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Jan 6

Question answering systems for health professionals at the point of care -- a systematic review

Objective: Question answering (QA) systems have the potential to improve the quality of clinical care by providing health professionals with the latest and most relevant evidence. However, QA systems have not been widely adopted. This systematic review aims to characterize current medical QA systems, assess their suitability for healthcare, and identify areas of improvement. Materials and methods: We searched PubMed, IEEE Xplore, ACM Digital Library, ACL Anthology and forward and backward citations on 7th February 2023. We included peer-reviewed journal and conference papers describing the design and evaluation of biomedical QA systems. Two reviewers screened titles, abstracts, and full-text articles. We conducted a narrative synthesis and risk of bias assessment for each study. We assessed the utility of biomedical QA systems. Results: We included 79 studies and identified themes, including question realism, answer reliability, answer utility, clinical specialism, systems, usability, and evaluation methods. Clinicians' questions used to train and evaluate QA systems were restricted to certain sources, types and complexity levels. No system communicated confidence levels in the answers or sources. Many studies suffered from high risks of bias and applicability concerns. Only 8 studies completely satisfied any criterion for clinical utility, and only 7 reported user evaluations. Most systems were built with limited input from clinicians. Discussion: While machine learning methods have led to increased accuracy, most studies imperfectly reflected real-world healthcare information needs. Key research priorities include developing more realistic healthcare QA datasets and considering the reliability of answer sources, rather than merely focusing on accuracy.

  • 9 authors
·
Jan 24, 2024

Can Editing LLMs Inject Harm?

Knowledge editing techniques have been increasingly adopted to efficiently correct the false or outdated knowledge in Large Language Models (LLMs), due to the high cost of retraining from scratch. Meanwhile, one critical but under-explored question is: can knowledge editing be used to inject harm into LLMs? In this paper, we propose to reformulate knowledge editing as a new type of safety threat for LLMs, namely Editing Attack, and conduct a systematic investigation with a newly constructed dataset EditAttack. Specifically, we focus on two typical safety risks of Editing Attack including Misinformation Injection and Bias Injection. For the risk of misinformation injection, we first categorize it into commonsense misinformation injection and long-tail misinformation injection. Then, we find that editing attacks can inject both types of misinformation into LLMs, and the effectiveness is particularly high for commonsense misinformation injection. For the risk of bias injection, we discover that not only can biased sentences be injected into LLMs with high effectiveness, but also one single biased sentence injection can cause a high bias increase in general outputs of LLMs, which are even highly irrelevant to the injected sentence, indicating a catastrophic impact on the overall fairness of LLMs. Then, we further illustrate the high stealthiness of editing attacks, measured by their impact on the general knowledge and reasoning capacities of LLMs, and show the hardness of defending editing attacks with empirical evidence. Our discoveries demonstrate the emerging misuse risks of knowledge editing techniques on compromising the safety alignment of LLMs.

  • 15 authors
·
Jul 29, 2024

GAITGen: Disentangled Motion-Pathology Impaired Gait Generative Model -- Bringing Motion Generation to the Clinical Domain

Gait analysis is crucial for the diagnosis and monitoring of movement disorders like Parkinson's Disease. While computer vision models have shown potential for objectively evaluating parkinsonian gait, their effectiveness is limited by scarce clinical datasets and the challenge of collecting large and well-labelled data, impacting model accuracy and risk of bias. To address these gaps, we propose GAITGen, a novel framework that generates realistic gait sequences conditioned on specified pathology severity levels. GAITGen employs a Conditional Residual Vector Quantized Variational Autoencoder to learn disentangled representations of motion dynamics and pathology-specific factors, coupled with Mask and Residual Transformers for conditioned sequence generation. GAITGen generates realistic, diverse gait sequences across severity levels, enriching datasets and enabling large-scale model training in parkinsonian gait analysis. Experiments on our new PD-GaM (real) dataset demonstrate that GAITGen outperforms adapted state-of-the-art models in both reconstruction fidelity and generation quality, accurately capturing critical pathology-specific gait features. A clinical user study confirms the realism and clinical relevance of our generated sequences. Moreover, incorporating GAITGen-generated data into downstream tasks improves parkinsonian gait severity estimation, highlighting its potential for advancing clinical gait analysis.

  • 9 authors
·
Mar 28, 2025

Man is to Computer Programmer as Woman is to Homemaker? Debiasing Word Embeddings

The blind application of machine learning runs the risk of amplifying biases present in data. Such a danger is facing us with word embedding, a popular framework to represent text data as vectors which has been used in many machine learning and natural language processing tasks. We show that even word embeddings trained on Google News articles exhibit female/male gender stereotypes to a disturbing extent. This raises concerns because their widespread use, as we describe, often tends to amplify these biases. Geometrically, gender bias is first shown to be captured by a direction in the word embedding. Second, gender neutral words are shown to be linearly separable from gender definition words in the word embedding. Using these properties, we provide a methodology for modifying an embedding to remove gender stereotypes, such as the association between between the words receptionist and female, while maintaining desired associations such as between the words queen and female. We define metrics to quantify both direct and indirect gender biases in embeddings, and develop algorithms to "debias" the embedding. Using crowd-worker evaluation as well as standard benchmarks, we empirically demonstrate that our algorithms significantly reduce gender bias in embeddings while preserving the its useful properties such as the ability to cluster related concepts and to solve analogy tasks. The resulting embeddings can be used in applications without amplifying gender bias.

  • 5 authors
·
Jul 21, 2016

Stable Bias: Analyzing Societal Representations in Diffusion Models

As machine learning-enabled Text-to-Image (TTI) systems are becoming increasingly prevalent and seeing growing adoption as commercial services, characterizing the social biases they exhibit is a necessary first step to lowering their risk of discriminatory outcomes. This evaluation, however, is made more difficult by the synthetic nature of these systems' outputs; since artificial depictions of fictive humans have no inherent gender or ethnicity nor do they belong to socially-constructed groups, we need to look beyond common categorizations of diversity or representation. To address this need, we propose a new method for exploring and quantifying social biases in TTI systems by directly comparing collections of generated images designed to showcase a system's variation across social attributes -- gender and ethnicity -- and target attributes for bias evaluation -- professions and gender-coded adjectives. Our approach allows us to (i) identify specific bias trends through visualization tools, (ii) provide targeted scores to directly compare models in terms of diversity and representation, and (iii) jointly model interdependent social variables to support a multidimensional analysis. We use this approach to analyze over 96,000 images generated by 3 popular TTI systems (DALL-E 2, Stable Diffusion v 1.4 and v 2) and find that all three significantly over-represent the portion of their latent space associated with whiteness and masculinity across target attributes; among the systems studied, DALL-E 2 shows the least diversity, followed by Stable Diffusion v2 then v1.4.

  • 4 authors
·
Mar 20, 2023

Empirical Risk Minimization under Random Censorship: Theory and Practice

We consider the classic supervised learning problem, where a continuous non-negative random label Y (i.e. a random duration) is to be predicted based upon observing a random vector X valued in R^d with dgeq 1 by means of a regression rule with minimum least square error. In various applications, ranging from industrial quality control to public health through credit risk analysis for instance, training observations can be right censored, meaning that, rather than on independent copies of (X,Y), statistical learning relies on a collection of ngeq 1 independent realizations of the triplet (X, ; min{Y,; C},; δ), where C is a nonnegative r.v. with unknown distribution, modeling censorship and δ=I{Yleq C} indicates whether the duration is right censored or not. As ignoring censorship in the risk computation may clearly lead to a severe underestimation of the target duration and jeopardize prediction, we propose to consider a plug-in estimate of the true risk based on a Kaplan-Meier estimator of the conditional survival function of the censorship C given X, referred to as Kaplan-Meier risk, in order to perform empirical risk minimization. It is established, under mild conditions, that the learning rate of minimizers of this biased/weighted empirical risk functional is of order O_{P}(log(n)/n) when ignoring model bias issues inherent to plug-in estimation, as can be attained in absence of censorship. Beyond theoretical results, numerical experiments are presented in order to illustrate the relevance of the approach developed.

  • 3 authors
·
Jun 5, 2019

Agent-based Learning of Materials Datasets from Scientific Literature

Advancements in machine learning and artificial intelligence are transforming materials discovery. Yet, the availability of structured experimental data remains a bottleneck. The vast corpus of scientific literature presents a valuable and rich resource of such data. However, manual dataset creation from these resources is challenging due to issues in maintaining quality and consistency, scalability limitations, and the risk of human error and bias. Therefore, in this work, we develop a chemist AI agent, powered by large language models (LLMs), to overcome these challenges by autonomously creating structured datasets from natural language text, ranging from sentences and paragraphs to extensive scientific research articles. Our chemist AI agent, Eunomia, can plan and execute actions by leveraging the existing knowledge from decades of scientific research articles, scientists, the Internet and other tools altogether. We benchmark the performance of our approach in three different information extraction tasks with various levels of complexity, including solid-state impurity doping, metal-organic framework (MOF) chemical formula, and property relations. Our results demonstrate that our zero-shot agent, with the appropriate tools, is capable of attaining performance that is either superior or comparable to the state-of-the-art fine-tuned materials information extraction methods. This approach simplifies compilation of machine learning-ready datasets for various materials discovery applications, and significantly ease the accessibility of advanced natural language processing tools for novice users in natural language. The methodology in this work is developed as an open-source software on https://github.com/AI4ChemS/Eunomia.

  • 2 authors
·
Dec 18, 2023

Auditing and Generating Synthetic Data with Controllable Trust Trade-offs

Data collected from the real world tends to be biased, unbalanced, and at risk of exposing sensitive and private information. This reality has given rise to the idea of creating synthetic datasets to alleviate risk, bias, harm, and privacy concerns inherent in the real data. This concept relies on Generative AI models to produce unbiased, privacy-preserving synthetic data while being true to the real data. In this new paradigm, how can we tell if this approach delivers on its promises? We present an auditing framework that offers a holistic assessment of synthetic datasets and AI models trained on them, centered around bias and discrimination prevention, fidelity to the real data, utility, robustness, and privacy preservation. We showcase our framework by auditing multiple generative models on diverse use cases, including education, healthcare, banking, human resources, and across different modalities, from tabular, to time-series, to natural language. Our use cases demonstrate the importance of a holistic assessment in order to ensure compliance with socio-technical safeguards that regulators and policymakers are increasingly enforcing. For this purpose, we introduce the trust index that ranks multiple synthetic datasets based on their prescribed safeguards and their desired trade-offs. Moreover, we devise a trust-index-driven model selection and cross-validation procedure via auditing in the training loop that we showcase on a class of transformer models that we dub TrustFormers, across different modalities. This trust-driven model selection allows for controllable trust trade-offs in the resulting synthetic data. We instrument our auditing framework with workflows that connect different stakeholders from model development to audit and certification via a synthetic data auditing report.

  • 14 authors
·
Apr 21, 2023

T2ISafety: Benchmark for Assessing Fairness, Toxicity, and Privacy in Image Generation

Text-to-image (T2I) models have rapidly advanced, enabling the generation of high-quality images from text prompts across various domains. However, these models present notable safety concerns, including the risk of generating harmful, biased, or private content. Current research on assessing T2I safety remains in its early stages. While some efforts have been made to evaluate models on specific safety dimensions, many critical risks remain unexplored. To address this gap, we introduce T2ISafety, a safety benchmark that evaluates T2I models across three key domains: toxicity, fairness, and bias. We build a detailed hierarchy of 12 tasks and 44 categories based on these three domains, and meticulously collect 70K corresponding prompts. Based on this taxonomy and prompt set, we build a large-scale T2I dataset with 68K manually annotated images and train an evaluator capable of detecting critical risks that previous work has failed to identify, including risks that even ultra-large proprietary models like GPTs cannot correctly detect. We evaluate 12 prominent diffusion models on T2ISafety and reveal several concerns including persistent issues with racial fairness, a tendency to generate toxic content, and significant variation in privacy protection across the models, even with defense methods like concept erasing. Data and evaluator are released under https://github.com/adwardlee/t2i_safety.

  • 8 authors
·
Jan 21, 2025

WildFeedback: Aligning LLMs With In-situ User Interactions And Feedback

As large language models (LLMs) continue to advance, aligning these models with human preferences has emerged as a critical challenge. Traditional alignment methods, relying on human or LLM annotated datasets, are limited by their resource-intensive nature, inherent subjectivity, and the risk of feedback loops that amplify model biases. To overcome these limitations, we introduce WildFeedback, a novel framework that leverages real-time, in-situ user interactions to create preference datasets that more accurately reflect authentic human values. WildFeedback operates through a three-step process: feedback signal identification, preference data construction, and user-guided evaluation. We applied this framework to a large corpus of user-LLM conversations, resulting in a rich preference dataset that reflects genuine user preferences. This dataset captures the nuances of user preferences by identifying and classifying feedback signals within natural conversations, thereby enabling the construction of more representative and context-sensitive alignment data. Our extensive experiments demonstrate that LLMs fine-tuned on WildFeedback exhibit significantly improved alignment with user preferences, as evidenced by both traditional benchmarks and our proposed user-guided evaluation. By incorporating real-time feedback from actual users, WildFeedback addresses the scalability, subjectivity, and bias challenges that plague existing approaches, marking a significant step toward developing LLMs that are more responsive to the diverse and evolving needs of their users. In summary, WildFeedback offers a robust, scalable solution for aligning LLMs with true human values, setting a new standard for the development and evaluation of user-centric language models.

  • 11 authors
·
Aug 28, 2024

Are Personalized Stochastic Parrots More Dangerous? Evaluating Persona Biases in Dialogue Systems

Recent advancements in Large Language Models empower them to follow freeform instructions, including imitating generic or specific demographic personas in conversations. We define generic personas to represent demographic groups, such as "an Asian person", whereas specific personas may take the form of specific popular Asian names like "Yumi". While the adoption of personas enriches user experiences by making dialogue systems more engaging and approachable, it also casts a shadow of potential risk by exacerbating social biases within model responses, thereby causing societal harm through interactions with users. In this paper, we systematically study "persona biases", which we define to be the sensitivity of dialogue models' harmful behaviors contingent upon the personas they adopt. We categorize persona biases into biases in harmful expression and harmful agreement, and establish a comprehensive evaluation framework to measure persona biases in five aspects: Offensiveness, Toxic Continuation, Regard, Stereotype Agreement, and Toxic Agreement. Additionally, we propose to investigate persona biases by experimenting with UNIVERSALPERSONA, a systematically constructed persona dataset encompassing various types of both generic and specific model personas. Through benchmarking on four different models -- including Blender, ChatGPT, Alpaca, and Vicuna -- our study uncovers significant persona biases in dialogue systems. Our findings also underscore the pressing need to revisit the use of personas in dialogue agents to ensure safe application.

  • 5 authors
·
Oct 8, 2023

Credit Risk Meets Large Language Models: Building a Risk Indicator from Loan Descriptions in P2P Lending

Peer-to-peer (P2P) lending connects borrowers and lenders through online platforms but suffers from significant information asymmetry, as lenders often lack sufficient data to assess borrowers' creditworthiness. This paper addresses this challenge by leveraging BERT, a Large Language Model (LLM) known for its ability to capture contextual nuances in text, to generate a risk score based on borrowers' loan descriptions using a dataset from the Lending Club platform. We fine-tune BERT to distinguish between defaulted and non-defaulted loans using the loan descriptions provided by the borrowers. The resulting BERT-generated risk score is then integrated as an additional feature into an XGBoost classifier used at the loan granting stage, where decision-makers have limited information available to guide their decisions. This integration enhances predictive performance, with improvements in balanced accuracy and AUC, highlighting the value of textual features in complementing traditional inputs. Moreover, we find that the incorporation of the BERT score alters how classification models utilize traditional input variables, with these changes varying by loan purpose. These findings suggest that BERT discerns meaningful patterns in loan descriptions, encompassing borrower-specific features, specific purposes, and linguistic characteristics. However, the inherent opacity of LLMs and their potential biases underscore the need for transparent frameworks to ensure regulatory compliance and foster trust. Overall, this study demonstrates how LLM-derived insights interact with traditional features in credit risk modeling, opening new avenues to enhance the explainability and fairness of these models.

  • 2 authors
·
Jan 29, 2024

CulturalTeaming: AI-Assisted Interactive Red-Teaming for Challenging LLMs' (Lack of) Multicultural Knowledge

Frontier large language models (LLMs) are developed by researchers and practitioners with skewed cultural backgrounds and on datasets with skewed sources. However, LLMs' (lack of) multicultural knowledge cannot be effectively assessed with current methods for developing benchmarks. Existing multicultural evaluations primarily rely on expensive and restricted human annotations or potentially outdated internet resources. Thus, they struggle to capture the intricacy, dynamics, and diversity of cultural norms. LLM-generated benchmarks are promising, yet risk propagating the same biases they are meant to measure. To synergize the creativity and expert cultural knowledge of human annotators and the scalability and standardizability of LLM-based automation, we introduce CulturalTeaming, an interactive red-teaming system that leverages human-AI collaboration to build truly challenging evaluation dataset for assessing the multicultural knowledge of LLMs, while improving annotators' capabilities and experiences. Our study reveals that CulturalTeaming's various modes of AI assistance support annotators in creating cultural questions, that modern LLMs fail at, in a gamified manner. Importantly, the increased level of AI assistance (e.g., LLM-generated revision hints) empowers users to create more difficult questions with enhanced perceived creativity of themselves, shedding light on the promises of involving heavier AI assistance in modern evaluation dataset creation procedures. Through a series of 1-hour workshop sessions, we gather CULTURALBENCH-V0.1, a compact yet high-quality evaluation dataset with users' red-teaming attempts, that different families of modern LLMs perform with accuracy ranging from 37.7% to 72.2%, revealing a notable gap in LLMs' multicultural proficiency.

  • 10 authors
·
Apr 9, 2024

LLMs Learn to Deceive Unintentionally: Emergent Misalignment in Dishonesty from Misaligned Samples to Biased Human-AI Interactions

Previous research has shown that LLMs finetuned on malicious or incorrect completions within narrow domains (e.g., insecure code or incorrect medical advice) can become broadly misaligned to exhibit harmful behaviors, which is called emergent misalignment. In this work, we investigate whether this phenomenon can extend beyond safety behaviors to a broader spectrum of dishonesty and deception under high-stakes scenarios (e.g., lying under pressure and deceptive behavior). To explore this, we finetune open-sourced LLMs on misaligned completions across diverse domains. Experimental results demonstrate that LLMs show broadly misaligned behavior in dishonesty. Additionally, we further explore this phenomenon in a downstream combined finetuning setting, and find that introducing as little as 1% of misalignment data into a standard downstream task is sufficient to decrease honest behavior over 20%. Furthermore, we consider a more practical human-AI interaction environment where we simulate both benign and biased users to interact with the assistant LLM. Notably, we find that the assistant can be misaligned unintentionally to exacerbate its dishonesty with only 10% biased user population. In summary, we extend the study of emergent misalignment to the domain of dishonesty and deception under high-stakes scenarios, and demonstrate that this risk arises not only through direct finetuning, but also in downstream mixture tasks and practical human-AI interactions.

Fudan-University Fudan University
·
Oct 9, 2025 2

The Journey to Trustworthy AI- Part 1: Pursuit of Pragmatic Frameworks

This paper reviews Trustworthy Artificial Intelligence (TAI) and its various definitions. Considering the principles respected in any society, TAI is often characterized by a few attributes, some of which have led to confusion in regulatory or engineering contexts. We argue against using terms such as Responsible or Ethical AI as substitutes for TAI. And to help clarify any confusion, we suggest leaving them behind. Given the subjectivity and complexity inherent in TAI, developing a universal framework is deemed infeasible. Instead, we advocate for approaches centered on addressing key attributes and properties such as fairness, bias, risk, security, explainability, and reliability. We examine the ongoing regulatory landscape, with a focus on initiatives in the EU, China, and the USA. We recognize that differences in AI regulations based on geopolitical and geographical reasons pose an additional challenge for multinational companies. We identify risk as a core factor in AI regulation and TAI. For example, as outlined in the EU-AI Act, organizations must gauge the risk level of their AI products to act accordingly (or risk hefty fines). We compare modalities of TAI implementation and how multiple cross-functional teams are engaged in the overall process. Thus, a brute force approach for enacting TAI renders its efficiency and agility, moot. To address this, we introduce our framework Set-Formalize-Measure-Act (SFMA). Our solution highlights the importance of transforming TAI-aware metrics, drivers of TAI, stakeholders, and business/legal requirements into actual benchmarks or tests. Finally, over-regulation driven by panic of powerful AI models can, in fact, harm TAI too. Based on GitHub user-activity data, in 2023, AI open-source projects rose to top projects by contributor account. Enabling innovation in TAI hinges on the independent contributions of the open-source community.

  • 2 authors
·
Mar 19, 2024

ProGuard: Towards Proactive Multimodal Safeguard

The rapid evolution of generative models has led to a continuous emergence of multimodal safety risks, exposing the limitations of existing defense methods. To address these challenges, we propose ProGuard, a vision-language proactive guard that identifies and describes out-of-distribution (OOD) safety risks without the need for model adjustments required by traditional reactive approaches. We first construct a modality-balanced dataset of 87K samples, each annotated with both binary safety labels and risk categories under a hierarchical multimodal safety taxonomy, effectively mitigating modality bias and ensuring consistent moderation across text, image, and text-image inputs. Based on this dataset, we train our vision-language base model purely through reinforcement learning (RL) to achieve efficient and concise reasoning. To approximate proactive safety scenarios in a controlled setting, we further introduce an OOD safety category inference task and augment the RL objective with a synonym-bank-based similarity reward that encourages the model to generate concise descriptions for unseen unsafe categories. Experimental results show that ProGuard achieves performance comparable to closed-source large models on binary safety classification, substantially outperforms existing open-source guard models on unsafe content categorization. Most notably, ProGuard delivers a strong proactive moderation ability, improving OOD risk detection by 52.6% and OOD risk description by 64.8%.

nanjinguniv Nanjing University
·
Dec 29, 2025 4