Jim Basilakis

Nwe Ni Win, Jim Basilakis, Steven Thomas et al.

Extracting clinically relevant information from unstructured medical narratives such as admission notes, discharge summaries, and emergency case histories remains a challenge in clinical natural language processing (NLP). Medical Entity Recognition (MER) identifies meaningful concepts embedded in these records. Recent advancements in large language models (LLMs) have shown competitive MER performance; however, evaluations often focus on general entity types, offering limited utility for real-world clinical needs requiring finer-grained extraction. To address this gap, we rigorously evaluated the open-source LLaMA3 model for fine-grained medical entity recognition across 18 clinically detailed categories. To optimize performance, we employed three learning paradigms: zero-shot, few-shot, and fine-tuning with Low-Rank Adaptation (LoRA). To further enhance few-shot learning, we introduced two example selection methods based on token- and sentence-level embedding similarity, utilizing a pre-trained BioBERT model. Unlike prior work assessing zero-shot and few-shot performance on proprietary models (e.g., GPT-4) or fine-tuning different architectures, we ensured methodological consistency by applying all strategies to a unified LLaMA3 backbone, enabling fair comparison across learning settings. Our results showed that fine-tuned LLaMA3 surpasses zero-shot and few-shot approaches by 63.11% and 35.63%, respectivel respectively, achieving an F1 score of 81.24% in granular medical entity extraction.

Quoc Lap Trieu, Bahman Javadi, Jim Basilakis

As Edge Intelligence (EI) becomes increasingly prevalent in domains such as smart healthcare, manufacturing, and critical infrastructure, ensuring data privacy while maintaining system efficiency is a growing challenge. This paper presents a new privacy-preserving machine learning (PPML) framework tailored for EI applications, including a four-layer system architecture and training and inference algorithms. We focus on three leading approaches: Differential Privacy (DP), Secure Multi-party Computation (SMC), and Fully Homomorphic Encryption (FHE), and assess their impact on key performance metrics, including model accuracy, response time, and energy consumption. Results from real implementation and extensive trace-based simulations of inference tasks show that DP generally preserves throughput and latency close to plaintext baselines, while accuracy drops with model complexity (up to 35 percent on AlexNet and under 18 percent on LeNet for FordA). SMC performance is driven by communication; network bandwidth and round complexity determine end-to-end latency. For AlexNet, increasing link capacity from 250 Mbps to 500 Mbps reduces latency by about 30 percent. FHE is highly sensitive to model structure and numerical precision bit width, with tighter parameters imposing substantial compute overhead; we observe roughly a 1000 times increase in response time compared to DP. Beyond efficiency, DP shifts the privacy-utility-extractability frontier by reducing the attacker's data efficiency in black-box model stealing, whereas SMC and FHE, while protecting inputs and parameters during inference, require complementary output controls to achieve similar resistance to extraction. These findings provide critical insights into the trade-offs between privacy, performance, and resource efficiency in edge computing scenarios.

Midhun Shyam, Jim Basilakis, Kieran Luken et al.

Triage notes, created at the start of a patient's hospital visit, contain a wealth of information that can help medical staff and researchers understand Emergency Department patient epidemiology and the degree of time-dependent illness or injury. Unfortunately, applying modern Natural Language Processing and Machine Learning techniques to analyse triage data faces some challenges: Firstly, hospital data contains highly sensitive information that is subject to privacy regulation thus need to be analysed on site; Secondly, most hospitals and medical facilities lack the necessary hardware to fine-tune a Large Language Model (LLM), much less training one from scratch; Lastly, to identify the records of interest, expert inputs are needed to manually label the datasets, which can be time-consuming and costly. We present in this paper a pipeline that enables the classification of triage data using LLM and limited compute resources. We first fine-tuned a pre-trained LLM with a classifier using a small (2k) open sourced dataset on a GPU; and then further fine-tuned the model with a hospital specific dataset of 1000 samples on a CPU. We demonstrated that by carefully curating the datasets and leveraging existing models and open sourced data, we can successfully classify triage data with limited compute resources.