Beyond English benchmarks: clinical llm evaluation in Brazilian Portuguese

Large Language Models are transforming the support for clinical decision and their application in real scenarios. Yet, most benchmarks are conducted in English, and cross-lingual evaluation is needed to tackle the language gaps in global access. We introduce ClinicalBr, the first bilingual benchmark for clinical decision built from real Brazilian case reports. The corpus contains 2,892 cases drawn from 28 SciELO medical journals, spanning 18 specialties, and is structured as parallel Portuguese-English pairs. Each case supports four evaluation tasks: diagnosis retrieval, differential diagnosis, exam recommendation, and treatment planning. We evaluate four models: MedGemma-27B, Sabiá-4, DeepSeek-R1, and o3-mini, across both languages. The central finding is that the Portuguese-English performance gap is task-dependent, not general. In diagnosis retrieval, English yields a consistent advantage across all models, with +7.5-12.1 accuracy points. This advantage disappears in differential diagnosis, exam recommendation, and treatment planning, where confidence intervals cross zero for most models and Portuguese completeness scores are marginally higher. Brazilian-endemic conditions proved easier than the full corpus, not harder, indicating that tropical presentations are adequately represented in current pre-training. Exam recommendation was the hardest task across all models and both languages, with F1 scores below 0.10, well below the differential diagnosis ceiling of 0.20-0.27.

Dual-Stage LLM Framework for Scenario-Centric Semantic Interpretation in Driving Assistance

Advanced Driver Assistance Systems (ADAS) increasingly rely on learning-based perception, yet safety-relevant failures often arise without component malfunction, driven instead by partial observability and semantic ambiguity in how risk is interpreted and communicated. This paper presents a scenario-centric framework for reproducible auditing of LLM-based risk reasoning in urban driving contexts. Deterministic, temporally bounded scenario windows are constructed from multimodal driving data and evaluated under fixed prompt constraints and a closed numeric risk schema, ensuring structured and comparable outputs across models. Experiments on a curated near-people scenario set compare two text-only models and one multimodal model under identical inputs and prompts. Results reveal systematic inter-model divergence in severity assignment, high-risk escalation, evidence use, and causal attribution. Disagreement extends to the interpretation of vulnerable road user presence, indicating that variability often reflects intrinsic semantic indeterminacy rather than isolated model failure. These findings highlight the importance of scenario-centric auditing and explicit ambiguity management when integrating LLM-based reasoning into safety-aligned driver assistance systems.