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:2606. 02276v1 Announce Type: cross Abstract: Vision-language models (VLMs) trained on paired chest radiographs and radiology reports learn a shared embedding space that can preserve instance-level image-report correspondence.
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.
Current evaluation protocols for Vision-Language Models (VLMs) in Radiology Report Generation (RRG) rely on report-level metrics that measure lexical overlap or aggregate clinical correctness. However, such metrics do not test whether individual diagnostic statements stem from the actual pathological evidence visible in the image.
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:2608. 03890v1 Announce Type: cross Abstract: A clinically useful chest X-ray system must go beyond fluent report generation: it should classify findings with tunable decision thresholds, localize them spatially, and derive the anatomical measurements upon which many diagnoses depend.
arXiv:2409.16183v2 Announce Type: replace Abstract: Radiology is a vital and complex component of modern clinical workflow and covers many tasks. Recently, vision-language (VL) foundation models in m...
arXiv:2607. 07219v1 Announce Type: cross Abstract: Vision foundation models (VFMs) are increasingly being developed for radiological imaging, yet their definition, development and evaluation remain heterogeneous.
arXiv:2608. 18339v1 Announce Type: cross Abstract: Vision-language models (VLMs) have demonstrated remarkable zero-shot capabilities yet remain sensitive to real-world distribution shifts during inference.
arXiv:2606. 25375v2 Announce Type: replace-cross Abstract: With the rapid adoption of generative AI, synthetic medical images pose growing risks, including diagnostic deception and insurance fraud.
arXiv:2606. 23487v2 Announce Type: replace Abstract: Medical vision-language models (VLMs) such as BiomedCLIP generalize broadly, but adapting them to a clinical service is as much a safety problem as an accuracy one.
arXiv:2608. 05960v1 Announce Type: cross Abstract: Routine CT interpretation is inherently comprehensive, capturing incidental findings across the entire scan volume.
arXiv:2606. 10066v1 Announce Type: cross Abstract: Medical vision-language models (VLMs) are evaluated on public benchmarks whose images and question-answer pairs have been freely downloadable for years, yet reported accuracy assumes these examples were absent from pretraining.