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Mar 6

Small Language Models for Privacy-Preserving Clinical Information Extraction in Low-Resource Languages

Extracting clinical information from medical transcripts in low-resource languages remains a significant challenge in healthcare natural language processing (NLP). This study evaluates a two-step pipeline combining Aya-expanse-8B as a Persian-to-English translation model with five open-source small language models (SLMs) -- Qwen2.5-7B-Instruct, Llama-3.1-8B-Instruct, Llama-3.2-3B-Instruct, Qwen2.5-1.5B-Instruct, and Gemma-3-1B-it -- for binary extraction of 13 clinical features from 1,221 anonymized Persian transcripts collected at a cancer palliative care call center. Using a few-shot prompting strategy without fine-tuning, models were assessed on macro-averaged F1-score, Matthews Correlation Coefficient (MCC), sensitivity, and specificity to account for class imbalance. Qwen2.5-7B-Instruct achieved the highest overall performance (median macro-F1: 0.899; MCC: 0.797), while Gemma-3-1B-it showed the weakest results. Larger models (7B--8B parameters) consistently outperformed smaller counterparts in sensitivity and MCC. A bilingual analysis of Aya-expanse-8B revealed that translating Persian transcripts to English improved sensitivity, reduced missing outputs, and boosted metrics robust to class imbalance, though at the cost of slightly lower specificity and precision. Feature-level results showed reliable extraction of physiological symptoms across most models, whereas psychological complaints, administrative requests, and complex somatic features remained challenging. These findings establish a practical, privacy-preserving blueprint for deploying open-source SLMs in multilingual clinical NLP settings with limited infrastructure and annotation resources, and highlight the importance of jointly optimizing model scale and input language strategy for sensitive healthcare applications.

  • 7 authors
·
Feb 24 2

Alif: Advancing Urdu Large Language Models via Multilingual Synthetic Data Distillation

Developing a high-performing large language models (LLMs) for low-resource languages such as Urdu, present several challenges. These challenges include the scarcity of high-quality datasets, multilingual inconsistencies, and safety concerns. Existing multilingual LLMs often address these issues by translating large volumes of available data. However, such translations often lack quality and cultural nuance while also incurring significant costs for data curation and training. To address these issues, we propose Alif-1.0-8B-Instruct, a multilingual Urdu-English model, that tackles these challenges with a unique approach. We train the model on a high-quality, multilingual synthetic dataset (Urdu-Instruct), developed using a modified self-instruct technique. By using unique prompts and seed values for each task along with a global task pool, this dataset incorporates Urdu-native chain-of-thought based reasoning, bilingual translation, cultural relevance, and ethical safety alignments. This technique significantly enhances the comprehension of Alif-1.0-8B-Instruct model for Urdu-specific tasks. As a result, Alif-1.0-8B-Instruct, built upon the pretrained Llama-3.1-8B, demonstrates superior performance compared to Llama-3.1-8B-Instruct for Urdu specific-tasks. It also outperformed leading multilingual LLMs, including Mistral-7B-Instruct-v0.3, Qwen-2.5-7B-Instruct, and Cohere-Aya-Expanse-8B, all within a training budget of under $100. Our results demonstrate that high-performance and low-resource language LLMs can be developed efficiently and culturally aligned using our modified self-instruct approach. All datasets, models, and code are publicly available at: https://github.com/traversaal-ai/alif-urdu-llm.

  • 6 authors
·
Oct 10, 2025