Topic · updated daily · RSS feed for this topic
Healthcare
Clinical AI, diagnostic bias, patient safety and medical-device regulation — the healthcare front of AI ethics, daily.
Going Headless? On the Boundaries of Vertical AI Firms
Vertical AI firms in accounting, law, healthcare, procurement, and similar domains historically bundled workflow, domain logic, and accountability into a single application. General-purpose AI agents are now unbundling that package, prompting founders and investors to advocate "going headless": cede the workflow and interface to agents and expose domain expertise as callable services. This article argues that going headless is correct for some firms and destructive for others, and that the latte
ECG-WM: A Physiology-Informed ECG World Model for Clinical Intervention Simulation
Electrocardiogram (ECG)-based models have achieved strong performance in diagnostic tasks, yet they remain limited in modeling how cardiac dynamics evolve under external interventions. In particular, existing approaches focus primarily on static prediction and lack mechanisms to capture ECG variations under different pharmacological conditions. In this work, we propose an ECG World Model for action-conditioned predictive simulation of cardiac electrophysiology. Moving beyond disjoint pipelines,
An Interpretable Closed-Loop Intelligent Tutoring System for Multimodal Affective Feedback in Asynchronous Presentation Training
This paper presents an interpretable closed-loop Intelligent Tutoring System (ITS) that supports feedback-guided practice for developing on-camera oral presentation skills at scale. The system operationalizes a seven-dimensional Behaviorally Anchored Rating Scale (BARS) and implements a three-layer interpretable feedback architecture that connects rubric-aligned multimodal scoring, audience-perceived expressive diagnostics, and retrieval-augmented conversational coaching to support deliberate pr
GCE-MIL: Faithful and Recoverable Evidence for Multiple Instance Learning in Whole-Slide Imaging
Multiple instance learning (MIL) is the standard approach for whole-slide image (WSI) classification and survival prediction, where attention-based models ag gregate patch features into slide-level predictions. These models treat attention weights as evidence for their predictions, but attention is optimized for classi fication, not for identifying which patches actually support the diagnosis. This conflation leads to three failures: selected patches are insufficient (keeping them alone drops Ma
CBT-Audio: Evaluating Audio Language Models for Patient-Side Distress Intensity Estimation in CBT Session Recordings
Cognitive behavioural therapy is widely used to help patients understand and manage psychological distress. It is often delivered through spoken conversation, where therapists attend not only to what patients say, but also to how they say it, because these cues can help therapists decide how to respond and adapt treatment. Progress in building AI systems for CBT remains largely limited to text, partly because most available datasets are text based and shareable spoken CBT data are scarce under e
Reasoning Before Diagnosis: Physician-Inspired Structured Thinking for ECG Classification
Electrocardiogram (ECG) diagnosis in clinical practice relies on structured reasoning over multiple hierarchical aspects, including cardiac rhythm, conduction properties, waveform morphology, and overall diagnostic impression. However, most existing approaches predict labels directly from ECG signals without explicit clinical reasoning, resulting in opaque decisions that lack clinical alignment. To bridge this gap, we propose CardioThink, a physician-inspired multimodal large language model (MLL
Systematic Evaluation of Vision Transformers for Automated Cervical Cancer Classification: Optimization, Statistical Validation, and Clinical Interpretability
Manual Pap smear analysis for cervical cancer screening is limited by inter-observer variability, time constraints, and restricted expert availability. Although convolutional neural networks (CNNs) have automated cervical cell classification, they remain limited in modeling long-range spatial dependencies and often lack clinical interpretability. In this study, Vision Transformer (ViT) architectures were systematically optimized to enhance automated cervical cancer screening, which resulted in i
Adversarial Fragility and Language Vulnerability in Clinical AI: A Systematic Audit of Diagnostic Collapse Under Imperceptible Perturbations and Cross-Lingual Drift in Low-Resource Healthcare Settings
Current clinical artificial intelligence (AI) systems are evaluated almost exclusively on clean, standardised, English-language inputs, conditions that do not reflect the realities of healthcare delivery in low-resource settings. This study presents the first systematic dual audit of two orthogonal safety vulnerabilities in clinical AI: adversarial image fragility and cross-lingual diagnostic drift. Using DenseNet121, the architecture underlying CheXNet, fine-tuned on the COVID-QU-Ex chest X-ray
Harnessing AI for Inverse Partial Differential Equation Problems: Past, Present, and Prospects
Solving inverse partial differential equation (PDE) problems is a fundamental topic in scientific research due to its broad significance across a wide range of real-world applications. Inverse PDE problems arise across medical imaging, geophysics, materials science, and aerodynamics, where the goal is to infer hidden causes, design structures, or control physical states. In this paper, we provide a comprehensive review of recent advances in solving inverse PDE problems using artificial intellige
From Static Risk to Dynamic Trajectories: Toward World-Model-Inspired Clinical Prediction
Clinical decision-making is a feedback system where risk estimates influence treatment, which in turn changes disease trajectories, and both shape clinicians' measurement practices. Static prediction often fails clinically: models trained on observational care logs conflate disease biology with clinician behavior, particularly under treatment confounder feedback and irregular or informative observation. This Review focuses on intervention-aware disease trajectory modeling in clinical AI--methods
To Call or Not to Call: Diagnosing Intrinsic Over-Calling Bias in LLM Agents
LLM agents exhibit a consistent tendency to over-call, invoking tools even in situations where none is needed. On the When2Call benchmark, six models from three families show high call accuracy but much lower no-call accuracy, leaving overall accuracy in the 55%-70% range. We trace this to an Intrinsic Bias Hypothesis (IBH): the call/no-call decision mapping carries an activation-independent call offset, so the model favors call even at activation parity. Using Sparse Autoencoders (SAEs), we rec
VolTA-3D: Self-Supervised Learning for Brain MRI using 3D Volumetric Token Alignment
Self-supervised learning (SSL) has advanced medical image analysis be enabling learning form large unlabelled data. However, in brain magnetic resonance imaging (MRI), most 3D models remain specialized for either segmentation of classification, limiting their ability to generalize across datasets, imaging protocols,, and downstream tasks. This lack of transferability constrains the clinical utility of 3D MRI models, despite the availability of unlabeled volumetric data. We present Volta-3D, a se
Fully Open Meditron: An Auditable Pipeline for Clinical LLMs
Clinical decision support systems (CDSS) require scrutable, auditable pipelines that enable rigorous, reproducible validation. Yet current LLM-based CDSS remain largely opaque. Most "open" models are open-weight only, releasing parameters while withholding the data provenance, curation procedures, and generation pipelines that determine model behavior. Fully Open (FO) models, which expose the complete training stack end-to-end, do not currently exist in medicine. We introduce Fully Open Meditron
BiomedAP: A Vision-Informed Dual-Anchor Framework with Gated Cross-Modal Fusion for Robust Medical Vision-Language Adaptation
Biomedical Vision--Language Models (VLMs) have shown remarkable promise in few-shot medical diagnosis but face a critical bottleneck: \textit{fragility to prompt variations}.Existing adaptation frameworks typically optimize visual and textual prompts as independent streams, relying on ideal ``Golden Prompts''. In clinical reality, where descriptions are often noisy and heterogeneous, this modality isolation leads to unstable cross-modal alignment. To address this, we propose BiomedAP, a vision-i
Avoiding Structural Failure Modes in Tabular Fair SSL: Online Primal-Dual Allocation under Confidence Gating
Semi-supervised learning (SSL) enables prediction with limited labels, but high-stakes tabular applications (medical, credit, recidivism) require statistical fairness guarantees. We identify a structural conflict in tabular fair SSL through a diagnostic stress test: under confidence-gated pseudo-labeling, moment-matching fairness regularizers can trigger two failure modes -- Masking Collapse (fairness erodes confidence, starving pseudo-labels) and Trivial Saturation (drift to constant predictors
Quantitative Video World Model Evaluation for Geometric-Consistency
Generative video models are increasingly studied as implicit world models, yet evaluating whether they produce physically plausible 3D structure and motion remains challenging. Most existing video evaluation pipelines rely heavily on human judgment or learned graders, which can be subjective and weakly diagnostic for geometric failures. We introduce PDI-Bench (Perspective Distortion Index), a quantitative framework for auditing geometric coherence in generated videos. Given a generated clip, we
Text Knows What, Tables Know When: Clinical Timeline Reconstruction via Retrieval-Augmented Multimodal Alignment
Reconstructing precise clinical timelines is essential for modeling patient trajectories and forecasting risk in complex, heterogeneous conditions like sepsis. While unstructured clinical narratives offer semantically rich and contextually complete descriptions of a patient's course, they often lack temporal precision and contain ambiguous event timing. Conversely, structured electronic health record (EHR) data provides precise temporal anchors but misses a substantial portion of clinically mean
BiFedKD: Bidirectional Federated Knowledge Distillation Framework for Non-IID and Long-Tailed ECG Monitoring
Electrocardiogram (ECG) monitoring in Internet of Medical Things (IoMT) networks is constrained by strict data-sharing regulations and privacy concerns. Federated learning (FL) enables collaborative learning by keeping raw ECG data on devices, but frequent transmissions of high-dimensional model updates incur heavy per-round traffic over bandwidth-limited links. To alleviate this bottleneck, federated distillation (FD) replaces parameter exchange with logit-based knowledge transfer. However, the
Vision-Core Guided Contrastive Learning for Balanced Multi-modal Prognosis Prediction of Stroke
Deep learning and multi-modal fusion have demonstrated transformative potential in medical diagnosis by integrating diverse data sources. However, accurate prognosis for ischemic stroke remains challenging due to limitations in existing multi-modal approaches. First, current methods are predominantly confined to dual-modal fusion, lacking a framework that effectively integrates the trifecta of medical images, structured clinical data, and unstructured text. Second, they often fail to establish d
Deepchecks: Evaluating Retrieval-Augmented Generation (RAG)
Large Language Models (LLMs) augmented with Retrieval-Augmented Generation (RAG) techniques are revolutionizing applications across multiple domains, such as healthcare, finance, and customer service. Despite their potential, evaluating RAG systems remains a complex challenge due to the stochastic nature of generated outputs and the intricate interplay between retrieval and generation components. This paper introduces Deepchecks, a comprehensive framework tailored for evaluating RAG applications
Reading the Cell, Designing the Cure: Perturbation-Conditioned Molecular Diffusion for Function-Oriented Drug Design
When reliable target structures are unavailable at scale or phenotypes arise from dysregulated pathways, transcriptomic perturbations provide a system-level functional readout for drug action. In this work, we formalize \emph{Transcriptome-based Drug Design (TBDD)} as a generative inverse problem: designing drug molecules conditioned on desired transcriptomic state transitions. We analyze the inherently ill-posed nature of this task, which is further complicated by the profound domain gap betwee
Fusion-fission forecasts when AI will shift to undesirable behavior
The key problem facing ChatGPT-like AI's use across society is that its behavior can shift, unnoticed, from desirable to undesirable -- encouraging self-harm, extremist acts, financial losses, or costly medical and military mistakes -- and no one can yet predict when. Shifts persist in even the newest AI models despite remarkable progress in AI modeling, post-training alignment and safeguards. Here we show that a vector generalization of fusion-fission group dynamics observed in living and activ
ProtoMedAgent: Multimodal Clinical Interpretability via Privacy-Aware Agentic Workflows
While interpretable prototype networks offer compelling case-based reasoning for clinical diagnostics, their raw continuous outputs lack the semantic structure required for medical documentation. Bridging this gap via standard Retrieval-Augmented Generation (RAG) routinely triggers ``retrieval sycophancy,'' where Large Language Models (LLMs) hallucinate post-hoc rationalizations to align with visual predictions. We introduce ProtoMedAgent, a framework that formalizes multimodal clinical reportin
SynVA: A Modular Toolkit for Vessel Generation and Aneurysm Editing
Intracranial aneurysms (IAs), characterized by unpredictable growth and risk of rupture, are a major cause of stroke and can lead to life-threatening hemorrhages with high mortality and long-term disability. With aging populations, the incidence and overall burden of cerebrovascular diseases are expected to increase, highlighting the need for scalable approaches to analyze complex medical data and improve population-level understanding of these conditions. While digital twins and deep learning o
Towards Unified Surgical Scene Understanding:Bridging Reasoning and Grounding via MLLMs
Surgical scene understanding is a cornerstone of computer-assisted intervention. While recent advances, particularly in surgical image segmentation, have driven progress, real-world clinical applications require a more holistic understanding that jointly captures procedural context, semantic reasoning, and precise visual grounding. However, existing approaches typically address these components in isolation, leading to fragmented representations and limited semantic consistency. To address this
VERA-MH: Validation of Ethical and Responsible AI in Mental Health
Chatbot usage has increased, including in fields for which they were never developed for--notably mental health support. To that end, we introduce Validations of Ethical and Responsible AI in Mental Health (VERA-MH), a novel clinically-validated evaluation for safety of chatbots in the context of mental health support. The first iteration of VERA-MH focuses on Suicidal Ideation (SI) risks, by assessing how well chatbots can responds to users that might be in crisis. VERA-MH is comprised of three
An Agentic LLM-Based Framework for Population-Scale Mental Health Screening
Mental health disorders affect millions worldwide, and healthcare systems are increasingly overwhelmed by the volume of clinical data generated from electronic records, telemedicine platforms, and population-level screening programs. At the same time, the emergence of novel AI-based approaches in healthcare calls for intelligent frameworks capable of processing domain-specific unstructured clinical information while adapting to patient-specific needs. This paper proposes an agentic framework for
The Growing Pains of Frontier Models: When Leaderboards Stop Separating and What to Measure Next
Leaderboards rank frontier models on independent axes but do not reveal whether capabilities reinforce or trade off across releases -- and at the frontier, this interaction is the more informative signal. We decompose paired SWE-bench and GPQA Diamond scores into a population coupling trend and per-release residual ($h$-field) that diagnoses capability emphasis from two public benchmark scores. Across 34 models from 10 labs (2024--2026), capabilities cooperate ($r = +0.72$, $p < 10^{-6}$), but c
Anatomy-Slot: Unsupervised Anatomical Factorization for Homologous Bilateral Reasoning in Retinal Diagnosis
Retinal diagnosis is inherently bilateral: clinicians compare homologous structures across eyes (e.g., optic disc asymmetry), yet most deep models operate on monocular representations. We investigate whether explicit structural correspondence improves diagnosis, and propose Anatomy-Slot to operationalize this hypothesis. Anatomy-Slot introduces an unsupervised anatomical bottleneck by decomposing patch tokens into a set of emergent, structurally-coherent slots that correspond to anatomical regio
EHR-RAGp: Retrieval-Augmented Prototype-Guided Foundation Model for Electronic Health Records
Electronic Health Records (EHR) contain rich longitudinal patient information and are widely used in predictive modeling applications. However, effectively leveraging historical data remains challenging due to long trajectories, heterogeneous events, temporal irregularity, and the varying relevance of past clinical context. Existing approaches often rely on fixed windows or uniform aggregation, which can obscure clinically important signals. In this work, we introduce EHR-RAGp, a retrieval-augme
To Whom Do Language Models Align? Measuring Principal Hierarchies Under High-Stakes Competing Demands
Language models deployed in high-stakes professional settings face conflicting demands from users, institutional authorities, and professional norms. How models act when these demands conflict reveals a principal hierarchy -- an implicit ordering over competing stakeholders that determines, for instance, whether a medical AI receiving a cost-reduction directive from a hospital administrator complies at the expense of evidence-based care, or refuses because professional standards require it. Acro
Symmetry in the Wild: The Role of Equivariance in Neural Fluid Surrogates
Neural surrogates enable orders-of-magnitude acceleration of computational fluid dynamics (CFD) simulations, with the potential to transform engineering and healthcare workflows. Neural surrogate use in real-world applications requires addressing scalability to large, high-resolution surface and volume meshes, as well as to bespoke architectures, and accounting for limited training data through the use of inductive biases. Group-equivariant architectures are a principled way to introduce such bi
EpiCastBench: Datasets and Benchmarks for Multivariate Epidemic Forecasting
The increasing adoption of data-driven decision-making in public health has established epidemic forecasting as a critical area of research. Recent advances in multivariate forecasting models better capture complex temporal dependencies than conventional univariate approaches, which model individual series independently. Despite this potential, the development of robust epidemic forecasting methods is constrained by the lack of high-quality benchmarks comprising diverse multivariate datasets acr
What Do EEG Foundation Models Capture from Human Brain Signals?
Clinical electroencephalogram (EEG) analysis rests on a hand-crafted feature catalog refined over decades, \emph{e.g.,} band power, connectivity, complexity, and more. Modern EEG foundation models bypass this catalog, learn directly from raw signals via self-supervised pretraining, and match or outperform feature-engineered baselines on most clinical benchmarks. Whether the two representations align is an open question, which we decompose into three sub-questions: \emph{what does the model learn
AcuityBench: Evaluating Clinical Acuity Identification and Uncertainty Alignment
We introduce AcuityBench, a benchmark for evaluating whether language models identify the appropriate urgency of care from user medical presentations. Existing health benchmarks emphasize medical question answering, broad health interactions, or narrow workflow-specific triage tasks, but they do not offer a unified evaluation of acuity identification across these settings. AcuityBench addresses this gap by harmonizing five public datasets spanning user conversations, online forum posts, clinical
Causal Fairness for Survival Analysis
In the data-driven era, large-scale datasets are routinely collected and analyzed using machine learning (ML) and artificial intelligence (AI) to inform decisions in high-stakes domains such as healthcare, employment, and criminal justice, raising concerns about the fairness behavior of these systems. Existing works in fair ML cover tasks such as bias detection, fair prediction, and fair decision-making, but largely focus on static settings. At the same time, fairness in temporal contexts, parti
Polyendocrine metabolic ovarian syndrome, the new name for polycystic ovary syndrome: a multistep global consensus process
Polyendocrine metabolic ovarian syndrome (PMOS), previously named polycystic ovary syndrome (PCOS), affects one in eight women. However, the term PCOS is inaccurate, implying pathological ovarian cysts, obscuring diverse endocrine and metabolic features, and contributing to delayed diagnosis, fragmented care, and stigma, while curtailing research and policy framing. Building on an international mandate for change, we outline an unprecedented, rigorous, multistep global consensus process for the
Rethinking external validation for the target population: Capturing patient-level similarity with a generative model
Background: External validation is essential for assessing the transportability of predictive models. However, its interpretation is often confounded by differences between external and development populations. This study introduces a framework to distinguish model deficiencies from case-mix effects. Method: We propose a framework that quantifies each external patient's similarity to the development data and measures performance in subgroups with varying levels of alignment to the development di
Clin-JEPA: A Multi-Phase Co-Training Framework for Joint-Embedding Predictive Pretraining on EHR Patient Trajectories
We present Clin-JEPA, a multi-phase co-training framework for joint-embedding predictive (JEPA) pretraining on EHR patient trajectories. JEPA architectures have enabled latent-space planning in robotics and high-quality representation learning in vision, but extending the paradigm to EHR data -- to obtain a single backbone that simultaneously forecasts patient trajectories and serves diverse downstream risk-prediction tasks without per-task fine-tuning -- remains an open challenge. Existing JEPA
CLEF: EEG Foundation Model for Learning Clinical Semantics
Clinical EEG interpretation requires reasoning over full EEG sessions and integrating signal patterns with clinical context. Existing EEG foundation models are largely designed for short-window decoding and do not incorporate clinical context. We introduce CLEF, a clinically grounded long-context EEG foundation model. CLEF represents EEG sessions as 3D multitaper spectrogram tokens, enabling tractable Transformer modeling at session scale, and aligns embeddings with neurologist reports and struc