John Tolladay

Jahan C. Penny-Dimri, Magdalena Bachmann, William R. Cooke et al.

Large language models (LLMs) hold substantial promise for clinical decision support. However, their widespread adoption in medicine, particularly in healthcare, is hindered by their propensity to generate false or misleading outputs, known as hallucinations. In high-stakes domains such as women's health (obstetrics & gynaecology), where errors in clinical reasoning can have profound consequences for maternal and neonatal outcomes, ensuring the reliability of AI-generated responses is critical. Traditional methods for quantifying uncertainty, such as perplexity, fail to capture meaning-level inconsistencies that lead to misinformation. Here, we evaluate semantic entropy (SE), a novel uncertainty metric that assesses meaning-level variation, to detect hallucinations in AI-generated medical content. Using a clinically validated dataset derived from UK RCOG MRCOG examinations, we compared SE with perplexity in identifying uncertain responses. SE demonstrated superior performance, achieving an AUROC of 0.76 (95% CI: 0.75-0.78), compared to 0.62 (0.60-0.65) for perplexity. Clinical expert validation further confirmed its effectiveness, with SE achieving near-perfect uncertainty discrimination (AUROC: 0.97). While semantic clustering was successful in only 30% of cases, SE remains a valuable tool for improving AI safety in women's health. These findings suggest that SE could enable more reliable AI integration into clinical practice, particularly in resource-limited settings where LLMs could augment care. This study highlights the potential of SE as a key safeguard in the responsible deployment of AI-driven tools in women's health, leading to safer and more effective digital health interventions.

John Tolladay, Beth Albert, Gabriel Davis Jones

Objective: To develop and interpret a supervised variational autoencoder (VAE) model for classifying cardiotocography (CTG) signals based on pregnancy outcomes, addressing interpretability limits of current deep learning approaches. Methods: The OxMat CTG dataset was used to train a VAE on five-minute fetal heart rate (FHR) segments, labeled with postnatal outcomes. The model was optimised for signal reconstruction and outcome prediction, incorporating Kullback-Leibler divergence and total correlation (TC) constraints to structure the latent space. Performance was evaluated using area under the receiver operating characteristic curve (AUROC) and mean squared error (MSE). Interpretability was assessed using coefficient of determination, latent traversals and unsupervised component analyses. Results: The model achieved an AUROC of 0.752 at the segment level and 0.779 at the CTG level, where predicted scores were aggregated. Relaxing TC constraints improved both reconstruction and classification. Latent analysis showed that baseline-related features (e.g., FHR baseline, baseline shift) were well represented and aligned with model scores, while metrics like short- and long-term variability were less strongly encoded. Traversals revealed clear signal changes for baseline features, while other properties were entangled or subtle. Unsupervised decompositions corroborated these patterns. Findings: This work demonstrates that supervised VAEs can achieve competitive fetal outcome prediction while partially encoding clinically meaningful CTG features. The irregular, multi-timescale nature of FHR signals poses challenges for disentangling physiological components, distinguishing CTG from more periodic signals such as ECG. Although full interpretability was not achieved, the model supports clinically useful outcome prediction and provides a basis for future interpretable, generative models.