The paper introduces Term2Note, a method for generating full-length clinical notes under differential privacy constraints. It separates content and form, conditioning note sections on medical terms and applying distinct DP protections to terms and notes, followed by a DP quality maximizer. Experiments show that the synthetic notes closely match real clinical notes in statistical properties, and models trained on them perform comparably to those trained on real data, outperforming existing DP text generation baselines.
By Yuping Wu, Viktor Schlegel, Warren Del-Pinto, Srinivasan Nandakumar, Iqra Zahid, Yidan Sun, Hai Li, Usama Farghaly Omar, Amirah Jasmine, Arun-Kumar Kaliya-Perumal, Chun Shen Tham, Gabriel Connors, Anil A Bharath, Goran Nenadic
arXiv:2601. 04641v2 Announce Type: replace-cross Abstract: The deployment of Machine-Generated Text (MGT) detection systems necessitates processing sensitive user data, creating a fundamental conflict between authorship verification and privacy preservation.
By Lionel Z. Wang, Yusheng Zhao, Jiabin Luo, Xinfeng Li, Lixu Wang, Yinan Peng, Haoyang Li, XiaoFeng Wang, Wei Dong
The paper introduces a style-aware paraphrasing method for text anonymization that leverages pretrained large language models to build compact stylistic profiles from minimal samples and rewrite text to suppress identifiable style markers while preserving meaning. It demonstrates that this approach reduces authorship attribution F1 scores by 60‑70% on blog and review datasets, outperforming both differential privacy‑based and non‑DP baselines, and maintains content quality and readability.
By Ahmed Sohair Khan, Estrid He, Monica Wachowicz, Elham Naghizade
Redakto is a new tool designed to anonymize text before it is processed by large language models (LLMs). It offers state‑of‑the‑art redaction of personally identifiable information (PII) and pseudonymization, accessible via a web interface, REST APIs, and model context protocol hooks. The authors evaluate its performance on legal and medical datasets, showing that anonymized texts retain utility comparable to the originals, enabling LLM tasks without significant loss of effectiveness.
By Saurav Kumar Saha, Tom R\"ohr, Felix Bie{\ss}mann
MedDeID is an on‑premises framework that combines in‑house annotation, synthetic‑note generation, model training, inference, pseudonymisation and evaluation to de‑identify clinical text. On a Dutch hospital benchmark, a hospital‑trained transformer detected 98.9 % of identifying text while redacting only 0.24 % of non‑identifier text; a synthetic‑only model achieved 96.1 %. In primary‑care notes, the synthetic‑trained model outperformed the hospital‑trained model in recall and robustness to identifier‑format changes, and an English version trained without real text reached 99.7 % and 98.9 % detection on synthetic benchmarks.
By Stig Hellemans, Tom Stroobants, Elyne Scheurwegs, Pieter Meysman, Philippe G. Jorens, Kris Laukens
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