Uncertainty Reasoning with Large Language Models for Explainable Disease Diagnosis

Clinical decision-making requires reasoning over incomplete, imprecise, and linguistically expressed patient narratives. While large language models (LLMs) excel at extracting latent information from natural language, they lack the verifiability and interpretability essential for trustworthy medical AI. We propose a neuro-symbolic reasoning framework that aligns LLMs with formal logic to enable explainable and formally verifiable medical diagnosis. Patient descriptions and clinical guidelines are embedded into a neural knowledge base, where LLMs extract structured medical entities, temporal relations, and fuzzy symptom patterns, which are decoded into a symbolic knowledge base expressed in fuzzy logic and declarative rules. We perform two-stage reasoning: (1) inductive symbolic generalization to capture diagnostic patterns from encoded narratives, and (2) inference verification via a logic programming engine to derive and validate diagnoses consistent with clinical standards. Each symptom is treated as a fuzzy predicate with probabilistic weights, and inference paths are auditable, adjustable, and compatible with physician feedback. Unlike purely statistical methods, our system supports iterative refinement: misalignment between LLM-generated diagnoses and ground truth can be traced, explained, and corrected through formal rules. By combining logic-based transparency, LLM adaptability, and probabilistic robustness, the framework enables human-aligned healthcare inference with strong generalization and verifiable, step-by-step reasoning chains. We validate our framework on public benchmarks, demonstrating effective reconciliation of symbolic reasoning and LLMs with real-world clinical narratives. Results show performance comparable to state-of-the-art LLMs, while additionally providing interpretable reasoning paths and formally verifiable diagnostic conclusions.

The Fusion of Large Language Models and Formal Methods for Trustworthy AI Agents: A Roadmap

Large Language Models (LLMs) have emerged as a transformative AI paradigm, profoundly influencing daily life through their exceptional language understanding and contextual generation capabilities. Despite their remarkable performance, LLMs face a critical challenge: the propensity to produce unreliable outputs due to the inherent limitations of their learning-based nature. Formal methods (FMs), on the other hand, are a well-established computation paradigm that provides mathematically rigorous techniques for modeling, specifying, and verifying the correctness of systems. FMs have been extensively applied in mission-critical software engineering, embedded systems, and cybersecurity. However, the primary challenge impeding the deployment of FMs in real-world settings lies in their steep learning curves, the absence of user-friendly interfaces, and issues with efficiency and adaptability. This position paper outlines a roadmap for advancing the next generation of trustworthy AI systems by leveraging the mutual enhancement of LLMs and FMs. First, we illustrate how FMs, including reasoning and certification techniques, can help LLMs generate more reliable and formally certified outputs. Subsequently, we highlight how the advanced learning capabilities and adaptability of LLMs can significantly enhance the usability, efficiency, and scalability of existing FM tools. Finally, we show that unifying these two computation paradigms -- integrating the flexibility and intelligence of LLMs with the rigorous reasoning abilities of FMs -- has transformative potential for the development of trustworthy AI software systems. We acknowledge that this integration has the potential to enhance both the trustworthiness and efficiency of software engineering practices while fostering the development of intelligent FM tools capable of addressing complex yet real-world challenges.

Towards Large Language Model Aided Program Refinement

Program refinement involves correctness-preserving transformations from formal high-level specification statements into executable programs. Traditional verification tool support for program refinement is highly interactive and lacks automation. On the other hand, the emergence of large language models (LLMs) enables automatic code generations from informal natural language specifications. However, code generated by LLMs is often unreliable. Moreover, the opaque procedure from specification to code provided by LLM is an uncontrolled black box. We propose LLM4PR, a tool that combines formal program refinement techniques with informal LLM-based methods to (1) transform the specification to preconditions and postconditions, (2) automatically build prompts based on refinement calculus, (3) interact with LLM to generate code, and finally, (4) verify that the generated code satisfies the conditions of refinement calculus, thus guaranteeing the correctness of the code. We have implemented our tool using GPT4, Coq, and Coqhammer, and evaluated it on the HumanEval and EvalPlus datasets.