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Healthcare

Clinical AI, diagnostic bias, patient safety and medical-device regulation — the healthcare front of AI ethics, daily.

CAFP: A Post-Processing Framework for Group Fairness via Counterfactual Model Averaging

Ensuring fairness in machine learning predictions is a critical challenge, especially when models are deployed in sensitive domains such as credit scoring, healthcare, and criminal justice. While many fairness interventions rely on data preprocessing or algorithmic constraints during training, these approaches often require full control over the model architecture and access to protected attribute information, which may not be feasible in real-world systems. In this paper, we propose Counterfact
arXiv 114d ago Research Bias & fairnessHealthcare

Towards Privacy-Preserving Large Language Model: Text-free Inference Through Alignment and Adaptation

Current LLM-based services typically require users to submit raw text regardless of its sensitivity. While intuitive, such practice introduces substantial privacy risks, as unauthorized access may expose personal, medical, or legal information. Although prior defenses strived to mitigate these risks, they often incur substantial computational overhead and degrade model performance. To overcome this privacy-efficiency trade-off, we introduce Privacy-Preserving Fine-Tuning (PPFT), a novel training
arXiv 114d ago Research Safety & alignmentPrivacy

Decisions and Deployment: The Five-Year SAHELI Project (2020-2025) on Restless Multi-Armed Bandits for Improving Maternal and Child Health

Maternal and child health is a critical concern around the world. In many global health programs disseminating preventive care and health information, limited healthcare worker resources prevent continuous, personalised engagement with vulnerable beneficiaries. In such scenarios, it becomes crucial to optimally schedule limited live-service resources to maximise long-term engagement. To address this fundamental challenge, the multi-year SAHELI project (2020-2025), in collaboration with partner N
arXiv 115d ago Research HealthcareChildren & education

Evaluating Intersectional Fairness across Clinical Machine Learning Use Cases using Fairlogue and the All of Us Research Program

Intersectional biases in healthcare data can produce compound disparities in clinical machine learning models, yet most fairness evaluations assess demographic attributes independently. FairLogue, a toolkit for intersectional fairness auditing, was applied across multiple clinical prediction tasks to evaluate disparities across combined demographic groups. Using the All of Us dataset, two published models were selected for replication and evaluation: (A) prediction of selective serotonin reuptak
arXiv 115d ago Research Bias & fairnessHealthcare

MO-RiskVAE: A Multi-Omics Variational Autoencoder for Survival Risk Modeling in Multiple MyelomaMO-RiskVAE

Multimodal variational autoencoders (VAEs) have emerged as a powerful framework for survival risk modeling in multiple myeloma by integrating heterogeneous omics and clinical data. However, when trained under survival supervision, standard latent regularization strategies often fail to preserve prognostically relevant variation, leading to unstable or overly constrained representations. Despite numerous proposed variants, it remains unclear which aspects of latent design fundamentally govern per
arXiv 116d ago Research Healthcare

From Retinal Evidence to Safe Decisions: RETINA-SAFE and ECRT for Hallucination Risk Triage in Medical LLMs

Hallucinations in medical large language models (LLMs) remain a safety-critical issue, particularly when available evidence is insufficient or conflicting. We study this problem in diabetic retinopathy (DR) decision settings and introduce RETINA-SAFE, an evidence-grounded benchmark aligned with retinal grading records, comprising 12,522 samples. RETINA-SAFE is organized into three evidence-relation tasks: E-Align (evidence-consistent), E-Conflict (evidence-conflicting), and E-Gap (evidence-insuf
arXiv 116d ago Research Healthcare

From Exposure to Internalization: Dual-Stream Calibration for In-context Clinical Reasoning

Contextual clinical reasoning demands robust inference grounded in complex, heterogeneous clinical records. While state-of-the-art fine-tuning, in-context learning (ICL), and retrieval-augmented generation (RAG) enable knowledge exposure, they often fall short of genuine contextual internalization: dynamically adjusting a model's internal representations to the subtle nuances of individual cases at inference time. To address this, we propose Dual-Stream Calibration (DSC), a test-time training fr
arXiv 116d ago Research Healthcare

Uncertainty-Guided Latent Diagnostic Trajectory Learning for Sequential Clinical Diagnosis

Clinical diagnosis requires sequential evidence acquisition under uncertainty. However, most Large Language Model (LLM) based diagnostic systems assume fully observed patient information and therefore do not explicitly model how clinical evidence should be sequentially acquired over time. Even when diagnosis is formulated as a sequential decision process, it is still challenging to learn effective diagnostic trajectories. This is because the space of possible evidence-acquisition paths is relati
arXiv 116d ago Research Healthcare

Simultaneous Dual-View Mammogram Synthesis Using Denoising Diffusion Probabilistic Models

Breast cancer screening relies heavily on mammography, where the craniocaudal (CC) and mediolateral oblique (MLO) views provide complementary information for diagnosis. However, many datasets lack complete paired views, limiting the development of algorithms that depend on cross-view consistency. To address this gap, we propose a three-channel denoising diffusion probabilistic model capable of simultaneously generating CC and MLO views of a single breast. In this configuration, the two mammograp
arXiv 116d ago Research Healthcare

Design Guidelines for Game-Based Refresher Training of Community Health Workers in Low-Resource Contexts

Community Health Workers (CHWs) play a critical role in delivering primary healthcare services in low-resource settings, yet sustaining their training and performance remains a persistent challenge. Prior research has explored digital and game-based approaches for CHW training. However, limited work has synthesized longitudinal design insights into generalizable guidelines for interactive health interventions. Building on a four-year design-based research program involving multiple game-based re
arXiv 116d ago Research Healthcare

A Clinical Point Cloud Paradigm for In-Hospital Mortality Prediction from Multi-Level Incomplete Multimodal EHRs

Deep learning-based modeling of multimodal Electronic Health Records (EHRs) has become an important approach for clinical diagnosis and risk prediction. However, due to diverse clinical workflows and privacy constraints, raw EHRs are inherently multi-level incomplete, including irregular sampling, missing modalities, and sparse labels. These issues cause temporal misalignment, modality imbalance, and limited supervision. Most existing multimodal methods assume relatively complete data, and even
arXiv 116d ago Research Safety & alignmentPrivacy

AI Agents Under EU Law

AI agents - i.e. AI systems that autonomously plan, invoke external tools, and execute multi-step action chains with reduced human involvement - are being deployed at scale across enterprise functions ranging from customer service and recruitment to clinical decision support and critical infrastructure management. The EU AI Act (Regulation 2024/1689) regulates these systems through a risk-based framework, but it does not operate in isolation: providers face simultaneous obligations under the GDP
arXiv 116d ago Research RegulationHealthcare

Ruling Out to Rule In: Contrastive Hypothesis Retrieval for Medical Question Answering

Retrieval-augmented generation (RAG) grounds large language models in external medical knowledge, yet standard retrievers frequently surface hard negatives that are semantically close to the query but describe clinically distinct conditions. While existing query-expansion methods improve query representation to mitigate ambiguity, they typically focus on enriching target-relevant semantics without an explicit mechanism to selectively suppress specific, clinically plausible hard negatives. This l
arXiv 116d ago Research Healthcare

Temporal Inversion for Learning Interval Change in Chest X-Rays

Recent advances in vision--language pretraining have enabled strong medical foundation models, yet most analyze radiographs in isolation, overlooking the key clinical task of comparing prior and current images to assess interval change. For chest radiographs (CXRs), capturing interval change is essential, as radiologists must evaluate not only the static appearance of findings but also how they evolve over time. We introduce TILA (Temporal Inversion-aware Learning and Alignment), a simple yet ef
arXiv 116d ago Research Safety & alignmentHealthcare

Boosted Distributional Reinforcement Learning: Analysis and Healthcare Applications

Researchers and practitioners are increasingly considering reinforcement learning to optimize decisions in complex domains like robotics and healthcare. To date, these efforts have largely utilized expectation-based learning. However, relying on expectation-focused objectives may be insufficient for making consistent decisions in highly uncertain situations involving multiple heterogeneous groups. While distributional reinforcement learning algorithms have been introduced to model the full distr
arXiv 117d ago Research HealthcareAgents & autonomy

PRIME: Prototype-Driven Multimodal Pretraining for Cancer Prognosis with Missing Modalities

Multimodal self-supervised pretraining offers a promising route to cancer prognosis by integrating histopathology whole-slide images, gene expression, and pathology reports, yet most existing approaches require fully paired and complete inputs. In practice, clinical cohorts are fragmented and often miss one or more modalities, limiting both supervised fusion and scalable multimodal pretraining. We propose PRIME, a missing-aware multimodal self-supervised pretraining framework that learns robust
arXiv 117d ago Research Healthcare

Learning Robust Visual Features in Computed Tomography Enables Efficient Transfer Learning for Clinical Tasks

There is substantial interest in developing artificial intelligence systems to support radiologists across tasks ranging from segmentation to report generation. Existing computed tomography (CT) foundation models have largely focused on building generalist vision-language systems capable of tasks such as question answering and report generation. However, training reliable vision-language systems requires paired image-text data at a scale that remains unavailable in CT. Moreover, adapting the und
arXiv 117d ago Research Healthcare

Safety, Security, and Cognitive Risks in State-Space Models: A Systematic Threat Analysis with Spectral, Stateful, and Capacity Attacks

State-Space Models (SSMs) -- structured SSMs (S4, S4D, DSS, S5), selective SSMs (Mamba, Mamba-2), and hybrid architectures (Jamba) -- are deployed in safety-critical long-context applications: genomic analysis, clinical time-series forecasting, and cybersecurity log processing. Their linear-time scaling is compelling, yet the security properties of their compressed-state recurrent architectures remain unstudied. We present the first systematic treatment of SSM safety, security, and cognitive ris
arXiv 118d ago Research HealthcareBiotech

RDFace: A Benchmark Dataset for Rare Disease Facial Image Analysis under Extreme Data Scarcity and Phenotype-Aware Synthetic Generation

Rare diseases often manifest with distinctive facial phenotypes in children, offering valuable diagnostic cues for clinicians and AI-assisted screening systems. However, progress in this field is severely limited by the scarcity of curated, ethically sourced facial data and the high similarity among phenotypes across different conditions. To address these challenges, we introduce RDFace, a curated benchmark dataset comprising 456 pediatric facial images spanning 103 rare genetic conditions (aver
arXiv 119d ago Research HealthcareChildren & education

A Scoping Review of LLM-as-a-Judge in Healthcare and the MedJUDGE Framework

As large language models (LLMs) increasingly generate and process clinical text, scalable evaluation has become critical. LLM-as-a-Judge (LaaJ), which uses LLMs to evaluate model outputs, offers a scalable alternative to costly expert review, but its healthcare adoption raises safety and bias concerns. We conducted a PRISMA-ScR scoping review of six databases (January 2020-January 2026), screening 11,727 studies and including 49. The landscape was dominated by evaluation and benchmarking applica
arXiv 119d ago Research Bias & fairnessHealthcare

Bridging scalp and intracranial EEG in BCI via pretrained neural representations and geometric constraint embedding

Electroencephalography (EEG) has become one of the key modalities underpinning brain-computer interfaces (BCIs) due to its high temporal resolution, rapid responsiveness, non-invasiveness, low cost, and portability. However, EEG signals are substantially inferior to intracranial EEG (iEEG) in signal-to-noise ratio and local spatial resolution, whereas iEEG suffers from extremely limited clinical accessibility owing to its invasive nature, hindering widespread application. To address this challen
arXiv 119d ago Research Healthcare

Eligibility-Aware Evidence Synthesis: An Agentic Framework for Clinical Trial Meta-Analysis

Clinical evidence synthesis requires identifying relevant trials from large registries and aggregating results that account for population differences. While recent LLM-based approaches have automated components of systematic review, they do not support end-to-end evidence synthesis. Moreover, conventional meta-analysis weights studies by statistical precision without considering clinical compatibility reflected in eligibility criteria. We propose EligMeta, an agentic framework that integrates a
arXiv 120d ago Research HealthcareAgents & autonomy

Abnormal Head Movements in Neurological Conditions: A Knowledge-Based Dataset with Application to Cervical Dystonia

Abnormal head movements (AHMs) manifest across a broad spectrum of neurological disorders; however, the absence of a multi-condition resource integrating kinematic measurements, clinical severity scores, and patient demographics constitutes a persistent barrier to the development of AI-driven diagnostic tools. To address this gap, this study introduces NeuroPose-AHM, a knowledge-based dataset of neurologically induced AHMs constructed through a multi-LLM extraction framework applied to 1,430 pee
arXiv 120d ago Research Healthcare

Retrieval-aligned Tabular Foundation Models Enable Robust Clinical Risk Prediction in Electronic Health Records Under Real-world Constraints

Clinical prediction from structured electronic health records (EHRs) is challenging due to high dimensionality, heterogeneity, class imbalance, and distribution shift. While tabular in-context learning (TICL) and retrieval-augmented methods perform well on generic benchmarks, their behavior in clinical settings remains unclear. We present a multi-cohort EHR benchmark comparing classical, deep tabular, and TICL models across varying data scale, feature dimensionality, outcome rarity, and cross-co
arXiv 120d ago Research Healthcare

MolClaw: An Autonomous Agent with Hierarchical Skills for Drug Molecule Evaluation, Screening, and Optimization

Computational drug discovery, particularly the complex workflows of drug molecule screening and optimization, requires orchestrating dozens of specialized tools in multi-step workflows, yet current AI agents struggle to maintain robust performance and consistently underperform in these high-complexity scenarios. Here we present MolClaw, an autonomous agent that leads drug molecule evaluation, screening, and optimization. It unifies over 30 specialized domain resources through a three-tier hierar
arXiv 120d ago Research HealthcareAgents & autonomy

LiteInception: A Lightweight and Interpretable Deep Learning Framework for General Aviation Fault Diagnosis

General aviation fault diagnosis and efficient maintenance are critical to flight safety; however, deploying deep learning models on resource-constrained edge devices poses dual challenges in computational capacity and interpretability. This paper proposes LiteInception--a lightweight interpretable fault diagnosis framework designed for edge deployment. The framework adopts a two-stage cascaded architecture aligned with standard maintenance workflows: Stage 1 performs high-recall fault detection
arXiv 120d ago Research Safety & alignmentHealthcare

Ontology-Aware Design Patterns for Clinical AI Systems: Translating Reification Theory into Software Architecture

Clinical AI systems routinely train on health data structurally distorted by documentation workflows, billing incentives, and terminology fragmentation. Prior work has characterised the mechanisms of this distortion: the three-forces model of documentary enactment, the reification feedback loop through which AI may amplify coding artefacts, and terminology governance failures that allow semantic drift to accumulate. Yet translating these insights into implementable software architecture remains
arXiv 120d ago Research RegulationHealthcare

RIFT: A RubrIc Failure Mode Taxonomy and Automated Diagnostics

Rubric-based evaluation is widely used in LLM benchmarks and training pipelines for open-ended, less verifiable tasks. While prior work has demonstrated the effectiveness of rubrics using downstream signals such as reinforcement learning outcomes, there remains no principled way to diagnose how a rubric itself fails from such aggregated or downstream signals alone. To address this gap, we introduce RIFT: RubrIc Failure mode Taxonomy, a taxonomy for systematically characterizing failure modes in
arXiv 121d ago Research Healthcare

Video-based Social Interaction Behavior Analysis with the Simulated Interaction Task for Children (Kids-SIT)

Accurately quantifying children's social interaction behavior is part of understanding their cognitive and emotional development, as well as mental health conditions. Kids-SIT is a web-based tool designed to computationally analyse children's behaviors by engaging them in a standardized video conversation while their responses are video recorded. In a pre-registered study with 21 healthy children and 12 children diagnosed with social anxiety disorder (SAD), aged 9-14 years, we assess its potenti
arXiv 121d ago Research HealthcareChildren & education

BioCOMPASS: Integrating Biomarkers into Transformer-Based Immunotherapy Response Prediction

Datasets used in immunotherapy response prediction are typically small in size, as well as diverse in cancer type, drug administered, and sequencer used. Models often drop in performance when tested on patient cohorts that are not included in the training process. Recent work has shown that transformer-based models along with self-supervised learning show better generalisation performance than threshold-based biomarkers, but is still suboptimal. We present BioCOMPASS, an extension of a transform
arXiv 121d ago Research Healthcare

Improving Generalization of Deep Learning for Brain Metastases Segmentation Across Institutions

Background: Deep learning has demonstrated significant potential for automated brain metastases (BM) segmentation; however, models trained at a singular institution often exhibit suboptimal performance at various sites due to disparities in scanner hardware, imaging protocols, and patient demographics. The goal of this work is to create a domain adaptation framework that will allow for BM segmentation to be used across multiple institutions. Methods: We propose a VAE-MMD preprocessing pipeline t
arXiv 122d ago Research Healthcare

Beyond Symbolic Control: Societal Consequences of AI-Driven Workforce Displacement and the Imperative for Genuine Human Oversight Architectures

The accelerating displacement of human labor by artificial intelligence (AI) and robotic systems represents a structural transformation whose societal consequences extend far beyond conventional labor market analysis. This paper presents a systematic multi-domain examination of the likely effects on economic structure, psychological well-being, political stability, education, healthcare, and geopolitical order. We identify a critical and underexamined dimension of this transition: the governance
arXiv 122d ago Research RegulationJobs & economy

Physiological and Semantic Patterns in Medical Teams Using an Intelligent Tutoring System

Effective collaboration requires teams to manage complex cognitive and emotional states through Socially Shared Regulation of Learning (SSRL). Physiological synchrony (i.e., longitudinal alignment in physiological signals) can indicate these states, but is hard to interpret on its own. We investigate the physiological and conversational dynamics of four medical dyads diagnosing a virtual patient case using an intelligent tutoring system. Semantic shifts in dialogue were correlated with transient
arXiv 122d ago Research RegulationSafety & alignment

Train the Trainers -- An Agentic AI Framework for Peer-Based Mental Health Support in Battlefield Environments

Modern military operations expose soldiers to sustained psychological stress, leading to acute reactions, post-traumatic stress symptoms, and other mental health issues. Although the U.S. Department of Defense offers evidence-based therapies, access to trained professionals in forward-deployed and contested environments is limited. As a result, soldiers with early-stage distress are often evacuated to rear medical facilities, delaying care, reducing readiness, and increasing long-term risks. Thi
arXiv 122d ago Research HealthcareMilitary & security

Towards a Medical AI Scientist

Autonomous systems that generate scientific hypotheses, conduct experiments, and draft manuscripts have recently emerged as a promising paradigm for accelerating discovery. However, existing AI Scientists remain largely domain-agnostic, limiting their applicability to clinical medicine, where research is required to be grounded in medical evidence with specialized data modalities. In this work, we introduce Medical AI Scientist, the first autonomous research framework tailored to clinical autono
arXiv 123d ago Research Healthcare

Navigating the Mirage: A Dual-Path Agentic Framework for Robust Misleading Chart Question Answering

Despite the success of Vision-Language Models (VLMs), misleading charts remain a significant challenge due to their deceptive visual structures and distorted data representations. We present ChartCynics, an agentic dual-path framework designed to unmask visual deception via a "skeptical" reasoning paradigm. Unlike holistic models, ChartCynics decouples perception from verification: a Diagnostic Vision Path captures structural anomalies (e.g., inverted axes) through strategic ROI cropping, while
arXiv 123d ago Research HealthcareAgents & autonomy

FeDMRA: Federated Incremental Learning with Dynamic Memory Replay Allocation

In federated healthcare systems, Federated Class-Incremental Learning (FCIL) has emerged as a key paradigm, enabling continuous adaptive model learning among distributed clients while safeguarding data privacy. However, in practical applications, data across agent nodes within the distributed framework often exhibits non-independent and identically distributed (non-IID) characteristics, rendering traditional continual learning methods inapplicable. To address these challenges, this paper covers
arXiv 123d ago Research PrivacyHealthcare

The Scaffold Effect: How Prompt Framing Drives Apparent Multimodal Gains in Clinical VLM Evaluation

Trustworthy clinical AI requires that performance gains reflect genuine evidence integration rather than surface-level artifacts. We evaluate 12 open-weight vision-language models (VLMs) on binary classification across two clinical neuroimaging cohorts, \textsc{FOR2107} (affective disorders) and \textsc{OASIS-3} (cognitive decline). Both datasets come with structural MRI data that carries no reliable individual-level diagnostic signal. Under these conditions, smaller VLMs exhibit gains of up to
arXiv 123d ago Research Healthcare

Fairboard: a quantitative framework for equity assessment of healthcare models

Despite there now being more than 1,000 FDA-authorised AI medical devices, formal equity assessments -- whether model performance is uniform across patient subgroups -- are rare. Here, we evaluate the equity of 18 open-source brain tumour segmentation models across 648 glioma patients from two independent datasets (n = 11,664 model inferences) along distinct univariate, Bayesian multivariate, spatial, and representational dimensions. We find that patient identity consistently explains more perfo
arXiv 123d ago Research Bias & fairnessHealthcare

SLOW: Strategic Logical-inference Open Workspace for Cognitive Adaptation in AI Tutoring

While Large Language Models (LLMs) have demonstrated remarkable fluency in educational dialogues, most generative tutors primarily operate through intuitive, single-pass generation. This reliance on fast thinking precludes a dedicated reasoning workspace, forcing multiple diagnostic and strategic signals to be processed in a conflated manner. As a result, learner cognitive diagnosis, affective perception, and pedagogical decision-making become tightly entangled, which limits the tutoring system'
arXiv 123d ago Research Healthcare
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