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.
By Ayoub Louaye Bouaziz, Lokmane Chebouba, Yassine Himeur
arXiv:2608. 07749v1 Announce Type: cross Abstract: Parameter-efficient fine-tuning enables the adaptation of vision foundation models to biomedical tasks under limited computational resources, but a single low-rank update can constrain all task-specific changes to one narrow parameter subspace.
By Saed Moradi, Benyamin Ghojogh, M. Hadi Sepanj, Yimin Yang, Ashirbani Saha
arXiv:2607. 12048v1 Announce Type: cross Abstract: Deploying medical visual question answering (MedVQA) systems in real-world clinical settings requires models that adapt to new clinical tasks without forgetting previously acquired knowledge.
By Mai A. Shaaban, Tausifa Jan Saleem, Alaa Mohamed, Dilnaz Utemissova, Ufaq Khan, Mohammad Yaqub
arXiv:2606. 00132v1 Announce Type: cross Abstract: While finetuning effectively adapts foundation models to specialized downstream tasks, it can degrade nontarget capabilities acquired during pretraining.
By Dongjun Kim, Adrian de Wynter, Huancheng Chen, Heasung Kim, Haris Vikalo
arXiv:2607. 05310v1 Announce Type: new Abstract: Model editing promises a fast, targeted way to correct post-deployment mistakes in medical vision-language models (VLMs) without costly retraining.
By Guli Zhu, Chenwei Wu, Liyue Shen
arXiv:2607. 12112v1 Announce Type: cross Abstract: Federated fine-tuning of Multimodal Large Language Models (MLLMs) across distributed networks enables privacy-sensitive adaptation to evolving data streams, yet a fundamental obstacle prevents robust deployment in dynamic environments: catastrophic forgetting, wherein sequential task updates erase previously acquired knowledge across visual, linguistic, and cross-modal representations.
By Jing Liu, Chenxuanyin Zou, Jiayang Ren, Gaoyun Fang, Chengfang Li, Yan Wang, Zhenchao Ma, Bo Hu
Large language model unlearning aims to suppress designated undesirable knowledge while preserving benign capabilities. Many unlearning objectives focus on suppressing undesired answers, while recent target-guided variants specify replacement behavior but still leave update locality largely unconstrained.
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.
arXiv:2602. 00722v2 Announce Type: replace Abstract: Parameter-efficient continual learning aims to adapt pre-trained models to sequential tasks without forgetting previously acquired knowledge.
By Hao Gu, Mao-Lin Luo, Zi-Hao Zhou, Han-Chen Zhang, Min-Ling Zhang, Tong Wei
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.
By Ashshak Sharifdeen, Shihab Aaqil Ahamed, Ufaq Khan, Muhammad Akhtar Munir Sujair Ibrahim, Mohamed Rafeek Mareer Ahamed, Yutong Xie, Imran Razzak, Muhammad Haris Khan
arXiv:2605. 20282v3 Announce Type: replace-cross Abstract: Machine unlearning in Vertical Federated Learning (VFL) has attracted growing interest, yet existing methods certify forgetting solely using output-level metrics.
By Zhenyu Yu, Yangchen Zeng, Chunlei Meng, Guangzhen Yao, Shuigeng Zhou
Survival analysis on Whole Slide Images (WSIs) is important in computational pathology for prognosis estimation and treatment planning. However, existing survival models are typically trained independently for each cancer cohort, making continual adaptation computationally expensive for gigapixel-scale WSIs.