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Large language models (LLMs) have broad medical knowledge and can reason about medical information across many domains, holding promising potential for diverse medical applications in the near future. In this study, we demonstrate a…

The emergence of Vision-Language Models (VLMs) represents a significant advancement in integrating computer vision with Large Language Models (LLMs) to generate detailed text descriptions from visual inputs. Despite their growing…

Computer Vision and Pattern Recognition · Computer Science 2025-03-03 Weimin Lyu , Jiachen Yao , Saumya Gupta , Lu Pang , Tao Sun , Lingjie Yi , Lijie Hu , Haibin Ling , Chao Chen

Vision Language Models (VLMs) are increasingly used for tasks like medical report generation and visual question answering. However, fluent diagnostic text does not guarantee safe visual understanding. In clinical practice, interpretation…

Computer Vision and Pattern Recognition · Computer Science 2026-03-25 Ufaq Khan , Umair Nawaz , L D M S S Teja , Numaan Saeed , Muhammad Bilal , Yutong Xie , Mohammad Yaqub , Muhammad Haris Khan

Large Vision-Language Models (LVLMs) have demonstrated remarkable capabilities in multimodal understanding and generation, yet their vulnerability to adversarial attacks raises significant robustness concerns. While existing effective…

Computer Vision and Pattern Recognition · Computer Science 2026-02-05 Hefei Mei , Zirui Wang , Shen You , Minjing Dong , Chang Xu

Black-box adversarial attacks on Large Vision-Language Models (LVLMs) are challenging due to missing gradients and complex multimodal boundaries. While prior state-of-the-art transfer-based approaches like M-Attack perform well using local…

Machine Learning · Computer Science 2026-02-20 Xiaohan Zhao , Zhaoyi Li , Yaxin Luo , Jiacheng Cui , Zhiqiang Shen

Pre-trained vision-language models (VLMs) have showcased remarkable performance in image and natural language understanding, such as image captioning and response generation. As the practical applications of vision-language models become…

Computer Vision and Pattern Recognition · Computer Science 2024-11-26 Peng Xie , Yequan Bie , Jianda Mao , Yangqiu Song , Yang Wang , Hao Chen , Kani Chen

Vision-language models (VLMs) are increasingly proposed for clinical decision support, yet their reliability in real-world scenarios that require integrating both visual and textual context from medical records remains poorly characterized.…

Computer Vision and Pattern Recognition · Computer Science 2026-05-19 David Restrepo , Ira Ktena , Maria Vakalopoulou , Stergios Christodoulidis , Enzo Ferrante

Diffusion language models (DLMs) have recently emerged as an alternative modeling paradigm to autoregressive (AR) language models, enabling parallel generation and bidirectional context modeling. Yet their security implications,…

Cryptography and Security · Computer Science 2026-05-12 Shengfang Zhai , Xiaoyang Ji , Yuling Shi , Haoran Gao , Fanyu Meng , Yan Zeng , Yuejian Fang , Yinpeng Dong , Jiaheng Zhang

Modern Vision-Language Models (VLMs) exhibit unprecedented capabilities in cross-modal semantic understanding between visual and textual modalities. Given the intrinsic need for multi-modal integration in clinical applications, VLMs have…

Image and Video Processing · Electrical Eng. & Systems 2025-06-24 Haoneng Lin , Cheng Xu , Jing Qin

With the advent of Vision-Language Models (VLMs), medical artificial intelligence (AI) has experienced significant technological progress and paradigm shifts. This survey provides an extensive review of recent advancements in Medical…

Computer Vision and Pattern Recognition · Computer Science 2025-03-05 Beria Chingnabe Kalpelbe , Angel Gabriel Adaambiik , Wei Peng

Video-based multimodal large language models (V-MLLMs) have shown vulnerability to adversarial examples in video-text multimodal tasks. However, the transferability of adversarial videos to unseen models - a common and practical real-world…

Computer Vision and Pattern Recognition · Computer Science 2026-01-12 Linhao Huang , Xue Jiang , Zhiqiang Wang , Wentao Mo , Xi Xiao , Yong-Jie Yin , Bo Han , Feng Zheng

The growing misuse of Vision-Language Models (VLMs) has led providers to deploy multiple safeguards, including alignment tuning, system prompts, and content moderation. However, the real-world robustness of these defenses against…

Cryptography and Security · Computer Science 2025-11-21 Yijun Yang , Lichao Wang , Jianping Zhang , Chi Harold Liu , Lanqing Hong , Qiang Xu

Due to their multimodal capabilities, Vision-Language Models (VLMs) have found numerous impactful applications in real-world scenarios. However, recent studies have revealed that VLMs are vulnerable to image-based adversarial attacks.…

Machine Learning · Computer Science 2025-03-31 Jiaming Zhang , Junhong Ye , Xingjun Ma , Yige Li , Yunfan Yang , Yunhao Chen , Jitao Sang , Dit-Yan Yeung

Multi-Modal Language Models (MLLMs) have transformed artificial intelligence by combining visual and text data, making applications like image captioning, visual question answering, and multi-modal content creation possible. This ability to…

Cryptography and Security · Computer Science 2024-11-11 Pete Janowczyk , Linda Laurier , Ave Giulietta , Arlo Octavia , Meade Cleti

Despite their impressive performance, deep visual models are susceptible to transferable black-box adversarial attacks. Principally, these attacks craft perturbations in a target model-agnostic manner. However, surprisingly, we find that…

Machine Learning · Computer Science 2025-04-15 Mohammad A. A. K. Jalwana , Naveed Akhtar , Ajmal Mian , Nazanin Rahnavard , Mubarak Shah

Visual Question Answering (VQA) is a fundamental task in computer vision and natural language process fields. Although the ``pre-training & finetuning'' learning paradigm significantly improves the VQA performance, the adversarial…

Computer Vision and Pattern Recognition · Computer Science 2024-02-20 Ziyi Yin , Muchao Ye , Tianrong Zhang , Jiaqi Wang , Han Liu , Jinghui Chen , Ting Wang , Fenglong Ma

Multimodal Large Language Models (MLLMs) have tremendous potential to improve the accuracy, availability, and cost-effectiveness of healthcare by providing automated solutions or serving as aids to medical professionals. Despite promising…

Computer Vision and Pattern Recognition · Computer Science 2025-05-22 Mohammad Shahab Sepehri , Zalan Fabian , Maryam Soltanolkotabi , Mahdi Soltanolkotabi

The integration of visual and textual data in Vision-Language Pre-training (VLP) models is crucial for enhancing vision-language understanding. However, the adversarial robustness of these models, especially in the alignment of image-text…

Multimedia · Computer Science 2025-06-03 Youze Wang , Wenbo Hu , Yinpeng Dong , Hanwang Zhang , Hang Su , Richang Hong

Ultrasound is widely used in clinical practice due to its portability, cost-effectiveness, safety, and real-time imaging capabilities. However, image acquisition and interpretation remain highly operator dependent, motivating the…

Multimodal Large Language Models (MLLMs) have achieved remarkable performance across vision-language tasks. Recent advancements allow these models to process multiple images as inputs. However, the vulnerabilities of multi-image MLLMs…

Computer Vision and Pattern Recognition · Computer Science 2026-01-30 Alvi Md Ishmam , Najibul Haque Sarker , Zaber Ibn Abdul Hakim , Chris Thomas