arXiv AI

Context-Aware Classification and Grading of Sensitive Information in Online Conversational Health Data

arXiv AI
Jun 6

Evaluating the Utility of Personal Health Records in Personalized Health AI

arXiv:2605. 18937v2 Announce Type: replace Abstract: Patient-managed Personal Health Records (PHRs) promises to empower patients to better understand their health; but information in the record is complex, potentially hindering insights.

By Rory Sayres, Kejia Chen, Ayush Jain, Matthew Thompson, Jonathan Richina, Xiang Yin, Jimmy Hu, Fan Zhang, Bob Lou, Mike Sanchez, Ines Mezerreg, Meredith Schreier, Hamsa Subramaniam, I-Ching Lee, Yugang Jia, Daniel Mcduff, Yossi Matias, Avinatan Hassidim, Dale Webster, Yun Liu, Jackie Barr, Quang Duong
arXiv Computation and Language
Aug 25

Clinically Grounded Privacy Evaluation of Medical LMs

The paper introduces a clinically grounded privacy evaluation framework for medical language models, assessing leakage across a spectrum of adversarial access levels—from publicly inferable demographics to leaked note fragments. Using this framework on an LM pretrained on 378,000 clinical notes, the authors find that routine encounter metadata leads to high verbatim memorization and significant recovery of sensitive diagnoses (e.g., AUROC 0.91 for abortion, 0.82 for HIV). They also note that exact-match memorization can overstate disclosure, with 36% of memorized tokens being templated documentation, underscoring the risks of training on longitudinal clinical data and offering a reusable evaluation tool.

By Sasha Ronaghi, Sana Tonekaboni, Lena Stempfle, Vivian Utti, Jordan Li Cahoon, Nathaniel Hendrix, Ayin Vala, Marzyeh Ghassemi, Emily Alsentzer
arXiv AI
6d ago

AcuityBench: Evaluating Clinical Acuity Identification and Uncertainty Alignment

AcuityBench is a new benchmark that tests whether language models can correctly identify the urgency of medical care needed from user presentations. It unifies five public datasets—user conversations, online forum posts, clinical vignettes, and patient portal messages—under a shared four-level acuity framework, providing 914 cases for evaluation. The benchmark supports both explicit four-way classification and free-form conversational responses, revealing that models vary widely in accuracy and that conversational formats reduce over-triage but increase under-triage, especially for high-acuity cases.

By Robin Linzmayer (Department of Computer Science, Columbia University, Department of Biomedical Informatics, Columbia University), Georgianna Lin (Department of Biomedical Informatics, Columbia University), Di Coneybeare (Department of Emergency Medicine, Columbia University Irving Medical Center), Jason Chu (Department of Emergency Medicine, Columbia University Irving Medical Center), Trudi Cloyd (Department of Emergency Medicine, Columbia University Irving Medical Center), Manish Garg (Department of Emergency Medicine, Columbia University Irving Medical Center), Miles Gordon (Department of Emergency Medicine, Columbia University Irving Medical Center), Elizabeth Hartofilis (Department of Emergency Medicine, Columbia University Irving Medical Center), Benjamin Hong (Department of Emergency Medicine, Columbia University Irving Medical Center), Ashraf Hussain (Department of Emergency Medicine, Columbia University Irving Medical Center), Eugene Y. Kim (Department of Emergency Medicine, Columbia University Irving Medical Center), Oluchi Iheagwara King (Department of Emergency Medicine, Columbia University Irving Medical Center), Ross McCormack (Department of Emergency Medicine, Columbia University Irving Medical Center), Erica Olsen (Department of Emergency Medicine, Columbia University Irving Medical Center), John K. Riggins Jr (Department of Emergency Medicine, Columbia University Irving Medical Center), Mustafa N. Rasheed (Department of Emergency Medicine, Columbia University Irving Medical Center), Dana L. Sacco (Department of Emergency Medicine, Columbia University Irving Medical Center), Vinay Saggar (Department of Emergency Medicine, Columbia University Irving Medical Center), Osman R. Sayan (Department of Emergency Medicine, Columbia University Irving Medical Center), Amit Shembekar (Department of Emergency Medicine, Columbia University Irving Medical Center), Janice Shin-Kim (Department of Emergency Medicine, Columbia University Irving Medical Center), Wendy W. Sun (Department of Emergency Medicine, Columbia University Irving Medical Center), Bernard P. Chang (Department of Emergency Medicine, Columbia University Irving Medical Center), David Kessler (Department of Emergency Medicine, Columbia University Irving Medical Center), No\'emie Elhadad (Department of Computer Science, Columbia University, Department of Biomedical Informatics, Columbia University)
arXiv Machine Learning
Aug 12

Automated Data Enrichment using Confidence-Aware Fine-Grained Debate among Open-Source LLMs for Mental Health and Online Safety

arXiv:2512. 06227v3 Announce Type: replace-cross Abstract: Real-world indicators play an important role in many Natural Language Processing (NLP) applications, such as life events for mental health analysis and risky behaviours for online safety, yet labelling such information is often costly and/or difficult due to its multi-label and dynamic nature.

By Junyu Mao, Anthony Hills, Talia Tseriotou, Maria Liakata, Aya Shamir, Dan Sayda, Dana Atzil-Slonim, Natalie Djohari, Pamela Ugwudike, Mahesan Niranjan, Stuart E. Middleton
arXiv Computation and Language
Sep 22

ReLay: Personalized LLM-Generated Plain-Language Summaries for Better Understanding, but at What Cost?

arXiv:2605.00468v2 Announce Type: replace Abstract: Plain Language Summaries (PLS) aim to make research accessible to lay readers, but they are typically written in a one-size-fits-all style that ign...

By Joey Chan, Yikun Han, Jingyuan Chen, Samuel Fang, Lauren D. Gryboski, Alexandra Lee, Sheel Tanna, Qingqing Zhu, Zhiyong Lu, Lucy Lu Wang, Yue Guo
arXiv AI
Sep 4

MIRA: A Bilingual Benchmark for Medical Information Response Audit

MIRA is a bilingual benchmark that evaluates whether large language models (LLMs) provide consistent medical information across different user phrasings, languages, and health literacy levels. It contains 4,320 prompts derived from 60 medically reviewed low‑risk health questions and reveals that models tend to omit key information and offer fewer concrete next steps when responding to low health‑literacy signals, a phenomenon termed Differential Information Dilution (DID). A knowledge‑guided mitigation prompt can reduce this dilution for most models, notably improving Claude and Qwen.

By Mengyu Xu, Qiaoxin Yang, Qianqian Wang, Xiwei Dai, Weiyi Wu, Chongyang Gao