Multimodal named entity recognition (MNER) determines whether each candidate span and entity-type hypothesis is supported by joint textual and visual evidence. Existing imagine-and-compare verifiers map each (span, type) pair to one predicted visual feature, compressing diverse visual realisations into a single prototype and providing a compatibility score without explicit probabilistic semantics. We introduce DiffImaginE, which formulates MNER type verification as conditional latent diffusion inference. Given span-localised visual evidence, a type-conditioned denoiser predicts noise injected into its standardised latent. The resulting denoising error provides an ELBO-consistent surrogate for type-conditional negative log-likelihood, allowing competing type hypotheses to be ranked by how well they explain the observation. DiffImaginE retains a standard multimodal encoder stack and replaces the deterministic verifier with a classifier-free-guided diffusion scorer trained using Min-SNR weighting. We directly supervise per-type diffusion scores as classification logits, learn aggregation across noise levels, and use antithetic sampling to reduce Monte Carlo comparison variance. Our analysis shows that classifier-free guidance sharpens the induced type posterior and characterises when antithetic pairing reduces variance at equal denoiser cost. Experiments on Twitter-2015 and Twitter-2017 show consistent gains over a matched deterministic ImaginE control under the same encoder, auxiliary objectives, and evaluation protocol, supported by ablations and paired significance tests.
Harry Rogers, Sally Shiels, Ashley Tomlinson +5cs.AI
Objective Structured Clinical Examinations (OSCEs) are the gold standard for assessing clinical competence, yet scoring remains vulnerable to examiner subjectivity, fatigue, and cognitive bias. Standard examiner validation via inter-rater statistics lacks explanatory power regarding the source of errors, as it neither analyzes examiner reasoning nor verifies examiner claims against actual events. Thus, we introduce Quality Action Assurance (QAA), a multimodal framework that verifies examiner claims in Virtual Reality (VR) pediatric OSCEs by comparing actions claimed by examiners against the true sequence of events, constructed from video, VR logs, and actor data. QAA combines a constrained temporal action alignment model, which performs action localization and actor source attribution, with a large language model that extracts examiner claims and checks them against the record. Across a 5-fold cross-validation, QAA achieves 99.2% $\pm$ 0.7% Actor F1 and 93.4% $\pm$ 1.9% W@16 for temporal alignment. Overall, QAA detects examiner errors with 70.0% precision and 76.7% recall, improving factual correctness from 39.2% to 79.2%, enabling fairer OSCE assessment.