and checkpoints to facilitate future research for clinically-aligned automated RRG at https://github.com/vuno/contextualized-srrg.

As large language models (LLMs) become increasingly deployed across various industries, concerns regarding their reliability, particularly due to hallucinations-outputs that are factually inaccurate or irrelevant to user input-have grown. Our research investigates the relationship between the training process and the emergence of hallucinations to address a key gap in existing research that focuses primarily on post hoc detection and mitigation strategies. Using models from the Pythia suite (70M-12B parameters) and several hallucination detection metrics, we analyze hallucination trends throughout training and explore LLM internal dynamics. We introduce SEnsitive Neuron Dropout (SeND), a novel training protocol designed to mitigate hallucinations by reducing variance during training. SeND achieves this by deterministically dropping neurons with significant variability on a dataset, referred to as Sensitive Neurons. In addition, we develop an unsupervised hallucination detection metric, Efficient EigenScore (EES), which approximates the traditional EigenScore in 2x speed. This efficient metric is integrated into our protocol, allowing SeND to be both computationally scalable and effective at reducing hallucinations. Our empirical evaluation demonstrates that our approach improves LLM reliability at test time by up to 40% compared to normal training while also providing an efficient method to improve factual accuracy when adapting LLMs to domains such as Wikipedia and Medical datasets.

Large Language Models (LLMs) have revolutionized Natural Language Processing (NLP). Although convenient for research and practical applications, open-source LLMs with fewer parameters often suffer from severe hallucinations compared to their larger counterparts. This paper focuses on measuring and reducing hallucinations in BLOOM 7B, a representative of such weaker open-source LLMs that are publicly available for research and commercial applications. We introduce HaloCheck, a lightweight BlackBox knowledge-free framework designed to quantify the severity of hallucinations in LLMs. Additionally, we explore techniques like knowledge injection and teacher-student approaches to alleviate hallucinations in low-parameter LLMs. Our experiments effectively demonstrate the reduction of hallucinations in challenging domains for these LLMs.

Hallucinations in large vision-language models (LVLMs) are a significant challenge, i.e., generating objects that are not presented in the visual input, which impairs their reliability. Recent studies often attribute hallucinations to a lack of understanding of visual input, yet ignore a more fundamental issue: the model's inability to effectively extract or decouple visual features. In this paper, we revisit the hallucinations in LVLMs from an architectural perspective, investigating whether the primary cause lies in the visual encoder (feature extraction) or the modal alignment module (feature decoupling). Motivated by our findings on the preliminary investigation, we propose a novel tuning strategy, PATCH, to mitigate hallucinations in LVLMs. This plug-and-play method can be integrated into various LVLMs, utilizing adaptive virtual tokens to extract object features from bounding boxes, thereby addressing hallucinations caused by insufficient decoupling of visual features. PATCH achieves state-of-the-art performance on multiple multi-modal hallucination datasets. We hope this approach provides researchers with deeper insights into the underlying causes of hallucinations in LVLMs, fostering further advancements and innovation in this field.

Despite the impressive capabilities of multimodal large language models (MLLMs) in vision-language tasks, they are prone to hallucinations in real-world scenarios. This paper investigates the hallucination phenomenon in MLLMs from the perspective of modality conflict. Unlike existing works focusing on the conflicts between model responses and inputs, we study the inherent conflicts in inputs from different modalities that place MLLMs in a dilemma and directly lead to hallucinations. We formally define the modality conflict and construct a dataset named Multimodal Modality Conflict (MMMC) to simulate this phenomenon in vision-language tasks. Three methods based on prompt engineering, supervised fine-tuning, and reinforcement learning are proposed to alleviate the hallucination caused by modality conflict. Extensive experiments are conducted on the MMMC dataset to analyze the merits and demerits of these methods. Our results show that the reinforcement learning method achieves the best performance in mitigating the hallucination under modality conflict, while the supervised fine-tuning method shows promising and stable performance. Our work sheds light on the unnoticed modality conflict that leads to hallucinations and provides more insights into the robustness of MLLMs.

Multimodal large language models have made significant advancements in recent years, yet they still suffer from a common issue known as the "hallucination problem" where the models generate textual descriptions that contain inaccurate or non-existent content from the image. To address this issue, this paper introduces a novel strategy: Hallucination-Aware Direct Preference Optimization (HA-DPO). Our approach treats the hallucination problem as a unique preference selection issue, where the model is trained to favor the non-hallucinating response when presented with two responses of the same image (one accurate and one hallucinating). This paper also presents an efficient process for constructing hallucination sample pairs to ensure high-quality, style-consistent pairs for stable HA-DPO training. We applied this strategy to two mainstream multimodal models, and the results showed a significant reduction in the hallucination problem and an enhancement in the models' generalization capabilities. With HA-DPO, the MiniGPT-4 model demonstrates significant advancements: POPE accuracy increases from 51.13% to 85.66% (34.5% absolute improvement), and the MME score escalates from 968.58 to 1365.76 (41% relative improvement). The code, models, and datasets will be made publicly available.

Despite recent advances in Large Vision Language Models (LVLMs), these models still suffer from generating hallucinatory responses that do not align with the visual input provided. To mitigate such hallucinations, we introduce Efficient Contrastive Decoding (ECD), a simple method that leverages probabilistic hallucination detection to shift the output distribution towards contextually accurate answers at inference time. By contrasting token probabilities and hallucination scores, ECD subtracts hallucinated concepts from the original distribution, effectively suppressing hallucinations. Notably, our proposed method can be applied to any open-source LVLM and does not require additional LVLM training. We evaluate our method on several benchmark datasets and across different LVLMs. Our experiments show that ECD effectively mitigates hallucinations, outperforming state-of-the-art methods with respect to performance on LVLM benchmarks and computation time.

Recent advancements in Multimodal Large Language Models (MLLMs) have extended their capabilities to video understanding. Yet, these models are often plagued by "hallucinations", where irrelevant or nonsensical content is generated, deviating from the actual video context. This work introduces VideoHallucer, the first comprehensive benchmark for hallucination detection in large video-language models (LVLMs). VideoHallucer categorizes hallucinations into two main types: intrinsic and extrinsic, offering further subcategories for detailed analysis, including object-relation, temporal, semantic detail, extrinsic factual, and extrinsic non-factual hallucinations. We adopt an adversarial binary VideoQA method for comprehensive evaluation, where pairs of basic and hallucinated questions are crafted strategically. By evaluating eleven LVLMs on VideoHallucer, we reveal that i) the majority of current models exhibit significant issues with hallucinations; ii) while scaling datasets and parameters improves models' ability to detect basic visual cues and counterfactuals, it provides limited benefit for detecting extrinsic factual hallucinations; iii) existing models are more adept at detecting facts than identifying hallucinations. As a byproduct, these analyses further instruct the development of our self-PEP framework, achieving an average of 5.38% improvement in hallucination resistance across all model architectures.

The rapid advancement of foundation models (FMs) across language, image, audio, and video domains has shown remarkable capabilities in diverse tasks. However, the proliferation of FMs brings forth a critical challenge: the potential to generate hallucinated outputs, particularly in high-stakes applications. The tendency of foundation models to produce hallucinated content arguably represents the biggest hindrance to their widespread adoption in real-world scenarios, especially in domains where reliability and accuracy are paramount. This survey paper presents a comprehensive overview of recent developments that aim to identify and mitigate the problem of hallucination in FMs, spanning text, image, video, and audio modalities. By synthesizing recent advancements in detecting and mitigating hallucination across various modalities, the paper aims to provide valuable insights for researchers, developers, and practitioners. Essentially, it establishes a clear framework encompassing definition, taxonomy, and detection strategies for addressing hallucination in multimodal foundation models, laying the foundation for future research in this pivotal area.

Retrieval-Augmented Generation (RAG) models are designed to incorporate external knowledge, reducing hallucinations caused by insufficient parametric (internal) knowledge. However, even with accurate and relevant retrieved content, RAG models can still produce hallucinations by generating outputs that conflict with the retrieved information. Detecting such hallucinations requires disentangling how Large Language Models (LLMs) utilize external and parametric knowledge. Current detection methods often focus on one of these mechanisms or without decoupling their intertwined effects, making accurate detection difficult. In this paper, we investigate the internal mechanisms behind hallucinations in RAG scenarios. We discover hallucinations occur when the Knowledge FFNs in LLMs overemphasize parametric knowledge in the residual stream, while Copying Heads fail to effectively retain or integrate external knowledge from retrieved content. Based on these findings, we propose ReDeEP, a novel method that detects hallucinations by decoupling LLM's utilization of external context and parametric knowledge. Our experiments show that ReDeEP significantly improves RAG hallucination detection accuracy. Additionally, we introduce AARF, which mitigates hallucinations by modulating the contributions of Knowledge FFNs and Copying Heads.

This work introduces the first framework for reconstructing surgical dialogue from unstructured real-world recordings, which is crucial for characterizing teaching tasks. In surgical training, the formative verbal feedback that trainers provide to trainees during live surgeries is crucial for ensuring safety, correcting behavior immediately, and facilitating long-term skill acquisition. However, analyzing and quantifying this feedback is challenging due to its unstructured and specialized nature. Automated systems are essential to manage these complexities at scale, allowing for the creation of structured datasets that enhance feedback analysis and improve surgical education. Our framework integrates voice activity detection, speaker diarization, and automated speech recaognition, with a novel enhancement that 1) removes hallucinations (non-existent utterances generated during speech recognition fueled by noise in the operating room) and 2) separates speech from trainers and trainees using few-shot voice samples. These aspects are vital for reconstructing accurate surgical dialogues and understanding the roles of operating room participants. Using data from 33 real-world surgeries, we demonstrated the system's capability to reconstruct surgical teaching dialogues and detect feedback instances effectively (F1 score of 0.79+/-0.07). Moreover, our hallucination removal step improves feedback detection performance by ~14%. Evaluation on downstream clinically relevant tasks of predicting Behavioral Adjustment of trainees and classifying Technical feedback, showed performances comparable to manual annotations with F1 scores of 0.82+/0.03 and 0.81+/0.03 respectively. These results highlight the effectiveness of our framework in supporting clinically relevant tasks and improving over manual methods.

Large language models (LLMs) have shown substantial capacity for generating fluent, contextually appropriate responses. However, they can produce hallucinated outputs, especially when a user query includes one or more false premises-claims that contradict established facts. Such premises can mislead LLMs into offering fabricated or misleading details. Existing approaches include pretraining, fine-tuning, and inference-time techniques that often rely on access to logits or address hallucinations after they occur. These methods tend to be computationally expensive, require extensive training data, or lack proactive mechanisms to prevent hallucination before generation, limiting their efficiency in real-time applications. We propose a retrieval-based framework that identifies and addresses false premises before generation. Our method first transforms a user's query into a logical representation, then applies retrieval-augmented generation (RAG) to assess the validity of each premise using factual sources. Finally, we incorporate the verification results into the LLM's prompt to maintain factual consistency in the final output. Experiments show that this approach effectively reduces hallucinations, improves factual accuracy, and does not require access to model logits or large-scale fine-tuning.

Investigating hallucination issues in large language models (LLMs) within cross-lingual and cross-modal scenarios can greatly advance the large-scale deployment in real-world applications. Nevertheless, the current studies are limited to a single scenario, either cross-lingual or cross-modal, leaving a gap in the exploration of hallucinations in the joint cross-lingual and cross-modal scenarios. Motivated by this, we introduce a novel joint Cross-lingual and Cross-modal Hallucinations benchmark (CCHall) to fill this gap. Specifically, CCHall simultaneously incorporates both cross-lingual and cross-modal hallucination scenarios, which can be used to assess the cross-lingual and cross-modal capabilities of LLMs. Furthermore, we conduct a comprehensive evaluation on CCHall, exploring both mainstream open-source and closed-source LLMs. The experimental results highlight that current LLMs still struggle with CCHall. We hope CCHall can serve as a valuable resource to assess LLMs in joint cross-lingual and cross-modal scenarios.

Following the success of Large Language Models (LLMs), expanding their boundaries to new modalities represents a significant paradigm shift in multimodal understanding. Human perception is inherently multimodal, relying not only on text but also on auditory and visual cues for a complete understanding of the world. In recognition of this fact, audio-visual LLMs have recently emerged. Despite promising developments, the lack of dedicated benchmarks poses challenges for understanding and evaluating models. In this work, we show that audio-visual LLMs struggle to discern subtle relationships between audio and visual signals, leading to hallucinations, underscoring the need for reliable benchmarks. To address this, we introduce AVHBench, the first comprehensive benchmark specifically designed to evaluate the perception and comprehension capabilities of audio-visual LLMs. Our benchmark includes tests for assessing hallucinations, as well as the cross-modal matching and reasoning abilities of these models. Our results reveal that most existing audio-visual LLMs struggle with hallucinations caused by cross-interactions between modalities, due to their limited capacity to perceive complex multimodal signals and their relationships. Additionally, we demonstrate that simple training with our AVHBench improves robustness of audio-visual LLMs against hallucinations.

Large Vision-Language Models (LVLMs) have achieved impressive performance, yet research has pointed out a serious issue with object hallucinations within these models. However, there is no clear conclusion as to which part of the model these hallucinations originate from. In this paper, we present an in-depth investigation into the object hallucination problem specifically within the CLIP model, which serves as the backbone for many state-of-the-art vision-language systems. We unveil that even in isolation, the CLIP model is prone to object hallucinations, suggesting that the hallucination problem is not solely due to the interaction between vision and language modalities. To address this, we propose a counterfactual data augmentation method by creating negative samples with a variety of hallucination issues. We demonstrate that our method can effectively mitigate object hallucinations for CLIP model, and we show the the enhanced model can be employed as a visual encoder, effectively alleviating the object hallucination issue in LVLMs.

Large language models (LLMs) have shown promise for generative and knowledge-intensive tasks including question-answering (QA) tasks. However, the practical deployment still faces challenges, notably the issue of "hallucination", where models generate plausible-sounding but unfaithful or nonsensical information. This issue becomes particularly critical in the medical domain due to the uncommon professional concepts and potential social risks involved. This paper analyses the phenomenon of hallucination in medical generative QA systems using widely adopted LLMs and datasets. Our investigation centers on the identification and comprehension of common problematic answers, with a specific emphasis on hallucination. To tackle this challenge, we present an interactive self-reflection methodology that incorporates knowledge acquisition and answer generation. Through this feedback process, our approach steadily enhances the factuality, consistency, and entailment of the generated answers. Consequently, we harness the interactivity and multitasking ability of LLMs and produce progressively more precise and accurate answers. Experimental results on both automatic and human evaluation demonstrate the superiority of our approach in hallucination reduction compared to baselines.

Mitigating hallucinations of Large Multi-modal Models(LMMs) is crucial to enhance their reliability for general-purpose assistants. This paper shows that such hallucinations of LMMs can be significantly exacerbated by preceding user-system dialogues. To precisely measure this, we first present an evaluation benchmark by extending popular multi-modal benchmark datasets with prepended hallucinatory dialogues generated by our novel Adversarial Question Generator, which can automatically generate image-related yet adversarial dialogues by adopting adversarial attacks on LMMs. On our benchmark, the zero-shot performance of state-of-the-art LMMs dropped significantly for both the VQA and Captioning tasks. Next, we further reveal this hallucination is mainly due to the prediction bias toward preceding dialogues rather than visual content. To reduce this bias, we propose Adversarial Instruction Tuning that robustly fine-tunes LMMs on augmented multi-modal instruction-following datasets with hallucinatory dialogues. Extensive experiments show that our proposed approach successfully reduces dialogue hallucination while maintaining or even improving performance.

Despite their significant advancements, Multimodal Large Language Models (MLLMs) often generate factually inaccurate information, referred to as hallucination. In this work, we address object hallucinations in MLLMs, where information is generated about an object not present in the input image. We introduce Data-augmented Phrase-level Alignment (DPA), a novel loss which can be applied to instruction-tuned off-the-shelf MLLMs to mitigate hallucinations, while preserving their general vision-language capabilities. To fine-tune MLLMs with DPA, we first generate a set of `hallucinated' and `correct' response pairs through generative data augmentation by selectively altering the ground-truth information of the correct responses at a phrase level. The DPA loss is then used to train MLLMs to reduce the likelihood of hallucinated phrases compared to the correct ones. Our thorough evaluation on various benchmarks confirms the effectiveness of DPA in mitigating hallucination while retaining the out-of-the-box performance of the MLLMs on general tasks. For instance, MLLMs finetuned with DPA, which we refer to as Hallucination Attenuated Language and Vision Assistant (HALVA), improve F1 by up to 13.4% on hallucination visual question-answering and reduce the hallucination rate by up to 4.2% on image description tasks.

Recent advances in large language models (LLMs), such as ChatGPT, have led to highly sophisticated conversation agents. However, these models suffer from "hallucinations," where the model generates false or fabricated information. Addressing this challenge is crucial, particularly with AI-driven platforms being adopted across various sectors. In this paper, we propose a novel method to recognize and flag instances when LLMs perform outside their domain knowledge, and ensuring users receive accurate information. We find that the use of context combined with embedded tags can successfully combat hallucinations within generative language models. To do this, we baseline hallucination frequency in no-context prompt-response pairs using generated URLs as easily-tested indicators of fabricated data. We observed a significant reduction in overall hallucination when context was supplied along with question prompts for tested generative engines. Lastly, we evaluated how placing tags within contexts impacted model responses and were able to eliminate hallucinations in responses with 98.88% effectiveness.

Although multimodal large language models (MLLMs) exhibit remarkable reasoning capabilities on complex multimodal understanding tasks, they still suffer from the notorious hallucination issue: generating outputs misaligned with obvious visual or factual evidence. Currently, training-based solutions, like direct preference optimization (DPO), leverage paired preference data to suppress hallucinations. However, they risk sacrificing general reasoning capabilities due to the likelihood displacement. Meanwhile, training-free solutions, like contrastive decoding, achieve this goal by subtracting the estimated hallucination pattern from a distorted input. Yet, these handcrafted perturbations (e.g., add noise to images) may poorly capture authentic hallucination patterns. To avoid these weaknesses of existing methods, and realize robust hallucination mitigation (i.e., maintaining general reasoning performance), we propose a novel framework: Decoupling Contrastive Decoding (DCD). Specifically, DCD decouples the learning of positive and negative samples in preference datasets, and trains separate positive and negative image projections within the MLLM. The negative projection implicitly models real hallucination patterns, which enables vision-aware negative images in the contrastive decoding inference stage. Our DCD alleviates likelihood displacement by avoiding pairwise optimization and generalizes robustly without handcrafted degradation. Extensive ablations across hallucination benchmarks and general reasoning tasks demonstrate the effectiveness of DCD, i.e., it matches DPO's hallucination suppression while preserving general capabilities and outperforms the handcrafted contrastive decoding methods.

Despite making significant progress in multi-modal tasks, current Multi-modal Large Language Models (MLLMs) encounter the significant challenge of hallucinations, which may lead to harmful consequences. Therefore, evaluating MLLMs' hallucinations is becoming increasingly important in model improvement and practical application deployment. Previous works are limited in high evaluation costs (e.g., relying on humans or advanced LLMs) and insufficient evaluation dimensions (e.g., types of tasks and hallucinations). In this paper, we propose an LLM-free multi-dimensional benchmark AMBER, which can be used to evaluate both generative task and discriminative task including existence, attribute and relation hallucination. Based on AMBER, we design a low-cost and efficient evaluation pipeline. Additionally, we conduct a comprehensive evaluation and detailed analysis of mainstream MLLMs including GPT-4V(ision), and also give guideline suggestions for mitigating hallucinations. The data and code of AMBER are available at https://github.com/junyangwang0410/AMBER.

We investigate the internal representations of vision-language models (VLMs) to address hallucinations, a persistent challenge despite advances in model size and training. We project VLMs' internal image representations to their language vocabulary and observe more confident output probabilities on real objects than hallucinated objects. We additionally use these output probabilities to spatially localize real objects. Building on this approach, we introduce a knowledge erasure algorithm that removes hallucinations by linearly orthogonalizing image features with respect to hallucinated object features. We show that targeted edits to a model's latent representations can reduce hallucinations by up to 25.7% on the COCO2014 dataset while preserving performance. Our findings demonstrate how a deeper understanding of VLMs' latent representations can enhance reliability and enable novel capabilities, such as zero-shot segmentation.

Hallucinations pose a significant challenge to the reliability of large language models (LLMs) in critical domains. Recent benchmarks designed to assess LLM hallucinations within conventional NLP tasks, such as knowledge-intensive question answering (QA) and summarization, are insufficient for capturing the complexities of user-LLM interactions in dynamic, real-world settings. To address this gap, we introduce HaluEval-Wild, the first benchmark specifically designed to evaluate LLM hallucinations in the wild. We meticulously collect challenging (adversarially filtered by Alpaca) user queries from existing real-world user-LLM interaction datasets, including ShareGPT, to evaluate the hallucination rates of various LLMs. Upon analyzing the collected queries, we categorize them into five distinct types, which enables a fine-grained analysis of the types of hallucinations LLMs exhibit, and synthesize the reference answers with the powerful GPT-4 model and retrieval-augmented generation (RAG). Our benchmark offers a novel approach towards enhancing our comprehension and improvement of LLM reliability in scenarios reflective of real-world interactions.

This paper presents a systematic defense of large language model (LLM) hallucinations or 'confabulations' as a potential resource instead of a categorically negative pitfall. The standard view is that confabulations are inherently problematic and AI research should eliminate this flaw. In this paper, we argue and empirically demonstrate that measurable semantic characteristics of LLM confabulations mirror a human propensity to utilize increased narrativity as a cognitive resource for sense-making and communication. In other words, it has potential value. Specifically, we analyze popular hallucination benchmarks and reveal that hallucinated outputs display increased levels of narrativity and semantic coherence relative to veridical outputs. This finding reveals a tension in our usually dismissive understandings of confabulation. It suggests, counter-intuitively, that the tendency for LLMs to confabulate may be intimately associated with a positive capacity for coherent narrative-text generation.

Large Language Models (LLMs) have demonstrated remarkable performance across various tasks but remain prone to hallucinations. Detecting hallucinations is essential for safety-critical applications, and recent methods leverage attention map properties to this end, though their effectiveness remains limited. In this work, we investigate the spectral features of attention maps by interpreting them as adjacency matrices of graph structures. We propose the LapEigvals method, which utilises the top-k eigenvalues of the Laplacian matrix derived from the attention maps as an input to hallucination detection probes. Empirical evaluations demonstrate that our approach achieves state-of-the-art hallucination detection performance among attention-based methods. Extensive ablation studies further highlight the robustness and generalisation of LapEigvals, paving the way for future advancements in the hallucination detection domain.

Hallucination is often regarded as a major impediment for using large language models (LLMs), especially for knowledge-intensive tasks. Even when the training corpus consists solely of true statements, language models still generate hallucinations in the form of amalgamations of multiple facts. We coin this phenomenon as ``knowledge overshadowing'': when we query knowledge from a language model with multiple conditions, some conditions overshadow others, leading to hallucinated outputs. This phenomenon partially stems from training data imbalance, which we verify on both pretrained models and fine-tuned models, over a wide range of LM model families and sizes.From a theoretical point of view, knowledge overshadowing can be interpreted as over-generalization of the dominant conditions (patterns). We show that the hallucination rate grows with both the imbalance ratio (between the popular and unpopular condition) and the length of dominant condition description, consistent with our derived generalization bound. Finally, we propose to utilize overshadowing conditions as a signal to catch hallucination before it is produced, along with a training-free self-contrastive decoding method to alleviate hallucination during inference. Our proposed approach showcases up to 82% F1 for hallucination anticipation and 11.2% to 39.4% hallucination control, with different models and datasets.

Natural Language Generation (NLG) has improved exponentially in recent years thanks to the development of sequence-to-sequence deep learning technologies such as Transformer-based language models. This advancement has led to more fluent and coherent NLG, leading to improved development in downstream tasks such as abstractive summarization, dialogue generation and data-to-text generation. However, it is also apparent that deep learning based generation is prone to hallucinate unintended text, which degrades the system performance and fails to meet user expectations in many real-world scenarios. To address this issue, many studies have been presented in measuring and mitigating hallucinated texts, but these have never been reviewed in a comprehensive manner before. In this survey, we thus provide a broad overview of the research progress and challenges in the hallucination problem in NLG. The survey is organized into two parts: (1) a general overview of metrics, mitigation methods, and future directions; and (2) an overview of task-specific research progress on hallucinations in the following downstream tasks, namely abstractive summarization, dialogue generation, generative question answering, data-to-text generation, machine translation, and visual-language generation. This survey serves to facilitate collaborative efforts among researchers in tackling the challenge of hallucinated texts in NLG.

Recent language models have a mysterious tendency to generate false but plausible-sounding text. Such "hallucinations" are an obstacle to the usability of language-based AI systems and can harm people who rely upon their outputs. This work shows shows that there is an inherent statistical reason that pretrained language models hallucinate certain types of facts, having nothing to do with the transformer LM architecture or data quality. For "arbitrary" facts whose veracity cannot be determined from the training data, we show that hallucination is necessary for language models that satisfy a statistical calibration condition appropriate for generative language models. Specifically, if the maximum probability of any fact is bounded, we show that the probability of generating a hallucination is close to the fraction of facts that occur exactly once in the training data (a "Good-Turing" estimate), even assuming ideal training data without errors. One conclusion is that models pretrained to be sufficiently good predictors (i.e., calibrated) may require post-training to mitigate hallucinations on the type of arbitrary facts that tend to appear once in the training set. However, our analysis also suggests that there is no statistical reason that pretraining will lead to hallucination on facts that tend to appear more than once in the training data (like references to publications such as articles and books, whose hallucinations have been particularly notable and problematic) or on systematic facts (like arithmetic calculations). Therefore, different architectures and learning algorithms may mitigate these latter types of hallucinations.

Hallucination, posed as a pervasive challenge of multi-modal large language models (MLLMs), has significantly impeded their real-world usage that demands precise judgment. Existing methods mitigate this issue with either training with specific designed data or inferencing with external knowledge from other sources, incurring inevitable additional costs. In this paper, we present OPERA, a novel MLLM decoding method grounded in an Over-trust Penalty and a Retrospection-Allocation strategy, serving as a nearly free lunch to alleviate the hallucination issue without additional data, knowledge, or training. Our approach begins with an interesting observation that, most hallucinations are closely tied to the knowledge aggregation patterns manifested in the self-attention matrix, i.e., MLLMs tend to generate new tokens by focusing on a few summary tokens, but not all the previous tokens. Such partial over-trust inclination results in the neglecting of image tokens and describes the image content with hallucination. Statistically, we observe an 80%sim95% co-currency rate between hallucination contents and such knowledge aggregation patterns. Based on the observation, OPERA introduces a penalty term on the model logits during the beam-search decoding to mitigate the over-trust issue, along with a rollback strategy that retrospects the presence of summary tokens in the previously generated tokens, and re-allocate the token selection if necessary. With extensive experiments, OPERA shows significant hallucination-mitigating performance on different MLLMs and metrics, proving its effectiveness and generality. Our code is available at: https://github.com/shikiw/OPERA.

Large Language Models (LLMs) have demonstrated remarkable success in diverse natural language processing (NLP) tasks in general domains. However, LLMs sometimes generate responses with the hallucination about medical facts due to limited domain knowledge. Such shortcomings pose potential risks in the utilization of LLMs within medical contexts. To address this challenge, we propose knowledge-tuning, which leverages structured medical knowledge bases for the LLMs to grasp domain knowledge efficiently and facilitate reliable response generation. We also release cMedKnowQA, a Chinese medical knowledge question-answering dataset constructed from medical knowledge bases to assess the medical knowledge proficiency of LLMs. Experimental results show that the LLMs which are knowledge-tuned with cMedKnowQA, can exhibit higher levels of accuracy in response generation compared with vanilla instruction-tuning and offer a new reliable way for the domain adaptation of LLMs.

Multimodal Large Language Models (MLLMs) have demonstrated proficiency in handling a variety of visual-language tasks. However, current MLLM benchmarks are predominantly designed to evaluate reasoning based on static information about a single image, and the ability of modern MLLMs to extrapolate from image sequences, which is essential for understanding our ever-changing world, has been less investigated. To address this challenge, this paper introduces Mementos, a new benchmark designed to assess MLLMs' sequential image reasoning abilities. Mementos features 4,761 diverse image sequences with varying lengths. We also employ a GPT-4 assisted method to evaluate MLLM reasoning performance. Through a careful evaluation of nine recent MLLMs on Mementos, including GPT-4V and Gemini, we find that they struggle to accurately describe dynamic information about given image sequences, often leading to hallucinations/misrepresentations of objects and their corresponding behaviors. Our quantitative analysis and case studies identify three key factors impacting MLLMs' sequential image reasoning: the correlation between object and behavioral hallucinations, the influence of cooccurring behaviors, and the compounding impact of behavioral hallucinations. Our dataset is available at https://github.com/umd-huang-lab/Mementos.

Large language models (LLMs) frequently hallucinate on abstractive summarization tasks such as document-based question-answering, meeting summarization, and clinical report generation, even though all necessary information is included in context. However, optimizing LLMs to hallucinate less on these tasks is challenging, as hallucination is hard to efficiently evaluate at each optimization step. In this work, we show that reducing hallucination on a synthetic task can also reduce hallucination on real-world downstream tasks. Our method, SynTra, first designs a synthetic task where hallucinations are easy to elicit and measure. It next optimizes the LLM's system message via prefix-tuning on the synthetic task, and finally transfers the system message to realistic, hard-to-optimize tasks. Across three realistic abstractive summarization tasks, SynTra reduces hallucination for two 13B-parameter LLMs using only a synthetic retrieval task for supervision. We also find that optimizing the system message rather than the model weights can be critical; fine-tuning the entire model on the synthetic task can counterintuitively increase hallucination. Overall, SynTra demonstrates that the extra flexibility of working with synthetic data can help mitigate undesired behaviors in practice.

In the era of large language models (LLMs), hallucination (i.e., the tendency to generate factually incorrect content) poses great challenge to trustworthy and reliable deployment of LLMs in real-world applications. To tackle the LLM hallucination, three key questions should be well studied: how to detect hallucinations (detection), why do LLMs hallucinate (source), and what can be done to mitigate them (mitigation). To address these challenges, this work presents a systematic empirical study on LLM hallucination, focused on the the three aspects of hallucination detection, source and mitigation. Specially, we construct a new hallucination benchmark HaluEval 2.0, and designs a simple yet effective detection method for LLM hallucination. Furthermore, we zoom into the different training or utilization stages of LLMs and extensively analyze the potential factors that lead to the LLM hallucination. Finally, we implement and examine a series of widely used techniques to mitigate the hallucinations in LLMs. Our work has led to several important findings to understand the hallucination origin and mitigate the hallucinations in LLMs. Our code and data can be accessed at https://github.com/RUCAIBox/HaluEval-2.0.

Language models (LMs) hallucinate. We inquire: Can we detect and mitigate hallucinations before they happen? This work answers this research question in the positive, by showing that the internal representations of LMs provide rich signals that can be used for this purpose. We introduce FactCheckMate, which preemptively detects hallucinations by learning a classifier that predicts whether the LM will hallucinate, based on the model's hidden states produced over the inputs, before decoding begins. If a hallucination is detected, FactCheckMate then intervenes, by adjusting the LM's hidden states such that the model will produce more factual outputs. FactCheckMate provides fresh insights that the inner workings of LMs can be revealed by their hidden states. Practically, both the detection and mitigation models in FactCheckMate are lightweight, adding little inference overhead; FactCheckMate proves a more efficient approach for mitigating hallucinations compared to many post-hoc alternatives. We evaluate FactCheckMate over LMs of different scales and model families (including Llama, Mistral, and Gemma), across a variety of QA datasets from different domains. Our results demonstrate the effectiveness of leveraging internal representations for early hallucination detection and mitigation, achieving over 70% preemptive detection accuracy. On average, outputs generated by LMs with intervention are 34.4% more factual compared to those without intervention. The average overhead difference in the inference time introduced by FactCheckMate is around 3.16 seconds.

Large Vision-Language Models (LVLMs) have shown remarkable performance on many visual-language tasks. However, these models still suffer from multimodal hallucination, which means the generation of objects or content that violates the images. Many existing work detects hallucination by directly judging whether an object exists in an image, overlooking the association between the object and semantics. To address this issue, we propose Hierarchical Feedback Learning with Vision-enhanced Penalty Decoding (HELPD). This framework incorporates hallucination feedback at both object and sentence semantic levels. Remarkably, even with a marginal degree of training, this approach can alleviate over 15% of hallucination. Simultaneously, HELPD penalizes the output logits according to the image attention window to avoid being overly affected by generated text. HELPD can be seamlessly integrated with any LVLMs. Our experiments demonstrate that the proposed framework yields favorable results across multiple hallucination benchmarks. It effectively mitigates hallucination for different LVLMs and concurrently improves their text generation quality.

Large Language Models have demonstrated remarkable capabilities across diverse tasks, yet they frequently generate hallucinations outputs that are fluent but factually incorrect or unsupported. We propose Counterfactual Probing, a novel approach for detecting and mitigating hallucinations in LLM outputs. Our method dynamically generates counterfactual statements that appear plausible but contain subtle factual errors, then evaluates the model's sensitivity to these perturbations. We hypothesize that genuine knowledge exhibits robustness to counterfactual variations, while hallucinated content shows inconsistent confidence patterns when confronted with plausible alternatives. Our comprehensive evaluation on TruthfulQA, factual statement datasets, and curated hallucination examples demonstrates that counterfactual probing achieves superior detection performance compared to baseline methods, while our adaptive mitigation strategies reduce hallucination scores by an average of 24.5%. The approach requires no model retraining and can be integrated into existing LLM pipelines as a realtime verification mechanism.

Retrieval-Augmented Generation (RAG) systems have gained widespread adoption by application builders because they leverage sources of truth to enable Large Language Models (LLMs) to generate more factually sound responses. However, hallucinations, instances of LLM responses that are unfaithful to the provided context, often prevent these systems from being deployed in production environments. Current hallucination detection methods typically involve human evaluation or the use of closed-source models to review RAG system outputs for hallucinations. Both human evaluators and closed-source models suffer from scaling issues due to their high costs and slow inference speeds. In this work, we introduce a perturbed multi-hop QA dataset with induced hallucinations. Via supervised fine-tuning on our dataset, we achieve better recall with a 7B model than GPT-4o on the RAGTruth hallucination detection benchmark and offer competitive performance on precision and accuracy, all while using a fraction of the parameters. Code is released at our repository.

Multimodal foundation models are prone to hallucination, generating outputs that either contradict the input or are not grounded by factual information. Given the diversity in architectures, training data and instruction tuning techniques, there can be large variations in systems' susceptibility to hallucinations. To assess system hallucination robustness, hallucination ranking approaches have been developed for specific tasks such as image captioning, question answering, summarization, or biography generation. However, these approaches typically compare model outputs to gold-standard references or labels, limiting hallucination benchmarking for new domains. This work proposes "CrossCheckGPT", a reference-free universal hallucination ranking for multimodal foundation models. The core idea of CrossCheckGPT is that the same hallucinated content is unlikely to be generated by different independent systems, hence cross-system consistency can provide meaningful and accurate hallucination assessment scores. CrossCheckGPT can be applied to any model or task, provided that the information consistency between outputs can be measured through an appropriate distance metric. Focusing on multimodal large language models that generate text, we explore two information consistency measures: CrossCheck-explicit and CrossCheck-implicit. We showcase the applicability of our method for hallucination ranking across various modalities, namely the text, image, and audio-visual domains. Further, we propose the first audio-visual hallucination benchmark, "AVHalluBench", and illustrate the effectiveness of CrossCheckGPT, achieving correlations of 98% and 89% with human judgements on MHaluBench and AVHalluBench, respectively.

In this paper, we establish a benchmark named HalluQA (Chinese Hallucination Question-Answering) to measure the hallucination phenomenon in Chinese large language models. HalluQA contains 450 meticulously designed adversarial questions, spanning multiple domains, and takes into account Chinese historical culture, customs, and social phenomena. During the construction of HalluQA, we consider two types of hallucinations: imitative falsehoods and factual errors, and we construct adversarial samples based on GLM-130B and ChatGPT. For evaluation, we design an automated evaluation method using GPT-4 to judge whether a model output is hallucinated. We conduct extensive experiments on 24 large language models, including ERNIE-Bot, Baichuan2, ChatGLM, Qwen, SparkDesk and etc. Out of the 24 models, 18 achieved non-hallucination rates lower than 50%. This indicates that HalluQA is highly challenging. We analyze the primary types of hallucinations in different types of models and their causes. Additionally, we discuss which types of hallucinations should be prioritized for different types of models.

Hallucinations pose a significant challenge to the reliability of large vision-language models, making their detection essential for ensuring accuracy in critical applications. Current detection methods often rely on computationally intensive models, leading to high latency and resource demands. Their definitive outcomes also fail to account for real-world scenarios where the line between hallucinated and truthful information is unclear. To address these issues, we propose HalLoc, a dataset designed for efficient, probabilistic hallucination detection. It features 150K token-level annotated samples, including hallucination types, across Visual Question Answering (VQA), instruction-following, and image captioning tasks. This dataset facilitates the development of models that detect hallucinations with graded confidence, enabling more informed user interactions. Additionally, we introduce a baseline model trained on HalLoc, offering low-overhead, concurrent hallucination detection during generation. The model can be seamlessly integrated into existing VLMs, improving reliability while preserving efficiency. The prospect of a robust plug-and-play hallucination detection module opens new avenues for enhancing the trustworthiness of vision-language models in real-world applications. The HalLoc dataset and code are publicly available at: https://github.com/dbsltm/cvpr25_halloc.

Large language models (LLMs) can generate fluent natural language texts when given relevant documents as background context. This ability has attracted considerable interest in developing industry applications of LLMs. However, LLMs are prone to generate hallucinations that are not supported by the provided sources. In this paper, we propose a hierarchical framework to detect and mitigate such ungrounded hallucination. Our framework uses Chain of Natural Language Inference (CoNLI) for hallucination detection and hallucination reduction via post-editing. Our approach achieves state-of-the-art performance on hallucination detection and enhances text quality through rewrite, using LLMs without any fine-tuning or domain-specific prompt engineering. We show that this simple plug-and-play framework can serve as an effective choice for hallucination detection and reduction, achieving competitive performance across various contexts.

While large vision-language models (LVLMs) have demonstrated impressive capabilities in interpreting multi-modal contexts, they invariably suffer from object hallucinations (OH). We introduce HALC, a novel decoding algorithm designed to mitigate OH in LVLMs. HALC leverages distinct fine-grained optimal visual information in vision-language tasks and operates on both local and global contexts simultaneously. Specifically, HALC integrates a robust auto-focal grounding mechanism (locally) to correct hallucinated tokens on the fly, and a specialized beam search algorithm (globally) to significantly reduce OH while preserving text generation quality. Additionally, HALC can be integrated into any LVLMs as a plug-and-play module without extra training. Extensive experimental studies demonstrate the effectiveness of HALC in reducing OH, outperforming state-of-the-arts across four benchmarks.

Despite their impressive ability to generate high-quality and fluent text, generative large language models (LLMs) also produce hallucinations: statements that are misaligned with established world knowledge or provided input context. However, measuring hallucination can be challenging, as having humans verify model generations on-the-fly is both expensive and time-consuming. In this work, we release HALoGEN, a comprehensive hallucination benchmark consisting of: (1) 10,923 prompts for generative models spanning nine domains including programming, scientific attribution, and summarization, and (2) automatic high-precision verifiers for each use case that decompose LLM generations into atomic units, and verify each unit against a high-quality knowledge source. We use this framework to evaluate ~150,000 generations from 14 language models, finding that even the best-performing models are riddled with hallucinations (sometimes up to 86% of generated atomic facts depending on the domain). We further define a novel error classification for LLM hallucinations based on whether they likely stem from incorrect recollection of training data (Type A errors), or incorrect knowledge in training data (Type B errors), or are fabrication (Type C errors). We hope our framework provides a foundation to enable the principled study of why generative models hallucinate, and advances the development of trustworthy large language models.

Despite the remarkable ability of large vision-language models (LVLMs) in image comprehension, these models frequently generate plausible yet factually incorrect responses, a phenomenon known as hallucination.Recently, in large language models (LLMs), augmenting LLMs by retrieving information from external knowledge resources has been proven as a promising solution to mitigate hallucinations.However, the retrieval augmentation in LVLM significantly lags behind the widespread applications of LVLM. Moreover, when transferred to augmenting LVLMs, sometimes the hallucination degree of the model is even exacerbated.Motivated by the research gap and counter-intuitive phenomenon, we introduce a novel framework, the Active Retrieval-Augmented large vision-language model (ARA), specifically designed to address hallucinations by incorporating three critical dimensions: (i) dissecting the retrieval targets based on the inherent hierarchical structures of images. (ii) pinpointing the most effective retrieval methods and filtering out the reliable retrieval results. (iii) timing the retrieval process to coincide with episodes of low certainty, while circumventing unnecessary retrieval during periods of high certainty. To assess the capability of our proposed ARA model in reducing hallucination, we employ three widely used LVLM models (LLaVA-1.5, Qwen-VL, and mPLUG-Owl2) across four benchmarks. Our empirical observations suggest that by utilizing fitting retrieval mechanisms and timing the retrieval judiciously, we can effectively mitigate the hallucination problem. We hope that this study can provide deeper insights into how to adapt the retrieval augmentation to LVLMs for reducing hallucinations with more effective retrieval and minimal retrieval occurrences.

Object hallucination has been an Achilles' heel which hinders the broader applications of large vision-language models (LVLMs). Object hallucination refers to the phenomenon that the LVLMs claim non-existent objects in the image. To mitigate the object hallucinations, instruction tuning and external model-based detection methods have been proposed, which either require large-scare computational resources or depend on the detection result of external models. However, there remains an under-explored field to utilize the LVLM itself to alleviate object hallucinations. In this work, we adopt the intuition that the LVLM tends to respond logically consistently for existent objects but inconsistently for hallucinated objects. Therefore, we propose a Logical Closed Loop-based framework for Object Hallucination Detection and Mitigation, namely LogicCheckGPT. In specific, we devise logical consistency probing to raise questions with logical correlations, inquiring about attributes from objects and vice versa. Whether their responses can form a logical closed loop serves as an indicator of object hallucination. As a plug-and-play method, it can be seamlessly applied to all existing LVLMs. Comprehensive experiments conducted on three benchmarks across four LVLMs have demonstrated significant improvements brought by our method, indicating its effectiveness and generality.

Hallucination has emerged as a significant barrier to the effective application of Large Language Models (LLMs). In this work, we introduce a novel Attention-Guided SElf-Reflection (AGSER) approach for zero-shot hallucination detection in LLMs. The AGSER method utilizes attention contributions to categorize the input query into attentive and non-attentive queries. Each query is then processed separately through the LLMs, allowing us to compute consistency scores between the generated responses and the original answer. The difference between the two consistency scores serves as a hallucination estimator. In addition to its efficacy in detecting hallucinations, AGSER notably reduces computational overhead, requiring only three passes through the LLM and utilizing two sets of tokens. We have conducted extensive experiments with four widely-used LLMs across three different hallucination benchmarks, demonstrating that our approach significantly outperforms existing methods in zero-shot hallucination detection.

Quantifying the realism of images remains a challenging problem in the field of artificial intelligence. For example, an image of Albert Einstein holding a smartphone violates common-sense because modern smartphone were invented after Einstein's death. We introduce a novel method for assessing image realism using Large Vision-Language Models (LVLMs) and Natural Language Inference (NLI). Our approach is based on the premise that LVLMs may generate hallucinations when confronted with images that defy common sense. Using LVLM to extract atomic facts from these images, we obtain a mix of accurate facts and erroneous hallucinations. We proceed by calculating pairwise entailment scores among these facts, subsequently aggregating these values to yield a singular reality score. This process serves to identify contradictions between genuine facts and hallucinatory elements, signaling the presence of images that violate common sense. Our approach has achieved a new state-of-the-art performance in zero-shot mode on the WHOOPS! dataset.

Multimodal language models (MLMs) show promise for clinical decision support and diagnostic reasoning, raising the prospect of end-to-end automated medical image interpretation. However, clinicians are highly selective in adopting AI tools; a model that makes errors on seemingly simple perception tasks such as determining image orientation or identifying whether a CT scan is contrast-enhance are unlikely to be adopted for clinical tasks. We introduce Medblink, a benchmark designed to probe these models for such perceptual abilities. Medblink spans eight clinically meaningful tasks across multiple imaging modalities and anatomical regions, totaling 1,429 multiple-choice questions over 1,605 images. We evaluate 19 state-of-the-art MLMs, including general purpose (GPT4o, Claude 3.5 Sonnet) and domain specific (Med Flamingo, LLaVA Med, RadFM) models. While human annotators achieve 96.4% accuracy, the best-performing model reaches only 65%. These results show that current MLMs frequently fail at routine perceptual checks, suggesting the need to strengthen their visual grounding to support clinical adoption. Data is available on our project page.