Cancer-Myth: Evaluating AI Chatbot on Patient Questions with False Presuppositions

Cancer patients are increasingly turning to large language models (LLMs) as a new form of internet search for medical information, making it critical to assess how well these models handle complex, personalized questions. However, current medical benchmarks focus on medical exams or consumer-searched questions and do not evaluate LLMs on real patient questions with detailed clinical contexts. In this paper, we first evaluate LLMs on cancer-related questions drawn from real patients, reviewed by three hematology oncology physicians. While responses are generally accurate, with GPT-4-Turbo scoring 4.13 out of 5, the models frequently fail to recognize or address false presuppositions in the questions-posing risks to safe medical decision-making. To study this limitation systematically, we introduce Cancer-Myth, an expert-verified adversarial dataset of 585 cancer-related questions with false presuppositions. On this benchmark, no frontier LLM -- including GPT-4o, Gemini-1.Pro, and Claude-3.5-Sonnet -- corrects these false presuppositions more than 30% of the time. Even advanced medical agentic methods do not prevent LLMs from ignoring false presuppositions. These findings expose a critical gap in the clinical reliability of LLMs and underscore the need for more robust safeguards in medical AI systems.

VisualLens: Personalization through Visual History

We hypothesize that a user's visual history with images reflecting their daily life, offers valuable insights into their interests and preferences, and can be leveraged for personalization. Among the many challenges to achieve this goal, the foremost is the diversity and noises in the visual history, containing images not necessarily related to a recommendation task, not necessarily reflecting the user's interest, or even not necessarily preference-relevant. Existing recommendation systems either rely on task-specific user interaction logs, such as online shopping history for shopping recommendations, or focus on text signals. We propose a novel approach, VisualLens, that extracts, filters, and refines image representations, and leverages these signals for personalization. We created two new benchmarks with task-agnostic visual histories, and show that our method improves over state-of-the-art recommendations by 5-10% on Hit@3, and improves over GPT-4o by 2-5%. Our approach paves the way for personalized recommendations in scenarios where traditional methods fail.