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HFEPX · Eval paper review

Conformal Prediction for Risk-Controlled Medical Entity Extraction Across Clinical Domains

Manil Shrestha, Edward Kim

Published

Mar 1, 2026

Citations

0

Trust level

Low

Usefulness score

15/100 (Low)

Extraction confidence

45% (Low)

Derived from extracted protocol signals and abstract evidence.

Rater population

Domain Experts

Signals refreshed

Mar 9, 2026

Should you rely on this paper?

This paper is adjacent to HFEPX scope and is best used for background context, not as a primary protocol reference.

Use this as background context only. Do not make protocol decisions from this page alone.

Best use

Background context only

Use if you need

A secondary eval reference to pair with stronger protocol papers.

What to verify

Validate the exact study setup in the full paper before operational use.

Main weakness

This paper looks adjacent to evaluation work, but not like a strong protocol reference.

Human feedback signal
Not explicit
Not explicit in abstract metadata
Evaluation signal
Detected
Eval setup described
Usefulness for eval research
15/100
Adjacent candidate

Treat as adjacent context, not a core eval-method reference.

Abstract

Large Language Models (LLMs) are increasingly used for medical entity extraction, yet their confidence scores are often miscalibrated, limiting safe deployment in clinical settings. We present a conformal prediction framework that provides finite-sample coverage guarantees for LLM-based extraction across two clinical domains. First, we extract structured entities from 1,000 FDA drug labels across eight sections using GPT-4.1, verified via FactScore-based atomic statement evaluation (97.7\% accuracy over 128,906 entities). Second, we extract radiological entities from MIMIC-CXR reports using the RadGraph schema with GPT-4.1 and Llama-4-Maverick, evaluated against physician annotations (entity F1: 0.81 to 0.84). Our central finding is that miscalibration direction reverses across domains: on well-structured FDA labels, models are underconfident, requiring modest conformal thresholds ($τ\approx 0.06$), while on free-text radiology reports, models are overconfident, demanding strict thresholds ($τ$ up to 0.99). Despite this heterogeneity, conformal prediction achieves target coverage ($\geq 90\%$) in both settings with manageable rejection rates (9--13\%). These results demonstrate that calibration is not a global model property but depends on document structure, extraction category, and model architecture, motivating domain-specific conformal calibration for safe clinical deployment.

What we could verify

These are the protocol signals we could actually recover from the available paper metadata. Use them to decide whether this paper is worth deeper reading.

Human Feedback Types

missing

None explicit

No explicit feedback protocol extracted.

"Large Language Models (LLMs) are increasingly used for medical entity extraction, yet their confidence scores are often miscalibrated, limiting safe deployment in clinical settings."

Evaluation Modes

partial

Automatic Metrics

Includes extracted eval setup.

"Large Language Models (LLMs) are increasingly used for medical entity extraction, yet their confidence scores are often miscalibrated, limiting safe deployment in clinical settings."

Quality Controls

partial

Calibration

Calibration/adjudication style controls detected.

"Our central finding is that miscalibration direction reverses across domains: on well-structured FDA labels, models are underconfident, requiring modest conformal thresholds ($τ\approx 0.06$), while on free-text radiology reports, models are overconfident, demanding strict thresholds ($τ$ up to 0.99)."

Benchmarks / Datasets

missing

Not extracted

No benchmark anchors detected.

"Large Language Models (LLMs) are increasingly used for medical entity extraction, yet their confidence scores are often miscalibrated, limiting safe deployment in clinical settings."

Reported Metrics

partial

Accuracy, F1

Useful for evaluation criteria comparison.

"First, we extract structured entities from 1,000 FDA drug labels across eight sections using GPT-4.1, verified via FactScore-based atomic statement evaluation (97.7\% accuracy over 128,906 entities)."

Rater Population

partial

Domain Experts

Helpful for staffing comparability.

"Large Language Models (LLMs) are increasingly used for medical entity extraction, yet their confidence scores are often miscalibrated, limiting safe deployment in clinical settings."

Benchmarks and datasets

No benchmark or dataset names were extracted from the available abstract.

Reported metrics

accuracyf1
Human feedback details
Uses human feedback
No
Feedback types
None
Rater population
Domain Experts
Expertise required
Medicine
Evaluation details
Evaluation modes
Automatic Metrics
Agentic eval
None
Quality controls
Calibration
Evidence quality
Low
Use this page as
Background context only

Research brief

Metadata summary

Large Language Models (LLMs) are increasingly used for medical entity extraction, yet their confidence scores are often miscalibrated, limiting safe deployment in clinical settings.

Based on abstract + metadata only. Check the source paper before making high-confidence protocol decisions.

Key takeaways

  • Large Language Models (LLMs) are increasingly used for medical entity extraction, yet their confidence scores are often miscalibrated, limiting safe deployment in clinical settings.
  • We present a conformal prediction framework that provides finite-sample coverage guarantees for LLM-based extraction across two clinical domains.
  • First, we extract structured entities from 1,000 FDA drug labels across eight sections using GPT-4.1, verified via FactScore-based atomic statement evaluation (97.7\% accuracy over 128,906 entities).

Researcher actions

  • Compare this paper against nearby papers in the same arXiv category before using it for protocol decisions.
  • Validate inferred eval signals (Automatic metrics) against the full paper.
  • Use related-paper links to find stronger protocol-specific references.

Caveats

  • Generated from abstract + metadata only; no PDF parsing.
  • Signals below are heuristic and may miss details reported outside the abstract.

Recommended queries

Contribution summary

  • We present a conformal prediction framework that provides finite-sample coverage guarantees for LLM-based extraction across two clinical domains.
  • First, we extract structured entities from 1,000 FDA drug labels across eight sections using GPT-4.1, verified via FactScore-based atomic statement evaluation (97.7\% accuracy over 128,906 entities).
  • Second, we extract radiological entities from MIMIC-CXR reports using the RadGraph schema with GPT-4.1 and Llama-4-Maverick, evaluated against physician annotations (entity F1: 0.81 to 0.84).

Why it matters for eval

  • First, we extract structured entities from 1,000 FDA drug labels across eight sections using GPT-4.1, verified via FactScore-based atomic statement evaluation (97.7\% accuracy over 128,906 entities).

Researcher checklist

  • Human feedback protocol is explicit

    No explicit human feedback protocol detected.

  • Evaluation mode is explicit

    Detected: Automatic Metrics

  • Quality control reporting appears

    Detected: Calibration

  • Benchmark or dataset anchors are present

    No benchmark/dataset anchor extracted from abstract.

  • Metric reporting is present

    Detected: accuracy, f1