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First, do NOHARM: towards clinically safe large language models

arXiv:2512.01241v2 Announce Type: replace-cross Abstract: Large language models (LLMs) are routinely used by physicians and patients for medical advice, yet their clinical safety profiles remain poorly characterized. We present NOHARM (Numerous Options Harm Assessment for Risk in Medicine), a benchmark using 100 real primary care-to-specialist consultation cases to measure frequency and severity of harm from LLM-generated medical recommendations. NOHARM covers 10 specialties, with 12,747 expert annotations for 4,249 clinical management options. Across 31 LLMs, potential for severe harm from LLM recommendations occurs in up to 22.2% (95% CI 21.6-22.8%) of cases, with harm of omission accounting for 76.6% (95% CI 76.4-76.8%) of errors. Safety performance is only moderately correlated (r = 0.61-0.64) with existing AI and medical knowledge benchmarks. The best models outperform generalist physicians on safety (mean difference 9.7%, 95% CI 7.0-12.5%), and a diverse multi-agent approach improves safety compared to solo models (mean difference 8.0%, 95% CI 4.0-12.1%). Therefore, despite strong performance on existing evaluations, widely used AI models can produce severely harmful medical advice at nontrivial rates, underscoring clinical safety as a distinct performance dimension necessitating explicit measurement.
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Enhancing Transparency and Traceability in Healthcare AI: The AI Product Passport

arXiv:2512.13702v1 Announce Type: cross Abstract: Objective: To develop the AI Product Passport, a standards-based framework improving transparency, traceability, and compliance in healthcare AI via lifecycle-based documentation. Materials and Methods: The AI Product Passport was developed within the AI4HF project, focusing on heart failure AI tools. We analyzed regulatory frameworks (EU AI Act, FDA guidelines) and existing standards to design a relational data model capturing metadata across AI lifecycle phases: study definition, dataset preparation, model generation/evaluation, deployment/monitoring, and passport generation. MLOps/ModelOps concepts were integrated for operational relevance. Co-creation involved feedback from AI4HF consortium and a Lisbon workshop with 21 diverse stakeholders, evaluated via Mentimeter polls. The open-source platform was implemented with Python libraries for automated provenance tracking. Results: The AI Product Passport was designed based on existing standards and methods with well-defined lifecycle management and role-based access. Its implementation is a web-based platform with a relational data model supporting auditable documentation. It generates machine- and human-readable reports, customizable for stakeholders. It aligns with FUTURE-AI principles (Fairness, Universality, Traceability, Usability, Robustness, Explainability), ensuring fairness, traceability, and usability. Exported passports detail model purpose, data provenance, performance, and deployment context. GitHub-hosted backend/frontend codebases enhance accessibility. Discussion and Conclusion: The AI Product Passport addresses transparency gaps in healthcare AI, meeting regulatory and ethical demands. Its open-source nature and alignment with standards foster trust and adaptability. Future enhancements include FAIR data principles and FHIR integration for improved interoperability, promoting responsible AI deployment.
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Predicting All-Cause Hospital Readmissions from Medical Claims Data of Hospitalised Patients

arXiv:2510.26188v1 Announce Type: cross Abstract: Reducing preventable hospital readmissions is a national priority for payers, providers, and policymakers seeking to improve health care and lower costs. The rate of readmission is being used as a benchmark to determine the quality of healthcare provided by the hospitals. In thisproject, we have used machine learning techniques like Logistic Regression, Random Forest and Support Vector Machines to analyze the health claims data and identify demographic and medical factors that play a crucial role in predicting all-cause readmissions. As the health claims data is high dimensional, we have used Principal Component Analysis as a dimension reduction technique and used the results for building regression models. We compared and evaluated these models based on the Area Under Curve (AUC) metric. Random Forest model gave the highest performance followed by Logistic Regression and Support Vector Machine models. These models can be used to identify the crucial factors causing readmissions and help identify patients to focus on to reduce the chances of readmission, ultimately bringing down the cost and increasing the quality of healthcare provided to the patients.
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Progressive Growing of Patch Size: Curriculum Learning for Accelerated and Improved Medical Image Segmentation

arXiv:2510.23241v1 Announce Type: cross Abstract: In this work, we introduce Progressive Growing of Patch Size, an automatic curriculum learning approach for 3D medical image segmentation. Our approach progressively increases the patch size during model training, resulting in an improved class balance for smaller patch sizes and accelerated convergence of the training process. We evaluate our curriculum approach in two settings: a resource-efficient mode and a performance mode, both regarding Dice score performance and computational costs across 15 diverse and popular 3D medical image segmentation tasks. The resource-efficient mode matches the Dice score performance of the conventional constant patch size sampling baseline with a notable reduction in training time to only 44%. The performance mode improves upon constant patch size segmentation results, achieving a statistically significant relative mean performance gain of 1.28% in Dice Score. Remarkably, across all 15 tasks, our proposed performance mode manages to surpass the constant patch size baseline in Dice Score performance, while simultaneously reducing training time to only 89%. The benefits are particularly pronounced for highly imbalanced tasks such as lesion segmentation tasks. Rigorous experiments demonstrate that our performance mode not only improves mean segmentation performance but also reduces performance variance, yielding more trustworthy model comparison. Furthermore, our findings reveal that the proposed curriculum sampling is not tied to a specific architecture but represents a broadly applicable strategy that consistently boosts performance across diverse segmentation models, including UNet, UNETR, and SwinUNETR. In summary, we show that this simple yet elegant transformation on input data substantially improves both Dice Score performance and training runtime, while being compatible across diverse segmentation backbones.
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Histone demethylase KDM5D upregulation drives sex differences in colon cancer

Nature, Published online: 21 June 2023; doi:10.1038/s41586-023-06254-7

A murine colorectal cancer (CRC) model shows that mutant KRAS-STAT4-mediated upregulation of Y chromosome KDM5D contributes to the sex differences in KRAS-mutant CRC, providing an actionable therapeutic strategy for metastasis risk reduction for men afflicted with KRAS-mutant CRC.
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