Zartasha Mustansar

Muhammad Osama, Maheera Amjad, Zartasha Mustansar et al.

Large Language Models (LLMs) are increasingly deployed in healthcare settings, yet their tendency to hallucinate poses risks when clinical decisions are involved. This study examine whether LLMs recommend recently banned or withdrawn pharmaceuticals when answering clinical questions and tests an agent-based method for reducing such errors. We developed a five-agent "Trust but Verify" system using a single LLM backbone. To measure regulatory knowledge obsolescence, we created an adversarial dataset of 103 clinical MCQs where historically correct answers now refer to banned substances. This scale ensures statistical significance across various therapeutic classes. We evaluated three open-access model families (GPT-OSS, Llama-3, Falcon-3) under vanilla and agentic conditions. Performance was measured via pointwise score, label accuracy, Hallucination Error Rate (HER), and Component Fidelity (CF) score. We also observed clinical safety regression in proprietary models. In default configurations, all models showed high hallucination rates, consistently selecting banned drugs that matched training data patterns. Our proposed agentic architecture reduced HER by approximately 53% across models. Pointwise scores shifted from -0.25 (unsafe recommendation) toward 0.0 (appropriate refusal). The safety audit intercepted dangerous outputs even when models' parametric knowledge favored the banned substance. The proposed multi-agent framework offers a model-agnostic method for enforcing regulatory compliance that prioritizes patient safety over fluent text generation. Our work demonstrates a practical approach for deploying autonomous AI systems in safety-critical healthcare settings. It shows how real-time regulatory data can be integrated into LLM pipelines to support clinical decision-making.

Tahira Iqbal, Arslan Shaukat, Usman Akram et al.

Pneumothorax, a life threatening disease, needs to be diagnosed immediately and efficiently. The prognosis in this case is not only time consuming but also prone to human errors. So an automatic way of accurate diagnosis using chest X-rays is the utmost requirement. To-date, most of the available medical images datasets have class-imbalance issue. The main theme of this study is to solve this problem along with proposing an automated way of detecting pneumothorax. We first compare the existing approaches to tackle the class-imbalance issue and find that data-level-ensemble (i.e. ensemble of subsets of dataset) outperforms other approaches. Thus, we propose a novel framework named as VDV model, which is a complex model-level-ensemble of data-level-ensembles and uses three convolutional neural networks (CNN) including VGG16, VGG-19 and DenseNet-121 as fixed feature extractors. In each data-level-ensemble features extracted from one of the pre-defined CNN are fed to support vector machine (SVM) classifier, and output from each data-level-ensemble is calculated using voting method. Once outputs from the three data-level-ensembles with three different CNN architectures are obtained, then, again, voting method is used to calculate the final prediction. Our proposed framework is tested on SIIM ACR Pneumothorax dataset and Random Sample of NIH Chest X-ray dataset (RS-NIH). For the first dataset, 85.17% Recall with 86.0% Area under the Receiver Operating Characteristic curve (AUC) is attained. For the second dataset, 90.9% Recall with 95.0% AUC is achieved with random split of data while 85.45% recall with 77.06% AUC is obtained with patient-wise split of data. For RS-NIH, the obtained results are higher as compared to previous results from literature However, for first dataset, direct comparison cannot be made, since this dataset has not been used earlier for Pneumothorax classification.

Tahira Iqbal, Arslan Shaukat, Usman Akram et al.

Among various medical imaging tools, chest radiographs are the most important and widely used diagnostic tool for detection of thoracic pathologies. Research is being carried out in order to propose robust automatic diagnostic tool for detection of pathologies from chest radiographs. Artificial Intelligence techniques especially deep learning methodologies have found to be giving promising results in automating the field of medicine. Lot of research has been done for automatic and fast detection of pneumothorax from chest radiographs while proposing several frameworks based on artificial intelligence and machine learning techniques. This study summarizes the existing literature for the automatic detection of pneumothorax from chest x-rays along with describing the available chest radiographs datasets. The comparative analysis of the literature is also provided in terms of goodness. Limitations of the existing literature along with the research gaps is also given for further investigation. The paper provides a brief overview of the present work for pneumothorax detection for helping the researchers in selection of optimal approach for future research.