Primary ICD Category Prediction using LLM-based Probing

Objective: ICD codes are central to reimbursement, research, and population health surveillance, yet automated coding systems often struggle to integrate diagnostic signals from both clinical narratives and structured electronic health record (EHR) variables. We evaluated whether frozen medical large language model (LLM) representations can serve as a shared embedding space for multimodal primary diagnosis category prediction. Materials and Methods: We constructed a MIMIC-IV cohort of 13,645 admissions from the 10 most frequent primary ICD-10 codes, consolidated into seven categories. Structured variables were serialized into clinical narratives and combined with leakage-pruned discharge notes. Using a frozen MedFound-Llama3-8B-finetuned backbone, we extracted hidden states from five transformer layers and trained linear probes for structured-only, unstructured-only, and combined inputs, comparing against XGBoost and information-matched PLM-ICD baselines and evaluating MIMIC-III adaptation with a compact bottleneck adapter. Results: The combined probe performed best on MIMIC-IV (87.69% strict; 91.45% medical accuracy), exceeding both single-modality probes and baselines. The structured-only probe outperformed its standard baseline by 6.19 points in medical accuracy. Diagnostic information became increasingly linearly separable in deeper layers, and a 2M-parameter adapter restored cross-dataset transfer to MIMIC-III using only 5% of target labels. Discussion: LLM embeddings can unify structured and narrative EHR information for multimodal diagnosis prediction, supporting efficient reuse of clinical representations across modalities and datasets through a small representation-level module. Conclusion: Multimodal probing of frozen medical LLM representations provides a practical approach for studying EHR modalities and adapting clinical representations across datasets.

FASH-iCNN: Making Editorial Fashion Identity Inspectable Through Multimodal CNN Probing

Fashion AI systems routinely encode the aesthetic logic of specific houses, editors, and historical moments without disclosing it. We present FASH-iCNN, a multimodal system trained on 87,547 Vogue runway images across 15 fashion houses spanning 1991-2024 that makes this cultural logic inspectable. Given a photograph of a garment, the system recovers which house produced it, which era it belongs to, and which color tradition it reflects. A clothing-only model identifies the fashion house at 78.2% top-1 across 14 houses, the decade at 88.6% top-1, and the specific year at 58.3% top-1 across 34 years with a mean error of just 2.2 years. Probing which visual channels carry this signal reveals a sharp dissociation: removing color costs only 10.6pp of house identity accuracy, while removing texture costs 37.6pp, establishing texture and luminance as the primary carriers of editorial identity. FASH-iCNN treats editorial culture as the signal rather than background noise, identifying which houses, eras, and color traditions shaped each output so that users can see not just what the system predicts but which houses, editors, and historical moments are encoded in that prediction.