Purpose: The purpose of this study was to determine if an ensemble of multiple LLM agents could be used collectively to provide a more reliable assessment of a pixel-based AI triage tool than a single LLM. Methods: 29,766 non-contrast CT head exams from fourteen hospitals were processed by a commercial intracranial hemorrhage (ICH) AI detection tool. Radiology reports were analyzed by an ensemble of eight open-source LLM models and a HIPAA compliant internal version of GPT-4o using a single multi-shot prompt that assessed for presence of ICH. 1,726 examples were manually reviewed. Performance characteristics of the eight open-source models and consensus were compared to GPT-4o. Three ideal consensus LLM ensembles were tested for rating the performance of the triage tool. Results: The cohort consisted of 29,766 head CTs exam-report pairs. The highest AUC performance was achieved with llama3.3:70b and GPT-4o (AUC= 0.78). The average precision was highest for Llama3.3:70b and GPT-4o (AP=0.75 & 0.76). Llama3.3:70b had the highest F1 score (0.81) and recall (0.85), greater precision (0.78), specificity (0.72), and MCC (0.57). Using MCC (95% CI) the ideal combination of LLMs were: Full-9 Ensemble 0.571 (0.552-0.591), Top-3 Ensemble 0.558 (0.537-0.579), Consensus 0.556 (0.539-0.574), and GPT4o 0.522 (0.500-0.543). No statistically significant differences were observed between Top-3, Full-9, and Consensus (p > 0.05). Conclusion: An ensemble of medium to large sized open-source LLMs provides a more consistent and reliable method to derive a ground truth retrospective evaluation of a clinical AI triage tool over a single LLM alone.

Social telehealth has revolutionized healthcare by enabling patients to share symptoms and receive medical consultations remotely. Users frequently post symptoms on social media and online health platforms, generating a vast repository of medical data that can be leveraged for disease classification and symptom severity assessment. Large language models (LLMs), such as LLAMA3, GPT-3.5 Turbo, and BERT, process complex medical data to enhance disease classification. This study explores three Arabic medical text preprocessing techniques: text summarization, text refinement, and Named Entity Recognition (NER). Evaluating CAMeL-BERT, AraBERT, and Asafaya-BERT with LoRA, the best performance was achieved using CAMeL-BERT with NER-augmented text (83% type classification, 69% severity assessment). Non-fine-tuned models performed poorly (13%-20% type classification, 40%-49% severity assessment). Integrating LLMs into social telehealth systems enhances diagnostic accuracy and treatment outcomes.

Identifying and classifying shutdown initiating events (SDIEs) is critical for developing low power shutdown probabilistic risk assessment for nuclear power plants. Existing computational approaches cannot achieve satisfactory performance due to the challenges of unavailable large, labeled datasets, imbalanced event types, and label noise. To address these challenges, we propose a hybrid pipeline that integrates a knowledge-informed machine learning mode to prescreen non-SDIEs and a large language model (LLM) to classify SDIEs into four types. In the prescreening stage, we proposed a set of 44 SDIE text patterns that consist of the most salient keywords and phrases from six SDIE types. Text vectorization based on the SDIE patterns generates feature vectors that are highly separable by using a simple binary classifier. The second stage builds Bidirectional Encoder Representations from Transformers (BERT)-based LLM, which learns generic English language representations from self-supervised pretraining on a large dataset and adapts to SDIE classification by fine-tuning it on an SDIE dataset. The proposed approaches are evaluated on a dataset with 10,928 events using precision, recall ratio, F1 score, and average accuracy. The results demonstrate that the prescreening stage can exclude more than 97% non-SDIEs, and the LLM achieves an average accuracy of 93.4% for SDIE classification.

Significant methodological strides have been made toward Chest X-ray (CXR) understanding via modern vision-language models (VLMs), demonstrating impressive Visual Question Answering (VQA) and CXR report generation abilities. However, existing CXR understanding frameworks still possess several procedural caveats. (1) Previous methods solely use CXR reports, which are insufficient for comprehensive Visual Question Answering (VQA), especially when additional health-related data like medication history and prior diagnoses are needed. (2) Previous methods use raw CXR reports, which are often arbitrarily structured. While modern language models can understand various text formats, restructuring reports for clearer, organized anatomy-based information could enhance their usefulness. (3) Current evaluation methods for CXR-VQA primarily emphasize linguistic correctness, lacking the capability to offer nuanced assessments of the generated answers. In this work, to address the aforementioned caveats, we introduce WoLF, a Wide-scope Large Language Model Framework for CXR understanding. To resolve (1), we capture multi-faceted records of patients, which are utilized for accurate diagnoses in real-world clinical scenarios. Specifically, we adopt the Electronic Health Records (EHR) to generate instruction-following data suited for CXR understanding. Regarding (2), we enhance report generation performance by decoupling knowledge in CXR reports based on anatomical structure even within the attention step via masked attention. To address (3), we introduce an AI-evaluation protocol optimized for assessing the capabilities of LLM. Through extensive experimental validations, WoLF demonstrates superior performance over other models on MIMIC-CXR in the AI-evaluation arena about VQA (up to +9.47%p mean score) and by metrics about report generation (+7.3%p BLEU-1).

As artificial intelligence (AI) gains greater adoption in a wide variety of applications, it has immense potential to contribute to mathematical discovery, by guiding conjecture generation, constructing counterexamples, assisting in formalizing mathematics, and discovering connections between different mathematical areas, to name a few. While prior work has leveraged computers for exhaustive mathematical proof search, recent efforts based on large language models (LLMs) aspire to position computing platforms as co-contributors in the mathematical research process. Despite their current limitations in logic and mathematical tasks, there is growing interest in melding theorem proving systems with foundation models. This work investigates the applicability of LLMs in formalizing advanced mathematical concepts and proposes a framework that can critically review and check mathematical reasoning in research papers. Given the noted reasoning shortcomings of LLMs, our approach synergizes the capabilities of proof assistants, specifically PVS, with LLMs, enabling a bridge between textual descriptions in academic papers and formal specifications in PVS. By harnessing the PVS environment, coupled with data ingestion and conversion mechanisms, we envision an automated process, called \emph{math-PVS}, to extract and formalize mathematical theorems from research papers, offering an innovative tool for academic review and discovery.