Multimodal based approaches often outperform single modality approaches in downstream tasks as the different modalities provide complementary information, yet acquiring paired clinical data remains a significant challenge in real world scenarios. While cross-modal knowledge distillation addresses this, existing methods often struggle with large modality gaps and the propagation of noise from uncertain source-domain predictions.
arXiv:2605. 18419v2 Announce Type: replace-cross Abstract: Vision-language models (VLMs) can couple visual perception with open-ended clinical reasoning, making them attractive for computational histopathology.
By Franciskus Xaverius Erick, Johanna Paula M\"uller, Bernhard Kainz
arXiv:2605. 15720v2 Announce Type: replace-cross Abstract: Medical referring image segmentation (MRIS) predicts lesion masks from medical images and natural-language referring expressions, but acquiring paired pixel-level annotations and referring texts is costly.
By Yuchen Li, Ziru Wei, Zhen Zhao, Yi Liu, Luping Zhou
arXiv:2608. 04472v1 Announce Type: cross Abstract: The development of foundation models (FMs) is crucial for advancing endoscopic image analysis.
By Zhenyu Yi, Jianwei Xu, Yue Hu, Zhongwei Qiu, Sijing Li, Liang Huang, Bin Lv, Ling Zhang, Yingda Xia
arXiv:2602. 07026v3 Announce Type: replace-cross Abstract: Despite the success of multimodal contrastive learning in aligning visual and linguistic representations, a persistent geometric anomaly, the Modality Gap, remains: embeddings of distinct modalities expressing identical semantics occupy systematically offset regions.
By Xiaomin Yu, Yi Xin, Yuhui Zhang, Wenjie Zhang, Chonghan Liu, Hanzhen Zhao, Chen Liu, Xiaoxing Hu, Ziyue Qiao, Hao Tang, Xiaobin Hu, Chengwei Qin, Hui Xiong, Yu Qiao, Shuicheng Yan
Vision-Language Models (VLMs) struggle when applied to medical image-text data, yet the tools available to diagnose this failure remain limited. Existing representation alignment metrics are symmetric, collapsing both modalities into a single score and hiding which modality drives cross-modal degradation.
arXiv:2606. 16799v1 Announce Type: cross Abstract: Existing vision-language model (VLM)-based AI-generated image quality assessment (AIGIQA) methods suffer from a fundamental semantic-distortion dimensional conflict: monolithic representations optimized for semantic discrimination inherently entangle compositional understanding with low-level perceptual sensitivity, rendering them blind to fine-grained quality degradations.
By Zijie Meng
arXiv:2606. 04613v1 Announce Type: cross Abstract: Vision-Language Models (VLMs) struggle when applied to medical image-text data, yet the tools available to diagnose this failure remain limited.
By Alessandro Gambetti, Qiwei Han, Cl\'audia Soares, Hong Shen
This paper proposes the Distribution-Alignment Bridge (DAB), a framework that reconceptualizes text-to-video retrieval as a distribution alignment task rather than traditional deterministic point matching. By modeling both text and video embeddings as Gaussian distributions defined by mean and variance, DAB explicitly accounts for modality-specific uncertainty.
arXiv:2606. 15038v1 Announce Type: new Abstract: Accurate time-to-event (TTE) prediction from multimodal clinical data remains challenging due to modality imbalance and distribution shift.
By Zhemin Zhang, Weijie Chen, David Le, Amara Tariq, Alex Wallace, Matthew Stib, Juan Maria Farina, Chadi Ayoub, Reza Arsanjani, Imon Banerjee
arXiv:2606. 27023v1 Announce Type: new Abstract: Multimodal large language models (MLLMs) applied to Medical Visual Question Answering (VQA) tend to produce overconfident outputs regardless of actual correctness, and existing verbalized confidence calibration methods, developed primarily for text only LLMs, do not account for the multimodal nature of medical image understanding.
By Eren Senoglu, Federico Toschi, Nicolo Brunello, Andrea Sassella, Mark James Carman
arXiv:2606. 12590v1 Announce Type: cross Abstract: Large Vision-Language Models (LVLMs) have achieved strong performance across medical imaging tasks, yet they remain prone to factual inconsistencies, poor visual grounding, and misalignment with clinically meaningful feedback.
By Shayan Mohammadizadehsamakosh, Pritam Sarkar, Leonid Sigal, Ali Etemad, Elham Dolatabadi