Cross-Lingual Empirical Evaluation of Large Language Models for Arabic Medical Tasks

Fuente: arXiv
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Main Authors: Abouzahir, Chaimae, Ma, Congbo, Habash, Nizar, Shamout, Farah E.
Format: Preprint
Published: 2026
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author Abouzahir, Chaimae
Ma, Congbo
Habash, Nizar
Shamout, Farah E.
author_facet Abouzahir, Chaimae
Ma, Congbo
Habash, Nizar
Shamout, Farah E.
contents In recent years, Large Language Models (LLMs) have become widely used in medical applications, such as clinical decision support, medical education, and medical question answering. Yet, these models are often English-centric, limiting their robustness and reliability for linguistically diverse communities. Recent work has highlighted discrepancies in performance in low-resource languages for various medical tasks, but the underlying causes remain poorly understood. In this study, we conduct a cross-lingual empirical analysis of LLM performance on Arabic and English medical question and answering. Our findings reveal a persistent language-driven performance gap that intensifies with increasing task complexity. Tokenization analysis exposes structural fragmentation in Arabic medical text, while reliability analysis suggests that model-reported confidence and explanations exhibit limited correlation with correctness. Together, these findings underscore the need for language-aware design and evaluation strategies in LLMs for medical tasks.
format Preprint
id arxiv_https___arxiv_org_abs_2602_05374
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Cross-Lingual Empirical Evaluation of Large Language Models for Arabic Medical Tasks
Abouzahir, Chaimae
Ma, Congbo
Habash, Nizar
Shamout, Farah E.
Computation and Language
Machine Learning
In recent years, Large Language Models (LLMs) have become widely used in medical applications, such as clinical decision support, medical education, and medical question answering. Yet, these models are often English-centric, limiting their robustness and reliability for linguistically diverse communities. Recent work has highlighted discrepancies in performance in low-resource languages for various medical tasks, but the underlying causes remain poorly understood. In this study, we conduct a cross-lingual empirical analysis of LLM performance on Arabic and English medical question and answering. Our findings reveal a persistent language-driven performance gap that intensifies with increasing task complexity. Tokenization analysis exposes structural fragmentation in Arabic medical text, while reliability analysis suggests that model-reported confidence and explanations exhibit limited correlation with correctness. Together, these findings underscore the need for language-aware design and evaluation strategies in LLMs for medical tasks.
title Cross-Lingual Empirical Evaluation of Large Language Models for Arabic Medical Tasks
topic Computation and Language
Machine Learning
url https://arxiv.org/abs/2602.05374