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. 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.
arXiv:2608. 10316v1 Announce Type: cross Abstract: Multi-modal learning combining medical images and clinical text is promising for disease diagnosis.
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.
arXiv:2609.39266v1 Announce Type: new Abstract: Fine-grained vision-language alignment in chest radiography enables zero-shot classification, grounding, and segmentation without task-specific annotat...
arXiv:2608. 19825v1 Announce Type: cross Abstract: Medical image captioning is a technique that accelerates early-stage diagnostic workflows and enhances the interpretability of medical diagnostic AI systems.
arXiv:2608. 04472v1 Announce Type: cross Abstract: The development of foundation models (FMs) is crucial for advancing endoscopic image analysis.
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.
arXiv:2608. 05683v1 Announce Type: cross Abstract: Cross-modal alignment of visual and textual representations is fundamental to multimodal medical image understanding, yet remains hindered by uncertainty in both modalities under real-world clinical conditions.
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.
arXiv:2607. 14995v1 Announce Type: new Abstract: Multimodal Contrastive Learning (CL) has shown significant performance in aligning representations across various data modalities and improving downstream tasks, especially in healthcare.
arXiv:2506. 08774v2 Announce Type: replace-cross Abstract: Different machine learning models can represent the same underlying concept in different ways.
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.