Quantifying Symptom Causality in Clinical Decision Making: An Exploration Using CausaLM

Current machine learning approaches to medical diagnosis often rely on correlational patterns between symptoms and diseases, risking misdiagnoses when symptoms are ambiguous or common across multiple conditions. In this work, we move beyond correlation to investigate the causal influence of key symptoms-specifically "chest pain" on diagnostic predictions. Leveraging the CausaLM framework, we generate counterfactual text representations in which target concepts are effectively "forgotten" enabling a principled estimation of the causal effect of that concept on a model's predicted disease distribution. By employing Textual Representation-based Average Treatment Effect (TReATE), we quantify how the presence or absence of a symptom shapes the model's diagnostic outcomes, and contrast these findings against correlation-based baselines such as CONEXP. Our results offer deeper insight into the decision-making behavior of clinical NLP models and have the potential to inform more trustworthy, interpretable, and causally-grounded decision support tools in medical practice.

Cine cardiac MRI reconstruction using a convolutional recurrent network with refinement

Cine Magnetic Resonance Imaging (MRI) allows for understanding of the heart's function and condition in a non-invasive manner. Undersampling of the $k$-space is employed to reduce the scan duration, thus increasing patient comfort and reducing the risk of motion artefacts, at the cost of reduced image quality. In this challenge paper, we investigate the use of a convolutional recurrent neural network (CRNN) architecture to exploit temporal correlations in supervised cine cardiac MRI reconstruction. This is combined with a single-image super-resolution refinement module to improve single coil reconstruction by 4.4\% in structural similarity and 3.9\% in normalised mean square error compared to a plain CRNN implementation. We deploy a high-pass filter to our $\ell_1$ loss to allow greater emphasis on high-frequency details which are missing in the original data. The proposed model demonstrates considerable enhancements compared to the baseline case and holds promising potential for further improving cardiac MRI reconstruction.