Automated ICD Classification of Psychiatric Diagnoses: From Classical NLP to Large Language Models

Mental health has become a global priority, leading to a massive administrative burden in the coding of clinical diagnoses. This study proposes the automation of psychiatric diagnostic analysis by mapping free-text descriptions to the International Classification of Diseases (ICD) using Natural Language Processing (NLP) and Machine Learning (ML) techniques. Utilizing a specialized dataset of 145,513 Spanish psychiatric descriptions, various text representation paradigms were evaluated, ranging from classical frequency-based models (BoW, TF-IDF) to state-of-the-art Large Language Models (LLMs) such as e5\_large, BioLORD, and Llama-3-8B. Results indicate that transformer-based embeddings consistently outperform traditional methods by capturing implicit semantic cues and nuanced medical terminology. The e5\_large model, through end-to-end fine-tuning, achieved the highest performance with a $F1_{micro}$ score of 0.866. This research demonstrates that adapting LLMs to specific clinical nomenclature is essential for overcoming the challenges of ``long-tail'' label distributions and the inherent ambiguity of psychiatric discourse.

Fine-Tuning Over Architectural Complexity: Broad-Coverage PII Detection on PIIBench with DeBERTa

Personally identifiable information (PII) detection systems are frequently trained within narrow source or domain boundaries, limiting coverage when deployed on heterogeneous text. We study model fine-tuning on a corrected multi-source PIIBench preparation spanning 82 retained entity types across ten source datasets. We evaluate three DeBERTa-based approaches: direct token classification fine-tuning, a source-conditioned hierarchical model (SC+H), and a three-phase curriculum extension (SC+H+Curr). Against eight published comparator systems on a reproducible 5,000-record held-out subset (test_5k), direct fine-tuned DeBERTa achieves F1 0.6476, while SC+H and the curriculum variant achieve 0.5899 and 0.2772 respectively; the strongest published comparator reaches only 0.1723. Because validation initially favoured SC+H, we perform a final streamed evaluation on the complete 100,002-record held-out split. Direct fine-tuning remains superior, achieving F1 0.6455 versus 0.5894 for SC+H. Entity-level analysis shows that direct fine tuning wins 54 of 82 fine entity types and all ten coarse groups by support-weighted entity F1, while SC+H retains localised advantages on 28 types. The results indicate that diverse task-specific training data and a simple weighted cross-entropy objective contribute more to broad-coverage PII detection than the tested architectural and curriculum complexity.

A Multimodal Framework for Dementia Detection via Linguistic and Acoustic Representation Learning

Alzheimer's disease (AD) is a progressive neurodegenerative disorder and the leading cause of dementia, affecting memory, reasoning, communication, and daily functioning. Early diagnosis is particularly important, as timely intervention may help slow cognitive decline and improve patient care. Recent studies have demonstrated that spontaneous speech contains valuable linguistic and acoustic biomarkers associated with dementia. However, existing approaches often rely on independently trained modality-specific models, feature concatenation strategies, ensemble methods, or attention-based fusion mechanisms that do not explicitly maximize the dependency between speech and transcript representations. In this work, we propose a multimodal deep learning framework for automatic dementia detection that jointly exploits speech and transcript information in an end-to-end trainable manner. Specifically, speech recordings are divided into 10-second segments and passed through a pre-trained HuBERT model to extract contextualized acoustic representations. To better capture informative temporal speech characteristics, attentive statistics pooling is employed to aggregate frame-level acoustic embeddings. For the textual modality, transcripts are encoded using a pre-trained BERT model, where the [CLS] token representation is used as the linguistic embedding. The acoustic and textual representations are subsequently combined using an attention-based Audio-Text Fusion (AT-Fusion) mechanism. In addition, we introduce a MINE objective to maximize the mutual information between modalities and improve multimodal representation alignment. The fused multimodal representation is finally used for dementia classification. Experiments conducted on the publicly available ADReSS Challenge and PROCESS-2 dataset demonstrate the effectiveness and robustness of the proposed approach for speech-based dementia assessment.

MAIL++: Multi-Modal Bi-directional Agent Layer for Vision-Language Models

Adapting large vision-language models (VLMs) such as CLIP to downstream tasks remains challenging, as full fine-tuning is computationally prohibitive and prone to overfitting in low-data regimes. Parameter-efficient fine-tuning (PEFT) alleviates these issues with lightweight prompt- or adapter-based modules, and cross-modal coupling has proven especially effective by strengthening interactions between vision and language. However, existing coupling mechanisms predominantly rely on external auxiliary modules, leading to indirect, coarse-grained interactions that are structurally decoupled from the original VLM and thus limit representational expressiveness. In this paper, we propose Multi-Modal Interactive Agent Layer (MAIL), a PEFT paradigm that embeds cross-modal coupling directly into the intrinsic computation modules of VLMs. MAIL freezes the backbone and inserts lightweight agent layers after core modules, such as LayerNorm, to approximate the parameter updates induced by full fine-tuning. To couple visual and textual streams at this level, we introduce a bottleneck-based text-to-image bridge that jointly optimizes paired agent layers across modalities, coordinating the adaptation of corresponding computation modules. We further present MAIL++, which enables bidirectional cross-modal exchange through a meta agent layer, a meta-text bridge, and a meta-image bridge. At inference time, all agent layers are re-parameterized into the frozen backbone, preserving the original computational efficiency. Extensive experiments on few-shot image classification and few-shot universal cross-domain retrieval demonstrate that MAIL and MAIL++ consistently outperform state-of-the-art PEFT methods.

Personalized Generative Models for Contextual Debiasing

Different visual patterns appear with different frequencies in the world: e.g., beach balls appear on sand more often than they do on a road. These statistics are reflected in vision datasets, and as a result trained models more easily recognize objects in common scenarios. However, recognizing a beach ball on a road may arguably be even more important than recognizing it on sand. We study how to mitigate this discrepancy. Since collecting uncommon images in the real world may be difficult, we explore whether generating images with less frequent contexts can serve as effective training augmentation. A key challenge is guiding generations to remain close to the original dataset distribution while creating diverse images with uncommon contexts. We introduce Decoupling Contextual Patterns with Generations (DecoupleGen), a method that personalizes text-to-image diffusion models to facilitate coherent synthesis of images with rare contexts while preserving original visual details. The generated images contain semantically meaningful content and remain visually aligned with the original datasets. We further apply verification constraints to ensure relevance of the augmented data. We evaluate our approach on object classification and recognition tasks on complex scene datasets. Our experiments demonstrate consistent improvements over previous approaches, and our analyses identify factors underlying these improvements.

BiasEdit: A Training-Free Bias-Detect-and-Edit Framework for Learning Fair Visual Classifiers

Visual data from the Web power image classifiers, which often underpin many web services, such as recommendation and content moderation. However, the raw Web data often contain spurious correlations and social biases, and neural networks are known for their tendency to learn biases present in data. This can reinforce unfairness in web services and the web data, leading to a vicious cycle. In the context of image classification, networks learn bias attributes for a specific class when a majority of images contain the same attribute only for a given class. Hence, training a fair and debiased classifier from a biased dataset demands handling an imbalanced problem between a majority of images with bias attributes (bias-aligned samples) and a minority without (bias-conflict samples). In this work, we introduce BiasEdit, a modular framework that automatically detects bias attributes from the original dataset and edits them to construct a debiased dataset. Specifically, BiasEdit first detects unknown bias attributes via statistical dependence and mutual information analysis of visual-linguistic representations, and then explicitly edits those attributes using text-guided image editing to generate realistic bias-conflict samples. Unlike prior works that assume known bias attributes or relies on synthetic mixing, our method operates without manual annotations and can leverage off-the-shelf vision-language and editing models. BiasEdit addresses a fundamental challenge in Web-sourced visual AI, mitigating dataset-induced bias and achieving state-of-the-art debiasing performance even when training data are fully biased.

A Geometric View of SRC: Learning Representations for Stable Residual Inference

Reconstruction-based inference assigns a class by comparing class-wise reconstruction residuals; Sparse Representation Classification (SRC) is a canonical instance whose reliability depends on the geometry of the learned representation. We adopt a strict training-inference separation: SRC is used only as a fixed test-time rule and is never differentiated, unrolled, or optimized during training. In a span-level idealization based on class-conditional spans and their associated projection residuals, we formalize residual-ordering stability through a residual margin and characterize geometric obstructions -- span overlap, dominance, and near-overlap via small principal angles -- that can collapse this margin in worst-case directions. This span-level theory is primary: it specifies when the idealized residual family is well-separated, and it provides a conditional solver-level interpretation for practical residual approximations (e.g., OMP) insofar as they remain close to the span-level residual ordering. Under explicit coverage and separation assumptions, we derive a quantitative lower bound on the (idealized) residual margin. Guided by these targets, we propose geometry-shaping objectives that promote masked within-class self-expressiveness, discourage cross-class reconstruction pathways and inter-class span alignment, and prevent collapse -- without invoking SRC residuals or predictions during training. Experiments on images (COIL-100), text (TREC), and EEG connectivity evaluate all representations under identical fixed SRC/OMP inference and report residual margins and geometric diagnostics; cross-entropy is included only as a reference geometry under the same evaluation protocol.

SAVER: Selective As-Needed Vision Evidence for Multimodal Information Extraction

Multimodal IE in social media is difficult because a post may attach multiple images that are weakly related, redundant, or even misleading with respect to the text. In this setting, always-on multimodal fusion wastes computation and can amplify spurious visual cues. The core challenge is to decide, for each candidate span or marked entity pair, whether vision should be consulted at all and, if so, which small subset of images provides trustworthy evidence. We propose SAVER, a selective vision-as-needed framework for multimodal named entity recognition and multimodal relation extraction. SAVER uses a Conformal Groundability Gate (CGG) to estimate span-level visual groundability in MNER, derive pair-level activation in MRE from the two marked entities, and calibrate the activation threshold on a held-out split via a conformal-style procedure with Clopper--Pearson upper bounds. When activated, a submodular relevance--diversity selector chooses a compact evidence subset across images, which is then aggregated by a Set Transformer. An energy-inspired joint scoring head combines text, optional visual evidence, text--image consistency, and sparse routing for entity typing or relation classification. Experiments show that SAVER consistently improves F1 over strong text-only and always-on multimodal baselines, while reducing AURC, increasing activation coverage at a fixed risk level, and lowering FLOPs and P90 latency.

From TF-IDF to Transformers: A Comparative and Ensemble Approach to Sentiment Classification

Sentiment analysis, also referred to as opinion mining, primarily tries to extract opinion from any text-based data. In the context of movie reviews and critics, sentimental analysis can be a helpful tool to predict whether a movie review is generally positive or negative. It can be difficult for the ML models to understand the context or metaphysical sentiment accurately, as ML models rely largely on statistical word representations. The objective of this paper is to examine and categorise movie reviews into positive and negative sentiments. Diverse machine learning models are considered in doing so, and Natural Language Processing (NLP) methodologies are employed for data preprocessing and model assessment. The IMDb dataset is used. Specifically, Naive Bayes, Logistic Regression, Support Vector Machines (SVM), LightGBM, LSTM, and transformer-based models such as RoBERTa and DistilBERT were evaluated. After a lot of testing with accuracy, precision, recall, F1-score, and ROC-AUC, RoBERTa performed better than all the other models, with an accuracy of 93.02%. A soft voting ensemble that combined all the models also improved classification performance, showing that model ensembling works well for sentiment analysis.

Benchmarking Patent Embeddings: A Multi-Task Evaluation of 22 Models Across Retrieval, Classification, and Clustering

Two questions regarding practitioners' use of patent embeddings arise: (i) Does one fine-tuning recipe suffice for all downstream applications? (ii) Is fine-tuning on one patent landscape sufficient for downstream application on other landscapes? By evaluating 22 pre-trained embedding models (ranging from 22M to 12B parameters) on three tasks -- information retrieval, classification, and clustering -- on 113,148 WIPO patents for assistive technology (46,069 citation queries) and on an external DAPFAM dataset, we find that two results cast doubt on the prevailing wisdom. (i) The optimal fine-tuning recipe depends on the downstream task: cross-sectional alignment (recipe R3) provides the largest improvements to retrieval performance (+7.1% nDCG@10), whereas a combined signal recipe (recipe R4) is better suited to classification (+7.1 F1) and clustering (+10.9 V-measure); a matched data control confirms that differences in training dataset size are not a contributing factor. (ii) Single-landscape fine-tuning hampers cross-landscape information retrieval: fine-tuning on one landscape significantly degrades cross-domain retrieval for 5 of 8 model-recipe combinations on the DAPFAM corpus, with the stronger zero-shot models suffering most. While within-family scaling is consistent (Qwen3 0.6B->4B->8B; Llama-Nemotron 1B->8B), cross-family scaling is erratic; the 12B KaLM-Gemma3 is ranked 8th on TAC retrieval performance, following prefix modification. Title+Abstract+Claims is the ubiquitous best text view, and all models suffer from a 55-65% gap between IN and OUT-of-domain performance which cannot be mitigated by hybrid BM25-dense fusion. Code and evaluation framework are publicly available.