Hanshu Rao

Saukun Thika You, Nguyen Anh Khoa Tran, Wesley K. Marizane et al.

Terminology substitution errors in clinical notes, where one medical term is replaced by a linguistically valid but clinically different term, pose a persistent challenge for automated error detection in healthcare. We introduce BLUEmed, a multi-agent debate framework augmented with hybrid Retrieval-Augmented Generation (RAG) that combines evidence-grounded reasoning with multi-perspective verification for clinical error detection. BLUEmed decomposes each clinical note into focused sub-queries, retrieves source-partitioned evidence through dense, sparse, and online retrieval, and assigns two domain expert agents distinct knowledge bases to produce independent analyses; when the experts disagree, a structured counter-argumentation round and cross-source adjudication resolve the conflict, followed by a cascading safety layer that filters common false-positive patterns. We evaluate BLUEmed on a clinical terminology substitution detection benchmark under both zero-shot and few-shot prompting with multiple backbone models spanning proprietary and open-source families. Experimental results show that BLUEmed achieves the best accuracy (69.13%), ROC-AUC (74.45%), and PR-AUC (72.44%) under few-shot prompting, outperforming both single-agent RAG and debate-only baselines. Further analyses across six backbone models and two prompting strategies confirm that retrieval augmentation and structured debate are complementary, and that the framework benefits most from models with sufficient instruction-following and clinical language understanding.

Hanshu Rao, Guangzeng Han, Xiaolei Huang

Class imbalance is a widespread challenge in NLP tasks, significantly hindering robust performance across diverse domains and applications. We introduce Hardness-Aware Meta-Resample (HAMR), a unified framework that adaptively addresses both class imbalance and data difficulty. HAMR employs bi-level optimizations to dynamically estimate instance-level weights that prioritize genuinely challenging samples and minority classes, while a neighborhood-aware resampling mechanism amplifies training focus on hard examples and their semantically similar neighbors. We validate HAMR on six imbalanced datasets covering multiple tasks and spanning biomedical, disaster response, and sentiment domains. Experimental results show that HAMR achieves substantial improvements for minority classes and consistently outperforms strong baselines. Extensive ablation studies demonstrate that our proposed modules synergistically contribute to performance gains and highlight HAMR as a flexible and generalizable approach for class imbalance adaptation. Code is available at https://github.com/trust-nlp/ImbalanceLearning.

Hanshu Rao, Weisi Liu, Haohan Wang et al.

Synthetic data generation--mitigating data scarcity, privacy concerns, and data quality challenges in biomedical fields--has been facilitated by rapid advances of large language models (LLMs). This scoping review follows PRISMA-ScR guidelines and synthesizes 59 studies, published between 2020 and 2025 and collected from PubMed, ACM, Web of Science, and Google Scholar. The review systematically examines biomedical research and application trends in synthetic data generation, emphasizing clinical applications, methodologies, and evaluations. Our analysis identifies data modalities of unstructured texts (78.0%), tabular data (13.6%), and multimodal sources (8.4%); generation methods of prompting (72.9%), fine-tuning (22.0%) LLMs and specialized model (5.1%); and heterogeneous evaluations of intrinsic metrics (27.1%), human-in-the-loop assessments (55.9%), and LLM-based evaluations (13.6%). The analysis addresses current limitations in what, where, and how health professionals can leverage synthetic data generation for biomedical domains. Our review also highlights challenges in adaption across clinical domains, resource and model accessibility, and evaluation standardizations.