Artificial intelligence (AI) is increasingly integrated into modern healthcare, offering powerful support for clinical decision-making. However, in real-world settings, AI systems may experience performance degradation over time, due to factors such as shifting data distributions, changes in patient characteristics, evolving clinical protocols, and variations in data quality. These factors can compromise model reliability, posing safety concerns and increasing the likelihood of inaccurate predictions or adverse outcomes. This review presents a forward-looking perspective on monitoring and maintaining the "health" of AI systems in healthcare. We highlight the urgent need for continuous performance monitoring, early degradation detection, and effective self-correction mechanisms. The paper begins by reviewing common causes of performance degradation at both data and model levels. We then summarize key techniques for detecting data and model drift, followed by an in-depth look at root cause analysis. Correction strategies are further reviewed, ranging from model retraining to test-time adaptation. Our survey spans both traditional machine learning models and state-of-the-art large language models (LLMs), offering insights into their strengths and limitations. Finally, we discuss ongoing technical challenges and propose future research directions. This work aims to guide the development of reliable, robust medical AI systems capable of sustaining safe, long-term deployment in dynamic clinical settings.

Membership Inference Attacks (MIAs) aim to determine whether a specific data point was included in the training set of a target model. Although there are have been numerous methods developed for detecting data contamination in large language models (LLMs), their performance on multimodal LLMs (MLLMs) falls short due to the instabilities introduced through multimodal component adaptation and possible distribution shifts across multiple inputs. In this work, we investigate multimodal membership inference and address two issues: first, by identifying distribution shifts in the existing datasets, and second, by releasing an extended baseline pipeline to detect them. We also generalize the perturbation-based membership inference methods to MLLMs and release \textbf{FiMMIA} -- a modular \textbf{F}ramework for \textbf{M}ultimodal \textbf{MIA}.\footnote{The source code and framework have been made publicly available under the MIT license via \href{https://github.com/ai-forever/data_leakage_detect}{link}.The video demonstration is available on \href{https://youtu.be/a9L4-H80aSg}{YouTube}.} Our approach trains a neural network to analyze the target model's behavior on perturbed inputs, capturing distributional differences between members and non-members. Comprehensive evaluations on various fine-tuned multimodal models demonstrate the effectiveness of our perturbation-based membership inference attacks in multimodal domains.

Transfer learning aims to optimize performance in a target task by learning from a related source problem. In this work, we propose an efficient transfer learning method using a tensor kernel machine. Our method takes inspiration from the adaptive SVM and hence transfers 'knowledge' from the source to the 'adapted' model via regularization. The main advantage of using tensor kernel machines is that they leverage low-rank tensor networks to learn a compact non-linear model in the primal domain. This allows for a more efficient adaptation without adding more parameters to the model. To demonstrate the effectiveness of our approach, we apply the adaptive tensor kernel machine (Adapt-TKM) to seizure detection on behind-the-ear EEG. By personalizing patient-independent models with a small amount of patient-specific data, the patient-adapted model (which utilizes the Adapt-TKM), achieves better performance compared to the patient-independent and fully patient-specific models. Notably, it is able to do so while requiring around 100 times fewer parameters than the adaptive SVM model, leading to a correspondingly faster inference speed. This makes the Adapt-TKM especially useful for resource-constrained wearable devices.

Quantum Machine Learning (QML) holds the promise of enhancing machine learning modeling in terms of both complexity and accuracy. A key challenge in this domain is the encoding of input data, which plays a pivotal role in determining the performance of QML models. In this work, we tackle a largely unaddressed aspect of encoding that is unique to QML modeling -- rather than adjusting the ansatz used for encoding, we consider adjusting how data is conveyed to the ansatz. We specifically implement QML pipelines that leverage classical data manipulation (i.e., ordering, selecting, and weighting features) as a preprocessing step, and evaluate if these aspects of encoding can have a significant impact on QML model performance, and if they can be effectively optimized to improve performance. Our experimental results, applied across a wide variety of data sets, ansatz, and circuit sizes, with a representative QML approach, demonstrate that by optimizing how features are encoded in an ansatz we can substantially and consistently improve the performance of QML models, making a compelling case for integrating these techniques in future QML applications. Finally we demonstrate the practical feasibility of this approach by running it using real quantum hardware with 100 qubit circuits and successfully achieving improved QML modeling performance in this case as well.

The Massachusetts Bay Transportation Authority (MBTA) is the main public transit provider in Boston, operating multiple means of transport, including trains, subways, and buses. However, the system often faces delays and fluctuations in ridership volume, which negatively affect efficiency and passenger satisfaction. To further understand this phenomenon, this paper compares the performance of existing and unique methods to determine the best approach in predicting gated station entries in the subway system (a proxy for subway usage) and the number of delays in the overall MBTA system. To do so, this research considers factors that tend to affect public transportation, such as day of week, season, pressure, wind speed, average temperature, and precipitation. This paper evaluates the performance of 10 statistical and machine learning models on predicting next-day subway usage. On predicting delay count, the number of models is extended to 11 per day by introducing a self-exciting point process model, representing a unique application of a point-process framework for MBTA delay modeling. This research involves experimenting with the selective inclusion of features to determine feature importance, testing model accuracy via Root Mean Squared Error (RMSE). Remarkably, it is found that providing either day of week or season data has a more substantial benefit to predictive accuracy compared to weather data; in fact, providing weather data generally worsens performance, suggesting a tendency of models to overfit.

Large language models (LLMs) can act as both problem solvers and solution verifiers, with verifiers improving solver performance by selecting high-quality answers from a pool of candidates. However, prior studies of solver-verifier interactions have been limited, focusing mainly on self-verification and rarely examining how verifiers judge outputs from models in their own or in another model family. Modern LLMs also undergo extensive post-training, but its effect on verification remains unclear. We present a systematic study across 37 models spanning multiple families, sizes, and base vs. post-trained variants, evaluated on 9 benchmarks covering logical reasoning, structured puzzles, symbolic computation, mathematics, commonsense, factual recall, and domain knowledge. We compare self-verification with verification within the same family and across different families. To support this, we introduce and empirically validate verifier gain, a metric that predicts the performance improvements from test-time verifier-based rejection sampling. We analyze how metrics like verifier gain and false positive rate scale with model size and post-training, and characterize differences in dataset verifiability. Our findings show that cross-family verification is especially effective; post-training reduces self-improvement but strengthens cross-family improvement; and mathematical and logical tasks exhibit the highest inherent verifiability.

Trustworthy machine learning in healthcare requires strong predictive performance, fairness, and explanations. While it is known that improving fairness can affect predictive performance, little is known about how fairness improvements influence explainability, an essential ingredient for clinical trust. Clinicians may hesitate to rely on a model whose explanations shift after fairness constraints are applied. In this study, we examine how enhancing fairness through bias mitigation techniques reshapes Shapley-based feature rankings. We quantify changes in feature importance rankings after applying fairness constraints across three datasets: pediatric urinary tract infection risk, direct anticoagulant bleeding risk, and recidivism risk. We also evaluate multiple model classes on the stability of Shapley-based rankings. We find that increasing model fairness across racial subgroups can significantly alter feature importance rankings, sometimes in different ways across groups. These results highlight the need to jointly consider accuracy, fairness, and explainability in model assessment rather than in isolation.

Artificial intelligence (AI) systems increasingly influence safety-critical aspects of society, from medical diagnosis to autonomous mobility, making uncertainty awareness a central requirement for trustworthy AI. We present a photonic Bayesian machine that leverages the inherent randomness of chaotic light sources to enable uncertainty reasoning within the framework of Bayesian Neural Networks. The analog processor features a 1.28 Tbit/s digital interface compatible with PyTorch, enabling probabilistic convolutions processing within 37.5 ps per convolution. We use the system for simultaneous classification and out-of-domain detection of blood cell microscope images and demonstrate reasoning between aleatoric and epistemic uncertainties. The photonic Bayesian machine removes the bottleneck of pseudo random number generation in digital systems, minimizes the cost of sampling for probabilistic models, and thus enables high-speed trustworthy AI systems.

The electrocardiogram (ECG) is a key diagnostic tool in cardiovascular health. Single-lead ECG recording is integrated into both clinical-grade and consumer wearables. While self-supervised pretraining of foundation models on unlabeled ECGs improves diagnostic performance, existing approaches do not incorporate domain knowledge from clinical metadata. We introduce a novel contrastive learning approach that utilizes an established clinical risk score to adaptively weight negative pairs: clinically-guided contrastive learning. It aligns the similarities of ECG embeddings with clinically meaningful differences between subjects, with an explicit mechanism to handle missing metadata. On 12-lead ECGs from 161K patients in the MIMIC-IV dataset, we pretrain single-lead ECG foundation models at three scales, collectively called CLEF, using only routinely collected metadata without requiring per-sample ECG annotations. We evaluate CLEF on 18 clinical classification and regression tasks across 7 held-out datasets, and benchmark against 5 foundation model baselines and 3 self-supervised algorithms. When pretrained on 12-lead ECG data and tested on lead-I data, CLEF outperforms self-supervised foundation model baselines: the medium-sized CLEF achieves average AUROC improvements of at least 2.6% in classification and average reductions in MAEs of at least 3.2% in regression. Comparing with existing self-supervised learning algorithms, CLEF improves the average AUROC by at least 1.8%. Moreover, when pretrained only on lead-I data for classification tasks, CLEF performs comparably to the state-of-the-art ECGFounder, which was trained in a supervised manner. Overall, CLEF enables more accurate and scalable single-lead ECG analysis, advancing remote health monitoring. Code and pretrained CLEF models are available at: github.com/Nokia-Bell-Labs/ecg-foundation-model.

This paper presents LLMBugScanner, a large language model (LLM) based framework for smart contract vulnerability detection using fine-tuning and ensemble learning. Smart contract auditing presents several challenges for LLMs: different pretrained models exhibit varying reasoning abilities, and no single model performs consistently well across all vulnerability types or contract structures. These limitations persist even after fine-tuning individual LLMs. To address these challenges, LLMBugScanner combines domain knowledge adaptation with ensemble reasoning to improve robustness and generalization. Through domain knowledge adaptation, we fine-tune LLMs on complementary datasets to capture both general code semantics and instruction-guided vulnerability reasoning, using parameter-efficient tuning to reduce computational cost. Through ensemble reasoning, we leverage the complementary strengths of multiple LLMs and apply a consensus-based conflict resolution strategy to produce more reliable vulnerability assessments. We conduct extensive experiments across multiple popular LLMs and compare LLMBugScanner with both pretrained and fine-tuned individual models. Results show that LLMBugScanner achieves consistent accuracy improvements and stronger generalization, demonstrating that it provides a principled, cost-effective, and extensible framework for smart contract auditing.