Trustworthy Medical Imaging with Large Language Models: A Study of Hallucinations Across Modalities

Large Language Models (LLMs) are increasingly applied to medical imaging tasks, including image interpretation and synthetic image generation. However, these models often produce hallucinations, which are confident but incorrect outputs that can mislead clinical decisions. This study examines hallucinations in two directions: image to text, where LLMs generate reports from X-ray, CT, or MRI scans, and text to image, where models create medical images from clinical prompts. We analyze errors such as factual inconsistencies and anatomical inaccuracies, evaluating outputs using expert informed criteria across imaging modalities. Our findings reveal common patterns of hallucination in both interpretive and generative tasks, with implications for clinical reliability. We also discuss factors contributing to these failures, including model architecture and training data. By systematically studying both image understanding and generation, this work provides insights into improving the safety and trustworthiness of LLM driven medical imaging systems.

Can Large Language Models Challenge CNNS in Medical Image Analysis?

This study presents a multimodal AI framework designed for precisely classifying medical diagnostic images. Utilizing publicly available datasets, the proposed system compares the strengths of convolutional neural networks (CNNs) and different large language models (LLMs). This in-depth comparative analysis highlights key differences in diagnostic performance, execution efficiency, and environmental impacts. Model evaluation was based on accuracy, F1-score, average execution time, average energy consumption, and estimated $CO_2$ emission. The findings indicate that although CNN-based models can outperform various multimodal techniques that incorporate both images and contextual information, applying additional filtering on top of LLMs can lead to substantial performance gains. These findings highlight the transformative potential of multimodal AI systems to enhance the reliability, efficiency, and scalability of medical diagnostics in clinical settings.

Hallucinations and Key Information Extraction in Medical Texts: A Comprehensive Assessment of Open-Source Large Language Models

Clinical summarization is crucial in healthcare as it distills complex medical data into digestible information, enhancing patient understanding and care management. Large language models (LLMs) have shown significant potential in automating and improving the accuracy of such summarizations due to their advanced natural language understanding capabilities. These models are particularly applicable in the context of summarizing medical/clinical texts, where precise and concise information transfer is essential. In this paper, we investigate the effectiveness of open-source LLMs in extracting key events from discharge reports, such as reasons for hospital admission, significant in-hospital events, and critical follow-up actions. In addition, we also assess the prevalence of various types of hallucinations in the summaries produced by these models. Detecting hallucinations is vital as it directly influences the reliability of the information, potentially affecting patient care and treatment outcomes. We conduct comprehensive numerical simulations to rigorously evaluate the performance of these models, further probing the accuracy and fidelity of the extracted content in clinical summarization.

Fighter Jet Navigation and Combat using Deep Reinforcement Learning with Explainable AI

This paper presents the development of an Artificial Intelligence (AI) based fighter jet agent within a customized Pygame simulation environment, designed to solve multi-objective tasks via deep reinforcement learning (DRL). The jet's primary objectives include efficiently navigating the environment, reaching a target, and selectively engaging or evading an enemy. A reward function balances these goals while optimized hyperparameters enhance learning efficiency. Results show more than 80\% task completion rate, demonstrating effective decision-making. To enhance transparency, the jet's action choices are analyzed by comparing the rewards of the actual chosen action (factual action) with those of alternate actions (counterfactual actions), providing insights into the decision-making rationale. This study illustrates DRL's potential for multi-objective problem-solving with explainable AI. Project page is available at: \href{https://github.com/swatikar95/Autonomous-Fighter-Jet-Navigation-and-Combat}{Project GitHub Link}.

Challenging Fairness: A Comprehensive Exploration of Bias in LLM-Based Recommendations

Large Language Model (LLM)-based recommendation systems provide more comprehensive recommendations than traditional systems by deeply analyzing content and user behavior. However, these systems often exhibit biases, favoring mainstream content while marginalizing non-traditional options due to skewed training data. This study investigates the intricate relationship between bias and LLM-based recommendation systems, with a focus on music, song, and book recommendations across diverse demographic and cultural groups. Through a comprehensive analysis conducted over different LLM-models, this paper evaluates the impact of bias on recommendation outcomes. Our findings reveal that bias is so deeply ingrained within these systems that even a simpler intervention like prompt engineering can significantly reduce bias, underscoring the pervasive nature of the issue. Moreover, factors like intersecting identities and contextual information, such as socioeconomic status, further amplify these biases, demonstrating the complexity and depth of the challenges faced in creating fair recommendations across different groups.