Public Health & Policy

Clinical Trials

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

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Temporal dynamics of radiotherapy and chemotherapy response in lower-grade gliomas using causal machine learning

Lower-grade gliomas (World Health Organization [WHO] grades 2-3) exhibit variable treatment responses, yet clinical decisions remain guided by population-level trial results. Standard causal survival forests estimate treatment effects at individual time horizons but lack methodology to synthesize these into interpretable temporal trajectories. Here, we apply the Causal Analysis of Survival Traject...

An agentic AI system enhances clinical detection of immunotherapy toxicities: a multi-phase validation study

Immune-related adverse events (irAEs) affect up to 40% of patients receiving immune checkpoint inhibitors, yet their identification depends on laborious and inconsistent manual chart review. Here we developed and evaluated an agentic large language model system to extract the presence, temporality, severity grade, attribution, and certainty of six irAE types from clinical notes. Retrospectively (2...

The Causal Impact of Natural Language Processing-Driven Clinical Decision Support on Sepsis Mortality in England: An Augmented Synthetic Control Analysis of NHS Trust-Level Data

Background: Sepsis remains a leading cause of preventable hospital mortality in England, with NHS England reporting over 48,000 sepsis-related deaths ...

A Proof-of-Concept Study of a Clinical Decision Support System for Vancomycin Therapeutic Monitoring

Artificial intelligence (AI), particularly large language models (LLMs), is increasingly explored in healthcare, yet its real-world usability and safe...

Towards Policy-Adaptive Image Guardrail: Benchmark and Method

Accurate rejection of sensitive or harmful visual content, i.e., harmful image guardrail, is critical in many application scenarios. This task must co...

Mar 1 2026 2603.01228v1
GuardAlign: Test-time Safety Alignment in Multimodal Large Language Models

Large vision-language models (LVLMs) have achieved remarkable progress in vision-language reasoning tasks, yet ensuring their safety remains a critica...

Feb 27 2026 2602.24027v1
Onco-Shikshak: An AI-Native Adaptive Learning Ecosystem for Medical Oncology Education

Medical oncology education faces a dual crisis: knowledge velocity that outpaces static curricula and large language model (LLM) risks hallucination a...

Care Plan Generation for Underserved Patients Using Multi-Agent Language Models: Applying Nash Game Theory to Optimize Multiple Objectives

Background Clinicians in care management programs are often in low supply relative to patient demand, especially in US Medicaid programs, and must sim...

Adversarial Robustness of Deep Learning-Based Thyroid Nodule Segmentation in Ultrasound

Introduction: Deep learning-based segmentation models are increasingly integrated into clinical imaging workflows, yet their robustness to adversarial...

Feb 25 2026 2602.21452v1
When Safety Collides: Resolving Multi-Category Harmful Conflicts in Text-to-Image Diffusion via Adaptive Safety Guidance

Text-to-Image (T2I) diffusion models have demonstrated significant advancements in generating high-quality images, while raising potential safety conc...

Feb 24 2026 2602.20880v2
Provably Safe Generative Sampling with Constricting Barrier Functions

Flow-based generative models, such as diffusion models and flow matching models, have achieved remarkable success in learning complex data distributio...

Feb 24 2026 2602.21429v1
Evaluating the AI Potential as a Safety Net for Diagnosis: A Novel Benchmark of Large Language Models in Correcting Diagnostic Errors

Background: Diagnostic errors are a leading cause of preventable patient harm, often occurring during early clinical encounters where diagnostic uncer...

When Safety Collides: Resolving Multi-Category Harmful Conflicts in Text-to-Image Diffusion via Adaptive Safety Guidance

Text-to-Image (T2I) diffusion models have demonstrated significant advancements in generating high-quality images, while raising potential safety conc...

Feb 24 2026 2602.20880v1
HD-TTA: Hypothesis-Driven Test-Time Adaptation for Safer Brain Tumor Segmentation

Standard Test-Time Adaptation (TTA) methods typically treat inference as a blind optimization task, applying generic objectives to all or filtered tes...

Feb 23 2026 2602.19454v1
Randomized Trial Protocol: Epic Generative AI Chart Summarization Tool to Reduce Ambulatory Provider Cognitive Task Load

Background: EHR documentation and chart review contribute to clinician workload and burnout. To alleviate pre-charting burden, Epic has released a new...

Agentic Trial Emulation to Learn Health System-specific Drug Effects At Scale

Objective: Electronic Health Record (EHR)-based trial emulation can support translation of randomized clinical trial (RCT) evidence into practice, yet...

Benchmarking Large Language Models for Predicting Therapeutic Antisense Oligonucleotide Efficacy

Antisense oligonucleotides (ASOs) are a promising class of therapeutic agents capable of selectively modulating gene expression and treating a wide ra...

Near-Optimal Sample Complexity for Online Constrained MDPs

Safety is a fundamental challenge in reinforcement learning (RL), particularly in real-world applications such as autonomous driving, robotics, and he...

Feb 16 2026 2602.15076v1
Representation Before Retrieval: Structured Patient Artifacts Reduce Hallucination in Clinical AI Systems

Background: Large language models show promise for clinical decision support, yet their propensity for hallucination--generating plausible but unsuppo...

Generating Biologically Relevant Subtypes of Autism Spectrum Disorder with differential responses to Acute Oxytocin Administration in a Randomized Trial using Random Forest Models and K-means Clustering

Autism Spectrum Disorder (ASD) is a heterogenous condition that has no biologically relevant subtypes yet. Here, we utilized a multidimensional approa...

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