arXiv subjects

Hongxi Yang

Publications and source records attributed to Hongxi Yang.

4 recordsLinked to original sources

arXiv2026

VIBE-Bench: Evaluating Personalized Large Language Models When Profiles Don't Mean Preferences

Personalized Large Language Models (PLLMs) aim to tailor responses to individual users, where a central challenge is preference reasoning: inferring query-relevant preferences from user-related history. Existing benchmarks, however, largely assume that such preference can be retrieved from semantically related history. We study an underexplored but practically important regime, profile-preference conceptual misalignment (PRCM), where observable profile cues and query-specific preferences lie in different concept spaces, making semantic retrieval inconsistent for personalization. We introduce VIBE-Bench, a benchmark with two psychology-grounded tasks, 3,504 personas and 12,239 dialogues, including a manually verified gold test set, and requires cross-concept preference reasoning beyond surface semantic overlap. Experiments with several personalization methods show that current PLLMs largely rely on shallow semantic correlations and fail to acquire robust cross-concept mappings. These findings establish PRCM as a distinct failure regime in PLLMs and position VIBE-Bench as a focused testbed for advancing preference reasoning beyond semantic matching.

cs.AI↗

arXiv2026

SDARE-Bench: Evaluating Large Language Models on Conversational Stigma Detection and Response in Dyadic and Group Dialogue

Large Language Models (LLMs) are increasingly used in advice seeking and decision making that may affect social judgements. Despite stigma's profound effects on people and communities, benchmarks remain scarce. Existing general-domain evaluations typically rely on static prompts and fixed-format tasks, overlooking conversational contexts and audience effects in everyday communication. To address these gaps, we introduce SDARE-Bench, the first scenario-based benchmark evaluating both stigma detection and open-ended response generation in LLMs, comprising 1,138 dyadic queries and 1,388 group dialogue. Empirical results across 8 LLMs consistently demonstrate poor identification of stigma components, especially in group dialogues. In open-ended response generation, stigma expression was substantially higher in group settings than in dyadic, with weaker resistance to stigma and more unrealistic advice. Responses were evaluated using a classifier trained on 1,392 human annotated responses. In constructed group pressure settings, stigma expression rates further increased to a striking average of 97.5%. Our findings identify stigma response as a recurring LLM safety vulnerability, especially in socially complex conversational contexts.

cs.CL↗

arXiv2026

NeRD: Neuro-Symbolic Rule Distillation for Efficient Ontology-Grounded Chain-of-Thought in Medical Image Diagnosis

Interpretability is essential for trustworthy medical image diagnosis. However, existing concept-driven interpretable methods have key limitations: Concept Bottleneck Models (CBMs) require scoring all predefined concepts at inference time and for manual intervention, imposing a substantial burden on clinicians, while rationale-based generative approaches often select concepts by class discriminability, which can drift from diagnostic ontologies. To address these issues, we propose Neuro-Symbolic Rule Distillation (NeRD), a framework that produces efficient, ontology-grounded reasoning chains that are sufficient yet non-redundant, without manually crafting diagnostic rules. Experiments on two skin datasets demonstrate strong diagnostic performance and interpretability, and blinded expert evaluation confirms the clinical plausibility of NeRD rationales. Our method further enables a first expert-in-the-loop study for Multimodal Chain-of-Thought-based diagnosis, achieving efficient and effective concept-level intervention.

cs.CV↗

arXiv2025

A Specialized Large Language Model for Clinical Reasoning and Diagnosis in Rare Diseases

Rare diseases affect hundreds of millions worldwide, yet diagnosis often spans years. Convectional pipelines decouple noisy evidence extraction from downstream inferential diagnosis, and general/medical large language models (LLMs) face scarce real world electronic health records (EHRs), stale domain knowledge, and hallucinations. We assemble a large, domain specialized clinical corpus and a clinician validated reasoning set, and develop RareSeek R1 via staged instruction tuning, chain of thought learning, and graph grounded retrieval. Across multicenter EHR narratives and public benchmarks, RareSeek R1 attains state of the art accuracy, robust generalization, and stability under noisy or overlapping phenotypes. Augmented retrieval yields the largest gains when narratives pair with prioritized variants by resolving ambiguity and aligning candidates to mechanisms. Human studies show performance on par with experienced physicians and consistent gains in assistive use. Notably, transparent reasoning highlights decisive non phenotypic evidence (median 23.1%, such as imaging, interventions, functional tests) underpinning many correct diagnoses. This work advances a narrative first, knowledge integrated reasoning paradigm that shortens the diagnostic odyssey and enables auditable, clinically translatable decision support.

cs.CL↗