Electronic health records (EHRs) are rich clinical data sources but complex repositories of patient data, spanning structured elements (demographics, vitals, lab results, codes), unstructured clinical notes and other modalities of data. Harnessing this heterogeneity is critical for improving patient outcomes. Recent advances in large language models (LLMs) have enabled foundation models that can learn from multiple data modalities and support clinical tasks. However, most current approaches simply serialize numeric EHR data into text, which risks losing temporal and quantitative detail. We introduce Generative Deep Patient (GDP), a multimodal foundation model that natively encodes structured EHR time-series via a CNN-Transformer encoder and fuses it with unstructured EHRs through cross-modal attention into a LLaMA-based decoder. GDP is trained in two stages: (1) generative pretraining, where it learns to produce clinical narratives from raw patient timelines while also performing masked feature prediction (MFP) and next time-step prediction (NTP) to capture temporal dynamics; and (2) multi-task fine-tuning for clinically meaningful predictions (e.g., heart failure, type 2 diabetes, 30-day readmission). In clinical prediction, GDP demonstrated superior performance on MIMIC-IV: heart failure AUROC = 0.923, type 2 diabetes AUROC = 0.817, and 30-day readmission AUROC = 0.627. For narrative generation, GDP achieved ROUGE-L = 0.135 and BERTScore-F1 = 0.545. In a blinded human evaluation, GDP-Instruct scored highest on faithfulness, fluency, and overall clinical utility, suggesting reduced hospital documentation workload without sacrificing accuracy. Our results demonstrate that a single multimodal foundation model can both predict clinically actionable events and generate high-quality clinical narratives. Furthermore, GDP's flexible architecture can be extended to additional modalities.

A precise assessment of the risk of breast lesions can greatly lower it and assist physicians in choosing the best course of action. To categorise breast lesions, the majority of current computer-aided systems only use characteristics from mammograms. Although this method is practical, it does not completely utilise clinical reports' valuable information to attain the best results. When compared to utilising mammography alone, will clinical features greatly enhance the categorisation of breast lesions? How may clinical features and mammograms be combined most effectively? In what ways may explainable AI approaches improve the interpretability and reliability of models used to diagnose breast cancer? To answer these basic problems, a comprehensive investigation is desperately needed. In order to integrate mammography and categorical clinical characteristics, this study examines a number of multimodal deep networks grounded on feature concatenation, co-attention, and cross-attention. The model achieved an AUC-ROC of 0.98, accuracy of 0.96, F1-score of 0.94, precision of 0.92, and recall of 0.95 when tested on publicly accessible datasets (TCGA and CBIS-DDSM).

The development of multi-label deep learning models for retinal disease classification is often hindered by the scarcity of large, expertly annotated clinical datasets due to patient privacy concerns and high costs. The recent release of SynFundus-1M, a high-fidelity synthetic dataset with over one million fundus images, presents a novel opportunity to overcome these barriers. To establish a foundational performance benchmark for this new resource, we developed an end-to-end deep learning pipeline, training six modern architectures (ConvNeXtV2, SwinV2, ViT, ResNet, EfficientNetV2, and the RETFound foundation model) to classify eleven retinal diseases using a 5-fold multi-label stratified cross-validation strategy. We further developed a meta-ensemble model by stacking the out-of-fold predictions with an XGBoost classifier. Our final ensemble model achieved the highest performance on the internal validation set, with a macro-average Area Under the Receiver Operating Characteristic Curve (AUC) of 0.9973. Critically, the models demonstrated strong generalization to three diverse, real-world clinical datasets, achieving an AUC of 0.7972 on a combined DR dataset, an AUC of 0.9126 on the AIROGS glaucoma dataset and a macro-AUC of 0.8800 on the multi-label RFMiD dataset. This work provides a robust baseline for future research on large-scale synthetic datasets and establishes that models trained exclusively on synthetic data can accurately classify multiple pathologies and generalize effectively to real clinical images, offering a viable pathway to accelerate the development of comprehensive AI systems in ophthalmology.

-- The increasing availability of publicly shared electrocardiogram (ECG) data raises critical privacy concerns, as its biometric properties make individuals vulnerable to linkage attacks. Unlike prior studies that assume idealized adversarial capabilities, we evaluate ECG privacy risks under realistic conditions where attackers operate with partial knowledge. Using data from 109 participants across diverse real-world datasets, our approach achieves 85% accuracy in re-identifying individuals in public datasets while maintaining a 14.2% overall misclassification rate at an optimal confidence threshold, with 15.6% of unknown individuals misclassified as known and 12.8% of known individuals misclassified as unknown. These results highlight the inadequacy of simple anonymization techniques in preventing re-identification, demonstrating that even limited adversarial knowledge enables effective identity linkage. Our findings underscore the urgent need for privacy-preserving strategies, such as differential privacy, access control, and encrypted computation, to mitigate re-identification risks while ensuring the utility of shared biosignal data in healthcare applications. Electrocardiograms (ECG) capture the heart's electrical activity, serving as a key diagnostic tool for conditions like heart failure and arrhythmias [1], [2].

Fine-tuning Large Language Models (LLMs) with reinforcement learning to produce an explicit Chain-of-Thought (CoT) before answering produces models that consistently raise overall performance on code, math, and general-knowledge benchmarks. However, on benchmarks where LLMs currently achieve low accuracy, such as Humanity's Last Exam (HLE), they often report high self-confidence, reflecting poor calibration. Here, we test whether measurable properties of the CoT provide reliable signals of an LLM's internal confidence in its answers. We analyze three feature classes: (i) CoT length, (ii) intra-CoT sentiment volatility, and (iii) lexicographic hints, including hedging words. Using DeepSeek-R1 and Claude 3.7 Sonnet on both Humanity's Last Exam (HLE), a frontier benchmark with very low accuracy, and Omni-MATH, a saturated benchmark of moderate difficulty, we find that lexical markers of uncertainty (e.g., $\textit{guess}$, $\textit{stuck}$, $\textit{hard}$) in the CoT are the strongest indicators of an incorrect response, while shifts in the CoT sentiment provide a weaker but complementary signal. CoT length is informative only on Omni-MATH, where accuracy is already high ($\approx 70\%$), and carries no signal on the harder HLE ($\approx 9\%$), indicating that CoT length predicts correctness only in the intermediate-difficulty benchmarks, i.e., inside the model's demonstrated capability, but still below saturation. Finally, we find that uncertainty indicators in the CoT are consistently more salient than high-confidence markers, making errors easier to predict than correct responses. Our findings support a lightweight post-hoc calibration signal that complements unreliable self-reported probabilities and supports safer deployment of LLMs.

Depression is a common mental health condition that can lead to hopelessness, loss of interest, self-harm, and even suicide. Early detection is challenging due to individuals not self-reporting or seeking timely clinical help. With the rise of social media, users increasingly express emotions online, offering new opportunities for detection through text analysis. While prior research has focused on languages such as English, no studies exist for Sorani Kurdish. This work presents a machine learning and Natural Language Processing (NLP) approach to detect depression in Sorani tweets. A set of depression-related keywords was developed with expert input to collect 960 public tweets from X (Twitter platform). The dataset was annotated into three classes: Shows depression, Not-show depression, and Suspicious by academics and final year medical students at the University of Kurdistan Hewlêr. Four supervised models, including Support Vector Machines, Multinomial Naive Bayes, Logistic Regression, and Random Forest, were trained and evaluated, with Random Forest achieving the highest performance accuracy and F1-score of 80%. This study establishes a baseline for automated depression detection in Kurdish language contexts.

This paper examines how synthetically generated faces and machine learning-based gender classification algorithms are affected by algorithmic lookism, the preferential treatment based on appearance. In experiments with 13,200 synthetically generated faces, we find that: (1) text-to-image (T2I) systems tend to associate facial attractiveness to unrelated positive traits like intelligence and trustworthiness; and (2) gender classification models exhibit higher error rates on "less-attractive" faces, especially among non-White women. These result raise fairness concerns regarding digital identity systems.

Automatic anonymization techniques are essential for ethical sharing of pathological speech data, yet their perceptual consequences remain understudied. We present a comprehensive human-centered analysis of anonymized pathological speech, using a structured protocol involving ten native and non-native German listeners with diverse linguistic, clinical, and technical backgrounds. Listeners evaluated anonymized-original utterance pairs from 180 speakers spanning Cleft Lip and Palate, Dysarthria, Dysglossia, Dysphonia, and healthy controls. Speech was anonymized using state-of-the-art automatic methods (equal error rates in the range of 30-40%). Listeners completed Turing-style discrimination and quality rating tasks under zero-shot (single-exposure) and few-shot (repeated-exposure) conditions. Discrimination accuracy was high overall (91% zero-shot; 93% few-shot), but varied by disorder (repeated-measures ANOVA: p=0.007), ranging from 96% (Dysarthria) to 86% (Dysphonia). Anonymization consistently reduced perceived quality across groups (from 83% to 59%, p<0.001), with pathology-specific degradation patterns (one-way ANOVA: p=0.005). Native listeners showed a non-significant trend toward higher original speech ratings (Delta=4%, p=0.199), but this difference was minimal after anonymization (Delta=1%, p=0.724). No significant gender-based bias was observed. Perceptual outcomes did not correlate with automatic metrics; intelligibility was linked to perceived quality in original speech but not after anonymization. These findings underscore the need for listener-informed, disorder-specific anonymization strategies that preserve both privacy and perceptual integrity.

The Metropolitan police's claims that their use of live facial recognition is bias-free are not substantiated by the report they cite to support their case, a leading expert on the technology has said. The Met is planning its biggest and most high profile use of LFR yet this bank holiday weekend at Notting Hill carnival in west London. The Guardian understands it will be deployed at two sites on the approaches to the carnival, with the force insisting on its use despite the Equality and Human Rights Commission saying police use of LFR is unlawful. The new claims come from Prof Pete Fussey, who led the only independent academic review of police use of facial recognition, is a former reviewer of LFR for the Met from 2018-19, and currently advises other forces in the UK and abroad on its use. The Met says it has reformed its use of LFR after a 2023 study it commissioned from the National Physical Laboratory (NPL) and it is now, in effect, bias-free. But Fussey said: "The claims the Met are making about the absence of bias from the NPL report are not substantiated by the facts in that report."