提出新方法精准定位大模型决策中关键的输入词元，提升医疗等高风险场景可信度。

A critical step for reliable large language models (LLMs) use in healthcare is to attribute predictions to their training data, akin to a medical case study. This requires token-level precision: pinpointing not just which training examples influence a decision, but which tokens within them are responsible. While influence functions offer a principled framework for this, prior work is restricted to autoregressive settings and relies on an implicit assumption of token independence, rendering their identified influences unreliable. We introduce a flexible framework that infers token-level influence through a latent mediation approach for general prediction tasks. Our method attaches sparse autoencoders to any layer of a pretrained LLM to learn a basis of approximately independent latent features. Unlike prior methods where influence decomposes additively across tokens, influence computed over latent features is inherently non-decomposable. To address this, we introduce a novel method using Jacobian-vector products. Token-level influence is obtained by propagating latent attributions back to the input space via token activation patterns. We scale our approach using efficient inverse-Hessian approximations. Experiments on medical benchmarks show our approach identifies sparse, interpretable sets of tokens that jointly influence predictions. Our framework enhances trust and enables model auditing, generalizing to high-stakes domain requiring transparent and accountable decisions.