16.5CLJun 17
Improving Medical Communication using Rubric-Guided Counterfactual RecommendationsAdrian Cosma, Nicoleta-Nina Basoc, Andrei Niculae et al.
Text-based telemedicine increasingly relies on lightweight patient feedback, however, such feedback primarily reflects perceived communication quality rather than medical accuracy. We introduce an LM-guided counterfactual recommendation pipeline that discovers and refines interpretable communication features such as tone, personalization, actionability and completeness in addressing patient concerns, without interfering with the medical content. These features are used together with patient-doctor interaction metadata to estimate positive feedback. At inference time, the system searches over low-cost ordinal feature changes and recommends minimal communication changes predicted to increase the probability of positive feedback, while independent auditor models test whether these gains generalize beyond the selection model. Across interactions, recommendations yield a mean +6.41% gain in predicted positive feedback probability under independent auditors, and are non-negative for 93.31% of recommendations. These results suggest that small, interpretable communication changes can capture most predicted gains while preserving the doctor's control over medical reasoning and final wording.
8.3CLMar 26, 2025
A Retrieval-Based Approach to Medical Procedure Matching in RomanianAndrei Niculae, Adrian Cosma, Emilian Radoi
Accurately mapping medical procedure names from healthcare providers to standardized terminology used by insurance companies is a crucial yet complex task. Inconsistencies in naming conventions lead to missclasified procedures, causing administrative inefficiencies and insurance claim problems in private healthcare settings. Many companies still use human resources for manual mapping, while there is a clear opportunity for automation. This paper proposes a retrieval-based architecture leveraging sentence embeddings for medical name matching in the Romanian healthcare system. This challenge is significantly more difficult in underrepresented languages such as Romanian, where existing pretrained language models lack domain-specific adaptation to medical text. We evaluate multiple embedding models, including Romanian, multilingual, and medical-domain-specific representations, to identify the most effective solution for this task. Our findings contribute to the broader field of medical NLP for low-resource languages such as Romanian.
9.6CLJul 15, 2025
Dr.Copilot: A Multi-Agent Prompt Optimized Assistant for Improving Patient-Doctor Communication in RomanianAndrei Niculae, Adrian Cosma, Cosmin Dumitrache et al.
Text-based telemedicine has become increasingly common, yet the quality of medical advice in doctor-patient interactions is often judged more on how advice is communicated rather than its clinical accuracy. To address this, we introduce Dr. Copilot , a multi-agent large language model (LLM) system that supports Romanian-speaking doctors by evaluating and enhancing the presentation quality of their written responses. Rather than assessing medical correctness, Dr. Copilot provides feedback along 17 interpretable axes. The system comprises of three LLM agents with prompts automatically optimized via DSPy. Designed with low-resource Romanian data and deployed using open-weight models, it delivers real-time specific feedback to doctors within a telemedicine platform. Empirical evaluations and live deployment with 41 doctors show measurable improvements in user reviews and response quality, marking one of the first real-world deployments of LLMs in Romanian medical settings.
2.0CVApr 18, 2024
Gait Recognition from Highly Compressed VideosAndrei Niculae, Andy Catruna, Adrian Cosma et al.
Surveillance footage represents a valuable resource and opportunities for conducting gait analysis. However, the typical low quality and high noise levels in such footage can severely impact the accuracy of pose estimation algorithms, which are foundational for reliable gait analysis. Existing literature suggests a direct correlation between the efficacy of pose estimation and the subsequent gait analysis results. A common mitigation strategy involves fine-tuning pose estimation models on noisy data to improve robustness. However, this approach may degrade the downstream model's performance on the original high-quality data, leading to a trade-off that is undesirable in practice. We propose a processing pipeline that incorporates a task-targeted artifact correction model specifically designed to pre-process and enhance surveillance footage before pose estimation. Our artifact correction model is optimized to work alongside a state-of-the-art pose estimation network, HRNet, without requiring repeated fine-tuning of the pose estimation model. Furthermore, we propose a simple and robust method for obtaining low quality videos that are annotated with poses in an automatic manner with the purpose of training the artifact correction model. We systematically evaluate the performance of our artifact correction model against a range of noisy surveillance data and demonstrate that our approach not only achieves improved pose estimation on low-quality surveillance footage, but also preserves the integrity of the pose estimation on high resolution footage. Our experiments show a clear enhancement in gait analysis performance, supporting the viability of the proposed method as a superior alternative to direct fine-tuning strategies. Our contributions pave the way for more reliable gait analysis using surveillance data in real-world applications, regardless of data quality.