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This technical report details a novel approach to combining reasoning and retrieval augmented generation (RAG) within a single, lean language model architecture. While existing RAG systems typically rely on large-scale models and external…

Individuals with suspected rare genetic disorders often undergo multiple clinical evaluations, imaging studies, laboratory tests and genetic tests, to find a possible answer over a prolonged period of time. Addressing this "diagnostic…

Vision--Language Models (VLMs) show significant promise for Medical Visual Question Answering (VQA), yet their deployment in clinical settings is hindered by severe vulnerability to adversarial attacks. Standard adversarial training, while…

Artificial Intelligence · Computer Science 2025-12-23 A. A. Gde Yogi Pramana , Jason Ray , Anthony Jaya , Michael Wijaya

Clinical abnormality grounding for rare diseases is often hindered by data scarcity, making supervised fine-tuning impractical and single-pass inference highly unstable. We propose Dynamic Decision Learning (DDL), a framework that enables…

Computation and Language · Computer Science 2026-04-29 Jun Li , Mingxuan Liu , Jiazhen Pan , Che Liu , Wenjia Bai , Cosmin I. Bercea , Julia A. Schnabel

Despite strong performance of deep learning models in retinal disease detection, most systems produce static predictions without clinical reasoning or interactive explanation. Recent advances in multimodal large language models (MLLMs)…

Computer Vision and Pattern Recognition · Computer Science 2026-04-29 Ran Gu , Benjamin Hou , Mélanie Hébert , Asmita Indurkar , Yifan Yang , Emily Y. Chew , Tiarnán D. L. Keenan , Zhiyong Lu

This paper presents CaseGPT, an innovative approach that combines Large Language Models (LLMs) and Retrieval-Augmented Generation (RAG) technology to enhance case-based reasoning in the healthcare and legal sectors. The system addresses the…

Information Retrieval · Computer Science 2024-07-12 Rui Yang

Randomized controlled trials (RCTs) are the gold standard for estimating heterogeneous treatment effects, yet they are often underpowered for detecting effect heterogeneity. Large observational studies (OS) can supplement RCTs for…

Machine Learning · Computer Science 2026-04-07 Amir Asiaee , Samhita Pal

Lane Keeping Assist systems, while increasingly prevalent, often suffer from unpredictable real-world failures, largely due to their opaque, black-box nature, which limits driver anticipation and trust. To bridge the gap between automated…

Robotics · Computer Science 2025-05-20 Yuhang Wang , Hao Zhou

Clinical diagnosis prediction models, when provided with a patient's medical history, aim to detect potential diseases early, facilitating timely intervention and improving prognostic outcomes. However, the inherent scarcity of patient data…

Computation and Language · Computer Science 2025-01-30 Mingyu Derek Ma , Xiaoxuan Wang , Yijia Xiao , Anthony Cuturrufo , Vijay S Nori , Eran Halperin , Wei Wang

Large Language Models (LLMs) and causal learning each hold strong potential for clinical decision making (CDM). However, their synergy remains poorly understood, largely due to the lack of systematic benchmarks evaluating their integration…

Machine Learning · Computer Science 2025-11-14 Linna Wang , Zhixuan You , Qihui Zhang , Jiunan Wen , Ji Shi , Yimin Chen , Yusen Wang , Fanqi Ding , Ziliang Feng , Li Lu

In rural regions of several developing countries, access to quality healthcare, medical infrastructure, and professional diagnosis is largely unavailable. Many of these regions are gradually gaining access to internet infrastructure,…

Computation and Language · Computer Science 2021-06-03 Vishal Vinod , Susmit Agrawal , Vipul Gaurav , Pallavi R , Savita Choudhary

Despite the impressive capabilities of Large Language Models (LLMs) in general medical domains, questions remain about their performance in diagnosing rare diseases. To answer this question, we aim to assess the diagnostic performance of…

Computational Engineering, Finance, and Science · Computer Science 2024-08-19 Guanchu Wang , Junhao Ran , Ruixiang Tang , Chia-Yuan Chang , Chia-Yuan Chang , Yu-Neng Chuang , Zirui Liu , Vladimir Braverman , Zhandong Liu , Xia Hu

Recent Large Reasoning Models (LRMs) have achieved remarkable progress on task-specific benchmarks, yet their evaluation methods remain constrained by isolated problem-solving paradigms. Existing benchmarks predominantly assess…

Computation and Language · Computer Science 2025-07-16 Zhuoshi Pan , Qizhi Pei , Yu Li , Qiyao Sun , Zinan Tang , H. Vicky Zhao , Conghui He , Lijun Wu

An accurate differential diagnosis (DDx) is a cornerstone of medical care, often reached through an iterative process of interpretation that combines clinical history, physical examination, investigations and procedures. Interactive…

Reasoning-based large language models have excelled in mathematics and programming, yet their potential in knowledge-intensive medical question answering remains underexplored and insufficiently validated in clinical contexts. To bridge…

Computation and Language · Computer Science 2025-10-10 Yu Sun , Xingyu Qian , Weiwen Xu , Hao Zhang , Chenghao Xiao , Long Li , Deli Zhao , Wenbing Huang , Tingyang Xu , Qifeng Bai , Yu Rong

Large reasoning models such as DeepSeek-R1 and OpenAI o1 generate extended chains of thought spanning thousands of tokens, yet their integration with retrieval-augmented generation (RAG) remains fundamentally misaligned. Current RAG systems…

Information Retrieval · Computer Science 2026-04-30 Dongxin Guo , Jikun Wu , Siu Ming Yiu

As the development of Large Models (LMs) progresses rapidly, their safety is also a priority. In current Large Language Models (LLMs) and Multimodal Large Language Models (MLLMs) safety workflow, evaluation, diagnosis, and alignment are…

This study assesses the ability of state-of-the-art large language models (LLMs) including GPT-3.5, GPT-4, Falcon, and LLaMA 2 to identify patients with mild cognitive impairment (MCI) from discharge summaries and examines instances where…

In a well-calibrated risk prediction model, the average predicted probability is close to the true event rate for any given subgroup. Such models are reliable across heterogeneous populations and satisfy strong notions of algorithmic…

Machine Learning · Computer Science 2023-07-31 Jean Feng , Alexej Gossmann , Romain Pirracchio , Nicholas Petrick , Gene Pennello , Berkman Sahiner

The evaluation and improvement of medical large language models (LLMs) are critical for their real-world deployment, particularly in ensuring accuracy, safety, and ethical alignment. Existing frameworks inadequately dissect domain-specific…

Computation and Language · Computer Science 2025-03-11 Luyi Jiang , Jiayuan Chen , Lu Lu , Xinwei Peng , Lihao Liu , Junjun He , Jie Xu
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