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Medical Vision Language Models (VLMs) can change their answers when clinicians rephrase the same question, a failure mode that threatens deployment safety. We introduce PSF-Med, a benchmark of 26,850 chest X-ray questions paired with 92,856…

计算机视觉与模式识别 · 计算机科学 2026-04-14 Binesh Sadanandan , Vahid Behzadan

Medical Vision Language Models VLMs suffer from two failure modes that threaten safe deployment mis calibrated confidence and sensitivity to question rephrasing. We show they share a common cause, proximity to the decision boundary, by…

机器学习 · 计算机科学 2026-04-13 Binesh Sadanandan , Vahid Behzadan

Consistency under paraphrase, the property that semantically equivalent prompts yield identical predictions, is increasingly used as a proxy for reliability when deploying medical vision-language models (VLMs). We show this proxy is…

计算机视觉与模式识别 · 计算机科学 2026-03-24 Binesh Sadanandan , Vahid Behzadan

Adapting a pretrained language model to a new task often hurts the general capabilities it already had, a problem known as catastrophic forgetting. Sparse Memory Finetuning (SMF) tries to avoid this by adding key-value memory layers to the…

计算与语言 · 计算机科学 2026-05-06 Prakhar Gupta , Garv Shah , Satyam Goyal , Anirudh Kanchi

As Large Language Models (LLMs) are increasingly integrated into healthcare to address complex inquiries, ensuring their reliability remains a critical challenge. Recent studies have highlighted that generic LLMs often struggle in clinical…

计算与语言 · 计算机科学 2026-04-01 Bian Sun , Zhenjian Wang , Orvill de la Torre , Zirui Wang

Guard models are a critical component of LLM safety, but their sensitivity to superficial linguistic variations remains a key vulnerability. We show that even meaning-preserving paraphrases can cause large fluctuations in safety scores,…

计算与语言 · 计算机科学 2025-11-17 Cristina Pinneri , Christos Louizos

Small open-source language models are gaining attention for healthcare applications in low-resource settings where cloud infrastructure and GPU hardware may be unavailable. However, the reliability of these models under different phrasings…

计算与语言 · 计算机科学 2026-03-18 Shravani Hariprasad

Medical foundation models have achieved remarkable clinical performance, yet their robustness under real-world perturbations remains underexplored. We present a robustness benchmark comprising 40 perturbation types (12 base, 28…

计算机视觉与模式识别 · 计算机科学 2026-05-26 Xiangxiang Cui , Tianjin Huang , Yifang Wang , Lijie Hu , Lu Yin

Sequential fine-tuning of pretrained language encoders often overwrites previously acquired capabilities, but the forgetting behavior of parameter-efficient updates remains under-characterized. We present a controlled empirical study of…

机器学习 · 计算机科学 2026-03-31 Ashish Pandey

Benchmark scores for Large Language Models (LLMs) can be inflated by memorization of test items or near duplicates. We present a simple, protocol that probes generalization by re-evaluating models on paraphrased versions of benchmark…

计算与语言 · 计算机科学 2025-10-13 Juan Miguel Navarro Carranza

We investigate feature universality in Gemma-2 language models (Gemma-2-2B and Gemma-2-9B), asking whether models with a four-fold difference in scale still converge on comparable internal concepts. Using the Sparse Autoencoder (SAE)…

计算与语言 · 计算机科学 2025-08-01 Daniel Son , Sanjana Rathore , Andrew Rufail , Adrian Simon , Daniel Zhang , Soham Dave , Cole Blondin , Kevin Zhu , Sean O'Brien

Large vision-language models (VLMs) excel on general benchmarks but often lack robustness in medical imaging, where heterogeneous supervision induces cross-dataset interference and sensitivity to data regime (i.e., how the supervisory…

计算机视觉与模式识别 · 计算机科学 2026-04-03 Omid Nejati Manzari , Hojat Asgariandehkordi , Taha Koleilat , Yiming Xiao , Hassan Rivaz

With the advent of LLMs and variants, a flurry of research has emerged, analyzing the performance of such models across an array of tasks. While most studies focus on evaluating the capabilities of state-of-the-art (SoTA) Vision Language…

计算机视觉与模式识别 · 计算机科学 2025-06-30 Shih-Han Chou , Shivam Chandhok , James J. Little , Leonid Sigal

Fine-tuning large language models for domain-specific tasks such as medical text summarization demands substantial computational resources. Parameter-efficient fine-tuning (PEFT) methods offer promising alternatives by updating only a small…

计算与语言 · 计算机科学 2026-03-26 Ulugbek Shernazarov , Rostislav Svitsov , Bin Shi

Low-Rank Adaptation (LoRA) has emerged as a widely adopted approach for adapting large language models, yet the internal representational changes induced by LoRA fine-tuning remain insufficiently understood. In this work, we investigate the…

机器学习 · 计算机科学 2026-05-29 Prasanth K K

In high-stakes medical applications, consistent answering across diverse question phrasings is essential for reliable diagnosis. However, we reveal that current Medical Vision-Language Models (Med-VLMs) exhibit concerning fragility in…

计算与语言 · 计算机科学 2025-08-27 Songtao Jiang , Yuxi Chen , Sibo Song , Yan Zhang , Yeying Jin , Yang Feng , Jian Wu , Zuozhu Liu

Vision-language models achieve expert-level performance on medical imaging tasks but exhibit significant diagnostic accuracy disparities across demographic groups. We introduce fairness-aware Low-Rank Adaptation for medical VLMs, combining…

计算机视觉与模式识别 · 计算机科学 2026-03-11 Zijian Gu , Yuxi Liu , Zhenhao Zhang , Song Wang

Multilingual large language models (LLMs) exhibit strong cross-linguistic generalization, yet medium to low resource languages underperform on common benchmarks such as ARC-Challenge, MMLU, and HellaSwag. We analyze activation patterns in…

计算与语言 · 计算机科学 2025-07-28 Richmond Sin Jing Xuan , Jalil Huseynov , Yang Zhang

Medical Visual Question Answering (MVQA) systems can interpret medical images in response to natural language queries. However, linguistic variability in question phrasing often undermines the consistency of these systems. To address this…

计算机视觉与模式识别 · 计算机科学 2025-04-17 Yongpei Ma , Pengyu Wang , Adam Dunn , Usman Naseem , Jinman Kim

Vision-language models encode continuous geometry that their text pathway fails to express: a 6,000-parameter linear probe extracts hand joint angles at 6.1 degrees MAE from frozen features, while the best text output achieves only 20.0…

计算机视觉与模式识别 · 计算机科学 2026-03-09 Yakov Pyotr Shkolnikov
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