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Clinical Trials

Latest AI and machine learning research in clinical trials for healthcare professionals.

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Metastasis Extraction from NSCLC Clinical Notes: A Retrospective Comparative Evaluation of Large Language Model-Based Classification

Background: Identification of metastasis status in non-small cell lung cancer (NSCLC) is a critical part of understanding disease prognosis, treatment courses, trial eligibility, and population-level cancer surveillance. However, metastasis record are inconsistently recorded in structured cancer registry fields, since manual abstraction of clinical notes is often a resource intensive and error-pro...

Recipes for Calibration Checks in Safety-Critical Applications

Safety-critical prediction systems, such as autonomous vehicles, weather forecasters, and medical monitors, commonly rely on probabilistic forecasters. These forecasters make predictions about possible future outcomes, and their quality and robustness needs to be validated and certified. Often, only accuracy -- the mean of the predictions -- is evaluated against true outcomes. However, for safety-...

Apr 29 2026 2604.26479v1
Edge AI for Automotive Vulnerable Road User Safety: Deployable Detection via Knowledge Distillation

Deploying accurate object detection for Vulnerable Road User (VRU) safety on edge hardware requires balancing model capacity against computational con...

Apr 29 2026 2604.26857v1
Silent numerical failures in large language model-generated pharmacokinetic simulation code: a benchmark against target-controlled infusion validation criteria using the Marsh propofol model

Background. Large language models (LLMs) are increasingly used by clinicians to generate executable code for pharmacokinetic (PK) simulation. Whether ...

From simulation to pedagogy: structured AI standardized patients for clinical communication training validated through multi-model and randomized evaluation

Standardized patients (SPs) are central to clinical communication training but are constrained by cost, scalability, and reliance on trained actors. W...

One Perturbation, Two Failure Modes: Probing VLM Safety via Embedding-Guided Typographic Perturbations

Typographic prompt injection exploits vision language models' (VLMs) ability to read text rendered in images, posing a growing threat as VLMs power au...

Apr 28 2026 2604.25102v1
TrialCalibre: A Fully Automated Causal Engine for RCT Benchmarking and Observational Trial Calibration

Real-world evidence (RWE) studies that emulate target trials increasingly inform regulatory and clinical decisions, yet residual, hard-to-quantify bia...

Apr 28 2026 2604.25832v1
BETA: Resting-state fMRI Biotypes for tDCS Efficacy in Anxiety Among Older Adults At Risk For Alzheimer's Disease

Anxiety is usually gauged by self-report, yet a single symptom level can reflect disparate neural circuitry. In Alzheimer's disease and related dement...

Multicohort development and validation of a machine learning model to predict six-month functional traumatic brain injury outcomes in a large national registry

Background: Prognostication after moderate-to-severe traumatic brain injury (TBI) rarely captures long-term functional recovery, despite its importanc...

Does Machine Unlearning Preserve Clinical Safety? A Risk Analysis for Medical Image Classification

The application of Deep Learning in medical diagnosis must balance patient safety with compliance with data protection regulations. Machine Unlearning...

Apr 26 2026 2604.23854v1
Risk-Aware Robust Learning: Reducing Clinical Risk under Label Noise in Medical Image Classification

Noisy labels are a pervasive challenge in medical image classification, where annotation errors arise from inter-observer variability and diagnostic a...

Apr 26 2026 2604.23875v1
Tuberculosis in households with infectious cases in Kampala city: Harnessing health data science for new insights on an ancient disease with persistent, unresolved problems (DS-IAFRICA TB) study protocol

Tuberculosis (TB) is prevalent in Uganda and overlaps with a high rate of HIV/TB coinfection. While nearly all hospital-based TB cases in Kampala, the...

Sum-of-Checks: Structured Reasoning for Surgical Safety with Large Vision-Language Models

Purpose: Accurate assessment of the Critical View of Safety (CVS) during laparoscopic cholecystectomy is essential to prevent bile duct injury, a comp...

Apr 24 2026 2604.22156v1
MedSafe-Dx (v0): A Safety-Focused Benchmark for Evaluating LLMs in Clinical Diagnostic Decision Support

MedSafe-Dx (v0), introduces a new safety-focused benchmark for evaluating large language models in clinical diagnostic decision support using a filter...

Dissecting clinical reasoning failures in frontier artificial intelligence using 10,000 synthetic cases

Background: Current medical large language model (LLM) evaluations largely rely on small collections of cases, whereas rigorous safety testing require...

SCOPE: Integrating Organoid Screening and Clinical Variables Through Machine Learning for Cancer Trial Outcome Prediction

BackgroundPredicting whether a treatment will demonstrate meaningful clinical benefit before committing to a large-scale trial remains a major unmet n...

Reasoning-targeted Jailbreak Attacks on Large Reasoning Models via Semantic Triggers and Psychological Framing

Large Reasoning Models (LRMs) have demonstrated strong capabilities in generating step-by-step reasoning chains alongside final answers, enabling thei...

Apr 17 2026 2604.15725v1
Protocol for LLM-Generated CONSORT Report for Increased Reporting: A Parallel-Arm Randomized Controlled Trial (Protocol)

Background Randomized controlled trials (RCTs) often have incomplete methods reporting despite widespread adoption of the CONSORT guideline. The edito...

Aakhyan: An AI-Powered Vernacular Patient Communication Platform for Oncology in Resource-Limited Settings - System Architecture and Pilot Randomised Trial Protocol

Inadequate discharge communication is a well-documented contributor to medication non-adherence, missed follow-ups, and preventable readmissions acros...

Resting-state fMRI foundation models enable robust and generalizable latent neural target discovery in cognitive aging interventions

The benefits of interventions targeting cognitive aging vary substantially across individuals, largely owing to heterogeneity in aging-related comorbi...

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