Nicholas J. Jackson

Natalia Espinosa-Dice, Nicholas J. Jackson, Chao Yan et al.

Synthetic data generation (SDG) is a promising approach for enabling data sharing in biomedical studies while preserving patient privacy. Yet, state-of-the-art generative models often require large datasets and complex training procedures, limiting their applicability in small-sample settings common in biomedical research. This study aims to develop a more principled and efficient approach to SDG and evaluate its efficacy for biomedical applications. In this work, we reframe SDG as a reinforcement learning (RL) problem and introduce RLSyn, a novel framework that models the data generator as a stochastic policy over patient records and optimizes it using Proximal Policy Optimization with discriminator-derived rewards. We evaluate RLSyn on two biomedical datasets--AI-READI and MIMIC-IV--and benchmark it against state-of-the-art generative adversarial networks (GANs) and diffusion-based methods across extensive privacy, utility, and fidelity evaluations. On MIMIC-IV, RLSyn achieves predictive utility comparable to diffusion models (S2R AUC 0.902 vs 0.906 respectively) while slightly outperforming them in fidelity (NMI 0.001 vs. 0.003; DWD 2.073 vs. 2.797) and achieving comparable, low privacy risk (~0.50 membership inference risk AUC). On the smaller AI-READI dataset, RLSyn again matches diffusion-based utility (S2R AUC 0.873 vs. 0.871), while achieving higher fidelity (NMI 0.001 vs. 0.002; DWD 13.352 vs. 16.441) and significantly lower vulnerability to membership inference attacks (AUC 0.544 vs. 0.601). Both RLSyn and diffusion-based models substantially outperform GANs across utility and fidelity on both datasets. Our results suggest that reinforcement learning provides a principled and effective approach for synthetic biomedical data generation, particularly in data-scarce regimes.

Zhuohang Li, Chao Yan, Nicholas J. Jackson et al.

Advancements in Large Vision-Language Models (LVLMs) have demonstrated promising performance in a variety of vision-language tasks involving image-conditioned free-form text generation. However, growing concerns about hallucinations in LVLMs, where the generated text is inconsistent with the visual context, are becoming a major impediment to deploying these models in applications that demand guaranteed reliability. In this paper, we introduce a framework to address this challenge, ConfLVLM, which is grounded on conformal prediction to achieve finite-sample distribution-free statistical guarantees on the factuality of LVLM output. This framework treats an LVLM as a hypothesis generator, where each generated text detail (or claim) is considered an individual hypothesis. It then applies a statistical hypothesis testing procedure to verify each claim using efficient heuristic uncertainty measures to filter out unreliable claims before returning any responses to users. We conduct extensive experiments covering three representative application domains, including general scene understanding, medical radiology report generation, and document understanding. Remarkably, ConfLVLM reduces the error rate of claims generated by LLaVa-1.5 for scene descriptions from 87.8\% to 10.0\% by filtering out erroneous claims with a 95.3\% true positive rate. Our results further demonstrate that ConfLVLM is highly flexible, and can be applied to any black-box LVLMs paired with any uncertainty measure for any image-conditioned free-form text generation task while providing a rigorous guarantee on controlling the risk of hallucination.