arXiv:2607. 09562v1 Announce Type: cross Abstract: Medical Vision-Language Models (VLMs) exhibit strong zero-shot performance, yet their effectiveness still declines on out-of-distribution (OOD) data due to domain shifts and class bias inherited from large-scale pretraining.
arXiv:2607. 10358v1 Announce Type: cross Abstract: Foundation models are increasingly used as image feature extractors for mammography, but their robustness under external domain shift remains unclear.
arXiv:2606. 04922v1 Announce Type: cross Abstract: Current prompt-based and adapter-based tuning of vision-language models (VLMs) is attractive for medical imaging, where clinical data sensitivity favors frozen backbones and annotations are limited.
The study investigates how few expert-annotated cases are needed to fine‑tune MedSAM3 for abdominal organ segmentation using Low‑Rank Adaptation (LoRA). With only 10 annotated CT or MRI cases, the LoRA‑adapted models achieve performance comparable to specialist systems that require orders of magnitude more data, including reliable gallbladder segmentation and near‑state‑of‑the‑art results for liver, kidneys, and spleen. The approach also generalizes to cardiac segmentation on the Whole Heart dataset, and training takes only 3–5 hours per organ on a single GPU, roughly twice as fast as nnU-Net.
MVC-Bench is a new benchmark designed to evaluate the calibration of vision‑language models (VLMs) and medical VLMs (Medical‑VLMs) for medical image classification. It tests calibration across robustness to modality, backbone, and domain shift; effectiveness of calibration strategies and prompt‑tuning methods; and stability under prompt‑template and random‑seed variations. The benchmark includes eight backbones, three medical modalities (fundus imaging, histopathology, chest X‑ray), and compares post‑hoc, train‑time, and zero‑shot calibration approaches, reporting accuracy, Expected Calibration Error (ECE), Maximum Calibration Error (MCE), and Adaptive Calibration Error (ACE) over 1,638 experiments, while also proposing a Multi‑Class Margin (MCM) regularization technique that improves ECE in most settings.
arXiv:2607. 07673v1 Announce Type: cross Abstract: Medicine is inherently multimodal, requiring clinicians to synthesize information across diverse data streams.
The paper investigates how medical vision‑language models (VLMs) behave when faced with distribution shifts such as changes in acquisition domain, supervision, or evaluation protocol. Using datasets like NIH ChestXray14, CheXpert, PadChest, and OpenI, the authors isolate cross‑dataset visual transfer, evaluate multimodal alignment, and quantify source‑proxy leakage in frozen embeddings. They find that self‑supervised visual initialization improves transfer, adversarial adaptation is only marginally helpful, and that multimodal retrieval performance drops under external stress tests while source‑proxy information remains recoverable, highlighting hidden failure modes in medical VLMs.
arXiv:2608.22619v1 Announce Type: cross Abstract: Generative segmentation provides an alternative to direct pixel-wise prediction by operating on learned latent representations, but effective image-t...
arXiv:2603. 18846v3 Announce Type: replace-cross Abstract: Foundation models are used to extract transferable representations from large amounts of unlabeled data, typically via self-supervised learning (SSL).
The paper introduces MedREAL, a unified framework that aligns linguistic reasoning with spatial grounding for medical visual question answering and segmentation. MedREAL employs Seg Anchored Reasoning Pooling (SARP) to extract semantic evidence from segmentation tokens and a Reasoning-to-Visual (R2V) fusion mechanism to integrate these features into a segmentation pipeline. Using the newly created MedRAVS-13K dataset, MedREAL achieves superior performance, reporting 68.49% gIoU and 70.47% cIoU, and generates evidence masks that consistently match textual diagnoses.
arXiv:2505. 18315v3 Announce Type: replace-cross Abstract: We introduce \textbf{CoLoRA} (Convolutional Low-Rank Adaptation), a parameter-efficient fine-tuning method for convolutional neural networks (CNNs).
MVC-Bench is a calibration-focused benchmark for medical vision‑language models, evaluating how well these models express confidence across different modalities, backbones, and domain shifts. It tests robustness to modality, backbone, and domain changes, the effectiveness of calibration and prompt‑tuning strategies, and stability under prompt‑template and random‑seed variations. The benchmark includes 1638 experiments, reporting accuracy and Expected Calibration Error (ECE) along with other calibration metrics, and introduces a simple train‑time calibration method, Multi‑Class Margin (MCM) regularization, that achieves the lowest ECE in most settings.