Evidence map›Paper›PMID 42201744›Full record

ArticleJMIR AI2026

Application of Sparse Autoencoders to Enhance Mechanistic Interpretability of Large Language Models in Medicine.

Andre Metzger, Shiv Patil, Lauren R Sugarmann, Mert Karabacak, Konstantinos Margetis

Abstract read
In one paragraph

Article in JMIR AI, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Andre Metzger *Mount Sinai Health System, 1468 Madison Avenue, New York, NY, United States, 1 212 241 3649.ORCID http://orcid.org/0009-0002-6756-6642
Shiv Patil *Mount Sinai Health System, 1468 Madison Avenue, New York, NY, United States, 1 212 241 3649.ORCID http://orcid.org/0009-0006-4808-4268
Lauren R SugarmannDepartment of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence, RI, United States.ORCID http://orcid.org/0009-0004-8165-5523
Mert KarabacakMount Sinai Health System, 1468 Madison Avenue, New York, NY, United States, 1 212 241 3649.ORCID http://orcid.org/0000-0002-9263-9893
Konstantinos MargetisMount Sinai Health System, 1468 Madison Avenue, New York, NY, United States, 1 212 241 3649.ORCID http://orcid.org/0000-0002-3715-8093

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unlabelled: Large language models (LLMs) are being increasingly incorporated into clinical workflows due to their ability to synthesize medical knowledge and support diagnosis and treatment planning. However, their opaque internal decision-making processes limit trust, reliability, and safe clinical adoption. Mechanistic interpretability seeks to address this challenge by revealing how LLMs transform inputs into outputs. This paper explores the use of sparse autoencoders (SAEs) as a promising approach to improving mechanistic interpretability of LLMs in medicine. We discuss how SAE-based analyses can illuminate model reasoning, detect potential failure modes, and complement existing interpretability frameworks. Improving mechanistic interpretability through SAEs may be essential for safely deploying LLMs as trustworthy cognitive aids in clinical medicine.

Indexed as

artificial intelligencelarge language modelmechanistic interpretabilitymedical educationsparse autoencoder

Identifiers

PMID42201744
PMCPMC13215048

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.