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A visual-language model (VLM) pre-trained on natural images and text pairs poses a significant barrier when applied to medical contexts due to domain shift. Yet, adapting or fine-tuning these VLMs for medical use presents considerable…

Computer Vision and Pattern Recognition · Computer Science 2024-05-31 Aisha Urooj Khan , John Garrett , Tyler Bradshaw , Lonie Salkowski , Jiwoong Jason Jeong , Amara Tariq , Imon Banerjee

Vision-language models (VLMs) are gaining attention in medical image analysis. These are pre-trained on large, heterogeneous data sources, yielding rich and transferable representations. Notably, the combination of modality-specialized VLMs…

Computer Vision and Pattern Recognition · Computer Science 2025-06-24 Julio Silva-Rodríguez , Fereshteh Shakeri , Houda Bahig , Jose Dolz , Ismail Ben Ayed

Vision Language Models (VLMs) hold great promise for streamlining labour-intensive medical imaging workflows, yet systematic security evaluations in clinical settings remain scarce. We introduce VSF--Med, an end-to-end vulnerability-scoring…

Computer Vision and Pattern Recognition · Computer Science 2025-07-02 Binesh Sadanandan , Vahid Behzadan

In medical image analysis, the expertise scarcity and the high cost of data annotation limits the development of large artificial intelligence models. This paper investigates the potential of transfer learning with pre-trained…

Computer Vision and Pattern Recognition · Computer Science 2024-05-27 Jiajin Zhang , Ge Wang , Mannudeep K. Kalra , Pingkun Yan

Recent advances in medical vision-language models (VLMs) open up remarkable opportunities for clinical applications such as automated report generation, copilots for physicians, and uncertainty quantification. However, despite their…

Computer Vision and Pattern Recognition · Computer Science 2025-08-29 Xiao Li , Yanfan Zhu , Ruining Deng , Wei-Qi Wei , Yu Wang , Shilin Zhao , Yaohong Wang , Haichun Yang , Yuankai Huo

Explaining Deep Learning models is becoming increasingly important in the face of daily emerging multimodal models, particularly in safety-critical domains like medical imaging. However, the lack of detailed investigations into the…

Computer Vision and Pattern Recognition · Computer Science 2024-03-29 Anees Ur Rehman Hashmi , Dwarikanath Mahapatra , Mohammad Yaqub

A fundamental issue in deep learning has been adversarial robustness. As these systems have scaled, such issues have persisted. Currently, large language models (LLMs) with billions of parameters suffer from adversarial attacks just like…

Machine Learning · Computer Science 2025-02-11 Brian Formento , Chuan Sheng Foo , See-Kiong Ng

Vision-Language Models (VLMs) extend large language models with visual reasoning, but their multimodal design also introduces new, underexplored vulnerabilities. Existing multimodal red-teaming methods largely rely on brittle templates,…

Cryptography and Security · Computer Science 2026-05-27 Qilin Liao , Anamika Lochab , Ruqi Zhang

Vision-Language Models (VLMs) have shown remarkable performance, yet their security remains insufficiently understood. Existing adversarial studies focus almost exclusively on the digital setting, leaving physical-world threats largely…

Computer Vision and Pattern Recognition · Computer Science 2026-04-15 Yingying Zhao , Chengyin Hu , Qike Zhang , Xin Li , Xin Wang , Yiwei Wei , Jiujiang Guo , Jiahuan Long , Tingsong Jiang , Wen Yao

Recent advances in Large Visual Language Models (LVLMs) have demonstrated impressive performance across various vision-language tasks by leveraging large-scale image-text pretraining and instruction tuning. However, the security…

Computer Vision and Pattern Recognition · Computer Science 2025-11-14 Zihan Wang , Guansong Pang , Wenjun Miao , Jin Zheng , Xiao Bai

Large Vision-Language Models (LVLMs) demonstrate exceptional performance across multimodal tasks, yet remain vulnerable to jailbreak attacks that bypass built-in safety mechanisms to elicit restricted content generation. Existing black-box…

Computation and Language · Computer Science 2025-06-23 Lei Jiang , Zixun Zhang , Zizhou Wang , Xiaobing Sun , Zhen Li , Liangli Zhen , Xiaohua Xu

Integrating image and text data through multi-modal learning has emerged as a new approach in medical imaging research, following its successful deployment in computer vision. While considerable efforts have been dedicated to establishing…

Computer Vision and Pattern Recognition · Computer Science 2024-09-09 Fereshteh Shakeri , Yunshi Huang , Julio Silva-Rodríguez , Houda Bahig , An Tang , Jose Dolz , Ismail Ben Ayed

Clinical decision-making relies on the integrated analysis of medical images and the associated clinical reports. While Vision-Language Models (VLMs) can offer a unified framework for such tasks, they can exhibit strong biases toward one…

Computer Vision and Pattern Recognition · Computer Science 2025-08-04 David Restrepo , Ira Ktena , Maria Vakalopoulou , Stergios Christodoulidis , Enzo Ferrante

Vision-language models (VLMs) have recently shown remarkable capabilities in visual understanding and generation, but remain vulnerable to adversarial manipulations of visual content. Prior object-hiding attacks primarily rely on…

Cryptography and Security · Computer Science 2026-03-18 Amira Guesmi , Muhammad Shafique

Visual language models (VLMs) have the potential to transform medical workflows. However, the deployment is limited by sycophancy. Despite this serious threat to patient safety, a systematic benchmark remains lacking. This paper addresses…

Computer Vision and Pattern Recognition · Computer Science 2026-05-29 Juangui Xu , Zikun Guo , Jingwei Lv , Hongbin Lin , Shu Yang , Jun Wen , Di Wang , Lijie Hu

Vision-language models (VLMs) are increasingly used in autonomous driving because they combine visual perception with language-based reasoning, supporting more interpretable decision-making, yet their robustness to physical adversarial…

Computer Vision and Pattern Recognition · Computer Science 2026-05-01 David Fernandez , Pedram MohajerAnsari , Amir Salarpour , Mert D. Pese

While traditional computer vision models have historically struggled to generalize to endoscopic domains, the emergence of foundation models has shown promising cross-domain performance. In this work, we present the first large-scale study…

Computer Vision and Pattern Recognition · Computer Science 2025-07-09 Leon Mayer , Tim Rädsch , Dominik Michael , Lucas Luttner , Amine Yamlahi , Evangelia Christodoulou , Patrick Godau , Marcel Knopp , Annika Reinke , Fiona Kolbinger , Lena Maier-Hein

Fine-tuning pre-trained Vision-Language Models (VLMs) has shown remarkable capabilities in medical image and textual depiction synergy. Nevertheless, many pre-training datasets are restricted by patient privacy concerns, potentially…

Computer Vision and Pattern Recognition · Computer Science 2025-01-09 Xu Han , Linghao Jin , Xuezhe Ma , Xiaofeng Liu

Adversarial attacks have evolved from simply disrupting predictions on conventional task-specific models to the more complex goal of manipulating image semantics on Large Vision-Language Models (LVLMs). However, existing methods struggle…

Computer Vision and Pattern Recognition · Computer Science 2026-03-11 Sen Nie , Jie Zhang , Jianxin Yan , Shiguang Shan , Xilin Chen

Medical Vision-Language Models (MVLMs) have achieved par excellence generalization in medical image analysis, yet their performance under noisy, corrupted conditions remains largely untested. Clinical imaging is inherently susceptible to…

Computer Vision and Pattern Recognition · Computer Science 2025-05-26 Raza Imam , Rufael Marew , Mohammad Yaqub