MCA-RG: Enhancing LLMs with Medical Concept Alignment for Radiology Report Generation

Despite significant advancements in adapting Large Language Models (LLMs) for radiology report generation (RRG), clinical adoption remains challenging due to difficulties in accurately mapping pathological and anatomical features to their corresponding text descriptions. Additionally, semantic agnostic feature extraction further hampers the generation of accurate diagnostic reports. To address these challenges, we introduce Medical Concept Aligned Radiology Report Generation (MCA-RG), a knowledge-driven framework that explicitly aligns visual features with distinct medical concepts to enhance the report generation process. MCA-RG utilizes two curated concept banks: a pathology bank containing lesion-related knowledge, and an anatomy bank with anatomical descriptions. The visual features are aligned with these medical concepts and undergo tailored enhancement. We further propose an anatomy-based contrastive learning procedure to improve the generalization of anatomical features, coupled with a matching loss for pathological features to prioritize clinically relevant regions. Additionally, a feature gating mechanism is employed to filter out low-quality concept features. Finally, the visual features are corresponding to individual medical concepts, and are leveraged to guide the report generation process. Experiments on two public benchmarks (MIMIC-CXR and CheXpert Plus) demonstrate that MCA-RG achieves superior performance, highlighting its effectiveness in radiology report generation.

LLM-Driven Medical Document Analysis: Enhancing Trustworthy Pathology and Differential Diagnosis

Medical document analysis plays a crucial role in extracting essential clinical insights from unstructured healthcare records, supporting critical tasks such as differential diagnosis. Determining the most probable condition among overlapping symptoms requires precise evaluation and deep medical expertise. While recent advancements in large language models (LLMs) have significantly enhanced performance in medical document analysis, privacy concerns related to sensitive patient data limit the use of online LLMs services in clinical settings. To address these challenges, we propose a trustworthy medical document analysis platform that fine-tunes a LLaMA-v3 using low-rank adaptation, specifically optimized for differential diagnosis tasks. Our approach utilizes DDXPlus, the largest benchmark dataset for differential diagnosis, and demonstrates superior performance in pathology prediction and variable-length differential diagnosis compared to existing methods. The developed web-based platform allows users to submit their own unstructured medical documents and receive accurate, explainable diagnostic results. By incorporating advanced explainability techniques, the system ensures transparent and reliable predictions, fostering user trust and confidence. Extensive evaluations confirm that the proposed method surpasses current state-of-the-art models in predictive accuracy while offering practical utility in clinical settings. This work addresses the urgent need for reliable, explainable, and privacy-preserving artificial intelligence solutions, representing a significant advancement in intelligent medical document analysis for real-world healthcare applications. The code can be found at \href{https://github.com/leitro/Differential-Diagnosis-LoRA}{https://github.com/leitro/Differential-Diagnosis-LoRA}.

Uncertainty-Aware Remaining Lifespan Prediction from Images

Predicting mortality-related outcomes from images offers the prospect of accessible, noninvasive, and scalable health screening. We present a method that leverages pretrained vision transformer foundation models to estimate remaining lifespan from facial and whole-body images, alongside robust uncertainty quantification. We show that predictive uncertainty varies systematically with the true remaining lifespan, and that this uncertainty can be effectively modeled by learning a Gaussian distribution for each sample. Our approach achieves state-of-the-art mean absolute error (MAE) of 7.48 years on an established Dataset, and further improves to 4.79 and 5.07 years MAE on two new, higher-quality datasets curated and published in this work. Importantly, our models provide well-calibrated uncertainty estimates, as demonstrated by a bucketed expected calibration error of 0.62 years. While not intended for clinical deployment, these results highlight the potential of extracting medically relevant signals from images. We make all code and datasets available to facilitate further research.

Improving Medical Visual Representation Learning with Pathological-level Cross-Modal Alignment and Correlation Exploration

Learning medical visual representations from image-report pairs through joint learning has garnered increasing research attention due to its potential to alleviate the data scarcity problem in the medical domain. The primary challenges stem from the lengthy reports that feature complex discourse relations and semantic pathologies. Previous works have predominantly focused on instance-wise or token-wise cross-modal alignment, often neglecting the importance of pathological-level consistency. This paper presents a novel framework PLACE that promotes the Pathological-Level Alignment and enriches the fine-grained details via Correlation Exploration without additional human annotations. Specifically, we propose a novel pathological-level cross-modal alignment (PCMA) approach to maximize the consistency of pathology observations from both images and reports. To facilitate this, a Visual Pathology Observation Extractor is introduced to extract visual pathological observation representations from localized tokens. The PCMA module operates independently of any external disease annotations, enhancing the generalizability and robustness of our methods. Furthermore, we design a proxy task that enforces the model to identify correlations among image patches, thereby enriching the fine-grained details crucial for various downstream tasks. Experimental results demonstrate that our proposed framework achieves new state-of-the-art performance on multiple downstream tasks, including classification, image-to-text retrieval, semantic segmentation, object detection and report generation.

Cross-Domain Bilingual Lexicon Induction via Pretrained Language Models

Bilingual Lexicon Induction (BLI) is generally based on common domain data to obtain monolingual word embedding, and by aligning the monolingual word embeddings to obtain the cross-lingual embeddings which are used to get the word translation pairs. In this paper, we propose a new task of BLI, which is to use the monolingual corpus of the general domain and target domain to extract domain-specific bilingual dictionaries. Motivated by the ability of Pre-trained models, we propose a method to get better word embeddings that build on the recent work on BLI. This way, we introduce the Code Switch(Qin et al., 2020) firstly in the cross-domain BLI task, which can match differit is yet to be seen whether these methods are suitable for bilingual lexicon extraction in professional fields. As we can see in table 1, the classic and efficient BLI approach, Muse and Vecmap, perform much worse on the Medical dataset than on the Wiki dataset. On one hand, the specialized domain data set is relatively smaller compared to the generic domain data set generally, and specialized words have a lower frequency, which will directly affect the translation quality of bilingual dictionaries. On the other hand, static word embeddings are widely used for BLI, however, in some specific fields, the meaning of words is greatly influenced by context, in this case, using only static word embeddings may lead to greater bias. ent strategies in different contexts, making the model more suitable for this task. Experimental results show that our method can improve performances over robust BLI baselines on three specific domains by averagely improving 0.78 points.

Breaking the Gold Standard: Extracting Forgotten Data under Exact Unlearning in Large Language Models

Large language models are typically trained on datasets collected from the web, which may inadvertently contain harmful or sensitive personal information. To address growing privacy concerns, unlearning methods have been proposed to remove the influence of specific data from trained models. Of these, exact unlearning -- which retrains the model from scratch without the target data -- is widely regarded the gold standard, believed to be robust against privacy-related attacks. In this paper, we challenge this assumption by introducing a novel data extraction attack that compromises even exact unlearning. Our method leverages both the pre- and post-unlearning models: by guiding the post-unlearning model using signals from the pre-unlearning model, we uncover patterns that reflect the removed data distribution. Combining model guidance with a token filtering strategy, our attack significantly improves extraction success rates -- doubling performance in some cases -- across common benchmarks such as MUSE, TOFU, and WMDP. Furthermore, we demonstrate our attack's effectiveness on a simulated medical diagnosis dataset to highlight real-world privacy risks associated with exact unlearning. In light of our findings, which suggest that unlearning may, in a contradictory way, increase the risk of privacy leakage, we advocate for evaluation of unlearning methods to consider broader threat models that account not only for post-unlearning models but also for adversarial access to prior checkpoints.

MSLAU-Net: A Hybird CNN-Transformer Network for Medical Image Segmentation

Both CNN-based and Transformer-based methods have achieved remarkable success in medical image segmentation tasks. However, CNN-based methods struggle to effectively capture global contextual information due to the inherent limitations of convolution operations. Meanwhile, Transformer-based methods suffer from insufficient local feature modeling and face challenges related to the high computational complexity caused by the self-attention mechanism. To address these limitations, we propose a novel hybrid CNN-Transformer architecture, named MSLAU-Net, which integrates the strengths of both paradigms. The proposed MSLAU-Net incorporates two key ideas. First, it introduces Multi-Scale Linear Attention, designed to efficiently extract multi-scale features from medical images while modeling long-range dependencies with low computational complexity. Second, it adopts a top-down feature aggregation mechanism, which performs multi-level feature aggregation and restores spatial resolution using a lightweight structure. Extensive experiments conducted on benchmark datasets covering three imaging modalities demonstrate that the proposed MSLAU-Net outperforms other state-of-the-art methods on nearly all evaluation metrics, validating the superiority, effectiveness, and robustness of our approach. Our code is available at https://github.com/Monsoon49/MSLAU-Net.

OpenTCM: A GraphRAG-Empowered LLM-based System for Traditional Chinese Medicine Knowledge Retrieval and Diagnosis

Traditional Chinese Medicine (TCM) represents a rich repository of ancient medical knowledge that continues to play an important role in modern healthcare. Due to the complexity and breadth of the TCM literature, the integration of AI technologies is critical for its modernization and broader accessibility. However, this integration poses considerable challenges, including the interpretation of obscure classical Chinese texts and the modeling of intricate semantic relationships among TCM concepts. In this paper, we develop OpenTCM, an LLM-based system that combines a domain-specific TCM knowledge graph and Graph-based Retrieval-Augmented Generation (GraphRAG). First, we extract more than 3.73 million classical Chinese characters from 68 gynecological books in the Chinese Medical Classics Database, with the help of TCM and gynecology experts. Second, we construct a comprehensive multi-relational knowledge graph comprising more than 48,000 entities and 152,000 interrelationships, using customized prompts and Chinese-oriented LLMs such as DeepSeek and Kimi to ensure high-fidelity semantic understanding. Last, we integrate OpenTCM with this knowledge graph, enabling high-fidelity ingredient knowledge retrieval and diagnostic question-answering without model fine-tuning. Experimental evaluations demonstrate that our prompt design and model selection significantly improve knowledge graph quality, achieving a precision of 98. 55% and an F1 score of 99. 55%. In addition, OpenTCM achieves mean expert scores of 4.5 in ingredient information retrieval and 3.8 in diagnostic question-answering tasks, outperforming state-of-the-art solutions in real-world TCM use cases.

MIMIC-\RNum{4}-Ext-22MCTS: A 22 Millions-Event Temporal Clinical Time-Series Dataset with Relative Timestamp for Risk Prediction

Clinical risk prediction based on machine learning algorithms plays a vital role in modern healthcare. A crucial component in developing a reliable prediction model is collecting high-quality time series clinical events. In this work, we release such a dataset that consists of 22,588,586 Clinical Time Series events, which we term MIMIC-\RNum{4}-Ext-22MCTS. Our source data are discharge summaries selected from the well-known yet unstructured MIMIC-IV-Note \cite{Johnson2023-pg}. We then extract clinical events as short text span from the discharge summaries, along with the timestamps of these events as temporal information. The general-purpose MIMIC-IV-Note pose specific challenges for our work: it turns out that the discharge summaries are too lengthy for typical natural language models to process, and the clinical events of interest often are not accompanied with explicit timestamps. Therefore, we propose a new framework that works as follows: 1) we break each discharge summary into manageably small text chunks; 2) we apply contextual BM25 and contextual semantic search to retrieve chunks that have a high potential of containing clinical events; and 3) we carefully design prompts to teach the recently released Llama-3.1-8B \cite{touvron2023llama} model to identify or infer temporal information of the chunks. We show that the obtained dataset is so informative and transparent that standard models fine-tuned on our dataset are achieving significant improvements in healthcare applications. In particular, the BERT model fine-tuned based on our dataset achieves 10\% improvement in accuracy on medical question answering task, and 3\% improvement in clinical trial matching task compared with the classic BERT. The GPT-2 model, fine-tuned on our dataset, produces more clinically reliable results for clinical questions.

Research on Personalized Medical Intervention Strategy Generation System based on Group Relative Policy Optimization and Time-Series Data Fusion

With the timely formation of personalized intervention plans based on high-dimensional heterogeneous time series information becoming an important challenge in the medical field today, electronic medical records, wearables, and other multi-source medical data are increasingly generated and diversified. In this work, we develop a system to generate personalized medical intervention strategies based on Group Relative Policy Optimization (GRPO) and Time-Series Data Fusion. First, by incorporating relative policy constraints among the groups during policy gradient updates, we adaptively balance individual and group gains. To improve the robustness and interpretability of decision-making, a multi-layer neural network structure is employed to group-code patient characteristics. Second, for the rapid multi-modal fusion of multi-source heterogeneous time series, a multi-channel neural network combined with a self-attention mechanism is used for dynamic feature extraction. Key feature screening and aggregation are achieved through a differentiable gating network. Finally, a collaborative search process combining a genetic algorithm and Monte Carlo tree search is proposed to find the ideal intervention strategy, achieving global optimization. Experimental results show significant improvements in accuracy, coverage, and decision-making benefits compared with existing methods.