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Healthcare
Clinical AI, diagnostic bias, patient safety and medical-device regulation — the healthcare front of AI ethics, daily.
Front-End Ethics for Sensor-Fused Health Conversational Agents: An Ethical Design Space for Biometrics
The integration of continuous data from built-in sensors and Large Language Models (LLMs) has fueled a surge of "Sensor-Fused LLM agents" for personal health and well-being support. While recent breakthroughs have demonstrated the technical feasibility of this fusion (e.g., Time-LLM, SensorLLM), research primarily focuses on "Ethical Back-End Design for Generative AI", concerns such as sensing accuracy, bias mitigation in training data, and multimodal fusion. This leaves a critical gap at the fr
The role of agentic artificial intelligence in healthcare: a scoping review
Agentic AI represents a promising evolution of artificial intelligence in healthcare, with systems capable of operating autonomously to achieve defined clinical goals. However, the literature lacks conceptual clarity in distinguishing AI agents from Agentic AI, and few studies have rigorously explored their applications. We conducted a scoping review across five databases, identifying seven eligible studies spanning emergency medicine, oncology, radiology, and rehabilitation. The included system
Opportunistic Cardiac Health Assessment: Estimating Phenotypes from Localizer MRI through Multi-Modal Representations
Cardiovascular diseases are the leading cause of death. Cardiac phenotypes (CPs), e.g., ejection fraction, are the gold standard for assessing cardiac health, but they are derived from cine cardiac magnetic resonance imaging (CMR), which is costly and requires high spatio-temporal resolution. Every magnetic resonance (MR) examination begins with rapid and coarse localizers for scan planning, which are discarded thereafter. Despite non-diagnostic image quality and lack of temporal information, lo
Beyond Final Answers: CRYSTAL Benchmark for Transparent Multimodal Reasoning Evaluation
We introduce CRYSTAL (Clear Reasoning via Yielded Steps, Traceability, and Logic), a diagnostic benchmark with 6,372 instances that evaluates multimodal reasoning through verifiable intermediate steps. We propose two complementary metrics: Match F1, which scores step-level precision and recall via semantic similarity matching, and Ordered Match F1, which further penalizes disordered reasoning chains. References are constructed through a Delphi-inspired pipeline in which four independent MLLMs ge
Fair Lung Disease Diagnosis from Chest CT via Gender-Adversarial Attention Multiple Instance Learning
We present a fairness-aware framework for multi-class lung disease diagnosis from chest CT volumes, developed for the Fair Disease Diagnosis Challenge at the PHAROS-AIF-MIH Workshop (CVPR 2026). The challenge requires classifying CT scans into four categories -- Healthy, COVID-19, Adenocarcinoma, and Squamous Cell Carcinoma -- with performance measured as the average of per-gender macro F1 scores, explicitly penalizing gender-inequitable predictions. Our approach addresses two core difficulties:
Exploring Subnetwork Interactions in Heterogeneous Brain Network via Prior-Informed Graph Learning
Modeling the complex interactions among functional subnetworks is crucial for the diagnosis of mental disorders and the identification of functional pathways. However, learning the interactions of the underlying subnetworks remains a significant challenge for existing Transformer-based methods due to the limited number of training samples. To address these challenges, we propose KD-Brain, a Prior-Informed Graph Learning framework for explicitly encoding prior knowledge to guide the learning proc
AI Planning Framework for LLM-Based Web Agents
Developing autonomous agents for web-based tasks is a core challenge in AI. While Large Language Model (LLM) agents can interpret complex user requests, they often operate as black boxes, making it difficult to diagnose why they fail or how they plan. This paper addresses this gap by formally treating web tasks as sequential decision-making processes. We introduce a taxonomy that maps modern agent architectures to traditional planning paradigms: Step-by-Step agents to Breadth-First Search (BFS),
Artificial Intelligence Applications in Gastric Cancer Surgery: Bridging Early Diagnosis and Responsible Precision Medicine
Background: Artificial intelligence is emerging as a promising tool in surgical oncology, with growing evidence suggesting potential applications in diagnostic support, intraoperative guidance, and perioperative risk assessment. In gastric cancer surgery, emerging applications range from AI-assisted endoscopic detection to data-driven perioperative risk prediction, while some technological developments, particularly in robotic autonomy, derive from broader surgical or experimental models that ma
Increasing intelligence in AI agents can worsen collective outcomes
When resources are scarce, will a population of AI agents coordinate in harmony, or descend into tribal chaos? Diverse decision-making AI from different developers is entering everyday devices -- from phones and medical devices to battlefield drones and cars -- and these AI agents typically compete for finite shared resources such as charging slots, relay bandwidth, and traffic priority. Yet their collective dynamics and hence risks to users and society are poorly understood. Here we study AI-ag
Social, Legal, Ethical, Empathetic and Cultural Norm Operationalisation for AI Agents
As AI agents are increasingly used in high-stakes domains like healthcare and law enforcement, aligning their behaviour with social, legal, ethical, empathetic, and cultural (SLEEC) norms has become a critical engineering challenge. While international frameworks have established high-level normative principles for AI, a significant gap remains in translating these abstract principles into concrete, verifiable requirements. To address this gap, we propose a systematic SLEEC-norm operationalisati
IDRL: An Individual-Aware Multimodal Depression-Related Representation Learning Framework for Depression Diagnosis
Depression is a severe mental disorder, and reliable identification plays a critical role in early intervention and treatment. Multimodal depression detection aims to improve diagnostic performance by jointly modeling complementary information from multiple modalities. Recently, numerous multimodal learning approaches have been proposed for depression analysis; however, these methods suffer from the following limitations: 1) inter-modal inconsistency and depression-unrelated interference, where
Emulating Clinician Cognition via Self-Evolving Deep Clinical Research
Clinical diagnosis is a complex cognitive process, grounded in dynamic cue acquisition and continuous expertise accumulation. Yet most current artificial intelligence (AI) systems are misaligned with this reality, treating diagnosis as single-pass retrospective prediction while lacking auditable mechanisms for governed improvement. We developed DxEvolve, a self-evolving diagnostic agent that bridges these gaps through an interactive deep clinical research workflow. The framework autonomously req
Domain-Adaptive Health Indicator Learning with Degradation-Stage Synchronized Sampling and Cross-Domain Autoencoder
The construction of high quality health indicators (HIs) is crucial for effective prognostics and health management. Although deep learning has significantly advanced HI modeling, existing approaches often struggle with distribution mismatches resulting from varying operating conditions. Although domain adaptation is typically employed to mitigate these shifts, two critical challenges remain: (1) the misalignment of degradation stages during random mini-batch sampling, resulting in misleading di
Harf-Speech: A Clinically Aligned Framework for Arabic Phoneme-Level Speech Assessment
Automated phoneme-level pronunciation assessment is vital for scalable speech therapy and language learning, yet validated tools for Arabic remain scarce. We present Harf-Speech, a modular system scoring Arabic pronunciation at the phoneme level on a clinical scale. It combines an MSA phonetizer, a fine-tuned speech-to-phoneme model, Levenshtein alignment, and a blended scorer using longest common subsequence and edit-distance metrics. We fine-tune three ASR architectures on Arabic phoneme data
Privacy and Safety Experiences and Concerns of U.S. Women Using Generative AI for Seeking Sexual and Reproductive Health Information
The rapid adoption of generative AI (GenAI) chatbots has reshaped access to sexual and reproductive health (SRH) information, particularly following the overturning of Roe v. Wade, as individuals assigned female at birth increasingly turn to online sources. However, existing research remains largely model-centered, paying limited attention to user privacy and safety. We conducted semi-structured interviews with 18 U.S.-based participants from both restrictive and non-restrictive states who had u
The Confidence Gate Theorem: When Should Ranked Decision Systems Abstain?
Ranked decision systems -- recommenders, ad auctions, clinical triage queues -- must decide when to intervene in ranked outputs and when to abstain. We study when confidence-based abstention monotonically improves decision quality, and when it fails. The formal conditions are simple: rank-alignment and no inversion zones. The substantive contribution is identifying why these conditions hold or fail: the distinction between structural uncertainty (missing data, e.g., cold-start) and contextual un
No Image, No Problem: End-to-End Multi-Task Cardiac Analysis from Undersampled k-Space
Conventional clinical CMR pipelines rely on a sequential "reconstruct-then-analyze" paradigm, forcing an ill-posed intermediate step that introduces avoidable artifacts and information bottlenecks. This creates a fundamental mathematical paradox: it attempts to recover high-dimensional pixel arrays (i.e., images) from undersampled k-space, rather than directly extracting the low-dimensional physiological labels actually required for diagnosis. To unlock the direct diagnostic potential of k-space
PathMem: Toward Cognition-Aligned Memory Transformation for Pathology MLLMs
Computational pathology demands both visual pattern recognition and dynamic integration of structured domain knowledge, including taxonomy, grading criteria, and clinical evidence. In practice, diagnostic reasoning requires linking morphological evidence with formal diagnostic and grading criteria. Although multimodal large language models (MLLMs) demonstrate strong vision language reasoning capabilities, they lack explicit mechanisms for structured knowledge integration and interpretable memory
Ethical Fairness in Ubiquitous Health Sensing without Known Attributes
In ubiquitous and mobile health systems, computational models infer human states from wearable, behavioral, and physiological sensing data. In these settings, high accuracy alone is insufficient; models must act ethically and equitably across diverse people, contexts, and devices. However, fairness methods that rely on demographic or heterogeneous attributes during training are difficult to enforce because such attributes are often unavailable, privacy-sensitive, regulated, or undesirable to col
Composed Vision-Language Retrieval for Skin Cancer Case Search via Joint Alignment of Global and Local Representations
Medical image retrieval aims to identify clinically relevant lesion cases to support diagnostic decision making, education, and quality control. In practice, retrieval queries often combine a reference lesion image with textual descriptors such as dermoscopic features. We study composed vision-language retrieval for skin cancer, where each query consists of an image to text pair and the database contains biopsy-confirmed, multi-class disease cases. We propose a transformer based framework that l
Safety of a large language model-based clinical decision support system in African primary healthcare
Here we conducted a retrospective evaluation of an electronic medical record-embedded large language model clinical decision support system deployed across 16 primary care clinics in Kenya, between July and September 2024. A panel of trained physicians reviewed 1,469 records. Hallucinations were uncommon, occurring in 50 encounters (3.4%, 95% confidence interval (CI) 2.5-4.5), and most often involved misexpanded acronyms or drug names. Clinical management guidance aligned with local guidelines i
Echo2ECG: Enhancing ECG Representations with Cardiac Morphology from Multi-View Echos
Electrocardiography (ECG) is a low-cost, widely used modality for diagnosing electrical abnormalities like atrial fibrillation by capturing the heart's electrical activity. However, it cannot directly measure cardiac morphological phenotypes, such as left ventricular ejection fraction (LVEF), which typically require echocardiography (Echo). Predicting these phenotypes from ECG would enable early, accessible health screening. Existing self-supervised methods suffer from a representational mismatc
Retrieval-Augmented Anatomical Guidance for Text-to-CT Generation
Text-conditioned generative models for volumetric medical imaging provide semantic control but lack explicit anatomical guidance, often resulting in outputs that are spatially ambiguous or anatomically inconsistent. In contrast, structure-driven methods ensure strong anatomical consistency but typically assume access to ground-truth annotations, which are unavailable when the target image is to be synthesized. We propose a retrieval-augmented approach for Text-to-CT generation that integrates se
TA-RNN-Medical-Hybrid: A Time-Aware and Interpretable Framework for Mortality Risk Prediction
Accurate and interpretable mortality risk prediction in intensive care units (ICUs) remains a critical challenge due to the irregular temporal structure of electronic health records (EHRs), the complexity of longitudinal disease trajectories, and the lack of clinically grounded explanations in many data-driven models. To address these challenges, we propose \textit{TA-RNN-Medical-Hybrid}, a time-aware and knowledge-enriched deep learning framework that jointly models longitudinal clinical sequen
Patient-Level Multimodal Question Answering from Multi-Site Auscultation Recordings
Auscultation is a vital diagnostic tool, yet its utility is often limited by subjective interpretation. While general-purpose Audio-Language Models (ALMs) excel in general domains, they struggle with the nuances of physiological signals. We propose a framework that aligns multi-site auscultation recordings directly with a frozen Large Language Model (LLM) embedding space via gated cross-attention. By leveraging the LLM's latent world knowledge, our approach moves beyond isolated classification t
BrainCast: A Spatio-Temporal Forecasting Model for Whole-Brain fMRI Time Series Prediction
Functional magnetic resonance imaging (fMRI) enables noninvasive investigation of brain function, while short clinical scan durations, arising from human and non-human factors, usually lead to reduced data quality and limited statistical power for neuroimaging research. In this paper, we propose BrainCast, a novel spatio-temporal forecasting framework specifically tailored for whole-brain fMRI time series forecasting, to extend informative fMRI time series without additional data acquisition. It
Semantic Risk Scoring of Aggregated Metrics: An AI-Driven Approach for Healthcare Data Governance
Large healthcare institutions typically operate multiple business intelligence (BI) teams segmented by domain, including clinical performance, fundraising, operations, and compliance. Due to HIPAA, FERPA, and IRB restrictions, these teams face challenges in sharing patient-level data needed for analytics. To mitigate this, A metric aggregation table is proposed, which is a precomputed, privacy-compliant summary. These abstractions enable decision-making without direct access to sensitive data. H
YAQIN: Culturally Sensitive, Agentic AI for Mental Healthcare Support Among Muslim Women in the UK
Mental healthcare services in the UK lack tools and resources to address the cultural needs of Muslim women, often leaving them feeling as though their values are pathologised and limiting trust and engagement [1]. Despite growing awareness of cultural competency, few interventions integrate Islamic frameworks into therapeutic support. This report investigates the design and evaluation of YAQIN, a co-designed AI-based application supporting culturally and faith-sensitive mental health engagement
DDS-UDA: Dual-Domain Synergy for Unsupervised Domain Adaptation in Joint Segmentation of Optic Disc and Optic Cup
Convolutional neural networks (CNNs) have achieved exciting performance in joint segmentation of optic disc and optic cup on single-institution datasets. However, their clinical translation is hindered by two major challenges: limited availability of large-scale, high-quality annotations and performance degradation caused by domain shift during deployment across heterogeneous imaging protocols and acquisition platforms. While unsupervised domain adaptation (UDA) provides a way to mitigate these
Mind the Discriminability Trap in Source-Free Cross-domain Few-shot Learning
Source-Free Cross-Domain Few-Shot Learning (SF-CDFSL) focuses on fine-tuning with limited training data from target domains (e.g., medical or satellite images), where Vision-Language Models (VLMs) such as CLIP and SigLIP have shown promising results. Current works in traditional visual models suggest that improving visual discriminability enhances performance. However, in VLM-based SF-CDFSL tasks, we find that \textbf{strengthening visual-modal discriminability actually suppresses VLMs' performa
MindfulAgents: Personalizing Mindfulness Meditation via an Expert-Aligned Multi-Agent System
Mindfulness meditation is a widely accessible and evidence-based method for supporting mental health. Despite the proliferation of mindfulness meditation apps, sustaining user engagement remains a persistent challenge. Personalizing the meditation experience is a promising strategy to improve engagement, but it often requires costly and unscalable manual effort. We present MindfulAgents, a multi-agent system powered by large language models that (1) generates guided meditation scripts based on a
CLoPA: Continual Low Parameter Adaptation of Interactive Segmentation for Medical Image Annotation
Interactive segmentation enables clinicians to guide annotation, but existing zero-shot models like nnInteractive fail to consistently reach expert-level performance across diverse medical imaging tasks. Because annotation campaigns produce a growing stream of task-specific labelled data, online adaptation of the segmentation model is a natural complement to zero-shot inference. We propose CLoPA, a continual adaptation strategy that tunes a small fraction of nnInteractive's parameters on the ann
Prompt Group-Aware Training for Robust Text-Guided Nuclei Segmentation
Foundation models such as Segment Anything Model 3 (SAM3) enable flexible text-guided medical image segmentation, yet their predictions remain highly sensitive to prompt formulation. Even semantically equivalent descriptions can yield inconsistent masks, limiting reliability in clinical and pathology workflows. We reformulate prompt sensitivity as a group-wise consistency problem. Semantically related prompts are organized into \emph{prompt groups} sharing the same ground-truth mask, and a promp
K-MaT: Knowledge-Anchored Manifold Transport for Cross-Modal Prompt Learning in Medical Imaging
Large-scale biomedical vision-language models (VLMs) adapted on high-end imaging (e.g., CT) often fail to transfer to frontline low-end modalities (e.g., radiography), collapsing into modality-specific shortcuts. We propose K-MaT (Knowledge-Anchored Manifold Transport), a prompt-learning framework that transfers decision structures to low-end modalities without requiring low-end training images. K-MaT factorizes prompts, anchors them to clinical text descriptions, and aligns the low-end prompt m
Agentic retrieval-augmented reasoning reshapes collective reliability under model variability in radiology question answering
Agentic retrieval-augmented reasoning pipelines are increasingly used to structure how large language models (LLMs) incorporate external evidence in clinical decision support. These systems iteratively retrieve curated domain knowledge and synthesize it into structured reports before answer selection. Although such pipelines can improve performance, their impact on reliability under model variability remains unclear. In real-world deployment, heterogeneous models may align, diverge, or synchroni
CRIMSON: A Clinically-Grounded LLM-Based Metric for Generative Radiology Report Evaluation
We introduce CRIMSON, a clinically grounded evaluation framework for chest X-ray report generation that assesses reports based on diagnostic correctness, contextual relevance, and patient safety. Unlike prior metrics, CRIMSON incorporates full clinical context, including patient age, indication, and guideline-based decision rules, and prevents normal or clinically insignificant findings from exerting disproportionate influence on the overall score. The framework categorizes errors into a compreh
Clinically Meaningful Explainability for NeuroAI: An ethical, technical, and clinical perspective
While explainable AI (XAI) is often heralded as a means to enhance transparency and trustworthiness in closed-loop neurotechnology for psychiatric and neurological conditions, its real-world prevalence remains low. Moreover, empirical evidence suggests that the type of explanations provided by current XAI methods often fails to align with clinicians' end-user needs. In this viewpoint, we argue that clinically meaningful explainability (CME) is essential for AI-enabled closed-loop medical neurote
Measuring Perceptions of Fairness in AI Systems: The Effects of Infra-marginality
Differences in data distributions between demographic groups, known as the problem of infra-marginality, complicate how people evaluate fairness in machine learning models. We present a user study with 85 participants in a hypothetical medical decision-making scenario to examine two treatments: group-specific model performance and training data availability. Our results show that participants did not equate fairness with simple statistical parity. When group-specific performances were equal or u
Berta: an open-source, modular tool for AI-enabled clinical documentation
Commercial AI scribes cost \$99-600 per physician per month, operate as opaque systems, and do not return data to institutional infrastructure, limiting organizational control over data governance, quality improvement, and clinical workflows. We developed Berta, an open-source modular scribe platform for AI-enabled clinical documentation, and deployed a customized implementation within Alberta Health Services (AHS) integrated with their existing Snowflake AI Data Cloud infrastructure. The system
DARK: Diagonal-Anchored Repulsive Knowledge Distillation for Vision-Language Models under Extreme Compression
Compressing vision-language models for on-device deployment is increasingly important in clinical settings, but knowledge distillation (KD) degrades sharply when the teacher-student capacity gap spans an order of magnitude or more. We argue that, under such gaps, strict imitation of the teacher is a poor objective: much of the teacher's pairwise similarity structure reflects its own architectural biases rather than information a compact student can efficiently represent. We propose \textbf{Diago