We present our approach to the PerAnsSumm Shared Task, which involves perspective span identification and perspective-aware summarization in community question-answering (CQA) threads. For span identification, we adopt ensemble learning that integrates three transformer models through averaging to exploit individual model strengths, achieving an 82.91% F1-score on test data. For summarization, we design a suite of Chain-of-Thought (CoT) prompting strategies that incorporate keyphrases and guide information to structure summary generation into manageable steps. To further enhance summary quality, we apply prompt optimization using the DSPy framework and supervised fine-tuning (SFT) on Llama-3 to adapt the model to domain-specific data. Experimental results on validation and test sets show that structured prompts with keyphrases and guidance improve summaries aligned with references, while the combination of prompt optimization and fine-tuning together yields significant improvement in both relevance and factuality evaluation metrics.

Automatically generated radiology reports often receive high scores from existing evaluation metrics but fail to earn clinicians’ trust. This gap reveals fundamental flaws in how current metrics assess the quality of generated reports. We rethink the design and evaluation of these metrics and propose a clinically grounded Meta-Evaluation framework. We define clinically grounded criteria spanning clinical alignment and key metric capabilities, including discrimination, robustness, and monotonicity. Using a fine-grained dataset of ground truth and rewritten report pairs annotated with error types, clinical significance labels, and explanations, we systematically evaluate existing metrics and reveal their limitations in interpreting clinical semantics, such as failing to distinguish clinically significant errors, over-penalizing harmless variations, and lacking consistency across error severity levels. Our framework offers guidance for building more clinically reliable evaluation methods.

Although large language models (LLMs) excel in various text classification tasks, regular prompting strategies (e.g., few-shot prompting) do not work well with dementia detection via picture description. The challenge lies in the language marks for dementia are unclear, and LLM may struggle with relating its internal knowledge to dementia detection. In this paper, we present an accurate and interpretable classification approach by Adversarial Text Generation (ATG), a novel decoding strategy that could relate dementia detection with other tasks. We further develop a comprehensive set of instructions corresponding to various tasks and use them to guide ATG, achieving the best accuracy of 85%, >10% improvement compared to the regular prompting strategies. In addition, we introduce feature context, a human-understandable text that reveals the underlying features of LLM used for classifying dementia. From feature contexts, we found that dementia detection can be related to tasks such as assessing attention to detail, language, and clarity with specific features of the environment, character, and other picture content or language-related features. Future work includes incorporating multi-modal LLMs to interpret speech and picture information.