new

Get trending papers in your email inbox!

Subscribe

Daily Papers

byAK and the research community

Mar 17

Vision Token Masking Alone Cannot Prevent PHI Leakage in Medical Document OCR: A Systematic Evaluation

Large vision-language models (VLMs) are increasingly deployed for optical character recognition (OCR) in healthcare settings, raising critical concerns about protected health information (PHI) exposure during document processing. This work presents the first systematic evaluation of inference-time vision token masking as a privacy-preserving mechanism for medical document OCR using DeepSeek-OCR. We introduce seven masking strategies (V3-V9) targeting different architectural layers (SAM encoder blocks, compression layers, dual vision encoders, projector fusion) and evaluate PHI reduction across HIPAA-defined categories using 100 synthetic medical billing statements (drawn from a corpus of 38,517 annotated documents) with perfect ground-truth annotations. All masking strategies converge to 42.9% PHI reduction, successfully suppressing long-form spatially-distributed identifiers (patient names, dates of birth, physical addresses at 100% effectiveness) while failing to prevent short structured identifiers (medical record numbers, social security numbers, email addresses, account numbers at 0% effectiveness). Ablation studies varying mask expansion radius (r=1,2,3) demonstrate that increased spatial coverage does not improve reduction beyond this ceiling, indicating that language model contextual inference - not insufficient visual masking - drives structured identifier leakage. A simulated hybrid architecture combining vision masking with NLP post-processing achieves 88.6% total PHI reduction (assuming 80% NLP accuracy on remaining identifiers). This negative result establishes boundaries for vision-only privacy interventions in VLMs, provides guidance distinguishing PHI types amenable to vision-level versus language-level redaction, and redirects future research toward decoder-level fine-tuning and hybrid defense-in-depth architectures for HIPAA-compliant medical document processing.

  • 1 authors
·
Nov 22, 2025

Privasis: Synthesizing the Largest "Public" Private Dataset from Scratch

Research involving privacy-sensitive data has always been constrained by data scarcity, standing in sharp contrast to other areas that have benefited from data scaling. This challenge is becoming increasingly urgent as modern AI agents--such as OpenClaw and Gemini Agent--are granted persistent access to highly sensitive personal information. To tackle this longstanding bottleneck and the rising risks, we present Privasis (i.e., privacy oasis), the first million-scale fully synthetic dataset entirely built from scratch--an expansive reservoir of texts with rich and diverse private information--designed to broaden and accelerate research in areas where processing sensitive social data is inevitable. Compared to existing datasets, Privasis, comprising 1.4 million records, offers orders-of-magnitude larger scale with quality, and far greater diversity across various document types, including medical history, legal documents, financial records, calendars, and text messages with a total of 55.1 million annotated attributes such as ethnicity, date of birth, workplace, etc. We leverage Privasis to construct a parallel corpus for text sanitization with our pipeline that decomposes texts and applies targeted sanitization. Our compact sanitization models (<=4B) trained on this dataset outperform state-of-the-art large language models, such as GPT-5 and Qwen-3 235B. We plan to release data, models, and code to accelerate future research on privacy-sensitive domains and agents.

nvidia NVIDIA
·
Feb 3 3