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Development and multi-center evaluation of domain-adapted speech recognition for human-AI teaming in real-world gastrointestinal endoscopy

arXiv:2604.01705v1 Announce Type: cross Abstract: Automatic speech recognition (ASR) is a critical interface for human-AI interaction in gastrointestinal endoscopy, yet its reliability in real-world clinical settings is limited by domain-specific terminology and complex acoustic conditions. Here, we present EndoASR, a domain-adapted ASR system designed for real-time deployment in endoscopic workflows. We develop a two-stage adaptation strategy based on synthetic endoscopy reports, targeting domain-specific language modeling and noise robustness. In retrospective evaluation across six endoscopists, EndoASR substantially improves both transcription accuracy and clinical usability, reducing character error rate (CER) from 20.52% to 14.14% and increasing medical term accuracy (Med ACC) from 54.30% to 87.59%. In a prospective multi-center study spanning five independent endoscopy centers, EndoASR demonstrates consistent generalization under heterogeneous real-world conditions. Compared with the baseline Paraformer model, CER is reduced from 16.20% to 14.97%, while Med ACC is improved from 61.63% to 84.16%, confirming its robustness in practical deployment scenarios. Notably, EndoASR achieves a real-time factor (RTF) of 0.005, significantly faster than Whisper-large-v3 (RTF 0.055), while maintaining a compact model size of 220M parameters, enabling efficient edge deployment. Furthermore, integration with large language models demonstrates that improved ASR quality directly enhances downstream structured information extraction and clinician-AI interaction. These results demonstrate that domain-adapted ASR can serve as a reliable interface for human-AI teaming in gastrointestinal endoscopy, with consistent performance validated across multi-center real-world clinical settings.
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SafeSeek: Universal Attribution of Safety Circuits in Language Models

arXiv:2603.23268v1 Announce Type: cross Abstract: Mechanistic interpretability reveals that safety-critical behaviors (e.g., alignment, jailbreak, backdoor) in Large Language Models (LLMs) are grounded in specialized functional components. However, existing safety attribution methods struggle with generalization and reliability due to their reliance on heuristic, domain-specific metrics and search algorithms. To address this, we propose \ourmethod, a unified safety interpretability framework that identifies functionally complete safety circuits in LLMs via optimization. Unlike methods focusing on isolated heads or neurons, \ourmethod introduces differentiable binary masks to extract multi-granular circuits through gradient descent on safety datasets, while integrates Safety Circuit Tuning to utilize these sparse circuits for efficient safety fine-tuning. We validate \ourmethod in two key scenarios in LLM safety: \textbf{(1) backdoor attacks}, identifying a backdoor circuit with 0.42\% sparsity, whose ablation eradicates the Attack Success Rate (ASR) from 100\% $\to$ 0.4\% while retaining over 99\% general utility; \textbf{(2) safety alignment}, localizing an alignment circuit with 3.03\% heads and 0.79\% neurons, whose removal spikes ASR from 0.8\% $\to$ 96.9\%, whereas excluding this circuit during helpfulness fine-tuning maintains 96.5\% safety retention.
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