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Supervised Fine-tuning with Synthetic Rationale Data Hurts Real-World Disease Prediction

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Supervised fine-tuning with synthetic rationale data is widely assumed to improve language model performance on clinical prediction tasks by teaching models not just what to predict but why. We test this assumption on five-year Alzheimer's disease and related dementias (ADRD) prediction from longitudinal health histories.

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arXiv Machine Learning
Sep 18

Pretrained Medical Representations for the Practical Screening of Drug Repositioning Candidates

The paper introduces a unified pre‑training framework for medical representations that incorporates hierarchical sub‑token aggregation, partial masking, and cross‑reference mechanisms to better capture the structure of medical codes. The resulting model outperforms existing BERT‑based approaches on pre‑training tasks and downstream clinical predictions, such as dementia onset and hospitalization. An in‑silico drug repositioning study for Alzheimer’s disease demonstrates the framework’s ability to rediscover known drugs and prioritize new hypotheses without external literature, establishing a workflow for hypothesis generation and prioritization based on observational data.

By Yuhei Fujioka, Daitaro Misawa, Shingo Fukuma
arXiv Machine Learning
Jul 28

Dementia Etiology Diagnosis via Collaborative Meta Knowledge Enhancement

arXiv:2607. 22770v1 Announce Type: new Abstract: Although artificial intelligence (AI) has shown promising performance in several medical tasks, accurate dementia etiology diagnosis with AI remains challenging due to complex overlapping symptoms among diseases.

By Siyuan Du, Mengxi Chen, Xinyang Jiang, Zilong Wang, Jiangchao Yao, Dongsheng Li, Ya Zhang, Lili Qiu, Yanfeng Wang
arXiv AI
Jul 15

From Critic to Confidence: PPO for Language-Based Quantitative Prediction with Confidence Estimation

arXiv:2607. 12687v1 Announce Type: cross Abstract: LLMs can perform language-based quantitative prediction from unstructured inputs, but remain susceptible to hallucinations and overconfident errors, making it critical to know not only what a model predicts, but when its predictions can be trusted.

By Mehak Dhaliwal, Rasta Tadayon, Andong Hua, Haewon Jeong, Yao Qin