Beyond Symmetric Alignment: Spectral Diagnostics of Modality Imbalance in Vision-Language Models in the Medical Domain

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.

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• llms
• multimodal
• benchmarks
• safety