PLACID: Privacy-preserving Large language models for Acronym Clinical Inference and Disambiguation

Large Language Models (LLMs) offer transformative solutions across many domains, but healthcare integration is hindered by strict data privacy constraints. Clinical narratives are dense with ambiguous acronyms, misinterpretation these abbreviations can precipitate severe outcomes like life-threatening medication errors. While cloud-dependent LLMs excel at Acronym Disambiguation, transmitting Protected Health Information to external servers violates privacy frameworks. To bridge this gap, this study pioneers the evaluation of small-parameter models deployed entirely on-device to ensure privacy preservation. We introduce a privacy-preserving cascaded pipeline leveraging general-purpose local models to detect clinical acronyms, routing them to domain-specific biomedical models for context-relevant expansions. Results reveal that while general instruction-following models achieve high detection accuracy (~0.988), their expansion capabilities plummet (~0.655). Our cascaded approach utilizes domain-specific medical models to increase expansion accuracy to (~0.81). This novel work demonstrates that privacy-preserving, on-device (2B-10B) models deliver high-fidelity clinical acronym disambiguation support.

Predictive Density Combination Using a Tree-Based Synthesis Function

Bayesian predictive synthesis (BPS) provides a method for combining multiple predictive distributions based on agent/expert opinion analysis theory and encompasses a range of existing density forecast pooling methods. The key ingredient in BPS is a ``synthesis'' function. This is typically specified parametrically as a dynamic linear regression. In this paper, we develop a nonparametric treatment of the synthesis function using regression trees. We show the advantages of our tree-based approach in two macroeconomic forecasting applications. The first uses density forecasts for GDP growth from the euro area's Survey of Professional Forecasters. The second combines density forecasts of US inflation produced by many regression models involving different predictors. Both applications demonstrate the benefits -- in terms of improved forecast accuracy and interpretability -- of modeling the synthesis function nonparametrically.