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The process of matching patients with suitable clinical trials is essential for advancing medical research and providing optimal care. However, current approaches face challenges such as data standardization, ethical considerations, and a…

Computation and Language · Computer Science 2023-08-08 Jiayi Yuan , Ruixiang Tang , Xiaoqian Jiang , Xia Hu

As large language models (LLMs) become progressively more embedded in clinical decision-support, documentation, and patient-information systems, ensuring their privacy and trustworthiness has emerged as an imperative challenge for the…

Cryptography and Security · Computer Science 2025-10-22 Alexander Nemecek , Zebin Yun , Zahra Rahmani , Yaniv Harel , Vipin Chaudhary , Mahmood Sharif , Erman Ayday

Prominent Large Language Model (LLM) services from providers like OpenAI and Google excel at general tasks but often underperform on domain-specific applications. Current customization services for these LLMs typically require users to…

Machine Learning · Computer Science 2026-02-17 Zhaomin Wu , Jizhou Guo , Junyi Hou , Bingsheng He , Lixin Fan , Qiang Yang

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…

Computation and Language · Computer Science 2026-03-17 Shaowei Guan , Yu Zhai , Hin Chi Kwok , Jiawei Du , Xinyu Feng , Jing Li , Harry Qin , Vivian Hui

Achieving balanced alignment of large language models (LLMs) in terms of Helpfulness, Honesty, and Harmlessness (3H optimization) constitutes a cornerstone of responsible AI. Existing methods like data mixture strategies face limitations,…

Computation and Language · Computer Science 2026-02-03 Jinluan Yang , Dingnan Jin , Anke Tang , Li Shen , Didi Zhu , Zhengyu Chen , Ziyu Zhao , Daixin Wang , Qing Cui , Zhiqiang Zhang , Jun Zhou , Fei Wu , Kun Kuang

Large Language Models (LLMs) have been adopted and deployed worldwide for a broad variety of applications. However, ensuring their safe use remains a significant challenge. Preference training and safety measures often overfit to harms…

Computation and Language · Computer Science 2024-10-15 Aakanksha , Arash Ahmadian , Seraphina Goldfarb-Tarrant , Beyza Ermis , Marzieh Fadaee , Sara Hooker

Large language models (LLMs) demonstrate remarkable medical expertise, but data privacy concerns impede their direct use in healthcare environments. Although offering improved data privacy protection, domain-specific small language models…

Computation and Language · Computer Science 2024-05-17 Xinlu Zhang , Shiyang Li , Xianjun Yang , Chenxin Tian , Yao Qin , Linda Ruth Petzold

Europe's healthcare systems require enhanced interoperability and digitalization, driving a demand for innovative solutions to process legacy clinical data. This paper presents the results of our project, which aims to leverage Large…

Computation and Language · Computer Science 2025-07-09 Aynur Guluzade , Naguib Heiba , Zeyd Boukhers , Florim Hamiti , Jahid Hasan Polash , Yehya Mohamad , Carlos A Velasco

Merging Large Language Models (LLMs) is a cost-effective technique for combining multiple expert LLMs into a single versatile model, retaining the expertise of the original ones. However, current approaches often overlook the importance of…

Computation and Language · Computer Science 2024-06-21 Hasan Abed Al Kader Hammoud , Umberto Michieli , Fabio Pizzati , Philip Torr , Adel Bibi , Bernard Ghanem , Mete Ozay

Patient matching is the process of linking patients to appropriate clinical trials by accurately identifying and matching their medical records with trial eligibility criteria. We propose LLM-Match, a novel framework for patient matching…

Computation and Language · Computer Science 2025-03-26 Xiaodi Li , Shaika Chowdhury , Chung Il Wi , Maria Vassilaki , Xiaoke Liu , Terence T Sio , Owen Garrick , Young J Juhn , James R Cerhan , Cui Tao , Nansu Zong

Fine-tuning large language models (LLMs) is a common practice to adapt generalist models to specialized domains. However, recent studies show that fine-tuning can erode safety alignment, causing LLMs to respond to harmful or unethical…

Computation and Language · Computer Science 2026-04-24 Aladin Djuhera , Swanand Ravindra Kadhe , Farhan Ahmed , Syed Zawad , Holger Boche

Optimizing data mixtures is essential for unlocking the full potential of large language models (LLMs), yet identifying the optimal composition remains computationally prohibitive due to reliance on heuristic trials or expensive proxy…

Machine Learning · Computer Science 2026-01-27 Jiapeng Wang , Changxin Tian , Kunlong Chen , Ziqi Liu , Jiaxin Mao , Wayne Xin Zhao , Zhiqiang Zhang , Jun Zhou

Fine-tuning large language models (LLMs) for downstream tasks often leads to catastrophic forgetting, notably degrading the safety of originally aligned models. While some existing methods attempt to restore safety by incorporating…

Computation and Language · Computer Science 2025-08-29 Hua Farn , Hsuan Su , Shachi H Kumar , Saurav Sahay , Shang-Tse Chen , Hung-yi Lee

Fine-tuning has emerged as a critical process in leveraging Large Language Models (LLMs) for specific downstream tasks, enabling these models to achieve state-of-the-art performance across various domains. However, the fine-tuning process…

Artificial Intelligence · Computer Science 2025-04-08 Hao Du , Shang Liu , Lele Zheng , Yang Cao , Atsuyoshi Nakamura , Lei Chen

Fine-tuning large language models (LLMs) raises privacy concerns due to the risk of exposing sensitive training data. Federated learning (FL) mitigates this risk by keeping training samples on local devices, while facing the following…

Cryptography and Security · Computer Science 2025-05-15 Zhichao You , Xuewen Dong , Ke Cheng , Xutong Mu , Jiaxuan Fu , Shiyang Ma , Qiang Qu , Yulong Shen

Selecting the best data mixture is critical for successful Supervised Fine-Tuning (SFT) of Multimodal Large Language Models. However, determining the optimal mixture weights across multiple domain-specific datasets remains a significant…

Machine Learning · Computer Science 2026-02-06 Davide Berasi , Matteo Farina , Massimiliano Mancini , Elisa Ricci

Large Language Models (LLMs) are increasingly adopted across domains such as education, healthcare, and finance. In healthcare, LLMs support tasks including disease diagnosis, abnormality classification, and clinical decision-making. Among…

Cryptography and Security · Computer Science 2026-03-31 Payel Bhattacharjee , Fengwei Tian , Geoffrey D. Rubin , Joseph Y. Lo , Nirav Merchant , Heidi Hanson , John Gounley , Ravi Tandon

The rapid advancements in large language models (LLMs) have opened up new opportunities for transforming patient engagement in healthcare through conversational AI. This paper presents an overview of the current landscape of LLMs in…

Artificial Intelligence · Computer Science 2024-11-27 Bo Wen , Raquel Norel , Julia Liu , Thaddeus Stappenbeck , Farhana Zulkernine , Huamin Chen

Large language models (LLMs) hold promise for transforming healthcare, from streamlining administrative and clinical workflows to enriching patient engagement and advancing clinical decision-making. However, their successful integration…

Computers and Society · Computer Science 2025-04-04 Mohammed Al-Garadi , Tushar Mungle , Abdulaziz Ahmed , Abeed Sarker , Zhuqi Miao , Michael E. Matheny

Large Language Models (LLMs) have demonstrated surprising performance across various natural language processing tasks. Recently, medical LLMs enhanced with domain-specific knowledge have exhibited excellent capabilities in medical…

Computation and Language · Computer Science 2024-09-24 Jinqiang Wang , Huansheng Ning , Yi Peng , Qikai Wei , Daniel Tesfai , Wenwei Mao , Tao Zhu , Runhe Huang
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