arXiv subjects

Warren Del-Pinto

Publications and source records attributed to Warren Del-Pinto.

10 recordsLinked to original sources

arXiv2025

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↗

arXiv2025

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↗

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

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↗

arXiv2024

DeIDClinic: A Risk-Aware Pseudonymization Framework for Clinical Text De-identification and Re-identification Risk Assessment

The increasing availability of sensitive textual data has created an urgent need for robust de-identification methods that enable compliant data sharing while preserving downstream utility. This paper presents DeID-Clinic, a multi-layered framework for automated pseudonymization and re-identification risk assessment of clinical free-text data. Our approach integrates domain-adapted transformer models, including BioBERT and ClinicalBERT, into the MASK de-identification framework to improve the detection and masking of protected health information (PHI). Beyond entity recognition, we introduce a novel document-level risk assessment module that quantifies residual re-identification risk using a combination of k-anonymity, l-diversity, t-closeness, contextual similarity, and entity co-occurrence analysis. Experiments conducted on the i2b2 2014 de-identification dataset demonstrate strong performance, achieving macro-level F1 scores above 0.96 for several entity categories, while enabling quantitative prioritization of high-risk documents for further review. Our results highlight the effectiveness of combining neural de-identification with explicit risk modeling, supporting privacy-preserving data sharing in sensitive domains. Although evaluated on clinical text, the proposed framework is generalizable to other privacy-critical domains such as legal and administrative documents, where reliable pseudonymization and risk-aware anonymization are essential. Keywords{Automated De-Identification, Risk Assessment, Patient Privacy, Pseudonymization, Personal Health Information}

cs.CL↗

arXiv2024

Synthetic4Health: Generating Annotated Synthetic Clinical Letters

Since clinical letters contain sensitive information, clinical-related datasets can not be widely applied in model training, medical research, and teaching. This work aims to generate reliable, various, and de-identified synthetic clinical letters. To achieve this goal, we explored different pre-trained language models (PLMs) for masking and generating text. After that, we worked on Bio\_ClinicalBERT, a high-performing model, and experimented with different masking strategies. Both qualitative and quantitative methods were used for evaluation. Additionally, a downstream task, Named Entity Recognition (NER), was also implemented to assess the usability of these synthetic letters. The results indicate that 1) encoder-only models outperform encoder-decoder models. 2) Among encoder-only models, those trained on general corpora perform comparably to those trained on clinical data when clinical information is preserved. 3) Additionally, preserving clinical entities and document structure better aligns with our objectives than simply fine-tuning the model. 4) Furthermore, different masking strategies can impact the quality of synthetic clinical letters. Masking stopwords has a positive impact, while masking nouns or verbs has a negative effect. 5) For evaluation, BERTScore should be the primary quantitative evaluation metric, with other metrics serving as supplementary references. 6) Contextual information does not significantly impact the models' understanding, so the synthetic clinical letters have the potential to replace the original ones in downstream tasks.

cs.CL↗

arXiv2023

Exploring the Consistency, Quality and Challenges in Manual and Automated Coding of Free-text Diagnoses from Hospital Outpatient Letters

Coding of unstructured clinical free-text to produce interoperable structured data is essential to improve direct care, support clinical communication and to enable clinical research.However, manual clinical coding is difficult and time consuming, which motivates the development and use of natural language processing for automated coding. This work evaluates the quality and consistency of both manual and automated clinical coding of diagnoses from hospital outpatient letters. Using 100 randomly selected letters, two human clinicians performed coding of diagnosis lists to SNOMED CT. Automated coding was also performed using IMO's Concept Tagger. A gold standard was constructed by a panel of clinicians from a subset of the annotated diagnoses. This was used to evaluate the quality and consistency of both manual and automated coding via (1) a distance-based metric, treating SNOMED CT as a graph, and (2) a qualitative metric agreed upon by the panel of clinicians. Correlation between the two metrics was also evaluated. Comparing human and computer-generated codes to the gold standard, the results indicate that humans slightly out-performed automated coding, while both performed notably better when there was only a single diagnosis contained in the free-text description. Automated coding was considered acceptable by the panel of clinicians in approximately 90% of cases.

cs.AI↗

arXiv2023

Generating Medical Prescriptions with Conditional Transformer

Access to real-world medication prescriptions is essential for medical research and healthcare quality improvement. However, access to real medication prescriptions is often limited due to the sensitive nature of the information expressed. Additionally, manually labelling these instructions for training and fine-tuning Natural Language Processing (NLP) models can be tedious and expensive. We introduce a novel task-specific model architecture, Label-To-Text-Transformer (\textbf{LT3}), tailored to generate synthetic medication prescriptions based on provided labels, such as a vocabulary list of medications and their attributes. LT3 is trained on a set of around 2K lines of medication prescriptions extracted from the MIMIC-III database, allowing the model to produce valuable synthetic medication prescriptions. We evaluate LT3's performance by contrasting it with a state-of-the-art Pre-trained Language Model (PLM), T5, analysing the quality and diversity of generated texts. We deploy the generated synthetic data to train the SpacyNER model for the Named Entity Recognition (NER) task over the n2c2-2018 dataset. The experiments show that the model trained on synthetic data can achieve a 96-98\% F1 score at Label Recognition on Drug, Frequency, Route, Strength, and Form. LT3 codes and data will be shared at \url{https://github.com/HECTA-UoM/Label-To-Text-Transformer}

cs.CL↗

arXiv2020

Signature-Based Abduction for Expressive Description Logics -- Technical Report

Signature-based abduction aims at building hypotheses over a specified set of names, the signature, that explain an observation relative to some background knowledge. This type of abduction is useful for tasks such as diagnosis, where the vocabulary used for observed symptoms differs from the vocabulary expected to explain those symptoms. We present the first complete method solving signature-based abduction for observations expressed in the expressive description logic ALC, which can include TBox and ABox axioms, thereby solving the knowledge base abduction problem. The method is guaranteed to compute a finite and complete set of hypotheses, and is evaluated on a set of realistic knowledge bases.

cs.AI↗

arXiv2018

ABox Abduction via Forgetting in ALC (Long Version)

Abductive reasoning generates explanatory hypotheses for new observations using prior knowledge. This paper investigates the use of forgetting, also known as uniform interpolation, to perform ABox abduction in description logic (ALC) ontologies. Non-abducibles are specified by a forgetting signature which can contain concept, but not role, symbols. The resulting hypotheses are semantically minimal and each consist of a set of disjuncts. These disjuncts are each independent explanations, and are not redundant with respect to the background ontology or the other disjuncts, representing a form of hypothesis space. The observations and hypotheses handled by the method can contain both atomic or complex ALC concepts, excluding role assertions, and are not restricted to Horn clauses. Two approaches to redundancy elimination are explored for practical use: full and approximate. Using a prototype implementation, experiments were performed over a corpus of real world ontologies to investigate the practicality of both approaches across several settings.

cs.AI↗