Effects of Transcript Compression on LLM-based Medical Misinformation Detection in Japanese YouTube Videos

The study investigates how different transcript compression methods affect large language model (LLM) detection of medical misinformation in Japanese YouTube videos. Four input designs were compared: full transcripts, LLM-generated summaries, RAPTOR-based retrieval‑augmented generation (RAG), and a Screening approach that extracts candidate medical sentences. Results show that full transcripts yield the best classification accuracy, while all compressed inputs increase false negatives, with summaries causing the largest performance drop and Screening performing best among compressed methods yet still missing many relevant sentences. Linguistic analysis indicates that compression reduces affective, social, temporal, cognitive, and conversational cues, and increases the prominence of institutional and technical terms, thereby making fake videos appear more coherent and authoritative.

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• llms
• rag
• nlp