arXiv subjects

Viktor Schlegel

Publications and source records attributed to Viktor Schlegel.

At least 19 recordsLinked to original sources

arXiv2026

Jacobian-Guided Anisotropic Noise Reshaping for Enhancing Representation Utility under Local Differential Privacy

While Local Differential Privacy (LDP) serves as a foundational primitive for distributed data collection, its stringent randomization requirements often lead to severe degradation in data representation utility. This degradation stems from the task-agnostic nature of conventional LDP mechanisms, which perturb all dimensions without accounting for their relative importance to the downstream objective. To address this issue, we propose a novel approach that mitigates noise in task-relevant subspaces of the data representation. Our method identifies task-critical subspaces via the Jacobian of a public downstream model, selectively attenuates noise along these directions, and reshapes the isotropic noise of standard LDP mechanisms into an anisotropic distribution. The resulting mechanism preserves the privacy guarantee of the underlying LDP randomizer while heterogeneously modulating the impact of noise across task directions, thereby substantially enhancing data utility. The approach is applicable to both linear and nonlinear models and can be seamlessly integrated with existing LDP mechanisms. Extensive experiments on CIFAR-10-C under brightness corruption at the highest severity level demonstrate that integrating our approach improves classification accuracy by approximately 8 percentage points for Laplace and 20 percentage points for PrivUnit variants at $ε=7.5$. The source code is available at https://github.com/ymha/jacobian-anr-ldp.

cs.LG↗

arXiv2026

Subgroup Membership Inference Audits of Differentially Private Synthetic Text

Synthetic data releases are increasingly proposed in the literature as a means of sharing realistic data replicas in lieu of sensitive private datasets. Even when the worst-case privacy leakage of such releases is bounded by means of differential privacy (DP), in practice a residual risk remains. Membership inference attack (MIA) audits are conducted to empirically quantify this risk. However, existing methods only measure average-case risk for randomly drawn records, which might conceal the risk to vulnerable subgroups. To highlight this issue, we define a subgroup-targeted membership inference game in which the target pool is an explicit parameter, and instantiate it with an audit of 32 proxies under three scenarios with different levels of attacker knowledge, across four datasets, three generators (DP-SGD fine-tuning, API-based prompting, and activation steering), and five privacy budgets. The audit shows that synthetic releases leak subgroup membership and that prior attacks systematically underestimate this leakage. DP is effective at the aggregate level: it substantially reduces average leakage at every budget we test. Three observations temper this picture. First, the remaining leakage is concentrated rather than spread out: under DP, a tenth of the records carries roughly 40% of it. Second, the protection DP delivers in practice is uneven: within its worst-case guarantee, the noise removes more of the measured leakage from random records than from high-risk ones---and a merged-pool audit that scores both record types against shared negatives confirms this at the record level. Third, \emph{which} records leak proves to be a property of the release mechanism rather than of the record alone, so record-level risk cannot be assessed independently of the release.

cs.CR↗

arXiv2026

HealthLoopQA: A Context-Aware Question Answering Benchmark for Interpreting Wearable Monitoring Data in Diabetes Care

As medical wearables become integrated into daily chronic disease care, effectively interpreting longitudinal monitoring data is essential for patients and clinicians to understand health trends, detect safety-critical events, and make informed decisions. While large language models (LLMs) show promise for transforming this streaming physiological data into personalized health insights, evaluating their reasoning capability and analytical rigor in diverse monitoring tasks remains a fundamental challenge. Existing medical wearable question answering (QA) benchmarks primarily assess short-horizon classification or statistical summaries, largely ignoring the long-term patterns, therapeutic and behavioural contexts, and potential system failures inherent in real-world deployments. To address this, we introduce HealthLoopQA, a comprehensive diagnostic benchmark for evaluating LLM reasoning over continuous diabetes monitoring data. Grounded in a novel taxonomy of eleven atomic reasoning abilities, HealthLoopQA comprises 127 tasks and over 1,500 QA instances spanning process mining, anomaly detection, and prediction over 30-day horizons. To systematically evaluate safety awareness, we complement real-world datasets with a fault-injected simulation testbed modeling diverse device malfunctions and cyber-physical attacks to generate physiologically plausible hazard scenarios. Evaluating state-of-the-art LLMs across prompting and agentic frameworks reveals severe limitations in complex temporal pattern mining. Furthermore, we identify a broader phenomenon of In-context Laziness under long-context prompting, highlighting critical open challenges in deploying LLMs for rigorous long-horizon medical reasoning.

cs.LG↗

arXiv2026

Privacy-Preserving Generation of Clinical Narratives from Medical Terminologies

In high-stakes domains such as healthcare, privacy concerns severely limit the use of real-world training data. Differentially private (DP) synthetic data offers a promising alternative with formal privacy guarantees, but achieving strong utility remains challenging for clinical note generation due to domain specificity and long-form text complexity. We present Term2Note, a method for synthesising full-length clinical notes under DP constraints. By structurally separating content and form, Term2Note generates section-wise note content conditioned on medical terms, with terms and notes privatised under separate DP constraints, and applies a DP quality maximiser to improve outputs. Experiments demonstrate that Term2Note produces synthetic notes with statistical properties closely aligned with real clinical notes, and that downstream models trained on these notes achieve performance comparable to those trained on real clinical data. Compared to existing DP text generation baselines, Term2Note substantially improves both fidelity and utility, without relying on label distribution assumptions, highlighting its effectiveness as a practical privacy-preserving alternative to real clinical notes.

cs.CL↗

arXiv2026

SynBench: A Benchmark for Differentially Private Text Generation

Synthetic text generation with Differential Privacy (DP) guarantees emerges as a principled approach that can enable the sharing of sensitive datasets across institutional and regulatory boundaries, while bounding the risks of re-identification and membership inference. LLM-based methods deliver promising results; however, comparisons are exacerbated by differing evaluation setups and "private" datasets, potential pre-training contamination is not considered and guarantees are not verified with DP audits. To advance this field, we introduce a unified evaluation framework with standardised utility and fidelity metrics and privacy audits, encompassing nine curated datasets that capture domain-specific complexities such as technical jargon, long-context dependencies, and specialised document structures. In a large-scale empirical study, we benchmark LLM-based state-of-the-art DP text generators of varying sizes (between 1--8B). Our results indicate that DP synthetic text generation remains an unsolved challenge, with quality deteriorating more as the private datasets deviate further from the generators' pre-training corpora. Our novel synthetic text membership inference attack (MIA) explains this observation: Synthetic data quality is overestimated when LLMs have been pre-trained -- without DP -- on portions of the "private" data to be generated. Finally, our work provides the first quantitative evidence that this "public pre-training and private generation" paradigm invalidates the guaranteed privacy bounds of real-world private datasets.

cs.AI↗

arXiv2026

Evaluation and LLM-Guided Learning of ICD Coding Rationales

ICD coding is the process of mapping unstructured text from Electronic Health Records (EHRs) to standardised codes defined by the International Classification of Diseases (ICD) system. In order to promote trust and transparency, existing explorations on the explainability of ICD coding models primarily rely on attention-based rationales and qualitative assessments conducted by physicians, yet lack a systematic evaluation across diverse types of rationales using consistent criteria and high-quality rationale-annotated datasets specifically designed for the ICD coding task. Moreover, dedicated methods explicitly trained to generate plausible rationales remain scarce. In this work, we present evaluations of the explainability of rationales in ICD coding, focusing on two fundamental dimensions: faithfulness and plausibility -- in short how rationales influence model decisions and how convincing humans find them. For plausibility, we construct a novel, multi-granular rationale-annotated ICD coding dataset, based on the MIMIC-IV database and the updated ICD-10 coding system. We conduct a comprehensive evaluation across three types of ICD coding rationales: entity-level mentions automatically constructed via entity linking, LLM-generated rationales, and rationales based on attention scores of ICD coding models. Building upon the strong plausibility exhibited by LLM-generated rationales, we further leverage them as distant supervision signals to develop rationale learning methods. Additionally, by prompting the LLM with few-shot human-annotated examples from our dataset, we achieve notable improvements in the plausibility of rationale generation in both the teacher LLM and the student rationale learning models.

cs.AI↗

arXiv2025

MIRA: Medical Time Series Foundation Model for Real-World Health Data

A unified foundation model for medical time series -- pretrained on open access and ethics board-approved medical corpora -- offers the potential to reduce annotation burdens, minimize model customization, and enable robust transfer across clinical institutions, modalities, and tasks, particularly in data-scarce or privacy-constrained environments. However, existing generalist time series foundation models struggle to handle medical time series data due to their inherent challenges, including irregular intervals, heterogeneous sampling rates, and frequent missing values. To address these challenges, we introduce MIRA, a unified foundation model specifically designed for medical time series forecasting. MIRA incorporates a Continuous-Time Rotary Positional Encoding that enables fine-grained modeling of variable time intervals, a frequency-specific mixture-of-experts layer that routes computation across latent frequency regimes to further promote temporal specialization, and a Continuous Dynamics Extrapolation Block based on Neural ODE that models the continuous trajectory of latent states, enabling accurate forecasting at arbitrary target timestamps. Pretrained on a large-scale and diverse medical corpus comprising over 454 billion time points collect from publicly available datasets, MIRA achieves reductions in forecasting errors by an average of 10% and 7% in out-of-distribution and in-distribution scenarios, respectively, when compared to other zero-shot and fine-tuned baselines. We also introduce a comprehensive benchmark spanning multiple downstream clinical tasks, establishing a foundation for future research in medical time series modeling.

cs.LG↗

arXiv2025

Large Language Models in Argument Mining: A Survey

Large Language Models (LLMs) have fundamentally reshaped Argument Mining (AM), shifting it from a pipeline of supervised, task-specific classifiers to a spectrum of prompt-driven, retrieval-augmented, and reasoning-oriented paradigms. Yet existing surveys largely predate this transition, leaving unclear how LLMs alter task formulations, dataset design, evaluation methodology, and the theoretical foundations of computational argumentation. In this survey, we synthesise research and provide the first unified account of AM in the LLM era. We revisit canonical AM subtasks, i.e., claim and evidence detection, relation prediction, stance classification, argument quality assessment, and argumentative summarisation, and show how prompting, chain-of-thought reasoning, and in-context learning blur traditional task boundaries. We catalogue the rapid evolution of resources, including integrated multi-layer corpora and LLM-assisted annotation pipelines that introduce new opportunities as well as risks of bias and evaluation circularity. Building on this mapping, we identify emerging architectural patterns across LLM-based AM systems and consolidate evaluation practices spanning component-level accuracy, soft-label quality assessment, and LLM-judge reliability. Finally, we outline persistent challenges, including long-context reasoning, multimodal and multilingual robustness, interpretability, and cost-efficient deployment, and propose a forward-looking research agenda for LLM-driven computational argumentation.

cs.CL↗

arXiv2025

Arg-LLaDA: Argument Summarization via Large Language Diffusion Models and Sufficiency-Aware Refinement

Argument summarization aims to generate concise, structured representations of complex, multi-perspective debates. While recent work has advanced the identification and clustering of argumentative components, the generation stage remains underexplored. Existing approaches typically rely on single-pass generation, offering limited support for factual correction or structural refinement. To address this gap, we introduce Arg-LLaDA, a novel large language diffusion framework that iteratively improves summaries via sufficiency-guided remasking and regeneration. Our method combines a flexible masking controller with a sufficiency-checking module to identify and revise unsupported, redundant, or incomplete spans, yielding more faithful, concise, and coherent outputs. Empirical results on two benchmark datasets demonstrate that Arg-LLaDA surpasses state-of-the-art baselines in 7 out of 10 automatic evaluation metrics. In addition, human evaluations reveal substantial improvements across core dimensions, coverage, faithfulness, and conciseness, validating the effectiveness of our iterative, sufficiency-aware generation strategy.

cs.CL↗

arXiv2025

Pay Attention to Real World Perturbations! Natural Robustness Evaluation in Machine Reading Comprehension

As neural language models achieve human-comparable performance on Machine Reading Comprehension (MRC) and see widespread adoption, ensuring their robustness in real-world scenarios has become increasingly important. Current robustness evaluation research, though, primarily develops synthetic perturbation methods, leaving unclear how well they reflect real life scenarios. Considering this, we present a framework to automatically examine MRC models on naturally occurring textual perturbations, by replacing paragraph in MRC benchmarks with their counterparts based on available Wikipedia edit history. Such perturbation type is natural as its design does not stem from an arteficial generative process, inherently distinct from the previously investigated synthetic approaches. In a large-scale study encompassing SQUAD datasets and various model architectures we observe that natural perturbations result in performance degradation in pre-trained encoder language models. More worryingly, these state-of-the-art Flan-T5 and Large Language Models (LLMs) inherit these errors. Further experiments demonstrate that our findings generalise to natural perturbations found in other more challenging MRC benchmarks. In an effort to mitigate these errors, we show that it is possible to improve the robustness to natural perturbations by training on naturally or synthetically perturbed examples, though a noticeable gap still remains compared to performance on unperturbed data.

cs.CL↗

arXiv2025

BRIDGE: Bootstrapping Text to Control Time-Series Generation via Multi-Agent Iterative Optimization and Diffusion Modeling

Time-series Generation (TSG) is a prominent research area with broad applications in simulations, data augmentation, and counterfactual analysis. While existing methods have shown promise in unconditional single-domain TSG, real-world applications demand for cross-domain approaches capable of controlled generation tailored to domain-specific constraints and instance-level requirements. In this paper, we argue that text can provide semantic insights, domain information and instance-specific temporal patterns, to guide and improve TSG. We introduce ``Text-Controlled TSG'', a task focused on generating realistic time series by incorporating textual descriptions. To address data scarcity in this setting, we propose a novel LLM-based Multi-Agent framework that synthesizes diverse, realistic text-to-TS datasets. Furthermore, we introduce BRIDGE, a hybrid text-controlled TSG framework that integrates semantic prototypes with text description for supporting domain-level guidance. This approach achieves state-of-the-art generation fidelity on 11 of 12 datasets, and improves controllability by up to 12% on MSE and 6% MAE compared to no text input generation, highlighting its potential for generating tailored time-series data.

cs.LG↗

arXiv2025

Structured Information Matters: Explainable ICD Coding with Patient-Level Knowledge Graphs

Mapping clinical documents to standardised clinical vocabularies is an important task, as it provides structured data for information retrieval and analysis, which is essential to clinical research, hospital administration and improving patient care. However, manual coding is both difficult and time-consuming, making it impractical at scale. Automated coding can potentially alleviate this burden, improving the availability and accuracy of structured clinical data. The task is difficult to automate, as it requires mapping to high-dimensional and long-tailed target spaces, such as the International Classification of Diseases (ICD). While external knowledge sources have been readily utilised to enhance output code representation, the use of external resources for representing the input documents has been underexplored. In this work, we compute a structured representation of the input documents, making use of document-level knowledge graphs (KGs) that provide a comprehensive structured view of a patient's condition. The resulting knowledge graph efficiently represents the patient-centred input documents with 23\% of the original text while retaining 90\% of the information. We assess the effectiveness of this graph for automated ICD-9 coding by integrating it into the state-of-the-art ICD coding architecture PLM-ICD. Our experiments yield improved Macro-F1 scores by up to 3.20\% on popular benchmarks, while improving training efficiency. We attribute this improvement to different types of entities and relationships in the KG, and demonstrate the improved explainability potential of the approach over the text-only baseline.

cs.CL↗

arXiv2025

Natural Context Drift Undermines the Natural Language Understanding of Large Language Models

How does the natural evolution of context paragraphs affect question answering in generative Large Language Models (LLMs)? To investigate this, we propose a framework for curating naturally evolved, human-edited variants of reading passages from contemporary QA benchmarks and for analyzing LLM performance across a range of semantic similarity scores, which quantify how closely each variant aligns with content seen during pretraining. Using this framework, we evaluate six QA datasets and eight LLMs with publicly available training data. Our experiments reveal that LLM performance declines as reading passages naturally diverge from the versions encountered during pretraining-even when the question and all necessary information remains present at inference time. For instance, average model accuracy on BoolQ drops by over 30% from the highest to lowest similarity bins, with slopes exceeding 70 across several LLMs. These findings suggest that natural text evolution poses a significant challenge to the language understanding capabilities of LLMs.

cs.CL↗

arXiv2025

Evaluating Differentially Private Generation of Domain-Specific Text

Generative AI offers transformative potential for high-stakes domains such as healthcare and finance, yet privacy and regulatory barriers hinder the use of real-world data. To address this, differentially private synthetic data generation has emerged as a promising alternative. In this work, we introduce a unified benchmark to systematically evaluate the utility and fidelity of text datasets generated under formal Differential Privacy (DP) guarantees. Our benchmark addresses key challenges in domain-specific benchmarking, including choice of representative data and realistic privacy budgets, accounting for pre-training and a variety of evaluation metrics. We assess state-of-the-art privacy-preserving generation methods across five domain-specific datasets, revealing significant utility and fidelity degradation compared to real data, especially under strict privacy constraints. These findings underscore the limitations of current approaches, outline the need for advanced privacy-preserving data sharing methods and set a precedent regarding their evaluation in realistic scenarios.

cs.LG↗

arXiv2025

Generating Realistic Multi-Beat ECG Signals

Generating synthetic ECG data has numerous applications in healthcare, from educational purposes to simulating scenarios and forecasting trends. While recent diffusion models excel at generating short ECG segments, they struggle with longer sequences needed for many clinical applications. This paper proposes a novel three-layer synthesis framework for generating realistic long-form ECG signals. We first generate high-fidelity single beats using a diffusion model, then synthesize inter-beat features preserving critical temporal dependencies, and finally assemble beats into coherent long sequences using feature-guided matching. Our comprehensive evaluation demonstrates that the resulting synthetic ECGs maintain both beat-level morphological fidelity and clinically relevant inter-beat relationships. In arrhythmia classification tasks, our long-form synthetic ECGs significantly outperform end-to-end long-form ECG generation using the diffusion model, highlighting their potential for increasing utility for downstream applications. The approach enables generation of unprecedented multi-minute ECG sequences while preserving essential diagnostic characteristics.

eess.SP↗

arXiv2025

LLMs are not Zero-Shot Reasoners for Biomedical Information Extraction

Large Language Models (LLMs) are increasingly adopted for applications in healthcare, reaching the performance of domain experts on tasks such as question answering and document summarisation. Despite their success on these tasks, it is unclear how well LLMs perform on tasks that are traditionally pursued in the biomedical domain, such as structured information extraction. To bridge this gap, in this paper, we systematically benchmark LLM performance in Medical Classification and Named Entity Recognition (NER) tasks. We aim to disentangle the contribution of different factors to the performance, particularly the impact of LLMs' task knowledge and reasoning capabilities, their (parametric) domain knowledge, and addition of external knowledge. To this end, we evaluate various open LLMs - including BioMistral and Llama-2 models - on a diverse set of biomedical datasets, using standard prompting, Chain of-Thought (CoT) and Self Consistency based reasoning as well as Retrieval-Augmented Generation (RAG) with PubMed and Wikipedia corpora. Counter intuitively, our results reveal that standard prompting consistently outperforms more complex techniques across both tasks, laying bare the limitations in the current application of CoT, self-consistency and RAG in the biomedical domain. Our findings suggest that advanced prompting methods developed for knowledge- or reasoning-intensive tasks, such as CoT or RAG, are not easily portable to biomedical tasks where precise structured outputs are required. This highlights the need for more effective integration of external knowledge and reasoning mechanisms in LLMs to enhance their performance in real-world biomedical applications.

cs.CL↗

arXiv2025

Generating Synthetic Data with Formal Privacy Guarantees: State of the Art and the Road Ahead

Privacy-preserving synthetic data offers a promising solution to harness segregated data in high-stakes domains where information is compartmentalized for regulatory, privacy, or institutional reasons. This survey provides a comprehensive framework for understanding the landscape of privacy-preserving synthetic data, presenting the theoretical foundations of generative models and differential privacy followed by a review of state-of-the-art methods across tabular data, images, and text. Our synthesis of evaluation approaches highlights the fundamental trade-off between utility for down-stream tasks and privacy guarantees, while identifying critical research gaps: the lack of realistic benchmarks representing specialized domains and insufficient empirical evaluations required to contextualise formal guarantees. Through empirical analysis of four leading methods on five real-world datasets from specialized domains, we demonstrate significant performance degradation under realistic privacy constraints ($ε\leq 4$), revealing a substantial gap between results reported on general domain benchmarks and performance on domain-specific data. %Our findings highlight key challenges including unaccounted privacy leakage, insufficient empirical verification of formal guarantees, and a critical deficit of realistic benchmarks. These challenges underscore the need for robust evaluation frameworks, standardized benchmarks for specialized domains, and improved techniques to address the unique requirements of privacy-sensitive fields such that this technology can deliver on its considerable potential.

cs.CR↗

arXiv2025

MEDSAGE: Enhancing Robustness of Medical Dialogue Summarization to ASR Errors with LLM-generated Synthetic Dialogues

Automatic Speech Recognition (ASR) systems are pivotal in transcribing speech into text, yet the errors they introduce can significantly degrade the performance of downstream tasks like summarization. This issue is particularly pronounced in clinical dialogue summarization, a low-resource domain where supervised data for fine-tuning is scarce, necessitating the use of ASR models as black-box solutions. Employing conventional data augmentation for enhancing the noise robustness of summarization models is not feasible either due to the unavailability of sufficient medical dialogue audio recordings and corresponding ASR transcripts. To address this challenge, we propose MEDSAGE, an approach for generating synthetic samples for data augmentation using Large Language Models (LLMs). Specifically, we leverage the in-context learning capabilities of LLMs and instruct them to generate ASR-like errors based on a few available medical dialogue examples with audio recordings. Experimental results show that LLMs can effectively model ASR noise, and incorporating this noisy data into the training process significantly improves the robustness and accuracy of medical dialogue summarization systems. This approach addresses the challenges of noisy ASR outputs in critical applications, offering a robust solution to enhance the reliability of clinical dialogue summarization.

cs.CL↗