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May 15

iSight: Towards expert-AI co-assessment for improved immunohistochemistry staining interpretation

Immunohistochemistry (IHC) provides information on protein expression in tissue sections and is commonly used to support pathology diagnosis and disease triage. While AI models for H\&E-stained slides show promise, their applicability to IHC is limited due to domain-specific variations. Here we introduce HPA10M, a dataset that contains 10,495,672 IHC images from the Human Protein Atlas with comprehensive metadata included, and encompasses 45 normal tissue types and 20 major cancer types. Based on HPA10M, we trained iSight, a multi-task learning framework for automated IHC staining assessment. iSight combines visual features from whole-slide images with tissue metadata through a token-level attention mechanism, simultaneously predicting staining intensity, location, quantity, tissue type, and malignancy status. On held-out data, iSight achieved 85.5\% accuracy for location, 76.6\% for intensity, and 75.7\% for quantity, outperforming fine-tuned foundation models (PLIP, CONCH) by 2.5--10.2\%. In addition, iSight demonstrates well-calibrated predictions with expected calibration errors of 0.0150-0.0408. Furthermore, in a user study with eight pathologists evaluating 200 images from two datasets, iSight outperformed initial pathologist assessments on the held-out HPA dataset (79\% vs 68\% for location, 70\% vs 57\% for intensity, 68\% vs 52\% for quantity). Inter-pathologist agreement also improved after AI assistance in both held-out HPA (Cohen's κ increased from 0.63 to 0.70) and Stanford TMAD datasets (from 0.74 to 0.76), suggesting expert--AI co-assessment can improve IHC interpretation. This work establishes a foundation for AI systems that can improve IHC diagnostic accuracy and highlights the potential for integrating iSight into clinical workflows to enhance the consistency and reliability of IHC assessment.

  • 20 authors
·
Feb 3

Yor-Sarc: A gold-standard dataset for sarcasm detection in a low-resource African language

Sarcasm detection poses a fundamental challenge in computational semantics, requiring models to resolve disparities between literal and intended meaning. The challenge is amplified in low-resource languages where annotated datasets are scarce or nonexistent. We present Yor-Sarc, the first gold-standard dataset for sarcasm detection in Yorùbá, a tonal Niger-Congo language spoken by over 50 million people. The dataset comprises 436 instances annotated by three native speakers from diverse dialectal backgrounds using an annotation protocol specifically designed for Yorùbá sarcasm by taking culture into account. This protocol incorporates context-sensitive interpretation and community-informed guidelines and is accompanied by a comprehensive analysis of inter-annotator agreement to support replication in other African languages. Substantial to almost perfect agreement was achieved (Fleiss' κ= 0.7660; pairwise Cohen's κ= 0.6732--0.8743), with 83.3% unanimous consensus. One annotator pair achieved almost perfect agreement (κ= 0.8743; 93.8% raw agreement), exceeding a number of reported benchmarks for English sarcasm research works. The remaining 16.7% majority-agreement cases are preserved as soft labels for uncertainty-aware modelling. Yor-Sarchttps://github.com/toheebadura/yor-sarc is expected to facilitate research on semantic interpretation and culturally informed NLP for low-resource African languages.

The Persona Paradox: Medical Personas as Behavioral Priors in Clinical Language Models

Persona conditioning can be viewed as a behavioral prior for large language models (LLMs) and is often assumed to confer expertise and improve safety in a monotonic manner. However, its effects on high-stakes clinical decision-making remain poorly characterized. We systematically evaluate persona-based control in clinical LLMs, examining how professional roles (e.g., Emergency Department physician, nurse) and interaction styles (bold vs.\ cautious) influence behavior across models and medical tasks. We assess performance on clinical triage and patient-safety tasks using multidimensional evaluations that capture task accuracy, calibration, and safety-relevant risk behavior. We find systematic, context-dependent, and non-monotonic effects: Medical personas improve performance in critical care tasks, yielding gains of up to sim+20% in accuracy and calibration, but degrade performance in primary-care settings by comparable margins. Interaction style modulates risk propensity and sensitivity, but it's highly model-dependent. While aggregated LLM-judge rankings favor medical over non-medical personas in safety-critical cases, we found that human clinicians show moderate agreement on safety compliance (average Cohen's κ= 0.43) but indicate a low confidence in 95.9\% of their responses on reasoning quality. Our work shows that personas function as behavioral priors that introduce context-dependent trade-offs rather than guarantees of safety or expertise. The code is available at https://github.com/rsinghlab/Persona\_Paradox.

Mamba-based Deep Learning Approach for Sleep Staging on a Wireless Multimodal Wearable System without Electroencephalography

Study Objectives: We investigate a Mamba-based deep learning approach for sleep staging on signals from ANNE One (Sibel Health, Evanston, IL), a non-intrusive dual-module wireless wearable system measuring chest electrocardiography (ECG), triaxial accelerometry, and chest temperature, and finger photoplethysmography and finger temperature. Methods: We obtained wearable sensor recordings from 357 adults undergoing concurrent polysomnography (PSG) at a tertiary care sleep lab. Each PSG recording was manually scored and these annotations served as ground truth labels for training and evaluation of our models. PSG and wearable sensor data were automatically aligned using their ECG channels with manual confirmation by visual inspection. We trained a Mamba-based recurrent neural network architecture on these recordings. Ensembling of model variants with similar architectures was performed. Results: After ensembling, the model attains a 3-class (wake, non rapid eye movement [NREM] sleep, rapid eye movement [REM] sleep) balanced accuracy of 84.02%, F1 score of 84.23%, Cohen's κ of 72.89%, and a Matthews correlation coefficient (MCC) score of 73.00%; a 4-class (wake, light NREM [N1/N2], deep NREM [N3], REM) balanced accuracy of 75.30%, F1 score of 74.10%, Cohen's κ of 61.51%, and MCC score of 61.95%; a 5-class (wake, N1, N2, N3, REM) balanced accuracy of 65.11%, F1 score of 66.15%, Cohen's κ of 53.23%, MCC score of 54.38%. Conclusions: Our Mamba-based deep learning model can successfully infer major sleep stages from the ANNE One, a wearable system without electroencephalography (EEG), and can be applied to data from adults attending a tertiary care sleep clinic.

  • 12 authors
·
Nov 24, 2025

VisInject: Disruption != Injection -- A Dual-Dimension Evaluation of Universal Adversarial Attacks on Vision-Language Models

Universal adversarial attacks on aligned multimodal large language models are increasingly reported with attack success rates in the 60-80% range, suggesting the visual modality is highly vulnerable to imperceptible perturbations as a prompt-injection channel. We argue that this number conflates two distinct events: (i) the model's output was perturbed (Influence), and (ii) the attacker's chosen target concept was actually emitted (Precise Injection). We compose two existing techniques -- Universal Adversarial Attack and AnyAttack -- under an L_{inf} budget of 16/255, and we add a dual-axis evaluation: a deterministic Ratcliff-Obershelp drift score for Influence (programmatic baseline) plus a 4-tier ordinal categorical none/weak/partial/confirmed for Precise Injection. The judge is DeepSeek-V4-Pro in thinking mode, calibrated against Claude Opus 4.7 with Cohen's κ = 0.77 on the injection axis (substantial agreement); the entire 4475-entry SHA-256 input cache ships with the dataset so reviewers can re-derive paper numbers bit-exact without an API key. Across 6615 pairs over four open VLMs, seven attack prompts, and seven test images, the two axes diverge by roughly 90times: 66.4% of pairs are programmatically disturbed (LLM-judged 46.6% at the substantial-or-complete tier), but only 0.756% (50/6615) reach any non-none injection tier and only 0.030% (2/6615) verbatim. The few injections that do land cluster on screenshot- or document-style carriers whose semantics already invite text transcription. BLIP-2 shows zero detectable drift at L_{inf} = 16/255 across all 2205 pairs even when used as a Stage-1 surrogate. We release the full dataset -- 21 universal images, 147 adversarial photos, 6,615 response pairs, the v3 dual-axis judge results, and the cache at huggingface.co/datasets/jeffliulab/visinject.

  • 2 authors
·
May 1

Multi-LLM Thematic Analysis with Dual Reliability Metrics: Combining Cohen's Kappa and Semantic Similarity for Qualitative Research Validation

Qualitative research faces a critical reliability challenge: traditional inter-rater agreement methods require multiple human coders, are time-intensive, and often yield moderate consistency. We present a multi-perspective validation framework for LLM-based thematic analysis that combines ensemble validation with dual reliability metrics: Cohen's Kappa (κ) for inter-rater agreement and cosine similarity for semantic consistency. Our framework enables configurable analysis parameters (1-6 seeds, temperature 0.0-2.0), supports custom prompt structures with variable substitution, and provides consensus theme extraction across any JSON format. As proof-of-concept, we evaluate three leading LLMs (Gemini 2.5 Pro, GPT-4o, Claude 3.5 Sonnet) on a psychedelic art therapy interview transcript, conducting six independent runs per model. Results demonstrate Gemini achieves highest reliability (κ= 0.907, cosine=95.3%), followed by GPT-4o (κ= 0.853, cosine=92.6%) and Claude (κ= 0.842, cosine=92.1%). All three models achieve a high agreement (κ> 0.80), validating the multi-run ensemble approach. The framework successfully extracts consensus themes across runs, with Gemini identifying 6 consensus themes (50-83% consistency), GPT-4o identifying 5 themes, and Claude 4 themes. Our open-source implementation provides researchers with transparent reliability metrics, flexible configuration, and structure-agnostic consensus extraction, establishing methodological foundations for reliable AI-assisted qualitative research.

YaleUniversity Yale University
·
Dec 23, 2025 2

SleepPPG-Net: a deep learning algorithm for robust sleep staging from continuous photoplethysmography

Introduction: Sleep staging is an essential component in the diagnosis of sleep disorders and management of sleep health. It is traditionally measured in a clinical setting and requires a labor-intensive labeling process. We hypothesize that it is possible to perform robust 4-class sleep staging using the raw photoplethysmography (PPG) time series and modern advances in deep learning (DL). Methods: We used two publicly available sleep databases that included raw PPG recordings, totalling 2,374 patients and 23,055 hours. We developed SleepPPG-Net, a DL model for 4-class sleep staging from the raw PPG time series. SleepPPG-Net was trained end-to-end and consists of a residual convolutional network for automatic feature extraction and a temporal convolutional network to capture long-range contextual information. We benchmarked the performance of SleepPPG-Net against models based on the best-reported state-of-the-art (SOTA) algorithms. Results: When benchmarked on a held-out test set, SleepPPG-Net obtained a median Cohen's Kappa (κ) score of 0.75 against 0.69 for the best SOTA approach. SleepPPG-Net showed good generalization performance to an external database, obtaining a κ score of 0.74 after transfer learning. Perspective: Overall, SleepPPG-Net provides new SOTA performance. In addition, performance is high enough to open the path to the development of wearables that meet the requirements for usage in clinical applications such as the diagnosis and monitoring of obstructive sleep apnea.

  • 6 authors
·
Apr 28, 2022

Investigating the Efficacy of Large Language Models in Reflective Assessment Methods through Chain of Thoughts Prompting

Large Language Models, such as Generative Pre-trained Transformer 3 (aka. GPT-3), have been developed to understand language through the analysis of extensive text data, allowing them to identify patterns and connections between words. While LLMs have demonstrated impressive performance across various text-related tasks, they encounter challenges in tasks associated with reasoning. To address this challenge, Chain of Thought(CoT) prompting method has been proposed as a means to enhance LLMs' proficiency in complex reasoning tasks like solving math word problems and answering questions based on logical argumentative reasoning. The primary aim of this research is to assess how well four language models can grade reflective essays of third-year medical students. The assessment will specifically target the evaluation of critical thinking skills using CoT prompting. The research will provide the following contributions; to introduce and educate on the process of instructing models to evaluate reflective essays from a dataset they have not been previously trained on; to illustrate the use of CoT prompting as an instructional approach for training large models to carry out particular tasks. Our results suggest that among all the models, Llama-7b performs the least effectively, displaying the highest mean squared error. Conversely, ChatGPT emerges as the superior model, boasting a higher Cohen kappa score value of 0.53. Lastly, it's important to note that the selected models do prioritise user privacy by allowing users to delete their own conducted conversations.

  • 3 authors
·
Sep 30, 2023

Measuring Faithfulness Depends on How You Measure: Classifier Sensitivity in LLM Chain-of-Thought Evaluation

Recent work on chain-of-thought (CoT) faithfulness reports single aggregate numbers (e.g., DeepSeek-R1 acknowledges hints 39% of the time), implying that faithfulness is an objective, measurable property of a model. This paper demonstrates that it is not. Three classifiers (a regex-only detector, a two-stage regex-plus-LLM pipeline, and an independent Claude Sonnet 4 judge) are applied to 10,276 influenced reasoning traces from 12 open-weight models spanning 9 families and 7B to 1T parameters. On identical data, these classifiers produce overall faithfulness rates of 74.4%, 82.6%, and 69.7%, respectively, with non-overlapping 95% confidence intervals. Per-model gaps range from 2.6 to 30.6 percentage points; all are statistically significant (McNemar's test, p < 0.001). The disagreements are systematic, not random: inter-classifier agreement measured by Cohen's kappa ranges from 0.06 ("slight") for sycophancy hints to 0.42 ("moderate") for grader hints, and the asymmetry is pronounced: for sycophancy, 883 cases are classified as faithful by the pipeline but unfaithful by the Sonnet judge, while only 2 go the other direction. Classifier choice can also reverse model rankings: Qwen3.5-27B ranks 1st under the pipeline but 7th under the Sonnet judge; OLMo-3.1-32B moves in the opposite direction, from 9th to 3rd. The root cause is that different classifiers operationalize related faithfulness constructs at different levels of stringency (lexical mention versus epistemic dependence), and these constructs yield divergent measurements on the same behavior. These results demonstrate that published faithfulness numbers cannot be meaningfully compared across studies that use different classifiers, and that future evaluations should report sensitivity ranges across multiple classification methodologies rather than single point estimates.

  • 1 authors
·
Mar 20

Judge's Verdict: A Comprehensive Analysis of LLM Judge Capability Through Human Agreement

This research introduces the Judge's Verdict Benchmark, a novel two-step methodology to evaluate Large Language Models (LLMs) as judges for response accuracy evaluation tasks. We assess how well 54 LLMs can replicate human judgment when scoring responses from RAG (Retrieval-Augmented Generation) or Agentic pipelines against ground truth answers. Our methodology progresses from traditional correlation analysis to comprehensive Cohen's Kappa analysis that measures actual agreement patterns. The two-step approach includes: (1) a correlation test that filters judges with strong alignment, followed by (2) a human-likeness test using z-scores to identify two distinct judgment patterns: human-like judgment (|z| < 1) that mimics natural human variation, and super-consistent judgment (z > 1) that exceeds typical human-to-human agreement levels. This methodology reveals that 27 out of 54 tested LLMs achieve Tier 1 performance: 23 models exhibit human-like patterns that preserve the nuances of human judgment, while 4 models demonstrate super-consistent behavior, a pattern that could indicate either enhanced reliability or oversimplification of complex judgments. Testing 43 open-source models (1B-405B parameters) and 11 closed models (GPT, Gemini, Claude variants), we demonstrate that judge excellence is not solely dependent on model size but on specific training strategies. Our key contributions include: (1) establishing that correlation alone is insufficient for judge evaluation, (2) introducing a "Turing Test for judges" based on agreement patterns, and (3) providing a standardized benchmark for classifying LLM judges into distinct performance tiers for different evaluation needs.

  • 4 authors
·
Oct 9, 2025

TriAttention: Efficient Long Reasoning with Trigonometric KV Compression

Extended reasoning in large language models (LLMs) creates severe KV cache memory bottlenecks. Leading KV cache compression methods estimate KV importance using attention scores from recent post-RoPE queries. However, queries rotate with position during RoPE, making representative queries very few, leading to poor top-key selection and unstable reasoning. To avoid this issue, we turn to the pre-RoPE space, where we observe that Q and K vectors are highly concentrated around fixed non-zero centers and remain stable across positions -- Q/K concentration. We show that this concentration causes queries to preferentially attend to keys at specific distances (e.g., nearest keys), with the centers determining which distances are preferred via a trigonometric series. Based on this, we propose TriAttention to estimate key importance by leveraging these centers. Via the trigonometric series, we use the distance preference characterized by these centers to score keys according to their positions, and also leverage Q/K norms as an additional signal for importance estimation. On AIME25 with 32K-token generation, TriAttention matches Full Attention reasoning accuracy while achieving 2.5x higher throughput or 10.7x KV memory reduction, whereas leading baselines achieve only about half the accuracy at the same efficiency. TriAttention enables OpenClaw deployment on a single consumer GPU, where long context would otherwise cause out-of-memory with Full Attention.

nvidia NVIDIA
·
Apr 5 6

Multimodal Sleep Stage and Sleep Apnea Classification Using Vision Transformer: A Multitask Explainable Learning Approach

Sleep is an essential component of human physiology, contributing significantly to overall health and quality of life. Accurate sleep staging and disorder detection are crucial for assessing sleep quality. Studies in the literature have proposed PSG-based approaches and machine-learning methods utilizing single-modality signals. However, existing methods often lack multimodal, multilabel frameworks and address sleep stages and disorders classification separately. In this paper, we propose a 1D-Vision Transformer for simultaneous classification of sleep stages and sleep disorders. Our method exploits the sleep disorders' correlation with specific sleep stage patterns and performs a simultaneous identification of a sleep stage and sleep disorder. The model is trained and tested using multimodal-multilabel sensory data (including photoplethysmogram, respiratory flow, and respiratory effort signals). The proposed method shows an overall accuracy (cohen's Kappa) of 78% (0.66) for five-stage sleep classification and 74% (0.58) for sleep apnea classification. Moreover, we analyzed the encoder attention weights to clarify our models' predictions and investigate the influence different features have on the models' outputs. The result shows that identified patterns, such as respiratory troughs and peaks, make a higher contribution to the final classification process.

  • 6 authors
·
Feb 18, 2025

The Condition Number as a Scale-Invariant Proxy for Information Encoding in Neural Units

This paper explores the relationship between the condition number of a neural network's weight tensor and the extent of information encoded by the associated processing unit, viewed through the lens of information theory. It argues that a high condition number, though not sufficient for effective knowledge encoding, may indicate that the unit has learned to selectively amplify and compress information. This intuition is formalized for linear units with Gaussian inputs, linking the condition number and the transformation's log-volume scaling factor to the characteristics of the output entropy and the geometric properties of the learned transformation. The analysis demonstrates that for a fixed weight norm, a concentrated distribution of singular values (high condition number) corresponds to reduced overall information transfer, indicating a specialized and efficient encoding strategy. Furthermore, the linear stage entropy bound provides an upper limit on post-activation information for contractive, element-wise nonlinearities, supporting the condition number as a scale-invariant proxy for encoding capacity in practical neural networks. An empirical case study applies these principles to guide selective fine-tuning of Large Language Models for both a new task and a new input modality. The experiments show that the proposed method, named KappaTune, effectively mitigates catastrophic forgetting. Unlike many existing catastrophic forgetting mitigation methods that rely on access to pre-training statistics, which are often unavailable, this selective fine-tuning approach offers a way to bypass this common requirement.

  • 1 authors
·
Jun 19, 2025 1