arXiv:2511.07975v1 Announce Type: cross Abstract: The explosive growth of data has highlighted its critical role in driving economic growth through data marketplaces, which enable extensive data sharing and access to high-quality datasets. To support effective trading, signaling mechanisms provide participants with information about data products before transactions, enabling informed decisions and facilitating trading. However, due to the inherent free-duplication nature of data, commonly practiced signaling methods face a dilemma between privacy and reliability, undermining the effectiveness of signals in guiding decision-making. To address this, this paper explores the benefits and develops a non-TCP-based construction for a desirable signaling mechanism that simultaneously ensures privacy and reliability. We begin by formally defining the desirable utility signaling mechanism and proving its ability to prevent suboptimal decisions for both participants and facilitate informed data trading. To design a protocol to realize its functionality, we propose leveraging maliciously secure multi-party computation (MPC) to ensure the privacy and robustness of signal computation and introduce an MPC-based hash verification scheme to ensure input reliability. In multi-seller scenarios requiring fair data valuation, we further explore the design and optimization of the MPC-based KNN-Shapley method with improved efficiency. Rigorous experiments demonstrate the efficiency and practicality of our approach.

arXiv:2511.00588v1 Announce Type: cross Abstract: Large language models (LLMs) offer transformative potential for clinical decision support in spine surgery but pose significant risks through hallucinations, which are factually inconsistent or contextually misaligned outputs that may compromise patient safety. This study introduces a clinician-centered framework to quantify hallucination risks by evaluating diagnostic precision, recommendation quality, reasoning robustness, output coherence, and knowledge alignment. We assessed six leading LLMs across 30 expert-validated spinal cases. DeepSeek-R1 demonstrated superior overall performance (total score: 86.03 $\pm$ 2.08), particularly in high-stakes domains such as trauma and infection. A critical finding reveals that reasoning-enhanced model variants did not uniformly outperform standard counterparts: Claude-3.7-Sonnet's extended thinking mode underperformed relative to its standard version (80.79 $\pm$ 1.83 vs. 81.56 $\pm$ 1.92), indicating extended chain-of-thought reasoning alone is insufficient for clinical reliability. Multidimensional stress-testing exposed model-specific vulnerabilities, with recommendation quality degrading by 7.4% under amplified complexity. This decline contrasted with marginal improvements in rationality (+2.0%), readability (+1.7%) and diagnosis (+4.7%), highlighting a concerning divergence between perceived coherence and actionable guidance. Our findings advocate integrating interpretability mechanisms (e.g., reasoning chain visualization) into clinical workflows and establish a safety-aware validation framework for surgical LLM deployment.