arXiv AI

Making Clinical Language Models Auditable: Concept-Guided Fine-Tuning for Robust Prediction

The paper introduces CAST, a concept-guided artifact suppression tuning framework that uses sparse autoencoders to identify and suppress note-specific artifacts in clinical language models. CAST labels latent features with an LLM-assisted pipeline and ICD‑10 constraints, then fine‑tunes the model while providing post‑hoc per‑concept attributions for auditability. In experiments on MIMIC‑IV discharge‑note mortality prediction, CAST outperforms standard fine‑tuned encoders and competes with strong LLM baselines while offering a feature‑level audit trail of clinical concepts and suppressed artifacts.

arXiv Machine Learning
Sep 25

Language Specificity vs. Domain Diversity: Benchmarking Transformers for Bangla Medical NER

This study benchmarks transformer models for Bangla medical named entity recognition (NER), comparing BanglaBERT, multilingual BERT (mBERT), XLM‑RoBERTa, and GPT‑4o mini under zero‑shot and few‑shot prompting. Across a full test set of 3,179 samples, fine‑tuned XLM‑RoBERTa achieves a new state‑of‑the‑art F1‑score of 0.5959, while BanglaBERT lags with 0.4937, suggesting that domain diversity outweighs language specificity. The analysis shows high performance on Medicine and Specialist entities (F1 > 0.83) but lower accuracy on Symptoms (F1 0.4367), and demonstrates that fine‑tuned transformers outperform prompt‑only approaches by a factor of 3.76.

By Rakib Abdullah, Md. Maruful Islam Maruf
arXiv AI
Jun 30

Primary ICD Category Prediction using LLM-based Probing

arXiv:2606. 28798v1 Announce Type: new Abstract: Objective: ICD codes are central to reimbursement, research, and population health surveillance, yet automated coding systems often struggle to integrate diagnostic signals from both clinical narratives and structured electronic health record (EHR) variables.

By Chengyuan Liu, Xinyue Zhang, Yao Li, Guanting Chen
arXiv Machine Learning
Jul 20

LLM4EHR: Aligning Clinical Time Series with Medical Event Sequences via Large Language Models

arXiv:2607. 15447v1 Announce Type: new Abstract: Recent research in clinical machine learning, focusing on outcome predictions in intensive care unit (ICU), has shifted from bespoke supervised models to foundation models, utilising modern representation learning methods.

By Jingteng Li, Alexander Capstick, Louise Rigny, Iona Biggart, Neil J Sebire, Payam Barnaghi
arXiv Computer Vision
Aug 25

An end-to-end-trained vision-language model for native-language prostate pathology report generation

An end-to-end-trained vision-language model generates prostate biopsy reports in native languages, demonstrated in German. The system uses a tokenizer and model trained from scratch and an automated pipeline that splits composite reports into image-text pairs, producing 17,344 pairs from 2,402 cases without manual annotation. Evaluated on clinical attributes, it achieves 96.2% F1 for malignancy detection and 65.2% for Gleason grading, comparable to an FDA-cleared classifier and validated on external cohorts.

By Christian Grashei, Fabian G\"ulhan, Maximilian Legnar, Fabian St\"ogbauer, Cleo-Aron Weis, Carolin Mogler, Peter Sch\"uffler
arXiv Machine Learning
Sep 10

Where Does the Signal Live? A Web Data Recipe for Medical Encoder Pretraining

The paper introduces a web‑data curation recipe for pretraining medical encoders, addressing the scarcity of large, diverse corpora in dense‑terminology domains like medicine. It proposes two complementary techniques: medical‑term density filtering to select documents rich in medical terminology, and signal‑amplifying rephrasing that uses an LLM to rewrite documents into denser variants with broader entity contexts. Applied to French medical NLP, the recipe produces the FineMed corpus and the DoctoBERT encoder family, achieving state‑of‑the‑art results on the DrBenchmark public benchmark and a proprietary clinical NER task.

By Bofeng Huang, Jacques Sun, Diane Bouchacourt, Nicolas Barascud, Fajwel Fogel
Hugging Face Trending Papers
Aug 17

Toward Better Assessment of LLMs' Performance in Clinical Error Detection

Automated detection of errors in clinical documentation is a promising application of large language models (LLMs), yet decisions to deploy such models rest on benchmarks that evaluate each clinical note in isolation. Error-detection benchmarks are typically constructed by injecting errors into notes, such that each erroneous note has a natural counterpart.

arXiv Machine Learning
Sep 7

SharedSAE: One Feature Dictionary Across Language Models

SharedSAE demonstrates that a single sparse autoencoder can replace multiple model‑specific SAEs by using a shared dictionary with model‑specific encoder‑decoder pairs. It preserves activation magnitudes, normalizes only selection scores, and supports single‑model inference via model dropout. Trained on four 1B‑scale language models, SharedSAE retains 96.6% of the mean explained variance of dedicated SAEs, shows higher cross‑model latent correlations, and allows efficient adaptation of new models to the shared latent space.

By Daniil Ognev, C\'elian Vasson, Lijie Hu, Kentaro Inui, Benjamin Heinzerling