arXiv subjects
Publications and source records attributed to Xuan Zhong Feng.
LLM-assisted writing is often treated as a detection problem, as it raises questions about clarity, integrity, equity, and evaluation. An analysis of 69,209 Health Informatics papers links it to more focused presentation, broader citation practices, and more globally distributed authorship. These patterns do not prove better science, but they support evaluating manuscripts by scholarly quality and accountability rather than by tool use.
Suicide is a leading cause of death in the United States, and understanding the circumstances that precede it requires extracting structured information from death investigation narratives. Many of these circumstances require semantic inference beyond simple keyword matching. We develop a ``Complexity Score'' algorithm that analyzes coding manual structure to predict when detailed prompts with full coding guidelines improve over name-only prompts. We then construct a hybrid approach that selects prompt strategy per circumstance. We evaluate large language models (LLMs) against fine-tuned RoBERTa on 25 inferentially complex circumstances from the National Violent Death Reporting System (NVDRS). We found that LLMs substantially outperform on low-prevalence circumstances where training data is insufficient. We further demonstrate that our framework generalizes across frontier LLMs, with GPT-5.2, Gemini 2.5 Pro and Llama-3 70B showing consistent performance patterns. These findings support a hybrid architecture where LLMs handle rare, inferentially complex circumstances while fine-tuned models handle common ones.
Chest X-ray (CXR) interpretation is hindered by the long-tailed distribution of pathologies and the open-world nature of clinical environments. Existing benchmarks often rely on closed-set classes from single institutions, failing to capture the prevalence of rare diseases or the appearance of novel findings. To address this, we present the CXR-LT 2026 challenge. This third iteration of the benchmark introduces a multi-center dataset comprising over 145,000 images from PadChest and NIH Chest X-ray datasets. The challenge defines two core tasks: (1) Robust Multi-Label Classification on 30 known classes and (2) Open-World Generalization to 6 unseen (out-of-distribution) rare disease classes. We report the results of the top-performing teams, evaluating them via mean Average Precision (mAP), AUROC, and F1-score. The winning solutions achieved an mAP of 0.5854 on Task 1 and 0.4315 on Task 2, demonstrating that large-scale vision-language pre-training significantly mitigates the performance drop typically associated with zero-shot diagnosis.