arXiv subjects

Jifan Gao

Publications and source records attributed to Jifan Gao.

5 recordsLinked to original sources

arXiv2026

Right Diagnoses, Decorative Reasoning:A Perturbation Audit of Medical Chain-of-Thought

Clinicians read chain-of-thought (CoT) rationales as evidence of medical reasoning, but whether the visible chain plays that role is rarely tested. General-domain CoT-faithfulness probes ignore clinical cost, and medical LLM evaluations treat the chain as a black box. We close this gap with a medical perturbation audit: a 30-operator battery edits both the chain and the question with clinically motivated operators (severity reversal, negation flip, demographic swap, evidence ablation), paired with a chain-update times answer-flip joint analysis that classifies each model by its failure mode. Applied to 14 LLMs on four medical QA benchmarks, three independent tests converge: the Chain-Decoupling Rate (CDR; chain does not register the edit and the answer does not flip) is 72.9% panel-wide on clinically meaningful destructive edits, chain corruption leaves accuracy unchanged, and removing CoT prompting does not reduce accuracy. Two board-certified clinicians re-annotate N=197 perturbed questions; 98.5% leave the gold defensible. The pattern holds across medical and reasoning fine-tuning and scale; on the closed-source tier, where the chain text is unavailable, the answer-side signals are consistent with the same decoupling. Our framework and CDR provide a reusable yardstick for auditing whether medical CoT is faithful or merely documentation.

cs.AI↗

arXiv2025

Count-Based Approaches Remain Strong: A Benchmark Against Transformer and LLM Pipelines on Structured EHR

Structured electronic health records (EHR) are essential for clinical prediction. While count-based learners continue to perform strongly on such data, no benchmarking has directly compared them against more recent mixture-of-agents LLM pipelines, which have been reported to outperform single LLMs in various NLP tasks. In this study, we evaluated three categories of methodologies for EHR prediction using the EHRSHOT dataset: count-based models built from ontology roll-ups with two time bins, based on LightGBM and the tabular foundation model TabPFN; a pretrained sequential transformer (CLMBR); and a mixture-of-agents pipeline that converts tabular histories to natural-language summaries followed by a text classifier. We assessed eight outcomes using the EHRSHOT dataset. Across the eight evaluation tasks, head-to-head wins were largely split between the count-based and the mixture-of-agents methods. Given their simplicity and interpretability, count-based models remain a strong candidate for structured EHR benchmarking. The source code is available at: https://github.com/cristea-lab/Structured_EHR_Benchmark.

cs.AI↗

arXiv2025

MoMA: A Mixture-of-Multimodal-Agents Architecture for Enhancing Clinical Prediction Modelling

Multimodal electronic health record (EHR) data provide richer, complementary insights into patient health compared to single-modality data. However, effectively integrating diverse data modalities for clinical prediction modeling remains challenging due to the substantial data requirements. We introduce a novel architecture, Mixture-of-Multimodal-Agents (MoMA), designed to leverage multiple large language model (LLM) agents for clinical prediction tasks using multimodal EHR data. MoMA employs specialized LLM agents ("specialist agents") to convert non-textual modalities, such as medical images and laboratory results, into structured textual summaries. These summaries, together with clinical notes, are combined by another LLM ("aggregator agent") to generate a unified multimodal summary, which is then used by a third LLM ("predictor agent") to produce clinical predictions. Evaluating MoMA on three prediction tasks using real-world datasets with different modality combinations and prediction settings, MoMA outperforms current state-of-the-art methods, highlighting its enhanced accuracy and flexibility across various tasks.

cs.LG↗

arXiv2024

MCCE: Missingness-aware Causal Concept Explainer

Causal concept effect estimation is gaining increasing interest in the field of interpretable machine learning. This general approach explains the behaviors of machine learning models by estimating the causal effect of human-understandable concepts, which represent high-level knowledge more comprehensibly than raw inputs like tokens. However, existing causal concept effect explanation methods assume complete observation of all concepts involved within the dataset, which can fail in practice due to incomplete annotations or missing concept data. We theoretically demonstrate that unobserved concepts can bias the estimation of the causal effects of observed concepts. To address this limitation, we introduce the Missingness-aware Causal Concept Explainer (MCCE), a novel framework specifically designed to estimate causal concept effects when not all concepts are observable. Our framework learns to account for residual bias resulting from missing concepts and utilizes a linear predictor to model the relationships between these concepts and the outputs of black-box machine learning models. It can offer explanations on both local and global levels. We conduct validations using a real-world dataset, demonstrating that MCCE achieves promising performance compared to state-of-the-art explanation methods in causal concept effect estimation.

cs.LG↗

arXiv2021

More Generalizable Models For Sepsis Detection Under Covariate Shift

Sepsis is a major cause of mortality in the intensive care units (ICUs). Early intervention of sepsis can improve clinical outcomes for sepsis patients. Machine learning models have been developed for clinical recognition of sepsis. A common assumption of supervised machine learning models is that the covariates in the testing data follow the same distributions as those in the training data. When this assumption is violated (e.g., there is covariate shift), models that performed well for training data could perform badly for testing data. Covariate shift happens when the relationships between covariates and the outcome stay the same, but the marginal distributions of the covariates differ among training and testing data. Covariate shift could make clinical risk prediction model nongeneralizable. In this study, we applied covariate shift corrections onto common machine learning models and have observed that these corrections can help the models be more generalizable under the occurrence of covariate shift when detecting the onset of sepsis.

stat.AP↗