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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

Due to the increase in computational resources and accessibility of data, an increase in large, deep learning models trained on copious amounts of multi-modal data using self-supervised or semi-supervised learning have emerged. These…

Computer Vision and Pattern Recognition · Computer Science 2024-04-30 Madeline Chantry Schiappa , Shehreen Azad , Sachidanand VS , Yunhao Ge , Ondrej Miksik , Yogesh S. Rawat , Vibhav Vineet

Medical image segmentation models built on Segment Anything Model (SAM) achieve strong performance on clean benchmarks, yet their reliability often degrades under realistic image corruptions such as noise, blur, motion artifacts, and…

Computer Vision and Pattern Recognition · Computer Science 2026-04-14 Jieru Li , Matthew Chen , Micky C. Nnamdi , J. Ben Tamo , Benoit L. Marteau , May D. Wang

Vision-Language Models (VLMs) have great potential in medical tasks, like Visual Question Answering (VQA), where they could act as interactive assistants for both patients and clinicians. Yet their robustness to distribution shifts on…

Computer Vision and Pattern Recognition · Computer Science 2025-07-04 Kim-Celine Kahl , Selen Erkan , Jeremias Traub , Carsten T. Lüth , Klaus Maier-Hein , Lena Maier-Hein , Paul F. Jaeger

Vision-language models (VLMs) achieve strong performance on standard, high-quality datasets, but we still do not fully understand how they perform under real-world image distortions. We present VLM-RobustBench, a benchmark spanning 49…

Computer Vision and Pattern Recognition · Computer Science 2026-03-09 Rohit Saxena , Alessandro Suglia , Pasquale Minervini

Vision-language models (VLMs) are increasingly adapted through domain-specific fine-tuning, yet it remains unclear whether this improves reasoning beyond superficial visual cues, particularly in high-stakes domains like medicine. We…

Computer Vision and Pattern Recognition · Computer Science 2026-04-14 Oliver McLaughlin , Daniel Shubin , Carsten Eickhoff , Ritambhara Singh , William Rudman , Michal Golovanevsky

Deploying vision-language models (VLMs) in clinical settings demands auditable behavior under realistic failure conditions, yet the failure landscape of frontier VLMs on specialized medical inputs is poorly characterized. We audit five…

Artificial Intelligence · Computer Science 2026-05-01 Xupeng Chen , Binbin Shi , Chenqian Le , Qifu Yin , Lang Lin , Haowei Ni , Ran Gong , Panfeng Li

Generalist multimodal large language models (MLLMs) have achieved impressive performance across a wide range of vision-language tasks. However, their performance on medical tasks, particularly in zero-shot settings where generalization is…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Guimeng Liu , Tianze Yu , Somayeh Ebrahimkhani , Lin Zhi Zheng Shawn , Kok Pin Ng , Ngai-Man Cheung

The combination of multimodal Vision-Language Models (VLMs) and Large Language Models (LLMs) opens up new possibilities for medical classification. This work offers a rigorous, unified benchmark by using four publicly available datasets…

Artificial Intelligence · Computer Science 2026-01-26 Meet Raval , Tejul Pandit , Dhvani Upadhyay

Foundation models trained via vision-language pretraining have demonstrated strong zero-shot capabilities across diverse image domains, yet their application to volumetric medical imaging remains limited. We introduce MedCT-VLM: Medical CT…

Computer Vision and Pattern Recognition · Computer Science 2025-12-02 Thuraya Alzubaidi , Farhad R. Nezami , Muzammil Behzad

This study presents a comprehensive analysis and comparison of two predominant fine-tuning methodologies - full-parameter fine-tuning and parameter-efficient tuning - within the context of medical Large Language Models (LLMs). We developed…

In Vision-Language-Actionf(VLA) models, robustness to real-world perturbations is critical for deployment. Existing methods target simple visual disturbances, overlooking the broader multi-modal perturbations that arise in actions,…

Computer Vision and Pattern Recognition · Computer Science 2026-02-25 Jianing Guo , Zhenhong Wu , Chang Tu , Yiyao Ma , Xiangqi Kong , Zhiqian Liu , Jiaming Ji , Shuning Zhang , Yuanpei Chen , Kai Chen , Qi Dou , Yaodong Yang , Xianglong Liu , Huijie Zhao , Weifeng Lv , Simin Li

Adversarial attacks have been fairly explored for computer vision and vision-language models. However, the avenue of adversarial attack for the vision language segmentation models (VLSMs) is still under-explored, especially for medical…

Computer Vision and Pattern Recognition · Computer Science 2025-05-07 Anjila Budathoki , Manish Dhakal

With the increase in deep learning, it becomes increasingly difficult to understand the model in which AI systems can identify objects. Thus, an adversary could aim to modify an image by adding unseen elements, which will confuse the AI in…

Computer Vision and Pattern Recognition · Computer Science 2025-12-22 Jonathon Fox , William J Buchanan , Pavlos Papadopoulos

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

Visual-Language-Action (VLA) models report impressive success rates on robotic manipulation benchmarks, yet these results may mask fundamental weaknesses in robustness. We perform a systematic vulnerability analysis by introducing…

Large vision language models (VLMs) have achieved impressive performance on medical visual question answering benchmarks, yet their reliance on visual information remains unclear. We investigate whether frontier VLMs demonstrate genuine…

Foundation models pre-trained on large-scale datasets demonstrate strong transfer learning capabilities; however, their adaptation to complex multi-label diagnostic tasks-such as comprehensive head CT finding detection-remains understudied.…

Visual-language foundation Models (FMs) exhibit remarkable zero-shot generalization across diverse tasks, largely attributed to extensive pre-training on largescale datasets. However, their robustness on low-resolution/pixelated (LR)…

Computer Vision and Pattern Recognition · Computer Science 2025-05-20 Priyank Pathak , Shyam Marjit , Shruti Vyas , Yogesh S Rawat

Recently, reinforcement learning (RL)-based tuning has shifted the trajectory of Multimodal Large Language Models (MLLMs), particularly following the introduction of Group Relative Policy Optimization (GRPO). However, directly applying it…

Computation and Language · Computer Science 2025-05-21 Wenhui Zhu , Xuanzhao Dong , Xin Li , Peijie Qiu , Xiwen Chen , Abolfazl Razi , Aris Sotiras , Yi Su , Yalin Wang
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