Kezhi Li

Ying Xiao, Jie Huang, Ruijuan He et al.

Large language models (LLMs) are reaching expert-level accuracy on medical diagnosis questions, yet their mistakes and the biases behind them pose life-critical risks. Bias linked to race, sex, and socioeconomic status is already well known, but a consistent and automatic testbed for measuring it is missing. To fill this gap, this paper presents AMQA -- an Adversarial Medical Question-Answering dataset -- built for automated, large-scale bias evaluation of LLMs in medical QA. AMQA includes 4,806 medical QA pairs sourced from the United States Medical Licensing Examination (USMLE) dataset, generated using a multi-agent framework to create diverse adversarial descriptions and question pairs. Using AMQA, we benchmark five representative LLMs and find surprisingly substantial disparities: even GPT-4.1, the least biased model tested, answers privileged-group questions over 10 percentage points more accurately than unprivileged ones. Compared with the existing benchmark CPV, AMQA reveals 15% larger accuracy gaps on average between privileged and unprivileged groups. Our dataset and code are publicly available at https://github.com/XY-Showing/AMQA to support reproducible research and advance trustworthy, bias-aware medical AI.

Rui Sun, Zhipeng Wang, Hengrui Zhang et al.

One of the biggest challenges of building artificial intelligence (AI) model in the healthcare area is the data sharing. Since healthcare data is private, sensitive, and heterogeneous, collecting sufficient data for modelling is exhausting, costly, and sometimes impossible. In this paper, we propose a framework for global healthcare modelling using datasets from multi-continents (Europe, North America, and Asia) without sharing the local datasets, and choose glucose management as a study model to verify its effectiveness. Technically, blockchain-enabled federated learning is implemented with adaptation to meet the privacy and safety requirements of healthcare data, meanwhile, it rewards honest participation and penalizes malicious activities using its on-chain incentive mechanism. Experimental results show that the proposed framework is effective, efficient, and privacy-preserving. Its prediction accuracy consistently outperforms models trained on limited personal data and achieves comparable or even slightly better results than centralized training in certain scenarios, all while preserving data privacy. This work paves the way for international collaborations on healthcare projects, where additional data is crucial for reducing bias and providing benefits to humanity.