DiagnoLLM: A Hybrid Bayesian Neural Language Framework for Interpretable Disease Diagnosis

Fuente: arXiv
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Autores principales: Xu, Bowen, Zeng, Xinyue, Hu, Jiazhen, Wang, Tuo, Kulkarni, Adithya
Formato: Preprint
Publicado: 2025
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author Xu, Bowen
Zeng, Xinyue
Hu, Jiazhen
Wang, Tuo
Kulkarni, Adithya
author_facet Xu, Bowen
Zeng, Xinyue
Hu, Jiazhen
Wang, Tuo
Kulkarni, Adithya
contents Building trustworthy clinical AI systems requires not only accurate predictions but also transparent, biologically grounded explanations. We present \texttt{DiagnoLLM}, a hybrid framework that integrates Bayesian deconvolution, eQTL-guided deep learning, and LLM-based narrative generation for interpretable disease diagnosis. DiagnoLLM begins with GP-unmix, a Gaussian Process-based hierarchical model that infers cell-type-specific gene expression profiles from bulk and single-cell RNA-seq data while modeling biological uncertainty. These features, combined with regulatory priors from eQTL analysis, power a neural classifier that achieves high predictive performance in Alzheimer's Disease (AD) detection (88.0\% accuracy). To support human understanding and trust, we introduce an LLM-based reasoning module that translates model outputs into audience-specific diagnostic reports, grounded in clinical features, attribution signals, and domain knowledge. Human evaluations confirm that these reports are accurate, actionable, and appropriately tailored for both physicians and patients. Our findings show that LLMs, when deployed as post-hoc reasoners rather than end-to-end predictors, can serve as effective communicators within hybrid diagnostic pipelines.
format Preprint
id arxiv_https___arxiv_org_abs_2511_05810
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publishDate 2025
record_format arxiv
spellingShingle DiagnoLLM: A Hybrid Bayesian Neural Language Framework for Interpretable Disease Diagnosis
Xu, Bowen
Zeng, Xinyue
Hu, Jiazhen
Wang, Tuo
Kulkarni, Adithya
Artificial Intelligence
Computation and Language
Machine Learning
Building trustworthy clinical AI systems requires not only accurate predictions but also transparent, biologically grounded explanations. We present \texttt{DiagnoLLM}, a hybrid framework that integrates Bayesian deconvolution, eQTL-guided deep learning, and LLM-based narrative generation for interpretable disease diagnosis. DiagnoLLM begins with GP-unmix, a Gaussian Process-based hierarchical model that infers cell-type-specific gene expression profiles from bulk and single-cell RNA-seq data while modeling biological uncertainty. These features, combined with regulatory priors from eQTL analysis, power a neural classifier that achieves high predictive performance in Alzheimer's Disease (AD) detection (88.0\% accuracy). To support human understanding and trust, we introduce an LLM-based reasoning module that translates model outputs into audience-specific diagnostic reports, grounded in clinical features, attribution signals, and domain knowledge. Human evaluations confirm that these reports are accurate, actionable, and appropriately tailored for both physicians and patients. Our findings show that LLMs, when deployed as post-hoc reasoners rather than end-to-end predictors, can serve as effective communicators within hybrid diagnostic pipelines.
title DiagnoLLM: A Hybrid Bayesian Neural Language Framework for Interpretable Disease Diagnosis
topic Artificial Intelligence
Computation and Language
Machine Learning
url https://arxiv.org/abs/2511.05810