Daily Papers

Recent advances in generative models, including large language models (LLMs), vision language models (VLMs), and diffusion models, have accelerated the field of natural language and image processing in medicine and marked a significant paradigm shift in how biomedical models can be developed and deployed. While these models are highly adaptable to new tasks, scaling and evaluating their usage presents new challenges not addressed in previous frameworks. In particular, the ability of these models to produce useful outputs with little to no specialized training data ("zero-" or "few-shot" approaches), as well as the open-ended nature of their outputs, necessitate the development of new guidelines for robust reporting of clinical generative model research. In response to gaps in standards and best practices for the development of clinical AI tools identified by US Executive Order 141103 and several emerging national networks for clinical AI evaluation, we begin to formalize some of these guidelines by building on the original MI-CLAIM checklist. The new checklist, MI-CLAIM-GEN (Table 1), aims to address differences in training, evaluation, interpretability, and reproducibility of new generative models compared to non-generative ("predictive") AI models. This MI-CLAIM-GEN checklist also seeks to clarify cohort selection reporting with unstructured clinical data and adds additional items on alignment with ethical standards for clinical AI research.

Artificial Intelligence (AI)-generated images have become increasingly realistic and readily adaptable to concrete real-world claims, creating new challenges for verifying visual evidence. A concrete emerging risk is AI-generated refund fraud, in which manipulated or synthetic images are used to support claims about damaged products, poor delivery conditions, or service-related defects. Existing AI-generated image detection benchmarks mainly evaluate standalone authenticity classification, cross-generator transfer, or forensic localization, leaving claim-conditioned fraudulent evidence detection underexplored. To bridge this gap, we introduce FraudBench, a multimodal benchmark for detecting AI-generated fraudulent refund evidence. FraudBench is constructed from real-world user-review evidence across e-commerce, food delivery, and travel-service scenarios. We curate real evidence images together with their associated review and product metadata, identify genuine damaged and undamaged evidence through MLLM-assisted filtering and human annotation, and synthesize fake-damaged evidence from genuine undamaged reference images using six state-of-the-art image editing and generation models. Using FraudBench, we evaluate MLLMs, specialized AI-generated image detectors, and human participants under the same settings. Experiments show that current MLLMs often recognize real-damaged evidence but fail on many fake-damaged subsets, with fake-damage detection rates (TPR) far below the 50% baseline on most generator subsets. Specialized detectors generally perform better but remain inconsistent across generators and can produce false positives on real-damaged samples, revealing a clear gap between generic AI image detection and reliable claim-conditioned refund-evidence verification.