Robust Vietnamese-English Clinical and Educational Medical Translation

Sparse autoencoder (SAE) features are increasingly used to explain and steer language-model behavior, but it remains unclear whether a feature found in one language context plays the same causal role when processing prompts in another language. We study this question using translation-initiation features (Wu et al., 2026). We reproduce the SAE feature discovery method from Wu et al. in Gemma 2 and extend it to multilingual settings that vary prompt language, source language, and target language. We then test whether features that recur across settings affect translation behavior by amplifying or ablating their activations during inference. We also examine whether the method can be applied to Gemma 3.

In both models, we observe an identical finding: although we can find more than 20 features that activate frequently across all discovery settings, causal validation shows that nearly all have small or inconsistent effects. In contrast, one feature — Gemma 2's (L10, 5717) and Gemma 3's (L20, 2456) — consistently improves COMET scores when amplified and degrades them when ablated across 23 language settings. These results show that feature recurrence can overstate cross-lingual transfer, while identifying a language-agnostic translation-initiation direction in Gemma 2 and Gemma 3.

Biomedical Named Entity Recognition (NER) is fundamental to healthcare AI applications, including clinical decision support and medical information extraction. While corpora with Unified Medical Language System (UMLS) annotations, such as MedMentions, have driven progress in English biomedical NER, no comparable resource exists for Vietnamese. This paper presents En-ViMedNER, the first English-Vietnamese parallel biomedical NER corpus annotated with UMLS semantic types, which are language-neutral codes providing a shared cross-lingual label space and ensuring direct comparability with existing UMLS-based resources. The corpus contains 4,392 PubMed abstract pairs, 44,892 English-Vietnamese sentence pairs, and 202,949 aligned entity-mention pairs across 21 semantic types adapted from the MedMentions ST21pv dataset. To balance quality and scalability, we have constructed the corpus through automatic translation, expert post-editing, LLM-assisted label projection, and human verification and adjudication. We characterize En-ViMedNER as a large-scale silver-standard corpus with a human-audited and consensus-corrected mini-test subset. We evaluate En-ViMedNER in two settings: (i) Vietnamese-input/Vietnamese-output biomedical NER and (ii) English-input/Vietnamese-output cross-lingual NER. For Vietnamese NER, we benchmark Vietnamese-supervised encoder models, English-supervised multilingual encoder models, and prompt-based LLMs. The best model achieves an F1 score of 52.70 on the test set and 53.78 on the mini-test set. For cross-lingual NER, we benchmark encoder-decoder models and prompt-based LLMs. The best model achieves an F1 score of 45.44 on the mini-test set. We publicly release our corpus, corpus construction pipeline, and baseline models to facilitate future Vietnamese biomedical NLP research.

Cascaded speech translation (ST) systems suffer from error propagation when Automatic Speech Recognition (ASR) outputs incorrect transcripts. We present the first systematic categorization of ASR errors for Vietnamese ST, classifying substitution errors by phonetic cause and quantifying their impact on downstream Neural Machine Translation (NMT) performance using Linear Mixed-Effects Modelling. We confirm that most ASR substitution errors arise from phonetic confusions rather than random noise, and that these phonetic errors significantly degrade ST quality. Motivated by this finding, we propose Phonetically-Informed Data Augmentation (PiDA), which generates ASR-like corruptions by substituting words with phonetically similar alternatives using phonetic word embeddings. Fine-tuning on a PiDA-augmented version of FLEURS Vietnamese-English improves translation of erroneous ASR outputs (up to +2.04 BLEU over standard fine-tuning) while also slightly improving clean-text performance.

Code-switching (CS), the alternation between multiple languages within a single utterance, remains challenging for Automatic Speech Recognition (ASR). To address this issue, we propose a Point-of-Interest (POI)-aware contrastive training framework that improves recognition at CS-critical regions. We first identify CS spans by adopting POI detection method from literature, then construct acoustically plausible near-miss hypotheses by perturbing POIs in ASR N-best outputs and expanding candidates with a large language model. Hard but plausible negatives are retained through filtering with acoustic, phonemic, and textual constraints. Finally, we fine-tune Whisper-small with LoRA using a POI-weighted cross-entropy anchor objective together with a multi-negative contrastive ranking loss. Experiments on CS-FLEURS (cmn-eng) and ViMedCSS (vie-eng) show consistent reductions of over 2% in both general and CS-aware error rates compared to standard LoRA fine-tuning.

Code-switching (CS), which is when Vietnamese speech uses English words like drug names or procedures, is a common phenomenon in Vietnamese medical communication. This creates challenges for Automatic Speech Recognition (ASR) systems, especially in low-resource languages like Vietnamese. Current most ASR systems struggle to recognize correctly English medical terms within Vietnamese sentences, and no benchmark addresses this challenge. In this paper, we construct a 34-hour Vietnamese Medical Code-Switching Speech dataset (ViMedCSS) containing 16,576 utterances. Each utterance includes at least one English medical term drawn from a curated bilingual lexicon covering five medical topics. Using this dataset, we evaluate several state-of-the-art ASR models and examine different specific fine-tuning strategies for improving medical term recognition to investigate the best approach to solve in the dataset. Experimental results show that Vietnamese-optimized models perform better on general segments, while multilingual pretraining helps capture English insertions. The combination of both approaches yields the best balance between overall and code-switched accuracy. This work provides the first benchmark for Vietnamese medical code-switching and offers insights into effective domain adaptation for low-resource, multilingual ASR systems.

Machine translation for Vietnamese-English in the medical domain is still an under-explored research area. In this paper, we introduce MedEV—a high-quality Vietnamese-English parallel dataset constructed specifically for the medical domain, comprising approximately 360K sentence pairs. We conduct extensive experiments comparing Google Translate, ChatGPT (gpt-3.5-turbo), state-of-the-art Vietnamese-English neural machine translation models and pre-trained bilingual/multilingual sequence-to-sequence models on our new MedEV dataset. Experimental results show that the best performance is achieved by fine-tuning "vinai-translate" for each translation direction. We publicly release our dataset to promote further research.