MedPriv-Bench: Benchmarking the Privacy-Utility Trade-off of Large Language Models in Medical Open-End Question Answering

Recent advances in Retrieval-Augmented Generation (RAG) have enabled large language models (LLMs) to ground outputs in clinical evidence. However, connecting LLMs with external databases introduces the risk of contextual leakage: a subtle privacy threat where unique combinations of medical details enable patient re-identification even without explicit identifiers. Current benchmarks in healthcare heavily focus on accuracy, ignoring such privacy issues, despite strict regulations like Health Insurance Portability and Accountability Act (HIPAA) and General Data Protection Regulation (GDPR). To fill this gap, we present MedPriv-Bench, the first benchmark specifically designed to jointly evaluate privacy preservation and clinical utility in medical open-ended question answering. Our framework utilizes a multi-agent, human-in-the-loop pipeline to synthesize sensitive medical contexts and clinically relevant queries that create realistic privacy pressure. We establish a standardized evaluation protocol leveraging a pre-trained RoBERTa-Natural Language Inference (NLI) model as an automated judge to quantify data leakage, achieving an average of 85.9% alignment with human experts. Through an extensive evaluation of 9 representative LLMs, we demonstrate a pervasive privacy-utility trade-off. Our findings underscore the necessity of domain-specific benchmarks to validate the safety and efficacy of medical AI systems in privacy-sensitive environments.

ExplainableGuard: Interpretable Adversarial Defense for Large Language Models Using Chain-of-Thought Reasoning

Large Language Models (LLMs) are increasingly vulnerable to adversarial attacks that can subtly manipulate their outputs. While various defense mechanisms have been proposed, many operate as black boxes, lacking transparency in their decision-making. This paper introduces ExplainableGuard, an interpretable adversarial defense framework leveraging the chain-of-thought (CoT) reasoning capabilities of DeepSeek-Reasoner. Our approach not only detects and neutralizes adversarial perturbations in text but also provides step-by-step explanations for each defense action. We demonstrate how tailored CoT prompts guide the LLM to perform a multi-faceted analysis (character, word, structural, and semantic) and generate a purified output along with a human-readable justification. Preliminary results on the GLUE Benchmark and IMDB Movie Reviews dataset show promising defense efficacy. Additionally, a human evaluation study reveals that ExplainableGuard's explanations outperform ablated variants in clarity, specificity, and actionability, with a 72.5% deployability-trust rating, underscoring its potential for more trustworthy LLM deployments.

BALF: Simple and Efficient Blur Aware Local Feature Detector

Local feature detection is a key ingredient of many image processing and computer vision applications, such as visual odometry and localization. Most existing algorithms focus on feature detection from a sharp image. They would thus have degraded performance once the image is blurred, which could happen easily under low-lighting conditions. To address this issue, we propose a simple yet both efficient and effective keypoint detection method that is able to accurately localize the salient keypoints in a blurred image. Our method takes advantages of a novel multi-layer perceptron (MLP) based architecture that significantly improve the detection repeatability for a blurred image. The network is also light-weight and able to run in real-time, which enables its deployment for time-constrained applications. Extensive experimental results demonstrate that our detector is able to improve the detection repeatability with blurred images, while keeping comparable performance as existing state-of-the-art detectors for sharp images.